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Avadel Pharmaceuticals plc

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FY2018 Annual Report · Avadel Pharmaceuticals plc
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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
For the fiscal year ended December 31, 2018           

Commission file number: 000-28508

AVADEL PHARMACEUTICALS PLC

(Exact name of registrant as specified in its charter)

State or other jurisdiction of incorporation or organization

Ireland

98-1341933

(I.R.S. Employer Identification No.)

Block 10-1, Blanchardstown Corporate Park
Ballycoolin
Dublin 15, Ireland

(Address of principal executive offices)

Not Applicable

(Zip Code)

Registrant’s telephone number, including area code: +011-1-485-1200

Securities registered pursuant to Section 12(b) of the Act:

American Depositary Shares*
Ordinary Shares**
Title of each class

NASDAQ Stock Market LLC
(NASDAQ Global Market)
Name of exchange on which registered

  * American Depositary Shares may be evidenced by American Depository Receipts. Each American Depositary Share represents one (1) Ordinary Share.

  ** Nominal value $0.01 per share. Not for trading, but only in connection with the listing of American Depositary Shares.

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 and posted on its corporate Website, if any, every Interactive Data File required to be submitted and posted 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 and post such files). Yes   ☒     No   ☐

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§229.405 of this chapter) is not contained herein, and will not be contained, to the best of
registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, 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 ☐     Accelerated filer ☒
Non-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 is a shell company (as defined in Rule 12b-2 of the Act). Yes   ☐     No   ☒

The aggregate market value of voting stock held by non-affiliates of the registrant as of the last business day of the registrant’s most recently completed second fiscal quarter was $221,263,931 based
on the closing sale price of the registrant’s American Depositary Shares as reported by the Nasdaq Global Market on June 29, 2018. Such market value excludes 650,118 ordinary shares, $0.01 per
share nominal value, held by each officer and director and by shareholders that the registrant concluded were affiliates of the registrant on that date. Exclusion of such shares should not be construed
to indicate that any such person possesses the power, direct or indirect, to direct or cause the direction of the management or policies of the registrant or that such person is controlled by or under
common control with the registrant.

The number of the registrant’s ordinary shares, $0.01 per share nominal value, outstanding as of March 13, 2019 was 37,355,511.

DOCUMENTS INCORPORATED BY REFERENCE

Portions of either (a) a definitive proxy statement involving the election of directors or (b) an amendment to this Form 10-K, either of which will be filed within 120 days after December 31, 2018,
are incorporated by reference into Part III of this Form 10-K.

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TABLE OF CONTENTS

Cautionary Disclosure Regarding Forward-Looking Statements

PART I

Item 1.

Item 1A.

Item 1B.

Item 2.

Item 3.

Item 4.

PART II

Item 5.

Item 6.

Item 7.

Item 7A.

Item 8.

Item 9.

Item 9A.

Item 9B.

PART III

Item 10.

Item 11.

Item 12.

Item 13.

Item 14.

PART IV

Item 15.

SIGNATURES

Business

Risk Factors

Unresolved Staff Comments

Properties

Legal Proceedings

Mine Safety Disclosures

Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

Selected Financial Data

Management’s Discussion and Analysis of Financial Condition and Results of Operations

Quantitative and Qualitative Disclosures About Market Risks

Financial Statements and Supplementary Data

Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

Controls and Procedures

Other Information

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 Accounting Fees and Services

Exhibits

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Cautionary Disclosure Regarding Forward-Looking Statements 

This Annual Report on Form 10-K includes “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933 and Section 21E
of  the  Securities  Exchange  Act  of  1934.  These  forward-looking  statements  relate  to  our  future  expectations,  beliefs,  plans,  strategies,  objectives,  results,
conditions, financial performance, prospects, or other events. In some cases, forward-looking statements can be identified by the use of words such as “will,”
“may,” “believe,” “expect,” “anticipate,” “estimate,” “project” and similar expressions, and the negatives thereof.

Our forward-looking statements are based on estimates and assumptions that are made within the bounds of our knowledge of our business and operations and
that we consider reasonable. However, our business and operations are subject to significant risks and as a result there can be no assurance that actual results
of  our  research,  development  and  commercialization  activities  and  the  results  of  our  business  and  operations  will  not  differ  materially  from  the  results
contemplated  in  such  forward-looking  statements.    Factors  that  could  cause  actual  results  to  differ  from  expectations  in  our  forward-looking  statements
include, among others, those specified in “Risk Factors” in Part I, Item 1A of this Annual Report on Form 10-K, including: 

(a) risks relating to our 2018 net loss and recent restructuring plan, including risks relating to the following:

•
•
•
•

•

our ability to fully pursue our business strategy is limited due to a decrease in our available liquid assets;
our recent restructuring plan may not be as effective as we anticipated and may have unintended negative impacts;
further restructuring actions, if needed, may require third-party consents that may not be granted;
the  Chapter  11  bankruptcy  filing  by  our  subsidiary  Avadel  Specialty  Pharmaceuticals  LLC  (“Specialty  Pharma”)  may  have  unexpected  adverse
results; and
a management-directed audit of the development program for our FT218 sodium oxybate product could result in changes that increase the cost of the
program and further delay its completion; and

(b) risks relating to the following:

•

•

•

•

•
•
•

•

•
•

our three products Bloxiverz®,Vazculep® and Akovaz®, which are not patent protected, and have a small number of customers for such products,
produce a majority of our revenues, and such products could face further competition resulting in a loss of market share and/or forcing us to further
reduce our prices for those products;
we  could  fail  to  develop  our  current  “unapproved  marketed  drug”  (UMD)  product  candidate  or  future  potential  UMD  product  candidates,  or
competitors could develop such products and apply for FDA approval of such products before us;
we could experience failure or delay in completing the Phase 3 clinical trial for our FT218 product, and if the FDA ultimately approves such product,
the approval may not include any period of market exclusivity;
Servicing our $143.75 million Exchangeable Senior Notes due 2023 may require a significant amount of cash, and we may not have sufficient cash
or the ability to raise the funds necessary to settle exchanges of the 2023 Notes in cash, repay the Notes at maturity, or repurchase the 2023 Notes as
required following a “fundamental change” event described in the indenture governing the 2023 Notes;
our products may not reach the commercial market or gain market acceptance;
we must invest substantial sums in research and development in order to remain competitive;
we depend on one or a limited number of providers to develop certain of our products and drug delivery technologies, to manufacture certain of our
products and to provide certain raw materials used in our products;
our  competitors  may  develop  and  market  technologies  or  products  that  are  more  effective  or  safer  than  ours,  or  obtain  regulatory  approval  and
market such technologies or products before we do;
we face challenges in protecting intellectual property underlying our products and drug delivery technologies; and
we depend on key personnel to execute our business plan.

Forward-looking statements speak only as of the date they are made and are not guarantees of future performance. Accordingly, you should not place undue
reliance on forward-looking statements. We  do  not  undertake  any  obligation  to  publicly  update  or  revise  the  forward-looking  statements  contained  in  this
Annual Report.

-3-

PART I 

Item 1.        Business. 

General Overview

(Dollar amounts in thousands, except per-share amounts and as otherwise noted)

Avadel  Pharmaceuticals  plc  (Nasdaq:  AVDL)  (“Avadel,”  the  “Company,”  “we,”  “our,”  or  “us”)  is  a  branded  specialty  pharmaceutical  company.    Our
primarily  focus  is  on  the  development  and  potential  FDA  approval  for  FT218  which  is  in  a  Phase  3  clinical  trial  for  the  treatment  of  narcolepsy  patients
suffering from excessive daytime sleepiness (EDS) and cataplexy.  In addition, we market three sterile injectable drugs used in the hospital setting which were
developed  under  our  “unapproved  marketed  drug”  (UMD)  program.      The  Company  is  headquartered  in  Dublin,  Ireland  with  operations  in  St.  Louis,
Missouri and Lyon, France. For more information, please visit www.avadel.com..

Avadel is developing FT218, an investigational once-nightly formulation of sodium oxybate based on its propriety Micropump® drug delivery technology,
for the treatment of excessive daytime sleepiness (EDS) and cataplexy in patients suffering from narcolepsy. FT218 is currently being evaluated in a Phase 3
clinical  trial  called  REST-ON.  In  addition,  Avadel  is  developing  a  fourth  UMD  product,  an  as-yet  undisclosed  sterile  injectable  product  intended  for  the
hospital market.

Our current marketed products consist of:

•

•

•

•

Akovaz®  (ephedrine  sulfate  injection,  USP),  an  alpha-  and  beta-adrenergic  agonist  and  a  norepinephrine-releasing  agent  that  is  indicated  for  the
treatment of clinically important hypotension occurring in the setting of anesthesia.

Bloxiverz®  (neostigmine  methylsulfate  injection),  a  cholinesterase  inhibitor,  is  indicated  for  the  reversal  of  the  effects  of  non-depolarizing
neuromuscular blocking agents (NMBAs) after surgery.

Vazculep®  (phenylephrine  hydrochloride  injection),  an  alpha-1  adrenergic  receptor  agonist  indicated  for  the  treatment  of  clinically  important
hypotension resulting primarily from vasodilation in the setting of anesthesia.

Each of our Akovaz, Bloxiverz and Vazculep products is used primarily in the hospital setting and was developed under our UMD program.

Noctiva™, a vasopressin analog indicated for the treatment of nocturia due to nocturnal polyuria in adults who awaken at least two times per night to
void. Due to disappointing results after a substantial investment of resources after Noctiva’s commercial launch in March 2018, Specialty Pharma,
the Avadel subsidiary responsible for the marketing and sale of Noctiva, made a voluntary filing for Chapter 11 bankruptcy protection on February 6,
2019. Although Specialty Pharma currently continues its marketing and sales efforts for this product, Avadel anticipates that Specialty Pharma will
discontinue all activities with respect to Noctiva during 2019 as a result of the bankruptcy.

Corporate Information 

The Company was incorporated on December 1, 2015 as an Irish private limited company, and re-registered as an Irish public limited company, or plc, on
November  21,  2016.  Our  principal  place  of  business  is  located  at  Block  10-1,  Blanchardstown  Corporate  Park,  Ballycoolin,  Dublin  15,  Ireland.  Avadel’s
phone number is 011-353-1-485-1200. Our website is www.avadel.com, where we make available free of charge our reports (and any amendments thereto) on
Forms  10-K,  10-Q  and  8-K  as  soon  as  reasonably  practicable  after  they  are  electronically  filed  with  or  furnished  to  the  U.S.  Securities  and  Exchange
Commission (“SEC”). These filings are also available to the public at www.sec.gov.

The  Company  is  the  successor  to  Flamel  Technologies  S.A.,  a  French  société anonyme  (“Flamel”),  as  the  result  of  the  France-to-Ireland  redomestication
merger of Flamel with and into the Company completed on December 31, 2016 (the “Merger”). In the Merger, we changed our company name to Avadel
Pharmaceuticals plc and our jurisdiction of organization to Ireland; we assumed all the assets and liabilities of Flamel; and we issued one Avadel ordinary
share (either directly or in the form of an American Depositary Share (ADS)) in exchange for each formerly outstanding share of Flamel, all of which were
canceled. Thus,  an  Avadel  ordinary  share  held  (either  directly  or  represented  by  an  ADS)  immediately  after  the  Merger  continued  to  represent  the  same
proportional interest in our equity owned by the holder of a share of Flamel immediately prior to the Merger. References in this Annual Report on Form 10-K
to “Avadel,” the “Company,” “we,” “our,” “us,” and similar terms shall be deemed to be references to Flamel prior to the completion of the Merger, unless the
context otherwise requires. Additional details about the Merger are set forth below in this Item 1 under the caption “ - The Reincorporation Merger.”

-4-

 
The Company currently has five direct wholly-owned subsidiaries: (a) Avadel US Holdings, Inc., (b) Flamel Ireland Limited, which conducts business under
the name Avadel Ireland, (c) Avadel Investment Company Limited, (d) Avadel Finance Ireland Designated Activity Company and (e) Avadel France Holding
SAS.  Avadel  US  Holdings,  Inc.,  a  Delaware  corporation,  is  the  holding  entity  of  (i)  Avadel  Specialty  Pharmaceuticals,  LLC  (currently  the  subject  of  a
voluntary  Chapter  11  bankruptcy  proceeding  as  noted  above),  (ii)  Avadel  Legacy  Pharmaceuticals,  LLC,  (iii)  Avadel  Management  Corporation,  (iv)  FSC
Holding Company and (v) Avadel Operations Company, Inc. Avadel Finance Ireland Designated Activity Company is the holding entity of Avadel Finance
Cayman Limited. Flamel Ireland Limited (operating under the trade name Avadel Ireland) is an Irish corporation which, Since December 16, 2014, has been
the owner of substantially all of Avadel’s intellectual property. Avadel France Holding SAS, a French société par actions simplifiée, is the holding entity of
Avadel Research SAS through which Avadel conducts substantially all of its R&D activities. A complete list of the Company’s subsidiaries can be found in
Exhibit 21.1 to this Annual Report on Form 10-K.

Recent Developments

Management Changes. In December 2018 and in January 2019, Avadel announced changes to its Board of Directors (“Board”) and Management team. In
December 2018, (a) Avadel appointed Kevin Kotler, founder and portfolio manager of Broadfin Capital, LLC, and Eric Ende, President of Ende BioMedical
Consulting Group to the Company’s Board, (b) Michael S. Anderson resigned as chief executive officer and member of the Board of Avadel, (c) the Board
named Gregory J. Divis, formerly the Company’s chief operating officer, as interim chief executive officer, (d) the Honorable Craig Stapleton stepped down
as chairman of the Board but continues as a member of the Board, and (e) Geoffrey M. Glass, President of Clear Sciences, LLC, a current member of the
Avadel Board, was named chairman of the Board.

Corporate Restructuring. In February 2019, Avadel announced a corporate restructuring in order to focus efforts and resources on the clinical development of
FT218.  In  conjunction  with  the  restructuring,  Avadel  will  reduce  its  workforce  by  more  than  50%,  and  Specialty  Pharma  made  a  voluntary  filing  for
bankruptcy protection under Chapter 11 of the U.S. Bankruptcy Code on February 6, 2019. As noted above, Specialty Pharma is a special-purpose entity and
wholly-owned  subsidiary  responsible  solely  for  the  sales,  marketing  and  distribution  of  Noctiva. These  restructuring  actions  were  taken  to  exit  Noctiva™
quickly  and  efficiently,  and  are  not  expected  to  materially  impact  any  other  aspect  of  the  Company’s  business,  including  the  ability  to  operate  its  sterile
injectables hospital business, complete the FT218 Phase 3 clinical trial, and complete development of the Company’s fourth UMD product. The Company
estimates that it will incur approximately $10 to $15 million of one-time pre-tax charges for severance and other costs related to the restructuring. See Note
23: Subsequent Events in the accompanying notes to the consolidated financial statements for additional information.

Business Strategies

Our primary business strategy is to focus on the development and potential FDA approval for FT218 which is in a Phase 3 clinical trial for the treatment of
narcolepsy patients suffering from excessive daytime sleepiness (EDS) and cataplexy. In addition, we will continue to maximize our current approved hospital
products portfolio, including obtaining FDA approval for and the commercialization of our fourth UMD product. Additionally, we will continue to evaluate
opportunities to expand our product portfolio. These strategies are described below in greater detail.

FT218 (Micropump® sodium oxybate): FT218 (Micropump® sodium oxybate): Avadel is developing a product that uses our Micropump® drug-delivery
technology  for  the  treatment  of  excessive  daytime  sleepiness  (EDS)  and  cataplexy  in  patients  suffering  from  narcolepsy.  Avadel  currently  refers  to  this
product  as  FT218.  FT218  is  a  Micropump®-based  formulation  of  sodium  oxybate.  Sodium  oxybate  is  the  sodium  salt  of  gamma  hydroxybutyrate,  an
endogenous compound and metabolite of the neurotransmitter gamma-aminobutyric acid. Sodium oxybate has been described as a therapeutic agent with high
medical value. Sodium oxybate is approved in Europe and the United States as a twice nightly formulation indicated for the treatment of EDS and cataplexy
in patients with narcolepsy.

In preparation for a clinical trial of FT218, Avadel reached an agreement with the FDA for the design and planned analysis of our pivotal Phase 3 study, Rest-
On through a Special Protocol Assessment (“SPA”). A SPA is an acknowledgment by the FDA that the design and planned analysis of a pivotal clinical trial
adequately addresses the objectives necessary to support a regulatory submission. Pursuant to the SPA, in December 2016, Avadel initiated patient enrollment
and dosing for the Rest-On clinical trial to assess the safety and efficacy of a once-nightly formulation of FT218 for the treatment of EDS and cataplexy in
patients suffering from narcolepsy. The study is a randomized, double-blind, placebo-controlled study of 264 patients being conducted in 45 to 55 clinical
sites in the U.S., Canada, Western Europe and Australia. Avadel believes that, if successful, this study could demonstrate improved efficacy, safety and patient
satisfaction over the current primary product serving this market, which is a twice nightly sodium oxybate formulation, which the marketer estimates will
generate revenues of approximately $1.4 billion in 2018.

-5-

To date, due in part to narcolepsy being a rare disease with a small patient population with no significant geographic concentration, we have not completed
patient enrollment for the FT218 clinical trial, nor have we announced a projected completion date for this clinical trial. Recently, we have engaged a third-
party  pharmaceutical  consulting  firm  to  assist  us  in  evaluating  our  clinical  development  program  for  FT218  with  the  goal  of  ensuring  a  approvable  and
commercially viable FDA submission. This evaluation is currently under way, and while the results are not known at this time, they could cause us to modify
our  development  plan  with  respect  to  FT218  in  ways  that  materially  increase  the  ultimate  cost  of  development,  further  delay  its  completion  or  identify
presently unknown risks with the product.

In  January  2018,  the  FDA  granted  FT218  Orphan  Drug  Designation,  which  makes  the  drug  eligible  for  certain  development  and  commercial  incentives,
including a potential U.S. market exclusivity for up to seven years as the only once-nightly formulation. However, please see the information set forth under
the caption “- Risks Related to Regulatory and Legal Matters - If FT218 is approved by the FDA, we may not obtain orphan drug marketing exclusivity” in
the “Risk Factors” included in Part I, Item 1A of this Annual Report on Form 10-K.

Development of Micropump®-Based Products

Avadel’s versatile Micropump® drug delivery technology presents product development opportunities, representing either “life cycle” opportunities, whereby
additional intellectual property can be added to a pharmaceutical product to extend the commercial viability of a currently marketed product, or innovative
formulation  opportunities  for  new  chemical  entities  (“NCEs”).  FT218  is  formulated  using  this  technology.  If  approved  by  the  FDA,  this  product  will  be
commercialized either by Avadel and/or by partners via licensing/distribution agreements.

Unapproved Marketed Drug (“UMD”) Products

In 2006, the U.S. Food and Drug Administration (FDA) issued its Marketed Unapproved Drugs - Compliance Policy Guide with the intention to incentivize
pharmaceutical companies to pursue approvals for pharmaceutical products, many of which pre-date the establishment of the FDA. Although these products
are not protected by patents or similar intellectual property, the FDA’s Compliance Policy Guide dictates that should FDA approve a new drug application
(NDA) for any such products via a 505(b)(2) process, the FDA will remove competing unapproved manufacturers until a generic application is approved.
Avadel believes that over a thousand unapproved drugs are marketed in the United States today and, while many of these products are outdated therapies, we
strategically  evaluate  those  UMD  products  that  are  more  commonly  used  as  candidates  for  possible  future  FDA  approval  and  marketing  under  our  UMD
program.

To  date,  Avadel  has  received  FDA  approvals  for  three  UMD  products  which  we  currently  market  under  the  brand  names  Bloxiverz®  (neostigmine
methylsulfate injection), Vazculep® (phenylephrine hydrochloride injection) and Akovaz® (ephedrine sulfate injection), each as more particularly described
below.

•

•

•

Bloxiverz® (neostigmine methylsulfate injection), Bloxiverz’s NDA was filed on July 31, 2012. Bloxiverz was approved by the FDA on May 31,
2013 and was launched in July 2013. Bloxiverz is a drug used intravenously in the operating room for the reversal of the effects of non-depolarizing
neuromuscular blocking agents after surgery. Bloxiverz was the first FDA-approved version of neostigmine methylsulfate. Today, neostigmine is one
of the two the most frequently used products for the reversal of the effects of other agents used for neuromuscular blocks. There are approximately
2.5 million vials sold annually in the U.S. In the future, sales of Bloxiverz are dependent upon the competitive market dynamics between Avadel and
four other competitors in addition to any additional competitors who may obtain FDA approval of an abbreviated new drug application (ANDA) for
a generic form of Bloxiverz.

Vazculep®  (phenylephrine  hydrochloride  injection)  On  June  28,  2013,  Avadel  filed  an  NDA  for  Vazculep  (phenylephrine  hydrochloride
injection). The product was approved by the FDA on June 27, 2014 and is indicated for the treatment of clinically important hypotension occurring
in  the  setting  of  anesthesia.  Avadel  started  shipping  Vazculep  (in  1mL  single  use  vials,  and  5mL  and  10mL  pharmacy  bulk  package  vials)  to
wholesalers  in  October  2014.  There  are  approximately  7  million  vials  sold  annually  in  the  U.S.  Vazculep  is  the  only  FDA-approved  version  of
phenylephrine hydrochloride to be available in all three vial sizes. Avadel competes against one other manufacturer who commercializes the 1mL
single-dose vial. The volume of sales of Vazculep is dependent upon the competitive landscape in the marketplace, and potential for new competitors
that may receive generic approvals in the future.

Akovaz® (ephedrine sulfate injection). On June 30, 2015, Avadel announced that our third NDA was accepted by the FDA; the FDA subsequently
approved Akovaz on April 29, 2016. On August 12, 2016, Avadel launched Akovaz, into a market of approximately 7.5 million vials annually in the
U.S. Avadel was the first approved formulation of ephedrine sulfate, an alpha- and beta- adrenergic agonist and a norepinephrine-releasing agent that
is indicated for the treatment of

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clinically important hypotension occurring in the setting of anesthesia. Avadel began shipping the product to wholesalers in August 2016 in cartons
of twenty-five 50 mg/mL 1mL single use vials. During 2016 Akovaz was the only FDA approved version of ephedrine sulfate being commercially
sold in the U.S. To date, there are three other approved manufacturers of ephedrine sulfate with whom Avadel competes. The volume of sales of
Akovaz is dependent upon the competitive landscape in the marketplace, and potential for new competitors that may receive generic approvals in the
future.

Additional UMD Products. Avadel is developing and intends to seek FDA approval of a NDA for UMD #4, a sterile injectable product used in the hospital
setting. The Company anticipates submitting an NDA during the first quarter of 2019 on UMD #4, which, if approved, could contribute revenues to Avadel
starting in 2020. In addition, Avadel continues to monitor and evaluate other UMDs with large existing markets and limited competition for feasibility of
possible future NDAs. Avadel believes its strategy to create opportunities to commercialize UMD products in markets with a limited number of competitors
may have a limited number of opportunities given the lack of patent protection from competition. Avadel believes this shorter-term strategy may provide us
with near term revenue growth and provide cash flows that can be used to fund R&D and inorganic initiatives for other products.

Proprietary Product Pipeline 

The status of Avadel’s proprietary product pipelines is detailed in the followings table:

Platform / Strategy

Drug/Product

Indication

Stage

Proprietary Product Pipeline

Micropump®

UMD #4

Sodium oxybate

EDS / Cataplexy

Sterile Injectable - Drug Undisclosed

Undisclosed

Phase 3 trial ongoing

Development ongoing

Competition and Market Opportunities 

Competition 

Competition in the pharmaceutical and biotechnology industry is intense and is expected to increase. Avadel competes with academic laboratories, research
institutions,  universities,  joint  ventures,  and  other  pharmaceutical  and  biotechnology  companies,  including  other  companies  developing  brand  or  generic
specialty pharmaceutical products or drug delivery platforms. Some of these competitors may also be Avadel’s business partners. There can be no assurance
that Avadel’s competitors will not obtain patent protection or other intellectual property rights that would make it difficult or impossible for us to compete
with  their  products.  Furthermore,  major  technological  changes  can  happen  quickly  in  the  pharmaceutical  and  biotechnology  industries.  Such  rapid
technological  change,  or  the  development  by  Avadel’s  competitors  of  technologically  improved  or  differentiated  products,  could  render  our  products,
including our drug delivery technologies, obsolete or noncompetitive.

The  pharmaceutical  industry  has  dramatically  changed  in  recent  years,  largely  as  a  function  of  the  growing  importance  of  generic  drugs.  The  growth  of
generics (typically small molecules) and of large molecules (biosimilars) has been accelerated by the demand for less expensive pharmaceutical products. As
a result, the pricing power of pharmaceutical companies will be more tightly controlled in the future.

In  addition,  the  overall  landscape  of  the  Pharma/Biotech  industry  has  changed,  as  consolidation  has  reduced  Avadel’s  pool  of  potential  partners  and
acquisition opportunities within the specialty pharmaceutical space.

Avadel’s business model competes with a number of companies based upon our current marketed products and those in development. Examples of companies
with  whom  Avadel  or  future  partners  would  compete,  given  our  current  products  and  pipeline,  include  Jazz  Pharmaceuticals,  Fresenius  Kabi,  Par
Pharmaceuticals, Hikma Pharmaceuticals, Ferring, and others.

Potential competition for FT218

If  FT218  receives  FDA  approval,  it  will  compete  with  the  current  approved  twice-nightly  sodium  oxybate  formulation,  as  well  as  a  number  of  daytime
stimulants  including  lisdexamfetamine,  modafinil,  armodafinil,  which  are  widely  prescribed,  or  prescribed  concomitantly  with  sodium  oxybate.  Sodium
oxybate is currently the only product approved for both EDS and cataplexy. In addition, Avadel anticipates that our FT218 product may face competition from
manufacturers of generic twice-nightly sodium oxybate formulations, who have reached settlement agreements with the current marketer for entry by 2023. In
addition, there

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are other products in development that may be approved in the future that could have an impact on the sodium oxybate market prior to FT218’s potential FDA
approval.

Market Opportunities 

Because the pharmaceutical industry is highly competitive, participants seek ways to increase profitability by reducing competition through patent protection.
Avadel,  combining  its  existing  proprietary  drug  delivery  technologies  with  the  established  commercial  capability  of  our  unapproved  to  approved  product
strategy has evolved into a Specialty Pharma company focusing on re-formulations and requiring shorter product development cycles by using an abbreviated
NDA mechanism (505(b)(2)).

In particular, in today’s environment, a drug has to demonstrate significant therapeutic improvements over the current standard of care in order to obtain third
party  payer  coverage.  Alternatively,  changes  in  the  delivery  of  a  drug  must  create  a  demonstrable  reduction  in  costs.  Dosing  convenience,  by  itself,  is  no
longer  sufficient  to  gain  reimbursement  acceptance.  Specialty  pharmaceutical  companies  must  now  demonstrate,  through  costly  Phase  3  trials,  therapeutic
efficacy of their new formulations. The FDA has encouraged drug companies developing enhanced formulations to use an abbreviated regulatory pathway:
the  505(b)(2)  NDA.  Many  specialty  pharmaceutical  companies  today  are  using  this  approach  or  the  supplemental  NDA  pathway  (“sNDA”).  An  NDA  or
sNDA is necessary to market an already approved drug for a new indication, or in a different dosage form or formulation. However, the sNDA approach
requires cross-referencing the originator’s drug dossier, and eventually an alliance with the originator for commercialization.

FT218

Narcolepsy  is  an  orphan  disease  affecting  approximately  200,000  people  in  the  U.S.  With  low  prevalence  and  an  even  lower  diagnosis  rate,  an  estimated
50,000 patients diagnosed and on treatment, many patients’ needs are not being met and there are limited proven treatment options, particularly for those
suffering  from  cataplexy.  Currently,  the  only  approved  treatment  option  to  treat  both  EDS  and  cataplexy  is  a  liquid  formulation  of  sodium  oxybate  dosed
twice per night. This treatment requires patients to wake up in the middle of the night to take a second dose of medication, interrupting sleep and potentially
causing a number of other issues related to their quality of life.

Avadel believes that our once nightly formulation of sodium oxybate in FT218 may have the potential to provide an uninterrupted night’s sleep to patients,
may  have  an  improved  safety  profile,  fewer  potential  side  effects  due  to  a  lower  Cmax  (i.e.,  the  maximum  concentration  a  drug  achieves  in  the  body)
compared  to  the  current  approved  product,  and  may  provide  other  additional  benefits  related  to  quality  of  life.  The  marketer  of  the  twice-nightly  sodium
oxybate  product  reported  revenue  of  $1.4  billion  in  calendar  year  2018  for  the  product;  the  number  of  patients  reported  as  actively  on  treatment  was
approximately 14,000. Following the completion of Avadel’s REST-ON clinical trial, if FT218 is able to adequately demonstrate an improved safety profile
over  the  current  approved  product,  the  potential  to  receive  Orphan  Drug  Designation  may  provide  development  and  commercial  incentives  for  FT218,
including eligibility for a seven-year period of market exclusivity in the U.S. as the only once-nightly formulation.

Avadel’s Drug Delivery Technologies 

Avadel owns drug delivery technologies that address key formulation challenges, potentially allowing the development of differentiated drug products for
administration in various forms (e.g., capsules, tablets, sachets or liquid suspensions for oral use; or injectables for subcutaneous administration) that could be
applied to a broad range of drugs (novel, already-marketed, or off-patent).

Avadel believes that its Micropump® technology permits the development of differentiated product profiles (modified/controlled release formulations) under
various  dosage  forms  including  capsules,  tablets,  sachets  and  liquid  suspensions  (LiquiTime®)  for  oral  use.  In  addition,  with  Trigger  Lock™  potentially
addressing the issue of narcotic/opioid analgesics abuse. A brief discussion of each of Avadel’s drug delivery technologies is set forth below.

Micropump® Technology. Micropump® is a microparticulate system that allows the development and marketing of modified and/or controlled release solid,
oral  dosage  formulations  of  drugs.  Micropump®-carvedilol  and  Micropump®-aspirin  formulations  have  been  approved  in  the  U.S.  Avadel’s
Micropump®  technology  permits  either  extended  or  delayed  delivery  of  small  molecule  drugs  via  the  oral  route.  Micropump®  consists  of  a  multiple-
particulate  system  containing  5,000  to  10,000  microparticles/nanoparticles  per  capsule  or  tablet.  The  200-500  microns  diameter-sized  microparticles  are
released in the stomach and pass into the small intestine, where each microparticle, operating as a miniature delivery system, releases the drug at an adjustable
rate  and  over  an  extended  period  of  time.  The  design  of  the  Micropump®  microparticles  allows  an  extended  release  in  the  Gastro-Intestinal  (“GI”)  tract
allowing mean plasma residence times to be extended for up to 24 hours. The microparticles’ design can be adapted to each drug’s specific characteristics by
modifying the coating composition and thickness as well as the composition of the

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excipients  encapsulated  with  the  drug.  The  resultant  formulations  can  potentially  offer  improved  efficacy  (by  extending  therapeutic  coverage),  reduced
toxicity and/or side effects (by reducing Cmax or peak drug concentration in the plasma, or by reducing intra- and inter-patient variability), and improved
patient compliance (by reducing frequency of administration). The platform is applicable to poorly soluble (< 0.01mg/L) as well as highly soluble (> 500g/L)
and to low dose (e.g., 4 mg) or high dose (e.g., 1,000 mg) drugs, while providing excellent mouth feel and taste masking properties. Micropump® allows the
achievement of extremely precise pharmacokinetic profiles extended (and/or delayed) release of single or combination of drugs, in a variety of formats (such
as tablets, capsules, sachet, or liquids (LiquiTime®), while preserving the targeted release rate over the shelf-life of the product.

LiquiTime®. LiquiTime® allows development of modified/controlled release oral products in a liquid suspension formulation particularly suited to children
or  for  patients  having  issues  swallowing  tablets  or  capsules.  Avadel’s  LiquiTime®  technology  uses  Micropump’s  competitive  advantages  to  allow  the
development  of  products  with  modified/controlled  release  (e.g.,  zero-order  kinetics)  in  liquid  suspension  formulations.  The  LiquiTime®  products  are
particularly suitable for dosing to children and for use by patients having issues swallowing tablets or capsules. LiquiTime® does not have the limitation of
having to work solely with ionic drugs and therefore has applicability to a much broader range of drug molecules. As with Micropump®, LiquiTime® can be
applied  to  the  development  of  combination  products.  Avadel  believes  that  LiquiTime®,  designed  to  provide  a  controlled,  extended  release  of  oral  liquids
principally for pediatric and geriatric patients, will enable Avadel to develop improved, patent protected prescription products to serve an unmet medical need
in these patient populations. Avadel believes that the increasing number of geriatric patients and the demand for convenient drug delivery options for children
offer opportunities for the development of LiquiTime®-based formulations. Although Avadel owns this technology, the Company is currently not pursuing
any commercial pharmaceutical drug development opportunities using this technology

Trigger Lock™. Trigger Lock™ allows development of abuse-resistant modified/controlled release formulations of narcotic/opioid analgesics and other drugs
susceptible  to  abuse.  Although  Avadel  owns  this  technology,  the  Company  is  currently  not  pursuing  any  commercial  pharmaceutical  drug  development
opportunities using this technology

Medusa™. Medusa™ allows the development of extended/modified release of injectable dosage formulations of drugs (e.g., peptides, polypeptides, proteins,
and  small  molecules).  Although  Avadel  owns  this  technology,  the  Company  is  currently  not  pursuing  any  commercial  pharmaceutical  drug  development
opportunities using this technology

Proprietary Intellectual Property 

Parts of Avadel’s product pipeline and strategic alliances utilize our drug delivery platforms and related products of which certain features are the subject of
patents or patent applications. As a matter of policy, Avadel seeks patent protection of our inventions and also relies upon trade secrets, know-how, continuing
technological innovations and licensing opportunities to maintain and develop competitive positions.

Drug Delivery Technology Patents. Avadel’s drug delivery technologies are the subject of certain patents, including: (i) for Micropump®, patents relating to
an efficacious coating formulation for providing delayed and sustained release of an active ingredient with absorption limited to the upper part of intestinal
tract  (expiring  in  2025  in  the  U.S.  and  2022  in  foreign  jurisdictions);  (ii)  for  LiquiTime®,  patents  relating  to  film-coated  microcapsules  and  a  method
comprising orally administering such microcapsules to a patient (expiring in 2023); (iii) for Trigger Lock™, patents relating to a solid oral drug form with at
least part of the active ingredient contained in microparticles with anticrushing characteristics to prevent misuse (expiring in 2027); and (iv) for Medusa™,
patents relating to an aqueous colloidal suspension of low viscosity based on submicronic particles of water-soluble biodegradable polymer PO (polyolefin)
carrying hydrophobic groups (expiring in 2023).

The  patent  positions  of  biopharmaceutical  companies  like  Avadel  are  generally  uncertain  and  involve  complex  legal,  scientific  and  factual  questions.  In
addition, the coverage claimed in a patent application can be significantly reduced before the patent is issued, and patent scope can be reinterpreted by the
courts after issuance. Moreover, many jurisdictions permit third parties to challenge issued patents in administrative proceedings, which may result in further
narrowing or even cancellation of patent claims. Avadel cannot predict whether the patent applications we are currently pursuing will issue as patents in any
particular jurisdiction or whether the claims of any of Avadel’s licensed or owned patents will provide sufficient protection from competitors. Any of Avadel’s
licensed or owned patents may be challenged, circumvented, or invalidated by third parties. For more information, please see the information set forth under
the caption “– Risks Related to Avadel’s Business and Industry – If Avadel cannot adequately protect our intellectual property and proprietary information,
Avadel may be unable to sustain a competitive advantage” in the “Risk Factors” included in Part I, Item 1A of this Annual Report on Form 10-K.

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Supplies and Manufacturing 

Avadel attempts to maintain multiple suppliers in order to mitigate the risk of shortfall and inability to supply market demand. Nevertheless, for most of our
products Avadel relies on a limited number of suppliers, and in certain cases only one supplier, for sourcing active pharmaceutical ingredients (APIs).

The  manufacture  of  our  sterile  hospital  injectable  products  marketed  by  Avadel  in  the  U.S.  is  outsourced  to  cGMP-compliant  and  FDA-audited  contract
manufacturing organization (“CMOs”) pursuant to supply agreements. Avadel will continue to outsource to third-party CMOs, and has no present plans to
acquire manufacturing facilities. Avadel believes this outsourcing policy is beneficial to us for products to be marketed in the United States.

In 2014, Avadel sold a manufacturing facility located in Pessac, France (near Bordeaux). Under the contract of sale, Avadel continues to use this facility to
manufacture clinical supplies of FT218. To date, this facility has not been used to manufacture products commercialized directly by Avadel.

Government Regulation 

The design, testing, manufacturing and marketing of certain new or substantially modified drugs, biological products or medical devices must be approved,
cleared or certified by regulatory agencies, regulatory authorities and notified bodies under applicable laws and regulations, the requirements of which may
vary  from  country  to  country.  This  regulatory  process  is  lengthy,  expensive  and  uncertain.  In  the  United  States,  the  FDA  regulates  such  products  under
various federal statutes, including the Federal Food, Drug, and Cosmetic Act (“FDCA”) and the Public Health Service Act.

New Drug Product Development and Approval Process

Regulation by governmental authorities in the United States and other countries has a significant impact on the development, manufacture, and marketing of
drug  products  and  on  ongoing  research  and  product  development  activities.  The  products  of  all  of  Avadel’s  pharmaceutical  partners  as  well  as  its  own
products will require regulatory approval by governmental agencies and regulatory authorities prior to commercialization. In particular, these products are
subject to manufacturing according to stringent requirements known as current good manufacturing practices (“cGMP”) which are promulgated by the FDA
in the United States and by other authorities in other jurisdictions, and rigorous, pre-clinical and clinical testing and other pre-market approval requirements
by  the  FDA,  the  European  Commission  and  regulatory  authorities  in  other  countries.  In  the  United  States  and  the  European  Union,  various  statutes  and
regulations  also  govern  or  influence  the  manufacturing,  safety,  labeling,  storage,  record  keeping  and  marketing  of  pharmaceutical  products.  The  lengthy
process of seeking these approvals, and the subsequent compliance with applicable statutes and regulations, require the expenditure of substantial resources.

Regulatory approval, when and if obtained, may be limited in scope. In particular, regulatory approvals will restrict the marketing of a product to specific
uses. Approved drugs, as well as their manufacturers, are subject to ongoing review (including requirements and restrictions related to record keeping and
reporting,  FDA,  European  Commission  and  EU  Member  States  competent  authorities’  approval  of  certain  changes  in  manufacturing  processes  or  product
labeling,  product  promotion  and  advertising,  and  pharmacovigilance,  which  includes  monitoring  and  reporting  adverse  reactions,  maintaining  safety
measures, and conducting dossier reviews for marketing authorization renewal). Discovery of previously unknown problems with these products may result in
restrictions on their manufacture, sale or use, or in their withdrawal from the market. Failure to comply with regulatory requirements may result in criminal
prosecution, civil penalties, recall or seizure of products, total or partial suspension of production or injunction, as well as other actions affecting Avadel’s
potential  products  and  commercial  prospects  or  the  potential  products  and  commercial  prospects  of  Avadel’s  pharmaceutical  partners  who  may  utilize
Avadel’s technologies. Any failure by Avadel or our pharmaceutical partners to comply with current or new and changing regulatory obligations, and any
failure to obtain and maintain, or any delay in obtaining, regulatory approvals, could materially adversely affect our business.

The process for new drug product development and approval has many steps, including:

Chemical and Formulation Development. Pharmaceutical formulation taking into account the chemistry and physical characteristics of the drug or biological
substance is the beginning of a new product. If initial laboratory experiments reveal that the concept for a new drug product looks promising, then a variety of
further  development  steps  and  tests  complying  with  internationally  recognized  guidance  documents  will  have  to  be  continued,  in  order  to  provide  for  a
product ready for testing in animals and, after sufficient animal test results, also in humans.

Concurrent with pre-clinical studies and clinical trials, companies must continue to develop information about the properties of the drug product and finalize a
process for manufacturing the product in accordance with cGMP. The manufacturing process must

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be capable of consistently producing quality batches of the product, and the manufacturer must develop and validate methods for testing the quality, purity
and potency of the final products. Additionally, appropriate packaging must be selected and tested, and stability studies must be conducted to demonstrate that
the product does not undergo unacceptable deterioration over its shelf-life.

Pre-Clinical  Testing.  Once  a  drug  candidate  is  identified  for  development,  the  candidate  enters  the  pre-clinical  testing  stage.  This  includes  laboratory
evaluation of product chemistry and formulation, as well as animal studies of pharmacology (mechanism of action, pharmacokinetics) and toxicology which
may have to be conducted over lengthy periods of time, to assess the potential safety and efficacy of the product as formulated. Pre-clinical tests must be
conducted in compliance with good laboratory practice regulations, the Animal Welfare Act and its regulations in the U.S. and the Clinical Trials Directive
and related national laws and guidelines in the EU Member States. Violations of these laws and regulations can, in some cases, lead to invalidation of the
studies, then requiring such studies to be replicated. In some cases, long-term pre-clinical studies are conducted while clinical studies are ongoing.

Investigational New Drug Application.

U.S. The entire body of chemical or biochemical, pharmaceutical and pre-clinical development work necessary to administer investigational drugs to human
volunteers or patients is summarized in an Investigational New Drug (“IND”) application to the FDA. The IND becomes effective if not rejected by the FDA
within thirty (30) days after filing. There is no assurance that the submission of an IND will eventually allow a company to commence clinical trials. All
clinical trials must be conducted under the supervision of a qualified investigator in accordance with good clinical practice regulations to ensure the quality
and integrity of clinical trial results and data. These regulations include the requirement that, with limited exceptions, all subjects provide informed consent.
In addition, an institutional review board (“IRB”), composed primarily of physicians and other qualified experts at the hospital or clinic where the proposed
studies will be conducted, must review and approve each human study. The IRB also continues to monitor the study and must be kept aware of the study’s
progress, particularly as to adverse events and changes in the research. Progress reports detailing the results of the clinical trials must be submitted at least
annually to the FDA and more frequently if adverse events occur. Failure to adhere to good clinical practices and the protocols, and failure to obtain IRB
approval and informed consent, may result in FDA rejection of clinical trial results and data, and may delay or prevent the FDA from approving the drug for
commercial use.

European  Union.  The  European  equivalent  to  the  IND  is  the  Investigational  Medicinal  Product  Dossier  (“IMPD”)  which  likewise  must  contain
pharmaceutical, pre-clinical and, if existing, previous clinical information on the drug substance and product. An overall risk-benefit assessment critically
analyzing the non-clinical and clinical data in relation to the potential risks and benefits of the proposed trial must also be included. The intended clinical trial
must  be  submitted  for  authorization  by  the  regulatory  authority(ies)  of  each  EU  Member  States  in  which  the  trial  is  intended  to  be  conducted  prior  to  its
commencement. The trial must be conducted on the basis of the protocol as approved by an Ethics Committee(s) in each EU Member State (EU equivalent to
IRBs) before the trial commences. Before submitting an application to the competent authority, the sponsor must register the trial in the EudraCT database
where it will be provided with a unique EudraCT number.

Clinical Trials. Typically, clinical testing involves the administration of the drug product first to healthy human volunteers and then to patients with conditions
needing treatment under the supervision of a qualified principal investigator, usually a physician, pursuant to a ‘protocol’ or clinical plan reviewed by the
FDA  and  the  competent  authorities  of  the  EU  Member  States  along  with  the  IRB  or  Ethics  Committee  (via  the  IND  or  IMPD  submission).  The  protocol
details matter such as a description of the condition to be treated, the objectives of the study, a description of the patient population eligible for the study and
the parameters to be used to monitor safety and efficacy.

Clinical trials are time-consuming and costly, and typically are conducted in three sequential phases, which sometimes may overlap. Phase I trials consist of
testing the product in a small number of patients or normal volunteers, primarily for safety, in one or more dosages, as well as characterization of a drug’s
pharmacokinetic and/or pharmacodynamic profile. In Phase 2, in addition to safety, the product is studied in a patient population to evaluate the product’s
efficacy  for  the  specific,  targeted  indications  and  to  determine  dosage  tolerance  and  optimal  dosage.  Phase  3  trials  typically  involve  additional  testing  for
safety and clinical efficacy in an expanded patient population at geographically dispersed sites. With limited exceptions, all patients involved in a clinical trial
must  provide  informed  consent  prior  to  their  participation.  Meeting  clinical  endpoints  in  early  stage  clinical  trials  does  not  assure  success  in  later  stage
clinical trials. Phase 1, 2, and 3 testing may not be completed successfully within any specified time period, if at all.

The FDA and the competent authorities of EU Member States monitor the progress of each clinical trial phase conducted under an IND or IMPD and may, at
their discretion, reevaluate, alter, suspend or terminate clinical trials at any point in this process for various reasons, including a finding that patients are being
exposed to an unacceptable health risk or a determination that it is unethical to continue the study. The FDA, the European Commission and the competent
authorities  of  EU  Member  States  can  also  request  that  additional  clinical  trials  be  conducted  as  a  condition  to  product  approval.  The  IRB,  the  Ethics
Committee, and sponsor

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also may order the temporary or permanent discontinuance of a clinical trial at any time for a variety of reasons, particularly if safety concerns arise. Such
holds  can  cause  substantial  delay  and,  in  some  cases,  may  require  abandonment  of  product  development.  These  clinical  studies  must  be  conducted  in
conformance  with  the  FDA’s  bioresearch  monitoring  regulations,  the  Clinical  Trials  Directive  and/or  internationally  recognized  guidance  such  as  the
International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (“ICH”).

New Drug Application. After the completion of the clinical trial phases of development, if the sponsor concludes that there is substantial evidence that the
drug  candidate  is  effective  and  that  the  drug  is  safe  for  its  intended  use,  an  NDA  may  be  submitted  to  the  FDA.  The  application  must  contain  all  of  the
information on the drug candidate gathered to that date, including data from the pre-clinical and clinical trials, information pertaining to the preparation of the
drug, analytical methods, product formulation, details on the manufacture of finished products, proposed product packaging, labeling and stability (shelf-life).
NDAs are often over 100,000 pages in length. If FDA determines that a Risk Evaluation and Mitigation Strategy (“REMS”) is necessary to ensure that the
benefits of the drug outweigh the risks, a sponsor may be required to include as part of the application a proposed REMS, including a package insert directed
to patients, a plan for communication with healthcare providers, restrictions on a drug’s distribution, or a medication guide to provide better information to
consumers about the drug’s risks and benefits. Submission of an NDA does not assure FDA approval for marketing.

The FDA reviews all submitted NDAs before it accepts them for filing (the U.S. prerequisite for dossier review). It may refuse to file the application and
request  additional  information  rather  than  accepting  an  application  for  filing.  In  this  event,  the  application  must  be  resubmitted  with  the  additional
information. The resubmitted application is also subject to review before the FDA accepts it for filing. Once the submission is accepted for filing, the FDA
begins an in-depth review of the NDA to determine, among other things, whether a product is safe and effective for its intended use. As part of this review,
the FDA may refer the application to an appropriate advisory committee, typically a panel of clinicians, for review, evaluation and a recommendation. There
is a strong presumption for advisory committee review for any drug containing an active ingredient not previously approved. The FDA is not bound by the
recommendation  of  an  advisory  committee.  Under  the  Prescription  Drug  User  Fee  Act  (“PDUFA”),  submission  of  an  NDA  with  clinical  data  requires
payment of a fee. In return, the FDA assigns an action date of 10 months from acceptance of the application to return of a first ‘complete response,’ in which
the FDA may approve the product or request additional information. (Although PDUFA also provides for a six-month “priority review” process, Avadel does
not  anticipate  it  applying  to  any  of  its  products  or  its  partners’  products.)  There  can  be  no  assurance  that  an  application  will  be  approved  within  the
performance  goal  timeframe  established  under  PDUFA,  if  at  all.  If  the  FDA’s  evaluation  of  the  NDA  is  not  favorable,  the  FDA  usually  will  outline  the
deficiencies in the submission and request additional testing or information. Notwithstanding the submission of any requested additional information, or even
in lieu of asking for additional information, the FDA may decide that the marketing application does not satisfy the regulatory criteria for approval and issue a
complete response letter, communicating the agency’s decision not to approve the application.

FDA approval of an NDA will be based, among other factors, on the agency’s review of the pre-clinical and clinical data submitted, a risk/benefit analysis of
the  product,  and  an  evaluation  of  the  manufacturing  processes  and  facilities.  Data  obtained  from  clinical  activities  are  not  always  conclusive  and  may  be
susceptible to varying interpretations, which could delay, limit or prevent regulatory approval. The FDA has substantial discretion in the approval process and
may  disagree  with  an  applicant’s  interpretation  of  the  data  submitted  in  its  NDA.  For  instance,  FDA  may  require  Avadel  to  provide  data  from  additional
preclinical  studies  or  clinical  trials  to  support  approval  of  certain  development.  Among  the  conditions  for  NDA  approval  is  the  requirement  that  each
prospective manufacturer’s quality control and manufacturing procedures conform to cGMP standards and requirements. Manufacturing establishments often
are subject to Pre-Approval Inspections prior to NDA approval to assure compliance with cGMP manufacturing commitments made in the relevant marketing
application.

Patent  Restoration  and  Exclusivity.  The  Drug  Price  Competition  and  Patent  Term  Restoration  Act  of  1984,  or  the  Hatch-Waxman  Act,  establishes  two
abbreviated approval pathways for drug products that are in some way follow-on versions of already approved products.

Generic Drugs. A generic version of an approved drug is approved by means of an Abbreviated New Drug Application, or ANDA, by which the sponsor
demonstrates  that  the  proposed  product  is  the  same  as  the  approved,  brand-name  drug,  which  is  referred  to  as  the  “Reference  Listed  Drug,”  or  “RLD”.
Generally, an ANDA must contain data and information showing that the proposed generic product and RLD (1) have the same active ingredient, in the same
strength and dosage form, to be delivered via the same route of administration, (2) are intended for the same uses, and (3) are bioequivalent. This is instead of
independently demonstrating the proposed product’s safety and effectiveness, which are inferred from the fact that the product is the same as the RLD, which
the FDA previously found to be safe and effective.

505(b)(2) NDAs. If a product is similar, but not identical, to an already approved product, it may be submitted for approval via an NDA under Section 505(b)
(2) of the Act. Unlike an ANDA, this does not excuse the sponsor from demonstrating the proposed

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product’s safety and effectiveness. Rather, the sponsor is permitted to rely to some degree on published scientific literature and the FDA’s finding that the
RLD is safe and effective, and must submit its own data of safety and effectiveness to an extent necessary because of the differences between the products.
With regard to certain UMD products, Avadel intends to submit 505(b)(2) NDAs, relying solely on published scientific literature. Avadel does not plan to
conduct additional preclinical studies or clinical trials for these 505(b)(2) NDAs; and, if it were required to do so, would review the continued value of the
product.

RLD Patents. An NDA sponsor must advise the FDA about patents that claim the drug substance or drug product or a method of using the drug. When the
drug is approved, those patents are among the information about the product that is listed in the FDA publication, Approved Drug Products with Therapeutic
Equivalence Evaluations, which is referred to as the Orange Book. The sponsor of an ANDA or 505(b)(2) application seeking to rely on an approved product
as the RLD must make one of several certifications regarding each listed patent. A “Paragraph III” certification is the sponsor’s statement that it will wait for
the patent to expire before obtaining approval for its product. A “Paragraph IV” certification is a challenge to the patent; it is an assertion that the patent does
not block approval of the later product, either because the patent is invalid or unenforceable or because the patent, even if valid, is not infringed by the new
product.

Once the FDA accepts for filing an ANDA or 505(b)(2) application containing a Paragraph IV certification, the applicant must within 20 days provide notice
to  the  RLD  NDA  holder  and  patent  owner  that  the  application  with  patent  challenge  has  been  submitted,  and  provide  the  factual  and  legal  basis  for  the
applicant’s assertion that the patent is invalid or not infringed. If the NDA holder or patent owner file suit against the ANDA or 505(b)(2) applicant for patent
infringement within 45 days of receiving the Paragraph IV notice, FDA is prohibited from approving the ANDA or 505(b)(2) application for a period of 30
months from the date of receipt of the notice. If the RLD has NCE exclusivity and the notice is given and suit filed during the fifth year of exclusivity, the 30-
month stay does not begin until five years after the RLD approval. The FDA may approve the proposed product before the expiration of the 30-month stay if
a court finds the patent invalid or not infringed or if the court shortens the period because the parties have failed to cooperate in expediting the litigation.

Regulatory Exclusivities. The Hatch-Waxman Act may provide periods of regulatory exclusivity for products that would serve as RLDs. If a product is a “new
chemical entity,” or NCE, - generally meaning that the active moiety has never before been approved in any drug - there may be a period of five years from
the  product’s  approval  during  which  the  FDA  may  not  accept  for  filing  any  ANDA  or  505(b)(2)  application  for  a  drug  with  the  same  active  moiety.  An
ANDA or 505(b)(2) application may be submitted after four years, however, if the sponsor makes a Paragraph IV certification challenging a listed patent.

A product that is not an NCE may qualify for a three-year period of exclusivity, if the NDA contains clinical data that were necessary for approval. In that
instance, the exclusivity period does not preclude filing or review of the ANDA or 505(b)(2) application; rather, the FDA is precluded from granting final
approval to the ANDA or 505(b)(2) application until three years after approval of the RLD. Additionally, the exclusivity applies only to the conditions of
approval that required submission of the clinical data. For example, if an NDA is submitted for a product that is not an NCE, but that seeks approval for a new
indication, and clinical data were required to demonstrate the safety or effectiveness of the product for that use, the FDA could not approve an ANDA or
505(b)(2) application for another product with that active moiety for that use. For example, Coreg CR received three-year exclusivity for the clinical trials that
demonstrated  the  safety  and  efficacy  of  the  new,  controlled-release  dosage  form;  that  exclusivity,  which  has  expired,  blocked  other  controlled-release
products.

For a brief discussion of potential marketing exclusivity that could be available under certain conditions with respect to Avadel’s product candidate FT218,
please see the information set forth under the caption “Risks Related to Regulatory and Legal Matters – If FT218 is approved by the FDA, we may not obtain
orphan drug marketing exclusivity” in the “Risk Factors” included in Part I, Item 1A of this Annual Report on Form 10-K.

Patent Term Restoration. Under the Hatch-Waxman Act, a portion of the patent term lost during product development and FDA review of an NDA or 505(b)
(2) application is restored if approval of the application is the first permitted commercial marketing of a drug containing the active ingredient. The patent term
restoration period is generally one-half the time between the effective date of the IND and the date of submission of the NDA, plus the time between the date
of submission of the NDA and the date of FDA approval of the product. The maximum period of restoration is five years, and the patent cannot be extended
to more than 14 years from the date of FDA approval of the product. Only one patent claiming each approved product is eligible for restoration and the patent
holder must apply for restoration within 60 days of approval. The United States Patent and Trademark Office, or PTO, in consultation with the FDA, reviews
and approves the application for patent term restoration. In the event that Avadel applies for patent term extensions on patents covering Avadel’s products, the
FDA  and  the  USPTO  may  not  agree  with  Avadel’s  assessment  of  whether  such  extensions  are  available,  and  may  refuse  to  grant  extensions  to  Avadel’s
patents, or may grant more limited extensions than Avadel requests. Moreover, Avadel may not receive an extension because of, for example, failing to apply
within applicable deadlines, failing to apply prior to expiration of relevant patents or otherwise failing to satisfy applicable requirements.

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Regulation  of  Combination  Drugs.  Medical  products  containing  a  combination  of  drugs,  biologic,  or  device  products  may  be  regulated  as  ‘combination
products’ in the United States. A combination product generally is defined as a product comprising components from two or more regulatory categories (e.g.,
drug/device, device/biologic, drug/biologic). Each component of a combination product is subject to the requirements established by the FDA for that type of
component, whether a drug, biologic or device.

To determine which FDA center or centers will review a combination product submission, companies may submit a request for assignment to the FDA. Those
requests may be handled formally or informally. In some cases, jurisdiction may be determined informally based on FDA experience with similar products.
However,  informal  jurisdictional  determinations  are  not  binding  on  the  FDA.  Companies  also  may  submit  a  formal  Request  for  Designation  to  the  FDA
Office of Combination Products. The Office of Combination Products will review the request and make its jurisdictional determination within 60 days of
receiving a Request for Designation.

In order to facilitate pre-market review of combination products, the FDA designates one of its centers to have primary jurisdiction for the pre-market review
and regulation of both components. The determination whether a product is a combination product or two separate products is made by the FDA on a case-by-
case basis. It is possible that Avadel’s delivery platforms, when coupled with a drug or medical device component, could be considered and regulated by the
FDA as a combination product.

If the primary mode of action is determined to be a drug, the product will be reviewed by the Center for Drug Evaluation and Research (“CDER”) either in
consultation with another center or independently. If the primary mode of action is determined to be a medical device, the product would be reviewed by
Center for Devices and Radiological Health (“CDRH”) either in consultation with another center, such as CDER, or independently. In addition, FDA could
determine  that  the  product  is  a  biologic  and  subject  to  the  jurisdiction  of  the  Center  for  Biologic  Evaluation  and  Research  (“CBER”),  although  it  is  also
possible that a biological product will be regulated by CDER.

Marketing Approval and Reporting Requirements. If the FDA approves an NDA, the product becomes available for physicians to prescribe. The FDA may
require post-marketing studies, also known as Phase IV studies, as a condition of approval to develop additional information regarding the safety of a product.
These studies may involve continued testing of a product and development of data, including clinical data, about the product’s effects in various populations
and any side effects associated with long-term use. After approval, the FDA may require post-marketing studies or clinical trials, as well as periodic status
reports, if new safety information develops. These post-marketing studies may include clinical trials to investigate known serious risks or signals of serious
risks or identify unexpected serious risks. Failure to conduct these studies in a timely manner may result in substantial civil fines and can result in withdrawal
of approval. Avadel has several Phase IV obligations with its current approvals.

In  addition,  the  FDA  may  require  distribution  to  patients  of  a  medication  guide  such  as  a  Risk  Evaluation  and  Mitigation  Strategies  (“REMS”)  for
prescription products that the agency determines pose a serious and significant health concern in order to provide information necessary to patients’ safe and
effective use of such products. We expect our FT218 product, if approved by the FDA will be subject to a REMS program.

In  the  European  Union,  the  marketing  authorization  of  a  medicinal  product  may  be  made  conditional  on  the  conduct  of  Phase  IV  post-marketing  studies.
Failure to conduct these studies in relation to centrally authorized products can lead to the imposition of substantial fines. Moreover, Phase IV studies are
often conducted by companies in order to obtain further information on product efficacy and positioning on the market in view of competitors and to assist in
application for pricing and reimbursement.

Other  Post-Marketing  Obligations.  Any  products  manufactured  and/or  distributed  pursuant  to  FDA  approvals  are  subject  to  continuing  regulation  by  the
FDA,  including  recordkeeping  requirements,  reporting  of  adverse  experiences  with  the  product,  submitting  other  periodic  reports,  drug  sampling  and
distribution requirements, notifying the FDA and gaining its approval of certain manufacturing or labeling changes, complying with certain electronic records
and  signature  requirements,  submitting  periodic  reports  to  the  FDA,  maintaining  and  providing  updated  safety  and  efficacy  information  to  the  FDA,  and
complying with FDA promotion and advertising requirements. For example, the FDA has required Avadel to conduct post-marketing clinical and non-clinical
studies for several of its products to be completed between 2016 and 2019.

Drug manufacturers and their subcontractors are required to register their establishments with the FDA and certain state agencies, and to list their products
with  the  FDA.  The  FDA  periodically  inspects  manufacturing  facilities  in  the  United  States  and  abroad  in  order  to  assure  compliance  with  the  applicable
cGMP regulations and other requirements. Facilities also are subject to inspections by other federal, foreign, state or local agencies. In complying with the
cGMP  regulations,  manufacturers  must  continue  to  expend  time,  money  and  effort  in  recordkeeping  and  quality  control  to  assure  that  the  product  meets
applicable specifications and other

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post-marketing  requirements.  Failure  of  Avadel  or  its  licensees  to  comply  with  FDA’s  cGMP  regulations  or  other  requirements  could  have  a  significant
adverse effect on Avadel’s business, financial condition and results of operations.

Also, newly discovered or developed safety or efficacy data may require changes to a product’s approved labeling, including the addition of new warnings
and contraindications, additional pre-clinical or clinical studies, or even in some instances, revocation or withdrawal of the approval. Violations of regulatory
requirements at any stage, including after approval, may result in various adverse consequences, including the FDA’s delay in approving or refusal to approve
a product, withdrawal or recall of an approved product from the market, other voluntary or FDA-initiated action that could delay or restrict further marketing,
and  the  imposition  of  civil  fines  and  criminal  penalties  against  the  manufacturer  and  NDA  holder.  In  addition,  later  discovery  of  previously  unknown
problems may result in restrictions on the product, manufacturer or NDA holder, including withdrawal of the product from the market. Furthermore, new
government requirements may be established that could delay or prevent regulatory approval of Avadel’s products under development, or affect the conditions
under which approved products are marketed.

The Food and Drug Administration Amendments Act of 2007 provides the FDA with expanded authority over drug products after approval. This legislation
enhances  the  FDA’s  authority  with  respect  to  post-marketing  safety  surveillance,  including,  among  other  things,  the  authority  to  require  additional  post-
marketing studies or clinical trials, labeling changes as a result of safety findings, registering clinical trials, and making clinical trial results publicly available.

In the European Union, stringent pharmacovigilance regulations oblige companies to appoint a suitably qualified and experienced Qualified Person resident in
the European Economic Area, to prepare and submit to the competent authorities adverse event reports within specific time lines, prepare Periodic Safety
Update Reports (PSURs) and provide other supplementary information, report to authorities at regular intervals and take adequate safety measures agreed
with regulatory agencies as necessary. Failure to undertake these obligations can lead to the imposition of substantial fines.

Other Regulation

Controlled  Substances  Act.  Narcotics  and  other  APIs,  such  as  sodium  oxybate  and  ephedrine  sulfate  are  “controlled  substances”  under  the  Controlled
Substances Act. The federal “Controlled Substances Act” (“CSA”), Title II of the Comprehensive Drug Abuse Prevention and Control Act of 1970, regulates
the manufacture and distribution of narcotics and other controlled substances, including stimulants, depressants and hallucinogens. The CSA is administered
by  the  “Drug  Enforcement  Administration”  (“DEA”),  a  division  of  the  U.S.  Department  of  Justice,  and  is  intended  to  prevent  the  abuse  or  diversion  of
controlled substances into illicit channels of commerce. Avadel has several products marketed under this Act and has at least one product under development.

Any person or firm that manufactures, distributes, dispenses, imports, or exports any controlled substance (or proposes to do so) must register with the DEA.
The applicant must register for a specific business activity related to controlled substances, including manufacturing or distributing, and may engage in only
the activity or activities for which it is registered. The DEA conducts periodic inspections of registered establishments that handle controlled substances and
allots quotas of controlled drugs to manufacturers and marketers’ failure to comply with relevant DEA regulations, particularly as manifested in the loss or
diversion of controlled substances, can result in regulatory action including civil penalties, refusal to renew necessary registrations, or proceedings to revoke
those registrations. In certain circumstances, violations can lead to criminal prosecution. In addition to these federal statutory and regulatory obligations, there
may be state and local laws and regulations relevant to the handling of controlled substances or listed chemicals.

cGMP. Current Good Manufacturing Practices rules apply to the manufacturing of drugs and medical devices. In addition to regulations enforced by the FDA,
Avadel is also subject to French, U.S. and other countries’ rules and regulations governing permissible laboratory activities, waste disposal, handling of toxic,
dangerous  or  radioactive  materials  and  other  matters.  Avadel’s  R&D  involves  the  controlled  use  of  hazardous  materials,  chemicals,  viruses  and  various
radioactive  compounds.  Although  Avadel  believes  that  its  safety  procedures  for  handling  and  disposing  of  such  materials  comply  with  the  standards
prescribed  by  French,  EU,  U.S.  and  other  foreign  rules  and  regulations,  the  risk  of  accidental  contamination  or  injury  from  these  materials  cannot  be
completely eliminated.

Health Care Fraud and Abuse. Avadel is subject to a number of federal and state laws pertaining to health care “fraud and abuse,” such as anti-kickback and
false claims laws. Under anti-kickback laws, it is illegal for a prescription drug manufacturer to solicit, offer, receive, or pay any remuneration in exchange
for, or to induce, the referral of business, including the purchase or prescription of a particular drug. Due to the breadth of the statutory provisions and the
absence  of  guidance  via  regulations  and  that  there  are  few  court  decisions  addressing  industry  practices,  it  is  possible  that  Avadel’s  practices  might  be
challenged under anti-kickback or similar laws. False claims laws prohibit anyone from knowingly and willingly presenting, or causing to be presented for
payment to third-party payors (such as the Medicare and Medicaid programs) claims for reimbursed drugs or services that are false or fraudulent, claims for
items or services not provided as claimed, or claims for medically unnecessary items or services. Avadel’s

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sales and marketing activities relating to its products could be subject to scrutiny under these laws. Violations of fraud and abuse laws may be punishable by
criminal  and/or  civil  sanctions,  including  fines  and  civil  monetary  penalties,  the  possibility  of  exclusion  from  federal  health  care  programs  (including
Medicare  and  Medicaid)  and  corporate  integrity  agreements,  which  impose,  among  other  things,  rigorous  operational  and  monitoring  requirements  on
companies. In addition, similar sanctions and penalties can be imposed upon executive officers and employees, including criminal sanctions against executive
officers. As a result of the potential penalties that can be imposed on companies and individuals if convicted, allegations of such violations often result in
settlements even if the company or individual being investigated admits no wrongdoing. Settlements often include significant civil sanctions, including fines
and  civil  monetary  penalties,  and  corporate  integrity  agreements.  If  the  government  were  to  allege  or  convict  Avadel  or  its  executive  officers  of  violating
these laws, Avadel’s business could be harmed. In addition, private individuals have the ability to bring similar actions. In addition to the reasons noted above,
Avadel’s activities could be subject to challenge due to the broad scope of these laws and the increasing attention being given to them by law enforcement
authorities.  There  also  are  an  increasing  number  of  federal  and  state  laws  that  require  manufacturers  to  make  reports  to  states  on  pricing,  marketing
information, and payments and other transfers of value to healthcare providers. Many of these laws contain ambiguities as to what is required to comply with
the laws. Given the lack of clarity in laws and their implementation, Avadel’s reporting actions could be subject to the penalty provisions of the pertinent
authorities.

Healthcare  Privacy  and  Security  Laws.  Avadel  may  be  subject  to,  or  its  marketing  activities  may  be  limited  by  the  Health  Insurance  Portability  and
Accountability  Act  of  1996  (“HIPAA”),  as  amended  by  the  Health  Information  Technology  and  Clinical  Health  Act  and  their  respective  implementing
regulations, which established uniform standards for certain “covered entities” (healthcare providers, health plans and healthcare clearinghouses) governing
the conduct of certain electronic healthcare transactions and protecting the security and privacy of protected health information. Among other things, HIPAA’s
privacy  and  security  standards  are  directly  applicable  to  “business  associates”  –  independent  contractors  or  agents  of  covered  entities  that  create,  receive,
maintain or transmit protected health information in connection with providing a service for or on behalf of a covered entity. In addition to possible civil and
criminal penalties for violations, state attorney generals are authorized to file civil actions for damages or injunctions in federal courts to enforce HIPAA and
seek attorney’s fees and costs associated with pursuing federal civil actions. In addition, state laws govern the privacy and security of 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. In
the  EU/EEA,  Directive  95/46/EEC  (as  amended)  or  its  successor  applies  to  identified  or  identifiable  personal  data  processed  by  automated  means  (e.g., a
computer database of customers) and data contained in, or intended to be part of, non-automated filing systems (traditional paper files) as well as transfer of
such data to a country outside of the EU/EEA.

“Sunshine” and Marketing Disclosure Laws. There are an increasing number of federal and state “sunshine” laws that require pharmaceutical manufacturers
to make reports to states on pricing and marketing information. Several states have enacted legislation requiring pharmaceutical companies to, among other
things, establish marketing compliance programs, file periodic reports with the state, and make periodic public disclosures on sales and marketing activities,
and prohibiting certain other sales and marketing practices. In addition, a similar recently implemented federal requirement requires manufacturers, including
pharmaceutical  manufacturers,  to  track  and  report  to  the  federal  government  certain  payments  and  other  transfers  of  value  made  to  physicians  and  other
healthcare professionals and teaching hospitals and ownership or investment interests held by physicians and their immediate family members. The federal
government began disclosing the reported information on a publicly available website in 2014. These laws may adversely affect Avadel’s sales, marketing,
and other activities with respect to its medicines in the United States by imposing administrative and compliance burdens on us. If Avadel fails to track and
report as required by these laws or otherwise comply with these laws, it could be subject to the penalty provisions of the pertinent state and federal authorities.

Government  Price  Reporting.  For  those  marketed  medicines  which  are  covered  in  the  United  States  by  the  Medicaid  programs,  Avadel  has  various
obligations, including government price reporting and rebate requirements, which generally require medicines be offered at substantial rebates/discounts to
Medicaid and certain purchasers (including “covered entities” purchasing under the 340B Drug Discount Program). Avadel is also required to discount such
medicines to authorized users of the Federal Supply Schedule of the General Services Administration, under which additional laws and requirements apply.
These programs require submission of pricing data and calculation of discounts and rebates pursuant to complex statutory formulas, as well as the entry into
government  procurement  contracts  governed  by  the  Federal  Acquisition  Regulations,  and  the  guidance  governing  such  calculations  is  not  always  clear.
Compliance with such requirements can require significant investment in personnel, systems and resources, but failure to properly calculate Avadel’s prices,
or offer required discounts or rebates could subject it to substantial penalties. One component of the rebate and discount calculations under the Medicaid and
340B programs, respectively, is the “additional rebate”, a complex calculation which is based, in part, on the rate at which a branded drug price increases over
time more than the rate of inflation (based on the CPI-U). This comparison is based on the baseline pricing data for the first full quarter of sales associated
with  a  branded  drug’s  NDA,  and  baseline  data  cannot  generally  be  reset,  even  on  transfer  of  the  NDA  to  another  manufacturer.  This  “additional  rebate”
calculation can, in some cases where price increases have been relatively high versus the first quarter of sales of the NDA, result in Medicaid rebates up to
100 percent of a drug’s “average manufacturer price” and 340B prices of one penny.

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Healthcare Reimbursement

In both U.S. and foreign markets, sales of Avadel’s potential products as well as products of pharmaceutical and biotechnology companies that incorporate
Avadel’s  technology  into  their  products,  if  any,  will  depend  in  part  on  the  availability  of  reimbursement  by  third-party  payers,  such  as  government  health
administration  authorities,  private  health  insurers  and  other  organizations.  The  U.S.  market  for  pharmaceutical  products  is  increasingly  being  shaped  by
managed care organizations, pharmacy benefit managers, cooperative buying organizations and large drugstore chains. Third-party payers are challenging the
price and cost effectiveness of medical products and services. Uncertainty particularly exists as to the reimbursement status of newly approved healthcare
products. There can be no assurance reimbursement will be available to enable Avadel to maintain price levels sufficient to realize an appropriate return on
our product development investment. Legislation and regulations affecting the pricing of pharmaceuticals may change before Avadel’s proposed products are
approved for marketing and any such changes could further limit reimbursement for medical products and services.

The Reincorporation Merger

The  Company  is  the  successor  to  Flamel  Technologies  S.A.,  a  French  société anonyme  (“Flamel”),  as  the  result  of  the  Merger  described  above,  in  which
Flamel merged with and into the Company at 11:59:59 p.m., Central Europe Time, on December 31, 2016 (the “Merger”) pursuant to the agreement between
Flamel and Avadel entitled Common Draft Terms of Cross-Border Merger dated as of June 29, 2016 (the “Merger Agreement”). Immediately prior to the
Merger, the Company was a wholly owned subsidiary of Flamel. In accordance with the Merger Agreement, as a result of the Merger:

•

•

Flamel ceased to exist as a separate entity and the Company continued as the surviving entity and assumed all of the assets and liabilities of Flamel.

our authorized share capital is $5,500 divided into 500,000,000 ordinary shares with a nominal value of $0.01 each and 50,000,000 preferred shares
with a nominal value of $0.01 each

•

•

all outstanding ordinary shares of Flamel, €0.122 nominal value per share, were canceled and exchanged on a one-for-one basis for newly
issued ordinary shares of the Company, $0.01 nominal value per share. This change in nominal value of our outstanding shares resulted in
our reclassifying $5,937 on our balance sheet from ordinary shares to additional paid-in capital

our Board of Directors is authorized to issue preferred shares on a non-pre-emptive basis, for a maximum period of five years, at which
point  such  an  authorization  may  be  renewed  by  shareholders.  The  Board  of  Directors  has  discretion  to  dictate  terms  attached  to  the
preferred shares, including voting, dividend, conversion rights, and priority relative to other classes of shares with respect to dividends and
upon a liquidation.

•

all outstanding American Depositary Shares (ADSs) representing ordinary shares of Flamel were canceled and exchanged on a one-for-one basis for
ADSs representing ordinary shares of the Company.

Thus,  the  Merger  changed  the  jurisdiction  of  our  incorporation  from  France  to  Ireland,  and  an  ordinary  share  of  the  Company  held  (either  directly  or
represented by an ADS) immediately after the Merger continued to represent the same proportional interest in our equity owned by the holder of a share of
Flamel immediately prior to the Merger.

References in this Annual Report on Form 10-K to “Avadel,” the “Company,” “we,” “our,” “us,” and similar terms shall be deemed to be references to Flamel
prior to the completion of the Merger, unless the context otherwise requires.

Prior  to  completion  of  the  Merger,  the  Flamel  ADSs  were  listed  on  the  Nasdaq  Global  Market  (“Nasdaq”)  under  the  trading  symbol  “FLML”;  and
immediately after the Merger the Company’s ADSs were listed for and began trading on Nasdaq on January 3, 2017 under the trading symbol “AVDL.”

Further details about the reincorporation, the Merger and the Merger Agreement are contained in our definitive proxy statement filed with the SEC on July 5,
2016.

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Employees

As of December 31, 2018, we had approximately 144 employees, all of which were full-time.  Following implementation of our restructuring plan which we
announced  on  February  7,  2019,  we  expect  the  number  of  our  employees  will  be  reduced  to  approximately  50.  Except  for  employees  at  our  French
subsidiaries, none of the Company’s other employees is subject to a union or other collective bargaining agreement.  Additionally, employees at our French
subsidiaries (approximately 50 employees) are represented by a works’ council in which employee representatives have the right to be consulted as to certain
matters affecting our French subsidiaries.  The Company believes that our relations with our employees are satisfactory.

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Item 1A.    Risk Factors.

An investment in Avadel involves a high degree of risk. You should carefully consider the risks described below, as well as the other information included or
incorporated  by  reference  in  this  Annual  Report  on  Form  10-K,  before  making  an  investment  decision.  Avadel’s  business,  financial  condition,  results  of
operations and cash flows could be materially adversely affected by any of these risks. The market or trading price of Avadel’s securities could decline due to
any of these risks. In addition, please read “Cautionary Disclosure Regarding Forward-Looking Statements” in this Annual Report on Form 10-K, where we
describe  additional  uncertainties  associated  with  Avadel’s  business  and  with  the  forward-looking  statements  included  or  incorporated  by  reference  in  this
Annual Report on Form 10-K. Please note that additional risks not presently known to us or that we currently deem immaterial may also impair Avadel’s
business and operations.

Risks Relating to Our 2018 Net Loss and Recent Restructuring Plan

Our net loss and use of cash from operating activities in 2018 may limit our ability to fully pursue our business strategy.

We reported a net loss of $95.3 million in 2018 and a net use of cash from operating activities of $82.7 million. As a result, our cash and marketable securities
as of December 31, 2018 totaled $99.9 million. Our business strategy is to primarily focus on the development and potential FDA approval for FT218 which
is in a Phase 3 clinical trial for the treatment of narcolepsy patients suffering from EDS and cataplexy. In addition, we will continue to maximize the value of
our current approved hospital products portfolio, including obtaining FDA approval for and the commercialization of our fourth UMD product. Additionally,
we will continue to evaluate opportunities to expand our product portfolio. The successful pursuit of all components of our strategy will require substantial
financial resources, and there can be no assurance that our existing cash and marketable securities assets and the cash generated by our operations will be
adequate for these purposes. Failure to implement any component of our strategy may prevent us from achieving profitability in the future or may otherwise
have a material adverse effect on our financial condition and results of operation. See also the discussions elsewhere in these Risk Factors under the captions
“We may fail to effectively execute our business strategy” and “We may require additional financing, which may not be available on favorable terms or at all,
and which may result in dilution of the equity interest of the holders of our American Depositary Shares (ADSs).”

Our  recent  restructuring  plan  may  not  be  as  effective  as  we  anticipated  and  we  may  fail  to  fully  realize  the  expected  cost  savings  or  may  experience
unintended negative impacts from the restructuring.

In  February  2019  we  announced  a  restructuring  plan  intended  to  achieve  future  cost  savings  through,  among  other  actions,  a  reduction  of  our  overall
workforce  by  approximately  50%.  In  conjunction  with  the  restructuring  plan,  we  also  announced  the  voluntary  Chapter  11  bankruptcy  filing  by  our
subsidiary, Specialty Pharma, which is responsible solely for the sales, marketing and distribution of the Company’s Noctiva™ product for the treatment of
nocturia (i.e., waking up two or more times during the night to urinate due to a condition called nocturnal polyuria). We implemented the restructuring plan in
light of disappointing results from the commercial launch of Noctiva, and in order to focus the Company’s resources on other product development activities,
in  particular  the  ongoing  Phase  3  clinical  trial  of  its  FT218  product  for  the  treatment  of  excessive  daytime  sleepiness  (EDS)  and  cataplexy  in  patients
suffering from Narcolepsy. The restructuring plan requires the devotion of management attention as well as significant Company resources, including one-
time pre-tax cash charges which we estimated at $10.0 million to $15.0 million, and may pose significant risks. The restructuring plan may not be as effective
as  we  anticipated  and  may  not  fully  produce  the  expected  cost  savings  or  the  effective  re-focusing  of  our  efforts  toward  completing  the  development  of
FT218.  In  addition,  the  restructuring  plan  may  result  in  greater  implementation  costs  than  we  have  estimated  or  may  result  in  unintended  negative
consequences. For example, because of the speed and magnitude of the workforce reduction in the February 2019 restructuring, it may be difficult in the near
future to retain certain remaining employees who are critical to our ability to successfully pursue our business plan. See also the discussion elsewhere in these
Risk Factors under the caption “We depend on key personnel to execute our business plan. If we cannot attract and retain key personnel, we may not be able
to successfully implement our business plan.”

If we need to take further restructuring actions, necessary third-party consents may not be granted.

Our management may determine that we need to take further restructuring actions to achieve additional cost savings, to generate additional capital needed for
our  business  strategy,  or  for  other  purposes.  Certain  possible  future  restructuring  actions,  including  sales  of  assets,  that  management  may  consider  in  this
regard  could  require  consents  of  third  parties,  such  as  (but  not  necessarily  limited  to)  holders  of  our  Exchangeable  Senior  Notes  (the  “2023  Notes”).  For
example, the voluntary Chapter 11 bankruptcy filing by Specialty Pharma required the consent of holders of a majority in principal amount of our 2023 Notes
in order to avoid a default under the Indenture governing such 2023 Notes. While we were successful in obtaining that consent, there can be no assurance that
we will be successful in obtaining additional consents in the future from such holders or from other third parties whose consents may be necessary for further
restructuring actions. Failure to obtain these third-party consents would prevent us

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from taking the additional restructuring actions, which could have a material adverse effect on our cash flow, financial resources and ability to successfully
pursue our business strategy.

The Chapter 11 bankruptcy filing by Specialty Pharma may have unexpected adverse results.

Our  subsidiary  Specialty  Pharma  filed  for  Chapter  11  bankruptcy  protection  in  February  2019.  Avadel  US  Holdings  Inc.,  which  is  Specialty  Pharma’s
immediate  parent  and  is  our  wholly  owned  subsidiary,  agreed  to  provide  debtor-in-possession  financing  to  Specialty  Pharma  of  up  to  $2.7  million.  In  its
bankruptcy proceeding, Specialty Pharma may pursue a possible sale of its Noctiva business to an unrelated third-party purchaser, although there is currently
no term sheet or definitive contract signed with any prospective purchaser for such a sale. Any  such  sale  may  involve  the  transfer  of  certain  of  Specialty
Pharma’s rights related to the exclusive license agreement with Serenity Pharmaceuticals. Other parties interested in the bankruptcy case, including Serenity
Pharmaceuticals, could dispute Specialty Pharma’s right to make such a sale and there can be no assurance that the bankruptcy court would order any such
sale to be completed. In addition, there could be other unexpected results from the bankruptcy proceeding, including but not limited to greater than expected
costs in the case that may exceed the amount of financing that Avadel US Holdings Inc. has committed to provide. Adverse or unexpected results from the
bankruptcy proceeding could impair our success in achieving the goals of the restructuring plan we announced in February 2019.

The clinical trial for our FT218 product has no estimated completion date and a management-directed third-party evaluation of our FT218 development
program could result in changes that increase the cost of the program and further delay its completion.

At present, we have not completed patient enrollment in the clinical trial for our FT218 product and we have not announced an estimated completion date for
the  clinical  trial.  Moreover,  the  FT218  product  development  program  has  become  substantially  more  important  to  our  success  in  the  aftermath  of  the
disappointing sales results for Noctiva and the Specialty Pharma bankruptcy filing. Accordingly, management has determined to re-focus on all aspects of the
FT218 program with an evaluation assisted by pharmaceutical industry consulting firms. While the final results of this evaluation are not known, such results
could cause us to modify our development plan with respect to FT218 in ways that materially increase the ultimate cost of such development or further delay
its completion, or could identify unknown risks or problems with the product. Any such cost increases, added delays, risks or problems could have a material
adverse effect on our financial condition and results of operation.

Risks Relating to Our Business and Industry

We derive a substantial majority of our revenues from a small number of products facing competitive pressures, and from a small number of customers,
and the loss of any one of these products or customers could reduce Avadel’s revenues significantly.

In  2018,  we  derived  $97.5  million,  or  96.2%,  of  our  $101.4  million  in  revenues  from  sales  of  our  three  hospital  products,  Bloxiverz®,  Vazculep®  and
Akovaz®. Sales  of  these  three  products  declined  in  the  aggregate  from  2017  to  2018  by  $66.9 million,  or  40.7%,  from  $164.4  million  to  $97.5  million,
although Vazculep®  sales  increased  by  $4.7 million,  or  12.4%,  in  2018  compared  to  the  prior  year.  Our  Noctiva™  product  failed  to  achieve  anticipated
revenue  levels  despite  a  substantial  investment  of  resources  toward  its  commercialization,  and  these  disappointing  results  led  to  the  voluntary  Chapter  11
bankruptcy filing by Specialty Pharma in February 2019. In addition, we depend on a small number of customers for the majority of our revenues from our
three  hospital  products.  Four  customers  accounted  for  approximately  86.8%  of  total  revenues  from  sales  of  these  products  in  2018.  These  four  customers
comprise a significant portion of the distribution network for pharmaceutical products in the U.S.

Competition for our hospital products in 2018 caused significant downward pricing pressure and, with the exception of Vazculep, loss of market share by the
Company resulting in lower aggregate revenues for these products; and further competition in the future could cause further reductions in prices and market
share. The distribution network for pharmaceutical products is continuing to undergo consolidation marked by mergers and acquisitions among wholesale
distributors and retail drug store chains. As a result, a small number of large wholesale distributors and large chain drug stores control a significant share of
the market. We expect that continuing consolidation may cause competitive pressures on pharmaceutical companies. The loss of any one of our three hospital
products, the termination of our relationship with any of these customers or our failure to broaden our customer base could cause our revenues to further
decrease significantly and result in further losses from our operations. Further, we may be unable to negotiate favorable business terms with customers that
represent a significant portion of our revenues, and any such inability could have a material adverse effect on our business, results of operations, financial
condition and prospects.

We must invest substantial sums in R&D in order to remain competitive, and we may not fully recover these investments.

To be successful in the highly competitive pharmaceutical industry, we must commit substantial resources each year to R&D in order to develop new products
and enhance our technologies. In 2018, we spent $39.3 million on R&D, including expenditures related to our FT218 and UMD#4 product candidates. Our
ongoing investments in R&D for these two products as well as possible

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future  products  could  result  in  higher  costs  without  a  proportionate  increase,  or  any  increase,  in  revenues.  The  R&D  process  is  lengthy  and  carries  a
substantial risk of failure. For example, we currently have not completed patient enrollment for the clinical trial of FT218, nor have we announced a projected
completion date for this clinical trial. If  our  R&D  does  not  yield  sufficient  products  that  achieve  commercial  success,  our  future  operating  results  will  be
adversely affected.

Our products may not reach the commercial market for a number of reasons.

Drug development is an inherently uncertain process with a high risk of failure at every stage of development. Successful R&D of pharmaceutical products is
difficult, expensive and time consuming. Many product candidates fail to reach the market. Our success will depend on the development and the successful
commercialization of new drugs, including additional previously Unapproved Marketed Drug (“UMD”) products and products that utilize our drug delivery
technologies. If any of our additional UMD products or products incorporating our drug delivery technologies fails to reach the commercial market, our future
revenues would be adversely affected.

Even  if  our  products  and  current  drug  delivery  technologies  appear  promising  during  development,  there  may  not  be  successful  commercial  applications
developed for them for a number of reasons, including:

•

•

•

•

•

the FDA, the European Medicines Agency (“EMA”), the competent authority of an EU Member State or an Institutional Review Board (“IRB”), or
an Ethics Committee (EU equivalent to IRB), or our partners may delay or halt applicable clinical trials;
we or our partners may face slower than expected rate of patient recruitment and enrollment in clinical trials, or may devote insufficient funding to
the clinical trials;
our drug delivery technologies and drug products may be found to be ineffective or to cause harmful side effects, or may fail during any stage of pre-
clinical testing or clinical trials;
we or our partners may find that certain products cannot be manufactured on a commercial scale and, therefore, may not be economical or feasible to
produce; or
our products could fail to obtain regulatory approval or, if approved, could fail to achieve market acceptance, could fail to be included within the
pricing and reimbursement schemes of the U.S. or EU Member States, or could be precluded from commercialization by proprietary rights of third
parties.

We may rely on collaborations with third parties to commercialize certain of our products in development, in particular products using our drug delivery
technologies, and such strategy involves risks that could impair our prospects for realizing profits from such products.

The  Company  expects  that  the  commercialization  of  some  of  our  products  in  development  which  utilize  our  drug  delivery  technologies  may  require
collaboration with third-party partners involving strategic alliances, licenses, product divestitures or other arrangements. We may not be successful in entering
into such collaborations on favorable terms, if at all, or our collaboration partners may not adequately perform under such arrangements, and as a result our
ability to commercialize these products will be negatively affected and our prospects will be impaired.

Our products may not gain market acceptance.

Our products and technologies may not gain market acceptance among physicians, patients, healthcare payor and medical communities. The degree of market
acceptance of any product or technology will depend on a number of factors, including, but not limited to:

•
•

•
•
•
•
•
•
•

the scope of regulatory approvals, including limitations or warnings in a product’s regulatory-approved labeling;
in  the  case  of  any  new  “unapproved-marketed-drug”  product  we  may  successfully  pursue,  whether  and  the  extent  to  which  the  FDA  removes
competing products from the market;
demonstration of the clinical safety and efficacy of the product or technology;
the absence of evidence of undesirable side effects of the product or technology that delay or extend trials;
the lack of regulatory delays or other regulatory actions;
its cost-effectiveness and related access to payor coverage;
its potential advantage over alternative treatment methods;
the availability of third-party reimbursement; and
the marketing and distribution support it receives.

If  any  of  our  products  or  technologies  fails  to  achieve  market  acceptance,  our  ability  to  generate  additional  revenue  will  be  limited,  which  would  have  a
material adverse effect on our business.

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The development of several of our drug delivery technologies and products depend on the services of a single provider and any interruption of operations
of such provider could significantly delay or have a material adverse effect on our product pipeline.

Currently, Avadel uses a single source provider for the development, supply of clinical materials and potentially the supply of commercial batches for several
of our products incorporating our drug delivery technologies. For details see the discussion in the “Business - Information on the Company” in this Part I,
Item 1 of this Annual Report on Form 10-K. Any disruption in the operations of this provider or if this provider fails to supply acceptable quantity and quality
materials or services to us for any reason, such disruption or failure could delay our product development and could have a material adverse effect on our
business,  financial  condition  and  results  of  operations.  In  case  of  a  disruption,  we  may  need  to  establish  alternative  manufacturing  sources  for  our  drug
delivery  products,  and  this  would  likely  lead  to  substantial  production  delays  as  we  build  or  locate  replacement  facilities  and  seek  to  satisfy  necessary
regulatory requirements.

We depend on a limited number of suppliers for the manufacturing of our products and certain raw materials used in our products and any failure of
such suppliers to deliver sufficient quantities of supplies of product or these raw materials could have a material adverse effect on our business.

Currently,  we  depend  on  a  limited  number  of  CMOs  for  three  products,  Bloxiverz®,  Vazculep®  and  Akovaz®,  from  which  we  derive  a  majority  of  our
revenues and a single contract manufacturer for Noctiva™. Additionally, we purchase certain raw materials used in our products from a limited number of
suppliers,  including  a  single  supplier  for  certain  key  ingredients.  If  the  supplies  of  these  products  or  materials  were  interrupted  for  any  reason,  our
manufacturing  and  marketing  of  certain  products  could  be  delayed.  These  delays  could  be  extensive  and  expensive,  especially  in  situations  where  a
substitution was not readily available or required variations of existing regulatory approvals and certifications or additional regulatory approval. For example,
an  alternative  supplier  may  be  required  to  pass  an  inspection  by  the  FDA,  EMA  or  the  competent  authorities  of  EU  Member  States  for  compliance  with
current Good Manufacturing Practices (“cGMP”) requirements before supplying us with product or before we may incorporate that supplier’s ingredients into
the  manufacturing  of  our  products  by  our  contract,  development,  and  manufacturing  organizations  (“CDMOs”).  Failure  to  obtain  adequate  supplies  in  a
timely manner could have a material adverse effect on our business, financial condition and results of operations.

If our competitors develop and market technologies or products that are safer or more effective than ours, or obtain regulatory approval and market such
technologies or products before we do, our commercial opportunity will be diminished or eliminated.

Competition  in  the  pharmaceutical  and  biotechnology  industry  is  intense  and  is  expected  to  increase.  We  compete  with  academic  laboratories,  research
institutions,  universities,  joint  ventures  and  other  pharmaceutical  and  biotechnology  companies,  including  other  companies  developing  drug  delivery
technologies or niche brand or generic specialty pharmaceutical products. Some of these competitors may also be our business partners.

Our drug delivery technologies compete with technologies provided by several other companies (for details, see the discussion in the “Business of Avadel”
under “Competition and Market Opportunities - Competition and Market Opportunities” in Part I, Item 1 of this Annual Report on Form 10-K). In particular,
New Biological Entities (“NBEs”) could be developed that, if successful, could compete against our drug delivery technologies or products. Among the many
experimental  therapies  being  tested  in  the  U.S.  and  in  the  EU,  there  may  be  some  that  we  do  not  now  know  of  that  may  compete  with  our  drug  delivery
technologies or products in the future. These new biological or chemical products may be safer or may work better than our products.

With  respect  to  our  UMD  drug  products,  the  FDA  has  approved  generic  versions  or  previously  filed  NDAs  of  our  marketed  products  and  may  approve
additional generic versions in the future.

Many of our competitors have substantially greater financial, technological, manufacturing, marketing, managerial and R&D resources and experience than
we  do.  Furthermore,  acquisitions  of  competing  drug  delivery  companies  by  large  pharmaceutical  companies  could  enhance  our  competitors’  resources.
Accordingly, our competitors may succeed in developing competing technologies and products, obtaining regulatory approval and gaining market share for
their products more rapidly than we do.

Our revenues may be negatively affected by healthcare reforms and increasing pricing pressures.

Future  prices  for  our  pharmaceutical  products  and  medical  devices  will  be  substantially  affected  by  reimbursement  policies  of  third-party  payors  such  as
government  healthcare  programs,  private  insurance  plans  and  managed  care  organizations;  by  our  contracts  with  the  drug  wholesalers  who  distribute  our
products; and by competitive market forces generally. In recent years, third-party payors have been exerting downward pressure on prices at which products
will  be  reimbursed,  and  the  drug  wholesale  industry  has  been  undergoing  consolidation  which  gives  greater  market  power  to  the  remaining,  larger  drug
wholesalers. In the U.S., the new administration has made public and social media statements causing uncertainty as to future federal U.S. government

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policies  regulating  drug  prices.  And  the  trend  toward  increased  availability  of  generic  products  has  contributed  to  overall  pricing  pressures  in  the
pharmaceutical  industry.  Any  future  changes  in  laws,  regulations,  practices  or  policies,  in  the  drug  wholesale  industry,  or  in  the  prevalence  of  generic
products, may adversely affect our financial condition and results of operations.

If  we  cannot  keep  pace  with  the  rapid  technological  change  in  our  industry,  we  may  lose  business,  and  our  products  and  technologies  could  become
obsolete or noncompetitive.

Our success also depends, in part, on maintaining a competitive position in the development of products and technologies in a rapidly evolving field. Major
technological changes can happen quickly in the biotechnology and pharmaceutical industries. If we cannot maintain competitive products and technologies,
our  competitors  may  succeed  in  developing  competing  technologies  or  obtaining  regulatory  approval  for  products  before  us,  and  the  products  of  our
competitors  may  gain  market  acceptance  more  rapidly  than  our  products.  Such  rapid  technological  change,  or  the  development  by  our  competitors  of
technologically improved or different products, could render our products or technologies obsolete or noncompetitive.

We may fail to effectively execute our business strategy.

Our business strategy is to continue our UMD program by obtaining FDA approval for and commercializing our fourth UMD product candidate as well as
potentially additional future UMD product candidates, continue to seek FDA approval for FT218 which is in Phase 3 clinical trial. There can be no assurance
that we will be successful in any of these objectives; and a failure in any of these objectives could negatively impact our business and operating results. See
also the discussions elsewhere in these Risk Factors under the caption “Our net loss in 2018 and the resulting decrease in our available liquid assets may
limit our ability to fully pursue our business strategy.”

If we cannot adequately protect our intellectual property and proprietary information, we may be unable to effectively compete.

Our success depends, in part, on our ability to obtain and enforce patents and other intellectual property rights for our products and technology, including our
drug  delivery  technologies,  and  to  preserve  our  trade  secrets  and  other  proprietary  information.  If  we  cannot  do  so,  our  competitors  may  exploit  our
technologies and deprive us of the ability to realize revenues and profits from our products and technologies.

To the extent any of Avadel’s products may benefit from protections afforded by patents, Avadel faces the risk that patent law relating to the scope of claims
in  the  pharmaceutical  and  biotechnology  fields  is  continually  evolving  and  can  be  the  subject  of  uncertainty  and  may  change  in  a  way  that  would  limit
protection. Our patents may not be exclusive, valid or enforceable. For example, our patents may not protect us against challenges by companies that submit
drug marketing applications to the FDA, or the competent authorities of EU Member States or other jurisdictions in which we may attempt to compete, in
particular  where  such  applications  rely,  at  least  in  part,  on  safety  and  efficacy  data  from  our  products  or  our  business  partners’  products.  In  addition,
competitors may obtain patents that may have an adverse effect on our ability to conduct business, or they may discover ways to circumvent our patents. The
scope of any patent protection may not be sufficiently broad to cover our products or to exclude competing products. Any patent applications that we have
made or may make relating to our potential products or technologies may not result in patents being issued. Further, patent protection once obtained is limited
in  time,  after  which  competitors  may  use  the  covered  product  or  technology  without  obtaining  a  license  from  us.  Because  of  the  time  required  to  obtain
regulatory  marketing  approval,  the  period  of  effective  patent  protection  for  a  marketed  product  is  frequently  substantially  shorter  than  the  duration  of  the
patent.

Our partnerships with third parties expose us to risks that they will claim intellectual property rights on our inventions or fail to keep our unpatented products
or technology confidential. We also rely on trademarks, copyrights, trade secrets and know-how to develop, maintain and strengthen our competitive position.

To protect our products, trade secrets and proprietary technologies, we rely, in part, on confidentiality agreements with our employees, suppliers, consultants,
advisors  and  partners.  These  agreements  may  not  provide  adequate  protection  for  our  trade  secrets  and  other  proprietary  information  in  the  event  of  any
unauthorized  use  or  disclosure,  or  if  others  lawfully  develop  the  information.  If  these  agreements  are  breached,  we  cannot  be  certain  that  we  will  have
adequate  remedies.  Further,  we  cannot  guaranty  that  third  parties  will  not  know,  discover  or  independently  develop  equivalent  proprietary  information  or
technologies,  or  that  they  will  not  gain  access  to  our  trade  secrets  or  disclose  our  trade  secrets  to  the  public.  Therefore,  we  cannot  guaranty  that  we  can
maintain and protect unpatented proprietary information and trade secrets. Misappropriation or other loss of our intellectual property would adversely affect
our competitive position and may cause us to incur substantial litigation or other costs.

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The implementation of the Leahy-Smith America Invents Act of 2011 may adversely affect our business.

The  Leahy-Smith  America  Invents  Act  of  2011  (“AIA”)  changes  the  current  U.S.  “first-to-invent”  system  to  a  system  that  awards  a  patent  to  the  “first-
inventor-to-file” for an application for a patentable invention. This change alters the pool of available materials that can be used to challenge patents in the
U.S. and eliminates the ability to rely on prior research to lay claim to patent rights. Disputes will be resolved through new derivation proceedings and the
AIA creates mechanisms to allow challenges to issued patents in reexamination, inter partes review and post grant proceedings. New bases and procedures
may make it easier for competitors to challenge our patents, which could result in increased competition and have a material adverse effect on our business
and results of operations. The AIA may also make it harder to challenge third-party patents and place greater importance on being the first inventor to file a
patent application on an invention. The AIA amendments to patent filing and litigation procedures in the U.S. may result in litigation being more complex and
expensive and divert the efforts of our technical and management personnel.

Third parties may claim that our products infringe their rights, and we may incur significant costs resolving these claims.

Third parties may claim infringement of their patents and other intellectual property rights by the manufacture, use, import, offer for sale or sale of our drug
delivery technologies or our other products. For example, in connection with us seeking regulatory approval for FT218, companies that produce any branded
pharmaceutical versions of such products may allege that FT218 infringes their patents or other intellectual property rights and file suit to prevent us from
commercializing FT218. In response to any claim of infringement, we may have to seek licenses, defend infringement actions or challenge the validity or
enforceability of those patent rights in court. If we cannot obtain required licenses, are found liable for infringement or are not able to have such patent rights
declared  invalid  or  unenforceable.  We  may  be  liable  for  significant  monetary  damages,  encounter  significant  delays  in  bringing  products  to  market  or  be
precluded from the manufacture, use, import, offer for sale or sale of products or methods of drug delivery covered by the patents of others. We may not have
identified, or be able to identify in the future, U.S. or foreign patents that pose a risk of potential infringement claims.

Any claims, with or without merit, that our products or drug delivery technologies infringe proprietary rights of third parties could be time-consuming, result
in costly litigation or divert the efforts of our technical and management personnel, any of which could disrupt our relationships with our partners and could
significantly harm our financial positions and operating results.

If we or our partners are required to obtain licenses from third parties, our revenues and royalties on any commercialized products could be reduced.

The development of certain products based on our drug delivery technologies may require the use of raw materials (e.g., proprietary
excipient), active ingredients, drugs (e.g., proprietary proteins) or technologies developed by third parties. The extent to which efforts by other researchers
have  resulted  or  will  result  in  patents  and  the  extent  to  which  we  or  our  partners  are  forced  to  obtain  licenses  from  others,  if  available,  on  commercially
reasonable terms is currently unknown. If we or our partners must obtain licenses from third parties, fees must be paid for such licenses, which could reduce
the net revenues and royalties we may receive on commercialized products that incorporate our drug delivery technologies.

Security breaches and other disruptions could compromise confidential information and expose us to liability and cause our business and reputation to
suffer.

In the ordinary course of our business, we collect and store on our networks various intellectual property including our proprietary business information and
that of our customers, suppliers and business partners. The secure maintenance and transmission of this information is critical to our operations and business
strategy.  Despite  our  security  measures,  our  information  systems  and  infrastructure  may  be  vulnerable  to  attacks  by  hackers  or  breached  due  to  employee
error,  malfeasance  or  other  disruptions.  Any  such  breach  could  compromise  our  networks  and  the  information  stored  there  could  be  accessed,  publicly
disclosed, lost or stolen. Any such access, disclosure or other loss of information could result in legal claims or proceedings, investigations by regulatory
authorities in the U.S. and EU Member States, disruption to our operations and damage to our reputation, any of which could adversely affect our business.

Failure to comply with domestic and international privacy and security laws could result in the imposition of significant civil and criminal penalties.

The  costs  of  compliance  with  privacy  and  security  laws,  including  protecting  electronically  stored  information  from  cyber-attacks,  and  potential  liability
associated with any compliance failures could adversely affect our business, financial condition and results of operations. We are subject to various domestic
and international privacy and security regulations, including but not limited to HIPAA. Additionally, we will be required to comply with the General Data
Protection Regulation (“GDPR”) (Regulation EU 2016/679) by May 25, 2018. HIPAA mandates, among other things, the adoption of uniform standards for
the electronic exchange

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of information in common healthcare transactions, as well as standards relating to the privacy and security of individually identifiable health information,
which require the adoption of administrative, physical and technical safeguards to protect such information. In addition, many states have enacted comparable
laws  addressing  the  privacy  and  security  of  health  information,  some  of  which  are  more  stringent  than  HIPAA.  GDPR  will  require  Avadel  to  ensure  that
personal data Avadel collects is gathered legally and under strict conditions and protect such personal data from misuse and exploitation. If Avadel fails to
comply with GDPR, we will face significant fines and penalties that could adversely affect our business, financial condition and results of operations.

Our effective tax rate could be highly volatile and could adversely affect our operating results.

Our future effective tax rate may be adversely affected by a number of factors, many of which are outside of our control, including:

•
•

•
•
•
•
•
•
•

the jurisdictions in which profits are determined to be earned and taxed;
increases in expenses not deductible for tax purposes, including increases in the fair value of related party payables, write-offs of acquired in-process
R&D and impairment of goodwill in connection with acquisitions;
changes in domestic or international tax laws or the interpretation of such tax laws;
adjustments to estimated taxes upon finalization of various tax returns;
changes in available tax credits;
changes in share-based compensation expense;
changes in the valuation of our deferred tax assets and liabilities;
the resolution of issues arising from tax audits with various tax authorities; and
the tax effects of purchase accounting for acquisitions that may cause fluctuations between reporting periods.

Any significant increase in our future effective tax rates could impact our results of operations for future periods adversely.

We outsource important activities to consultants, advisors and outside contractors.

We outsource many key functions of our business and therefore rely on a substantial number of consultants, advisors and outside contractors. If we are unable
to effectively manage our outsourced activities or if the quality or accuracy of the services provided by such third parties is compromised for any reason, our
development activities may be extended, delayed or terminated which would have an adverse effect on our development program and our business.

We depend on key personnel to execute our business plan. If we cannot attract and retain key personnel, we may not be able to successfully implement
our business plan.

Our success depends in large part upon our ability to attract and retain highly qualified personnel. During our operating history, we have assigned many key
responsibilities  within  our  Company  to  a  relatively  small  number  of  individuals,  each  of  whom  has  played  key  roles  in  executing  various  important
components of our business. We do not maintain material key person life insurance for any of our key personnel. If we lose the services of Greg Divis, our
interim  Chief  Executive  Officer,  or  other  members  of  our  senior  executive  team,  we  may  have  difficulty  executing  our  business  plan  in  the  manner  we
currently anticipate. Further, because each of our key personnel is involved in numerous roles in various components of our business, the loss of any one or
more of such individuals could have an adverse effect on our business.

Risks Related to Regulatory and Legal Matters

Our  products  will  generally  be  subject  to  regulatory  approval.  If  we  or  our  pharmaceutical  and  biotechnology  company  partners  do  not  obtain  such
approvals, or if such approvals are delayed, our revenues may be adversely affected.

Our fourth UMD product and our FT218 product, as well as products that we may wish to market in the future may not gain regulatory approval and reach the
commercial market for a variety of reasons.

In  the  U.S.,  federal,  state  and  local  government  agencies,  primarily  the  FDA,  regulate  all  pharmaceutical  products,  including  existing  products  and  those
under  development.  Neither  we  nor  our  pharmaceutical  and  biotechnology  partners  can  control  whether  we  obtain  regulatory  approval  for  any  of  these
products or, if obtained, the timing thereof. There may be significant delays in expected product releases while attempting to obtain regulatory approval for
products  incorporating  our  technologies.  If  we  or  our  partners  are  not  successful  in  timely  obtaining  such  approvals,  our  revenues  and  profitability  may
decline.

Applicants  for  FDA  approval  often  must  submit  to  the  FDA  extensive  clinical  and  pre-clinical  data,  as  well  as  information  about  product  manufacturing
processes and facilities and other supporting information. Varying interpretations of the data obtained from

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pre-clinical and clinical testing could delay, limit or prevent regulatory approval of a drug product. The FDA also may require us, or our partners to conduct
additional pre-clinical studies or clinical trials.
Similarly,  although  we  anticipate  submitting  applications  for  approval  for  our  development  products  that  rely  on  existing  data  to  demonstrate  safety  and
effectiveness,  the  FDA  may  determine  that  additional  studies  particular  to  our  products  are  necessary.  If  the  FDA  requires  such  additional  data,  it  would
impact development plans for those products.

Changes in FDA approval policy during the development period, or changes in regulatory review for each submitted new product application, also may delay
an approval or result in rejection of an application. For instance, under the Food and Drug Administration Amendments Act of 2007 (“FDAAA”), we or our
partners may be required to develop Risk Evaluations and Mitigation Strategies (“REMS”), to ensure the safe use of product candidates. If the FDA disagrees
with such REMS proposals, it may be more difficult and costly to obtain regulatory approval for our product candidates. Similarly, FDAAA provisions may
make it more likely that the FDA will refer a marketing application for a new product to an advisory committee for review, evaluation and recommendation as
to whether the application should be approved. This review may add to the time for approval, and, although the FDA is not bound by the recommendation of
an advisory committee, objections or concerns expressed by an advisory committee may cause the FDA to delay or deny approval.

The FDA has substantial discretion in the approval process and may disagree with our or our partners’ interpretations of data and information submitted in an
application, which also could cause delays of an approval or rejection of an application. Even if the FDA approves a product, the approval may limit the uses
or indications for which the product may be marketed, restrict distribution of the product or require further studies.

The FDA may also withdraw product clearances and approvals for failure to comply with regulatory requirements or if problems follow initial marketing. In
the  same  way,  medicinal  products  for  supply  on  the  EU  market  are  subject  to  marketing  authorization  by  either  the  European  Commission,  following  an
opinion  by  the  EMA,  or  by  the  competent  authorities  of  EU  Member  States.  Applicants  for  marketing  authorization  must  submit  extensive  technical  and
clinical data essentially in the form of the ICH Common Technical Document. The data is subject to extensive review by the competent authorities, and after
such  review  the  data  may  be  considered  inappropriate  or  insufficient.  If  applications  for  marketing  authorization  by  pharmaceutical  and  biotechnology
company  partners  are  delayed  or  rejected,  if  the  therapeutic  indications  for  which  the  product  is  approved  are  limited,  or  if  conditional  marketing
authorization imposing post-marketing clinical trials or surveillance is imposed, our revenues, operating results and liquidity may decline and earnings may
be negatively impacted.

Our products are subject to continuing regulation, and we on our own, and in conjunction with our pharmaceutical partners, may be subject to adverse
consequences if we or they fail to comply with applicable regulations.

We  on  our  own  and  in  conjunction  with  our  pharmaceutical  partners  will  be  subject  to  extensive  regulatory  requirements  for  our  and  the  co-developed
products and product candidates, even if the products receive regulatory approval. These regulations are wide-ranging and govern, among other things:

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adverse drug experiences and other reporting requirements;
product promotion and marketing;
APIs and/or product manufacturing, including cGMP compliance;
record keeping;
distribution of drug samples;
required clinical trials and/or post-marketing studies;
authorization renewal procedures;
authorization variation procedures;
compliance with any required REMS;
updating safety and efficacy information;
processing of personal data;
use of electronic records and signatures; and
changes to product manufacturing or labeling.

Clinical development of drugs is costly and time-consuming, and the outcomes are uncertain. A failure to prove that our product candidates are safe and
effective in clinical trials, or to generate data in clinical trials to support expansion of the therapeutic uses for our existing products, could materially and
adversely affect our business, financial condition, results of operations and growth prospects.

We  have  made  significant  investments  in  our  REST-ON  Phase  3  clinical  trial.  Clinical  trials  are  expensive  and  can  take  many  years  to  complete,  and  the
outcome is uncertain. Failure can occur at any time during the clinical trial process. The results of

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preclinical studies and early clinical trials of potential medicine candidates may not be predictive of the results of later-stage clinical trials. Drug candidates in
later stages of clinical trials may fail to show the desired safety and efficacy traits despite having progressed through preclinical studies and initial clinical
testing. Any failure or delay in completing our REST-ON Phase 3 clinical trial would prevent or delay the commercialization of our sodium oxybate product,
which could materially and adversely affect our business, financial condition, results of operations and growth prospects.

In addition to issues relating to the results generated in clinical trials, clinical trials can be delayed or halted for a variety of reasons, including:

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obtaining regulatory approval to commence a trial;
reaching agreement on acceptable terms with prospective contract research organizations (“CROs”) and clinical trial sites, the terms of which can be
subject to extensive negotiation and may vary significantly among different CROs and trial sites;
obtaining institutional review board or ethics committee approval at each site;
recruiting suitable patients to participate in a trial;
having patients complete a trial or return for post-treatment follow-up;
clinical sites dropping out of a trial;
adding new sites; or

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Patient enrollment, a significant factor in the timing of clinical trials, is affected by many factors including the size and nature of the patient population, the
proximity of patients to clinical sites, the eligibility criteria for the trial, the design of the clinical trial, competing clinical trials and clinicians’ and patients’
perceptions  as  to  the  potential  advantages  of  the  medicine  candidate  being  studied  in  relation  to  other  available  therapies,  including  any  new  drugs  or
biologics that may be approved for the indications we are investigating. Furthermore, we rely and expect to rely on CROs and clinical trial sites to ensure the
proper and timely conduct of our future clinical trials and while we have and intend to have agreements governing their committed activities, we will have
limited influence over their actual performance.

We rely on third parties to conduct our clinical trials, and if they do not properly and successfully perform their contractual, legal and regulatory duties,
we may not be able to obtain regulatory approvals for or commercialize our drug product candidates.

We rely on CROs and other third parties to assist us in designing, managing, monitoring and otherwise carrying out our clinical trials, including with respect
to site selection, contract negotiation and data management. We do not control these third parties and, as a result, they may not treat our clinical studies as a
high  priority,  which  could  result  in  delays.  We  are  responsible  for  confirming  that  each  of  our  clinical  trials  is  conducted  in  accordance  with  its  general
investigational plan and protocol, as well as the FDA’s and non-U.S. regulatory agencies’ requirements, commonly referred to as good clinical practices, for
conducting, recording and reporting the results of clinical trials to ensure that the data and results are credible and accurate and that the trial participants are
adequately  protected.  The  FDA  and  non-U.S.  regulatory  agencies  enforce  good  clinical  practices  through  periodic  inspections  of  trial  sponsors,  principal
investigators and trial sites. If we, CROs or other third parties assisting us or our study sites fail to comply with applicable good clinical practices, the clinical
data generated in our clinical trials may be deemed unreliable and the FDA or its non-U.S. counterparts may require us to perform additional clinical trials
before approving our marketing applications. We cannot assure you that, upon inspection, the FDA or non-U.S. regulatory agencies will determine that any of
our  clinical  trials  comply  with  good  clinical  practices.  In  addition,  our  clinical  trials  must  be  conducted  with  product  produced  under  the  FDA’s  cGMP
regulations and similar regulations outside of the U.S. Our failure, or the failure of our product suppliers, to comply with these regulations may require us to
repeat or redesign clinical trials, which would delay the regulatory approval process.

If third parties do not successfully carry out their duties under their agreements with us, if the quality or accuracy of the data they obtain is compromised due
to failure to adhere to our clinical protocols, including dosing requirements, or regulatory requirements, or if they otherwise fail to comply with clinical trial
protocols or meet expected deadlines, our clinical trials may not meet regulatory requirements. If our clinical trials do not meet regulatory requirements or if
these third parties need to be replaced, our clinical trials may be extended, delayed, suspended or terminated. If any of these events occur, we may not be able
to obtain regulatory approval of our product candidates or succeed in our efforts to create approved line extensions for certain of our existing products or
generate additional useful clinical data in support of these products.

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If we or our partners, including any CDMOs that we use, fail to comply with these laws and regulations, the FDA, the European Commission, competent
authorities of EU Member States, or other regulatory organizations, may take actions that could significantly restrict or prohibit commercial distribution of
our products and products that incorporate our technologies. If the FDA, the European Commission or competent authorities of EU Member States determine
that we are not in compliance with these laws and regulations, they could, among other things:

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issue warning letters;
impose fines;
seize products or request or order recalls;
issue injunctions to stop future sales of products;
refuse to permit products to be imported into, or exported out of, the U.S. or the E.U.;
suspend or limit our production;
withdraw or vary approval of marketing applications;
order the competent authorities of EU Member States to withdraw or vary national authorization; and
initiate criminal prosecutions.

If FT218 is approved by the FDA, we may not obtain orphan drug marketing exclusivity.

Orphan drug status may be granted by the FDA to certain products intended to treat diseases and conditions that affect fewer than 200,000 individuals in the
United States or, if they affect more than 200,000 individuals in the United States, there is no reasonable expectation of recovering the cost of developing and
making the product available in the United States for the applicable disease or condition.

Our proposed product FT218 obtained orphan drug designation from the FDA in January 2018. A product with orphan drug designation that subsequently
receives the first FDA approval for the disease or condition for which it has such designation will be entitled to certain U.S. marketing exclusivity for a period
of seven years. FT218 would not be the first product with such FDA approval. However, in limited circumstances, including if the FDA concludes that FT218
is  safer,  more  effective  or  makes  a  major  contribution  to  patient  care,  the  FDA  could  award  FT218  with  such  marketing  exclusivity.  The  orphan  drug
designation for FT218 does not guaranty that the FDA would ultimately award this product with orphan drug status for purposes of marketing exclusivity.
Among other factors, the FDA will consider the results of our FT218 Phase 3 clinical trial with respect to the efficacy and safety of the product. Thus, there
can  be  no  assurance  that  the  FDA  will  ultimately  grant  orphan  drug  status,  or  marketing  exclusivity,  for  FT218.  In  addition,  even  if  such  orphan  drug
marketing  exclusivity  rights  were  granted  by  the  FDA,  such  rights  may  be  lost  if  the  FDA  later  determines  that  our  request  for  such  designation  was
materially defective or if the manufacturer is unable to assure sufficient quantity of the drug to meet the needs of patients with the rare disease or condition to
be treated with the product.

We are subject to U.S. federal and state and international laws and regulations prohibiting “kickbacks” and false claims that, if violated, could subject us
to substantial penalties, and any challenges to or investigation into our practices under these laws could cause adverse publicity and be costly to respond
to, and thus could harm our business.

We are subject to extensive and complex U.S. federal and state and international laws and regulations, including but not limited to, health-care “fraud and
abuse”  laws,  such  as  anti-kickback  and  false  claims  laws  and  regulations  pertaining  to  government  benefit  program  reimbursement,  price  reporting  and
regulations, and sales and marketing practices. These laws and regulations are broad in scope and subject to evolving interpretations, which could require us
to  incur  substantial  costs  associated  with  compliance  or  to  alter  one  or  more  of  our  sales  or  marketing  practices.  In  addition,  violations  of  these  laws,  or
allegations of such violations, could disrupt our business and result in a material adverse effect on our revenues, profitability, and financial condition. In the
current environment, there appears to be a greater risk of investigations of possible violations of these laws and regulations. This increased risk is reflected by
recent enforcement activity and pronouncements by the US Office of Inspector General of the Department of Health and Human Services that it intends to
continue  to  vigorously  pursue  fraud  and  abuse  violations  by  pharmaceutical  companies,  including  through  the  potential  to  impose  criminal  penalties  on
pharmaceutical company executives. 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.

Healthcare reform and restrictions on reimbursements may limit our financial returns.

Our ability to successfully commercialize our products and technologies may depend on the extent to which the government health administration authorities,
the health insurance funds in the EU Member States, private health insurers and other third-party payor in the U.S. will reimburse consumers for the cost of
these products, which would affect the volume of drug products sold by pharmaceutical and biotechnology companies that incorporate our technology into
their  products.  Third  party  payor  are  increasingly  challenging  both  the  need  for,  and  the  price  of,  novel  therapeutic  drugs  and  uncertainty  exists  as  to  the
reimbursement status of

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newly approved therapeutics. The commercial success of our products depends in part on the conditions under which products incorporating our technology
are reimbursed. Adequate third-party reimbursement may not be available for such drug products to enable us to maintain price levels sufficient to realize an
appropriate return on our investments in research and product development, which could materially and adversely affect our business. We cannot predict the
effect that changes in the healthcare system, especially cost containment efforts, may have on our business. In particular, it is difficult to predict the effect of
health care reform legislation enacted in the U.S. in 2010, certain provisions of which are still subject to regulatory implementation, further legislative change
and ongoing judicial review. Any such changes or changes due to future legislation governing the pricing and reimbursement of healthcare products in the EU
Member States may adversely affect our business.

Regulatory reforms may adversely affect our ability to sell our products profitably.

From time to time, the U.S. Congress, the Council of the European Union and the European Parliament, as well as the legislators of the EU Member States,
adopt changes to the statutes that the FDA, the European Commission and the competent authorities of the EU Member States enforce in ways that could
significantly affect our business. In addition, the FDA, the European Commission and the competent authorities of the EU Member States often issue new
regulations or guidance, or revise or reinterpret their current regulations and guidance in ways that may significantly affect our business and our products. It is
impossible to predict whether legislative changes will be enacted or FDA, EU or EU Member State’s regulations, guidance or interpretations changed, and
what  the  impact  of  any  such  changes  may  be.  Any  such  changes  could  have  a  significant  impact  on  the  path  to  approval  of  our  proposed  products  or  of
competing products, and on our obligations and those of our pharmaceutical industry partners.

We and companies to which we have licensed, or will license our products or drug delivery technologies and subcontractors we engage for services related
to the development and manufacturing of our products are subject to extensive regulation by the FDA and other regulatory authorities. Our and their
failure to meet strict regulatory requirements could adversely affect our business.

We,  and  companies  to  which  we  license  our  products  or  drug  delivery  technologies,  as  well  as  companies  acting  as  subcontractors  for  our  product
developments, including but not limited to non-clinical, pre-clinical and clinical studies, and manufacturing, are subject to extensive regulation by the FDA,
other domestic regulatory authorities and equivalent foreign regulatory authorities, particularly the European Commission and the competent authorities of
EU Member States. Those regulatory authorities may conduct periodic audits or inspections of the applicable facilities to monitor compliance with regulatory
standards  and  we  remain  responsible  for  the  compliance  of  our  subcontractors.  If  the  FDA  or  another  regulatory  authority  finds  failure  to  comply  with
applicable regulations, the authority may institute a wide variety of enforcement actions, including:

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warning letters or untitled letters;
fines and civil penalties;
delays in clearing or approving, or refusal to clear or approve, products;
withdrawal, suspension or variation of approval of products; product recall or seizure;
orders to the competent authorities of EU Member States to withdraw or vary national authorization;
orders for physician notification or device repair, replacement or refund;
interruption of production;
operating restrictions;
injunctions; and
criminal prosecution.

Any adverse action by a competent regulatory agency could lead to unanticipated expenditures to address or defend such action and may impair our ability to
produce and market applicable products, which could significantly impact our revenues and royalties that we receive from our customers.

We may face product liability claims related to clinical trials for our products or their misuse.

The testing, including through clinical trials, manufacturing and marketing, and the use of our products may expose us to potential product liability and other
claims.  If  any  such  claims  against  us  are  successful,  we  may  be  required  to  make  significant  compensation  payments.  Any  indemnification  that  we  have
obtained, or may obtain, from CROs or pharmaceutical and biotechnology companies or hospitals conducting human clinical trials on our behalf may not
protect us from product liability claims or from the costs of related litigation. Insurance coverage is expensive and difficult to obtain, and we may be unable to
obtain coverage in the future on acceptable terms, if at all. We currently maintain general liability insurance and product liability and recall insurance. We
cannot be certain that the coverage limits of our insurance policies or those of our strategic partners will be adequate. If we are unable to obtain sufficient
insurance at an acceptable cost, a product liability claim or recall could adversely affect our financial condition.

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Similarly, any indemnification we have obtained, or may obtain, from pharmaceutical and biotechnology companies with whom we are developing, or will
develop, our products may not protect us from product liability claims from the consumers of those products or from the costs of related litigation.

If we use hazardous biological and/or chemical materials in a manner that causes injury, we may be liable for significant damages.

Our R&D activities involve the controlled use of potentially harmful biological and/or chemical materials, and are subject to U.S., state, EU, national and
local laws and regulations governing the use, storage, handling and disposal of those materials and specified waste products. We cannot completely eliminate
the risk of accidental contamination or injury from the use, storage, handling or disposal of these materials, including fires and/or explosions, storage tank
leaks  and  ruptures  and  discharges  or  releases  of  toxic  or  hazardous  substances.  These  operating  risks  can  cause  personal  injury,  property  damage  and
environmental contamination, and may result in the shutdown of affected facilities and the imposition of civil or criminal penalties. The occurrence of any of
these events may significantly reduce the productivity and profitability of a particular manufacturing facility and adversely affect our operating results.

We  currently  maintain  property,  business  interruption  and  casualty  insurance  with  limits  that  we  believe  to  be  commercially  reasonable,  but  may  be
inadequate to cover any actual liability or damages.

Risks Related to Ownership of Our Securities

The price of our American Depositary Shares (ADSs) has been volatile and may continue to be volatile.

The trading price of our American Depositary Shares (ADSs) has been, and is likely to continue to be, highly volatile. The market value of an investment in
our ADSs may fall sharply at any time due to this volatility. During the year ended December 31, 2018, the closing sale price of our ADSs as reported on the
Nasdaq Global ranged from $1.74 to $11.70. During the year ended December 31, 2017, the closing sale price of our ADSs as reported on the NASDAQ
National  Market  ranged  from  $8.03  to  $11.57.  The  market  prices  for  securities  of  drug  delivery,  specialty  pharma,  biotechnology  and  pharmaceutical
companies historically have been highly volatile. Factors that could adversely affect our share price include, among others:

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fluctuations in our operating results;
announcements of technological partnerships, innovations or new products by us or our competitors;
actions with respect to the acquisition of new or complementary businesses;
governmental regulations;
developments in patent or other proprietary rights owned by us or others;
public concern as to the safety of drug delivery technologies developed by us or drugs developed by others using our platform;
the results of pre-clinical testing and clinical studies or trials by us or our competitors;
adverse  events  related  to  our  products  or  products  developed  by  pharmaceutical  and  biotechnology  company  partners  that  use  our  drug  delivery
technologies;
lack of efficacy of our products;
litigation;
decisions by our pharmaceutical and biotechnology company partners relating to the products incorporating our technologies;
the perception by the market of specialty pharma, biotechnology, and high technology companies generally;
general market conditions, including the impact of the current financial environment; and
the dilutive impact of any new equity or convertible debt securities we may issue or have issued.

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We incurred a net loss in 2018 and we will likely incur a net loss in 2019, and if we are not able to regain profitability in the future, the value of our
shares may fall.

We reported a net loss of $95.3 million for the year ended December 31, 2018 and net income of $68.3 million for the year ended December 31, 2017. In
addition, in part because we expect sales of our hospital products to suffer further substantial declines during 2019 and we will incur substantial expenses to
develop our products, we will likely incur a net loss in 2019 as well, the amount of which is not known to us at this time. We cannot predict if we will be able
to regain profitability. If we are unable to earn a profit in future periods, the market price of our shares may fall. Our ability to operate profitably depends
upon a number of factors, many of which are beyond our direct control. These factors include:

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the demand for our drug delivery technologies and products;
the level of product and price competition;
our ability to develop new partnerships and additional commercial applications for our products;
our ability to control our costs;
our ability to broaden our customer base;
the effectiveness of our marketing strategy;
our effective tax rate;
the effectiveness of our partners’ marketing strategy for products that use our technology; and
general economic conditions.

We may require additional financing, which may not be available on favorable terms or at all, and which may result in dilution of the equity interest of
the holders of our American Depositary Shares (ADSs).

We may require additional financing to fund the development and possible acquisition of new products and businesses. We may consume available resources
more rapidly than currently anticipated, resulting in the need for additional funding. If we cannot obtain financing when needed, or obtain it on favorable
terms, we may be required to curtail our plans to continue to develop drug delivery technologies, develop new products, or acquire additional products and
businesses. Other factors that will affect future capital requirements and may require us to seek additional financing include:

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the development and acquisition of new products and drug delivery technologies;
the progress of our research and product development programs; and
the timing of, and amounts received from, future product sales, product development fees and licensing revenue and royalties.

If adequate funds are not available, we may be required to significantly reduce or refocus our product development efforts, resulting in loss of sales, increased
costs and reduced revenues. Alternatively, to obtain needed funds for acquisitions or operations, we may choose to issue additional ADSs representing our
ordinary shares, or issue equity-linked debt, or we may choose to issue preferred shares, in either case through public or private financings. Additional funds
may not be available on terms that are favorable to us and, in the case of such equity financings, may result in dilution to the holders of our ADSs. See also
the discussion elsewhere in these Risk Factors under the caption “Our net loss in 2018 and the resulting decrease in our available liquid assets may limit our
ability to fully pursue our business strategy.”

We have broad discretion in the use of our cash and may not use it effectively.

Our management has broad discretion in the use of our cash, and may not apply our cash in ways that ultimately increases the value of any investment in our
securities.  We  currently  intend  to  use  our  cash  to  fund  marketing  activities  for  our  commercialized  products,  to  fund  certain  clinical  trials  for  product
candidates, to fund R&D activities for potential new product candidates, and for working capital, capital expenditures and general corporate purposes. As in
the past we expect to invest our excess cash in available-for-sale marketable securities, including corporate bonds, U.S. government securities, other fixed
income securities and equities; and these investments may not yield a favorable return. If we do not invest or apply our cash effectively, our financial position
and the price of our ADSs may decline.

We currently do not intend to pay dividends and cannot assure the holders of our ADSs that we will make dividend payments in the future.

We have never declared or paid a cash dividend on any of our ordinary shares or ADSs and do not anticipate declaring cash dividends in the foreseeable
future.  Declaration  of  dividends  will  depend  upon,  among  other  things,  future  earnings,  if  any,  the  operating  and  financial  condition  of  our  business,  our
capital requirements, general business conditions and such other factors as our Board of Directors deems relevant.

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Provisions of our articles of association could delay or prevent a third-party’s effort to acquire us.

Our articles of association could delay, defer or prevent a third-party from acquiring us, even where such a transaction would be beneficial to the holders of
our ADSs, or could otherwise adversely affect the price of our ADSs. For example, certain provisions of our articles of association:

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permit our board of directors to issue preferred shares with such rights and preferences as they may designate, subject to applicable law;
impose advance notice requirements for shareholder proposals and director nominations to be considered at annual shareholder meetings; and
require the approval of a supermajority of the voting power of the shares of our share capital entitled to vote generally at a meeting of shareholders
to amend or repeal certain provisions of our articles of association.

We believe these provisions may provide some protection to holders of our ADSs from coercive or otherwise unfair takeover tactics. These provisions are not
intended to make us immune from takeovers. However, these provisions will apply even if some holders of our ADSs consider an offer to be beneficial and
could delay or prevent an acquisition that our Board of Directors determines is in the best interest of the holders of our ADSs. These provisions may also
prevent or discourage attempts to remove and replace incumbent directors.

In  addition,  several  mandatory  provisions  of  Irish  law  could  prevent  or  delay  our  acquisition  by  a  third  party.  For  example,  Irish  law  does  not  permit
shareholders of an Irish public limited company to take action by written consent with less than unanimous consent. In addition, an effort to acquire us may
be subject to various provisions of Irish law relating to mandatory bids, voluntary bids, requirements to make a cash offer and minimum price requirements,
as well as substantial acquisition rules and rules requiring the disclosure of interests in our ADSs in certain circumstances.

These provisions may discourage potential takeover attempts, discourage bids for our ordinary shares at a premium over the market price or adversely affect
the market price of, and the voting and other rights of the holders of, our ADSs. These provisions could also discourage proxy contests and make it more
difficult for holders of our ADSs to elect directors other than the candidates nominated by our board of directors, and could depress the market price of our
ADSs.

Irish law differs from the laws in effect in the United States and might afford less protection to the holders of our ADSs.

Holders of our ADSs could have more difficulty protecting their interests than would the shareholders of a U.S. corporation. As an Irish company, we are
governed by the Irish Companies Act 2014, which differs in some significant, and possibly material, respects from provisions set forth in various U.S. state
laws  applicable  to  U.S.  corporations  and  their  shareholders,  including  provisions  relating  to  interested  directors,  mergers  and  acquisitions,  takeovers,
shareholder lawsuits and indemnification of directors.

The duties of directors and officers of an Irish company are generally owed to the company only. Therefore, under Irish law shareholders of Irish companies
do not generally have a right to commence a legal action against directors or officers, and may only do so in limited circumstances. Directors of an Irish
company must act with due care and skill, honestly and in good faith with a view to the best interests of the company. Directors must not put themselves in a
position in which their duties to the company and their personal interests conflict and must disclose any personal interest in any contract or arrangement with
the company or any of our subsidiaries. A director or officer can be held personally liable to the company in respect of a breach of duty to the company.

Judgments of United States courts, including those predicated on the civil liability provisions of the federal securities laws of the United States, may not
be enforceable in Irish courts.

An investor in the U.S. may find it difficult to:

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effect service of process within the U.S. against us and our non-U.S. resident directors and officers;
enforce United States court judgments based upon the civil liability provisions of the United States federal securities laws against us and our non-
U.S. resident directors and officers in Ireland; or
bring  an  original  action  in  an  Irish  court  to  enforce  liabilities  based  upon  the  U.S.  federal  securities  laws  against  us  and  our  non-U.S.  resident
directors and officers.

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Judgments of United States courts, including those predicated on the civil liability provisions of the federal securities laws of the United States, may not
be enforceable in Cayman Islands courts.

We have been advised by our Cayman Islands legal counsel, Maples and Calder, that the courts of the Cayman Islands are unlikely (i) to recognize or enforce
against us or Avadel judgments of courts of the United States predicated upon the civil liability provisions of the securities laws of the United States or any
State; and (ii) in original actions brought in the Cayman Islands, to impose liabilities against us or Avadel predicated upon the civil liability provisions of the
securities laws of the United States or any State, so far as the liabilities imposed by those provisions are penal in nature. In those circumstances, although
there  is  no  statutory  enforcement  in  the  Cayman  Islands  of  judgments  obtained  in  the  United  States,  the  courts  of  the  Cayman  Islands  will  recognize  and
enforce  a  foreign  money  judgment  of  a  foreign  court  of  competent  jurisdiction  without  retrial  on  the  merits  based  on  the  principle  that  a  judgment  of  a
competent foreign court imposes upon the judgment debtor an obligation to pay the sum for which judgment has been given provided certain conditions are
met. For a foreign judgment to be enforced in the Cayman Islands, such judgment must be final and conclusive and for a liquidated sum, and must not be in
respect  of  taxes  or  a  fine  or  penalty,  inconsistent  with  a  Cayman  Islands  judgment  in  respect  of  the  same  matter,  impeachable  on  the  grounds  of  fraud  or
obtained  in  a  manner,  and  or  be  of  a  kind  the  enforcement  of  which  is,  contrary  to  natural  justice  or  the  public  policy  of  the  Cayman  Islands  (awards  of
punitive or multiple damages may well be held to be contrary to public policy). A Cayman Islands Court may stay enforcement proceedings if concurrent
proceedings are being brought elsewhere.

Holders of ADSs have fewer rights than shareholders and have to act through the Depositary to exercise those rights.

Holders of ADSs do not have the same rights as shareholders and, accordingly, cannot exercise rights of shareholders against us. The Bank of New York
Mellon,  as  depositary,  or  the  “Depositary”,  is  the  registered  shareholder  of  the  deposited  shares  underlying  the  ADSs.  Therefore,  holders  of  ADSs  will
generally have to exercise the rights attached to those shares through the Depositary. We will use reasonable efforts to request that the Depositary notify the
holders of ADSs of upcoming votes and ask for voting instructions from them. If a holder fails to return a voting instruction card to the Depositary by the date
established by the Depositary for receipt of such voting instructions, or if the Depositary receives an improperly completed or blank voting instruction card, or
if the voting instructions included in the voting instruction card are illegible or unclear, then such holder will be deemed to have instructed the Depositary to
vote its shares, and the Depositary shall vote such shares in favor of any resolution proposed or approved by our Board of Directors and against any resolution
not so proposed or approved.

Our largest shareholders own a significant percentage of the share capital and voting rights of the Company.

As  of  January  25,  2019,  Brandes  Investment  Partners  L.P.  owned  approximately  19.1%  of  Avadel’s  outstanding  shares  (in  the  form  of  ADRs),  Broadfin
Capital and certain of its affiliates beneficially owned approximately 8.3% of our outstanding shares (in the form of ADRs) and Deerfield Capital and certain
of its affiliates beneficially owned approximately 7.3% of Avadel’s outstanding shares (in the form of ADRs). To the extent these shareholders continue to
hold a large percentage of our share capital and voting rights, they will remain in a position to exert heightened influence in the election of the directors of the
Company and in other corporate actions that require shareholder approval, including change of control transactions.

Risks Related to the 2023 Notes

Servicing our 2023 Notes may require a significant amount of cash, and we may not have sufficient cash or the ability to raise the funds necessary to
settle exchanges of the 2023 Notes in cash, repay the Notes at maturity, or repurchase the 2023 Notes as required following a fundamental change.

In  February  2018  we  issued  $143.75  million  aggregate  principal  amount  of  our  Senior  Exchangeable  Notes.  Prior  to  February  2023,  the  2023  Notes  are
convertible at the option of the holders only under certain conditions or upon the occurrence of certain events. If holders of the 2023 Notes elect to exchange
their 2023 Notes, unless we elect to deliver solely our ADSs to settle such exchanges, we will be required to make cash payments in respect of the 2023 Notes
being exchanged. Holders  of  the  2023  Notes  also  have  the  right  to  require  us  to  repurchase  all  or  a  portion  of  their  2023  Notes  upon  the  occurrence  of  a
fundamental change (as defined in the applicable indenture governing the 2023 Notes) at a repurchase price equal to 100% of the principal amount of the
2023 Notes to be repurchased, plus accrued and unpaid interest. If the 2023 Notes have not previously been exchanged or repurchased, we will be required to
repay the 2023 Notes in cash at maturity. Our ability to make cash payments in connection with exchanges of the 2023 Notes, repurchase the 2023 Notes in
the event of a fundamental change, or to repay or refinance the 2023 Notes at maturity will depend on market conditions and our future performance, which is
subject to economic, financial, competitive, and other factors many of which are beyond our control. We incurred significant net losses in 2018 and we may
continue  to  incur  significant  losses.  As  a  result,  we  may  not  have  enough  available  cash  or  be  able  to  obtain  financing  at  the  time  we  are  required  to
repurchase or repay the 2023 Notes or in the event we elect to pay cash with respect to 2023 Notes being exchanged.

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The conditional exchange feature of the 2023 Notes, if triggered, may adversely affect our financial condition and operating results.

In the event the conditional exchange feature of the 2023 Notes is triggered, holders of 2023 Notes will be entitled to exchange the 2023 Notes at any time
during specified periods at their option (see the discussion under the caption “Recent Developments -- Issuance of Exchangeable Notes” in Item 1 of this
Annual Report on Form 10-K). If one or more holders elect to exchange their 2023 Notes, unless we elect to satisfy our exchange obligation by causing to be
delivered  solely  ADSs  (other  than  paying  cash  in  lieu  of  any  fractional  ADS),  we  would  be  required  to  settle  a  portion  or  all  of  our  exchange  obligation
through the payment of cash, which could adversely affect our liquidity. In addition, even if holders do not elect to exchange their 2023 Notes, we could be
required  under  applicable  accounting  rules  to  reclassify  all  or  a  portion  of  the  outstanding  principal  of  the  2023  Notes  as  a  current  rather  than  long-term
liability, which would result in a material reduction of our net working capital.

The accounting method for convertible and exchangeable debt securities that may be settled in cash, such as the 2023 Notes, could have a material effect
on Avadel’s reported financial results.

Under Accounting Standards Codification 470-20, Debt with Conversion and Other Options, which we refer to as ASC 470-20, an entity must separately
account for the liability and equity components of the convertible or exchangeable debt instruments (such as the 2023 Notes) that may be settled entirely or
partially in cash upon conversion or exchange in a manner that reflects the issuer’s economic interest cost. However, entities must first consider the guidance
in ASC 815-15, Embedded Derivatives (“ASC 815-15”), to determine if an instrument contains an embedded feature that should be separately accounted for
as a derivative. ASC 815 provides for an exception to this rule when convertible notes, as host instruments, are deemed to be conventional, as defined by ASC
815-40. Should this exception apply, the effect of ASC 470-20 on the accounting for the 2023 Notes is that the equity component would be required to be
included in the additional paid-in capital section of stockholders’ equity on Avadel’s consolidated balance sheet, and the value of the equity component would
be treated as original issue discount for purposes of accounting for the debt component of the 2023 Notes. As a result, Avadel would be required to record a
greater amount of non-cash interest expense in current periods presented as a result of the amortization of the discounted carrying value of the 2023 Notes to
their face amount over the term of the 2023 Notes. Avadel would report lower net income in its financial results because ASC 470-20 would require interest
to include both the current period’s amortization of the debt discount and the instrument’s coupon interest, which could adversely affect Avadel’s reported or
future financial results, the trading price of the ADSs and the trading price of the 2023 Notes.

In addition, under certain circumstances, convertible or exchangeable debt instruments (such as the 2023 Notes) that may be settled entirely or partly in cash
are currently accounted for utilizing the treasury stock method, the effect of which is that the ADSs deliverable upon exchange of the 2023 Notes are not
included in the calculation of diluted earnings per share except to the extent that the exchange value of the 2023 Notes exceeds their principal amount. Under
the treasury stock method, for diluted earnings per share purposes, the transaction is accounted for as if the number of ADSs that would be necessary to settle
such  excess,  if  we  elected  to  settle  such  excess  in  ADSs,  are  issued.  Neither  we  nor  Avadel  can  be  sure  that  the  accounting  standards  in  the  future  will
continue to permit the use of the treasury stock method. If Avadel is unable to use the treasury stock method in accounting for the ADSs deliverable upon
exchange of the 2023 Notes, then Avadel’s diluted earnings per share would be adversely affected.

Exchanges of the 2023 Notes will dilute the ownership interest of Avadel’s existing shareholders and holders of the ADSs, including holders who had
previously exchanged their 2023 Notes and received ADSs upon exchange, to the extent our exchange obligation includes ADSs.

The exchange of some or all of the 2023 Notes will dilute the ownership interests of Avadel’s existing shareholders and holders of the ADSs to the extent our
exchange  obligation  includes  ADSs.  Any  sales  in  the  public  market  of  the  ADSs  issuable  upon  such  exchange  of  the  2023  Notes  could  adversely  affect
prevailing market prices of the ADSs and, in turn, the price of the 2023 Notes. In addition, the existence of the 2023 Notes may encourage short selling by
market participants because the exchange of the 2023 Notes could depress the price of the ADS.

The fundamental change repurchase feature of the 2023 Notes may delay or prevent an otherwise beneficial takeover attempt of Avadel.

The indenture governing the 2023 Notes will require us to repurchase the 2023 Notes for cash upon the occurrence of a fundamental change and, in certain
circumstances, to increase the exchange rate for a holder that exchanges its 2023 Notes in connection with a make-whole fundamental change. A takeover of
Avadel may trigger the requirement that we repurchase the 2023 Notes and/or increase the exchange rate, which could make it more costly for a potential
acquirer to engage in a combinatory transaction with

-34-

us or Avadel. Such additional costs may have the effect of delaying or preventing a takeover of Avadel that would otherwise be beneficial to investors.

Dividends paid by the Parent may be subject to Irish dividend withholding tax

In certain circumstances, as an Irish tax resident company, Avadel will be required to deduct Irish dividend withholding tax (currently at the rate of 20%) from
dividends  paid  to  its  shareholders.  Shareholders  that  are  resident  in  the  U.S.,  EU  countries  (other  than  Ireland)  or  other  countries  with  which  Ireland  has
signed a tax treaty (whether the treaty has been ratified or not) generally should not be subject to Irish withholding tax so long as the shareholder has provided
its broker, for onward transmission to Avadel’s qualifying intermediary or other designated agent (in the case of shares held beneficially), or Avadel or its
transfer  agent  (in  the  case  of  shares  held  directly),  with  all  the  necessary  documentation  by  the  appropriate  due  date  prior  to  payment  of  the  dividend.
However, some shareholders may be subject to withholding tax, which could adversely affect the price of ordinary shares and the value of their 2023 Notes.

Risks Related to Recent Tax Legislation

The effect of comprehensive U.S. tax reform legislation on us, whether adverse or favorable, is uncertain.

On December 22, 2017, President Trump signed into law the Tax Cuts and Jobs Act (H.R. 1) (the “Tax Act”). Among a number of significant changes to the
U.S.  federal  income  tax  rules,  the  Tax  Act  reduces  the  marginal  U.S.  corporate  income  tax  rate  from  35%  to  21%,  limits  the  deduction  for  net  interest
expense, shifts the United States toward a more territorial tax system, and imposes new rules to combat erosion of the U.S. federal income tax base. The
Internal Revenue Service (“IRS”) has issued limited regulations and guidance under the Tax Act, and is expected to issue additional guidance the impact of
which is uncertain but could differ from the interpretations and assumptions that we have made, which could have a material adverse effect on our cash tax
liabilities,  results  of  operations  and  financial  condition.  Investors  should  consult  their  own  tax  advisers  regarding  the  impact  of  the  Tax  Act  on  their
investments in Avadel securities.

Item 1B.    Unresolved Staff Comments. 

Not applicable.

Item 2.        Properties.

(Amounts in thousands, except square foot amounts)

Avadel Research SAS, our research center, is located in Venissieux, France (a suburb of Lyon) in three adjacent leased facilities totaling approximately 51,600
square feet.  One building of approximately 12,800 square feet houses administrative offices and analytical research laboratories.  The lease on this facility
expires  in  March  2022.    A  second  facility  comprising  approximately  12,800  square  feet  houses  equipment  dedicated  to  our  Micropump,  LiquiTime  and
Trigger Lock platforms has a lease which expires in March 2022.  The lease for the third facility of approximately 26,000 square feet houses research and
biochemistry (Medusa) laboratories and quality/regulatory affairs was terminated on December 31, 2018.

We have commercial and administrative activities located in Chesterfield, Missouri. Our current office space consists of 24,236 square feet, and the lease
expires  in  2025.  Additionally,  we  still  maintain  the  lease  on  the  former  headquarters  of  FSC  Laboratories,  Inc.  located  in  Charlotte,  North  Carolina.  This
office space consists of 6,300 square feet, and the lease expires in 2020.

We have intellectual property, clinical, quality, regulatory, and supply chain activities located in Dublin, Ireland. The office space consists of 5,059 square feet
and the lease expires in 2025. 

See “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in Part II, Item 7 of this Annual Report on Form 10-K for
more information regarding our investment activities and principal capital expenditures over the last three years.

Item 3.        Legal Proceedings.

Voluntary Chapter 11 Bankruptcy Filing by Avadel Specialty Pharmaceuticals, LLC

On  February  6,  2019,  our  indirect  wholly  owned  subsidiary  Avadel  Specialty  Pharmaceuticals,  LLC  (“Specialty  Pharma”)  filed  a  voluntary  petition  for
reorganization under Chapter 11 of the U.S. Bankruptcy Code in the United States District Bankruptcy Court for the District of Delaware (the “Bankruptcy
Court”), Case No. 19-10248 (CSS).  The case has been assigned to Judge Christopher

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Sontchi.  Specialty Pharma is responsible solely for the sales, marketing and distribution of the Company’s Noctiva™ product for the treatment of nocturia. 
Specialty Pharma is the licensee under a license agreement with Serenity Pharmaceuticals LLC (“Serenity”) for the patents and other intellectual property
relating to Noctiva™.  Our direct wholly owned subsidiary Avadel US Holdings, Inc. (“US Holdings”) is the parent of Specialty Pharma.  On February 8,
2019, the Bankruptcy Court approved, on an interim basis, a binding term sheet (the “Binding Term Sheet”) between US Holdings and Specialty Pharma
pursuant to which US Holdings will provide debtor-in-possession financing to Specialty Pharma of up to a maximum amount of $2.7 million.  The Binding
Term Sheet received final approval by the Bankruptcy Court on March 11, 2019.  The financing under the Binding Term Sheet is a non-amortizing revolving
credit facility bearing interest at a rate of 5.0% per annum; advances will be used for purposes consistent with the budget approved by the Bankruptcy Court;
the amounts loaned under the facility have the status of pre-petition unsecured claims and a ranking parri passu with other pre-petition unsecured claims that
may be allowed by the Bankruptcy Court; and all such advances will be due on February 6, 2020 or earlier upon certain events specified in the Binding Term
Sheet.

Specialty Pharma has also filed motions with the Bankruptcy Court for approval to sell its assets with bids due by April 1, 2019 and, if qualified bids are
received,  an  auction  on  April  3,  2019.    If  a  bid  is  accepted  at  the  auction,  there  will  be  a  hearing  in  the  Bankruptcy  Court  on  April  10,  2019  to  consider
approval of the proposed sale.  Specialty Pharma also moved to reject its supply contract with Renaissance Lakewood, LLC relating to the manufacture of
certain specified quantities of NoctivaTM.   The rejection of the agreement with Renaissance was approved by the Bankruptcy Court over Serenity’s objection
at a hearing on March 13, 2019.  In addition, Ferring International Center S.A. has moved for relief from the automatic stay in bankruptcy so that it may
proceed in its litigation against Specialty Pharma which is described below under the caption “Noctiva Patent Litigation.”

Noctiva Patent Litigation

Specialty  Pharma  is  a  party  to  Case  No.  17-cv-9922  in  the  United  States  District  Court  for  the  Southern  District  of  New  York  brought  in  April  2017  by
Ferring B.V., Ferring International Center S.A., and Ferring Pharmaceuticals Inc. (collectively referred to hereafter as “Ferring”) against Serenity and Reprise
Biopharmaceutics, LLC (“Reprise”). In this proceeding, Ferring is seeking a court judgment to declare as invalid and unenforceable three patents relating to
Noctiva, which have been licensed to Specialty Pharma by Serenity, and a further court judgment that Ferring’s Nocdurna product does not infringe those
patents. In June 2018, Serenity and Reprise filed an answer, which Specialty Pharma joined as a party defendant, asserting defenses and counterclaims for,
among other things, infringement by Nocdurna of certain of Serenity’s patents and seeking a declaratory judgment that the name “Noctiva” does not infringe
any Ferring trademark for “Nocdurna”; subsequently, Ferring asserted a claim for alleged trademark infringement by NoctivaTM with respect Nocdurna. No
date is set for a hearing or trial on the various pending motions or on the underlying claims. As noted above, Specialty Pharma is the debtor in a voluntary
Chapter 11 bankruptcy case. If Ferring is successful on any of the claims it is asserting in its case in the U.S. District Court, the amount that Specialty Pharma
may obtain for a sale of its assets would be limited.

By way of background, Noctiva™ is our brand name for the drug desmopressin acetate which is FDA-approved for treatment of nocturia due to nocturnal
polyuria (overproduction of urine during the night) in adults. Noctiva™ is an emulsified low-dose vasopressin analog administered through a preservative-
free nasal spray 30 minutes before bedtime. Ferring’s product Nocdurna is desmopressin acetate in the form of a sublingual tablet (i.e., to be dissolved under
the tongue) which on June 21, 2018 received FDA approval for marketing in the U.S. for the treatment of nocturia.

A separate litigation (Case No. C.A. No. 12-cv 2650 in the United States District Court for the Southern District of New York) is pending between Ferring, on
the one hand, and Serenity, Reprise and certain related parties, on the other hand. In this case, Ferring has alleged that certain Ferring employees should be the
sole named inventors of the three patents relating to Noctiva, and has also alleged related claims that the defendants breached certain contractual and common
law  duties.  The  court  in  this  case  has  dismissed  Ferring’s  claims,  but  Ferring  may  appeal  the  dismissals.  Neither  Specialty  Pharma  nor  any  other  Avadel
company is a party to this litigation. However, if the defendants are ultimately unsuccessful in defending Ferring’s allegations in this case, Specialty Pharma
(or any person who might purchase its assets) would be required to seek a license for the patents from Ferring in order to continue to market NoctivaTM, and
we would not have the right to enforce any of the patents against competitors or other third parties.

Some of the patents covering our NoctivaTM product (the “Noctiva Patents”) are the subject of litigation initiated by Ferring Pharmaceuticals Inc. and two of
its  foreign  affiliates,  who  manufacture  a  competing  product  known  as  Nocdurna.    Nocdurna  was  approved  by  the  FDA  in  June  2018  and  commercially
launched in the U.S. in November 2018.  In this litigation (the “Ferring Litigation”), Ferring seeks to invalidate and disputes the inventorship of the Noctiva
Patents,  seeks  damages  for  various  alleged  breaches  of  contractual  and  common  law  duties,  and  seeks  damages  for  alleged  infringement  by  NoctivaTM  of
Ferring’s  “Nocdurna”  trademark.    Avadel’s  indirectly  wholly  owned  subsidiary,  Specialty  Pharma  and  certain  other  parties  including  Serenity
Pharmaceuticals, LLC (“Serentiy”) (the licensor of the Noctiva Patents) have been actively defending this litigation, and have made certain counterclaims
against  Ferring,  including  for  infringement  of  the  Noctiva  Patents  and  a  declaratory  judgment  of  noninfringement  with  respect  to  Ferring’s  “Nocdurna”
trademark. The court has dismissed Ferring’s inventorship claim and its

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claims for alleged breaches of contractual and common law duties, although these dismissals may be appealed by Ferring.  On February 15, 2019, Specialty
Pharma and its co-defendants moved to stay the litigation pending completion of the bankruptcy proceeding of Specialty Pharma. Adverse outcomes from this
litigation could have material adverse effects on the value of the Specialty Pharma’s license to NoctivaTM.

Item 4.        Mine Safety Disclosures. 

Not applicable.

-37-

PART II

Item 5.

Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities.

Common Stock Data (per share):

The principal trading market for the Company’s securities in ADSs is the NASDAQ Global Market. There is no foreign trading market for the Company’s
ordinary  shares,  ADSs  or  any  other  equity  security  issued  by  the  Company.  Each  ADS  represents  one  ordinary  share,  nominal  value  $0.01.  Each  ADS  is
evidenced by an ADR. The Bank of New York Mellon is the Depositary for the ADRs.

As of March 13, 2019, there were 37,355,511 ordinary shares outstanding, and the closing stock price of the Company was $1.98 per share.

The following table reports the high and low trading prices of the ADSs on the NASDAQ Market for the periods indicated: 

First quarter  

Second quarter

Third quarter  

Fourth quarter

Holders

2018 Price Range

2017 Price Range

High

Low

High

Low

$

11.70   $

6.76   $

12.30   $

7.78  

7.14  

4.66  

5.89  

4.08  

1.74  

11.72  

11.18  

11.53  

8.87

8.75

8.14

7.52

As of March 13, 2019, there were 75 holders of record of our ordinary shares and 32 accounts registered with The Bank of New York Mellon, the depositary
of  our  ADS  program,  as  holders  of  ADSs,  one  of  which  ADS  accounts  is  registered  to  the  Depositary  Trust  Corporation  (DTC).  Because  our  ADSs  are
generally held of record by brokers, nominees and other institutions as participants in DTC on behalf of the beneficial owners of such ADSs, we are unable to
estimate the total number of beneficial owners of the ADSs held by these record holders.

Dividends

The  Company  has  never  declared  or  paid  a  cash  dividend  on  any  of  our  capital  stock  and  does  not  anticipate  declaring  cash  dividends  in  the  foreseeable
future.

 Issuer Purchases of Equity Securities

In March 2017, the Board of Directors approved an authorization to repurchase up to $25,000 of Avadel ordinary shares represented by ADSs. Under this
authorization, which has an indefinite duration, share repurchases may be made in the open market, in block transactions on or off the exchange, in privately
negotiated  transactions,  or  through  other  means  as  determined  by  the  Board  of  Directors  and  in  accordance  with  the  regulations  of  the  Securities  and
Exchange Commission. The timing and amount of repurchases, if any, will depend on a variety of factors, including the price of our shares, cash resources,
alternative  investment  opportunities,  corporate  and  regulatory  requirements  and  market  conditions.  This  share  repurchase  program  may  be  modified,
suspended or discontinued at any time without prior notice. We may also from time to time establish a trading plan under Rule 10b5-1 of the Securities and
Exchange  Act  of  1934  to  facilitate  purchases  of  our  shares  under  this  program.  Additionally,  on  February  12,  2018,  the  Board  of  Directors  approved  an
authorization to repurchase up to $18,000 of Avadel ordinary shares represented by American Depository Shares in connection with our Convertible Notes
Offering completed on February 16, 2018. See Note 10: Long-Term Debt. In March 2018, the Board of Directors approved an authorization to repurchase up
to $7,000 of Avadel ordinary shares represented by American Depository Shares, bring the total authorization to $50,000.

The Company fully completed its authorized share buyback program. There were no shares repurchased during the three months ended December 31, 2018.

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Stock Performance Graph

The  following  graph  compares  the  cumulative  5-year  return  provided  to  shareholders  of  Avadel’s  ADSs  relative  to  the  cumulative  total  returns  of  the
NASDAQ  Composite  Index  and  the  NASDAQ  Biotechnology  Index.  We  believe  these  indices  are  the  most  appropriate  indices  against  which  the  total
shareholder return of Avadel should be measured. The NASDAQ Biotechnology Index has been selected because it is an index of U.S. quoted biotechnology
and pharmaceutical companies. An investment of $100 (with reinvestment of all dividends) is assumed to have been made in our ADSs and in each of the
indexes  on  January  1,  2013  and  our  relative  performance  is  tracked  through  December  31,  2018.  The  comparisons  shown  in  the  graph  are  based  upon
historical  data  and  we  caution  that  the  stock  price  performance  shown  in  the  graph  is  not  indicative  of,  or  intended  to  forecast,  the  potential  future
performance of our stock.

This performance graph shall not be deemed “filed” for purposes of Section 18 of the Exchange Act. Notwithstanding any statement to the contrary set forth
in any of our filings under the Securities Act of 1933 or the Exchange Act that might incorporate future filings, including this Annual Report on Form 10-K,
in  whole  or  in  part,  this  performance  graph  shall  not  be  incorporated  by  reference  into  any  such  filings  except  as  may  be  expressly  set  forth  by  specific
reference in any such filing.

-39-

 
Item 6.        Selected Financial Data (in thousands, except per share amounts).

Annual Financial Data:

The  following  selected  financial  data  should  be  read  in  conjunction  with  our  consolidated  financial  statements  and  related  notes  appearing  in  Item  8
“Financial Statements and Supplementary Data” and Item 7 “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in
Part II of this Annual Report on Form 10-K. The Company’s historical results are not necessarily indicative of the results to be expected in any future period.

Statement of (Loss) Income Data:

2018

2017

2016

2015

2014

Total revenues
Gross profit (a)
Operating (loss) income

Net (loss) income from continuing operations

Net income from discontinued operations

Net (loss) income

Net (loss) income per share - basic:

Continuing operations

Discontinued operations

Net (loss) income per share - basic

Net (loss) income per share - diluted:

Continuing operations

Discontinued operations

Net (loss) income per share - diluted

  $

103,269   $

173,245   $

150,246   $

173,009   $

85,753  

(104,926)  

(95,304)  

—  

156,944  

89,505  

68,271  

—  

136,998  

(4,965)  

(41,276)  

—  

(95,304)  

68,271  

(41,276)  

161,599  

70,758  

41,798  

—  

41,798  

(2.55)  

—  

(2.55)  

(2.55)  

—  

(2.55)  

1.69  

—  

1.69  

1.63  

—  

1.63  

(1.00)  

—  

(1.00)  

(1.00)  

—  

(1.00)  

1.03  

—  

1.03  

0.96  

—  

0.96  

14,975

11,592

(93,657)

(89,487)

4,018

(85,469)

(2.47)

0.11

(2.36)

(2.47)

0.11

(2.36)

Balance Sheet Data:

2018

2017

2016

2015

2014

Cash and cash equivalents

Marketable securities

Goodwill

Intangible assets, net

Total assets

Long-term debt (incl. current portion)

Long-term related party payable (incl. current portion)

  $

9,325   $

16,564   $

39,215   $

65,064   $

90,590  

18,491  

1,629  

190,300  

115,840  

28,840  

77,511  

18,491  

92,289  

253,277  

267  

98,925  

114,980  

18,491  

22,837  

245,482  

815  

169,347  

79,738  

18,491  

15,825  

215,081  

1,118  

122,693  

39,760

53,074

18,491

28,389

174,382

3,717

114,750

(a) Gross profit is computed by subtracting cost of products from total revenues.

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Quarterly Financial Data (Unaudited):

The following tables present certain unaudited consolidated quarterly financial information for each quarter of 2018 and 2017. Year-to-date net income (loss)
per  share  amounts  may  be  different  than  the  sum  of  the  applicable  quarters  due  to  differences  in  weighted  average  shares  outstanding  for  the  respective
periods. 

2018:

March 31

June 30

September 30

December 31

Revenues
Gross profit (a)
Operating loss (b)
Net loss

Net loss per share - basic

Net loss per share - diluted

$

33,293   $

29,230   $

19,826   $

26,701  

(12,625)  

(12,236)  

(0.32)  

(0.32)  

25,718  

(2,785)  

(3,438)  

(0.09)  

(0.09)  

16,706  

(14,095)  

(15,771)  

(0.43)  

(0.43)  

20,920

16,628

(75,421)

(63,859)

(1.72)

(1.72)

2017:

March 31

June 30

September 30

December 31

Revenues
Gross profit (a)
Operating income (loss)

Net income (loss)

Net income (loss) per share - basic

Net income (loss) per share - diluted

$

52,507   $

46,311   $

39,675   $

48,605  

33,341  

25,910  

0.63  

0.61  

41,750  

34,126  

28,927  

0.70  

0.68  

35,885  

26,118  

21,679  

0.54  

0.52  

34,752

30,704

(4,080)

(8,245)

(0.21)

(0.21)

(a) Gross profit is computed by subtracting cost of products from total revenues.
(b) The Company recorded an impairment charge of $66,087 during the three months ended December 31, 2018.

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Item 7.        Management’s Discussion and Analysis of Financial Condition and Results of Operations.

MANAGEMENT’S DISCUSSION AND ANALYSIS

(In thousands, except per share data) 

You should read the discussion and analysis of our financial condition and results of operations set forth in this Item 7 together with our consolidated
financial  statements  and  the  related  notes  appearing  elsewhere  in  this  Annual  Report  on  Form  10-K.  Some  of  the  information  contained  in  this
discussion and analysis or set forth elsewhere in this Annual Report on Form 10-K, including information with respect to our plans and strategy for our
business  and  related  financing,  includes  forward-looking  statements  that  involve  risks  and  uncertainties,  and  reference  is  made  to  the  “Cautionary
Disclosure  Regarding  Forward-Looking  Statements”  set  forth  immediately  following  the  Table  of  Content  of  this  Annual  Report  on  Form  10-K  for
further information on the forward looking statements herein. In addition, you should read the “Risk Factors” section of this Annual Report on Form
10-K for a discussion of important factors that could cause actual results to differ materially from the results described in or implied by the forward-
looking statements contained in the following discussion and analysis and elsewhere in this Annual Report on Form 10-K.

Overview 

Nature of Operations

Avadel  Pharmaceuticals  plc  (Nasdaq:  AVDL)  (“Avadel,”  the  “Company,”  “we,”  “our,”  or  “us”)  is  a  branded  specialty  pharmaceutical  company.    Our
primarily  focus  is  on  the  development  and  potential  FDA  approval  for  FT218  which  is  in  a  Phase  3  clinical  trial  for  the  treatment  of  narcolepsy  patients
suffering from excessive daytime sleepiness (EDS) and cataplexy.  In addition, we market three sterile injectable drugs used in the hospital setting which were
developed  under  our  “unapproved  marketed  drug”  (UMD)  program.      The  Company  is  headquartered  in  Dublin,  Ireland  with  operations  in  St.  Louis,
Missouri and Lyon, France. For more information, please visit www.avadel.com..

Avadel is developing FT218, an investigational once-nightly formulation of sodium oxybate based on its propriety Micropump® drug delivery technology,
for the treatment of excessive daytime sleepiness (EDS) and cataplexy in patients suffering from narcolepsy. FT218 is currently being evaluated in a Phase 3
clinical  trial  called  REST-ON.  In  addition,  Avadel  is  developing  a  fourth  UMD  product,  an  as-yet  undisclosed  sterile  injectable  product  intended  for  the
hospital market.

Our current marketed products include:

•

•

•

•

Akovaz®  (ephedrine  sulfate  injection,  USP),  an  alpha-  and  beta-adrenergic  agonist  and  a  norepinephrine-releasing  agent  that  is  indicated  for  the

treatment of clinically important hypotension occurring in the setting of anesthesia.

Bloxiverz®  (neostigmine  methylsulfate  injection),  a  cholinesterase  inhibitor,  is  indicated  for  the  reversal  of  the  effects  of  non-depolarizing
neuromuscular blocking agents (NMBAs) after surgery.

Vazculep®  (phenylephrine  hydrochloride  injection),  an  alpha-1  adrenergic  receptor  agonist  indicated  for  the  treatment  of  clinically  important

hypotension resulting primarily from vasodilation in the setting of anesthesia.

Each of our Akovaz, Bloxiverz and Vazculep products is used primarily in the hospital setting and was developed under our UMD program.

Noctiva™, a vasopressin analog indicated for the treatment of nocturia due to nocturnal polyuria in adults who awaken at least two times per night to
void. Due to disappointing results after a substantial investment of resources after Noctiva’s commercial launch in March 2018, Specialty Pharma,
the Avadel subsidiary responsible for the marketing and sale of Noctiva, made a voluntary filing for Chapter 11 bankruptcy protection on February 6,
2019. Although Specialty Pharma currently continues its marketing and sales efforts for this product, Avadel anticipates that Specialty Pharma will
discontinue all activities with respect to Noctiva during 2019 as a result of the bankruptcy.

Corporate Information

The Company was incorporated on December 1, 2015 as an Irish private limited company, and re-registered as an Irish public limited company, or plc, on
November  21,  2016.  Our  principal  place  of  business  is  located  at  Block  10-1,  Blanchardstown  Corporate  Park,  Ballycoolin,  Dublin  15,  Ireland.  Avadel’s
phone number is 011-353-1-485-1200. Our website is www.avadel.com, where

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we make available free of charge our reports (and any amendments thereto) on Forms 10-K, 10-Q and 8-K as soon as reasonably practicable after they are
electronically filed with or furnished to the U.S. Securities and Exchange Commission (“SEC”). These filings are also available to the public at www.sec.gov.

The  Company  is  the  successor  to  Flamel  Technologies  S.A.,  a  French  société anonyme  (“Flamel”),  as  the  result  of  the  France-to-Ireland  redomestication
merger of Flamel with and into the Company completed on December 31, 2016 (the “Merger”). In the Merger, we changed our company name to Avadel
Pharmaceuticals plc and our jurisdiction of organization to Ireland; we assumed all the assets and liabilities of Flamel; and we issued one Avadel ordinary
share (either directly or in the form of an American Depositary Share (ADS)) in exchange for each formerly outstanding share of Flamel, all of which were
canceled. Thus,  an  Avadel  ordinary  share  held  (either  directly  or  represented  by  an  ADS)  immediately  after  the  Merger  continued  to  represent  the  same
proportional interest in our equity owned by the holder of a share of Flamel immediately prior to the Merger. References in this Annual Report on Form 10-K
to “Avadel,” the “Company,” “we,” “our,” “us,” and similar terms shall be deemed to be references to Flamel prior to the completion of the Merger, unless the
context otherwise requires. Additional details about the Merger are set forth in Item 1 under the caption “ - The Reincorporation Merger.”

The Company currently has five direct wholly-owned subsidiaries: (a) Avadel US Holdings, Inc., (b) Flamel Ireland Limited, which conducts business under
the name Avadel Ireland, (c) Avadel Investment Company Limited, (d) Avadel Finance Ireland Designated Activity Company and (e) Avadel France Holding
SAS.  Avadel  US  Holdings,  Inc.,  a  Delaware  corporation,  is  the  holding  entity  of  (i)  Avadel  Specialty  Pharmaceuticals,  LLC  (currently  the  subject  of  a
voluntary  Chapter  11  bankruptcy  proceeding  as  noted  above),  (ii)  Avadel  Legacy  Pharmaceuticals,  LLC,  (iii)  Avadel  Management  Corporation,  (iv)  FSC
Holding Company and (v) Avadel Operations Company, Inc. Avadel Finance Ireland Designated Activity Company is the holding entity of Avadel Finance
Cayman Limited. Flamel Ireland Limited (operating under the trade name Avadel Ireland) is an Irish corporation which, Since December 16, 2014, has been
the owner of substantially all of Avadel’s intellectual property. Avadel France Holding SAS, a French société par actions simplifiée, is the holding entity of
Avadel Research SAS through which Avadel conducts substantially all of its R&D activities. A complete list of the Company’s subsidiaries can be found in
Exhibit 21.1 to this Annual Report on Form 10-K.

References in these consolidated financial statements and the notes thereto to “Avadel,” the “Company,” “we,” “our,” “us,” and similar terms shall be deemed
to be references to Flamel prior to the completion of the Merger, unless the context otherwise requires.

Business Strategies

Our primary business strategy is to focus on the development and potential FDA approval for FT218 which is in a Phase 3 clinical trial for the treatment of
narcolepsy patients suffering from excessive daytime sleepiness (EDS) and cataplexy. In addition, we will continue to maximize our current approved hospital
products portfolio, including obtaining FDA approval for and the commercialization of our fourth UMD product. Additionally, we will continue to evaluate
opportunities to expand our product portfolio. These strategies are described below in greater detail.

FT218 (Micropump® sodium oxybate): FT218 (Micropump® sodium oxybate): Avadel is developing a product that uses our Micropump® drug-delivery
technology  for  the  treatment  of  excessive  daytime  sleepiness  (EDS)  and  cataplexy  in  patients  suffering  from  narcolepsy.  Avadel  currently  refers  to  this
product  as  FT218.  FT218  is  a  Micropump®-based  formulation  of  sodium  oxybate.  Sodium  oxybate  is  the  sodium  salt  of  gamma  hydroxybutyrate,  an
endogenous compound and metabolite of the neurotransmitter gamma-aminobutyric acid. Sodium oxybate has been described as a therapeutic agent with high
medical value. Sodium oxybate is approved in Europe and the United States as a twice nightly formulation indicated for the treatment of EDS and cataplexy
in patients with narcolepsy.

In preparation for a clinical trial of FT218, Avadel reached an agreement with the FDA for the design and planned analysis of our pivotal Phase 3 study, Rest-
On through a Special Protocol Assessment (“SPA”). A SPA is an acknowledgment by the FDA that the design and planned analysis of a pivotal clinical trial
adequately addresses the objectives necessary to support a regulatory submission. Pursuant to the SPA, in December 2016, Avadel initiated patient enrollment
and dosing for the Rest-On clinical trial to assess the safety and efficacy of a once-nightly formulation of FT218 for the treatment of EDS and cataplexy in
patients suffering from narcolepsy. The study is a randomized, double-blind, placebo-controlled study of 264 patients being conducted in 45 to 55 clinical
sites in the U.S., Canada, Western Europe and Australia. Avadel believes that, if successful, this study could demonstrate improved efficacy, safety and patient
satisfaction over the current primary product serving this market, which is a twice nightly sodium oxybate formulation, which the marketer estimates will
generate revenues of approximately $1.4 billion in 2018.

To date, due in part to narcolepsy being a rare disease with a small patient population with no significant geographic concentration, we have not completed
patient enrollment for the FT218 clinical trial, nor have we announced a projected completion date for this clinical trial. Recently, we have engaged a third-
party pharmaceutical consulting firm to assist us in evaluating our clinical

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development program for FT218 with the goal of ensuring a approvable and commercially viable FDA submission. This evaluation is currently under way,
and while the results are not known at this time, they could cause us to modify our development plan with respect to FT218 in ways that materially increase
the ultimate cost of development, further delay its completion or identify presently unknown risks with the product.

In  January  2018,  the  FDA  granted  FT218  Orphan  Drug  Designation,  which  makes  the  drug  eligible  for  certain  development  and  commercial  incentives,
including a potential U.S. market exclusivity for up to seven years as the only once-nightly formulation. However, please see the information set forth under
the caption “- Risks Related to Regulatory and Legal Matters - If FT218 is approved by the FDA, we may not obtain orphan drug marketing exclusivity” in
the “Risk Factors” included in Part I, Item 1A of this Annual Report on Form 10-K.

Development of Micropump®-Based Products

Avadel’s versatile Micropump® drug delivery technology presents product development opportunities, representing either “life cycle” opportunities, whereby
additional intellectual property can be added to a pharmaceutical product to extend the commercial viability of a currently marketed product, or innovative
formulation  opportunities  for  new  chemical  entities  (“NCEs”).  FT218  is  formulated  using  this  technology.  If  approved  by  the  FDA,  this  product  will  be
commercialized either by Avadel and/or by partners via licensing/distribution agreements.

Unapproved Marketed Drug (“UMD”) Products

In 2006, the U.S. Food and Drug Administration (FDA) issued its Marketed Unapproved Drugs - Compliance Policy Guide with the intention to incentivize
pharmaceutical companies to pursue approvals for pharmaceutical products, many of which pre-date the establishment of the FDA. Although these products
are not protected by patents or similar intellectual property, the FDA’s Compliance Policy Guide dictates that should FDA approve a new drug application
(NDA) for any such products via a 505(b)(2) process, the FDA will remove competing unapproved manufacturers until a generic application is approved.
Avadel believes that over a thousand unapproved drugs are marketed in the United States today and, while many of these products are outdated therapies, we
strategically  evaluate  those  UMD  products  that  are  more  commonly  used  as  candidates  for  possible  future  FDA  approval  and  marketing  under  our  UMD
program.

To  date,  Avadel  has  received  FDA  approvals  for  three  UMD  products  which  we  currently  market  under  the  brand  names  Bloxiverz®  (neostigmine
methylsulfate injection), Vazculep® (phenylephrine hydrochloride injection) and Akovaz® (ephedrine sulfate injection).

Additional UMD Products. Avadel is developing and intends to seek FDA approval of a NDA for UMD #4, a sterile injectable product used in the hospital
setting. The Company anticipates submitting an NDA during the first quarter of 2019 on UMD #4, which, if approved, could contribute revenues to Avadel
starting in 2020. In addition, Avadel continues to monitor and evaluate other UMDs with large existing markets and limited competition for feasibility of
possible future NDAs. Avadel believes its strategy to create opportunities to commercialize UMD products in markets with a limited number of competitors
may have a limited number of opportunities given the lack of patent protection from competition. Avadel believes this shorter-term strategy may provide us
with near term revenue growth and provide cash flows that can be used to fund R&D and inorganic initiatives for other products.

Key Business Trends and Highlights 

In  operating  our  business  and  monitoring  our  performance,  we  consider  a  number  of  performance  measures,  as  well  as  trends  affecting  our  industry  as  a
whole, which include the following: 

• Healthcare and Regulatory Reform: Various health care reform laws in the U.S. may impact our ability to successfully commercialize our products
and technologies. The success of our commercialization efforts may depend on the extent to which the government health administration authorities,
the health insurance funds in the E.U. Member States, private health insurers and other third-party payers in the U.S. will reimburse consumers for
the cost of healthcare products and services.

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•

•

Competition and Technological Change: Competition in the pharmaceutical and biotechnology industry continues to be intense and is expected to
increase.  We  compete  with  academic  laboratories,  research  institutions,  universities,  joint  ventures,  and  other  pharmaceutical  and  biotechnology
companies,  including  other  companies  developing  niche  branded  or  generic  specialty  pharmaceutical  products  or  drug  delivery  platforms.
Furthermore, major technological changes can happen quickly in the pharmaceutical and biotechnology industries. Such rapid technological change,
or the development by our competitors of technologically improved or differentiated products, could render our drug delivery platforms obsolete or
noncompetitive.

Pricing Environment for Pharmaceuticals: The pricing environment continues to be in the political spotlight in the U.S. As a result, the need to
obtain  and  maintain  appropriate  pricing  for  our  products  may  become  more  challenging  due  to,  among  other  things,  the  attention  being  paid  to
healthcare cost containment and other austerity measures in the U.S. and worldwide.

• Generics Playing a Larger Role in Healthcare: Generic pharmaceutical products will continue to play a large role in the U.S. healthcare system.
Specifically, we have seen, or likely will see, additional generic competition to our current and future products and we continue to expect generic
competition in the future.

•

•

Access  to  and  Cost  of  Capital:  The  process  of  raising  capital  and  associated  cost  of  such  capital  for  a  company  of  our  financial  profile  can  be
difficult and potentially expensive. If the need were to arise to raise additional capital, access to that capital may be difficult and/or expensive and, as
a result, could create liquidity challenges for the Company.

Possible Net Loss from Operations in 2019: In part because we expect sales of our hospital products to significantly decline from 2018’s levels and
we will incur substantial expenses to further the clinical development of FT218, we likely will incur a net loss in 2019, the amount of which is not
known to us at this time.

Recent Developments

Management Changes. In December 2018 and in January 2019, Avadel announced changes to its Board of Directors (“Board”) and Management team. In
December 2018, (a) Avadel appointed Kevin Kotler, founder and portfolio manager of Broadfin Capital, LLC, and Eric Ende, President of Ende BioMedical
Consulting Group to the Company’s Board, (b) Michael S. Anderson resigned as chief executive officer and member of the Board of Avadel, (c) the Board
named Gregory J. Divis, formerly the Company’s chief operating officer, as interim chief executive officer, (d) the Honorable Craig Stapleton stepped down
as chairman of the Board but continues as a member of the Board, and (e) Geoffrey M. Glass, President of Clear Sciences, LLC, a current member of the
Avadel Board, was named chairman of the Board.

Corporate Restructuring. In February 2019, Avadel announced a corporate restructuring in order to focus efforts and resources on the clinical development of
FT218.  In  conjunction  with  the  restructuring,  Avadel  will  reduce  its  workforce  by  more  than  50%,  and  Specialty  Pharma  made  a  voluntary  filing  for
bankruptcy protection under Chapter 11 of the U.S. Bankruptcy Code on February 6, 2019. As noted above, Specialty Pharma is a special-purpose entity and
wholly-owned  subsidiary  responsible  solely  for  the  sales,  marketing  and  distribution  of  Noctiva. These  restructuring  actions  were  taken  to  exit  Noctiva™
quickly  and  efficiently,  and  are  not  expected  to  materially  impact  any  other  aspect  of  the  Company’s  business,  including  the  ability  to  operate  its  sterile
injectables hospital business, complete the FT218 Phase 3 clinical trial, and complete development of the Company’s fourth UMD product. The Company
estimates that it will incur approximately $10 to $15 million of one-time pre-tax charges for severance and other costs related to the restructuring. See Note
23: Subsequent Events in the accompanying notes to the consolidated financial statements for additional information.

Financial Highlights

Highlights of our consolidated results for the year ended December 31, 2018 are as follows: 

•

•

Revenue was $103,269 for the year ended December 31, 2018 compared to $173,245 in the same period last year. This decrease was primarily the
result of increased competition driving lower prices in our hospital injectables products as noted above in our discussion of Key Business Trends and
Highlights. We experienced price declines across all of our hospital products and a unit volume decline with our Akovaz product due to additional
competition.

Operating loss was $104,926  for  the  year  ended  December  31,  2018  compared  to  operating  income  of  $89,505  for  the  year  ended  December  31,
2017.  The  primary  reasons  for  the  decrease  in  operating  income  was  due  to  a  decrease  in  gross  margin  of  $71,191  driven  by  lower  revenue  as
described above, impairment of the Noctiva intangible asset of $66,087 and higher SG&A of $41,499 primarily driven by sales and marketing costs
related to Noctiva.

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•

•

•

Net loss was $95,304 for the year ended December 31, 2018 compared to net income of $68,271 in the same period last year.

Diluted net loss per share was $2.55 for the year ended December 31, 2018 compared to diluted net income per share of $1.63 in the same period last
year.

Cash  and  marketable  securities  increased  $5,840  to  $99,915  at  December  31,  2018  from  $94,075  at  December  31,  2017.  The  increase  primarily
results from net proceeds from our February 2018 debt issuance of $137,560, partially offset by our use of cash in operating activities of $82,716, a
milestone payment of $20,000 for Noctiva and $27,637 in cash used as a return to shareholders through our share buyback program.

Critical Accounting Estimates

The  preparation  of  consolidated  financial  statements  in  conformity  with  U.S.  GAAP  requires  management  to  use  judgment  in  making  estimates  and
assumptions that affect the reported amounts of assets and liabilities, disclosures of contingent assets and liabilities at the date of the consolidated financial
statements and the reported amounts of revenues and expenses during the periods presented. Actual results could differ from those estimates under different
assumptions or conditions. 

The  following  accounting  policies  are  based  on,  among  other  things,  judgments  and  assumptions  made  by  management  that  include  inherent  risks  and
uncertainties. Management’s estimates are based on the relevant information available at the end of each period.

Revenue.  Revenue  includes  sales  of  pharmaceutical  products,  licensing  fees,  and,  if  any,  milestone  payments  for  research  and  development  (“R&D”)
achievements.

Product Sales  

The Company sells products primarily through wholesalers and considers these wholesalers to be its customers. Revenue from product sales is recognized
when the customer obtains control of the Company’s product, which occurs typically upon receipt by the customer. As is customary in the pharmaceutical
industry, the Company’s gross product sales are subject to a variety of price adjustments in arriving at reported net product sales. These adjustments include
estimates of product returns, chargebacks, payment discounts, rebates, and other sales allowances and are estimated based on analysis of historical data for the
product or comparable products, future expectations for such products and other judgments and analysis.  

For generic products and branded products where the ultimate net selling price to customer is estimable, the Company recognizes revenues upon delivery to
the wholesaler. For new product launches the Company recognizes revenue if sufficient data is available to determine product acceptance in the marketplace
such that product returns may be estimated based on historical or analog product data and there is probable evidence of reorders and consideration is made of
wholesaler inventory levels. As part of the third quarter 2016 launch of Akovaz, the Company determined that sufficient data was available to determine the
ultimate net selling price to the customer and therefore recognized revenue upon delivery to our wholesaler customers.  

Prior to the second quarter 2016, the Company did not have sufficient historical or analog product data to estimate certain revenue deductions. As such, we
could  not  accurately  estimate  the  ultimate  net  selling  price  of  our  hospital  portfolio  of  products  and  as  a  result  delayed  revenue  recognition  until  the
wholesaler sold the product through to end customers.  

During the second quarter of 2016, it was determined that we now had sufficient evidence, history, data and internal controls to estimate the ultimate selling
price of our products upon shipment from our warehouse to our customers, the wholesalers.  Accordingly, we discontinued the sell-through revenue approach
and  now  recognize  revenue  once  the  product  is  delivered  to  the  wholesaler.  As  a  result  of  this  change  in  accounting  estimate,  we  recognized  $5,981  in
additional revenue, or $0.05 per diluted share, for the twelve months ended December 31, 2016 that previously would have been deferred until sold by the
wholesalers to the hospitals.   

License Revenue  

The Company from time to time may enter into out-licensing agreements under which it licenses to third parties certain rights to its products or intellectual
property. The terms of these arrangements typically include payment to the Company of one or more of the following: non-refundable, upfront license fees;
development, regulatory, and commercial milestone payments; and sales-based royalty payments. Each of these payments results in license revenue. During
the year ended December 31, 2018, the Company recognized $1,846 of revenue from license agreements.    

Research and Development (“R&D”). R&D expenses consist primarily of costs related to clinical studies and outside services, personnel expenses, and other
R&D expenses. Clinical studies and outside services costs relate primarily to services performed

-46-

by clinical research organizations and related clinical or development manufacturing costs, materials and supplies, filing fees, regulatory support, and other
third-party  fees.  Personnel  expenses  relate  primarily  to  salaries,  benefits  and  stock-based  compensation.  Other  R&D  expenses  primarily  include  overhead
allocations consisting of various support and facilities-related costs. R&D expenditures are charged to operations as incurred.

The Company recognizes R&D tax credits received from the French government for spending on innovative R&D as an offset of R&D expenses.  

Stock-based  Compensation.  The  Company  accounts  for  stock-based  compensation  based  on  the  estimated  grant-date  fair  value.  The  fair  value  of  stock
options and warrants is estimated using Black-Scholes option-pricing valuation models (“Black-Scholes model”). As required by the Black-Sholes model,
estimates are made of the underlying volatility of AVDL stock, a risk-free rate and an expected term of the option or warrant. We estimated the expected term
using a simplified method, as we do not have enough historical exercise data for a majority of such options and warrants upon which to estimate an expected
term. The Company recognizes compensation cost, net of an estimated forfeiture rate, using the accelerated method over the requisite service period of the
award.

Income Taxes. Our income tax expense (benefit), deferred tax assets and liabilities, and liabilities for unrecognized tax benefits reflect management’s best
estimate of current and future taxes to be paid. We are subject to income taxes in Ireland, France and the United States. Significant judgments and estimates
are required in the determination of the consolidated income tax expense (benefit).

Deferred income taxes arise from temporary differences between the tax basis of assets and liabilities and their reported amounts in the financial statements,
which will result in taxable or deductible amounts in the future. In evaluating our ability to recover our deferred tax assets in the jurisdiction from which they
arise, we consider all available positive and negative evidence, including scheduled reversals of deferred tax liabilities, projected future taxable income or
loss, tax-planning strategies, and results of recent operations. The assumptions about future taxable income or loss require the use of significant judgment and
are consistent with the plans and estimates we are using to manage the underlying businesses.

The calculation of our tax liabilities involves dealing with uncertainties in the application of complex tax laws and regulations in a multitude of jurisdictions
across our global operations. A tax benefit from an uncertain tax position may be recognized when it is more likely than not that the position will be sustained
upon examination, including resolutions of any related appeals or litigation processes, on the basis of the technical merits.

We record unrecognized tax benefits as liabilities and adjust these liabilities when our judgment changes as a result of the evaluation of new information not
previously available. Because of the complexity of some of these uncertainties, the ultimate resolution may result in a payment that is materially different
from our current estimate of the unrecognized tax benefit liabilities. These differences will be reflected as increases or decreases to income tax expense in the
period in which new information is available.

We have not recorded a deferred tax liability for any income or withholding taxes that may arise as the result of the distribution of unremitted earnings within
our Company. At December 31, 2018, the Company has unremitted earnings of $2,798 outside of Ireland as measured on a U.S. GAAP basis. Based on our
estimates that future domestic cash generation will be sufficient to meet future domestic cash needs along with our specific plans for reinvestment, we have
not recorded a deferred tax liability for any income or withholding taxes that may arise from a distribution that would qualify as a dividend for tax purposes.
It is not practicable to estimate the amount of deferred tax liability on such remittances, if any.

Goodwill. Goodwill represents the excess of the acquisition consideration over the fair value of assets acquired and liabilities assumed. The Company has
determined that we operate in a single segment and has a single reporting unit associated with the development and commercialization of pharmaceutical
products. The annual test for goodwill impairment is a two-step process. The first step is a comparison of the fair value of the reporting unit with its carrying
amount,  including  goodwill.  If  this  step  indicates  impairment,  then,  in  the  second  step,  the  loss  is  measured  as  the  excess  of  recorded  goodwill  over  the
implied fair value of the goodwill. Implied fair value of goodwill is the excess of the fair value of the reporting unit as a whole over the fair value of all
separately  identified  assets  and  liabilities  within  the  reporting  unit.  The  Company  tests  goodwill  for  impairment  annually  and  when  events  or  changes  in
circumstances indicate that the carrying value may not be recoverable. During the fourth quarter of 2018, we performed our required annual impairment test
of goodwill and have determined that no impairment of goodwill existed at December 31, 2018 or 2017.  

Long-Lived Assets. Long-lived assets include fixed assets and intangible assets. Intangible assets consist primarily of purchased licenses and intangible assets
recognized as part of the Éclat acquisition. Acquired IPR&D has an indefinite life and is not amortized until completion and development of the project, at
which time the IPR&D becomes an amortizable asset, for which amortization of such intangible assets is computed using the straight-line method over the
estimated useful life of the assets.  

-47-

Long-lived  assets  are  reviewed  for  impairment  whenever  conditions  indicate  that  the  carrying  value  of  the  assets  may  not  be  fully  recoverable.  Such
impairment tests are based on a comparison of the pretax undiscounted cash flows expected to be generated by the asset to the recorded value of the asset or
other market based value approaches. If impairment is indicated, the asset value is written down to its market value if readily determinable or its estimated
fair value based on discounted cash flows. Any significant changes in business or market conditions that vary from current expectations could have an impact
on the fair value of these assets and any potential associated impairment. During the fourth quarter of 2018, we recorded a $66,087 impairment charge to the
entire  acquired  developed  technology  related  to  Noctiva  (see Note  9:  Goodwill  and  Intangible  Assets). The  Company  had  determined  that  no  impairment
existed at December 31, 2017.

Acquisition-related  Contingent  Consideration.  The  acquisition-related  contingent  consideration  payables  arising  from  the  acquisition  of  Éclat
Pharmaceuticals (i.e., our hospital products) and FSC (our pediatrics products), which was assumed by the buyer as part of the disposition of the pediatrics
products  on  February  16,  2018,  are  accounted  for  at  fair-value  (see  Note  11:  Long-Term  Related  Party  Payable  and  Note  16:  Divestiture  of  the  Pediatric
Assets).  The  fair  value  of  the  warrants  issued  in  connection  with  the  Éclat  acquisition  were  estimated  using  a  Black-Scholes  model.  A  portion  of  these
warrants were exercised on February 23, 2018 and the remaining warrants expired on March 12, 2018. See Note 11: Long-Term Related Party Payable. The
fair value of acquisition-related contingent consideration payable is estimated using a discounted cash flow model based on the long-term sales or gross profit
forecasts of the specified hospital or pediatric products using an appropriate discount rate. There are a number of estimates used when determining the fair
value of these earn-out payments. These estimates include, but are not limited to, the long-term pricing environment, market size, market share the related
products  are  forecast  to  achieve,  the  cost  of  goods  related  to  such  products  and  an  appropriate  discount  rate  to  use  when  present  valuing  the  related  cash
flows.  These  estimates  can  and  often  do  change  based  on  changes  in  current  market  conditions,  competition,  management  judgment  and  other  factors.
Changes to these estimates can have and have had a material impact on our consolidated statements of (loss) income and balance sheets. Changes in fair value
of these liabilities are recorded in the consolidated statements of (loss) income within operating expenses as changes in fair value of related party contingent
consideration.

Financing-related Royalty Agreements. We also entered into two royalty agreements with related parties in connection with certain financing arrangements.
We elected the fair value option for the measurement of the financing-related contingent consideration payable associated with the royalty agreements with
certain Deerfield and Broadfin entities, both of whom are related parties (see Note 11: Long-Term Related Party Payable). The fair value of financing-related
royalty agreements is estimated using the same components used to determine the fair value of the acquisition-related contingent consideration noted above,
with the exception of cost of products sold. Changes to these components can also have a material impact on our consolidated statements of (loss) income and
balance sheets. Changes in the fair value of this liability are recorded in the consolidated statements of (loss) income as other income (expense) - changes in
fair value of related party payable.

-48-

Results of Operations

The following is a summary of our financial results (in thousands, except per share amounts): 

Comparative Statements of (Loss) Income:

2018

2017

2016

$

%

$

%

Years Ended December 31,

2018 vs. 2017

2017 vs. 2016

Increase / (Decrease)

Product sales

License revenue

Total revenues

Operating expenses:

Cost of products

Research and development expenses

Selling, general and administrative expenses

Intangible asset amortization

(Gain) loss - changes in fair value of related party
contingent consideration

Impairment of intangible asset

Restructuring costs

Total operating expenses

Operating (loss) income

Investment and other income, net

Interest expense

  $ 101,423   $ 172,841   $ 147,222   $

(71,418)  

(41.3)%   $

25,619  

1,846  

404  

3,024  

1,442  

103,269  

173,245  

150,246  

(69,976)  

356.9 %  

(40.4)%  

(2,620)  

22,999  

17,516  

39,329  

100,359  

6,619  

16,301  

33,418  

58,860  

3,659  

13,248  

34,611  

44,179  

13,888  

(22,731)  

(31,040)  

49,285  

66,087  

1,016  

—  

2,542  

—  

—  

1,215  

5,911  

41,499  

2,960  

8,309  

66,087  

(1,526)  

7.5 %  

17.7 %  

70.5 %  

80.9 %  

3,053  

(1,193)  

14,681  

(10,229)  

26.8 %  

(80,325)  

100.0 %  

(60.0)%  

—  

2,542  

208,195  

83,740  

155,211  

124,455  

148.6 %  

(71,471)  

17.4 %

(86.6)%

15.3 %

23.0 %

(3.4)%

33.2 %

(73.7)%

(163.0)%

— %

100.0 %

(46.0)%

(104,926)

89,505

(4,965)  

(194,431)  

(217.2)%  

94,470  

1,902.7 %

452  

(10,622)  

2,136  

(1,052)  

2,758  

(963)  

(1,684)  

9,570  

(78.8)%  

909.7 %  

(622)  

89  

Other income (expense) - changes in fair value of
related party payable

(Loss) income before income taxes

Income tax (benefit) provision

Net (loss) income

Net (loss) income per share - diluted

1,899  

(113,197)  

(17,893)  

2,071  

92,660  

24,389  

(6,548)  

172  

8.3 %  

(8,619)  

(9,718)  

(205,857)  

(222.2)%  

102,378  

31,558  

(42,282)  

(173.4)%  

(7,169)  

(95,304)   $

68,271   $

(41,276)   $ (163,575)  

(239.6)%   $ 109,547  

(2.55)   $

1.63   $

(1.00)   $

(4.18)  

(256.4)%   $

2.63  

  $

  $

The revenues for each of the Company’s significant products were as follows:

(22.6)%

9.2 %

(131.6)%

1,053.5 %

(22.7)%

265.4 %

263.0 %

Years Ended December 31,

2018 vs. 2017

2017 vs. 2016

2018

2017

2016

$

%

$

%

Increase / (Decrease)

  $

20,850   $

45,596   $

82,896   $

(24,746)  

(54.3)%   $

(37,300)  

42,916  

33,759  

1,204  

2,694  

38,187  

80,617  

—  

8,441  

39,796  

16,831  

—  

7,699  

4,729  

(46,858)  

1,204  

(5,747)  

101,423  

172,841  

147,222  

(71,418)  

1,846  

404  

3,024  

1,442  

12.4 %  

(58.1)%  

100.0 %  

(68.1)%  

(41.3)%  

356.9 %  

(1,609)  

63,786  

—  

742  

25,619  

(2,620)  

  $

103,269   $

173,245   $

150,246   $

(69,976)  

(40.4)%   $

22,999  

(45.0)%

(4.0)%

379.0 %

n/a

9.6 %

17.4 %

(86.6)%

15.3 %

Revenues

Bloxiverz

Vazculep

Akovaz

Noctiva

Other

Total product sales

License revenue

Total revenues

2018 Compared to 2017

Total  product  sales  were  $101,423  for  the  year  ended  December  31,  2018,  compared  to  $172,841  for  the  same  prior  year  period.  Bloxiverz’s  revenue
declined $24,746 when compared to the same period last year, primarily due to lower net selling prices driven largely by new competitors that entered the
market  in  2017  and  2018  and  continued  market  penetration  from  an  alternative  molecule  to  neostigmine.  Vazculep’s  revenue  increased  by  $4,729  due
primarily  an  increase  in  unit  volumes  partially  offset  by  lower  net  realized  net  selling  prices  when  compared  to  the  prior  year.  Akovaz’s  revenue
decreased $46,858 driven by lower unit volumes and net selling prices due largely to new competitors that entered the market in 2017. Total product sales
during the year ended

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December 31, 2018 also include $1,204 of revenues attributable to Noctiva, which launched in March 2018. Other revenues, which includes the pediatric
products which were divested in February 2018, declined when compared to the prior year due to the divestiture of those products.

License  and  research  revenue  was  $1,846  for  the  year  ended  December  31,  2018  compared  to  $404  in  the  same  period  last  year.  In  December  2018,  the
Company  reached  an  agreement  to  exit  a  contract  and  our  remaining  performance  obligations  and  recognized  the  remaining  $1,600  of  deferred  revenue,
which represented the unsatisfied performance obligations associated with a license agreement.

2017 Compared to 2016 

Product sales were $172,841 for the year ended December 31, 2017, compared to $147,222 for the year ended December 31, 2016. Revenues for the year
ended December 31, 2016 include $5,981 in additional revenue as a result of our change in accounting estimate previously described in our Form 10-K for the
year ended December 31, 2016. Bloxiverz’s revenue declined $37,300 when compared to the same period last year, primarily due to a loss of market share
and decrease in net selling price driven largely by two factors: a) lost business as a result of three new competitors in the neostigmine market who entered the
market in the first quarter of 2016, the second and fourth quarters of 2017 and b) a new molecule approved by the FDA in late 2015 and launched in 2016
with a similar indicated use as Bloxiverz. Additionally, the decline in Bloxiverz’s revenue was partially offset by an increase of $4,597 related to the change in
the revenue estimate noted above. Vazculep’s revenue declined slightly by $1,609 driven by the effect of the non-recurring revenue estimate change of $1,384
which  did  not  repeat  in  2017.  Revenue  from  Akovaz,  which  was  launched  in  August  2016,  contributed  $80,617  to  product  sales  for  the  year  ended
December 31, 2017. Other revenues, which includes our pediatric products, were up $742 in the year ended December 31, 2017 compared to the same prior
year period. Revenues from our pediatric products, which were acquired in February 2016 and disposed of in February 2018, were $8,044 for the year ended
December 31, 2017, compared to $5,985 in the same prior year period.

License revenue was $404 for the year ended December 31, 2017 compared to $3,024 in the same period in the prior year. During 2017, the Company made a
determination  that  the  performance  period  associated  with  a  specific  license  will  be  longer  than  previously  estimated  and,  accordingly,  reduced  license
revenue by approximately $2,155 to reflect the Company’s current expected performance period. The longer than expected performance period is the result of
a reassessment of the time it will take for the Company to complete certain contractual requirements mandated by the license.

Years Ended December 31,

2018 vs. 2017

2017 vs. 2016

Increase / (Decrease)

Cost of Products

2018

2017

2016

$

%

$

%

Cost of products

Percentage of sales

  $

17,516

  $

16,301

  $

13,248

  $

1,215  

7.5%   $

3,053  

23.0%

17.0%  

9.4%  

8.8%  

Cost of products increased $1,215, or 7.5% during the year ended December 31, 2018 compared to the prior year. As a percentage of sales, cost of products
sold  was  higher  than  the  prior  year  driven  by  an  increase  of  $3,718  primarily  in  inventory  obsolescence  reserves,  of  which  $2,583  relates  to  the  Noctiva
product and lower product revenues due to lower net selling prices.

Cost of products increased $3,053, or 23.0% during the year ended December 31, 2017 as compared to the same period in 2016. As a percentage of sales, cost
of products sold was up slightly to 9.4% compared to 8.8% as a result of product mix changes and lower selling prices.

Years Ended December 31,

2018 vs. 2017

2017 vs. 2016

Increase / (Decrease)

Research and Development Expenses

2018

2017

2016

$

%

$

%

Research and development expenses

  $

39,329

  $

33,418

  $

34,611

  $

5,911  

17.7%   $

(1,193)  

(3.4)%

Percentage of sales

38.1%  

19.3%  

23.0%  

R&D expenses increased $5,911 or 17.7% during the year ended December 31, 2018 as compared to the same period in 2017. This increase is largely due to
higher spending on the Company’s FT218 Phase 3 sodium oxybate clinical study. The Company continues to spend a substantial portion of its R&D spending
on this study. Additionally, a portion of this increase was due to increased R&D costs of approximately $1,100 associated with Noctiva.

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R&D expenses were slightly lower in 2017 than in 2016. During 2017, the Company continued to spend a substantial portion of its R&D spending on the
FT218 Phase 3 sodium oxybate clinical study.

Years Ended December 31,

2018 vs. 2017

2017 vs. 2016

Increase / (Decrease)

Selling, General and Administrative Expenses

2018

2017

2016

$

%

$

%

Selling, general and administrative expenses

  $

100,359

  $

58,860

  $

44,179

  $

41,499  

70.5%   $

14,681  

33.2%

Percentage of sales

97.2%  

34.0%  

29.4%  

Selling, general and administrative (SG&A) expenses increased $41,499 or 70.5% during the year ended December 31, 2018 as compared to the prior year.
This increase was primarily due to approximately $48,500 of sales and marketing costs associated with the March 2018 launch of Noctiva, partially offset by
approximately $8,700 of lower SG&A spend related to the February 2018 divestiture of the Company’s pediatric assets.

SG&A expenses increased $14,681 or 33.2% and increased as a percentage to sales to 34.0% during the year ended December 31, 2017 as compared to the
prior year. This increase was primarily due to approximately $14,000 of costs associated with the anticipated 2018 launch of Noctiva.

Years Ended December 31,

2018 vs. 2017

2017 vs. 2016

Increase / (Decrease)

Intangibles Asset Amortization

2018

2017

2016

$

%

$

%

Intangible asset amortization

  $

6,619

  $

3,659

  $

13,888

  $

2,960  

80.9%   $

(10,229)  

(73.7)%

Percentage of sales

6.4%  

2.1%  

9.2%  

Intangible  asset  amortization  expense  increased  $2,960  or  80.9%  during  the  year  ended  December  31,  2018  as  compared  to  the  prior  year  driven  by  the
amortization  of  the  intangible  asset  related  to  Noctiva,  which  began  in  September  2017,  partially  offset  by  lower  amortization  of  the  pediatrics  products’
intangible assets due to the February 2018 disposition of these products.

Intangible  asset  amortization  expense  decreased  $10,229  or  73.7%  during  the  year  ended  December  31,  2017  as  compared  to  the  same  prior  year  period
primarily driven by the Bloxiverz in process R&D asset being fully amortized as of December 31, 2016.

Changes in Fair Value of Related Party
Contingent Consideration

(Gain) loss - changes in fair value of related
party contingent consideration

Years Ended December 31,

2018 vs. 2017

2017 vs. 2016

Increase / (Decrease)

2018

2017

2016

$

%

$

%

  $

(22,731)

  $

(31,040)

  $

49,285

  $

8,309  

26.8%   $

(80,325)  

(163.0)%

Percentage of sales

(22.0)%  

(17.9)%  

32.8%  

We compute the fair value of the related party contingent consideration using several significant assumptions and when these assumptions change, due to
underlying market conditions, the fair value of these liabilities change as well. Each of the underlying assumptions used to determine the fair values of these
contingent liabilities can, and often do, change based on adjustments in current market conditions, competition and other factors. These changes can have a
material impact on our consolidated statements of (loss) income and balance sheet. 

As a result of changes in the underlying assumptions used to determine the estimated fair values of a) our acquisition-related contingent consideration earn-
out payments - Éclat, b) acquisition-related warrants, of which 2,200 warrants were exercised and 1,100 warrants expired worthless during the three months
ended March 31, 2018 and c) acquisition-related FSC royalty liabilities which were disposed of during the sale of our pediatric products in February 2018, we
recorded gains of $22,731 and $31,040 and lowered the fair value of the acquisition-related contingent consideration earn-out payments - Éclat for the years
ended December 31, 2018 and 2017, respectively. 

For the year ended December 31, 2018, as a result of changes to these estimates when compared to the same estimates at December 31, 2017, we recorded a
decrease in the fair value of our contingent consideration liabilities, primarily as a result of a

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weaker long-term sales and gross profit outlook for Bloxiverz, Vazculep and Akovaz due to more competition and other changes in certain underlying market
conditions of the acquisition-related contingent consideration earn-out payments - Éclat.

For the year ended December 31, 2017, as a result of changes to these estimates when compared to the same estimates at December 31, 2016, we recognized a
gain of $21,997 to lower the fair value of acquisition related liabilities for the Éclat products primarily as a result of a weaker long-term sales and gross profit
outlook for Bloxiverz and Akovaz due to more competition. Additionally, we decreased the fair value of the acquisition related warrants which resulted in a
gain of $8,738, primarily due to changes in the AVDL stock price at December 31, 2017 compared to December 31, 2016, changes in the volatility of AVDL
stock and a shorter remaining term of the warrants.

Years Ended December 31,

2018 vs. 2017

2017 vs. 2016

Increase / (Decrease)

Impairment of Intangible Asset

2018

2017

2016

$

%

$

%

Impairment of intangible asset

  $

66,087

  $

Percentage of sales

64.0%  

—   $

—%  

—   $

66,087  

100.0%   $

—  

n/a

—%  

During  the  fourth  quarter  of  2018,  an  impairment  charge  of  $66,087  was  recorded  to  write-off  the  remaining  carrying  value  of  the  acquired  developed
technology intangible asset related to Noctiva. During the fourth quarter 2018, certain conditions came to light, largely the lack of a meaningful increase in
Noctiva prescriptions despite the substantial investment of resources, which indicated that the carrying value of the asset, may not be fully recoverable. As
such, the Company performed an impairment test based on a comparison of the pretax discounted cash flows expected to be generated by the asset, which is a
Level 3 fair value estimate, to the recorded value of the asset and concluded that the associated cash flows did not support any of the carrying value of the
intangible asset and the Company recorded a full impairment charge. The February 6, 2019 Chapter 11 bankruptcy filing of Specialty Pharma, the subsidiary
which markets, sells and distributes Noctiva, confirmed management’s conclusion on the impairment. There were no such impairment costs during the years
ended December 31, 2017 and 2016.

Years Ended December 31,

2018 vs. 2017

2017 vs. 2016

Increase / (Decrease)

Restructuring Costs

2018

2017

2016

$

%

$

%

Restructuring costs

Percentage of sales

  $

1,016

  $

2,542

  $

—   $

(1,526)  

(60.0)%   $

2,542  

100.0%

1.0%  

1.5%  

—%  

Restructuring costs of $1,016, which were primarily comprised of a provision related to a dispute with certain severed employees associated with our Lyon,
France  site  of  $776,  were  recognized  during  the  year  ended  December  31,  2018.  During  the  first  quarter  of  2017,  we  announced  a  plan  to  reduce  our
workforce at our Lyon, France site by approximately 50%.  This reduction is an effort to align the Company’s cost structure with our ongoing and future
planned projects. The reduction was substantially complete at December 31, 2018. See Note 17: Restructuring Costs - France.

Years Ended December 31,

2018 vs. 2017

2017 vs. 2016

Increase / (Decrease)

Investment and Other Income, net

2018

2017

2016

$

%

$

%

Investment and other income, net

  $

452

  $

2,136

  $

2,758

  $

(1,684)  

(78.8)%   $

(622)  

(22.6)%

Percentage of sales

0.4%  

1.2%  

1.8%  

Investment and other income, net decreased $1,684 during the year ended December 31, 2018 as compared to the same prior year period driven by lower
realized and unrealized gains on our marketable securities during the current period when compared to the prior year period. Investment and other income, net
for  the  year  ended  December  31,  2018  included  $956  of  net  unrealized  losses  related  to  available-for-sale  equity  investments.  See  Note  5:  Marketable
Securities  for  discussion  of  the  Company’s  adoption  of  ASU  2016-01  on  January  1,  2018.  The  decrease  in  investment  income  was  partially  offset  by  a
decrease in foreign exchange loss.

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Years Ended December 31,

2018 vs. 2017

2017 vs. 2016

Increase / (Decrease)

Interest Expense

2018

2017

2016

$

%

$

%

Interest expense

Percentage of sales

  $

10,622

  $

1,052

  $

(10.3)%  

(0.6)%  

963

  $

(0.6)%  

9,570  

909.7%   $

89  

9.2%

Interest expense increased $9,570 for the year ended December 31, 2018 when compared to the year ended December 31, 2017 as a result of as a result of
imputed interest recorded on the 2023 Notes issued in February 2018.

Other Income (Expense) - Changes in Fair
Value of Related Party Payable:

Other income (expense) - changes in fair value
of related party payable

Years Ended December 31,

2018 vs. 2017

2017 vs. 2016

Increase / (Decrease)

2018

2017

2016

$

%

$

%

  $

1,899

  $

2,071

  $

(6,548)

  $

172  

8.3%   $

(8,619)  

(131.6)%

Percentage of sales

1.8%  

1.2%  

(4.4)%  

We recorded income of $1,899 and $2,071 to reduce the fair value of these liabilities during the years ended December 31, 2018 and 2017, respectively, due
to  the  same  reasons  associated  with  the  Éclat  product  sales  forecasts  as  described  in  the  section  “Changes  in  Fair  Value  of  Related  Party  Contingent
Consideration”  for  these  periods.  As  noted  in  our  critical  accounting  estimates  section,  there  are  a  number  of  assumptions  and  estimates  we  use  when
determining  the  fair  value  of  the  related  party  payable  payments.  These  estimates  include  pricing,  market  size,  the  market  share  the  related  products  are
forecast to achieve and an appropriate discount rate to use when present valuing the related cash flows. These estimates often do change based on changes in
current market conditions, competition and other factors.

Years Ended December 31,

2018 vs. 2017

2017 vs. 2016

Increase / (Decrease)

Income Taxes:

2018

2017

2016

$

%

$

%

Income tax (benefit) provision

  $

(17,893)

  $

24,389

  $

31,558

  $

(42,282)  

(173.4)%   $

(7,169)  

(22.7)%

Percentage of income (loss) before income
taxes

15.8%  

26.3%  

(324.7)%  

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The items accounting for the difference between the income tax (benefit) provision computed at statutory tax rates and the Company’s effective tax rate are as
follows for the years ended December 31:

 Reconciliation to Effective Income Tax Rate:

2018

2017

2016

Statutory tax rate

Differences in international tax rates

Nondeductible changes in fair value of contingent consideration

Income tax deferred charge

Change in valuation allowances

Nondeductible stock-based compensation

Cross border merger

Unrealized tax benefits

State and local taxes (net of federal)

Change in U.S. tax law

Nondeductible interest expense

Other

Effective income tax rate

12.5 %  

8.0 %  

4.0 %  

— %  

(5.3)%  

(1.3)%  

— %  

(1.3)%  

(0.3)%  

(0.2)%  

(1.1)%  

0.7 %  

15.7 %  

Income tax (benefit) provision - at statutory tax rate

  $

(14,149)

  $

Differences in international tax rates

Nondeductible changes in fair value of contingent consideration

Income tax deferred charge

Change in valuation allowances

Nondeductible stock-based compensation

Cross-border merger

Unrecognized tax benefits

State and local taxes (net of federal)

Change in U.S. tax law

Nondeductible interest expense

Other

(9,039)

(4,559)

—  

5,998

1,499

—  

1,440

299

274

1,269

(925)

Income tax (benefit) provision - at effective income tax rate

  $

(17,893)

  $

12.5 %  

22.2 %  

(11.6)%  

— %  

(0.7)%  

(0.4)%  

0.3 %  

1.4 %  

0.3 %  

3.8 %  

— %  

(1.5)%  

26.3 %  

  $

11,582

20,557

(10,779)

—  

(610)

(375)

265

1,296

252

3,513

—  

(1,312)

24,389

  $

12.5 %

(31.9)%

(165.0)%

(9.7)%

11.8 %

(14.8)%

(100.6)%

(15.2)%

(9.6)%

— %

— %

(2.3)%

(324.8)%

(1,215)

3,097

16,036

938

(1,143)

1,436

9,773

1,475

934

—

—

227

31,558

In 2018, the income tax provision decreased by $42,282 when compared to the same period in 2017. The decrease in the income tax provision was primarily
driven  by  a  significant  reduction  in  the  amount  of  taxable  income  recorded  in  the  U.S.  and  Ireland  in  2018,  when  compared  to  2017.  There  was  also  a
significant increase in valuation allowance in 2018, when compared to the same period in 2017 as a result of the decrease in taxable income in Ireland. In
2018, there was a significant decrease in amounts related to change in U.S. tax law due to the 2017 U.S. Tax Cuts and Jobs Act.

In 2017, the income tax provision decreased by $7,169 when compared to the same period in 2016. The decrease in the income tax provision was primarily
driven by a significant reduction in the amount of taxable income recorded in the U.S. in 2017, when compared to 2016. In 2017, the Company did not incur
any significant additional income tax provision associated with the Cross-Border Merger as a majority of the transaction was completed in 2016. In 2017, the
Company recorded $3,513 of tax provision associated with the U.S. Tax Cuts and Jobs Act signed into law in the U.S. in December of 2017.

-54-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Liquidity and Capital Resources 

The Company’s cash flows from operating, investing and financing activities, as reflected in the consolidated statements of cash flows, are summarized in the
following table: 

Net Cash Provided By (Used In):

2018

2017

2016

$

%

$

%

Years Ended December 31,

2018 vs. 2017

2017 vs. 2016

Increase / (Decrease)

Operating activities

Investing activities

Financing activities

Operating Activities 

$

(82,716)   $

16,662   $

18,901   $

(99,378)  

(596.4)%   $

(36,981)  

112,659  

(15,698)  

(23,318)  

(36,630)  

(7,954)  

(21,283)  

135,977  

(135.6)%  

583.1 %  

(2,239)  

20,932  

(15,364)  

(11.8)%

57.1 %

(193.2)%

Net cash used in operating activities was $82,716 for the year ended December 31, 2018 compared to net cash provided by operating activities of $16,662 in
the prior year. This decrease in operating cash flow is primarily due to lower cash earnings (net income or loss adjusted for non-cash credits and charges)
of $100,134 when compared to the same period last year. This decrease is principally due to lower gross margins, higher SG&A expenses driven from the
launch of Noctiva and higher R&D due to increased spending on the Company’s FT218 Phase 3 sodium oxybate clinical study. The decrease in operating
cash flow was also due to the decrease in accounts payable and accrued expenses of $26,454, partially offset by lower earn-out and royalty payments for
related party contingent payable of $13,759 during the year ended December 31, 2018 compared to the prior year.

Net cash provided by operating activities of $16,662 for the year ended December 31, 2017 decreased $2,239 compared to the same prior year period. This
slight decline in operating cash flow is due to higher earn-out payments for related party contingent consideration in excess of acquisition-date fair value and
an increase in prepaid expenses and other current assets due to a cash deposit that was prepaid related to the Noctiva launch, partially offset by higher cash
earnings  (net  income  adjusted  for  non-cash  credits  and  charges)  when  compared  to  the  same  period  last  year,  largely  driven  by  higher  revenues,  partially
offset by higher selling, general and administrative expenses.

Investing Activities 

Cash used in investing activities of $36,981 for the year ended December 31, 2018 decreased $21,283 compared to the same prior year period. In 2018, the
Company  used  cash  of $16,803  for  the  purchase  of  marketable  securities  compared  to  generating  cash  of  $38,004  from  the  sale  of  marketable  securities
during the year ended December 31, 2017. Additionally, the Company also had a $20,000 Noctiva related milestone payment as part of the Exclusive License
and Assignment Agreement (ELAA) with Serenity Pharmaceuticals, LLC during the year ended December 31, 2018.

Cash used in investing activities of $15,698 for the year ended December 31, 2017 increased $20,932 compared to the same prior year period. In 2017 the
Company  generated  cash  of  $38,004  from  the  sale  of  marketable  securities  compared  to  cash  used  for  the  purchase  of  marketable  securities  in  2016  of
$36,057. Additionally, the Company used $53,111 of cash in 2017 to license Noctiva.

Financing Activities 

Cash provided by financing activities of $112,659 for the year ended December 31, 2018 increased $135,977 compared to cash used in financing activities of
$23,318  for  the  same  prior  year  period.  During  the  year  ended  December  31,  2018,  $143,750  of  cash  was  provided  by  financing  activities  through  the
issuance of the 2023 Notes. A portion of the proceeds from the offering of the 2023 Notes was used for share repurchases totaling $27,637 and to pay direct
expenses associated with the issuance of the 2023 Notes of $6,190 during the first half of 2018.

Cash used in financing activities of $23,318 for the year ended December 31, 2017 decreased $15,364 compared to the same prior year period.  The increase
was primarily attributable to our use of $22,361 in cash for share repurchases during 2017, that did not occur in 2016.

Share Repurchase Program

In March 2017, the Board of Directors approved an authorization to repurchase up to $25,000 of Avadel ordinary shares represented by ADSs in the open
market  with  an  indefinite  duration.  Additionally,  on  February  12,  2018,  the  Board  of  Directors  approved  an  authorization  to  repurchase  up  to  $18,000  of
Avadel ordinary shares represented by American Depository Shares in connection with our 2023 Notes offering completed on February 16, 2018. On March
27, 2018, the Board of Directors authorized a share

-55-

 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
repurchase program of up to $7,000 of Avadel ordinary shares represented by ADSs. Each of these programs has been completed through the date of this
report.

Liquidity and Risk Management 

The adequacy of our cash resources depends on the outcome of certain business conditions including the funding required and timing to complete our FT218
development  program,  the  ultimate  resolution  associated  with  the  exit  of  Noctiva  and  other  factors  set  forth  in  “Risk  Factors”.  The  FT218  development
program will require us to commit substantial resources. Our cash and marketable securities is anticipated to be sufficient to fund operations into 2021. This is
based on the current level of cash and marketable securities, the full year run rate of anticipated cost reductions resulting from our recent restructuring actions
of $80 to $90 million and long-range revenue projections for our sterile hospital injectable products. Our assumptions concerning our long range revenue
forecast, the ultimate success of our restructuring actions, the timing, outcome and ultimate cost to complete the FT218 development program may prove to
be  wrong  or  other  factors  may  adversely  affect  our  business.  The  outcome  of  these  and  other  other  business  conditions,  could  exhaust  or  significantly
decrease our available cash and marketable securities which could, among other things, force us to raise additional funds and/or force us to further reduce our
cost structure, either of which could have a material adverse effect on our business. If available to us, raising additional capital may be accomplished through
one  or  more  public  or  private  debt  or  equity  financings,  collaborations  or  partnering  arrangements.  Any  equity  financing  would  be  dilutive  to  our
shareholders.

Other Matters 

Litigation  

The Company is subject to potential liabilities generally incidental to our business arising out of present and future lawsuits and claims related to product
liability,  personal  injury,  contract,  commercial,  intellectual  property,  tax,  employment,  compliance  and  other  matters  that  arise  in  the  ordinary  course  of
business. The Company accrues for potential liabilities when it is probable that future costs (including legal fees and expenses) will be incurred and such costs
can be reasonably estimated. At December 31, 2018 and December 31, 2017, there were no contingent liabilities with respect to any litigation, arbitration or
administrative or other proceeding that are reasonably likely to have a material adverse effect on the Company’s consolidated financial position, results of
operations, cash flows or liquidity.

Some of the patents covering our NoctivaTM product (the “Noctiva Patents”) are the subject of litigation initiated by Ferring Pharmaceuticals Inc. and two of
its  foreign  affiliates,  who  manufacture  a  competing  product  known  as  Nocdurna.    Nocdurna  was  approved  by  the  FDA  in  June  2018  and  commercially
launched in the U.S. in November 2018.  In this litigation (the “Ferring Litigation”), Ferring seeks to invalidate and disputes the inventorship of the Noctiva
Patents,  seeks  damages  for  various  alleged  breaches  of  contractual  and  common  law  duties,  and  seeks  damages  for  alleged  infringement  by  NoctivaTM  of
Ferring’s  “Nocdurna”  trademark.    Avadel’s  indirectly  wholly  owned  subsidiary,  Specialty  Pharma  and  certain  other  parties  including  Serenity
Pharmaceuticals, LLC (“Serentiy”) (the licensor of the Noctiva Patents) have been actively defending this litigation, and have made certain counterclaims
against  Ferring,  including  for  infringement  of  the  Noctiva  Patents  and  a  declaratory  judgment  of  noninfringement  with  respect  to  Ferring’s  “Nocdurna”
trademark. The court has dismissed Ferring’s inventorship claim and its claims for alleged breaches of contractual and common law duties, although these
dismissals may be appealed by Ferring.  On February 15, 2019, Specialty Pharma and its co-defendants moved to stay the litigation pending completion of the
bankruptcy proceeding of Specialty Pharma. Adverse outcomes from this litigation could have material adverse effects on the value of the Specialty Pharma’s
license to NoctivaTM.

On January 21, 2019, Serenity provided notice to Specialty Pharma of an alleged breach of the parties’ Noctiva license agreement. Serenity alleges principally
that  Specialty  Pharma  breached  its  contractual  obligation  to  devote  commercially  reasonable  efforts  to  the  commercialization  of  Noctiva  and  seeks
unspecified damages. On January 27, 2019, Specialty Pharma notified Serenity of a claim for $1.7 million in damages as a result of Serenity’s breach of its
contractual obligation to pay the costs of the Ferring Litigation. Serenity’s notice to Specialty Pharma invoked the dispute resolution provisions of the Noctiva
license  agreement,  which  culminate  in  arbitration,  but  neither  party  has  yet  initiated  an  arbitration  proceeding  or  filed  suit.  Adverse  outcomes  from  this
potential litigation could have material adverse effects on the financial position of Specialty Pharma.

On  February  6,  2019,  Specialty  Pharma  commenced  a  Chapter  11  bankruptcy  case  under  the  U.S.  Bankruptcy  Code  to  fulfill  its  strategic  objective  of
divesting from the business of marketing and distributing Noctiva™. As a result of the commencement of the bankruptcy case, all pending litigation against
Specialty Pharma is automatically stayed and will remain stayed during the pendency of the Chapter 11 case unless and until the bankruptcy court enters an
order  modifying  or  lifting  the  stay.  The  automatic  stay  of  the  bankruptcy  code  also  precludes  the  commencement  of  any  new  litigation  against  Specialty
Pharma unless the bankruptcy court orders otherwise. See Part I, Item 3 of this Annual Report on Form 10-K for more discussion.

-56-

Material Commitments  

At  December  31,  2018,  the  Company  has  various  commitments  to  purchase  finished  product  from  customers.  Commitments  for  these  arrangements,  at
maximum quantities and at contractual prices over the remaining life of the contract, and excluding any waived commitments, are as follows for the years
ended December 31:

Purchase Commitments:

Balance

2019

2020

2021

2022

2023

Thereafter

Total

  $

  $

10,754

5,948

4,880

4,880

220

—

26,682

The  Company  also  has  a  commitment  with  a  contract  manufacturer  related  to  the  construction  and  preparation  of  a  production  suite  at  the  contract
manufacturer’s facility, which is substantially complete at December 31, 2018. Subsequent to the initial build and preparation of the production suite, this
commitment  also  includes  annual  production  suite  fees  of  approximately  $3,000  to  $4,000  which  would  commence  at  the  time  of  FDA  approval  of  the
product and continue thereafter for five years. These amounts are not included in the table above, as the start date has not been determined.

Included in the purchase commitments above, is approximately $15,308 of an obligation of Specialty Pharma, which on February 6, 2019, filed for Chapter
11 bankruptcy protection.

The Company and our subsidiaries lease office facilities under noncancelable operating leases expiring at various dates. Rent expense, net of rental income,
was $1,213, $1,146 and $970 in 2018, 2017, and 2016, respectively. Minimum rental commitments for non-cancelable leases in effect at December 31, 2018
are as follows:  

Lease Commitment:

Balance

2019

2020

2021

2022

2023

Thereafter

Total

  $

  $

1,191

1,208

1,008

767

695

967

5,836

Other than the above commitments, there were no other material commitments outside of the normal course of business. Material commitments in the normal
course  of  business  include  long-term  debt,  long-term  related  party  payable,  and  post-retirement  benefit  plan  obligations  which  are  disclosed  in  Item  8.
Financial Statements and Supplementary Data, Note 10: Long-Term Debt, Note 11: Long-Term Related Party Payable, and Note 13: Post-Retirement Benefit
Plans, respectively.  

-57-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aggregate Contractual Obligations

The following table presents contractual obligations of the Company at December 31, 2018: 

Contractual Obligations:

Long-term debt and interest

Long-term related party payable 
(undiscounted)

Purchase commitments

Operating leases

Total

Less than
1 Year

1 to 3
Years

3 to 5
Years

More than
5 Years

Payments Due by Period

  $

173,009   $

6,575   $

12,981   $

153,453   $

—

51,284  

26,682  

5,836  

9,439  

10,754  

1,191  

8,713  

10,828  

2,217  

7,250  

5,100  

1,461  

25,882

—

967

Total contractual cash obligations

  $

256,811   $

27,959   $

34,739   $

167,264   $

26,849

Included  in  the  purchase  commitments  total  above,  is  approximately  $15,308  of  an  obligation  of  Specialty  Pharma,  which  on  February  6,  2019,  filed  for
Chapter 11 bankruptcy protection.

See Note 10: Long-Term Debt and  Note  11:  Long-Term  Related  Party  Payable  to  the  Company’s  consolidated  financial  statements  contained  in  Item  8  –
Financial Statements for obligations with respect to the respective items within the above table.

See Note 13: Post-Retirement Benefit Plans to the Company’s consolidated financial statements contained in Item 8 – Financial Statements for obligations
with respect to the Company’s post-retirement benefit plans. Obligations of $1,024 related to the post-retirement benefit plans are not included within the
above table.

Item 7A.    Quantitative and Qualitative Disclosures About Market Risk.

Interest Rate Risk 

The  Company  is  subject  to  interest  rate  risk  as  a  result  of  our  portfolio  of  marketable  securities.  The  primary  objectives  of  our  investment  policy  are  as
follows: safety and preservation of principal and diversification of risk; liquidity of investments sufficient to meet cash flow requirements; and competitive
yield. Although our investments are subject to market risk, our investment policy specifies credit quality standards for our investments and limits the amount
of credit exposure from any single issue, issuer or certain types of investment. Our investment policy allows us to maintain a portfolio of cash equivalents and
marketable securities in a variety of instruments, including U.S. federal government and federal agency securities, European Government bonds, corporate
bonds  or  commercial  paper  issued  by  U.S.  or  European  corporations,  money  market  instruments,  certain  qualifying  money  market  mutual  funds,  certain
repurchase agreements, tax-exempt obligations of states, agencies, and municipalities in the U.S and Europe, and equities. 

Foreign Exchange Risk

We are exposed to foreign currency exchange risk as the functional currency financial statements of a foreign subsidiary is translated to U.S. dollars. The
assets  and  liabilities  of  this  foreign  subsidiary  having  a  functional  currency  other  than  the  U.S.  dollar  is  translated  into  U.S.  dollars  at  the  exchange  rate
prevailing  at  the  balance  sheet  date,  and  at  the  average  exchange  rate  for  the  reporting  period  for  revenue  and  expense  accounts.  The  cumulative  foreign
currency  translation  adjustment  is  recorded  as  a  component  of  accumulated  other  comprehensive  loss  in  shareholders’  equity.  The  reported  results  of  this
foreign subsidiary will be influenced by their translation into U.S. dollars by currency movements against the U.S. dollar. Our primary currency translation
exposure is related to one subsidiary that has functional currencies denominated in Euro. A 10% strengthening/weakening in the rates used to translate the
results of our foreign subsidiaries that have functional currencies denominated in the euro as of December 31, 2018 would have had an immaterial impact on
net loss for the year ended December 31, 2018.

Transactional exposure arises where transactions occur in currencies other than the functional currency. Transactions in foreign currencies are recorded at the
exchange rate prevailing at the date of the transaction. The resulting monetary assets and liabilities are translated into the appropriate functional currency at
exchange  rates  prevailing  at  the  balance  sheet  date  and  the  resulting  gains  and  losses  are  reported  in  foreign  exchange  gain  (loss)  in  the  consolidated
statements of (loss) income.  As of December 31, 2018, our primary exposure is to transaction risk related to Euro net monetary assets and liabilities held by
subsidiaries with a U.S. dollar functional currency. Realized and unrealized foreign exchange gains resulting from transactional exposure were immaterial for
the year ended December 31, 2018.

-58-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 8.         Financial Statements and Supplementary Data. 

AVADEL PHARMACEUTICALS PLC
CONSOLIDATED STATEMENTS OF (LOSS) INCOME
(In thousands, except per share data) 

Revenues:

Product sales

License revenue

Total revenues

Operating expenses:

Cost of products

Research and development expenses

Selling, general and administrative expenses

Intangible asset amortization

(Gain) loss - changes in fair value of related party contingent consideration

Impairment of intangible asset

Restructuring costs

Total operating expenses

Operating (loss) income

Investment and other income, net

Interest expense

Other income (expense) - changes in fair value of related party payable

(Loss) income before income taxes

Income tax (benefit) provision

Net (loss) income

Net (loss) income per share - basic

Net (loss) income per share - diluted

Weighted average number of shares outstanding - basic

Weighted average number of shares outstanding - diluted

Years ended December 31,

2018

2017

2016

  $

101,423   $

172,841   $

1,846  

103,269

404  

173,245

17,516  

39,329  

100,359  

6,619  

(22,731)  

66,087  

1,016  

208,195

(104,926)

452  

(10,622)  

1,899  

(113,197)

(17,893)  

16,301  

33,418  

58,860  

3,659  

(31,040)  

—  

2,542  

83,740

89,505

2,136  

(1,052)  

2,071  

92,660

24,389  

  $

  $

  $

(95,304)

$

68,271

(2.55)

(2.55)

$

$

1.69

1.63

$

$

$

37,325  

37,325  

40,465  

41,765  

147,222

3,024

150,246

13,248

34,611

44,179

13,888

49,285

—

—

155,211

(4,965)

2,758

(963)

(6,548)

(9,718)

31,558

(41,276)

(1.00)

(1.00)

41,248

41,248

See accompanying notes to consolidated financial statements.

-59-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
   
   
   
 
 
 
AVADEL PHARMACEUTICALS PLC
CONSOLIDATED STATEMENTS OF COMPREHENSIVE (LOSS) INCOME
(In thousands)

Net (loss) income

Other comprehensive income (loss), net of tax:

Foreign currency translation (loss) gain

Net other comprehensive income, net of ($18), $28, $16 tax, respectively

Total other comprehensive (loss) income, net of tax

Total comprehensive (loss) income

Years ended December 31,

2018

2017

2016

  $

(95,304)   $

68,271   $

(41,276)

(419)  

269  

(150)

134  

165  

299

(1,024)

116

(908)

  $

(95,454)

$

68,570

$

(42,184)

See accompanying notes to consolidated financial statements.

-60-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
AVADEL PHARMACEUTICALS PLC
CONSOLIDATED BALANCE SHEETS
(In thousands, except per share data)

December 31,

2018

2017

  $

9,325   $

90,590  

11,330  

4,770  

8,836  

16,564

77,511

14,785

6,157

8,958

124,851

123,975

1,911  

18,491  

1,629  

7,272  

36,146  

3,001

18,491

92,289

5,272

10,249

  $

190,300

$

253,277

ASSETS

Current assets:

Cash and cash equivalents

Marketable securities

Accounts receivable

Inventories, net

Prepaid expenses and other current assets

Total current assets

Property and equipment, net

Goodwill

Intangible assets, net

Research and development tax credit receivable

Other non-current assets

Total assets

LIABILITIES AND SHAREHOLDERS’ EQUITY

Current liabilities:

Current portion of long-term debt

Current portion of long-term related party payable

Accounts payable

Deferred revenue

Accrued expenses

Income taxes

Other current liabilities

Total current liabilities

Long-term debt, less current portion

Long-term related party payable, less current portion

Other non-current liabilities

Total liabilities

Shareholders’ equity:

Additional paid-in capital

Accumulated deficit

Accumulated other comprehensive loss

Total shareholders’ equity

Total liabilities and shareholders’ equity

  $

106   $

9,439  

3,503  

114  

21,695  

73  

3,453  

38,383

115,734  

19,401  

14,002  

187,520

—  

427  

(49,998)  

433,756  

(357,989)  

(23,416)  

2,780

111

25,007

7,477

2,007

50,926

414

597

86,539

156

73,918

7,084

167,697

—

414

(22,361)

393,478

(262,685)

(23,266)

85,580

253,277

Preferred shares, nominal value of $0.01 per share; 50,000 shares authorized; none issued or outstanding at December 31, 2018
and December 31, 2017, respectively

Ordinary shares, nominal value of $0.01 per share; 500,000 shares authorized; 42,720 issued and 37,313 outstanding at
December 31, 2018, and 41,463 issued and 39,346 outstanding at December 31, 2017

Treasury shares, at cost, 5,407 and 2,117 shares held at December 31, 2018 and December 31, 2017, respectively

See accompanying notes to consolidated financial statements.

  $

190,300

$

-61-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

(41,276)

(908)

326

114

—

14,679

—

42,069

68,271

299

396

—

8,062

2,117  

(22,361)  

(22,361)

AVADEL PHARMACEUTICALS PLC
CONSOLIDATED STATEMENTS OF SHAREHOLDERS’ EQUITY
(In thousands) 

Ordinary shares

  Additional

  Accumulated  

Accumulated
other
comprehensive  

Treasury Shares

Total
shareholders’

Shares

Amount

paid-in
capital

deficit

(loss) income  

Shares

Amount

equity

Balance, December 31, 2015

41,241

$

6,331

$

363,984

$

(278,524)

$

(22,657)

—   $

—   $

69,134

Net loss

Other comprehensive loss

Subscription of warrants

Exercise of stock options or
warrants

Vesting of restricted shares

Stock-based compensation
expense

Cross-border merger nominal
value adjustment

—  

—  

—  

15  

115  

—  

—  

—  

—  

2  

18  

—  

—  

326  

112  

(18)  

—  

14,679  

—  

(5,937)  

5,937  

(41,276)  

—  

—  

—  

—  

—  

—  

—  

(908)  

—  

—  

—  

—  

—  

Balance, December 31, 2016

41,371

414

385,020

(319,800)

(23,565)

Net income

Other comprehensive income

Exercise of stock options

Vesting of restricted shares

Stock-based compensation
expense

Share repurchases

Adjustment to accumulated
deficit (see
Note 12: Income Taxes)

Balance, December 31, 2017

Net loss

Other comprehensive loss

Exercise of stock options

Exercise of warrants

Expiration of warrants

Vesting of restricted shares

Employee share purchase plan
share issuance

Stock-based compensation
expense

Equity component of 2023
Notes

Share repurchases

—  

—  

69  

23  

—  

—  

—  

41,463

—  

—  

82  

603  

—  

547  

25  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

414

—  

—  

1  

6  

—  

6  

—  

—  

—  

—  

—  

—  

396  

—  

8,062  

—  

68,271  

—  

—  

—  

—  

—  

—  

299  

—  

—  

—  

—  

—  

(11,156)  

—  

—  

—  

393,478

(262,685)

(23,266)

2,117  

(22,361)  

—  

—  

534  

2,905  

2,167  

(6)  

127  

7,852  

26,699  

—  

(95,304)  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

(150)  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

3,290  

(27,637)  

(11,156)

85,580

(95,304)

(150)

535

2,911

2,167

—

127

7,852

26,699

(27,637)

Balance, December 31, 2018

42,720   $

427   $

433,756   $

(357,989)   $

(23,416)  

5,407   $

(49,998)   $

2,780

See accompanying notes to consolidated financial statements.

-62-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
AVADEL PHARMACEUTICALS PLC
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands) 

Cash flows from operating activities:

Net (loss) income

Adjustments to reconcile net (loss) income to net cash provided by operating activities:

Depreciation and amortization

Impairment of intangible asset

Amortization of premiums on marketable securities

Remeasurement of related party acquisition-related contingent consideration

Remeasurement of related party financing-related contingent consideration

Amortization of debt discount and debt issuance costs

Change in deferred tax and income tax deferred charge

Stock-based compensation expense

Other adjustments

Net changes in assets and liabilities

Accounts receivable

Inventories, net

Prepaid expenses and other current assets

Research and development tax credit receivable

Accounts payable & other current liabilities

Deferred revenue

Accrued expenses

Accrued income taxes

Earn-out payments for related party contingent consideration in excess of acquisition-date fair value

Royalty payments for related party payable in excess of original fair value

Other assets and liabilities

Net cash (used in) provided by operating activities

Cash flows from investing activities:

Purchases of property and equipment

Acquisitions of businesses, including cash acquired and other adjustments

Purchase of intangible assets

Proceeds from sales of marketable securities

Purchases of marketable securities

Net cash used in investing activities

Cash flows from financing activities:

Proceeds from debt issuance

Payments for debt issuance costs

Earn-out payments for related party contingent consideration

Royalty payments for related party payable

Exercise of warrants

Proceeds from issuance of ordinary shares and warrants

Share repurchases

Other financing activities, net

Net cash provided by (used in) financing activities

Effect of foreign currency exchange rate changes on cash and cash equivalents

Net change in cash and cash equivalents

Cash and cash equivalents at January 1

Cash and cash equivalents at December 31

Supplemental disclosures of cash flow information:

Income tax paid

Interest paid

Years ended December 31,

2018

2017

2016

  $

(95,304)

  $

68,271   $

(41,276)

7,430

66,087

2,823

(22,731)

(1,899)

4,830

(19,152)

7,852

1,365

3,452

711

3,577

(2,545)

(2,032)

(1,892)

(10,640)

(341)

(19,468)

(2,838)

(2,001)

(82,716)

(178)

—  

(20,000)

359,507

(376,310)

(36,981)

143,750

(6,190)

(645)

—  

2,911

577

(27,637)

(107)

112,659

(201)

(7,239)

16,564

9,325

  $

4,883  
—  
732  
(31,040)  
(2,071)  
—  
3,556  
8,072  
(968)  

3,054  
(2,899)  
(3,741)  
(3,141)  
595  
(216)  
13,187  
(786)  
(31,636)  
(4,429)  
(4,761)  
16,662  

(591)  
—  
(53,111)  
189,009  
(151,005)  
(15,698)  

—  
—  
(1,246)  
—  
—  
404  
(22,361)  
(115)  
(23,318)  
(297)  
(22,651)  
39,215  
16,564   $

14,489

—

918

49,285

6,548

—

(4,000)

14,679

(331)

(10,050)

1,831

3,412

397

(434)

(2,923)

6,764

1,778

(20,252)

(2,469)

535

18,901

(1,201)

628

—

71,546

(107,603)

(36,630)

—

—

(6,892)

(1,225)

—

440

—

(277)

(7,954)

(166)

(25,849)

65,064

39,215

776

  $

3,359

19,143   $
1,050  

27,180

788

  $

  $

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
See accompanying notes to consolidated financial statements.

-63-

AVADEL PHARMACEUTICALS PLC
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(In thousands, except per share data)

NOTE 1: Summary of Significant Accounting Policies

Nature of Operations. Avadel Pharmaceuticals plc (Nasdaq: AVDL) (“Avadel,” the “Company,” “we,” “our,” or “us”) is a branded specialty pharmaceutical
company.    Our  primarily  focus  is  on  the  development  and  potential  FDA  approval  for  FT218  which  is  in  a  Phase  3  clinical  trial  for  the  treatment  of
narcolepsy  patients  suffering  from  excessive  daytime  sleepiness  (EDS)  and  cataplexy.    In  addition,  we  market  three  sterile  injectable  drugs  used  in  the
hospital  setting  which  were  developed  under  our  “unapproved  marketed  drug”  (UMD)  program.      The  Company  is  headquartered  in  Dublin,  Ireland  with
operations in St. Louis, Missouri and Lyon, France. For more information, please visit www.avadel.com..

Our current marketed products include:

•

•

•

•

Akovaz®  (ephedrine  sulfate  injection,  USP),  an  alpha-  and  beta-adrenergic  agonist  and  a  norepinephrine-releasing  agent  that  is  indicated  for  the

treatment of clinically important hypotension occurring in the setting of anesthesia

Bloxiverz®  (neostigmine  methylsulfate  injection),  a  cholinesterase  inhibitor,  is  indicated  for  the  reversal  of  the  effects  of  non-depolarizing

neuromuscular blocking agents (NMBAs) after surgery.

Vazculep®  (phenylephrine  hydrochloride  injection),  an  alpha-1  adrenergic  receptor  agonist  indicated  for  the  treatment  of  clinically  important

hypotension resulting primarily from vasodilation in the setting of anesthesia.

Each of our Akovaz, Bloxiverz and Vazculep products is used primarily in the hospital setting and was developed under our UMD program.

Noctiva™, a vasopressin analog indicated for the treatment of nocturia due to nocturnal polyuria in adults who awaken at least two times per night to
void.  Due  to  disappointing  results  after  a  substantial  investment  of  resources  after  Noctiva’s  commercial  launch  in  March  2018,  Avadel
Specialty  Pharmaceuticals  LLC,  (“Specialty  Pharma”),  the  Avadel  subsidiary  responsible  for  the  marketing  and  sale  of  Noctiva,  made  a
voluntary filing for Chapter 11 bankruptcy protection on February 6, 2019. Although Specialty Pharma currently continues its marketing and
sales efforts for this product, Avadel anticipates that Specialty Pharma will discontinue all activities with respect to Noctiva during 2019 as a
result of the bankruptcy.

The  Company  was  incorporated  in  Ireland  on  December  1,  2015  as  a  private  limited  company,  and  re-registered  as  an  Irish  public  limited  company  on
November 21, 2016. Our headquarters are in Dublin, Ireland and we have operations in St. Louis, Missouri, United States, and Lyon, France.

The  Company  is  the  successor  to  Flamel  Technologies  S.A.,  a  French  société anonyme  (“Flamel”),  as  the  result  of  the  Merger  described  above,  in  which
Flamel merged with and into the Company at 11:59:59 p.m., Central Europe Time, on December 31, 2016 (the “Merger”) pursuant to the agreement between
Flamel and Avadel entitled Common Draft Terms of Cross-Border Merger dated as of June 29, 2016 (the “Merger Agreement”). Immediately prior to the
Merger, the Company was a wholly owned subsidiary of Flamel. In accordance with the Merger Agreement, as a result of the Merger:

•

•

Flamel ceased to exist as a separate entity and the Company continued as the surviving entity and assumed all of the assets and liabilities of Flamel.

our authorized share capital is $5,500 divided into 500,000 ordinary shares with a nominal value of $0.01 each and 50,000 preferred shares with a
nominal value of $0.01 each

◦

◦

all outstanding ordinary shares of Flamel, €0.122 nominal value per share, were canceled and exchanged on a one-for-one basis for newly
issued ordinary shares of the Company, $0.01 nominal value per share. This change in nominal value of our outstanding shares resulted in
our reclassifying $5,937 on our balance sheet from ordinary shares to additional paid-in capital

our Board of Directors is authorized to issue preferred shares on a non-pre-emptive basis, for a maximum period of five years, at which
point  such  an  authorization  may  be  renewed  by  shareholders.  The  Board  of  Directors  has  discretion  to  dictate  terms  attached  to  the
preferred shares, including voting, dividend, conversion rights, and priority relative to other classes of shares with respect to dividends and
upon a liquidation. 

-64-

•

all outstanding American Depositary Shares (ADSs) representing ordinary shares of Flamel were canceled and exchanged on a one-for-one basis for
ADSs representing ordinary shares of the Company.

Thus,  the  Merger  changed  the  jurisdiction  of  our  incorporation  from  France  to  Ireland,  and  an  ordinary  share  of  the  Company  held  (either  directly  or
represented by an ADS) immediately after the Merger continued to represent the same proportional interest in our equity owned by the holder of a share of
Flamel immediately prior to the Merger.

Prior  to  completion  of  the  Merger,  the  Flamel  ADSs  were  listed  on  the  Nasdaq  Global  Market  (“Nasdaq”)  under  the  trading  symbol  “FLML”;  and
immediately after the Merger the Company’s ADSs were listed for and began trading on Nasdaq on January 3, 2017 under the trading symbol “AVDL.”

Further details about the reincorporation, the Merger and the Merger Agreement are contained in our definitive proxy statement filed with the SEC on July 5,
2016.

Under  Irish  law,  the  Company  can  only  pay  dividends  and  repurchase  shares  out  of  distributable  reserves,  as  discussed  further  in  the  Company’s  proxy
statement filed with the SEC as of July 5, 2016. Upon completion of the Merger, the Company did not have any distributable reserves. On February 15, 2017,
the Company filed a petition with the High Court of Ireland seeking the court’s confirmation of a reduction of the Company’s share premium so that it can be
treated as distributable reserves for the purposes of Irish law. On March 6, 2017, the High Court issued its order approving the reduction of the Company’s
share premium by $317,254 which can be treated as distributable reserves.

Basis of Presentation. These consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United
States  (U.S.  GAAP).  The  consolidated  financial  statements  include  the  accounts  of  the  Company  and  all  subsidiaries.  All  intercompany  accounts  and
transactions have been eliminated. 

Our results of operations for the period January 1, 2018 through February 16, 2018 and for the years ended December 31, 2017 and 2016 include the results
of FSC Therapeutics and FSC Laboratories, Inc., (collectively “FSC”), prior to its February 16, 2018 disposition date. See Note 16: Divestiture of the
Pediatric Assets, for additional information. All intercompany accounts and transactions have been eliminated.

Revenue.  Revenue  includes  sales  of  pharmaceutical  products,  licensing  fees,  and,  if  any,  milestone  payments  for  research  and  development  (“R&D”)
achievements.

Effective January 1, 2018, the Company adopted Accounting Standards Codification (“ASC”) Topic 606, “Revenue from Contracts with Customers” using
the modified retrospective transition method applied to all open contracts as at December 31, 2017. The adoption of the new standard did not have a material
effect on the overall timing or amount of revenue recognized when compared to prior accounting standards. See Note 3: Revenue Recognition for expanded
disclosures related to this new pronouncement.

ASC 606 applies to all contracts with customers, except for contracts that are within the scope of other standards, such as leases, insurance, collaboration
arrangements and financial instruments. Under ASC 606, an entity recognizes revenue when the performance obligations to the customer have been satisfied
through the transfer of control of the goods or services. To determine the appropriate revenue recognition for arrangements that the Company believes are
within the scope of ASC 606, we perform the following five steps: (i) Identify the contract(s) with a customer; (ii) Identify the performance obligations in the
contract; (iii) Determine the transaction price; (iv) Allocate the transaction price to the performance obligations in the contract; and (v) Recognize revenue
when (or as) the entity satisfies a performance obligation. The Company applies the five-step model to contracts only when the Company and its customer’s
rights  and  obligations  under  the  contract  can  be  determined,  the  contract  has  commercial  substance,  and  it  is  probable  that  the  Company  will  collect  the
consideration it is entitled to in exchange for the goods or services it transfers to the customer. For contracts that are determined to be within the scope of ASC
606, the Company identifies the promised goods or services in the contract to determine if they are separate performance obligations or if they should be
bundled with other goods and services into a single performance obligation. The Company then recognizes as revenue the amount of the transaction price that
is allocated to the respective performance obligation when (or as) the performance obligation is satisfied.

Product Sales  

The Company sells products primarily through wholesalers and considers these wholesalers to be its customers. Revenue from product sales is recognized
when the customer obtains control of the Company’s product, which occurs typically upon receipt by the customer. As is customary in the pharmaceutical
industry, the Company’s gross product sales are subject to a variety of price adjustments in arriving at reported net product sales. These adjustments include
estimates of product returns, chargebacks, payment discounts, rebates, and other sales allowances and are estimated based on analysis of historical data for the
product or comparable products, future expectations for such products and other judgments and analysis.  

-65-

For generic products and branded products where the ultimate net selling price to customer is estimable, the Company recognizes revenues upon delivery to
the wholesaler. For new product launches the Company recognizes revenue if sufficient data is available to determine product acceptance in the marketplace
such that product returns may be estimated based on historical or analog product data and there is probable evidence of reorders and consideration is made of
wholesaler inventory levels. As part of the third quarter 2016 launch of Akovaz, the Company determined that sufficient data was available to determine the
ultimate net selling price to the customer and therefore recognized revenue upon delivery to our wholesaler customers.  

Prior to the second quarter 2016, the Company did not have sufficient historical or analog product data to estimate certain revenue deductions. As such, we
could  not  accurately  estimate  the  ultimate  net  selling  price  of  our  hospital  portfolio  of  products  and  as  a  result  delayed  revenue  recognition  until  the
wholesaler sold the product through to end customers.  

During the second quarter of 2016, it was determined that we now had sufficient evidence, history, data and internal controls to estimate the ultimate selling
price of our products upon shipment from our warehouse to our customers, the wholesalers.  Accordingly, we discontinued the sell-through revenue approach
and  now  recognize  revenue  once  the  product  is  delivered  to  the  wholesaler.  As  a  result  of  this  change  in  accounting  estimate,  we  recognized  $5,981  in
additional revenue, or $0.05 per diluted share, for the twelve months ended December 31, 2016 that previously would have been deferred until sold by the
wholesalers to the hospitals.   

License Revenue  

The Company from time to time may enter into out-licensing agreements under which it licenses to third parties certain rights to its products or intellectual
property. The terms of these arrangements typically include payment to the Company of one or more of the following: non-refundable, upfront license fees;
development, regulatory, and commercial milestone payments; and sales-based royalty payments. Each of these payments results in license revenue.

For a complete discussion of the accounting for net product revenue and license revenues, see Note 3: Revenue Recognition.

Government Grants. The Company receives financial support for various research or investment projects from governmental agencies.  

From  time  to  time  we  receive  funds,  primarily  from  the  French  government,  to  finance  certain  R&D  projects.  These  funds  are  repayable  on  commercial
success  of  the  project.  In  the  absence  of  commercial  success,  the  Company  is  released  of  our  obligation  to  repay  the  funds  and  as  such  the  funds  are
recognized in the consolidated statements of (loss) income as an offset to R&D expense. The absence of commercial success must be formally confirmed by
the granting authority. Should the Company wish to discontinue the R&D to which the funding is associated, the granting authority must be informed and a
determination made as to how much, if any, of the grant must be repaid.  

Research and Development (“R&D”). R&D expenses consist primarily of costs related to clinical studies and outside services, personnel expenses, and other
R&D  expenses.  Clinical  studies  and  outside  services  costs  relate  primarily  to  services  performed  by  clinical  research  organizations  and  related  clinical  or
development manufacturing costs, materials and supplies, filing fees, regulatory support, and other third-party fees. Personnel expenses relate primarily to
salaries,  benefits  and  stock-based  compensation.  Other  R&D  expenses  primarily  include  overhead  allocations  consisting  of  various  support  and  facilities-
related costs. R&D expenditures are charged to operations as incurred.  

The Company recognizes R&D tax credits received from the French government for spending on innovative R&D as an offset of R&D expenses.  

Advertising Expenses. We expense the costs of advertising as incurred. Advertising expenses were $17,562, $2,214 and $1,294 for the years ended December
31, 2018, 2017 and 2016, respectively.

Stock-based  Compensation.  The  Company  accounts  for  stock-based  compensation  based  on  the  estimated  grant-date  fair  value.  The  fair  value  of  stock
options and warrants is estimated using Black-Scholes option-pricing valuation models (“Black-Scholes model”). As required by the Black-Sholes model,
estimates are made of the underlying volatility of AVDL stock, a risk-free rate and an expected term of the option or warrant. We estimated the expected term
using a simplified method, as we do not have enough historical exercise data for a majority of such options and warrants upon which to estimate an expected
term. The Company recognizes compensation cost, net of an estimated forfeiture rate, using the accelerated method over the requisite service period of the
award.  

Income Taxes. We account for income taxes under the asset and liability method, which requires the recognition of deferred tax assets and liabilities for the
expected  future  tax  consequences  of  events  that  have  been  included  in  the  financial  statements.  Under  this  method,  we  determine  deferred  tax  assets  and
liabilities on the basis of the differences between the financial statement and

-66-

tax bases of assets and liabilities by using enacted tax rates in effect for the year in which the differences are expected to reverse. The effect of a change in tax
rates on deferred tax assets and liabilities is recognized in income in the period that includes the enactment date.

We recognize deferred tax assets to the extent that we believe that these assets are more likely than not to be realized. In making such a determination, we
consider all available positive and negative evidence, including future reversals of existing taxable temporary differences, projected future taxable income,
tax-planning strategies, and results of recent operations. If we determine that we would be able to realize our deferred tax assets in the future in excess of their
net recorded amount, we would make an adjustment to the deferred tax asset valuation allowance, which would reduce the provision for income taxes.

We record uncertain tax positions in accordance with ASC 740 on the basis of a two-step process in which (1) we determine whether it is more likely than not
that the tax positions will be sustained on the basis of the technical merits of the position and (2) for those tax positions that meet the more-likely-than-not
recognition  threshold,  we  recognize  the  largest  amount  of  tax  benefit  that  is  more  than  50  percent  likely  to  be  realized  upon  ultimate  settlement  with  the
related tax authority.

We recognize interest and penalties related to unrecognized tax benefits in the income tax expense line in the accompanying consolidated statements of (loss)
income. Accrued interest and penalties are included on the related tax liability line in the consolidated balance sheets.

Cash and Cash Equivalents. Cash and cash equivalents consist of cash on hand, cash on deposit and fixed term deposits which are highly liquid investments
with original maturities of less than three months.  

Marketable Securities. The Company’s marketable securities are considered to be available for sale and are carried at fair value, with unrealized gains and
losses, net of taxes, reported as a component of accumulated other comprehensive income (“AOCI”) in shareholders’ equity, with the exception of unrealized
losses believed to be other-than-temporary, if any, which are reported in earnings in the current period. The cost of securities sold is based upon the specific
identification method.  

Accounts Receivable. Accounts  receivable  are  stated  at  amounts  invoiced  net  of  allowances  for  doubtful  accounts  and  certain  other  gross  to  net  variable
consideration  deductions.  The  Company  makes  judgments  as  to  our  ability  to  collect  outstanding  receivables  and  provides  allowances  for  the  portion  of
receivables deemed uncollectible. Provision is made based upon a specific review of all significant outstanding invoices. A majority of accounts receivable is
due from four significant customers.  

Inventories. Inventories consist of raw materials and finished products, which are stated at lower of cost or net realizable value, using the first-in, first-out
(“FIFO”)  method.  Raw  materials  used  in  the  production  of  pre-clinical  and  clinical  products  are  expensed  as  R&D  costs  when  consumed.  The  Company
establishes reserves for inventory estimated to be obsolete, unmarketable or slow-moving on a case by case basis.  

Property  and  Equipment. Property  and  equipment  is  stated  at  historical  cost  less  accumulated  depreciation.  Depreciation  and  amortization  are  computed
using the straight-line method over the following estimated useful lives:  

Laboratory equipment

Software, office and computer equipment

Leasehold improvements, furniture, fixtures and fittings

4-8 years

3 years

5-10 years

Goodwill. Goodwill represents the excess of the acquisition consideration over the fair value of assets acquired and liabilities assumed. The Company has
determined that we operate in a single segment and has a single reporting unit associated with the development and commercialization of pharmaceutical
products. The annual test for goodwill impairment is a two-step process. The first step is a comparison of the fair value of the reporting unit with its carrying
amount,  including  goodwill.  If  this  step  indicates  impairment,  then,  in  the  second  step,  the  loss  is  measured  as  the  excess  of  recorded  goodwill  over  the
implied fair value of the goodwill. Implied fair value of goodwill is the excess of the fair value of the reporting unit as a whole over the fair value of all
separately  identified  assets  and  liabilities  within  the  reporting  unit.  The  Company  tests  goodwill  for  impairment  annually  and  when  events  or  changes  in
circumstances indicate that the carrying value may not be recoverable. During the fourth quarter of 2018, we performed our required annual impairment test
of goodwill and have determined that no impairment of goodwill existed at December 31, 2018 or 2017.  

Long-Lived Assets. Long-lived assets include fixed assets and intangible assets. Intangible assets consist primarily of purchased licenses and intangible assets
recognized as part of the Éclat acquisition. Acquired IPR&D has an indefinite life and is not amortized until completion and development of the project, at
which time the IPR&D becomes an amortizable asset, for which amortization of such intangible assets is computed using the straight-line method over the
estimated useful life of the assets.  

-67-

 
Long-lived  assets  are  reviewed  for  impairment  whenever  conditions  indicate  that  the  carrying  value  of  the  assets  may  not  be  fully  recoverable.  Such
impairment tests are based on a comparison of the pretax undiscounted cash flows expected to be generated by the asset to the recorded value of the asset or
other market based value approaches. If impairment is indicated, the asset value is written down to its market value if readily determinable or its estimated
fair value based on discounted cash flows. Any significant changes in business or market conditions that vary from current expectations could have an impact
on the fair value of these assets and any potential associated impairment. During the fourth quarter of 2018, we recorded a $66,087 impairment charge to the
entire  acquired  developed  technology  related  to  Noctiva  (see Note  9:  Goodwill  and  Intangible  Assets). The  Company  had  determined  that  no  impairment
existed at December 31, 2017.

Acquisition-related  Contingent  Consideration.  The  acquisition-related  contingent  consideration  payables  arising  from  the  acquisition  of  Éclat
Pharmaceuticals (i.e., our hospital products) and FSC (our pediatrics products), which was assumed by the buyer as part of the disposition of the pediatrics
products  on  February  16,  2018,  are  accounted  for  at  fair-value  (see  Note  11:  Long-Term  Related  Party  Payable  and  Note  16:  Divestiture  of  the  Pediatric
Assets).  The  fair  value  of  the  warrants  issued  in  connection  with  the  Éclat  acquisition  were  estimated  using  a  Black-Scholes  model.  A  portion  of  these
warrants were exercised on February 23, 2018 and the remaining warrants expired on March 12, 2018. See Note 11: Long-Term Related Party Payable. The
fair value of acquisition-related contingent consideration payable is estimated using a discounted cash flow model based on the long-term sales or gross profit
forecasts of the specified hospital or pediatric products using an appropriate discount rate. There are a number of estimates used when determining the fair
value of these earn-out payments. These estimates include, but are not limited to, the long-term pricing environment, market size, market share the related
products  are  forecast  to  achieve,  the  cost  of  goods  related  to  such  products  and  an  appropriate  discount  rate  to  use  when  present  valuing  the  related  cash
flows.  These  estimates  can  and  often  do  change  based  on  changes  in  current  market  conditions,  competition,  management  judgment  and  other  factors.
Changes to these estimates can have and have had a material impact on our consolidated statements of (loss) income and balance sheets. Changes in fair value
of these liabilities are recorded in the consolidated statements of (loss) income within operating expenses as changes in fair value of related party contingent
consideration.

Financing-related Royalty Agreements. We also entered into two royalty agreements with related parties in connection with certain financing arrangements.
We elected the fair value option for the measurement of the financing-related contingent consideration payable associated with the royalty agreements with
certain Deerfield and Broadfin entities, both of whom are related parties (see Note 11: Long-Term Related Party Payable). The fair value of financing-related
royalty agreements is estimated using the same components used to determine the fair value of the acquisition-related contingent consideration noted above,
with the exception of cost of products sold. Changes to these components can also have a material impact on our consolidated statements of (loss) income and
balance sheets. Changes in the fair value of this liability are recorded in the consolidated statements of (loss) income as other income (expense) - changes in
fair value of related party payable.

Foreign Currency Translation. At December 31, 2018, the reporting currency of the Company and our wholly-owned subsidiaries is the U.S. dollar. Prior to
December 31, 2016, each of the Company’s non-U.S. subsidiaries and the parent entity, Flamel, used the Euro as their functional currency. At December 31,
2016, in conjunction with the Merger described above, Avadel determined the U.S. dollar is our functional currency. Subsidiaries and entities that do not use
the  U.S.  dollar  as  their  functional  currency  translate  1)  profit  and  loss  accounts  at  the  average  exchange  rates  during  the  reporting  period,  2)  assets  and
liabilities at period end exchange rates and 3) shareholders’ equity accounts at historical rates. Resulting translation gains and losses are included as a separate
component  of  shareholders’  equity  in  accumulated  other  comprehensive  loss.  Assets  and  liabilities,  excluding  available-for-sale  marketable  securities,
denominated in a currency other than the subsidiary’s functional currency are translated to the subsidiary’s functional currency at period end exchange rates
with resulting gains and losses recognized in the consolidated statements of (loss) income.  

Use  of  Estimates.  The  preparation  of  consolidated  financial  statements  in  conformity  with  U.S.  GAAP  requires  management  to  make  estimates  and
assumptions that affect the reported amounts of assets and liabilities, including marketable securities and contingent liabilities at the date of the consolidated
financial  statements  and  the  reported  amounts  of  sales  and  expenses  during  the  periods  presented.  These  estimates  and  assumptions  are  based  on  the  best
information available to management at the balance sheet dates and depending on the nature of the estimate can require significant judgments. Changes to
these estimates and judgments can have and have had a material impact on our consolidated statements of (loss) income and balance sheets. Actual results
could differ from those estimates under different assumptions or conditions.  

NOTE 2: Effect of New Accounting Standards 

Recently Adopted Accounting Guidance

In March 2017, the Financial Accounting Standards Board (“FASB”) issued Accounting Standard Update (“ASU”) No. 2017-07, “Improving the Presentation
of  Net  Periodic  Pension  Cost  and  Net  Periodic  Postretirement  Benefit  Costs.”  The  standard  requires  the  service  component  of  pension  and  other
postretirement benefit expense to be presented in the same statement

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of income lines as other employee compensation costs, however, the other components will be presented outside of operating income. In addition, only the
service cost component will be eligible for capitalization in assets. The Company adopted this standard in the first quarter of 2018 and it had an immaterial
impact on our consolidated financial statements.

In August 2016, the FASB issued ASU 2016-15, “Statement of Cash Flows (Topic 230): Classification of Certain Cash Receipts and Cash Payments.” ASU
2016-15 identifies how certain cash receipts and cash payments are presented and classified in the Statement of Cash Flows under Topic 230. ASU 2016-15 is
effective for the Company for fiscal years beginning after December 15, 2017, and interim periods within those fiscal years. ASU 2016-15 should be applied
retrospectively and early adoption is permitted, including adoption in an interim period. The Company adopted this standard in the first quarter of 2018 and it
had an immaterial impact on our consolidated financial statements.

In  May  2014,  the  FASB  issued  ASU  2014-09  “Revenue  from  Contracts  with  Customers”  which  supersedes  the  most  current  revenue  recognition
requirements. This ASU requires entities to recognize revenue in a way that depicts the transfer of goods or services to customers in an amount that reflects
the  consideration  which  the  entity  expects  to  be  entitled  to  in  exchange  for  those  goods  or  services.  Through  May  2016,  the  FASB  issued  ASU  2016-08
“Principal  versus  Agent  Considerations  (Reporting  Revenue  Gross  versus  Net),” ASU  2016-10  “Identifying  Performance  Obligations  and  Licensing,”  and
ASU 2016-12, “Narrow-Scope Improvements and Practical Expedients,” which provide supplemental adoption guidance and clarification to ASU 2014-09,
respectively. The Company adopted this pronouncement under the modified retrospective method of transition in the first quarter of 2018. The adoption of the
new  standard  did  not  have  a  material  effect  on  the  overall  timing  or  amount  of  revenue  recognized  when  compared  to  current  accounting  standards.  The
impact to the Company of adopting the new revenue standard primarily relates to additional and expanded disclosures. See Note 3: Revenue Recognition.

In January 2016, the FASB issued ASU 2016-01, “Financial Instruments - Overall (Subtopic 825-10): Recognition and Measurement of Financial Assets and
Financial  Liabilities.”  The  amendments  in  this  update  address  certain  aspects  of  recognition,  measurement,  presentation,  and  disclosure  of  financial
instruments. The new guidance required the change in fair value of equity investments with readily determinable fair values to be recognized through the
statement of income. Upon adoption, the change in the fair value of our available-for-sale equity investments is recognized in our consolidated statement of
income  (loss)  rather  than  as  a  component  of  our  consolidated  statement  of  comprehensive  income  (loss).  The  Company  adopted  this  standard  in  the  first
quarter of 2018 and it had an immaterial impact on our consolidated financial statements.

Recent Accounting Guidance Not Yet Adopted

In August 2018, the FASB issued ASU 2018-13, “Fair Value Measurement (Topic 820): Disclosure Framework— Changes to the Disclosure Requirement for
Fair Value Measurement” which amends certain disclosure requirements over Level 1, Level 2 and Level 3 fair value measurements. The amendments in
ASU  2018-13  are  effective  for  fiscal  years  beginning  after  December  15,  2019,  with  early  adoption  permitted.  The  Company  is  currently  evaluating  the
impact of adopting ASU 2018-13.

In January 2017, the FASB issued ASU 2017-04, “Intangibles - Goodwill and Other: Simplifying the Test for Goodwill Impairment.” This update eliminates
step 2 from the goodwill impairment test, and requires the goodwill impairment test to be performed by comparing the fair value of a reporting unit with its
carrying amount. An impairment charge should be recognized 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. This guidance is effective for the Company in the first
quarter of 2020. Early adoption is permitted for interim or annual goodwill impairment tests performed on testing dates after January 1, 2017. The Company
will assess the timing of adoption and impact of this guidance to future impairment considerations.

In February 2016, the FASB issued ASU 2016-02, “Leases” which supersedes ASC 840 “Leases” and creates a new topic, ASC 842 “Leases.” This update
requires lessees to recognize on their balance sheet a lease liability and a lease asset for all leases, including operating leases, with a term greater than 12
months. The update also expands the required quantitative and qualitative disclosures surrounding leases. This update is effective for fiscal years beginning
after  December  15,  2018  and  interim  periods  within  those  fiscal  years,  with  earlier  application  permitted.  In  July  2018,  the  FASB  issued ASU  2018-11
“Targeted Improvements”, amending certain aspects of the new leasing standard. The amendment allows an additional optional transition method whereby an
entity records a cumulative effect adjustment to opening retained earnings in the year of adoption without restating prior periods, which the Company has
elected.

On adoption, the Company currently expects to recognize additional operating liabilities of approximately $5,100, with corresponding Right of Use (ROU)
assets of approximately the same amount based on the present value of the remaining minimum rental payments. The new standard also provides practical
expedients  for  a  company’s  ongoing  accounting.  We  currently  expect  to  elect  the  short-term  lease  recognition  exemption  for  all  leases  that  qualify.  This
means, for those leases that qualify, we will not recognize ROU assets or lease liabilities, and this includes not recognizing ROU assets or lease liabilities for
existing short-term

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leases  of  those  assets  in  transition.  We  also  currently  expect  to  elect  the  practical  expedient  to  not  separate  lease  and  non-lease  components  for  all  of  our
leases.

NOTE 3: Revenue Recognition

The Company generates revenue primarily from the sale of pharmaceutical products to customers. From time to time the Company also generates revenue
from licensing arrangements whereby the Company provides access to certain of its intellectual property.

Periods prior to January 1, 2018

Product Sales and Services

Revenue  is  generally  realized  or  realizable  and  earned  when  persuasive  evidence  of  an  arrangement  exists,  delivery  has  occurred  or  services  have  been
rendered, the seller’s price to the buyer is fixed or determinable, and collectability is reasonably assured. The Company recorded revenue from product sales
when title and risk of ownership transferred to the customer, which was typically upon delivery to the customer and when the selling price was determinable.

Licensing Revenues

From  time  to  time,  the  Company  enters  into  licensing  agreements  for  the  license  of  technology  used  for  developing  modified  controlled  release  of  oral
pharmaceutical  products.  Non-refundable  fees  where  the  Company  had  continuing  performance  obligations  were  deferred  and  recognized  ratably  over  the
projected performance period. Milestone payments, which were typically related to regulatory, commercial or other achievements by the Company or their
licensees and distributors, were recognized as revenues when the milestone was accomplished and collection was reasonably assured.

Periods commencing January 1, 2018

Product Sales and Services

Effective January 1, 2018, the Company implemented ASC 606, Revenue From Contracts With Customers. The Company sells products primarily through
wholesalers and considers these wholesalers to be its customers. Under ASC 606, revenue from product sales is recognized when the customer obtains control
of  the  Company’s  product  and  the  Company’s  performance  obligations  are  met,  which  occurs  typically  upon  receipt  of  delivery  to  the  customer.  As  is
customary in the pharmaceutical industry, the Company’s gross product sales are subject to a variety of price deductions in arriving at reported net product
sales. These adjustments include estimates for product returns, chargebacks, payment discounts, rebates, and other sales allowances and are estimated when
the product is delivered based on analysis of historical data for the product or comparable products, as well as future expectations for such products.

Reserves to reduce Gross Revenues to Net Revenues

Revenues  from  product  sales  are  recorded  at  the  net  selling  price,  which  includes  estimated  reserves  to  reduce  gross  product  sales  to  net  product  sales
resulting from product returns, chargebacks, payment discounts, rebates, and other sales allowances that are offered within contracts between the Company
and its customers and end users. These reserves are based on the amounts earned or to be claimed on the related sales and are classified as reductions of
accounts  receivable  if  the  amount  is  payable  to  the  customer,  except  in  the  case  of  the  estimated  reserve  for  future  expired  product  returns,  which  are
classified as a liability. The reserves are classified as a liability if the amount is payable to a party other than a customer. Where appropriate, these estimated
reserves take into consideration relevant factors such as the Company’s historical experience, current contractual and statutory requirements, specific known
market events and trends, industry data and forecasted customer buying and payment patterns. Overall, these reserves reflect the Company’s best estimates to
reduce gross selling price to net selling price to which it expects to be entitled based on the terms of its contracts. The actual selling price ultimately received
may  differ  from  the  Company’s  estimates.  If  actual  results  in  the  future  vary  from  the  Company’s  estimates,  the  Company  adjusts  these  estimates,  which
would affect net product revenue and earnings in the period such variances become known.

Product Returns

Consistent  with  industry  practice,  the  Company  maintains  a  returns  policy,  that  generally  offers  customers  a  right  of  return  for  product  that  has  been
purchased from the Company. The Company estimates the amount of product returns and records this estimate as a reduction of revenue in the period the
related product revenue is recognized. The Company currently estimates product return

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liabilities based on analysis of historical data for the product or comparable products, as well as future expectations for such products.

Chargebacks, Discounts and Rebates

Chargebacks, discounts and rebates represent the estimated obligations resulting from contractual commitments to sell products to its customers or end users
at prices lower than the list prices charged to our wholesale customers. Customers charge the Company for the difference between the gross selling price they
pay for the product and the ultimate contractual price agreed to between the Company and these end users. These reserves are established in the same period
that the related revenue is recognized, resulting in a reduction of product revenue and accounts receivable. Chargebacks, discounts and rebates are estimated
at the time of sale to the customer.

Revenue from licensing arrangements

The  terms  of  the  Company’s  licensing  agreements  may  contain  multiple  performance  obligations,  including  certain  R&D  activities.  The  terms  of  these
arrangements typically include payment to the Company of one or more of the following: non-refundable, up-front license fees; development, regulatory and
commercial milestone payments. Each of these payments results in license revenues.

License of Intellectual Property

If the license to the Company’s intellectual property is determined to be distinct from the other performance obligations identified in the arrangement, the
Company recognizes revenues from non-refundable, up-front fees allocated to the license when the license is transferred to the customer and the customer is
able  to  use  and  benefit  from  the  license.  For  licenses  that  are  bundled  with  other  promises,  the  Company  utilizes  judgment  to  assess  the  nature  of  the
combined performance obligation to determine whether the combined performance obligation is satisfied over time or at a point in time and, if over time, the
appropriate method of measuring progress for purposes of recognizing revenue from non-refundable, up-front fees. The Company evaluates the measure of
progress each reporting period and, if necessary, adjusts the measure of performance and related revenue recognition.

Disaggregation of revenue

The Company’s primary source of revenue is from the sale of pharmaceutical products, which are equally affected by the same economic factors as it relates
to the nature, amount, timing, and uncertainty of revenue and cash flows. For further detail about the Company’s revenues by product, see Note 21: Company
Operations by Product, Customer and Geography.

Contract Balances

The Company does not recognize revenue in advance of invoicing its customers and therefore has no related contract assets.

A receivable is recognized in the period the Company sells its products and when the Company’s right to consideration is unconditional. See the consolidated
balance sheets for the balance of accounts receivable at December 31, 2018.

See below for contract liability discussion and balance related to a license agreement.

There were no material deferred contract costs at December 31, 2018.

Transaction Price Allocated to the Remaining Performance Obligation

For product sales, the Company generally satisfies its performance obligations within the same period the product is delivered. Product sales recognized in
2018 from performance obligations satisfied (or partially satisfied) in previous periods were immaterial.

For  certain  licenses  of  intellectual  property,  specifically  those  with  performance  obligations  satisfied  over  time,  the  Company  allocates  a  portion  of  the
transaction price to that performance obligation and recognizes revenue using an appropriate measure of progress towards development of the product. In
December 2018, the Company reached an agreement to exit a contract and our remaining performance obligations and recognized the remaining $1,600 of
deferred  revenue,  which  represented  the  unsatisfied  performance  obligations  associated  with  a  license  agreement.  At  December  31,  2018,  the  deferred
revenue balance related to this obligation is $0.

The Company has elected certain of the practical expedients from the disclosure requirement for remaining performance obligations for specific situations in
which an entity need not estimate variable consideration to recognize revenue. Accordingly, the Company

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applies  the  practical  expedient  in  ASC  606  to  its  stand-alone  contracts  and  does  not  disclose  information  about  variable  consideration  from  remaining
performance obligations for which the Company recognizes revenue.

NOTE 4: Fair Value Measurements

The Company is required to measure certain assets and liabilities at fair value, either upon initial recognition or for subsequent accounting or reporting. For
example,  we  use  fair  value  extensively  when  accounting  for  and  reporting  certain  financial  instruments,  when  measuring  certain  contingent  consideration
liabilities and in the initial recognition of net assets acquired in a business combination. Fair value is estimated by applying the hierarchy described below,
which prioritizes the inputs used to measure fair value into three levels and bases the categorization within the hierarchy upon the lowest level of input that is
available and significant to the fair value measurement:

ASC 820, Fair Value Measurements and Disclosures defines fair value as a market-based measurement that should be determined based on the assumptions
that marketplace participants would use in pricing an asset or liability. When estimating fair value, depending on the nature and complexity of the asset or
liability, we may generally use one or each of the following techniques:  

•

Income approach, which is based on the present value of a future stream of net cash flows.

• Market  approach,  which  is  based  on  market  prices  and  other  information  from  market  transactions  involving  identical  or  comparable  assets  or

liabilities.

As a basis for considering the assumptions used in these techniques, the standard establishes a three-tier fair value hierarchy which prioritizes the inputs used
in measuring fair value as follows:  

•

•

•

Level 1 - Quoted prices for identical assets or liabilities in active markets.

Level 2 - Quoted prices for similar assets or liabilities in active markets, or quoted prices for identical or similar assets or liabilities in markets that
are not active, or inputs other than quoted prices that are directly or indirectly observable, or inputs that are derived principally from, or corroborated
by, observable market data by correlation or other means.

Level 3 - Unobservable inputs that reflect estimates and assumptions.

The following table summarizes the financial instruments measured at fair value on a recurring basis classified in the fair value hierarchy (Level 1, 2 or 3)
based on the inputs used for valuation in the accompanying consolidated balance sheets:

Fair Value Measurements:

Level 1

Level 2

Level 3

Level 1

Level 2

Level 3

As of December 31, 2018

As of December 31, 2017

Marketable securities (see Note 5)

Equity securities

Money market funds

Corporate bonds

Government securities - U.S.

Other fixed-income securities

Total assets

Related party payable (see Note 11)

Total liabilities

  $

9,145   $

52,996  

—  

—  

—  

—   $

—  

6,339  

12,701  

9,409  

—   $

468   $

—  

—  

—  

—  

44,481  

—  

—  

—  

—   $

—  

9,262  

19,050  

4,250  

62,141

$

28,449

$

— $

44,949

$

32,562

$

—

—

—

—

—

—

—  

— $

—  

28,840  

— $

28,840

$

—  

— $

—  

— $

98,925

98,925

  $

  $

A  review  of  fair  value  hierarchy  classifications  is  conducted  on  a  quarterly  basis.    Changes  in  the  observability  of  valuation  inputs  may  result  in  a
reclassification for certain financial assets or liabilities. During the fiscal year ended December 31, 2018, there were no transfers in and out of Level 1, 2, or 3.
During the twelve months ended December 31, 2018, 2017 and 2016, we did not recognize any other-than-temporary impairment loss.

Some of the Company’s financial instruments, such as cash and cash equivalents, accounts receivable and accounts payable, are reflected in the balance sheet
at carrying value, which approximates fair value due to their short-term nature.

Debt

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We estimate the fair value of our $143,750 aggregate principal amount of 4.50% exchangeable senior notes due 2023 (the “2023 Notes”), a Level 2 input,
based on interest rates that would be currently available to the Company for issuance of similar types of debt instruments with similar terms and remaining
maturities or recent trading prices obtained from brokers. The estimated fair value of the 2023 Notes at December 31, 2018 based on recent trading activity
was $81,490 compared to a book value of $115,691.

Additionally,  the  Company’s  other  debt  is  reflected  in  the  balance  sheet  at  carrying  value,  which  approximates  fair  value,  as  these  represent  non-interest
bearing grants from the French government and are repayable only if the research project is technically or commercially successful.

See Note 10: Long-Term Debt for additional information regarding our debt obligations.

NOTE 5: Marketable Securities 

The Company has investments in available-for-sale marketable securities which are recorded at fair market value. Prior to January 1, 2018, unrealized gains
and losses on all securities are recorded as other comprehensive income (loss) in shareholders’ equity, net of income tax effects.

On  January  1,  2018,  the  Company  adopted  ASU  2016-01,  which  requires  the  change  in  the  fair  value  of  available-for-sale  equity  investments  to  be
recognized in our consolidated statements of (loss) income rather than as a component of our consolidated statement of comprehensive income (loss). For the
year ended December 31, 2018, the net unrealized loss on our available-for-sale equity investments, recorded as a component of investment income in the
accompanying consolidated statements of (loss) income, was $956. The net unrealized gain on our available-for-sale equity investments was immaterial for
the  year  ended  December  31,  2017  and  $344  for  the  year  ended  December  31,  2016.  These  amounts  were  recorded  as  other  comprehensive  income  in
shareholders’ equity, net of income tax effects for the year ended December 31, 2017.

The  following  tables  show  the  Company’s  available-for-sale  securities’  adjusted  cost,  gross  unrealized  gains,  gross  unrealized  losses  and  fair  value  by
significant investment category as of December 31, 2018 and 2017, respectively:

Marketable Securities:

Equity securities

Money market funds

Corporate bonds

Government securities - U.S.

Other fixed-income securities

Total

Marketable Securities:

Equity securities

Money market funds

Corporate bonds

Government securities - U.S.

Other fixed-income securities

Total

Adjusted Cost

  Unrealized Gains

  Unrealized Losses

Fair Value

2018

  $

10,101   $

52,733  

6,411  

12,714  

9,400  

—   $

316  

7  

66  

22  

(956)   $

(53)  

(79)  

(79)  

(13)  

  $

91,359

$

411

$

(1,180)

$

9,145

52,996

6,339

12,701

9,409

90,590

Adjusted Cost

  Unrealized Gains

  Unrealized Losses

Fair Value

2017

  $

443   $

44,525  

9,285  

19,080  

4,259  

31   $

—  

1  

—  

—  

(6)   $

(44)  

(24)  

(30)  

(9)  

  $

77,592

$

32

$

(113)

$

468

44,481

9,262

19,050

4,250

77,511

We determine realized gains or losses on the sale of marketable securities on a specific identification method. We recognized gross realized gains of $317,
$1,677, and $1,265 for the twelve months ended December 31, 2018, 2017, and 2016,  respectively.  These  realized  gains  were  offset  by  realized  losses  of
$565, $1,390, and $586 for the twelve-months ended December 31, 2018, 2017, and 2016, respectively. We reflect these gains and losses as a component of
investment income in the accompanying consolidated statements of (loss) income.

The following table summarizes the estimated fair value of our investments in marketable debt securities, accounted for as available-for-sale securities and
classified by the contractual maturity date of the securities as of December 31, 2018:

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Marketable Debt Securities:

  Less than 1 Year

1-5 Years

5-10 Years

Greater than 10
Years

Total

Corporate bonds

Government securities - U.S.

Other fixed-income securities

Total

  $

  $

1,511   $

4,828   $

771  

—  

11,145  

9,409  

2,282

$

25,382

$

—   $

281  

—  

281

$

—   $

504  

—  

504

$

6,339

12,701

9,409

28,449

Maturities

The Company has classified our investment in available-for-sale marketable securities as current assets in the consolidated balance sheets as the securities
need to be available for use, if required, to fund current operations. There are no restrictions on the sale of any securities in our investment portfolio.

NOTE 6: Inventories

The principal categories of inventories, net reserves of $4,757 and $1,039 at December 31, 2018 and 2017, respectively, are comprised of the following:

Inventory:

Finished goods

Raw materials

Total

2018

2017

  $

  $

4,270   $

500  

4,770   $

4,774

1,383

6,157

Total  net  reserves  increased  by  $3,718  during  the  year  ended  December  31,  2018  driven  largely  by  approximately  $2,583  of  reserves  related  to  Noctiva
inventory.

NOTE 7: Property and Equipment, net

The principal categories of property and equipment, net at December 31, 2018 and 2017, respectively, are as follows: 

Property and Equipment, net:

Laboratory equipment

Software, office and computer equipment

Furniture, fixtures and fittings

Less - accumulated depreciation

Total

2018

2017

8,864   $

2,487  

3,715  

(13,155)  

1,911   $

10,135

3,115

4,779

(15,028)

3,001

  $

  $

Depreciation expense for the years ended December 31, 2018, 2017 and 2016 was $811, $1,224 and $601, respectively. 

NOTE 8: Acquisitions 

On February 5, 2016, the Company acquired FSC, a specialty pharmaceutical company dedicated to providing innovative solutions to unmet medical needs
for  pediatric  patients,  from  Deerfield  CSF,  LLC,  a  Deerfield  Management  company  (“Deerfield  CSF”),  a  related  party.  The  Company  disposed  of  these
pediatric assets on February 16, 2018. See Note 16: Divestiture of the Pediatric Assets.

This  acquisition  was  accounted  for  using  the  acquisition  method  of  accounting  and,  accordingly,  its  results  were  included  in  the  Company’s  consolidated
financial  statements  from  the  date  of  acquisition  until  the  date  of  divestiture.  Total  consideration  to  acquire  FSC  was  $21,659,  and  was  funded  with  a
combination of the following, partially offset by $467 as a result of a net working capital settlement from the seller: 

•

•

$15,000 long-term liability to Deerfield CSF. Under the terms of the acquisition agreement, the Company will pay $1,050 annually for five  years
with a final payment in January 2021 of $15,000.

an estimate of $6,659 in contingent consideration to Deerfield CSF. Under the terms of the acquisition agreement, the Company shall pay quarterly a
15% royalty on the net sales of certain FSC products, up to $12,500 for a period not exceeding ten years.

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These items were reported in related party payable within the Company’s consolidated balance sheet at December 31, 2017, and is further disclosed in Note
11: Long-Term Related Party Payable. These related party payables were disposed of as a part of the February 2018 sale. See Note 16: Divestiture  of  the
Pediatric Assets.

The fair values assigned to the acquired assets and liabilities were recognized as follows: 

Assigned Fair Value:

Accounts receivable    

Inventories    

Prepaid expenses and other current assets    

Intangible assets:    

Acquired product marketing rights    

Acquired developed technology    

Deferred tax assets

Other assets    

Accounts payable and other liabilities    

Total      

Amount

142

1,135

1,712

16,600

4,300

853

277

(3,827)

21,192

  $

  $

A portion of the transaction attributable to certain intangible assets was taxable for income tax purposes which resulted in recording some of the assets at fair
value for both book and tax purposes. Transaction expenses were not material. The useful lives on FSC acquired intangible assets ranged from nine to fifteen
years. 

After its acquisition on February 5, 2016, FSC contributed $5,985 to the Company’s net sales for the twelve-month period ended December 31, 2016. FSC
incurred a loss of $5,839 for the twelve-month period ended December 31, 2016. 

Had the FSC acquisition been completed as of the beginning of 2016, the Company’s unaudited pro forma net revenue and net loss for the twelve months
ended December 31, 2016 would have been as follows: 

Pro Forma Net Revenue and Income (Loss):

Net revenue

Net loss

2016

  $

150,721

(42,290)

On  February  12,  2018,  the  Company,  together  with  its  subsidiaries Avadel  Pharmaceuticals  (USA),  Inc.,  Avadel  Pediatrics,  Inc.,  FSC  Therapeutics,  LLC
(“FSC Therapeutics”), and Avadel US Holdings, Inc. (“Holdings”), as the “Sellers,” entered into an asset purchase agreement (the “Purchase Agreement”)
with  Cerecor,  Inc.  (“Cerecor”).  The  transaction  closed  on  February  16,  2018  wherein  Cerecor  purchased  from  the  Sellers  four  pediatric  commercial  stage
assets – Karbinal™ ER, Cefaclor, Flexichamber™ and AcipHex® Sprinkle™, together with certain associated business assets – which were held by FSC. See
Note 16: Divestiture of the Pediatric Assets.

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NOTE 9: Goodwill and Intangible Assets 

The Company’s amortizable and unamortizable intangible assets at December 31, 2018 and 2017, respectively, are as follows: 

Goodwill and Intangible
Assets:

Gross
Value

Accumulated
Amortization

Impairment

Net Carrying
Amount

Gross
Value

Accumulated
Amortization

Net Carrying
Amount

2018

2017

Amortizable intangible
assets:

Acquired developed
technology - Noctiva

Acquired developed
technology - Vazculep

Acquired product
marketing rights (1)

Acquired developed
technology (1)

  $

73,111   $

(7,024)   $

(66,087)   $

—   $

73,111   $

(1,401)   $

71,710

12,061  

(10,432)  

—  

—  

—  

—  

—  

—  

—  

1,629  

12,061  

(9,616)  

2,445

—  

—  

16,600  

(2,132)  

14,468

4,300  

(634)  

3,666

Total amortizable intangible
assets

  $

85,172

$

(17,456)   $

(66,087)

$

1,629

$

106,072

$

(13,783)

$

92,289

Unamortizable intangible
assets:

Goodwill

Total unamortizable
intangible assets

  $

  $

18,491   $

18,491   $

—   $

—   $

—   $

18,491   $

18,491   $

—   $

18,491

—   $

18,491   $

18,491   $

—   $

18,491

(1) These intangible assets were purchased by the buyer as part of the disposition of the pediatrics products on February 16, 2018. See Note 16: Divestiture of
the Pediatric Assets.

The Company recorded amortization expense related to amortizable intangible assets of $6,619, $3,659 and $13,888 for the years ended December 31, 2018,
2017 and 2016, respectively.  

During  the  year  ended  December  31,  2017,  the  Company  acquired  $73,111  in  developed  technology  as  part  of  the  Exclusive  License  and  Assignment
Agreement  (ELAA)  with  Serenity  Pharmaceuticals,  LLC.  The  aggregate  cost  was  composed  of  an  upfront  payment  of  $50,000,  an  accrued  payment
of $20,000 which was paid for Noctiva during the year ended December 31, 2018, and $3,111 of transaction costs. The Company amortizes the developed
technology  over  a  13  year  period,  which  began  October  1,  2017.  During  the  fourth  quarter  2018,  certain  conditions  came  to  light,  largely  the  lack  of  a
meaningful increase in Noctiva prescriptions despite the substantial investment of resources, which indicated that the carrying value of the asset, may not be
fully recoverable. As such, the Company performed an impairment test based on a comparison of the pretax discounted cash flows expected to be generated
by the asset, which is a Level 3 fair value estimate, to the recorded value of the asset and concluded that the associated cash flows did not support any of the
carrying value of the intangible asset and the Company recorded a full impairment charge of $66,087 at December 31, 2018 related to the acquired developed
technology  associated  with  Noctiva.  The  February  6,  2019  Chapter  11  bankruptcy  filing  of  Specialty  Pharma,  the  subsidiary  which  markets,  sells  and
distributes Noctiva, confirmed management’s conclusion on the impairment. This impairment charge is included in the line “Impairment of intangible asset”
in the consolidated statements of (loss) income.

Amortizable  intangible  assets  are  amortized  over  their  estimated  useful  lives,  which  range  from  three  to  fifteen  years,  using  the  straight-line  method.  At
December 31, 2018, total future amortization of intangible assets for the next five years is as follows: 

Estimated Amortization Expense:

2019

2020

2021

2022

2023

Amount

  $

815

814

—

—

—

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NOTE 10: Long-Term Debt 

Long-Term debt is summarized as follows:

Principal amount of 4.50% exchangeable senior notes due 2023

Less: unamortized debt discount and issuance costs, net

Net carrying amount of liability component

Other debt

     Subtotal

Less: current maturities

     Long-term debt

Equity component:

Equity component of exchangeable notes, net of issuance costs

Issuance of Debt Securities

December 31, 2018

December 31, 2017

  $

  $

  $

143,750   $

(28,059)  

115,691  

149  

115,840  

(106)  

115,734   $

(26,699)   $

—

—

—

267

267

(111)

156

—

On February 16, 2018, Avadel Finance Cayman Limited, a Cayman Islands exempted company (the “Issuer”) and an indirect wholly-owned subsidiary of the
Company,  issued  $125,000  aggregate  principal  amount  of  4.50%  exchangeable  senior  notes  due  2023  (the  “2023  Notes”)  in  a  private  placement  (the
“Offering”) to qualified institutional buyers pursuant to Rule 144A under the Securities Act. In connection with the Offering, the Issuer granted the initial
purchasers  of  the  2023  Notes  a  30-day  option  to  purchase  up  to  an  additional  $18,750  aggregate  principal  amount  of  the  2023  Notes,  which  was  fully
exercised on February 16, 2018. Net proceeds received by the Company, after issuance costs and discounts, were approximately $137,560.

The Company pays 4.50% cash interest per year on the principal amount of the 2023 Notes, payable semi-annually in arrears on February 1 and August 1 of
each year, beginning on August 1, 2018, to holders of record at the close of business on the preceding January 15 or July 15, respectively. Interest accrues on
the  principal  amount  of  the  2023  Notes  from  and  including  the  date  the  2023  Notes  were  issued  or  from,  and  including,  the  last  date  in  respect  of  which
interest has been paid or provided for, as the case may be, to, but excluding, the next interest payment date. The 2023 Notes are general, unsecured obligations
of the Issuer, and are fully and unconditionally guaranteed by the Company on a senior unsecured basis. There are no financial debt covenants associated with
the 2023 Notes. 

The 2023 Notes are the Company’s senior unsecured obligations and rank equally in right of payment with all of the Company’s existing and future senior
unsecured  indebtedness  and  effectively  junior  to  any  of  the  Company’s  existing  and  future  secured  indebtedness,  to  the  extent  of  the  value  of  the  assets
securing such indebtedness.

The 2023 Notes will be exchangeable at the option of the holders at an initial exchange rate of 92.6956 ADSs per $1 principal amount of 2023 Notes, which
is equivalent to an initial exchange price of approximately $10.79 per ADS. Such initial exchange price represents a premium of approximately 20% to the
$8.99 per ADS closing price on The Nasdaq Global Market on February 13, 2018.  Upon the exchange of any 2023 Notes, the Issuer will pay or cause to be
delivered, as the case may be, cash, ADSs or a combination of cash and ADSs, at the Issuer’s election. Holders of the 2023 Notes may convert their 2023
Notes, at their option, only under the following circumstances prior to the close of business on the business day immediately preceding August 1, 2022, under
the circumstances and during the periods set forth below and regardless of the conditions described below, on or after August 1, 2022 and prior to the close of
business on the business day immediately preceding the maturity date:

•

•

Prior to the close of business on the business day immediately preceding August 1, 2022, a holder of the 2023 Notes may surrender all or any portion
of  its  2023  Notes  for  exchange  at  any  time  during  the  five  business  day  period  immediately  after  any  five  consecutive  trading  day  period  (the
“Measurement Period”) in which the trading price per $1 principal amount of 2023 Notes, as determined following a request by a holder of the 2023
Notes, for each trading day of the measurement period was less than 98% of the product of the last reported sale price of the ADSs and the exchange
rate on each such trading day.

If  a  transaction  or  event  that  constitutes  a  fundamental  change  or  a  make-whole  fundamental  change  occurs  prior  to  the  close  of  business  on  the
business  day  immediately  preceding  August  1,  2022,  regardless  of  whether  a  holder  of  the  2023  Notes  has  the  right  to  require  the  Company  to
repurchase the 2023 Notes, or if Avadel is a party to a merger event that

-77-

 
 
 
 
 
 
 
 
 
   
   
   
   
occurs prior to the close of business on the business day immediately preceding August 1, 2022, all or any portion of a the holder’s 2023 Notes may
be  surrendered  for  exchange  at  any  time  from  or  after  the  date  that  is  95  scheduled  trading  days  prior  to  the  anticipated  effective  date  of  the
transaction (or, if later, the earlier of (x) the business day after the Company gives notice of such transaction and (y) the actual effective date of such
transaction) until 35 trading days after the actual effective date of such transaction or, if such transaction also constitutes a fundamental change, until
the related fundamental change repurchase date. 

•

•

Prior to the close of business on the business day immediately preceding August 1, 2022, a holder of the 2023 Notes may surrender all or any portion
of its 2023 Notes for exchange at any time during any calendar quarter commencing after the calendar quarter ending on June 30, 2018 (and only
during such calendar quarter), if the last reported sale price of the ADSs for at least 20 trading days (whether or not consecutive) during the period of
30 consecutive trading days ending on, and including, the last trading day of the immediately preceding calendar quarter is greater than or equal to
130% of the exchange price on each applicable trading day. 

If  the  Company  calls  the  2023  Notes  for  redemption  pursuant  to  Article  16  to  the  Indenture  prior  to  the  close  of  business  on  the  business  day
immediately preceding August 1, 2022, then a holder of the 2023 Notes may surrender all or any portion of its 2023 Notes for exchange at any time
prior to the close of business on the second business day prior to the redemption date, even if the 2023 Notes are not otherwise exchangeable at such
time. After that time, the right to exchange shall expire, unless the Company defaults in the payment of the redemption price, in which case a holder
of the 2023 Notes may exchange its 2023 Notes until the redemption price has been paid or duly provided for.

The Company considered the guidance in ASC 815-15, Embedded Derivatives, to determine if this instrument contains an embedded feature that should be
separately  accounted  for  as  a  derivative.  ASC  815  provides  for  an  exception  to  this  rule  when  convertible  notes,  as  host  instruments,  are  deemed  to  be
conventional, as defined by ASC 815-40. The Company determined that this exception applies due, in part, to our ability to settle the 2023 Notes in cash,
ADSs or a combination of cash and ADSs, at our option. The Company has therefore applied the guidance provided by ASC 470-20, Debt with Conversion
and Other Options which requires that the 2023 Notes be separated into debt and equity components at issuance and a value be assigned to each. The carrying
amount of the liability component was calculated by measuring the fair value of a similar liability that does not have an associated convertible feature. The
allocation was performed in a manner that reflected our non-convertible debt borrowing rate for similar debt. The equity component of the 2023 Notes was
recognized as a debt discount and represents the difference between the proceeds from the issuance of the 2023 Notes and the fair value of the liability of the
2023 Notes on its issuance date. The excess of the principal amount of the liability component over its carrying amount (the “Debt Discount”) is amortized to
interest expense using the effective interest method over the term of the 2023 Notes. The equity component is not remeasured as long as it continues to meet
the conditions for equity classification.

In connection with the issuance of the 2023 Notes, we incurred approximately $6,190 of debt issuance costs, which primarily consisted of underwriting, legal
and other professional fees, and allocated these costs to the liability and equity components based on the allocation of the proceeds. Of the total $6,190 of debt
issuance  costs,  $1,201  were  allocated  to  the  equity  component  and  recorded  as  a  reduction  to  additional  paid-in  capital  and  $4,989  were  allocated  to  the
liability component and recorded as a reduction to debt on our consolidated balance sheets. The portion allocated to the liability component is amortized to
interest expense using the effective interest method over the same five-year term as the related 2023 Notes.

Other Debt

French government agencies provide financing to French companies for R&D. At December 31, 2018 and 2017, the Company had outstanding loans of $149
and $267,  respectively  for  various  programs.  These  loans  do  not  bear  interest  and  are  repayable  only  in  the  event  the  research  project  is  technically  or
commercially successful. Potential repayment is scheduled to occur through 2019. 

During the years ended December 31, 2018, 2017 and 2016, the Company repaid $193, $115 and $277, of loans associated with specific research projects,
respectively. In addition, during 2017, the Company received a waiver of repayment for the remaining portion of certain loans of $539, on the basis of limited
commercial and technical success. Amounts waived are reported as reductions to R&D expenses in the Company’s consolidated statements of (loss) income.
No such waivers were received during 2018 or 2016.

-78-

NOTE 11: Long-Term Related Party Payable 

Long-term related party payable and related activity are reported at fair value and consist of the following at December 31, 2018 and 2017, respectively:

Activity during the Twelve Months Ended December 31, 2018

Changes in Fair Value of
Related Party Payable

Balance,
December 31,
2017

Payments to
Related Parties  

Operating
(Gain)
Expense

Other
Income

Expiration of
Warrants

Disposal

Balance,
December 31,
2018

Acquisition-related contingent consideration:

Warrants - Éclat Pharmaceuticals (a)

  $

2,479

  $

—   $

(312)   $

Earn-out payments - Éclat Pharmaceuticals (b)

Royalty agreement - FSC (c)

Financing-related:

Royalty agreement - Deerfield (d)

Royalty agreement - Broadfin (e)

Long-term liability - FSC (f)

Total related party payable

Less: Current portion

Total long-term related party payable

67,744

5,740

5,392

2,570

15,000

98,925

(19,468)

(645)

(1,922)

(916)

—  

  $

(22,951)

  $

(22,661)  
242  

—  
—  
—  
(22,731)   $

  $

(25,007)

73,918

—   $
—  
—  

(1,286)  
(613)  
—  
(1,899)   $

(2,167)   $
—  
—  

—  
—  
—  
(2,167)   $

—   $
—  
(5,337)  

—  
—  
(15,000)  
(20,337)  

  $

—

25,615

—

2,184

1,041

—

28,840

(9,439)

19,401

Each of the above items is associated with related parties as further described in Note 22: Related Party Transactions. 

(a) As part of the consideration for the Company’s acquisition of Éclat Pharmaceuticals, LLC on March 13, 2012, the Company issued two warrants to a
related party with a six-year term which allow for the purchase of a combined total of 3,300 ordinary shares of Avadel. One warrant was exercisable for
2,200  ordinary  shares  at  an  exercise  price  of  $7.44  per  share,  and  the  other  warrant  was  exercisable  for  1,100  ordinary  shares  at  an  exercise  price  of
$11.00 per share. On  February  23,  2018,  the  related  party  exercised  in  full  the  warrant  for  2,200 ordinary shares. On  March  12,  2018,  the  remaining
warrant for 1,100 ordinary shares expired worthless.

The  fair  value  of  the  warrants  was  estimated  on  a  quarterly  basis  using  a  Black-Scholes  option  pricing  model  with  the  following  assumptions  as  of
December 31: 

 Assumptions for the Warrant Valuation:

Stock price

Weighted average exercise price per share

Expected term (years)

Expected volatility

Risk-free interest rate

Expected dividend yield

2017

  $

8.20

8.63

0.25

37.90%  

1.39%  

—  

These Black-Scholes fair value measurements are based on significant inputs not observable in the market and thus represent a level 3 measurement as
defined in ASC 820. The fair value of the warrant consideration is most sensitive to movement in the Company’s share price and expected volatility at
the balance sheet date. 

Expected  term:  The  expected  term  of  the  options  or  warrants  represents  the  period  of  time  between  the  grant  date  and  the  time  the  options  or
warrants are either exercised or forfeited, including an estimate of future forfeitures for outstanding options or warrants. Given the limited historical
data and the grant of stock options and warrants to a limited population, the simplified method has been used to calculate the expected life. 

Expected volatility: The expected volatility is calculated based on an average of the historical volatility of the Company’s stock price. 

-79-

 
   
 
   
 
   
   
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
Risk-free  interest  rate:  The  risk-free  interest  rate  is  based  on  the  U.S.  Treasury  yield  curve  in  effect  at  the  time  of  grant  and  a  maturity  that
approximates the expected term. 

Expected  dividend  yield:  The  Company  has  not  distributed  any  dividends  since  our  inception  and  has  no  plan  to  distribute  dividends  in  the
foreseeable future. 

At the closing date of the 2012 Éclat acquisition and at December 31, 2017, it was uncertain whether the Company would ultimately fulfill its obligation
under  these  warrants  using  ordinary  shares  or  cash.  Accordingly,  pursuant  to  the  guidance  of  ASC  480,  the  Company  determined  that  these  warrants
should be classified as a liability. This classification as a liability was further supported by the Company’s determination, pursuant to the guidance of
ASC  815-40-15-7(i),  that  these  warrants  could  also  not  be  considered  as  being  indexed  to  the  Company’s  own  ordinary  shares,  on  the  basis  that  the
exercise price for the warrants is determined in U.S. dollars, although the functional currency of the Company at the closing date of the Éclat acquisition
was the Euro.

(b) In March 2012, the Company acquired all of the membership interests of Éclat from Breaking Stick Holdings, L.L.C. (“Breaking Stick”, formerly Éclat
Holdings),  an  affiliate  of  Deerfield.  Breaking  Stick  is  majority  owned  by  Deerfield,  with  a  minority  interest  owned  by  certain  current  and  former
employees. As part of the consideration, the Company committed to provide quarterly earn-out payments equal to 20% of any gross profit generated by
certain Éclat products. These payments will continue in perpetuity, to the extent gross profit of the related products also continue in perpetuity.

(c)

In February 2016, the Company acquired all of the membership interests of FSC from Deerfield. The consideration for this transaction in part included a
commitment to pay quarterly a 15% royalty on the net sales of certain FSC products, up to $12,500 for a period not exceeding ten years. This obligation
was assumed by the buyer as part of the disposition of the pediatrics products on February 16, 2018. See Note 16: Divestiture of the Pediatric Assets.

(d) As part of a February 2013 debt financing transaction conducted with Deerfield, the Company received cash of $2,600 in exchange for entering into a
royalty  agreement  whereby  the  Company  shall  pay  quarterly  a  1.75%  royalty  on  the  net  sales  of  certain  Éclat  products  until  December  31,  2024.  In
connection with such debt financing transaction, the Company granted Deerfield a security interest in the product registration rights of the Eclat products.

(e) As part of a December 2013 debt financing transaction conducted with Broadfin Healthcare Master Fund, a related party and current shareholder, the
Company received cash of $2,200 in exchange for entering into a royalty agreement whereby the Company shall pay quarterly a 0.834% royalty on the
net sales of certain Éclat products until December 31, 2024.

(f)

In February 2016, the Company acquired all of the membership interests of FSC from Deerfield. The consideration for this transaction in part consisted
of payments totaling $1,050 annually for five years with a final payment in January 2021 of $15,000.  Substantially  all  of  FSC’s,  and  its  subsidiaries,
assets were pledged as collateral under this agreement. This obligation was assumed by the buyer as part of the disposition of the pediatrics products on
February 16, 2018. See Note 16: Divestiture of the Pediatric Assets.

At December 31, 2018, the fair value of each related party payable listed in (b), (d) and (e) above was estimated using a discounted cash flow model based on
estimated and projected annual net revenues or gross profit, as appropriate, of each of the specified Éclat products using an appropriate risk-adjusted discount
rate of 15%. These fair value measurements are based on significant inputs not observable in the market and thus represent a level 3 measurement as defined
in ASC 820. Subsequent changes in the fair value of the acquisition-related related party payables, resulting primarily from management’s revision of key
assumptions,  will  be  recorded  in  the  consolidated  statements  of  (loss)  income  in  the  line  items  entitled  “Changes  in  fair  value  of  related  party  contingent
consideration” for items noted in (b) above and in “Other expense - changes in fair value of related party payable” for items (d) and (e) above. See Note 1:
Summary of Significant Accounting Policies under the caption Acquisition-related Contingent Consideration and Financing-related Royalty Agreements for
more information on key assumptions used to determine the fair value of these liabilities. 

The Company has chosen to make a fair value election pursuant to ASC 825, “Financial Instruments” for its royalty agreements detailed in items (d) and (e)
above. These financing-related liabilities are recorded at fair market value on the consolidated balance sheets and the periodic change in fair market value is
recorded as a component of “Other expense – changes in fair value of related party payable” on the consolidated statements of (loss) income.

-80-

The following table summarizes changes to the related party payables, a recurring Level 3 measurement, for the twelve-month periods ended December 31,
2018, 2017 and 2016:

Related Party Payable:

Balance at December 31, 2015

Additions (2)

Payments of related party payable

Fair value adjustments (1)

Balance at December 31, 2016

Payments of related party payable

Fair value adjustments (1)

Balance at December 31, 2017

Payments of related party payable

Fair value adjustments (1)

Expiration of warrants

Disposition of the pediatrics assets

Balance at December 31, 2018

Balance

122,693

21,659

(30,838)

55,833

169,347

(37,311)

(33,111)

98,925

(22,951)

(24,630)

(2,167)

(20,337)

28,840

  $

  $

(1) Fair value adjustments are reported as “(Gain) loss - changes in fair value of related party contingent consideration” and “Other income (expense) - changes

in fair value of related party payable” in the consolidated statements of (loss) income.  

(2) Relates to the acquisition of FSC. See items (c) and (f) above.

NOTE 12: Income Taxes 

The components of (loss) income before income taxes for the years ended twelve months ended December 31, are as follows: 

(Loss) Income Before Income Taxes:

2018

2017

2016

Ireland

United States

France

Total (loss) income before income taxes

  $

  $

(42,604)   $

(70,340)  

(253)  

(113,197)   $

(3,123)   $

92,754  

3,029  

92,660   $

The income tax provision consists of the following for the years ended December 31:  

 Income Tax (Benefit) Provision:

2018

2017

2016

Current:

United States - Federal

United States - State

France

Total current

Deferred:

United States - Federal

United States - State

France

Total deferred

  $

—   $

330  

—  

330  

(19,503)  

1,280  

—  

(18,223)  

18,064   $

331  

265  

18,660  

4,686  

1,043  

—  

5,729  

(22,866)

32,786

(19,638)

(9,718)

30,738

1,081

5,267

37,086

(6,443)

(23)

938

(5,528)

Income tax (benefit) provision

  $

(17,893)   $

24,389   $

31,558

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The reconciliation between Domestic income taxes at the statutory rate and the Company’s (benefit) provision for income taxes is as follows for the years
ended December 31: 

 Reconciliation to Effective Income Tax Rate:

2018

2017

2016

Statutory tax rate

Differences in international tax rates

Nondeductible changes in fair value of contingent consideration

Income tax deferred charge

Change in valuation allowances

Nondeductible stock-based compensation

Cross border merger

Unrealized tax benefits

State and local taxes (net of federal)

Change in U.S. tax law

Nondeductible interest expense

Other

Effective income tax rate

12.5 %  

8.0 %  

4.0 %  

— %  

(5.3)%  

(1.3)%  

— %  

(1.3)%  

(0.3)%  

(0.2)%  

(1.1)%  

0.7 %  

15.7 %

Income tax (benefit) provision - at statutory tax rate

  $

(14,149)

  $

Differences in international tax rates

Nondeductible changes in fair value of contingent consideration

Income tax deferred charge

Change in valuation allowances

Nondeductible stock-based compensation

Cross-border merger

Unrecognized tax benefits

State and local taxes (net of federal)

Change in U.S. tax law

Nondeductible interest expense

Other

(9,039)

(4,559)

—  

5,998

1,499

—  

1,440

299

274

1,269

(925)

Income tax (benefit) provision - at effective income tax rate

  $

(17,893)

  $

12.5 %  

22.2 %  

(11.6)%  

— %  

(0.7)%  

(0.4)%  

0.3 %  

1.4 %  

0.3 %  

3.8 %  

— %  

(1.5)%  

26.3 %

  $

11,582

20,557

(10,779)

—  

(610)

(375)

265

1,296

252

3,513

—  

(1,312)

24,389

  $

12.5 %

(31.9)%

(165.0)%

(9.7)%

11.8 %

(14.8)%

(100.6)%

(15.2)%

(9.6)%

— %

— %

(2.3)%

(324.8)%

(1,215)

3,097

16,036

938

(1,143)

1,436

9,773

1,475

934

—

—

227

31,558

In 2018, the income tax provision decreased by $42,282 when compared to the same period in 2017. The decrease in the income tax provision was primarily
driven  by  a  significant  reduction  in  the  amount  of  taxable  income  recorded  in  the  U.S.  and  Ireland  in  2018,  when  compared  to  2017.  There  was  also  a
significant increase in valuation allowance in 2018, when compared to the same period in 2017 as a result of the decrease in taxable income in Ireland. In
2018, there was a significant decrease in amounts related to change in U.S. tax law due to the 2017 U.S. Tax Cuts and Jobs Act.

In 2017, the income tax provision decreased by $7,169 when compared to the same period in 2016. The decrease in the income tax provision was primarily
driven by a significant reduction in the amount of taxable income recorded in the U.S. in 2017, when compared to 2016. In 2017, the Company did not incur
any significant additional income tax provision associated with the Cross-Border Merger as a majority of the transaction was completed in 2016. In 2017, the
Company recorded $3,513 of tax provision associated with the U.S. Tax Cuts and Jobs Act signed into law in the U.S. in December of 2017.

Unrecognized Tax Benefits

The Company or one of its subsidiaries files income tax returns in Ireland, France, U.S. and various states. With few exceptions, the Company is no longer
subject  to  Irish,  French,  U.S.  Federal,  and  state  and  local  examinations  for  years  before  2014.  The  Internal  Revenue  Service  (IRS)  commenced  an
examination  of  the  Company's  U.S.  income  tax  return  for  2015  in  the  4th  quarter  of  2016.  The  French  tax  authority  commenced  an  examination  of  the
Company's French tax return for 2017 in the first quarter of 2019.

-82-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The following table summarizes the activity related to the Company’s unrecognized tax benefits for the twelve months ended December 31:

 Unrecognized Tax Benefit Activity

2018

2017

2016

Balance at January 1:

Additions based on tax positions related to the current year

Increases (decreases) for tax positions of prior years

Balance at December 31:

  $

  $

3,954   $

1,087  

274  

5,315   $

1,686   $

2,268  

—  

3,954   $

448

1,578

(340)

1,686

The Company does not expect within the next twelve months, as a result of activities performed in various jurisdictions, that the unrecognized tax benefits
will change. However, interest and penalties could change by up to $500.

At December 31, 2018, 2017, and 2016, there are $4,597, $3,349, and $1,565 of unrecognized tax benefits that if recognized would affect the annual effective
tax rate.

The Company recognizes interest and penalties accrued related to unrecognized tax benefits in income tax expense. During the years ended December 31,
2018, 2017, and 2016, the Company recognized approximately $725, $304, and $26 in interest and penalties. The Company had approximately $1,057, and
$331 for the payment of interest and penalties accrued at December 31, 2018, and 2017, respectively.

Deferred Tax Assets (Liabilities) 

Deferred income tax provisions reflect the effect of temporary differences between consolidated financial statement and tax reporting of income and expense
items. The net deferred tax assets/liabilities at December 31, 2018 and 2017 resulted from the following temporary differences: 

 Net Deferred Tax Assets and Liabilities:

2018

2017

Deferred tax assets:

Net operating loss carryforwards

Amortization

Stock based compensation

Fair value royalty agreements

Fair value contingent consideration

Other

Gross deferred tax assets

Deferred tax liabilities:

Amortization

Accounts receivable

Prepaid expenses

Gross deferred tax liabilities

Less: valuation allowances

Net deferred tax assets

  $

  $

19,510   $

20,642  

4,587  

—  

384  

479  

45,602  

(308)  

(661)  

(405)  

(1,374)

(21,199)  

23,029   $

9,831

7,563

4,375

635

870

406

23,680

(2,419)

(936)

(1,094)

(4,449)

(15,354)

3,877

At  December  31,  2018,  the  Company  had  $72,453  of  net  operating  losses  in  Ireland  and  $3,259  of  net  operating  losses  in  France  that  do  not  have  an
expiration  date  and  $25,840  of  net  operating  losses  and  carryforwards  in  the  U.S.  Of  the  $25,840  of  net  operating  losses  and  carryforwards  in  the  U.S.,
$10,365 were acquired due to the acquisition of FSC in 2016 and $15,475 is due to the losses and carryforwards generated at U.S. Holdings in 2018.  The
portion due to the acquisition of FSC will expire in 2034 through 2035.  A valuation allowance is recorded if, based on the weight of available evidence, it is
more likely than not that a deferred tax asset will not be realized. This assessment is based on an evaluation of the level of historical taxable income and
projections for future taxable income. While the Company believes it is more likely than not that it will be able to realize the deferred tax assets in the U.S.,
the  Company  continues  to  monitor  changes  in  the  U.S.  hospital  products  market  as  unfavorable  changes  could  ultimately  impact  our  assessment  of  the
realizability of our U.S. deferred tax assets. The U.S. net operating losses

-83-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
are  subject  to  an  annual  limitation  as  a  result  of  the  FSC  acquisition  under  Internal  Revenue  Code  Section  382  and  may  not  be  fully  utilized  before  they
expire.

We recorded a valuation allowance against all of our net operating losses in Ireland and France as of both December 31, 2018, and December 31, 2017. We
intend to continue maintaining a full valuation allowance on the Irish and French net operating losses until there is sufficient evidence to support the reversal
of all or some portion of these allowances.

At  December  31,  2018,  the  Company  has  unremitted  earnings  of  $2,798  outside  of  Ireland  as  measured  on  a  U.S.  GAAP  basis.  Whereas the measure of
earnings for purposes of taxation of a distribution may be different for tax purposes, these earnings, which are considered to be invested indefinitely, would
become subject to income tax if they were remitted as dividends or if the Company were to sell our stock in the subsidiaries, net of any prior income taxes
paid. It is not practicable to estimate the amount of deferred tax liability on such earnings, if any.

Research and Development Tax Credits Receivable 

The  French  and  Irish  governments  provide  tax  credits  to  companies  for  spending  on  innovative  R&D.  These  credits  are  recorded  as  an  offset  of  R&D
expenses and are credited against income taxes payable in years after being incurred or, if not so utilized, are recoverable in cash after a specified period of
time, which may differ depending on the tax credit regime. As of December 31, 2018, the Company’s research tax credit receivable, net amounts to $7,555
and  represents  a  French  gross  research  tax  credit  of  $6,922  and  an  Irish  gross  research  tax  credit  of  $633. As  of  December  31,  2017,  the  Company’s  net
research tax credit receivable amounted to $5,272 and represented a French gross research tax credit of $4,754 and an Irish gross research tax credit of $518.

Income Tax Deferred Charge 

On December 16, 2014, we transferred all of our intangible intellectual property from our French entity to our Irish entity as part of a global reorganization.
The  intellectual  property  includes  patents  on  drug  delivery  platforms,  clinical  data  sets  and  other  intangible  assets  related  to  the  pipeline  of  proprietary
products in development. This intra-entity transaction resulted in a charge of $14,088 of related taxes to the French government in December 2014. As this
represents an intra-entity transaction, no deferred tax asset was originally recognized, but rather was recorded as $986 of prepaid expenses and $13,102 of a
long-term income tax deferred charge asset in accordance with ASC 740-10-25-3 (e). This income tax deferred charge asset is amortized over the tax life of
the asset at a rate of 7% per year and will result in tax relief in Ireland of $8,500 from 2016 to 2029, subject to the ability to realize tax benefits for additional
deductions. At December 31, 2016, the balance of these respective accounts was classified as prepaid expenses of $814 and income tax deferred charge asset
of $10,342. In 2017, the Company adopted the provisions of ASU 2016-16, related to Intra-Entity Transfers of Assets Other Than Inventory. Adoption  of
ASU 2016-16 eliminated the $11,156 income tax deferred charge recorded within the consolidated balance sheet as of December 31, 2016. In addition to the
elimination of the income tax deferred charge, the Company recorded a deferred tax asset of $7,954 related to the remaining unamortized tax basis of the
intangible intellectual property. A full valuation allowance was recorded against the deferred tax asset as sufficient evidence does not exist at this time that the
Company will be able to utilize these benefits.

Cross-Border Merger

In 2016, we changed our jurisdiction of incorporation from France to Ireland by merging with and into our wholly owned Irish subsidiary. Information about
the reincorporation was included in the definitive proxy statement filed with the Securities and Exchange Commission on July 5, 2016. Prior to the merger,
the Company submitted a request to the French tax authorities seeking to benefit from a special regime for mergers and demergers, conditional upon a formal
consent of the French tax authority, which would allow for the deferral of a portion of the tax cost of the cross-border merger. In 2017, the Company received
a  letter  from  the  French  tax  authorities  indicating  that  our  request  to  benefit  from  the  special  regime  had  been  declined.  Completion  of  the  cross-border
merger resulted in the recognition of a net income tax provision of $4,266, after considering tax benefits from the utilization of current and prior year French
net operating losses. The Company was able to utilize $4,266 of French research and development tax credits to offset the remaining cost of the transaction.
The Company also removed $111,495 of French net operating losses as the carryforward of these losses was contingent on receiving favorable consent from
the  French  tax  authority.  The  French  net  operating  losses  had  a  full  valuation  allowance,  resulting  in  no  impact  to  the  income  tax  provision  from  their
removal.

2017 Tax Cuts and Jobs Act

On  December  22,  2017,  the  U.S.  government  enacted  the  Tax  Cuts  and  Jobs  Act  (the  “Tax  Act”).  The  Tax  Act  includes  significant  changes  to  the  U.S.
corporate income tax system including: a federal corporate rate reduction from 35% to 21%; limitations on the deductibility of interest expense and executive
compensation; creation of the base erosion anti-abuse tax (“BEAT”) and a new minimum tax.  As a result of the Act being signed into law, the Company
recognized  a  charge  of  $274  and  $3,513  in  2018  and  2017,  respectively,  related  to  the  re-measurement  of  its  U.S.  net  deferred  tax  assets  and  certain
unrecognized tax benefits at the lower enacted corporate tax rates. A majority of the provisions in the Tax Act are effective January 1, 2018. 

-84-

NOTE 13: Post-Retirement Benefit Plans 

Post-Retirement Benefit Contributions to French Government Agencies 

The Company is required by French law for our French employees to deduct specific monthly payroll amounts to support post-retirement benefit programs
sponsored by the relevant government agencies in France. As the ultimate obligation is maintained by the French government agencies, there is no additional
liability recorded by the Company in connection with these plans. (Income) expenses recognized for these plans were $(69) in 2018, $123 in 2017, and $348
in  2016.  The  2018  and  2017  pension  expense  does  not  include  the  retirement  indemnity  curtailment  gains  of  $148  and  $717,  respectively,  which  was
associated with the reduction of certain defined benefit retirement plan liabilities due to the reduction in force. See Note 17: Restructuring Costs - France for
more discussion.

Retirement Indemnity Obligation – France 

French  law  requires  the  Company  to  provide  for  the  payment  of  a  lump  sum  retirement  indemnity  to  French  employees  based  upon  years  of  service  and
compensation  at  retirement.  The  retirement  indemnity  has  been  actuarially  calculated  on  the  assumption  of  voluntary  retirement  at  a  government-defined
retirement  age.  Benefits  do  not  vest  prior  to  retirement.  Any  actuarial  gains  or  losses  are  recognized  in  the  Company’s  consolidated  statements  of  (loss)
income in the periods in which they occur. 

The benefit obligation is calculated as the present value of estimated future benefits to be paid, using the following assumptions for the years ended December
31: 

Retirement Benefit Obligation Assumptions:

2018

2017

2016

Compensation rate increase

Discount rate

Employee turn-over

Average age of retirement

2.75%  

1.50%  

3.00%  

1.25%  

3.00%

1.31%

Actuarial standard and average of the last 5 years

60 to 65 years actuarial standard based on age and professional status

Certain actuarial assumptions, such as discount rate, have a significant effect on the amounts reported for net periodic benefit cost and accrued retirement
indemnity  benefit  obligation  amounts.  The  discount  rate  is  determined  annually  by  benchmarking  a  published  long-term  bond  index  using  the  iBoxx  €
Corporates AA 10+ index. 

Changes in the funded status of the retirement indemnity benefit plans were as follows for the years ended December 31: 

Retirement Benefit Obligation Activity:

2018

2017

Retirement indemnity benefit obligation, beginning of year

  $

1,303   $

Service cost

Interest cost

Plan amendment

Benefits paid

Curtailment gain

Actuarial loss

Exchange rate changes

Retirement indemnity benefit obligation, end of year

93  

17  

—  

(12)  

(148)  

(178)  

(51)  

  $

1,024   $

2,431

132

21

(829)

—

(717)

(25)

290

1,303

The  lump  sum  retirement  indemnity  is  accrued  on  the  Company’s  consolidated  balance  sheets  within  non-current  other  liabilities,  excluding  the  current
portion. As these are not funded benefit plans, there are no respective assets recorded. 

-85-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The future expected benefits to be paid over the next five years and for the five years thereafter is as follows for the years ended December 31: 

Future Retirement Indemnity Benefit Obligation:

Balance

2019

2020

2021

2022

2023

Next five years

Total

  $

  $

NOTE 14: Other Assets and Liabilities 

Various other assets and liabilities are summarized for the years ended December 31, as follows: 

Prepaid Expenses and Other Current Assets:

2018

2017

Valued-added tax recoverable

Prepaid and other expenses

Guarantee from Armistice (see Note 16)

Income tax receivable

Research and development tax credit receivable

Short-term deposit

Other

Total

Other Non-Current Assets:

Deferred tax assets

Long-term deposits

Guarantee from Armistice (see Note 16)

Right of use assets at contract manufacturing organizations

Other

Total  

Accrued Expenses:

Accrued compensation

Accrued social charges

Accrued restructuring (see Note 17)

Customer allowances

Accrued ELAA payment

Accrued contract research organization charges

Accrued contract manufacturing organization costs

Accrued contract sales organization and marketing costs

Other

Total

  $

  $

  $

  $

  $

1,378   $

2,145  

534  

921  

283  

3,350  

225  

8,836   $

2018

2017

23,029   $

1,477  

5,697  

5,894  

49  

36,146   $

2018

2017

3,971   $

1,009  

879  

6,541  

—  

1,000  

2,028  

3,469  

2,798  

  $

21,695

$

-86-

—

—

—

17

—

158

175

1,206

7,106

—

518

—

—

128

8,958

3,877

3,350

—

2,909

113

10,249

3,157

1,204

1,000

10,613

20,000

156

2,327

7,641

4,828

50,926

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Other Non-Current Liabilities:

2018

2017

Provision for retirement indemnity

Customer allowances

Unrecognized tax benefits

Guarantee to Deerfield (see Note 16)

Other

Total

NOTE 15: Contingent Liabilities and Commitments 

Litigation  

  $

  $

1,024   $

1,352  

5,315  

5,717  

594  

14,002   $

1,303

1,636

3,954

—

191

7,084

The Company is subject to potential liabilities generally incidental to our business arising out of present and future lawsuits and claims related to product
liability,  personal  injury,  contract,  commercial,  intellectual  property,  tax,  employment,  compliance  and  other  matters  that  arise  in  the  ordinary  course  of
business. The Company accrues for potential liabilities when it is probable that future costs (including legal fees and expenses) will be incurred and such costs
can be reasonably estimated. At December 31, 2018 and December 31, 2017, there were no contingent liabilities with respect to any litigation, arbitration or
administrative or other proceeding that are reasonably likely to have a material adverse effect on the Company’s consolidated financial position, results of
operations, cash flows or liquidity.  

Some of the patents covering our NoctivaTM product (the “Noctiva Patents”) are the subject of litigation initiated by Ferring Pharmaceuticals Inc. and two of
its  foreign  affiliates,  who  manufacture  a  competing  product  known  as  Nocdurna.    Nocdurna  was  approved  by  the  FDA  in  June  2018  and  commercially
launched in the U.S. in November 2018.  In this litigation (the “Ferring Litigation”), Ferring seeks to invalidate and disputes the inventorship of the Noctiva
Patents,  seeks  damages  for  various  alleged  breaches  of  contractual  and  common  law  duties,  and  seeks  damages  for  alleged  infringement  by  NoctivaTM  of
Ferring’s  “Nocdurna”  trademark.    Avadel’s  indirectly  wholly  owned  subsidiary,  Specialty  Pharma  and  certain  other  parties  including  Serenity
Pharmaceuticals, LLC (“Serentiy”) (the licensor of the Noctiva Patents) have been actively defending this litigation, and have made certain counterclaims
against  Ferring,  including  for  infringement  of  the  Noctiva  Patents  and  a  declaratory  judgment  of  noninfringement  with  respect  to  Ferring’s  “Nocdurna”
trademark. The court has dismissed Ferring’s inventorship claim and its claims for alleged breaches of contractual and common law duties, although these
dismissals may be appealed by Ferring.  On February 15, 2019, Specialty Pharma and its co-defendants moved to stay the litigation pending completion of the
bankruptcy proceeding of Specialty Pharma. Adverse outcomes from this litigation could have material adverse effects on the value of the Specialty Pharma’s
license to NoctivaTM.

On January 21, 2019, Serenity provided notice to Specialty Pharma of an alleged breach of the parties’ Noctiva license agreement. Serenity alleges principally
that  Specialty  Pharma  breached  its  contractual  obligation  to  devote  commercially  reasonable  efforts  to  the  commercialization  of  Noctiva  and  seeks
unspecified damages. On January 27, 2019, Specialty Pharma notified Serenity of a claim for $1.7 million in damages as a result of Serenity’s breach of its
contractual obligation to pay the costs of the Ferring Litigation. Serenity’s notice to Specialty Pharma invoked the dispute resolution provisions of the Noctiva
license  agreement,  which  culminate  in  arbitration,  but  neither  party  has  yet  initiated  an  arbitration  proceeding  or  filed  suit.  Adverse  outcomes  from  this
potential litigation could have material adverse effects on the financial position of Specialty Pharma.

On  February  6,  2019,  Specialty  Pharma  commenced  a  Chapter  11  bankruptcy  case  under  the  U.S.  Bankruptcy  Code  to  fulfill  its  strategic  objective  of
divesting from the business of marketing and distributing Noctiva™. As a result of the commencement of the bankruptcy case, all pending litigation against
Specialty Pharma is automatically stayed and will remain stayed during the pendency of the Chapter 11 case unless and until the bankruptcy court enters an
order  modifying  or  lifting  the  stay.  The  automatic  stay  of  the  bankruptcy  code  also  precludes  the  commencement  of  any  new  litigation  against  Specialty
Pharma unless the bankruptcy court orders otherwise. See Part I, Item 3 of this Annual Report on Form 10-K for more discussion.

-87-

 
 
 
   
 
 
 
 
 
 
 
     
Material Commitments  

At  December  31,  2018,  the  Company  has  various  commitments  to  purchase  finished  product  from  customers.  Commitments  for  these  arrangements,  at
maximum quantities and at contractual prices over the remaining life of the contract, and excluding any waived commitments, are as follows for the years
ended December 31:

Purchase Commitments:

Balance

2019

2020

2021

2022

2023

Thereafter

Total

  $

  $

10,754

5,948

4,880

4,880

220

—

26,682

The  Company  also  has  a  commitment  with  a  contract  manufacturer  related  to  the  construction  and  preparation  of  a  production  suite  at  the  contract
manufacturer’s facility, which is substantially complete at December 31, 2018. Subsequent to the initial build and preparation of the production suite, this
commitment  also  includes  annual  production  suite  fees  of  approximately  $3,000  to  $4,000  which  would  commence  at  the  time  of  FDA  approval  of  the
product and continue thereafter for five years. These amounts are not included in the table above, as the start date has not been determined.

Included in the purchase commitments above, is approximately $15,308 of an obligation of Specialty Pharma, which on February 6, 2019, filed for Chapter
11 bankruptcy protection.

For the year ended December 31, 2018, the Company paid $9,965 related to the above purchase commitments.

The Company and our subsidiaries lease office facilities under noncancelable operating leases expiring at various dates. Rent expense, net of rental income,
was $1,213, $1,146 and $970 in 2018, 2017, and 2016, respectively. Minimum rental commitments for non-cancelable leases in effect at December 31, 2018
are as follows:

Lease Commitment:

Balance

2019

2020

2021

2022

2023

Thereafter

Total

  $

  $

1,191

1,208

1,008

767

695

967

5,836

Other than the above commitments, there were no other material commitments outside of the normal course of business. Material commitments in the normal
course of business include long-term debt, long-term related party payable, and post-retirement benefit plan obligations which are disclosed in Note 10: Long-
Term Debt, Note 11: Long-Term Related Party Payable, and Note 13: Post-Retirement Benefit Plans, respectively.

-88-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Contractual Obligations

The following table presents contractual obligations of the Company at December 31, 2018: 

Contractual Obligations:

Long-term debt and interest

Long-term related party payable 
(undiscounted)

Purchase commitments

Operating leases

Total

Less than
1 Year

1 to 3
Years

3 to 5
Years

More than
5 Years

Payments Due by Period

  $

173,009   $

6,575   $

12,981   $

153,453   $

—

51,284  

26,682  

5,836  

9,439  

10,754  

1,191  

8,713  

10,828  

2,217  

7,250  

5,100  

1,461  

25,882

—

967

Total contractual cash obligations

  $

256,811   $

27,959   $

34,739   $

167,264   $

26,849

Included  in  the  purchase  commitments  total  above,  is  approximately  $15,308  of  an  obligation  of  Specialty  Pharma,  which  on  February  6,  2019,  filed  for
Chapter 11 bankruptcy protection.

NOTE 16: Divestiture of the Pediatric Assets

On  February  12,  2018,  the  Company,  together  with  its  subsidiaries Avadel  Pharmaceuticals  (USA),  Inc.,  Avadel  Pediatrics,  Inc.,  FSC  Therapeutics,  LLC
(“FSC Therapeutics”), and Avadel US Holdings, Inc. (“Holdings”), as the “Sellers,” entered into an asset purchase agreement (the “Purchase Agreement”)
with  Cerecor,  Inc.  (“Cerecor”).  The  transaction  closed  on  February  16,  2018  wherein  Cerecor  purchased  from  the  Sellers  four  pediatric  commercial  stage
assets – Karbinal™ ER, Cefaclor, Flexichamber™ and AcipHex® Sprinkle™, together with certain associated business assets – which were held by FSC. 
The  Company  acquired  FSC  in  February  2016  from  Deerfield  and  certain  of  its  affiliates.  Pursuant  to  the  Purchase  Agreement,  Cerecor  assumed  the
Company’s    remaining  payment  obligations  to  Deerfield  under  the  Membership  Interest  Purchase  Agreement,  dated  as  of  February  5,  2016,  between
Holdings, Flamel Technologies SA (the predecessor of the Company) and Deerfield and certain of its affiliates, which payment obligations consisted of the
following (collectively, the “Assumed Obligations”): (i) a quarterly payment of $263 beginning in July 2018 and ending in October 2020, amounting to an
aggregate payment obligation of $2,625; (ii) a payment in January 2021 of $15,263; and (iii) a quarterly royalty payment of 15% on net sales of the FSC
products  through  February  5,  2026  (“FSC  Product  Royalties”),  in  an  aggregate  amount  of  up  to  approximately  $10,300.    Cerecor  also  assumed  certain
contracts and other obligations related to the acquired assets, and in that connection Holdings agreed to pay Cerecor certain make-whole payments associated
with obligations Cerecor is assuming related to a certain supply contract related to Karbinal™ ER.

In conjunction with the divestiture, the Company also entered into the following arrangements:

License and Development Agreement

Also,  in  connection  with  the  closing  under  the  Purchase  Agreement,  Flamel  Ireland  Limited,  an  Irish  limited  company  operating  under  the  trade
name  of  Avadel  Ireland  (“Avadel  Ireland”)  and  a  wholly-owned  subsidiary  of  the  Company,  and  Cerecor  entered  into  a  license  and  development
agreement (the “License and Development Agreement”) pursuant to which, among other things:

•

•

•

•

Avadel Ireland will provide Cerecor with four product formulations utilizing Avadel Ireland’s LiquiTime™ technology, and will complete
pilot bioequivalence studies for such product formulations within 18 months;

Cerecor will reimburse Avadel Ireland for development costs of the four LiquiTime™ products in excess of $1,000 in the aggregate;

Upon transfer of the four product formulations, Cerecor will assume all remaining development costs and responsibilities for the product
development, clinical studies, NDA applications and associated filing fees; and

Upon regulatory approval and commercial launch of any LiquiTime™ products, Cerecor will pay Avadel Ireland quarterly royalties based
on a percentage of net sales of any such products in the mid-single digit range.

-89-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Deerfield Guarantee

In connection with the closing under the Purchase Agreement, the Company and Holdings provided their guarantee (the “Deerfield Guarantee”) in
favor  of  Deerfield.  Under  the  Deerfield  Guarantee,  the  Company  and  Holdings  guaranteed  to  Deerfield  the  payment  by  Cerecor  of  the  Assumed
Obligations  under  the  Membership  Interest  Purchase  Agreement  between  the  Company  and  Deerfield  dated  February  5,  2016.  The  Assumed
Obligations  include  (i)  a  quarterly  payment  of  $263  beginning  in  July  2018  and  ending  in  October  2020,  amounting  to  an  aggregate  payment
obligation  of  $2,625;  (ii)  a  payment  in  January  2021  of  $15,263;  and  (iii)  a  quarterly  royalty  payment  of  15%  on  net  sales  of  the  FSC  products
through  February  6,  2026  (“FSC  Product  Royalties”),  in  an  aggregate  amount  of  up  to  approximately  $10,300.  In  addition,  under  the  Deerfield
Guarantee, the Company and Holdings guaranteed that Deerfield would receive certain minimum annual FSC Product Royalties through February 6,
2026 (the “Minimum Royalties”). Given the Company’s explicit guarantee to Deerfield, the Company recorded the guarantee in accordance with
ASC 460. A valuation was performed, which was based largely on an analysis of the potential timing of each possible cash outflow described above
and the likelihood of Cerecor’s default on such payments assuming an S&P credit rating of CCC+. The result of this valuation identified a guarantee
liability of $6,643. This liability is being amortized proportionately based on undiscounted cash outflows through the remainder of the contract with
Deerfield. At December 31, 2018, the carrying value of this liability was $6,253.

Armistice Guarantee

In connection with the closing under the Purchase Agreement, Armistice Capital Master Fund, Ltd., the majority shareholder of Cerecor, guaranteed
to  Holdings  the  payment  by  Cerecor  of  the  Assumed  Obligations,  including  the  Minimum  Royalties.  A  valuation  of  the  guarantee  asset  was
performed in accordance with ASC 460 “Guarantees” and a guarantee asset of $6,620 was recorded. This asset is being amortized proportionately
based on undiscounted cash outflows through the remainder of the contract with Deerfield noted above. At December 31, 2018, the carrying value of
this asset was $6,231.

The fair values of the Avadel guarantee to Deerfield and the guarantee received by Avadel from Armistice largely offset and when combined are not
material.

Based  on  management’s  review  of  ASU  2014-08,  “Reporting  Discontinued  Operations  and  Disclosures  of  Disposals  of  Components  of  an  Entity”,  the
disposition of our pediatric assets and related liabilities did not qualify for discontinued operations reporting. Our results of operations for the period January
1, 2018 through February 16, 2018 and for the years ended December 31, 2017 and 2016 include the results of FSC, prior to its February 16, 2018 disposition
date.

The net impact of this transaction was not material to the consolidated statements of (loss) income.

NOTE 17: Restructuring Costs - France

During the first quarter of 2017, the Company announced a plan to reduce our workforce at our Venniseux, France site by approximately 50%.  This reduction
is an effort to align the Company’s cost structure with our ongoing and future planned projects. In July 2017, the Company completed negotiations with the
works council for our French operations and received approval from the French Labor Commission (DIRECCTE) to implement the plan. The reduction is
substantially complete at December 31, 2018. Restructuring charges for the year ended December 31, 2018 of $1,016, include a provision related to a dispute
with severed employees of $776 related to severance benefits and is also net of the curtailment gain of $148.  Restructuring charges of $2,542 for the year
ended December 31, 2017, are net of the curtailment gain of $717. The following table sets forth activities for the Company’s cost reduction plan obligations
for the year ended December 31, 2018:

Restructuring Obligation:

Balance of restructuring accrual at January 1,

Charges for employee severance, benefits and other

Payments

Foreign currency impact

Balance of restructuring accrual at December 31,

2018

2017

  $

  $

1,000   $

1,164  

(1,261)  

(24)  

879   $

—

3,259

(2,600)

341

1,000

The restructuring accrual at December 31, 2018 is included the consolidated balance sheet in accrued expenses.

-90-

 
 
 
 
 
NOTE 18: Equity Instruments and Stock-Based Compensation 

Capital Stock

We have 500,000 shares of authorized ordinary shares with a nominal value of $0.01 per common share. As of December 31, 2018, we had 42,720 and 37,313
shares of ordinary shares issued and outstanding, respectively. The Board of Directors is authorized to issue preferred shares in series, and with respect to
each  series,  to  fix  its  designation,  relative  rights  (including  voting,  dividend,  conversion,  sinking  fund,  and  redemption  rights),  preferences  (including
dividends  and  liquidation)  and  limitations.  We  have  50,000  shares  of  authorized  preferred  shares,  $0.01  nominal  value,  none  of  which  is  currently
outstanding.

Share Repurchases

In March 2017, the Board of Directors approved an authorization to repurchase up to $25,000 of Avadel ordinary shares represented by ADSs. Under this
authorization, which has an indefinite duration, share repurchases may be made in the open market, in block transactions on or off the exchange, in privately
negotiated  transactions,  or  through  other  means  as  determined  by  the  Board  of  Directors  and  in  accordance  with  the  regulations  of  the  Securities  and
Exchange Commission. The timing and amount of repurchases, if any, will depend on a variety of factors, including the price of our shares, cash resources,
alternative  investment  opportunities,  corporate  and  regulatory  requirements  and  market  conditions.  This  share  repurchase  program  may  be  modified,
suspended or discontinued at any time without prior notice. We may also from time to time establish a trading plan under Rule 10b5-1 of the Securities and
Exchange  Act  of  1934  to  facilitate  purchases  of  our  shares  under  this  program.  Additionally,  on  February  12,  2018,  the  Board  of  Directors  approved  an
authorization to repurchase up to $18,000 of Avadel ordinary shares represented by American Depository Shares in connection with our Convertible Notes
Offering completed on February 16, 2018. See Note 10: Long-Term Debt. In March 2018, the Board of Directors approved an authorization to repurchase up
to $7,000 of Avadel ordinary shares represented by American Depository Shares, bring the total authorization to $50,000.  As of December  31,  2018, the
Company had repurchased 5,407 ordinary shares for $49,998.

Stock-Based Compensation

Compensation expense included in the Company’s consolidated statements of (loss) income for all stock-based compensation arrangements was as follows for
the periods ended December 31: 

Stock-based Compensation Expense:

2018

2017

2016

Research and development

Selling, general and administrative

Total stock-based compensation expense

  $

  $

880   $

6,972  

7,852   $

672   $

7,400  

8,072   $

3,523

11,156

14,679

As of December 31, 2018, the Company expects $6,726 of unrecognized expense related to granted, but non-vested stock-based compensation arrangements
to be incurred in future periods. This expense is expected to be recognized over a weighted average period of 2.3 years. 

The excess tax benefit related to stock-based compensation recorded by the Company was $0 for the year ended December 31, 2018 and not material for the
years ended December 31, 2017 and 2016.

Upon exercise of stock options or warrants, or upon the issuance of restricted share awards, the Company issues new shares. 

At  December  31,  2018,  there  were  1,873,147  shares  authorized  for  stock  option  grants,  warrant  grants  and  restricted  share  award  grants  in  subsequent
periods. 

Determining the Fair Value of Stock Options and Warrants 

The Company measures the total fair value of stock options and warrants on the grant date using the Black-Scholes option-pricing model and recognizes each
grant’s fair value as compensation expense over the period that the option or warrant vests. Options are granted to employees of the Company and become
exercisable ratably over four  years  following  the  grant  date  and  expire  ten  years  after  the  grant  date.  Prior  to  2017,  warrants  were  typically  issued  to  the
Company’s Board of Directors as compensation for services rendered and generally become exercisable within one year following the grant date, and expire
four years after the grant date. Beginning in 2017, the Company issues stock options to our Board of Directors as compensation for services rendered and
generally become exercisable within one year following the grant date, and expire four years after the grant date.

The weighted-average assumptions under the Black-Scholes option-pricing model for stock option and warrant grants as of December 31, 2018, 2017  and
2016, are as follows:   

Stock Option and Warrant Assumptions:

2018

2017

2016

Stock option grants:

Expected term (years)

Expected volatility

Risk-free interest rate

Expected dividend yield

Warrant grants:

Expected term (years)

Expected volatility

Risk-free interest rate

Expected dividend yield

6.25

56.59%  

2.68%  

—  

—  

—%  

—%  

—  

6.25

58.82%  

2.20%  

—  

0

—%  

—%  

—  

6.25

58.39%

2.04%

—

2.50

60.57%

0.82%

—

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
Expected term: The expected term of the options or warrants represents the period of time between the grant date and the time the options or warrants are
either exercised or forfeited, including an estimate of future forfeitures for outstanding options or warrants. Given the limited historical data and the grant of
stock options and warrants to a limited population, the simplified method has been used to calculate the expected life. 

Expected  volatility:  The  expected  volatility  is  calculated  based  on  an  average  of  the  historical  volatility  of  the  Company’s  stock  price  for  a  period
approximating the expected term. 

Risk-free interest rate: The risk-free interest rate is based on the U.S. Treasury yield curve in effect at the time of grant and a maturity that approximates the
expected term. 

Expected  dividend  yield:  The  Company  has  not  distributed  any  dividends  since  our  inception,  and  has  no  plan  to  distribute  dividends  in  the  foreseeable
future. 

Stock Options 

A summary of the combined stock option activity and other data for the Company’s stock option plans for the year ended December 31, 2018 is as follows:   

 Stock Option Activity and Other Data:

Stock options outstanding, January 1, 2018

Granted

Exercised

Forfeited

Expired

Stock options outstanding, December 31, 2018

Stock options exercisable, December 31, 2018

Number of Stock
Options

Weighted Average
Exercise Price per
Share

Weighted Average
Remaining
Contractual Life

Aggregate
Intrinsic Value

5,041   $

138  

(82)  

(428)  

(68)  

4,601   $

3,005   $

11.34    

6.67    

6.52    

10.04    

12.41    

11.39  

11.99  

7.25 years

6.66 years

  $

  $

—

—

The aggregate intrinsic value of options exercisable at December 31, 2018, 2017 and 2016 was $0, $1,161, and $58, respectively.

The weighted average grant date fair value of options granted during the years ended December 31, 2018, 2017 and 2016 was $3.60, $5.20  and  $6.14  per
share, respectively. 

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Warrants 

A summary of the combined warrant activity and other data for the year ended December 31, 2018 is as follows:   

 Warrant Activity and Other Data:

Number of
Warrants

Weighted Average
Exercise Price per
Share

Weighted Average
Remaining
Contractual Life

Aggregate Intrinsic
Value

Warrants outstanding, January 1, 2018

894   $

16.77    

Granted

Exercised

Forfeited

Expired

Warrants outstanding, December 31, 2018

Warrants exercisable, December 31, 2018

—  

—  

—  

(298)  

596   $

596   $

—    

—    

—    

14.87    

17.72  

17.72  

1.03 years

1.03 years

  $

  $

—

—

Each  of  the  above  warrants  is  convertible  into  one  ordinary  share.  There  was  no  aggregate  intrinsic  value  of  warrants  exercised  during  the  years  ended
December 31, 2018, 2017 and 2016. 

The  weighted  average  grant  date  fair  value  of  warrants  granted  during  the  year  ended  December  31,  2016  was  $2.99  per  share.  There  were  no  warrants
granted during the years ended December 31, 2018 and 2017.

At  January  1,  2018,  an  additional  3,300  warrants  were  outstanding  and  exercisable  relative  to  consideration  paid  for  the  Company’s  acquisition  of  Éclat
Pharmaceuticals, LLC on March 13, 2012. These warrants are not considered stock-based compensation and are therefore excluded from the above tables,
and instead are addressed within Note 11: Long-Term Related Party Payable. On February 23, 2018, the related party exercised in full the warrant to purchase
2,200 ordinary shares. On March 12, 2018 the remaining warrants to purchase 1,100 ordinary shares expired.

Restricted Share Awards 

Restricted share awards represent Company shares issued free of charge to employees of the Company as compensation for services rendered. The Company
measures the total fair value of restricted share awards on the grant date using the Company’s stock price at the time of the grant. Restricted share awards
granted prior to 2016 generally cliff vest at the end of a four-year vesting period, and are expensed over a two or four-year service period. Restricted share
awards granted during 2016 are fully expensed at the date of grant as they contain no service requirement. Employees, however, have a two-year acquisition
period from grant date and are then free to trade these awards.  Restricted share awards granted during and after 2017 vest over a three-year period; two-thirds
(2/3) vesting on the second anniversary of the grant date and the remaining one-third (1/3) vesting on the third anniversary of the grant date.  Beginning in
2018,  the  Company  issues  restricted  share  awards  to  our  Board  of  Directors  vesting  over  a  three-year  period;  one-third  (1/3)  vesting  on  each  of  the  three
anniversaries of the grant date. Compensation expense for such awards granted during and after 2017 is recognized over the applicable vesting period. 

A summary of the Company’s restricted share awards as of December 31, 2018, and changes during the year then ended, is reflected in the table below. 

Restricted Share Activity and Other Data:

  Number of Restricted Share Awards

Weighted Average Grant Date
Fair Value

Non-vested restricted share awards outstanding, January 1, 2018

Granted

Vested

Forfeited

Non-vested restricted share awards outstanding, December 31, 2018

819   $

279  

(548)  

(59)  

491   $

11.51

5.87

12.78

8.95

7.20

The weighted average grant date fair value of restricted share awards granted during the years ended December 31, 2018, 2017 and 2016 was $5.87, $8.95
and $12.11, respectively.

-92-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
  
Employee Share Purchase Plan

In  2017,  the  Board  of  Directors  approved  of  the  Avadel  Pharmaceuticals  plc  2017  Avadel  Employee  Share  Purchase  Plan  (“ESPP”).  The total number of
Company ordinary shares, nominal value $0.01 per share, or ADSs representing such ordinary shares (collectively, “Shares”) which may be issued under the
ESPP is 1,000. The purchase price at which a Share will be issued or sold for a given offering period will be established by the Compensation Committee of
the Board (“Committee”) (and may differ among participants, as determined by the Committee in its sole discretion) but will in no event be less than 85% of
the lesser of: (a) the fair market value of a Share on the offering date; or (b) the fair market value of a Share on the purchase date. As of December 31, 2018,
the Company has issued 25 ordinary shares to employees.

NOTE 19: Net (Loss) Income Per Share 

Basic  net  (loss)  income  per  share  is  calculated  by  dividing  net  (loss)  income  by  the  weighted  average  number  of  shares  outstanding  during  each  period.
Diluted net (loss) income per share is calculated by dividing net (loss) income by the diluted number of shares outstanding during each period. Except where
the result would be anti-dilutive to net (loss) income, diluted net (loss) income per share would be calculated assuming the impact of the conversion of the
2023 Notes, the exercise of outstanding equity compensation awards, ordinary shares expected to be issued under our employee stock purchase plan (“ESPP”)
and the exercise of contingent consideration warrants, all which have been exercised or have expired during the first quarter of 2018.

We have a choice to settle the conversion obligation under the 2023 Notes in cash, shares or any combination of the two. We utilize the if-converted method
to reflect the impact of the conversion of the 2023 Notes, unless the result is anti-dilutive. This method assumes the conversion of the 2023 Notes into shares
of our ordinary shares and reflects the elimination of the interest expense related to the 2023 Notes.

The dilutive effect of the warrants, stock options, RSU’s and ordinary shares expected to be issued under or ESPP has been calculated using the treasury stock
method.

A reconciliation of basic and diluted net (loss) income per share, together with the related shares outstanding in thousands for the years ended December 31,
is as follows:   

Net (Loss) Income Per Share:

Net (loss) income

Weighted average shares:

Basic shares

Effect of dilutive securities—employee and director equity awards outstanding and 2023
Notes

Diluted shares

Net (loss) income per share - basic

Net (loss) income per share - diluted

2018

2017

2016

  $

(95,304)   $

68,271   $

(41,276)

37,325  

—

37,325  

40,465  

1,300

41,765  

  $

  $

(2.55)   $

(2.55)   $

1.69   $

1.63   $

41,248

—

41,248

(1.00)

(1.00)

Potential common shares of 17,529, 6,368, and 8,564 were excluded from the calculation of weighted average shares for the years ended December 31, 2018,
2017 and 2016, respectively, because their effect was considered to be anti-dilutive. For the years ended December 31, 2018 and 2016, the effects of dilutive
securities were entirely excluded from the calculation of net (loss) income per share as a net loss was reported in these periods. 

-93-

 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
   
   
   
 
NOTE 20: Comprehensive (Loss) Income 

The following table shows the components of accumulated other comprehensive (loss) income for the twelve months ended December 31, net of immaterial
tax effects:

Accumulated Other Comprehensive (Loss) Income:

2018

2017

2016

Foreign currency translation adjustment:

Beginning balance

Net other comprehensive (loss) income

Balance at December 31,

  $

(23,202)   $

(419)  

(23,621)

(23,336)   $

134  

(23,202)

Unrealized gain (loss) on marketable securities, net

Beginning balance

Net other comprehensive income, net of ($18), $28, $16, tax, respectively

Balance at December 31,

(64)  

269  

205

(229)  

165  

(64)

(22,312)

(1,024)

(23,336)

(345)

116

(229)

Accumulated other comprehensive loss at December 31,

  $

(23,416)

$

(23,266)

$

(23,565)

NOTE 21: Company Operations by Product, Customer and Geographic Area 

The  Company  has  determined  that  we  operate  in  one  segment,  the  development  and  commercialization  of  pharmaceutical  products,  including  controlled-
release therapeutic products based on our proprietary polymer based technology. The Company’s Chief Operating Decision Maker is the interim CEO. The
interim  CEO  reviews  profit  and  loss  information  on  a  consolidated  basis  to  assess  performance  and  make  overall  operating  decisions  as  well  as  resource
allocations. All products are included in one segment because the Company’s products have similar economic and other characteristics, including the nature
of the products and production processes, type of customers, distribution methods and regulatory environment. 

The following table presents a summary of total revenues by these products for the twelve months ended December 31, 2018, 2017, and 2016: 

 Revenue by Product:

2018

2017

2016

Bloxiverz

Vazculep

Akovaz

Noctiva

Other

Total product sales

License revenue

Total revenues

  $

20,850   $

45,596   $

42,916  

33,759  

1,204  

2,694  

101,423  

1,846  

38,187  

80,617  

—  

8,441  

172,841  

404  

  $

103,269   $

173,245   $

82,896

39,796

16,831

—

7,699

147,222

3,024

150,246

Concentration of credit risk with respect to accounts receivable is limited due to the high credit quality comprising a significant portion of the Company’s
customers.  Management  periodically  monitors  the  creditworthiness  of  our  customers  and  believes  that  we  have  adequately  provided  for  any  exposure  to
potential credit loss.

-94-

 
 
 
 
 
 
 
   
 
 
 
   
   
   
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
The following table presents a summary of total revenues by significant customer for the twelve months ended December 31, 2018, 2017, and 2016: 

Revenue by Significant Customer:

2018

2017

2016

Customer A

Customer B

Customer C

Customer D

Others

Total product sales

License revenue

Total revenues

  $

26,794   $

44,762   $

25,413  

18,620  

9,653  

20,943  

101,423  

1,846  

37,965  

25,691  

53,342  

11,081  

172,841  

404  

  $

103,269   $

173,245   $

51,648

39,359

30,916

17,728

7,571

147,222

3,024

150,246

As of December 31, 2018,  the  Company  had  four  customers,  each  of  which  are  substantial  wholesale  distributors,  and  accounted  for  10%  or  more  of  the
accounts receivable balance. One customer accounted for 32%, or $3,571, a second customer accounted for 24% or $2,755, a third customer accounted for
24% or $2,789, and a fourth customer accounted for 10% or $1,174. As of December 31, 2018, the Company had no significant past due account receivable
balances.

The following table summarizes revenues by geographic region for the twelve months ended December 31, 2018, 2017, and 2016:

Revenue by Geographic Region:

2018

2017

2016

United States

Ireland

Total revenues

  $

  $

101,423   $

1,846  

103,269   $

172,841   $

404  

173,245   $

147,283

2,963

150,246

Currently  we  depend  on  a  single  contract  manufacturing  organization  for  the  manufacture  of  Bloxiverz,  Vazculep  and  Noctiva  and  two  contract
manufacturing  organizations  for  the  manufacture  of  Akovaz,  from  which  we  derive  a  majority  of  our  revenues.  Additionally,  we  purchase  certain  raw
materials used in our products from a limited number of suppliers, including a single supplier for certain key ingredients.

Non-monetary long-lived assets primarily consist of property and equipment, goodwill and intangible assets. The following table summarizes non-monetary
long-lived assets by geographic region as of December 31, 2018, 2017, and 2016:

Long-lived Assets by Geographic Region:

2018

2017

2016

United States

France

Ireland

Total

NOTE 22: Related Party Transactions 

  $

  $

27,761   $

1,365  

6,028  

35,154   $

116,536   $

2,257  

1,360  

120,153   $

42,021

2,524

202

44,747

In  March  2012,  the  Company  acquired  all  of  the  membership  interests  of  Éclat  from  Breaking  Stick  Holdings,  L.L.C.  (“Breaking  Stick”,  formerly  Éclat
Holdings), an affiliate of Deerfield Capital L.P (“Deerfield”), a significant shareholder of the Company. At December 31, 2018, the remaining consideration
obligation for this transaction consisted of commitments to make earnout payments to Breaking Stick of 20% of any gross profit generated by certain Éclat
products  (the  “Products”).  Breaking  Stick  is  majority  owned  by  Deerfield,  with  a  minority  interest  owned  by  certain  current  and  former  employees.  The
Company entered into a Security Agreement dated March 13, 2012 with Breaking Stick, whereby Breaking Stick was granted a security interest in various
tangible and intangible assets related to the Products to secure the obligations of Éclat and Avadel US Holdings, Inc., including the full and prompt payment
of royalties to Breaking Stick under the Royalty Agreement.

As part of a February 2013 debt financing transaction conducted with Deerfield Management, Éclat entered into a Royalty Agreement with Horizon Santé
FLML, Sarl and Deerfield Private Design Fund II, L.P., both affiliates of the Deerfield Entities (together, “Deerfield PDF/Horizon”). The Royalty Agreement
provides  for  the  Company  to  pay  Deerfield  PDF/Horizon  1.75%  of  the  net  sales  of  the  Products  sold  by  the  Company  and  any  of  our  affiliates  until
December 31, 2024, with royalty payments

-95-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
paid in arrears for each calendar quarter during the term of the Royalty Agreement. The Company has also entered into a Security Agreement dated February
4, 2013 with Deerfield PDF/Horizon, whereby Deerfield PDF/Horizon was granted a security interest in the various tangible and intangible assets related to
the Products to secure the obligations of Éclat and Avadel US Holdings, Inc., including the full and prompt payment of royalties to Deerfield PDF/Horizon
under the Royalty Agreement.

As  part  of  a  December  2013  debt  financing  transaction  conducted  with  Broadfin  Healthcare  Master  Fund  (“Broadfin”),  the  Company  also  entered  into  a
Royalty Agreement with Broadfin, a significant shareholder of the Company, dated as of December 3, 2013 (the “Broadfin Royalty Agreement”). Pursuant to
the Broadfin Royalty Agreement, the Company is required to pay a royalty of 0.834% on the net sales of certain products sold by the Company and any of our
affiliates until December 31, 2024 with royalty payments paid in arrears for each calendar quarter during the term of the Royalty Agreement. The Company
has also entered into a Security Agreement dated December 3, 2013 with Broadfin, whereby Broadfin was granted a security interest in the various tangible
and  intangible  assets  related  to  the  Products  to  secure  the  obligations  of  Éclat  and  Avadel  US  Holdings,  Inc.,  including  the  full  and  prompt  payment  of
royalties to Broadfin under the Royalty Agreement.

The Company entered into an agreement dated February 5, 2016 to acquire FSC Holdings, LLC (“FSC”), a specialty pharmaceutical company dedicated to
providing innovative solutions to unmet medical needs for pediatric patients, from Deerfield CSF, LLC, a Deerfield Management company (“Deerfield”), a
related party. Under the terms of the acquisition, which was completed on February 8, 2016, the Company was to pay $1,050 annually for five years with a
final payment in January 2021 of $15,000 for a total of $20,250 to Deerfield for all of the equity interests in FSC. The Company will also pay Deerfield a
15% royalty per annum on net sales of the current FSC products, up to $12,500 for a period not exceeding ten years.  These obligations were assumed by
Cerecor  in  connection  with  the  divestiture  of  the  Company’s  pediatric  products  on  February  16,  2018.  In  connection  with  the  divestiture,  the  Company
provided  their  guarantee  in  favor  of  Deerfield  and  in  return,  Armistice  Capital  Master  Fund,  Inc.,  the  majority  shareholder  of  Cerecor,  guaranteed  to  the
Company the payment by Cerecor of the Assumed Obligations mentioned in Note 16: Divestiture of the Pediatric Assets. See Note 16 for further discussion
around the divestiture.

NOTE 23: Subsequent Events 

Corporate Restructuring. In February 2019, Avadel announced a corporate restructuring in order to focus efforts and resources on the clinical development of
FT218.  In  conjunction  with  the  restructuring,  Avadel  will  reduce  its  workforce  by  more  than  50%,  and  Specialty  Pharma  made  a  voluntary  filing  for
bankruptcy protection under Chapter 11 of the U.S. Bankruptcy Code on February 6, 2019. As noted above, Specialty Pharma is a special-purpose entity and
wholly-owned  subsidiary  responsible  solely  for  the  sales,  marketing  and  distribution  of  Noctiva. These  restructuring  actions  were  taken  to  exit  Noctiva™
quickly  and  efficiently,  and  are  not  expected  to  materially  impact  any  other  aspect  of  the  Company’s  business,  including  the  ability  to  operate  its  sterile
injectables hospital business, complete the FT218 Phase 3 clinical trial, and complete development of the Company’s fourth UMD product. The Company
estimates that it will incur approximately $10 to $15 million of one-time pre-tax charges for severance and other costs related to the restructuring.

For  the  years  ended  December  31,  2018  and  2017,  the  Company  generated  sales  of  $1,204  and  $0,  respectively,  and  incurred  selling,  general  and
administrative  expenses  of  $62,268  and  $13,536,  respectively  and  research  and  development  expenses  of  $2,782  and  $1,688,  respectively,  related  to  the
Noctiva product.

-96-

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Board of Directors and Shareholders of Avadel Pharmaceuticals plc
Dublin, Ireland

Opinion on the Financial Statements

We have audited the accompanying consolidated balance sheets of Avadel Pharmaceuticals plc and subsidiaries (the "Company") as of December 31, 2018
and 2017, the related consolidated statements of (loss) income, comprehensive (loss) income, shareholders' equity, and cash flows for each of the three years
in the period ended December 31, 2018, and the related notes and financial statement schedule listed in Item 15 (collectively referred to as the "financial
statements"). In our opinion, the financial statements present fairly, in all material respects, the financial position of the Company as of December 31, 2018
and 2017, and the results of its operations and its cash flows for each of the three years in the period ended December 31, 2018, in conformity with accounting
principles generally accepted in the United States of America.

We have also 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, 2018, based on criteria established in Internal Control - Integrated Framework (2013) issued by
the Committee of Sponsoring Organizations of the Treadway Commission and our report dated March 15, 2019 expressed an unqualified opinion on the
Company's internal control over financial reporting.

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.

/s/ Deloitte and Touche LLP
St. Louis, Missouri  
March 15, 2019  

We have served as the Company's auditor since 2016.

-97-

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Board of Directors and Shareholders of Avadel Pharmaceuticals plc
Dublin, Ireland

Opinion on Internal Control over Financial Reporting

We have audited the internal control over financial reporting of Avadel Pharmaceuticals plc and subsidiaries (the “Company”) as of December 31, 2018,
based on criteria established in Internal Control - Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway
Commission (COSO). In our opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of December 31,
2018, based on criteria established in Internal Control - Integrated Framework (2013) issued by COSO.

We have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the consolidated
financial statements as of and for the year ended December 31, 2018, of the Company and our report dated March 15, 2019 expressed an unqualified opinion
on those financial statements.

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 Financial 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/ Deloitte and Touche LLP
St. Louis, Missouri
March 15, 2019

-98-

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

Not applicable.

Item 9A.    Controls and Procedures.

Evaluation of Disclosure Controls and Procedures

As required by Rule 15d -15(b) of the Exchange Act, we have evaluated, under the supervision and with the participation of our management, including our
principal executive officer and principal financial officer, 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) as of the end of the period covered by this Annual Report. Our disclosure controls and procedures
are  designed  to  provide  reasonable  assurance  that  the  information  required  to  be  disclosed  by  us  in  reports  that  we  file  under  the  Exchange  Act  is
accumulated and communicated to our management, including our principal executive officer and principal financial officer, as appropriate, to allow timely
decisions regarding required disclosure and is recorded, processed, summarized and reported within the time periods specified in the rules and forms of the
U.S. Securities and Exchange Commission (the “SEC”). Based on that evaluation, our principal executive officer and principal financial officer concluded
that as of the end of the period covered by this report our disclosure controls and procedures were effective.

Management’s Report on Internal Control over Financial Reporting

Management of the Company is responsible for establishing and maintaining adequate internal control over financial reporting, as defined in Rules 13a-15(f)
and  15d-15(f)  under  the  Securities  Exchange  Act  of  1934,  as  amended.  The  Company’s  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 U.S. generally accepted
accounting principles.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect all 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.

The Company’s management assessed the effectiveness of the Company’s internal control over financial reporting as of December 31, 2018. In making this
assessment, the Company’s management used the criteria set forth in Internal Control-Integrated Framework (2013) issued by the Committee of Sponsoring
Organizations  of  the  Treadway  Commission.  Based  on  this  assessment,  management  concluded  that,  as  of  December  31,  2018,  the  Company’s  internal
control over financial reporting is effective based on those criteria.

Changes in Internal Control Over Financial Reporting

There have been no other changes in the Company’s internal control over financial reporting (as defined by Rule 13a-15(f)) that occurred during the year
ended December 31, 2018 that have materially affected the Company’s internal control over financial reporting.

Item 9B.     Other Information. 

Not applicable.

-99-

PART III 

Certain information required by Part III is omitted from this Annual Report on Form 10-K because we intend to file our definitive proxy statement for our
2019 annual general meeting of shareholders pursuant to Regulation 14A of the Securities Exchange Act of 1934 (our “Definitive 2019 Proxy Statement”),
not later than 120 days after the end of the fiscal year covered by this Annual Report on Form 10-K, and certain information to be included in our Definitive
2019 Proxy Statement is incorporated herein by reference. 

Item 10.     Directors, Executive Officers and Corporate Governance. 

Information regarding Directors, Executive Officers and Corporate Governance is hereby incorporated by reference to our Definitive 2019 Proxy Statement,
which we intend to file with the SEC within 120 days after December 31, 2018. 

Item 11.     Executive Compensation. 

Information regarding Executive Compensation is hereby incorporated by reference to our Definitive 2019 Proxy Statement, which we intend to file with the
SEC within 120 days after December 31, 2018. 

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

Information  regarding  Security  Ownership  of  Certain  Beneficial  Owners  and  Management  and  Related  Stockholder  Matters  is  hereby  incorporated  by
reference to our Definitive 2019 Proxy Statement, which we intend to file with the SEC within 120 days after December 31, 2018. 

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

Information regarding Certain Relationships and Related Transactions, and Director Independence is hereby incorporated by reference to our Definitive 2019
Proxy Statement, which we intend to file with the SEC within 120 days after December 31, 2018. 

Item 14.     Principal Accountant Fees and Services. 

Information regarding Principal Accountant Fees and Services is hereby incorporated by reference to our Definitive 2019 Proxy Statement, which we intend
to file with the SEC within 120 days after December 31, 2018. 

-100-

PART IV

Item 15.     Exhibits and Financial Statement Schedules 

(a) Documents filed as part of this report:

1. Financial Statements

See Item 8 - Financial Statements and Supplementary Data of Part II of this Report.

2. Financial Statement Schedules

See below for Schedule II: Valuation and Qualifying Accounts. All other schedules are omitted as they are not applicable, not required or the information is
included in the consolidated financial statements or related notes to the consolidated financial statements.

Schedule II

Valuation and Qualifying Accounts

(In thousands) 

Deferred Tax Asset Valuation Allowance:

Balance,
Beginning of Period

Additions
(a)

Deductions
(b)

Other Changes
(c)

Balance,
End of Period

2018

2017

2016

  $

  $

  $

15,354   $

7,599   $

45,516   $

6,089   $

391   $

6,873   $

(75)   $

(664)   $

(42,417)   $

(169)   $

8,028   $

(2,373)   $

21,199

15,354

7,599

a. Additions  to  the  deferred  tax  asset  valuation  allowance  relate  to  movements  on  certain  French,  Irish  and  U.S.  deferred  tax  assets  where  we

continue to maintain a valuation allowance until sufficient positive evidence exists to support reversal.

b. Deductions  to  the  deferred  tax  asset  valuation  allowance  include  movements  relating  to  utilization  and  removal  of  net  operating  losses  and  tax

credit carryforwards, release in valuation allowance and other movements including adjustments following finalization of tax returns.

c. Other  changes  to  the  deferred  tax  asset  valuation  allowance  including  currency  translation  adjustments  recorded  directly  in  equity  and  account

method changes.

3. Exhibits required by Item 601 of Regulation S-K

The information required by this Section (a)(3) of Item 15 is set forth on the exhibit index that follows the Signatures page of this Form 10-K.

Index to Exhibits

Exhibit Number

  Exhibit Description

3.1

4.1

4.2

Constitution (containing the Memorandum and Articles of Association) of Avadel Pharmaceuticals plc (incorporated by reference
to Appendix 15 of Exhibit 2.1 to the registrant’s current report on Form 8-K, filed on July 1, 2016)

Guaranty dated January 1, 2017 by Avadel Pharmaceuticals plc in favor of Breaking Stick Holdings, LLC (f/k/a Éclat Holdings,
LLC) with respect to obligations under the Note Agreement filed as Exhibit 4.1 (incorporated by reference to Exhibit 4.1 to the
registrant's Annual Report on Form 10-K for the year ended December 31, 2016, filed on March 28, 2017)

Warrant to purchase 1,100,000 American Depositary Shares, each representing one ordinary share of Avadel Pharmaceuticals plc
(incorporated by reference to Exhibit 4.1 to the registrant’s Post-Effective Amendment No. 2 to Form F-3 registration statement
(No. 333-183961) on Form S-3, filed on January 6, 2017)

-101-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
4.3

4.4

4.5

10.1

10.2*

10.3

10.4

10.5*

10.6*

10.7

10.8*

10.9

10.10

Warrant to purchase 2,200,000 American Depositary Shares, each representing one ordinary share of Avadel Pharmaceuticals plc
(incorporated by reference to Exhibit 4.2 to the registrant’s Post-Effective Amendment No. 2 to Form F-3 registration statement
(No. 333-183961) on Form S-3, filed on January 6, 2017)

Indenture, dated as of February 16, 2018, by and between Avadel Finance Cayman Limited, Avadel Pharmaceuticals plc, and The
Bank  of  New  York  Mellon,  as  Trustee  (including  an  as  exhibit  the  Form  of  4.50%  Exchangeable  Senior  Note  due  2023)
(incorporated by reference to Exhibit 4.1 to the registrant’s current report on Form 8-K, filed on February 16, 2018)

First  Supplemental  Indenture,  dated  as  of  February  6,  2019,  by  and  among  Avadel  Finance  Cayman  Limited,  Avadel
Pharmaceuticals plc, and The Bank of New York Mellon, as Trustee (incorporated by reference to Exhibit 4.1 to the registrant’s
current report on Form 8-K, filed on February 7, 2019)

Deposit Agreement dated as of January 3, 2017 among Avadel Pharmaceuticals plc, The Bank of New York, as Depositary, and
holders  from  time  to  time  of  American  Depositary  Shares  issued  thereunder  (including  as  an  exhibit  the  form  of  American
Depositary Receipt) (incorporated by reference to Exhibit 1.1 to the registrant’s current report on Form 8-K12B, filed on January
4, 2017 and amended January 6, 2017)

Note Agreement among Flamel Technologies S.A., Flamel U.S. Holdings, Inc. and Éclat Holdings, LLC dated March 13, 2012
(incorporated by reference to Exhibit 4.1 to the registrant’s current report on Form 6-K, filed on March 21, 2012)

Registration Rights Agreement between Flamel Technologies S.A. and Éclat Holdings, LLC dated March 13, 2012 (incorporated
by reference to Exhibit 4.5 to the registrant’s current report on Form 6-K, filed on March 21, 2012)

Facility  Agreement  among  Flamel  US  Holdings,  Inc.,  Deerfield  Private  Design  Fund  II,  L.P.  and  Deerfield  Private  Design
International II, L.P. dated December 31, 2012 (incorporated by reference to Exhibit 4.7 to the registrant’s annual report on Form
20-F for the year ended December 31, 2012, filed on April 30, 2013)

Royalty  Agreement  among  Éclat  Pharmaceuticals  LLC,  Horizon  Santé  FLML,  Sarl  and  Deerfield  Private  Design  Fund  II,  L.P.
dated  December  31,  2012  (incorporated  by  reference  to  Exhibit  4.8  to  the  registrant’s  annual  report  on  Form  20-F  for  the  year
ended December 31, 2012, filed on April 30, 2013)

Security Agreement between Éclat Pharmaceuticals, LLC and Deerfield Private Design Fund II, L.P. and Horizon Santé FLML,
Sarl dated February 4, 2013 (incorporated by reference to Exhibit 4.9 to the registrant’s annual report on Form 20-F for the year
ended December 31, 2012, filed on April 30, 2013)

Broadfin Facility Agreement effective as of December 3, 2013 (incorporated by reference to Exhibit 4.9 to the registrant’s annual
report on Form 20-F for the year ended December 31, 2013, filed on April 30, 2014)

Broadfin Royalty Agreement dated as of December 3, 2013 (incorporated by reference to Exhibit 4.10 to the registrant’s annual
report on Form 20-F for the year ended December 31, 2013, filed on April 30, 2014)

Asset  Purchase  Agreement  by  and  among  Flamel  Technologies  S.A.  and  Recipharm  Pessac  dated  November  26,  2014
(incorporated by reference to Exhibit 4.11 to the registrant’s annual report on Form 20-F for the year ended December 31, 2014,
filed on April 30, 2015)

Master Agreement on Supply of Services and Products by and between Avadel Technologies S.A. and Recipharm Pessac dated
December 1, 2014 (incorporated by reference to Exhibit 4.12 to the registrant’s annual report on Form 20-F for the year ended
December 31, 2014, filed on April 30, 2015)

-102-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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‡

Service Agreement by and between Flamel Technologies S.A. and Recipharm Pessac dated December 1, 2014 (incorporated by
reference to Exhibit 4.13 to the registrant’s annual report on Form 20-F for the year ended December 31, 2014, filed on April 30,
2015)

Supply Agreement by and between Flamel Technologies S.A. and Recipharm Pessac dated December 1, 2014 (incorporated by
reference to Exhibit 4.14 to the registrant’s annual report on Form 20-F for the year ended December 31, 2014, filed on April 30,
2015)

Membership Interest Purchase Agreement by and among Éclat Holdings LLC, Éclat Pharmaceuticals LLC, Flamel Technologies
S.A.  and  Flamel  US  Holdings  Inc.  dated  March  13,  2012  (incorporated  by  reference  to  Exhibit  4.15  to  the  registrant’s  annual
report on Form 20-F for the year ended December 31, 2014, filed on April 30, 2015)

Exclusive License Agreement by and between Elan Pharma International Limited and Flamel Ireland Limited dated September
30, 2015 (incorporated by reference to Exhibit 10.14 to the registrant’s Annual Report on Form 10-K for the year ended December
31, 2015, filed on March 15, 2016)

Lease Agreement by and between Nine East, LLC and Eclat Pharmaceuticals LLC dated July 23, 2013 (incorporated by reference
to Exhibit 10.15 to the registrant’s Annual Report on Form 10-K for the year ended December 31, 2015, filed on March 15, 2016)

Lease Agreement by and between Grove II LLC and Eclat Pharmaceuticals LLC dated October 5, 2015 (incorporated by reference
to Exhibit 10.16 to the registrant’s Annual Report on Form 10-K for the year ended December 31, 2015, filed on March 15, 2016)

Lease  Agreement  by  and  between  Channor  Limited,  Blanchardstown  Corporate  Park  Management  Limited,  Flamel  Ireland
Limited, and Flamel Technologies S.A. dated July 3, 2015 (incorporated by reference to Exhibit 10.17 to the registrant’s Annual
Report on Form 10-K for the year ended December 31, 2015, filed on March 15, 2016)

Employment  Agreement  by  and  between  Flamel  Technologies  S.A.  and  Sandra  Hatten  dated  July  8,  2015  (incorporated  by
reference to Exhibit 10.18 to the registrant’s Annual Report on Form 10-K for the year ended December 31, 2015, filed on March
15, 2016)

Employment Agreement by and between Flamel Technologies S.A. and Phillandas T. Thompson dated July 7, 2015 (incorporated
by reference to Exhibit 10.19 to the registrant’s Annual Report on Form 10-K for the year ended December 31, 2015, filed on
March 15, 2016)

Membership  Interest  Purchase  Agreement  dated  as  of  February  5,  2016  by  and  among  James  Flynn,  Peter  Steelman,  Deerfield
CSF, LLC, FSC Holding Company, LLC, FSC Therapeutics, LLC, FSC Laboratories, Inc., Flamel Technologies SA, and Flamel
US Holdings, Inc. (incorporated by reference to Exhibit 10.20 to the registrant’s Annual Report on Form 10-K for the year ended
December 31, 2015, filed on March 15, 2016)

Rules  Governing  the  Free  Share  Plan  -  December  2014  (incorporated  by  reference  to  Exhibit  10.21  to  the  registrant’s  Annual
Report on Form 10-K for the year ended December 31, 2015, filed on March 15, 2016)

Rules  Governing  the  Free  Share  Plan  -  December  2014  (incorporated  by  reference  to  Exhibit  10.22  to  the  registrant’s  Annual
Report on Form 10-K for the year ended December 31, 2015, filed on March 15, 2016)

June 2015 Stock Warrant Rules (incorporated by reference to Exhibit 10.23 to the registrant’s Annual Report on Form 10-K for
the year ended December 31, 2015, filed on March 15, 2016)

Subscription Form of Stock Warrant (incorporated by reference to Exhibit 10.24 to the registrant’s Annual Report on Form 10-K
for the year ended December 31, 2015, filed on March 15, 2016)

-103-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
10.25‡

10.26‡

10.27

10.28‡

10.29‡

10.30‡

10.31‡

10.32‡

10.33‡

10.34‡

10.35‡

10.36‡

10.37‡

10.38*

December 2015 Stock Option Rules (incorporated by reference to Exhibit 10.25 to the registrant’s Annual Report on Form 10-K
for the year ended December 31, 2015, filed on March 15, 2016)

Form of Stock Option Grant Letter (incorporated by reference to Exhibit 10.26 to the registrant’s Annual Report on Form 10-K for
the year ended December 31, 2015, filed on March 15, 2016)

Common  Draft  Terms  of  Cross-Border  Merger  dated  as  of  June  29,  2016  between  Flamel  Technologies  S.A.  and  Avadel
Pharmaceuticals  Limited  (subsequently  renamed  Avadel  Pharmaceuticals  plc)  (incorporated  by  reference  to  Exhibit  2.1  to  the
registrant’s current report on Form 8-K, filed on July 1, 2016)

Rules  Governing  the  Free  Share  Plan  -  August  2016  (incorporated  by  reference  to  Exhibit  99.1  to  the  registrant’s  Registration
Statement (No. 333-213154) on Form S-8, filed on August 16, 2016)

August 2016 Stock Option Rules (incorporated by reference to Exhibit 99.2 to the registrant’s Registration Statement (No. 333-
213154) on Form S-8, filed on August 16, 2016)

August 2016 Stock Warrant Rules (incorporated by reference to Exhibit 99.3 to the registrant’s Registration Statement (No. 333-
213154) on Form S-8, filed on August 16, 2016)

Form  of  stock  option  grant  letter  for  2016  Stock  Option  Rules  (incorporated  by  reference  to  Exhibit  10.31  to  the  registrant's
Annual Report on Form 10-K for the year ended December 31, 2016, filed on March 28, 2017)

Employment Agreement by and between Avadel Pharmaceuticals plc and Gregory J. Divis, dated January 4, 2017 (incorporated
by  reference  to  Exhibit  10.32  to  the  registrant's  Annual  Report  on  Form  10-K  for  the  year  ended  December  31,  2016,  filed  on
March 28, 2017)

Employment  Agreement  by  and  between  Avadel  Management  Corporation  and  Michael  S.  Anderson  dated  August  15,  2017
(incorporated by reference to Exhibit 10.1 to the registrant's Quarterly Report on Form 10-Q for the quarter ended September 30,
2017, filed on November 9, 2017)

Employment  Agreement  by  and  between  Avadel  Management  Corporation  and  Gregory  J.  Divis  dated  September  5,  2017
(incorporated by reference to Exhibit 10.2 to the registrant's Quarterly Report on Form 10-Q for the quarter ended September 30,
2017, filed on November 9, 2017)

Employment  Agreement  by  and  between  Avadel  Management  Corporation  and  Sandra  Hatten  dated  August  15,  2017
(incorporated by reference to Exhibit 10.3 to the registrant's Quarterly Report on Form 10-Q for the quarter ended September 30,
2017, filed on November 9, 2017)

Employment  Agreement  by  and  between  Avadel  Management  Corporation  and  Michael  F.  Kanan  dated  September  5,  2017
(incorporated by reference to Exhibit 10.4 to the registrant's Quarterly Report on Form 10-Q for the quarter ended September 30,
2017, filed on November 9, 2017)

Employment Agreement by and between Avadel Management Corporation and Phillandas T. Thompson dated August 15, 2017
(incorporated by reference to Exhibit 10.5 to the registrant's Quarterly Report on Form 10-Q for the quarter ended September 30,
2017, filed on November 9, 2017)

Exclusive Right of Negotiation Agreement by and between Avadel Specialty Pharmaceuticals, LLC and Serenity Pharmaceuticals,
LLC dated as of August 11, 2017 (incorporated by reference to Exhibit 10.6 to the registrant's Quarterly Report on Form 10-Q for
the quarter ended September 30, 2017, filed on November 9, 2017)

-104-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
10.39*

10.40*

10.41

10.42

10.43*

10.44*

10.45*

10.46*

10.47

10.48‡

10.49

14.1

14.2

Exclusive  License  and  Assignments  Agreement  by  and  between  Avadel  Specialty  Pharmaceuticals,  LLC  and  Serenity
Pharmaceuticals,  LLC  dated  as  of  September  1,  2017  (incorporated  by  reference  to  Exhibit  10.7  to  the  registrant's  Quarterly
Report on Form 10-Q/A for the quarter ended September 30, 2017, filed on November 17, 2017)

Manufacturing  Agreement  by  and  between  Renaissance  Lakewood,  LLC  (formerly  DPT  Lakewood,  LLC)  and  Serenity
Pharmaceuticals, LLC dated as of July 14, 2014 (incorporated by reference to Exhibit 10.8A to the registrant's Quarterly Report
on Form 10-Q for the quarter ended September 30, 2017, filed on November 9, 2017)

Renaissance Agreements Assignment and Assumption Agreement by and between Avadel Specialty Pharmaceuticals, LLC and
Serenity  Pharmaceuticals,  LLC  dated  as  of  September  1,  2017  (incorporated  by  reference  to  Exhibit  10.8B  to  the  registrant's
Quarterly Report on Form 10-Q for the quarter ended September 30, 2017, filed on November 9, 2017)

Master Manufacturing Services Agreement by and between Patheon UK Limited and Éclat Pharmaceuticals L.L.C. dated as of
November 8, 2012 (incorporated by reference to Exhibit 10.9 to the registrant's Quarterly Report on Form 10-Q for the quarter
ended September 30, 2017, filed on November 9, 2017)

Asset  Purchase  Agreement  by  and  among  Cerecor,  Inc.  and  Avadel  Pharmaceuticals  (USA),  Inc.,  Avadel  Pediatrics,  Inc.,  FSC
Therapeutics,  LLC,  Avadel  US  Holdings,  Inc.  and  Avadel  Pharmaceuticals  plc  dated  as  of  February  12,  2018  (incorporated by
reference to Exhibit 10.43 to the registrant’s Annual Report on Form 10-K for the year ended December 31, 2017, filed on March
16, 2018)

License and Development Agreement by and between Cerecor, Inc. and Flamel Ireland Limited operating under the trade name of
Avadel  Ireland  dated  as  of  February  16,  2018  (incorporated  by  reference  to  Exhibit  10.44  to  the  registrant’s  Annual  Report  on
Form 10-K/A for the year ended December 31, 2017, filed on April 30, 2018)

Guarantee  by  Avadel  US  Holdings,  Inc.  and  Avadel  Pharmaceuticals  plc  in  favor  of  Deerfield  CSF,  LLC,  Peter  Steelman  and
James Flynn dated as of February 16, 2018 (incorporated by reference to Exhibit 10.45 to the registrant’s Annual Report on Form
10-K for the year ended December 31, 2017, filed on March 16, 2018)

Guarantee  by  Armistice  Capital  Master  Fund,  Ltd.  in  favor  of  Avadel  US  Holdings,  Inc.  dated  as  of  February  16,  2018
(incorporated  by  reference  to  Exhibit  10.46  to  the  registrant’s  Annual  Report  on  Form  10-K  for  the  year  ended  December  31,
2017, filed on March 16, 2018)

Letter  Agreement,  dated  February  22,  2018,  between  Breaking  Stick  Holdings,  LLC  and  Avadel  Pharmaceuticals  plc
(incorporated by reference to Exhibit 10.1 to the registrant’s current report on Form 8-K, filed on February 22, 2018)

Employment  Agreement  Termination  and  Release  Agreement,  dated  December  30,  2018,  between  Avadel  Management
Corporation, Avadel Pharmaceuticals plc and Michael S. Anderson (incorporated by reference to Exhibit 10.1 to the registrant’s
current report on Form 8-K, filed on January 3, 2019)

Binding Term Sheet between Avadel US Holdings, Inc. and Avadel Specialty Pharmaceuticals LLC (incorporated by reference to
Exhibit 10.1 to the registrant’s current report on Form 8-K, filed on February 14, 2019)

Code of Business Conduct and Ethics (incorporated by reference to Exhibit 14.1 to the registrant’s current report on Form 8-K,
filed on March 7, 2017)

Financial Integrity Policy (incorporated by reference to Exhibit 14.2 to the registrant’s current report on Form 8-K, filed on March
7, 2017)

-105-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
21.1

23.1

31.1

31.2

32.1

32.2

  List of Subsidiaries (filed herewith)

  Consent of Deloitte & Touche, LLP (filed herewith)

Certification  of  the  Chief  Executive  Officer  pursuant  to  Rule  13a-14(a)/15d-14(a)  of  the  Securities  Exchange  Act,  as  adopted
pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith)

Certification of the Principal Financial Officer pursuant to Rule 13a-14(a)/15d-14(a) of the Securities Exchange Act, as adopted
pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith)

Certification of the Chief Executive Officer pursuant to USC Section 1350, as adopted pursuant to Section 906 of the Sarbanes-
Oxley Act of 2002 (furnished herewith) (1)

Certification of the Principal Financial Officer pursuant to USC Section 1350, as adopted pursuant to Section 906 of the Sarbanes-
Oxley Act of 2002 (furnished herewith) (1)

101.INS

  XBRL Instant Document

101.SCH

  XBRL Taxonomy Extension Schema Document

101.CAL

  XBRL Taxonomy Extension Calculation Linkbase Document

101.DEF

  XBRL Taxonomy Extension Definition Linkbase Document

101.LAB

  XBRL Taxonomy Extension Labels Linkbase Document

101.PRE

  XBRL Taxonomy Extension Presentation Linkbase Document

* Confidential treatment has been requested for the redacted portions of this agreement. A complete copy of the agreement, including the redacted portions, has been filed
separately with the Securities and Exchange Commission.

‡ Management contract or compensatory plan or arrangement filed pursuant to Item 15(b) of Form 10-K.

(1)  This  certification  accompanies  the  Form  10-K  to  which  it  relates,  is  not  deemed  filed  with  the  Securities  and  Exchange  Commission  and  is  not  to  be  incorporated  by
reference into any filing of the registrant under the Securities Act of 1933 or the Securities Exchange Act of 1934 (whether made before or after the date of the Form 10-K),
irrespective of any general incorporation language contained in such filing.

-106-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
Pursuant to the requirements of Section 13 or 15(d) 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

Dated: March 15, 2019

By:

/s/ Gregory J. Divis

Name:   Gregory J. Divis

Title:    Interim Chief Executive Officer

Avadel Pharmaceuticals PLC

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 dates indicated.

POWER OF ATTORNEY

KNOW  ALL  PERSONS  BY  THESE  PRESENTS,  that  each  of  each  of  Geoffrey  M.  Glass,  Eric  J.  Ende,  Kevin  Kotler,  Linda  S.  Palczuk,  Craig  R.
Stapleton and Peter Thornton, by their respective signatures below, irrevocably constitutes and appoints Gregory J. Divis and Phillandas T. Thompson, and
each of them individually acting alone without the other, his true and lawful attorneys-in-fact and agents, with full power of substitution and resubstitution,
for him and in his name, place and stead, in any and all capacities, to sign any and all amendments to this report, 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 either of them, or
their or his substitutes or substitute, may lawfully do or cause to be done by virtue hereof.

-107-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Signature

Title

Date

/s/ Gregory J. Divis

Gregory J. Divis

/s/ Michael F. Kanan

Michael F. Kanan

/s/ David P. Gusky

David P. Gusky

/s/ Geoffrey M. Glass

Geoffrey M. Glass

/s/ Dr. Eric J. Ende

Dr. Eric J. Ende

/s/ Kevin Kotler

Kevin Kotler

/s/ Linda S. Palczuk

Linda S. Palczuk

/s/ Craig R. Stapleton

Craig R. Stapleton

/s/ Peter Thornton

Peter Thornton

Interim Chief Executive Office (Principal Executive Officer)

March 15, 2019

Chief Financial Officer (Principal Financial Officer)

March 15, 2019

Corporate Controller (Principal Accounting Officer)

March 15, 2019

Non-Executive Chairman of the Board and Director

March 15, 2019

Director

Director

Director

Director

Director

-108-

March 15, 2019

March 15, 2019

March 15, 2019

March 15, 2019

March 15, 2019

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
List of Subsidiaries

Exhibit 21.1

Name

Avadel Pharmaceuticals plc (the Registrant):

1) Avadel US Holdings, Inc. (f/k/a Flamel US Holdings, Inc.)

A. FSC Holdings, LLC

i. Avadel Pharmaceuticals (USA), Inc. (f/k/a FSC Laboratories, Inc.)

1. Avadel Pediatrics, Inc. (f/k/a FSC Pediatrics, Inc.)

ii. FSC Therapeutics, LLC

B. Avadel Legacy Pharmaceuticals, LLC (f/k/a Éclat Pharmaceuticals LLC)

i. Avadel Generics, LLC (f/k/a Talec Pharma, Inc.)

C. Avadel Management Corporation

D. Avadel Operations Company, Inc.

E. Avadel Specialty Pharmaceuticals

2) Avadel Ireland Ltd. (f/k/a Flamel Ireland Ltd.)

3) Avadel Investment Company, Ltd.

4) Avadel France Holding SAS

A. Avadel Research SAS

5) Avadel Finance Ireland Designated Activity Company

A. Avadel Finance Cayman Ltd.

  Jurisdiction

Ireland

  United States (Delaware)

  United States (Delaware)

  United States (Delaware)

  United States (Delaware)

  United States (Delaware)

  United States (Delaware)

  United States (Delaware)

  United States (Delaware)

  United States (Delaware)

  United States (Delaware)

Ireland

  Cayman Islands

France

France

Ireland

  Cayman Islands

 
 
 
 
 
 
 
CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

We consent to the incorporation by reference in Registration Statement No.’s 333-213154, 333-212585, 333-177591 and 333-219016 on Form S-8 and 333-
183961  on  Form  S-3  of  our  reports  dated  March  15,  2019,  relating  to  the  consolidated  financial  statements  and  financial  statement  schedule  of  Avadel
Pharmaceuticals  plc  and  subsidiaries  (the  "Company")  and  the  effectiveness  of  the  Company’s  internal  control  over  financial  reporting,  appearing  in  this
Annual Report on Form 10-K of Avadel Pharmaceuticals plc for the year ended December 31, 2018.

/s/ Deloitte and Touche LLP
St. Louis, Missouri
March 15, 2019

Exhibit 31.1
CERTIFICATION OF PRINCIPAL EXECUTIVE OFFICER

I, Gregory J. Divis, certify that:

1. I have reviewed this Annual Report on Form 10-K of Avadel Pharmaceuticals plc; 

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

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the
financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report; 

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

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

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

c)  Evaluated  the  effectiveness  of  the  registrant’s  disclosure  controls  and  procedures  and  presented  in  this  report  our  conclusions  about  the
effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and 

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

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, 2019 

/s/    Gregory J. Divis

Gregory J. Divis

Interim Chief Executive Officer

 
 
 
 
 
Exhibit 31.2
CERTIFICATION OF PRINCIPAL FINANCIAL OFFICER

I, Michael F. Kanan, certify that: 

1. I have reviewed this Annual Report on Form 10-K of Avadel Pharmaceuticals plc; 

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

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the
financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report; 

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

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

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

c)  Evaluated  the  effectiveness  of  the  registrant’s  disclosure  controls  and  procedures  and  presented  in  this  report  our  conclusions  about  the
effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and 

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

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, 2019 

/s/    Michael F. Kanan

Michael F. Kanan

Senior Vice President and Chief Financial Officer

 
 
 
 
CERTIFICATION PURSUANT TO
18 U.S.C. SECTION 1350
AND EXCHANGE ACT RULE 13a-14(b)

Exhibit 32.1

In connection with the annual report of Avadel Pharmaceuticals plc (the “Company”) on Form 10-K for the period ending December 31, 2018, as filed with
the Securities and Exchange Commission on the date hereof (the “Report”), I, Gregory J. Divis, Interim Chief Executive Officer of the Company, certify, to
the best of my knowledge, pursuant to 18 U.S.C. §1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that:

(1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
(2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

/s/    Gregory J. Divis

Gregory J. Divis

Interim Chief Executive Officer

Avadel Pharmaceuticals plc

March 15, 2019

 
 
 
 
 
 
 
CERTIFICATION PURSUANT TO
18 U.S.C. SECTION 1350
AND EXCHANGE ACT RULE 13a-14(b)

Exhibit 32.2

In connection with the annual report of Avadel Pharmaceuticals plc (the “Company”) on Form 10-K for the period ending December 31, 2018, as filed with
the Securities and Exchange Commission on the date hereof (the “Report”), I, Michael F. Kanan, Senior Vice President and Chief Financial Officer of the
Company, certify, to the best of my knowledge, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that:

(1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
(2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

/s/    Michael F. Kanan

Michael F. Kanan

Senior Vice President and Chief Financial Officer

Avadel Pharmaceuticals plc

March 15, 2019