UNITED STATES
SECURITIES AND EXCHANGE COMMISSION            
Washington, D.C. 20549
 
———————
FORM 10-Q
———————
    QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 
For the quarterly period ended: September 30, 20202021

OR
    TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from                     to                     
Commission File Number: 000-28508
 
———————
AVADEL PHARMACEUTICALS PLC
(Exact name of registrant as specified in its charter)
———————
 
Ireland000-2850898-1341933
(State or Other Jurisdiction of Incorporation)(Commission File Number)(I.R.S. Employer Identification No.)
 
10 Earlsfort Terrace
Dublin 2, Ireland
D02 T380
(Address of Principal Executive Office and Zip Code)
 
+011-1-485-1200353-1-901-5201
(Registrant’s telephone number, including area code)
 
N/A
(Former name, former address and former fiscal year, if changed since last report) 
———————
Securities registered pursuant to Section 12(b) of the Act:

Title of each classTrading Symbol(s)Name of each exchange on which registered
American Depositary Shares* AVDL The Nasdaq Global Market
Ordinary Shares, nominal value $0.01 per share**N/A
*American Depositary Shares may be evidenced by American Depositary Receipts. Each American Depositary Share represents one (1) Ordinary Share.
 
** Not for trading, but only in connection with the listing of American Depositary Shares on The Nasdaq Global Market.





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 þ No ¨
 
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).  Yes þ No ¨
 
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, 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 filerþ
Non-accelerated¨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 Exchange Act). Yes No þ
 
At November 5, 2020, 58,272,7344, 2021, 58,620,088 ordinary shares, nominal value $0.01 each, of the Company were outstanding.





TABLE OF CONTENTS
  Page #
   
 
Item 1.
Item 2.
Item 3.
Item 4.
   
 
Item 1.
Item 1A.
Item 2.
Item 3.
Item 4.
Item 5.
Item 6.
 

We own various trademark registrations and applications, and unregistered trademarks, including AvadelAvadel™, Micropump™, LiquiTime™ and MicroPump.Medusa™. All other trade names, trademarks and service marks of other companies appearing in this Quarterly Report are the property of their respective holders. Solely for convenience, the trademarks and trade names in this Quarterly Report may be referred to without the ® and ™ symbols, but such references should not be construed as any indicator that their respective owners will not assert, to the fullest extent under applicable law, their rights thereto. We do not intend to use or display other companies’ trademarks and trade names to imply a relationship with, or endorsement or sponsorship of us by, any other companies.

From time to time, we may use our website, our LinkedIn or our Twitter account (@AvadelPharma) to distribute material information. Our financial and other material information is routinely posted to and accessible on the Investors section of our website, available at www.avadelpharmaceuticals.com.www.avadel.com. Investors are encouraged to review the Investors section of our website because we may post material information on that site that is not otherwise disseminated by us. Information that is contained in and can be accessed through our website, LinkedIn account or our Twitter posts are not incorporated into, and does not form a part of, this Quarterly Report.

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Cautionary Disclosure Regarding Forward-Looking Statements
 
This quarterly reportQuarterly Report on Form 10-Q includes “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended, or the Exchange Act.(the “Exchange Act”). Any statements about our expectations, beliefs, plans, objectives, assumptions or future events or performance are not historical facts and may be forward-looking. These statements are often, but are not always, made through the use of words or phrases such as “may,” “will,” “could,” “should,” “expects,” “intends,” “plans,” “anticipates,” “believes,” “estimates,” “predicts,” “projects,” “potential,” “continue,” and similar expressions, or the negative of these terms, or similar expressions. Accordingly, these statements involve estimates, assumptions, risks and uncertainties which could cause actual results to differ materially from those expressed in them.

This Quarterly Report on Form 10-Q contains forward-looking statements that are based on our management’s belief and assumptions and on information currently available to our management. These statements relate to future events or our future financial performance, and involve known and unknown risks, uncertainties and other factors that may cause our actual results, levels of activity, performance or achievements to be materially different from any future results, levels of activity, performance or achievements expressed or implied by these forward-looking statements. Forward-looking statements include, but are not limited to, statements about:

Our reliance on a single lead product candidate, FT218, the timing of and our ability to obtain regulatory approval, of andif at all;
Our ability to obtain desired regulatory exclusivity for FT218, including orphan drug exclusivity;
Our ability to successfully commercialize FT218 includingin a timely manner or at all, if approved;
The ability of FT218, if approved and launched commercially, to gain market acceptance;
Our ability to enter into strategic partnerships for the commercialization, manufacturing and distribution of FT218, if approved;
Our dependence on a single manufacturer for the manufacturing of our lead product candidate and a single supplier for certain raw materials in our lead product candidate and any delaysfailure of such third party suppliers to either manufacture our product candidate in submissiona timely manner or approval related to COVID-19;deliver sufficient quantities of these raw materials, which could have a material adverse effect on our business;
Our ability to finance our operations on acceptable terms, either through the raising of capital, the incurrence of convertible or other indebtedness or through strategic financing or commercialization partnerships;
Our expectations about the potential market size and market participation for our lead product candidate, if approved and commercialized;
Our expectations about pending and potential future patent infringement claims against us;
Any further restructuring actions that may be required and our ability to obtain any required consents (including any consents required pursuant to the Indenture governing our exchange notes due 2023, or the 2023 Notes);
Our ability to continue to service the 2023 Notes, including making the ongoing interest payments on the 2023 Notes, settling exchanges of the 2023 Notes in cash or completing any required repurchases of the 2023 Notes;
The ability of our product candidates, if approved, to gain market acceptance;
Our ability to enter into strategic partnerships for the development, commercialization, manufacturing and distribution of our product candidates;
Our dependence on a limited number of suppliers for the manufacturing of our products and certain raw materials in our products and any failure of such suppliers to deliver sufficient quantities of these raw materials, which could have a material adverse effect on our business;
Our ability to finance our operations on acceptable terms, either through the raising of capital, the incurrence of convertible or other indebtedness or through strategic financing or commercialization partnerships;
Our expectations about the potential market sizes and market participation potential for our approved or proposed products;
The potential impact of COVID-19 on our business and future operating results;
Our ability to hire and retain members of our management team and our employees; and
Competition existing today or that will likely arise in the future.

These forward-looking statements are neither promises nor guarantees of future performance due to a variety of risks and uncertainties and other factors more fully discussed in the “Risk Factors” section in Part I, Item 1A of the Annual Report on Form 10-K filed with the U.S. Securities and Exchange Commission (“SEC”) on March 16, 20209, 2021 and the risk factors and cautionary statements described in other documents that we file from time to time with the SEC. Given these uncertainties, readers should not place undue reliance on our forward-looking statements. These forward-looking statements speak only as of the date on which the statements were made and are not guarantees of future performance. Except as required by law, we assume no obligation to update these forward-looking statements publicly, or to revise any forward-looking statements to reflect events or developments occurring after the date of this quarterly report,Quarterly Report, even if new information becomes available in the future.

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PART I – FINANCIAL INFORMATION 
ITEM 1.      FINANCIAL STATEMENTS 
AVADEL PHARMACEUTICALS PLC
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF (LOSS) INCOME
(In thousands, except per share data)
(Unaudited)

Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019Three Months Ended September 30,Nine Months Ended September 30,
2021202020212020
Product salesProduct sales$$14,229 $22,334 $48,220 Product sales$— $— $— $22,334 
Operating expenses:Operating expenses:    Operating expenses:    
Cost of productsCost of products2,823 5,742 9,711 Cost of products— — — 5,742 
Research and development expensesResearch and development expenses5,569 7,539 15,156 25,160 Research and development expenses4,380 5,569 14,994 15,156 
Selling, general and administrative expensesSelling, general and administrative expenses8,423 5,316 23,431 22,520 Selling, general and administrative expenses21,283 8,423 47,469 23,431 
Intangible asset amortizationIntangible asset amortization205 406 610 Intangible asset amortization— — — 406 
Changes in fair value of contingent considerationChanges in fair value of contingent consideration(69)627 3,327 2,384 Changes in fair value of contingent consideration— (69)— 3,327 
Gain on sale of Hospital ProductsGain on sale of Hospital Products(45,760)Gain on sale of Hospital Products— — — (45,760)
Restructuring (income) costs(226)1,866 (43)4,600 
Restructuring incomeRestructuring income— (226)(53)(43)
Total operating expenseTotal operating expense13,697 18,376 2,259 64,985 Total operating expense25,663 13,697 62,410 2,259 
Operating (loss) incomeOperating (loss) income(13,697)(4,147)20,075 (16,765)Operating (loss) income(25,663)(13,697)(62,410)20,075 
Investment and other income (expense), netInvestment and other income (expense), net213 781 (906)2,548 Investment and other income (expense), net489 213 1,531 (906)
Interest expenseInterest expense(3,259)(3,125)(9,686)(9,293)Interest expense(1,929)(3,259)(5,788)(9,686)
Loss on deconsolidation of subsidiary(2,840)
Gain from release of certain liabilitiesGain from release of certain liabilities— — 166 — 
Other expense - changes in fair value of contingent consideration payableOther expense - changes in fair value of contingent consideration payable(139)(435)(496)Other expense - changes in fair value of contingent consideration payable— — — (435)
(Loss) income before income taxes(Loss) income before income taxes(16,743)(6,630)9,048 (26,846)(Loss) income before income taxes(27,103)(16,743)(66,501)9,048 
Income tax (benefit) provision(5,040)2,234 (9,258)3,641 
Income tax benefitIncome tax benefit(5,101)(5,040)(11,473)(9,258)
Net (loss) incomeNet (loss) income$(11,703)$(8,864)$18,306 $(30,487)Net (loss) income$(22,002)$(11,703)$(55,028)$18,306 
Net (loss) income per share - basicNet (loss) income per share - basic$(0.20)$(0.24)$0.36 $(0.82)Net (loss) income per share - basic$(0.38)$(0.20)$(0.94)$0.36 
Net (loss) income per share - dilutedNet (loss) income per share - diluted(0.20)(0.24)0.35 (0.82)Net (loss) income per share - diluted(0.38)(0.20)(0.94)0.35 
Weighted average number of shares outstanding - basicWeighted average number of shares outstanding - basic58,213 37,436 51,206 37,382 Weighted average number of shares outstanding - basic58,585 58,213 58,506 51,206 
Weighted average number of shares outstanding - dilutedWeighted average number of shares outstanding - diluted58,213 37,436 52,849 37,382 Weighted average number of shares outstanding - diluted58,585 58,213 58,506 52,849 
 
See accompanying notes to unaudited condensed consolidated financial statements.
- 4 -


AVADEL PHARMACEUTICALS PLC
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE (LOSS) INCOME
(In thousands)
(Unaudited)
 
Three Months Ended September 30,Nine Months Ended September 30,Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019 2021202020212020
Net (loss) incomeNet (loss) income$(11,703)$(8,864)$18,306 $(30,487)Net (loss) income$(22,002)$(11,703)$(55,028)$18,306 
Other comprehensive (loss) income, net of tax:Other comprehensive (loss) income, net of tax:    Other comprehensive (loss) income, net of tax:    
Foreign currency translation gain (loss)534 (210)539 (309)
Net other comprehensive income, net of $(1), $(5), $(131) and $(46) tax, respectively66 86 349 753 
Total other comprehensive income (loss), net of tax600 (124)888 444 
Foreign currency translation (loss) incomeForeign currency translation (loss) income(237)534 (839)539 
Net other comprehensive (loss) income, net of income tax (benefit) provision of $(59), $1, $(220) and $131, respectivelyNet other comprehensive (loss) income, net of income tax (benefit) provision of $(59), $1, $(220) and $131, respectively(157)66 (854)349 
Total other comprehensive (loss) income, net of taxTotal other comprehensive (loss) income, net of tax(394)600 (1,693)888 
Total comprehensive (loss) incomeTotal comprehensive (loss) income$(11,103)$(8,988)$19,194 $(30,043)Total comprehensive (loss) income$(22,396)$(11,103)$(56,721)$19,194 
 
See accompanying notes to unaudited condensed consolidated financial statements.
- 5 -


AVADEL PHARMACEUTICALS PLC
UNAUDITED CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, except per share data)
September 30, 2020December 31, 2019
(unaudited)
ASSETS  
Current assets:  
Cash and cash equivalents$83,109 $9,774 
Marketable securities148,467 54,384 
Accounts receivable8,281 
Inventories3,570 
Research and development tax credit receivable3,058 2,107 
Prepaid expenses and other current assets47,054 4,264 
Total current assets281,688 82,380 
Property and equipment, net373 544 
Operating lease right-of-use assets2,866 3,612 
Goodwill16,836 18,491 
Intangible assets, net813 
Research and development tax credit receivable3,608 6,322 
Other non-current assets22,264 39,274 
Total assets$327,635 $151,436 
LIABILITIES AND SHAREHOLDERS’ EQUITY (DEFICIT)  
Current liabilities:  
Current portion of long-term contingent consideration payable$$5,554 
Current portion of operating lease liability520 645 
Accounts payable2,660 6,100 
Accrued expenses16,398 19,810 
  Other current liabilities3,431 3,875 
Total current liabilities23,009 35,984 
Long-term debt126,520 121,686 
Long-term contingent consideration payable, less current portion11,773 
Long-term operating lease liability1,968 2,319 
Other non-current liabilities4,938 8,873 
Total liabilities156,435 180,635 
Shareholders’ equity (deficit):  
Preferred shares, nominal value of $0.01 per share; 50,000 shares authorized; 488 issued and outstanding at September 30, 2020 and NaN issued and outstanding at December 31, 2019, respectively
Ordinary shares, nominal value of $0.01 per share; 500,000 shares authorized; 58,243 issued and outstanding at September 30, 2020 and 42,927 issued and 37,520 outstanding at December 31, 2019582 429 
Treasury shares, at cost, 0 and 5,407 shares held at September 30, 2020 and December 31, 2019, respectively(49,998)
Additional paid-in capital565,440 434,391 
Accumulated deficit(372,909)(391,215)
Accumulated other comprehensive loss(21,918)(22,806)
Total shareholders’ equity (deficit)171,200 (29,199)
Total liabilities and shareholders’ equity (deficit)$327,635 $151,436 

September 30, 2021December 31, 2020
(unaudited)
ASSETS  
Current assets:  
Cash and cash equivalents$58,169 $71,722 
Marketable securities122,924 149,680 
Research and development tax credit receivable2,493 3,326 
Prepaid expenses and other current assets22,234 38,726 
Total current assets205,820 263,454 
Property and equipment, net304 359 
Operating lease right-of-use assets2,070 2,604 
Goodwill16,836 16,836 
Research and development tax credit receivable961 3,445 
Other non-current assets38,098 24,939 
Total assets$264,089 $311,637 
LIABILITIES AND SHAREHOLDERS’ EQUITY  
Current liabilities:  
Current portion of operating lease liability$504 $474 
Accounts payable6,874 2,934 
Accrued expenses8,738 6,501 
  Other current liabilities1,471 5,200 
Total current liabilities17,587 15,109 
Long-term debt142,086 128,210 
Long-term operating lease liability1,460 1,840 
Other non-current liabilities3,999 4,212 
Total liabilities165,132 149,371 
Shareholders’ equity:  
Preferred shares, nominal value of $0.01 per share; 50,000 shares authorized; 488 issued and outstanding at September 30, 2021 and 488 issued and outstanding at December 31, 2020, respectively
Ordinary shares, nominal value of $0.01 per share; 500,000 shares authorized; 58,616 issued and outstanding at September 30, 2021 and 58,396 issued and outstanding at December 31, 2020586 583 
Additional paid-in capital546,565 566,916 
Accumulated deficit(425,455)(384,187)
Accumulated other comprehensive loss(22,744)(21,051)
Total shareholders’ equity98,957 162,266 
Total liabilities and shareholders’ equity$264,089 $311,637 
 See accompanying notes to unaudited condensed consolidated financial statements.
- 6 -


AVADEL PHARMACEUTICALS PLC
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF SHAREHOLDERS’ EQUITY (DEFICIT)
(In thousands)
(Unaudited)(unaudited)

Nine Months Ended September 30, 20202021
Ordinary sharesPreferred sharesAdditionalAccumulatedAccumulated
other
comprehensive
Treasury sharesTotal
shareholders’
Ordinary sharesPreferred sharesAdditionalAccumulatedAccumulated
other
comprehensive
Total
shareholders’
SharesAmountSharesAmountpaid-in capitaldeficitlossSharesAmount equity (deficit) SharesAmountSharesAmountpaid-in capitaldeficitloss equity
Balance, December 31, 201942,927 $429 $$434,391 $(391,215)$(22,806)5,407 $(49,998)$(29,199)
Balance, December 31, 2020Balance, December 31, 202058,396 $583 488 $$566,916 $(384,187)$(21,051)$162,266 
Impact of the adoption of ASU 2020-06Impact of the adoption of ASU 2020-06— — — — (26,699)13,760 — (12,939)
Net lossNet loss— — — — — (865)— — — (865)Net loss— — — — — (13,445)— (13,445)
Other comprehensive lossOther comprehensive loss— — — — — — (821)— — (821)Other comprehensive loss— — — — — — (1,255)(1,255)
Exercise of stock optionsExercise of stock options146 — — 1,387 — — — — 1,389 Exercise of stock options23 — — — 106 — — 106 
February 2020 private placement8,680 87 488 60,641 — — —��— 60,733 
Vesting of restricted sharesVesting of restricted shares19 — — — — — — — — Vesting of restricted shares61 — — (1)— — — 
Employee share purchase plan share issuanceEmployee share purchase plan share issuance40 — — — 88 — — — — 88 Employee share purchase plan share issuance— — — 43 — — 43 
Stock-based compensation expenseStock-based compensation expense— — — — 742 — — — — 742 Stock-based compensation expense— — — — 1,728 — — 1,728 
Balance, March 31, 202051,812 $518 488 $$497,249 $(392,080)$(23,627)5,407 $(49,998)$32,067 
Net income— — — — — 30,874 — — — 30,874 
Other comprehensive income— — — — — — 1,109 — — 1,109 
Balance, March 31, 2021Balance, March 31, 202158,488 $584 488 $$542,093 $(383,872)$(22,306)$136,504 
Net lossNet loss— — — — — (19,581)— (19,581)
Other comprehensive lossOther comprehensive loss— — — — — — (44)(44)
Stock-based compensation expenseStock-based compensation expense— — — — 2,001 — — 2,001 
Balance, June 30, 2021Balance, June 30, 202158,488 $584 488 $$544,094 $(403,453)$(22,350)$118,880 
Net lossNet loss— — — — — (22,002)— (22,002)
Other comprehensive lossOther comprehensive loss— — — — — — (394)(394)
Exercise of stock optionsExercise of stock options95 — — 392 — — — — 393 Exercise of stock options25 — — 62 — — 63 
February 2020 private placement— — — — (94)— — — — (94)
May 2020 public offering11,630 116 — — 116,858 — — — — 116,974 
Employee share purchase plan share issuance— — — — 33 — — — — 33 
Stock-based compensation expense— — — — 769 — — — — 769 
Balance, June 30, 202063,537 $635 488 $$615,207 $(361,206)$(22,518)5,407 $(49,998)$182,125 
Net loss— — — — — (11,703)— — — (11,703)
Other comprehensive income— — — — — — 600 — — 600 
Exercise of stock options22 — — — 47 — — — — 47 
February 2020 private placement— — — — (69)— — — — (69)
May 2020 public offering— — — — (50)— — — — (50)
Vesting of restricted sharesVesting of restricted shares82 — — (1)— — — — Vesting of restricted shares94 — — (1)— — — 
Employee share purchase plan share issuanceEmployee share purchase plan share issuance— — — 56 — — — — 56 Employee share purchase plan share issuance— — — 51 — — 51 
Stock-based compensation expenseStock-based compensation expense— — — — 194 — — — — 194 Stock-based compensation expense— — — — 2,359 — — 2,359 
Retirement of treasury shares(5,407)(54)— — (49,944)— — (5,407)49,998 — 
Balance, September 30, 202058,243 $582 488 $$565,440 $(372,909)$(21,918)$$171,200 
Balance, September 30, 2021Balance, September 30, 202158,616 $586 488 $$546,565 $(425,455)$(22,744)$98,957 








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AVADEL PHARMACEUTICALS PLC
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF SHAREHOLDERS’ (DEFICIT) EQUITY
(In thousands)
(Unaudited)(unaudited)

Nine Months Ended September 30, 20192020

 Ordinary sharesAdditionalAccumulatedAccumulated
other
comprehensive
Treasury sharesTotal
shareholders’
 SharesAmountpaid-in capitaldeficit(loss) incomeSharesAmount(deficit) equity
Balance, December 31, 201842,720 $427 $433,756 $(357,989)$(23,416)5,407 $(49,998)$2,780 
Net loss— — — (13,018)— — — (13,018)
Other comprehensive income— — — — 213 — — 213 
Vesting of restricted shares— — — — — — 
Employee share purchase plan share issuance42 — 92 — — — — 92 
Stock-based compensation expense— — 351 — — — — 351 
Balance, March 31, 201942,763 $427 $434,199 $(371,007)$(23,203)5,407 $(49,998)$(9,582)
Net loss— — — (8,605)— — — (8,605)
Other comprehensive income— — — — 355 — — 355 
Stock-based compensation expense— — 55 — — — — 55 
Balance, June 30, 201942,763 $427 $434,254 $(379,612)$(22,848)5,407 $(49,998)$(17,777)
Net loss— — — (8,864)— — — (8,864)
Other comprehensive loss— — — — (124)— — (124)
Stock-based compensation expense— — (229)— — — — (229)
Vesting of restricted shares82 (1)— — — — — 
Employee share purchase plan share issuance12 — 31 — — — — 31 
Balance, September 30, 201942,857 $428 $434,055 $(388,476)$(22,972)5,407 $(49,998)$(26,963)




 Ordinary sharesPreferred sharesAdditional paid-inAccumulatedAccumulated
other
comprehensive
Treasury sharesTotal
shareholders’ (deficit)
 SharesAmountSharesAmountcapitaldeficitlossSharesAmountequity
Balance, December 31, 201942,927 $429 — $— $434,391 $(391,215)$(22,806)5,407 $(49,998)$(29,199)
Net loss— — — — — (865)— — — (865)
Other comprehensive loss— — — — — — (821)— — (821)
Exercise of stock options146 — — 1,387 — — — — 1,389 
February 2020 private placement8,680 87 488 60,641 — — — — 60,733 
Vesting of restricted shares19 — — — — — — — — — 
Employee share purchase plan share issuance40 — — — 88 — — — — 88 
Stock-based compensation expense— — — — 742 — — — — 742 
Balance, March 31, 202051,812 $518 488 $$497,249 $(392,080)$(23,627)5,407 $(49,998)$32,067 
Net income— — — — — 30,874 — — — 30,874 
Other comprehensive income— — — — — — 1,109 — — 1,109 
Exercise of stock options95 — — 392 — — — — 393 
February 2020 private placement— — — — (94)— — — — (94)
May 2020 public offering11,630 116 — — 116,858 — — — — 116,974 
Employee share purchase plan share issuance— — — — 33 — — — — 33 
Stock-based compensation expense— — — — 769 — — — — 769 
Balance, June 30, 202063,537 $635 488 $$615,207 $(361,206)$(22,518)5,407 $(49,998)$182,125 
Net loss— — — — — (11,703)— — — (11,703)
Other comprehensive income— — — — — — 600 — — 600 
Exercise of Stock Options22 — — — 47 — — — — 47 
February 2020 private placement— — — — (69)— — — — (69)
May 2020 public offering— — — — (50)— — — — (50)
Vesting of restricted shares82 — — (1)— — — — — 
Employee share purchase plan share issuance— — — 56 — — — — 56 
Stock-based compensation expense— — — — 194 — — — — 194 
Retirement of treasury shares(5,407)(54)— — (49,944)— — (5,407)49,998 — 
Balance, September 30, 202058,243 $582 488 $$565,440 $(372,909)$(21,918)— $— $171,200 

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AVADEL PHARMACEUTICALS PLC
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands) 
(Unaudited)
Nine Months Ended September 30,Nine Months Ended September 30,
20202019 20212020
Cash flows from operating activities:Cash flows from operating activities:  Cash flows from operating activities:  
Net income (loss)$18,306 $(30,487)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:  
Net (loss) incomeNet (loss) income$(55,028)$18,306 
Adjustments to reconcile net (loss) income to net cash used in operating activities:Adjustments to reconcile net (loss) income to net cash used in operating activities:  
Depreciation and amortizationDepreciation and amortization1,297 1,690 Depreciation and amortization614 1,297 
Loss on disposal of property and equipment478 
Remeasurement of acquisition-related contingent considerationRemeasurement of acquisition-related contingent consideration3,327 2,384 Remeasurement of acquisition-related contingent consideration— 3,327 
Remeasurement of financing-related contingent considerationRemeasurement of financing-related contingent consideration435 496 Remeasurement of financing-related contingent consideration— 435 
Amortization of debt discount and debt issuance costsAmortization of debt discount and debt issuance costs4,835 4,424 Amortization of debt discount and debt issuance costs937 4,835 
Change in deferred tax and income tax deferred charge(4,582)1,333 
Change in deferred taxesChange in deferred taxes(11,322)(4,582)
Stock-based compensation expenseStock-based compensation expense1,705 177 Stock-based compensation expense6,088 1,705 
Gain on the disposition of the hospital products(45,760)
Loss on deconsolidation of subsidiary1,750 
Gain from the disposition of the hospital productsGain from the disposition of the hospital products— (45,760)
Gain from the release of certain liabilitiesGain from the release of certain liabilities(166)— 
Other adjustmentsOther adjustments306 (667)Other adjustments1,056 306 
Net changes in assets and liabilitiesNet changes in assets and liabilities  Net changes in assets and liabilities  
Accounts receivableAccounts receivable8,281 2,026 Accounts receivable— 8,281 
InventoriesInventories(1,352)2,465 Inventories— (1,352)
Prepaid expenses and other current assetsPrepaid expenses and other current assets1,759 (1,859)Prepaid expenses and other current assets(54)1,759 
Research and development tax credit receivableResearch and development tax credit receivable2,036 (749)Research and development tax credit receivable3,079 2,036 
Accounts payable & other current liabilitiesAccounts payable & other current liabilities(4,051)259 Accounts payable & other current liabilities(201)(4,051)
Accrued expensesAccrued expenses(6,625)(2,379)Accrued expenses2,421 (6,625)
Earn-out payments for contingent consideration in excess of acquisition-date fair valueEarn-out payments for contingent consideration in excess of acquisition-date fair value(5,323)(8,640)Earn-out payments for contingent consideration in excess of acquisition-date fair value— (5,323)
Royalty payments for contingent consideration payable in excess of original fair valueRoyalty payments for contingent consideration payable in excess of original fair value(866)(1,374)Royalty payments for contingent consideration payable in excess of original fair value— (866)
Other assets and liabilitiesOther assets and liabilities(3,337)(1,399)Other assets and liabilities(2,228)(3,337)
Net cash used in operating activitiesNet cash used in operating activities(29,609)(30,072)Net cash used in operating activities(54,804)(29,609)
Cash flows from investing activities:Cash flows from investing activities:  Cash flows from investing activities:  
Purchases of property and equipmentPurchases of property and equipment(33)(29)Purchases of property and equipment(26)(33)
Proceeds from the disposal of property and equipment154 
Proceeds from the disposition of the hospital productsProceeds from the disposition of the hospital products17,250 Proceeds from the disposition of the hospital products16,500 17,250 
Proceeds from sales of marketable securitiesProceeds from sales of marketable securities30,075 57,242 Proceeds from sales of marketable securities83,726 30,075 
Purchases of marketable securitiesPurchases of marketable securities(124,254)(23,814)Purchases of marketable securities(58,591)(124,254)
Net cash (used in) provided by investing activities(76,962)33,553 
Net cash provided by (used in) investing activitiesNet cash provided by (used in) investing activities41,609 (76,962)
Cash flows from financing activities:Cash flows from financing activities:  Cash flows from financing activities:  
Proceeds from the February 2020 private placementProceeds from the February 2020 private placement60,570 Proceeds from the February 2020 private placement— 60,570 
Proceeds from the May 2020 public offeringProceeds from the May 2020 public offering116,924 Proceeds from the May 2020 public offering— 116,924 
Proceeds from stock option exercises and ESPP2,006 123 
Other financing activities, net(109)
Proceeds from stock option exercises and employee stock purchase planProceeds from stock option exercises and employee stock purchase plan263 2,006 
Net cash provided by financing activitiesNet cash provided by financing activities179,500 14 Net cash provided by financing activities263 179,500 
Effect of foreign currency exchange rate changes on cash and cash equivalentsEffect of foreign currency exchange rate changes on cash and cash equivalents406 47 Effect of foreign currency exchange rate changes on cash and cash equivalents(621)406 
Net change in cash and cash equivalentsNet change in cash and cash equivalents73,335 3,542 Net change in cash and cash equivalents(13,553)73,335 
Cash and cash equivalents at January 1,Cash and cash equivalents at January 1,9,774 9,325 Cash and cash equivalents at January 1,71,722 9,774 
Cash and cash equivalents at September 30,Cash and cash equivalents at September 30,$83,109 $12,867 Cash and cash equivalents at September 30,$58,169 $83,109 
Supplemental disclosures of cash flow information:Supplemental disclosures of cash flow information:Supplemental disclosures of cash flow information:
Interest paid Interest paid$6,469 $6,469  Interest paid$6,469 $6,469 
Income taxes (refund) paid, net$(1,788)$140 
Income taxes paid (refund) Income taxes paid (refund)$68 $(1,788)
See accompanying notes to unaudited condensed consolidated financial statements.statements
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AVADEL PHARMACEUTICALS PLC
NOTES TO THE UNAUDITED CONDENSED 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 an emerginga biopharmaceutical company. We are registered as an Irish public limited company. Our headquarters are in Dublin, Ireland and we have operations in St. Louis, Missouri, United States.

Our lead product candidate, FT218, is an investigational once-nightly, extended-release formulation of sodium oxybate for the treatment of excessive daytime sleepiness (“EDS”) and cataplexy in narcolepsy patients. FT218 uses our Micropump controlled release drug-delivery technology.

adults with narcolepsy. We are primarily focused on the development and potential United States (“U.S.”) Food and Drug Administration (“FDA”) approval of FT218. In December 2020, we submitted a New Drug Application (“NDA”) to the FDA for FT218 to treat excessive daytime sleepiness and cataplexy in adults with narcolepsy. In February 2021, the NDA for FT218 was accepted by the FDA and was assigned a Prescription Drug User Fee Act (“PDUFA”) target action date of October 15, 2021. On October 15, 2021, we announced that the FDA informed us that the review of our NDA for FT218 was ongoing beyond its previously assigned target action date.

Outside of our lead product candidate, we continue to evaluate opportunities to expand our product portfolio.

We were incorporated As of September 30, 2021, we do not have any approved or commercialized products 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, U.S.

FT218 (Micropump sodium oxybate)

FT218 is a once-nightly formulation of sodium oxybate that uses our Micropump controlled release drug-delivery technology for the treatment of EDS and cataplexy in patients suffering from narcolepsy. Sodium oxybate is the sodium salt of gamma hydroxybutyrate, an endogenous compound and metabolite of the neurotransmitter gamma-aminobutyric acid. Sodium oxybate is approved in Europe and the U.S. as a twice-nightly formulation indicated for the treatment of EDS and cataplexy in patients with narcolepsy. In December 2019, we completed patient enrollment of our Phase 3 REST-ON clinical trial of FT218 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 and on April 27, 2020, we announced topline results from our Phase 3 REST-ON clinical trial of FT218. On July 13, 2020, we announced the dosing of the first patient of our open-label extension/switch study of FT218 as a potential treatment for EDS and cataplexy in patients with narcolepsy.

Previously Approved FDA Products

On June 30, 2020 (“Closing Date”), we announced the sale of our portfolio of sterile injectable drugs used in the hospital setting (the “Hospital Products”), including our three commercial products, Akovaz, Bloxiverz and Vazculep, as well as Nouress, which is approved by the FDA to Exela Sterile Medicines LLC (“Exela Buyer”) (the “Transaction”) pursuant to an asset purchase agreement between Avadel U.S. Holdings Inc., Avadel Legacy Pharmaceuticals, LLC, Exela Holdings, Inc. and the Exela Buyer (“Purchase Agreement”). Pursuant to the Purchase Agreement, Exela Buyer paid us $14,500 on the Closing Date and will pay an additional $27,500 in ten equal monthly installments which began in September 2020 for total aggregate consideration of $42,000. The following 4 FDA approved products were included in the sale of the hospital products:

Bloxiverz (neostigmine methylsulfate injection) - Bloxiverz was approved by the FDA in May 2013 and was launched in July 2013. Bloxiverz is a drug used intravenously in the operating room to reverse 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 most frequently used products for the reversal of the effects of other agents used for neuromuscular blocks.

Vazculep (phenylephrine hydrochloride injection) - Vazculep was approved by the FDA in June 2014 and was launched in October 2014. Vazculep is indicated for the treatment of clinically important hypotension occurring in the setting of anesthesia.

Akovaz (ephedrine sulfate injection) - Akovaz, was approved by the FDA in April 2016 and was launched in August 2016. Akovaz was the first FDA approved formulation of ephedrine sulfate, 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.

Nouress (cysteine hydrochloride injection) - Nouress was approved by the FDA in December 2019. Nouress is a sterile injectable product for use in the hospital setting, and two issued U.S. patents currently cover that product. Several additional patent applications for Nouress are pending with the U.S. Patent and Trademark Office (“USPTO”).
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portfolio.

Basis of Presentation. The unaudited condensed consolidated balance sheet as of September 30, 2020,2021, which is derived from the prior year 20192020 audited consolidated financial statements, and the interim unaudited condensed consolidated financial statements presented herein, have been prepared in accordance with accounting principles generally accepted in the U.S. (U.S. GAAP), the requirements of Form 10-Q and Article 10 of Regulation S-X and, consequently, do not include all information or footnotes required by U.S. GAAP for complete financial statements or all the disclosures normally made in an Annual Report on Form 10-K. Accordingly, the unaudited condensed consolidated financial statements included herein should be read in conjunction with the audited consolidated financial statements and footnotes included in the Company’s 20192020 Annual Report on Form 10-K filed with the SEC on March 16, 2020.9, 2021.
The unaudited condensed consolidated financial statements include the accounts of the Company and subsidiaries, and reflect all adjustments (consisting only of normal recurring adjustments) that are, in the opinion of management, necessary for a fair presentation of the Company’s financial position, results of operations and cash flows for the dates and periods presented. All intercompany accounts and transactions have been eliminated. Results for interim periods are not necessarily indicative of the results to be expected during the remainder of the current year or for any future period.
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. Code (the “Bankruptcy Code”). in the U.S. District Bankruptcy Court for the District of Delaware (the “Bankruptcy Court”), Case No. 19-10248. Specialty Pharma is operating and managing its business as “debtors-in-possession” under the jurisdiction of the Bankruptcy Court and in accordance with the applicable provisions of the Bankruptcy Code and order of the Bankruptcy Court. As a result of Specialty Pharma’s voluntary bankruptcy filing on February 6, 2019, we no longer controlled the operations of Specialty Pharma; therefore, we deconsolidated Specialty Pharma effective with the bankruptcy filing and the Company recorded its investment in Specialty Pharma under the cost method. See Note 3: Subsidiary Bankruptcy and Deconsolidation. Our results of operations for the period January 1, 2019 through February 6, 2019 include the results of Specialty Pharma prior to its February 6, 2019 voluntary petition for reorganization under Chapter 11 of the U.S. Bankruptcy Code.

Reclassifications

Certain reclassifications are made to prior year amounts whenever necessary to conform with the current year presentation. InCertain adjustments have been made to the balances within Note 9: Goodwill11: Other Assets and Intangible AssetsLiabilities, we presented for the year ended December 31, 2019 amortizable intangible assets - Acquired developed technology - Vazculep amount as total accumulated depreciation in this Form 10-Q as compared2020 to showing year-to-date amortization incondense line items of the Company’s 2019 Annual Report on Form 10-K filed with the SEC on March 16, 2020.same nature into a single line.

Revenue. Prior to June 30, 2020, we generated revenue primarilywas earned from the salesales of pharmaceutical products to customers, which we refer to as the Hospital Products. On June 30, 2020, we sold the Hospital Products. See Note 4: Disposition of the Hospital Products.products.

Product Sales

Prior to June 30, 2020, we sold products primarily through wholesalers and considered these wholesalers to be our customers. RevenueUnder ASC 606, revenue from product sales wasis recognized when the customer obtainedobtains control of our product, and our performance obligations were met, which occurredoccurs typically upon receipt of delivery toby the customer. As is customary in the pharmaceutical industry, ourOur gross product sales were subject to a variety of price adjustments in arriving at reported net product sales. These adjustments included estimates forof product returns, chargebacks, payment discounts, rebates, and other sales allowances and arewere 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.products and other judgments and analysis.

For a complete discussion of the accounting for net product revenue, see Note 54: Revenue Recognition.

Accounts Receivable. Prior to the sale of the Hospital Products on June 30, 2020, accounts receivable are stated at amounts invoiced and certain other gross to net variable consideration deductions. An allowance for credit losses is established based on expected losses. Expected losses are estimated by reviewing individual accounts, considering aging, financial condition of the debtor, payment history, current and forecast economic conditions and other relevant factors. A majority of our accounts receivable are due from four significant customers. As of September 30, 2020, we have collected all of the accounts receivable outstanding as of June 30, 2020.

- 1110 -


NOTE 2: Newly Issued Accounting Standards
RecentRecently Adopted Accounting Guidance Not Yet Adopted

In December 2019, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes, as part of its overall simplification initiative to reduce costs and complexity of applying accounting standards while maintaining or improving the usefulness of the information provided to users of financial statements. The FASB’s amendments primarily impact ASC 740, Income Taxes, and may impact both interim and annual reporting periods. ASU 2019-12 will beis effective for fiscal years beginning after December 15, 2020, and interim periods within those fiscal years and early adoption is permitted. We are currently evaluatingadopted the provisions of ASU 2019-12 on January 1, 2021. Adoption of ASU 2019-12 did not have any impact of adopting ASU 2019-12.on our unaudited condensed consolidated financial statements.

NOTEIn August 2020, the FASB issued ASU 2020-06, 3Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging- Contracts in Entity’s Own Equity (Subtopic 815-40): Subsidiary Bankruptcy, to reduce the complexity associated with applying U.S. GAAP principles for certain financial instruments with characteristics of liabilities and Deconsolidationequity. The amendments in this ASU reduce the number of accounting models for convertible instruments and expand the existing disclosure requirements over earnings per share as it relates to convertible instruments. Convertible debt will be accounted for as a single liability measured at its amortized cost, as long as no other features require bifurcation and recognition as derivatives. The update also requires the if-converted method to be used for convertible instruments and the effect of potential share settlement be included in the diluted earnings per share calculation when an instrument may be settled in cash or shares. This ASU is effective for our fiscal year beginning January 1, 2022 and interim periods therein. Early adoption is permitted, but no earlier than fiscal years beginning after December 15, 2020. The amendments may be adopted through either a modified retrospective method, or a fully retrospective method.

Bankruptcy FilingThe Company elected to early adopt ASU 2020-06 as of January 1, 2021 using a modified retrospective method. The Company’s 4.50% exchangeable senior notes due 2023 (the “2023 Notes”) are a convertible instrument with a cash-conversion feature that is accounted for within the scope of Subtopic 470-20. The Company calculated the cumulative-effect adjustment as of January 1, 2021 by comparing (i) the historical amortization schedule for the 2023 Notes through December 31, 2020 and Deconsolidation

As(ii) an updated amortization schedule wherein the conversion feature within the 2023 Notes would not be separated as an equity component and subsequently recognized as non-cash interest expense under ASC 835-30. The adoption resulted in a result of Specialty Pharma’s bankruptcy filing on February 6, 2019, Avadel has ceded authority for managing the business$26,699 decrease in additional paid-in capital, a $12,939 increase in long-term debt, and a $13,760 increase to the Bankruptcy Court, and Avadel management cannot carry on Specialty Pharma’s activities in the ordinary courseopening balance of business without Bankruptcy Court approval. Avadel manages the day-to-day operations of Specialty Pharma but does not have discretion to make significant capital or operating budgetary changes or decisions and purchase or sell significant assets, as Specialty Pharma’s material decisions are subject to review by the Bankruptcy Court. For these reasons, we concluded that Avadel has lost control of Specialty Pharma, and no longer has significant influence over Specialty Pharma during the pendency of the bankruptcy. Therefore, we deconsolidated Specialty Pharma effective with the filing of the Chapter 11 bankruptcy in February 2019.

In order to deconsolidate Specialty Pharma, the carrying values of the assets and certain liabilities of Specialty Pharma were removed from our unaudited condensed consolidated balance sheet as of February 5, 2019, and we recorded our investment in Specialty Pharma at its estimated fair value of $0. As the estimated fair value of our investment in Specialty Pharma was lower than its net book value immediately prior to the deconsolidation, we recorded a non-cash charge of approximately $2,840 for the nine months ended September 30, 2019 associated with the deconsolidation of Specialty Pharma. Subsequent to the deconsolidation of Specialty Pharma, we are accounting for our investment in Specialty Pharma using the cost method of accounting because Avadel does not exercise significant influence over the operations of Specialty Pharma due to the Chapter 11 filing.

On April 26, 2019, Specialty Pharma sold its intangible assets and remaining inventory to an unaffiliated third party in exchange for aggregate cash proceeds of approximately $250, pursuant to an order approving such sale which was issued by the Bankruptcy Court on April 15, 2019. As a result of such sale, Specialty Pharma has completed its divestment of the assets of the Noctiva business.

On July 2, 2019, Specialty Pharma was made aware of a $50,695 claim made by the Internal Revenue Service (IRS) as part of the bankruptcy claims process against Specialty Pharma. On October 2, 2019 the IRS amended the original claim filed in July, reducing the claim to $9,302. Specialty Pharma files its U.S. federal tax return as a member of the Company’s consolidated U.S. tax group. As such, the IRS claim was filed against Specialty Pharma in the bankruptcy proceedings due to IRS tax law requirements for joint and several liability of all members in a consolidated U.S. tax group. On November 19, 2019, Specialty Pharma and the IRS resolved their dispute, subject to the Bankruptcy Court’s approval of Specialty Pharma's Chapter 11 plan, and without prejudice to the claims, rights and defenses of the IRS and other Avadel entities outside of the bankruptcy case.  The resolution provided for allowance of the IRS claim as a priority claim but for the IRS to receive a distribution of 50% of the proceeds, but in no event less than $125 from Specialty Pharma following confirmation of its disclosure statement and Chapter 11 plan of liquidation.

On July 24, 2020, Specialty Pharma sought bankruptcy court approval of a settlement agreement by and between it, Avadel US Holdings, Inc. and Serenity Pharmaceuticals, LLC (“Serenity”) (the “Serenity Settlement Agreement”).  Before the commencement of Specialty Pharma's bankruptcy case, Serenity asserted claims against Specialty Pharma and Avadel US Holdings collectively in an amount no less than $50,000, and after the commencement of the bankruptcy case, Serenity asserted a $3,096 claim against Specialty Pharma and voted to reject its Chapter 11 plan of liquidation.  The Serenity Settlement Agreement provides for a global resolution of these disputes by way of an $800 payment from Avadel US Holdings to Serenity, a mutual exchange of general releases, and the withdrawal of Serenity's claim and vote in Specialty Pharma's bankruptcy case.  The Serenity Settlement Agreement was approved by order of the Bankruptcy Court on August 12, 2020.
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At a hearing conducted on October 6, 2020, the Bankruptcy Court granted final approval of Specialty Pharma’s disclosure statement and confirmed its Chapter 11 plan of liquidation. Pursuant to the plan, the appointment of a Plan Administrator was also approved. The Plan Administrator will be responsible for making distributions to creditors, managing the final windup and dissolution of Specialty Pharma, and taking other steps in accordance with the plan of liquidation. The plan of liquidation became effective on October 20, 2020.

Debtor in Possession (“DIP”) Financing – Related Party Relationship

In connection with the bankruptcy filing, Specialty Pharma entered into a Debtor in Possession Credit and Security Agreement with Avadel US Holdings (“DIP Credit Agreement”) dated as of February 8, 2019, in an aggregate amount of up to $2,700, of which the funds are to be used by Specialty Pharma solely to fund operations through February 6, 2020. As of September 30, 2020, the Company had funded $407 under the DIP Credit Agreement. As the Company has assessed that it is unlikely that Specialty Pharma will pay back the loan to Avadel, the $407 was recorded as part of the loss on deconsolidation of subsidiary within the unaudited condensed consolidated statements of (loss) income for the nine months ended September 30, 2019.retained earnings.

NOTE 4:3: Disposition of the Hospital Products

On the Closing Date,June 30, 2020 (the “Closing Date”), we announced the sale of our portfolio of sterile injectable drugs used in the hospital setting (“Hospital Products,Products”), which included our three commercial products, Akovaz, Bloxiverz and Vazculep, as well as Nouress, to the Exela BuyerSterile Medicines LLC (“Exela Buyer”) pursuant to thean Asset Purchase Agreement.Agreement (the “Transaction”).

Pursuant to the Asset Purchase Agreement, the Exela Buyer agreed to pay a total aggregate consideration amount of $42,000, of which $14,500 was paid $14,500 on the Closing Date and will pay an additional $27,500 was paid in ten equal monthly installments beginning 90 days following the Closing Date for total aggregate consideration of $42,000.Date. During the three monthsyear ended September 30,December 31, 2020, we collected four installment payments, totaling $11,000. We collected the firstremaining six installment payment of $2,750.payments, totaling $16,500, during 2021. In connection with the sale of the Hospital Products, the parties also agreed to cause the dismissal of the pending civil litigation related to Nouress in the District Court for the District of Delaware.
 
We were party to a Membership Interest Purchase Agreement, dated March 13, 2012, by and among us, Avadel Legacy, Breaking Stick Holdings, LLC, Deerfield Private Design International II, L.P. (“Deerfield International”), Deerfield Private Design Fund II, L.P. (“Deerfield Fund”) and Horizon Santé FLML, Sarl (“Horizon”) (the “Deerfield MIPA”) and a Royalty Agreement, dated February 4, 2013, by and among us, Avadel Legacy, the Deerfield Fund and Horizon (the “Deerfield Royalty Agreement”). In connection with the closing of the sale of the Hospital Products, the Deerfield MIPA (with respect to certain sections thereof) and the Royalty Agreement were assigned to the Exela Buyer. Pursuant to the Purchase Agreement, the Exela Buyer assumed and will pay, perform, satisfy and discharge the liabilities and obligations of Avadel Legacy under the Deerfield Royalty Agreement for obligations that arise after the Closing date.Date.

We were also party to a Royalty Agreement, dated December 3, 2013, by and between us, Avadel Legacy and Broadfin Healthcare Master Fund, Ltd. (the “Broadfin Royalty Agreement”). In connection with the closing of the sale of the Hospital Products, the Broadfin Royalty Agreement was assigned to the Exela Buyer and the Exela Buyer assumed and shall pay,
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perform, satisfy and discharge the liabilities and obligations of Avadel Legacy under the Broadfin Royalty Agreement for obligations that arise after the Closing Date.

- 13 -


We recorded a net gain on the sale of the Hospital Products of $45,760 during the nine months ended September 30, 2020 which has been recorded on the unaudited condensed consolidated statement of income (loss). The $45,760 gainfollowing table represents the aggregate considerationmajor classes of $42,000, transaction fees of $2,928, plus the assets and liabilities either transferred to the Exela Buyer or eliminated by us due to the sale of the Hospital Products which are listed below.in exchange for aggregate consideration of $42,000, less transaction fees of $2,928.

SeptemberJune 30, 2020
Prepaid expenses and other current assets$(134)
Inventories(4,922)
Goodwill(1,654)
Intangible assets, net(407)
Other non-current assets(1,095)
Total long-term contingent consideration payable14,900 
Net liabilities disposed of6,688 
Aggregate consideration42,000 
Less transaction fees(2,928)
Net gain on the sale of the Hospital Products$45,760 

We evaluated various qualitative and quantitative factors related to the disposition of the Hospital Products and determined that it did not meet the criteria for presentation as a discontinued operation.

The unaudited pro forma condensed combined financial statementsstatement of income (loss) for the nine months ended September 30, 2020 included below areis being provided for information purposes only and are not necessarily indicative of the results of operations or financial position that would have resulted if the Transaction had actually occurred on the date indicated. The pro forma adjustments are based on available information and assumptions that the Company believes are attributable to the sale.

Unaudited Pro Forma Condensed Combined Balance Sheets
As of December 31, 2019
 As ReportedPro Forma AdjustmentsNotesPro Forma
ASSETS
Cash and cash equivalents$9,774 $12,935 (a)$22,709 
Inventories3,570 (3,570)(b)
Prepaid expenses and other current assets4,264 27,500 (c)31,764 
Goodwill18,491 (1,654)(d)16,837 
Intangible assets, net813 (813)(e)
Other non-current assets39,274 (9,702)(f)29,572 
Total assets$151,436 $24,696 $176,132 
LIABILITIES AND SHAREHOLDERS’ EQUITY (DEFICIT)
Current portion of long-term contingent consideration payable$5,554 $(5,054)(g)$500 
Accrued expenses19,810 2,800 (h)22,610 
Long-term contingent consideration payable, less current portion11,773 (11,773)(g)
Total liabilities180,635 (14,027)166,608 
Shareholders’ equity (deficit):
Accumulated deficit(391,215)38,723 (i)(352,492)
Total shareholders’ (deficit) equity(29,199)38,723 9,524 
Total liabilities and shareholders’ equity (deficit)$151,436 $24,696 $176,132 

Unaudited Pro Forma Condensed Combined Statement of Income (Loss)
Nine Months Ended September 30, 2020
 As ReportedPro Forma AdjustmentsNotesPro Forma
Product sales$22,334 $(22,175)(a)$159 
Total operating expense2,259 (8,489)(b)(6,230)
Operating income (loss)20,075 (13,686)6,389 
Income (loss) before income taxes$9,048 $(13,251)(c)$(4,203)

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Adjustments to the pro forma unaudited condensed combined balance sheet

(a)This adjustment represents the receipt of $14,500 cash consideration from the Exela Buyer at the closing of the Transaction less $1,565 placed into escrow for the estimated earn outs and royalties payable to Breaking Stick Holdings L.L.C., Horizon Santé FLML, Sarl,Deerfield Private Design Fund II, L.P., all affiliates of Deerfield Capital L.P. ("Deerfield") and Broadfin Healthcare Master Fund ("Broadfin") for the current quarter ended.

(b)This adjustment reflects the elimination of Inventories that were purchased as part of the Transaction.

(c)This adjustment reflects the Transaction consideration in the form of ten monthly installment payments of $2,750 (totaling $27,500) beginning 90 days from the Closing date.

(d)This adjustment reflects the elimination of $1,654 of Goodwill based on the relative fair value of the Hospital Products as a portion of the overall value of the Company.

(e)This adjustment reflects the elimination of the unamortized balance of the Intangible asset on acquired developed technology for Vazculep.

(f)This adjustment reflects the elimination of $1,228 of other long-term assets and $8,474 of deferred tax assets at December 31, 2019.The eliminated deferred tax assets are tax attributes of the Hospital Products.

(g)This adjustment reflects the elimination of short and long term related party payables, less the expected amounts due to Deerfield and Broadfin after taking into consideration the escrow discussed in Note (a).As part of the Transaction, the buyer agreed to assume the quarterly earn-out and royalty payments for periods after the close of the Transaction.The Company will no longer be responsible for these payments.

(h)This adjustment reflects the estimated transaction fees payable related to the Transaction.

(i)This adjustment reflects the estimated gain of $38,723 arising from the Transaction for the year ended December 31, 2019.This estimated gain has not been reflected in the pro forma unaudited condensed combined statements of loss as it is considered to be nonrecurring in nature. No adjustment has been made to the sale proceeds to give effect to any potential post-closing adjustments under the terms of the Purchase Agreement.


Unaudited Pro Forma Condensed Combined Statement of Income (Loss)
Nine Months Ended September 30, 2020
 As ReportedPro Forma AdjustmentsNotesPro Forma
Product sales$22,334 $(22,175)(j)$159 
Total operating expense2,259 (8,489)(k)(6,230)
Operating income20,075 (13,686)6,389 
Income (loss) before income taxes$9,048 $(13,251)(l)$(4,203)


Unaudited Pro Forma Condensed Combined Statement of Loss
Nine Months Ended September 30, 2019
 As ReportedPro Forma AdjustmentsNotesPro Forma
Product sales$48,220 $(48,007)(j)$213 
Total operating expense64,985 (14,398)(m)50,587 
Operating loss(16,765)(33,609)(50,374)
Loss before income taxes$(26,846)$(33,113)(n)$(59,959)

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Adjustments to the pro forma unaudited condensed combined statements of income (loss)

(j)(a) This adjustment reflects Productproduct sales attributable to the Hospital Products.

(k)(b) This adjustment reflects the following estimated expenses attributable to the Hospital Products:

Cost of products of $3,540.
Research and Developmentdevelopment expenses of $407.
Selling, general and administrative expenses of $809.
Intangible asset amortization on acquired development technology for Vazculep of $406.
Changes in fair value of related party contingent consideration of $3,327. The Company will no longer be responsible for these payments.

(l)(c) This amount reflects the adjustments noted in (j)(a) and (k)(b) above, as well as estimated Changes in fair value of related party payable of $435 attributable to the Hospital Products. The Company will no longer be responsible for these payments.

(m)This adjustment reflects the following estimated expenses attributable to the Hospital Products:
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Cost of products of $8,972.
Research and Development expenses of $1,604.
Selling, general and administrative expenses of $828.
Intangible asset amortization on acquired development technology for Vazculep of $610.
Changes in fair value of related party contingent consideration of $2,384.The Company will no longer be responsible for these payments.

(n)This amount reflects the adjustments noted in (j) and (m) above, as well as the reversal of estimated Changes in fair value of related party payable of $496 attributable to the Hospital Products.The Company will no longer be responsible for these payments.

NOTE 5:4: Revenue Recognition

Prior to June 30, 2020, we generated revenue primarily from the sale of pharmaceutical products to customers. On June 30, 2020, we sold the Hospital Products. See Note 4:3: Disposition of the Hospital Products.

Product Sales

Prior to June 30, 2020, we sold products primarily through wholesalers and considered these wholesalers to be our customers. Revenue from product sales was recognized when the customer obtained control of our product and our performance obligations were met, which occurred typically upon receipt of delivery to the customer. As is customary in the pharmaceutical industry, our gross product sales were subject to a variety of price adjustments in arriving at reported net product sales. These adjustments included 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 were recorded at the net selling price, which included 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 were based on the amounts earned or to be claimed on the related sales and were 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.
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Product Returns

Consistent with industry practice, the Company maintainsmaintained a returns policy that generally offersoffered customers a right of return for product that has been purchased from the Company. The Company estimatesestimated the amount of product returns and records this estimate as a reduction of revenue in the period the related product revenue iswas recognized. The Company currently estimatesestimated product return liabilities based on analysis of historical data for the product or comparable products, as well as future expectations for such products and other judgments and analysis.

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.

Disaggregation of revenue

The Company’s source of revenue was 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 19:15: Revenue by Product.

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.

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There were 0 materialno deferred contract costs at September 30, 2021 or December 31, 2020.

Transaction Price Allocated to the Remaining Performance Obligation

For product sales, the Company generally satisfied its performance obligations within the same period the product was delivered. Product sales recognized in the second quarter of 2020 from performance obligations satisfied (or partially satisfied) in previous periods were immaterial.

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 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 6:5: Fair Value Measurement
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.
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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 unaudited condensed consolidated balance sheets:
As of September 30, 2020As of December 31, 2019As of September 30, 2021As of December 31, 2020
Fair Value Measurements:Fair Value Measurements:Level 1Level 2Level 3Level 1Level 2Level 3Fair Value Measurements:Level 1Level 2Level 3Level 1Level 2Level 3
Marketable securities (see Note 7)
Equity securities$$— $— $4,404 $— $— 
Money market and mutual funds104,186 — — 38,799 — — 
Marketable securities (see Note 6)
Marketable securities (see Note 6)
Mutual and money market fundsMutual and money market funds$88,568 $— $— $104,672 $— $— 
Corporate bondsCorporate bonds— 20,415 — — 4,098 — Corporate bonds— 19,071 — — 22,155 — 
Government securities - U.S.Government securities - U.S.— 20,216 — — 5,446 — Government securities - U.S.— 13,462 — — 18,999 — 
Other fixed-income securitiesOther fixed-income securities50 3,600 — — 1,637 — Other fixed-income securities— 1,823 — — 3,854 — 
Total assetsTotal assets$104,236 $44,231 $— $43,203 $11,181 $— Total assets$88,568 $34,356 $— $104,672 $45,008 $— 
Contingent consideration payable (see Note 10)
$— $— $$— $— $17,327 
Total liabilities$— $— $$— $— $17,327 

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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 periods ended September 30, 20202021 and December 31, 2019,2020, respectively, there were no transfers in and out of Level 1, 2, or 3. During the three and nine month periodsmonths ended September 30, 20202021 and 2019,2020, respectively, we did not recognize any other-than-temporary impairment loss.allowances for credit losses.

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

We estimate the fair value of our $143,750 aggregate principal amount of 4.50% exchangeable senior notes duethe 2023 (the “2023 Notes”), a Level 2 input,Notes 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.brokers (a Level 2 input). The estimated fair value of the 2023 Notes at September 30, 20202021 is $116,636 compared to a book value of $126,520.$166,570.

See Note 11:9: Long-Term Debt for additional information regarding our debt obligations.

NOTE 7:6: Marketable Securities 
The Company has investments in equity and available-for-sale debt securities which are recorded at fair market value. The change in the fair value of equity investments is recognized in our unaudited condensed consolidated statements of (loss) income and the change in the fair value of available-for-sale debt investments is recorded as other comprehensive loss in shareholders’ equity, (deficit), net of income tax effects. As of September 30, 2020,2021, we considered any decreases in fair value on our marketable securities to be driven by factors other than credit risk, including market risk.

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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 September 30, 20202021 and December 31, 2019,2020, respectively:
September 30, 2020
Marketable Securities:Adjusted CostUnrealized GainsUnrealized LossesFair Value
Money market and mutual funds$103,204 $1,041 $(59)$104,186 
Corporate bonds20,212 227 (24)20,415 
Government securities - U.S.20,015 202 (1)20,216 
Other fixed-income securities3,625 29 (4)3,650 
Total$147,056 $1,499 $(88)$148,467 

December 31, 2019September 30, 2021
Marketable Securities:Marketable Securities:Adjusted CostUnrealized GainsUnrealized LossesFair ValueMarketable Securities:Adjusted CostUnrealized GainsUnrealized LossesFair Value
Equity securities$4,234 $170 $$4,404 
Money market and mutual funds38,028 771 38,799 
Mutual and money market fundsMutual and money market funds$87,965 $1,083 $(480)$88,568 
Corporate bondsCorporate bonds4,021 77 4,098 Corporate bonds18,935 168 (32)19,071 
Government securities - U.S.Government securities - U.S.5,341 110 (5)5,446 Government securities - U.S.13,503 64 (105)13,462 
Other fixed-income securitiesOther fixed-income securities1,614 23 1,637 Other fixed-income securities1,818 (2)1,823 
TotalTotal$53,238 $1,151 $(5)$54,384 Total$122,221 $1,322 $(619)$122,924 
December 31, 2020
Marketable Securities:Adjusted CostUnrealized GainsUnrealized LossesFair Value
Mutual and money market funds$103,404 $1,288 $(20)$104,672 
Corporate bonds21,811 350 (6)22,155 
Government securities - U.S.18,849 155 (5)18,999 
Other fixed-income securities3,839 22 (7)3,854 
Total$147,903 $1,815 $(38)$149,680 
We determine realized gains or losses on the sale of marketable securities on a specific identification method. We reflect these gains and losses as a component of investment and other income (expense), net in the accompanying unaudited condensed consolidated statements of (loss) income.
We recognized gross realized gains of $136$22 and $71$136 for the three months ended September 30, 2020,2021 and 2019,2020, respectively. These realized gains were offset by realized losses of $8$66 and $64$8 for the three months ended September 30, 2020,2021 and 2019,2020, respectively. We recognized gross realized gains of $426$74 and $339$426 for the nine months ended September 30, 2020,2021 and 2019,2020, respectively. These realized gains were offset by realized losses of $886$173 and $211$886 for the nine months ended September 30, 2021 and 2020, and 2019, respectively. We reflect these gains and losses as a component of investment income in the accompanying unaudited condensed consolidated statements of (loss) income.

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The following table summarizes the estimated fair value of our investments in marketable debt securities, accounted for as available-for-sale debt securities and classified by the contractual maturity date of the securities as of September 30, 2020:2021:
MaturitiesMaturities
Marketable Debt Securities:Marketable Debt Securities:Less than 1 Year1-5 Years5-10 YearsGreater than 10 YearsTotalMarketable Debt Securities:Less than 1 Year1-5 Years5-10 YearsGreater than 10 YearsTotal
Corporate bondsCorporate bonds$4,355 $14,274 $1,786 $$20,415 Corporate bonds$4,733 $14,012 $326 $— $19,071 
Government securities - U.S.Government securities - U.S.17,749 739 1,728 20,216 Government securities - U.S.369 10,915 884 1,294 13,462 
Other fixed-income securitiesOther fixed-income securities50 3,600 3,650 Other fixed-income securities— 1,170 653 — 1,823 
TotalTotal$4,405 $35,623 $2,525 $1,728 $44,281 Total$5,102 $26,097 $1,863 $1,294 $34,356 
The Company has
We have classified our investment in available-for-sale marketable debt securities as current assets in the unaudited condensed 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.

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The following table shows theTotal gross unrealized losses and fair value of our available-for-sale debt securities at September 30, 2020.2021 were immaterial. The unrealized losses in the table below are driven by factors other than credit risk and have been in aan unrealized loss position for less than one year. We do not intend to sell the investments and it is not more likely than not that we will be required to sell the investments before recovery of their amortized cost bases.

Marketable Debt Securities:Fair ValueUnrealized Losses
Corporate bonds$8,371 $24 
Government securities - U.S.267 
Other fixed-income securities2,151 
Total$10,789 $29 

NOTE 8:Inventories 
The principal categories of inventories, net of reserves of $0 and $914 at September 30, 2020 and December 31, 2019, respectively, are comprised of the following:
Inventory:September 30, 2020December 31, 2019
Finished goods$$3,020 
Raw materials550 
Total  
$$3,570 

The decrease in inventory at September 30, 2020 is a result of the June 30, 2020 disposition of the Hospital Products. See Note 4: Disposition of the Hospital Products.

NOTE 9:7: Goodwill and Intangible Assets
The Company’s amortizable and unamortizable intangible assetsgoodwill is $16,836 at September 30, 20202021 and December 31, 2019 are as follows: 
 September 30, 2020December 31, 2019
Goodwill and Intangible Assets:Gross
Value
Accumulated
Amortization
Net Carrying
Amount
Gross
Value
Accumulated
Amortization
Net Carrying
Amount
Amortizable intangible assets - Acquired developed technology - Vazculep (1)
$$$$12,061 $(11,248)$813 
Unamortizable intangible assets - Goodwill (2)
$16,836 $$16,836 $18,491 $$18,491 
2020.
(1)
ThisThe Company recorded amortization expense related to an amortizable intangible asset that was assumed by the Exela Buyer as part of the disposition of the Hospital Products on June 30, 2020 of $406 for the nine months ended September 30, 2020. SeeRefer to Note 4: Disposition of the Hospital Products.

(2) In connection with the disposition of the Hospital Products (see Note 4:3: Disposition of the Hospital Products), the Company allocated goodwill of $1,655 on a relative fair value basis to the Hospital Products and included this amount in the net gain on the disposition of the Hospital Products on the unaudited condensed consolidated statements of (loss) income. There was no amortization expense recorded during the three and nine months ended September 30, 2021 and the three months ended September 30, 2020.

The Company recorded amortization expense related to amortizable intangible assets of $0 and $205 for the three months ended September 30, 2020 and 2019, respectively, and $406 and $610 for the nine months ended September 30, 2020 and 2019, respectively.

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NOTE 10:8: Contingent Consideration Payable 
Contingent consideration payable and related activity are reported at fair value and consist of the following at September 30, 2020 and December 31, 2019:
  Activity during the nine months ended
September 30, 2020
 
   Changes in Fair Value of Contingent Consideration Payable 
Contingent Consideration Payable:Balance,
December 31, 2019
PaymentsOperating ExpenseOther
Expense
Disposition of the Hospital ProductsBalance, September 30, 2020
Acquisition-related contingent consideration:     
Earn-out payments - Éclat Pharmaceuticals (a) (d)$15,472 $(5,323)$3,327 $(13,476)$
Financing-related:    
Royalty agreement - Deerfield (b) (d)1,251 (587)272 (936)
Royalty agreement - Broadfin (c) (d)604 (279)163 (488)
Total contingent consideration payable17,327 $(6,189)$3,327 $435 $(14,900)
Less: current portion(5,554)   
Long-term contingent consideration payable$11,773    $


Long-term related party payable and related activity are reported at fair value and consist of the following at September 30, 2020 and June 30, 2020:
  Activity during the three months ended
September 30, 2020
 
   Changes in Fair Value of Contingent Consideration Payable 
Contingent Consideration Payable:Balance,
June 30, 2020
PaymentsOperating ExpenseOther
Expense
Balance, September 30, 2020
Acquisition-related contingent consideration:     
Earn-out payments - Éclat Pharmaceuticals (a) (d)$1,656 $(1,587)$(69)$$
Financing-related:    
Royalty agreement - Deerfield (b) (d)175 (175)
Royalty agreement - Broadfin (c) (d)83 (83)
Total contingent consideration payable1,914 $(1,845)$(69)$
Less: current portion   
Long-term contingent consideration payable$1,914    $

(a) 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 the Company’s former CEO, and certain other 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,Prior to the extent gross profit of the related products also continue in perpetuity. In connection with the dispositionsale of the Hospital Products on June 30, 2020, we computed the fair value of the contingent consideration using several significant assumptions and when those assumptions changed, due to underlying market conditions, the fair value of these liabilities changed as discussedwell. Each of the underlying assumptions used to determine the fair values of these contingent liabilities could, and often did, change based on adjustments in Note 4: Dispositioncurrent market conditions, competition and other factors. Prior to the sale of the Hospital Products,, the Deerfield MIPA (with respect to certain sections thereof) these changes had a material impact on our unaudited condensed consolidated statements of (loss) income and the Royalty Agreement were assigned to the Exela Buyer. Pursuant to the Purchase Agreement, the Exela Buyer assumed and will pay,
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perform, satisfy and discharge the liabilities and obligations of Avadel Legacy and the Company under the Deerfield Royalty Agreement.

(b)balance sheets. 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 is obligated to 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 Éclat products. In connection with the dispositionsale of the Hospital Products on June 30, 2020, as discussed in Note 4: Disposition of the Hospital Products, the Deerfield MIPA (with respect to certain sections thereof) and the Royalty Agreement were assigned to the Exela Buyer. Pursuant to the Purchase Agreement, the Exela Buyer assumed and will pay, perform, satisfy and discharge the liabilities and obligations of Avadel Legacy and the Company under the Deerfield Royalty Agreement.
(c)As part of a December 2013 debt financing transaction conducted with Broadfin Healthcare Master Fund, a former related partySeptember 30, 2021 and shareholder, the Company received cash of $2,200 in exchange for entering into a royalty agreement whereby the Company is obligated to pay quarterly a 0.834% royalty on the net sales of certain Éclat products until December 31, 2024. In connection with the disposition of the Hospital Products on June 30, 2020 as discussed in Note 4: Disposition of the Hospital Products, the Broadfin Royalty Agreement was assigned to the Exela Buyer and the Exela Buyer assumed and shall pay, perform, satisfy and discharge the liabilities and obligations of the Company under the Broadfin Royalty Agreement.
(d)Deerfield and Broadfin Healthcare Master Trust disposed of their 2023 Notes and ordinary shares in the Company during the six months ended June 30, 2020 and are no longer considered related parties.
Before the sale of the Hospital Products on June 30, 2020, the fair valuebalance of eachthe contingent consideration payable listed in (a), (b) and (c) 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 14%. 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 contingent consideration payables, resulting primarily from management’s revision of key assumptions, will be recorded in the unaudited condensed consolidated statements of (loss) income in the line items entitled “Changes in fair value of contingent consideration” for items noted in (b) above and in “Other expense - changes in fair value of contingent consideration payable” for items (b) and (c) above. See Note 1: Summary of Significant Accounting Policies under the caption Acquisition-related Contingent Consideration and Financing-related Royalty Agreements in Part II, Item 8 of the Company’s 2019 Annual Report on Form 10-K for more information on key assumptions used to determine the fair value of these liabilities. is $0.
Prior to June 30, 2020, the Company chose to make a fair value election pursuant to ASC 825, “Financial Instruments” for its royalty agreements detailed in items (b) and (c) above. These financing-related liabilities are recorded at fair market value on the unaudited condensed consolidated balance sheets and the periodic change in fair market value is recorded as a component of “Other expense – change in fair value of contingent consideration payable” on the unaudited condensed consolidated statements of (loss) income.
The following table summarizes changes to the contingent consideration payables,payable, a recurring Level 3 measurement, for the nine-month periodsperiod ended September 30, 2020 and 2019, respectively:2020:

Contingent Consideration Payable Rollforward:Balance
Balance, December 31, 2018$28,840 
Payments of contingent consideration(10,014)
Fair value adjustments (1)
2,880 
Balance, September 30, 2019$21,706 
Balance, December 31, 2019$17,327 
Payments of contingent consideration(6,189)
Fair value adjustments (1)
3,762 
Disposition of the Hospital Products(14,900)
Balance, September 30, 2020$0 

(1) Fair value adjustments are reported as changes in fair value of contingent consideration and other expense - changes in fair value of contingent consideration payable in the unaudited condensed consolidated statements of (loss) income.

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NOTE 11:9: Long-Term Debt
Long-term debt is summarized as follows:
September 30, 2020December 31, 2019September 30, 2021December 31, 2020
Principal amount of 4.50% exchangeable senior notes due 2023Principal amount of 4.50% exchangeable senior notes due 2023$143,750 $143,750 Principal amount of 4.50% exchangeable senior notes due 2023$143,750 $143,750 
Less: unamortized debt discount and issuance costs, netLess: unamortized debt discount and issuance costs, net(17,230)(22,064)Less: unamortized debt discount and issuance costs, net(1,664)(15,540)
Net carrying amount of liability componentNet carrying amount of liability component126,520 121,686 Net carrying amount of liability component142,086 128,210 
Less: current maturitiesLess: current maturitiesLess: current maturities— — 
Long-term debt Long-term debt$126,520 $121,686  Long-term debt$142,086 $128,210 
Equity component:Equity component:Equity component:
Equity component of exchangeable notes, net of issuance costsEquity component of exchangeable notes, net of issuance costs$(26,699)$(26,699)Equity component of exchangeable notes, net of issuance costs$— $(26,699)

For the three months ended September 30, 2021 and 2020, the total interest expense was $1,929 and $3,259, respectively, with coupon interest expense of $1,617 for each period and the amortization of debt issuance costs and debt discount of $312 and $1,642, respectively.

For the nine months ended September 30, 2021 and 2020, the total interest expense was $5,788 and $9,686, respectively, with coupon interest expense of $4,851 for each period and the amortization of debt issuance costs and debt discount of $937 and $4,835, respectively.

As described in Note 2: Newly Issued Accounting Standards, the Company elected to early adopt ASU 2020-06 as of January 1, 2021 using a modified retrospective method. The adoption resulted in a $12,939 increase in long-term debt and a $26,699 decrease in the equity component of the 2023 Notes.

2023 Notes

On February 16, 2018, Avadel Finance Cayman Limited, a Cayman Islands exempted company and an indirect wholly-owned subsidiary of the Company (the “Issuer”), 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 of $6,190, were approximately $137,560. 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 occurs prior to the close of business on the business day immediately preceding August 1, 2022, all or any
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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.

We 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. We 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. We have therefore applied the guidance provided by ASC 470-20, Debt with Conversion and Other Options, as amended by ASU 2020-06.

NOTE 12:10: Income TaxesTaxes

The Coronavirus Aid, Relief and Economic Security Act (the “CARES Act”), enacted on March 27, 2020, includes significant business tax provisions. In particular, the CARES Act modified the rules associated with net operating losses (“NOLs”). Under the temporary provisions of the CARES Act, NOL carryforwards and carrybacks may offset 100% of taxable income for taxable years beginning before 2021. In addition, NOLs arising in 2018, 2019 and 2020 taxable years may be carried back to each of the preceding five years to generate a refund. During the nine months ended September 30, 2020, the income tax benefit includes a discrete tax benefit of $9,124 as a result of our ability under the CARES Act to carry back NOLs incurred to periods when the statutory U.S. Federal tax rate was 35% versus our current U.S. Federal tax rate of 21%. During the nine months ended September 30, 2020, the Company received $3,351 in cash tax refunds from carryback claims related to the CARES Act from the carryback of 2018 tax losses. During$5,101 for the three months ended September 30, 2020 the Company filed refund claims for $18,753 associated with the carryback2021 resulting in an effective tax rate of 2019 tax losses.

18.8%. The income tax benefit was $5,040 for the three months ended September 30, 2020 resulting in an effective tax rate of 30.1%. The income tax expense was $2,234 for the three months ended September 30, 2019 resulting in an effective tax rate of (33.6)%. The net increasedecrease in the effective income tax rate for the three months ended September 30, 2020, as2021, when compared to the same period in 2019, was2020, is primarily dueattributable to decreased incomea change in the U.S. due to the salemix of the Hospital Products.losses in our foreign entities.

The income tax benefit was $11,473 for the nine months ended September 30, 2021 resulting in an effective tax rate of 17.3%. The income tax benefit was $9,258 for the nine months ended September 30, 2020 resulting in an effective tax rate of (102.3)%. The income tax provision was $3,641 for the nine months ended September 30, 2019 resulting in an effective tax rate of (13.7)%. The net decreaseincrease in the effective income tax rate for the nine months ended September 30, 2020,2021 as compared to the sameprior period in 2019,2020 is primarily due to the discrete tax benefits recognized during the nine months ended September 30, 2020 under the Coronavirus Aid, Relief and Economic Security Act, also known as the CARES Act, as described above, favorable income tax benefits from the U.S. Orphan Drug and Research & Development Tax Credit, which did not occur during the nine months ended September 30, 2019, partially offset by increased income in the U.S. due to the sale of the Hospital Products during the nine months ended September 30, 2020.

During the nine months ended September 30, 2020, the Company substantially completed the 2015 through 2017 U.S. Federal Tax Audit. Completion of the audit resulted in an assessment of $1,937 for the 2015 through 2017 U.S. Federal Tax Returns compared to the IRS Claims of $50,695 made on July 2, 2019 and the updated IRS Claims of $9,302 on October 2, 2019 made as part of the Specialty Pharma bankruptcy proceedings, which at this time does not include interest and penalties. The Company settled the $1,937 assessment.2021.


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NOTE 13:11: Other Assets and Liabilities 
Various other assets and liabilities are summarized as follows:
Prepaid Expenses and Other Current Assets:September 30, 2020December 31, 2019
Valued-added tax recoverable$353 $1,051 
Prepaid and other expenses1,426 2,116 
Short-term deposit1,477 
Guarantee from Armistice364 454 
Income tax receivable18,593 536 
Short term note receivable from Exela (see Note 4)
24,750 
Other91 107 
Total  
$47,054 $4,264 
Other Non-Current Assets:September 30, 2020December 31, 2019
Deferred tax assets, net$15,479 $29,427 
Long-term deposits1,477 
Guarantee from Armistice1,117 1,367 
Right of use assets at contract manufacturing organizations5,201 6,428 
Other467 575 
Total  
$22,264 $39,274 
Accrued ExpensesSeptember 30, 2020December 31, 2019
Accrued compensation$1,897 $3,944 
Accrued social charges394 592 
Accrued restructuring (see Note 15)
728 2,949 
Customer allowances6,588 6,470 
Accrued transaction fees related to the disposition of the Hospital Products2,500 — 
Accrued contract research organization charges361 2,098 
Accrued contract manufacturing organization costs1,009 735 
Other2,921 3,022 
Total  
$16,398 $19,810 
Other Current Liabilities:September 30, 2020December 31, 2019
Accrued interest$1,078 $2,695 
Due to Exela1,817 
Guarantee to Deerfield365 455 
Other171 725 
Total  
$3,431 $3,875 

Other Non-Current Liabilities:September 30, 2020December 31, 2019
Customer allowances$659 $981 
Unrecognized tax benefits3,143 6,465 
Guarantee to Deerfield1,121 1,372 
Other15 55 
Total  
$4,938 $8,873 

Prepaid Expenses and Other Current Assets:September 30, 2021December 31, 2020
Income tax receivable$18,789 $18,615 
Prepaid and other expenses2,787 1,018 
Other382 798 
Guarantee from Armistice276 318 
Short-term deposit— 1,477 
Receivable from Exela (see Note 3)
— 16,500 
Total  
$22,234 $38,726 
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NOTE 14: Equity Transactions
Other Non-Current Assets:September 30, 2021December 31, 2020
Deferred tax assets$29,798 $18,256 
Right of use assets at contract manufacturing organizations7,071 5,201 
Guarantee from Armistice841 1,050 
Other388 432 
Total  
$38,098 $24,939 
Accrued ExpensesSeptember 30, 2021December 31, 2020
Accrued professional fees$4,661 $2,781 
Accrued compensation2,403 1,697 
Accrued outsource contract costs909 473 
Customer allowances722 1,030 
Accrued restructuring (see Note 12)
43 520 
Total  
$8,738 $6,501 
Other Current Liabilities:September 30, 2021December 31, 2020
Accrued interest$1,078 $2,695 
Guarantee to Deerfield277 319 
Other116 160 
Due to Exela— 2,026 
Total  
$1,471 $5,200 

Shelf Registration Statement on Form S-3
Other Non-Current Liabilities:September 30, 2021December 31, 2020
Tax liabilities and other$3,155 $3,159 
Guarantee to Deerfield844 1,053 
Total  
$3,999 $4,212 

In February 2020, we filed with the SEC a new shelf registration statement on Form S-3 (the 2020 Shelf Registration Statement) (File No. 333-236258) that allows issuance and sale by us, from time to time, of:

(a)up to $250,000 in aggregate of ordinary shares, nominal value US$0.01 per share (the “Ordinary Shares”), each of which may be represented by American Depositary Shares (“ADSs”), preferred shares, nominal value US$0.01 per share (the “Preferred Shares”), debt securities (the “Debt Securities”), warrants to purchase Ordinary Shares, ADSs, Preferred Shares and/or Debt Securities (the “Warrants”), and/or units consisting of Ordinary Shares, ADSs, Preferred Shares, one or more Debt Securities or Warrants in one or more series, in any combination, pursuant to the terms of the 2020 Shelf Registration Statement, the base prospectus contained in the 2020 Shelf Registration Statement (the “Base Prospectus”), and any amendments or supplements thereto (together, the “Securities”); including

(b)up to $50,000 of ADSs that may be issued and sold from time to time pursuant to the terms of an Open Market Sale AgreementSM, entered into with Jefferies LLC on February 4, 2020 (the “Sales Agreement”), the 2020 Shelf Registration Statement, the Base Prospectus and the terms of the sales agreement prospectus contained in the 2020 Shelf Registration Statement.

The transactions costs associated with the 2020 Shelf Registration Statement totaled approximately $428 of which $214 was charged against additional paid-in capital during the nine months ended September 30, 2020 as a result of the May 2020 Public Offering, discussed below. The remaining costs of $214 are recorded as a prepaid asset at September 30, 2020.

February 2020 Private Placement

On February 21, 2020, we announced that we entered into a definitive agreement for the sale of our ADSs and Series A Non-Voting Convertible Preferred Shares (“Series A Preferred”) in a private placement to a group of institutional accredited investors. The private placement resulted in gross proceeds of approximately $65,000 before deducting placement agent and other offering expenses, which resulted in net proceeds of $60,570.

Pursuant to the terms of the private placement, we issued 8,680 ADSs and 488 shares of Series A Preferred at a price of $7.09 per share, priced at-the-market under Nasdaq rules. Each share of non-voting Series A Preferred is convertible into one ADS, provided that conversion will be prohibited if, as a result, the holder and its affiliates would own more than 9.99% of the total number of Avadel ADSs outstanding. The closing of the private placement occurred on February 25, 2020.

Issuance costs of $4,430 have been recorded as a reduction of additional paid-in capital.

May 2020 Public Offering

In connection with the shelf registration statement described above, on April 28, 2020, we announced the pricing of an underwritten public offering of 11,630 Ordinary Shares, in the form of ADSs at a price to the public of $10.75 per ADS. Each ADS represents the right to receive one Ordinary Share. All of the ADSs were offered by us and the gross proceeds to us from the offering were approximately $125,000, before deducting underwriting discounts and commissions and offering expenses, which resulted in net proceeds of $116,924. The offering closed on May 1, 2020.

August 2020 Treasury Shares Retirement

In August 2020, the Company retired all of our 5,407 treasury shares, or $49,998 previously repurchased ordinary shares. As a result, we reduced additional paid-in capital by $49,944 and ordinary shares by $54 during the three and nine months ended September 30, 2020. The portion allocated to additional paid-in capital is determined pro rata by applying a percentage, determined by dividing the number of shares to be retired by the number of shares issued and outstanding as of the retirement date, to the balance of additional paid-in capital as of the retirement date. Based on this calculation, the entirety of the excess of repurchase price over par of $49,944 was allocated to additional paid-in capital.

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NOTE 15:12: Restructuring Costs
2019 French Restructuring
During the second quarter of 2019, the Company initiated a plan to substantially reduce all of its workforce at its Vénissieux, France site (“2019 French Restructuring”). This reduction was part of an effort to align the Company’s cost structure with our ongoing and future planned projects. The reduction in workforce was completed during the three months ended June 30, 2020. Restructuring (income) charges associated with this plan recognized during the three and nine months ended September 30, 2021 and 2020 were immaterial. Restructuring charges associated with this plan of $1,259 and $3,198 were recognized during the three and nine months ended September 30, 2019. Included in the 2019 restructuring charges of $3,198 were charges for employee severance, benefits and other costs of $2,774, a charge of $598 related to fixed asset impairment, a charge of $826 related to the early termination penalty related to the office lease termination as well as a benefit of $1,000 related to the reversal of the French retirement indemnity obligation.
The following table sets forth activities for the Company’s cost reduction plan obligations for the nine months endedas of September 30, 2020 and 2019:2021:
2019 French Restructuring Obligation:20202019
Balance of restructuring accrual at January 1,$1,922 $
Charges for employee severance, benefits and other costs173 2,774 
Payments(1,813)(1,837)
Foreign currency impact(45)(42)
Balance of restructuring accrual at September 30,$237 $895 
2019 French Restructuring Obligation:2021
Balance of restructuring accrual at January 1,$248 
Income for employee severance, benefits and other costs(122)
Payments(76)
Foreign currency impact(7)
Balance of restructuring accrual at September 30,$43 

The 2019 French Restructuring liabilities of $237$43 are included in the unaudited condensed consolidated balance sheet in accrued expenses at September 30, 2020.2021.

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2019 Corporate Restructuring

During the first quarter of 2019, the Company announced a plan to reduce its Corporatecorporate workforce by more than 50% (“2019 Corporate Restructuring”). The reduction in workforce iswas primarily a result of the exit of Noctiva during the first quarter of 2019, (see Note 3: Subsidiary Bankruptcy and Deconsolidation), as well as an effort to better align the Company’s remaining cost structure at our U.S. and Ireland locations with our ongoing and future planned projects. The reduction in workforce was completed during the three months ended September 30, 2020. The restructuring charges associated with this plan recognized during the three and nine months ended September 30, 2021 and 2020 were immaterial, compared toimmaterial.

During 2021, the restructuring charges of $607Company paid $272 for its cost reduction plan obligations and $1,570 recognized during the three and nine months ended September 30, 2019, respectively. Included inhas no remaining obligation for the 2019 Corporate Restructuring charges of $1,570 for the nine months ended September 30, 2019, were charges for employee severance, benefit and other costs of $2,966, as well as a benefit of $1,396 related to share based compensation forfeitures related to the employees affected by the global reduction in workforce.

The following table sets forth activities for the Company’s cost reduction plan obligations for the nine months ended September 30, 2020 and 2019:
2019 Corporate Restructuring Obligation:20202019
Balance of restructuring accrual at January 1,$1,080 $
Charges for employee severance, benefits and other costs206 2,966 
Payments(794)(2,113)
Balance of restructuring accrual at September 30,$492 $853 
The 2019 Corporate Restructuring liabilities of $492 are included in the unaudited condensed consolidated balance sheet in accrued expenses at September 30, 2020.


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NOTE 16: Share-Based Compensation

2020 Performance Share Units (“PSUs”)

At the Annual Meeting of Stockholders held in August 2020, the 2020 Omnibus Incentive Compensation Plan was approved which provided for the grant of PSUs to certain executive officers and employees. These PSUs vest upon the achievement of certain regulatory milestones. As of September 30, 2020 152 PSUs were outstanding, none had vested and the weighted-average grant date fair value of all shares was $8.29 per share. The Company has not yet recognized any PSU-related stock-based compensation expense as the regulatory milestones have not yet been met; however, in the event the performance conditions are met before a certain date, approximately 150% of the outstanding shares, or $1,900 of compensation expense will be recognized by the Company for the PSUs outstanding as of September 30, 2020.

On October 20, 2020, we granted 105 of PSUs to current employees, with the weighted-average grant date fair value of the PSUs of $5.36 per share.2021.

NOTE 17:13: 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 - diluted 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 conversion of our preferred shares, the exercise of outstanding equity compensation awards, and ordinary shares expected to be issued under our employee stock purchase plan (“ESPP”).

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, restricted stock units, preferred shares and ordinary shares expected to be issued under orour ESPP has been calculated using the treasury stock method. The dilutive effect of the PSUsperformance share units (“PSUs”) will be calculated using the treasury stock method, if and when the contingent vesting condition is achieved.

A reconciliation of basic and diluted net (loss) income per share, together with the related shares outstanding in thousands is as follows: 
Three Months Ended September 30,Nine Months Ended September 30,Three Months Ended September 30,Nine Months Ended September 30,
Net (Loss) Income Per Share:Net (Loss) Income Per Share:2020201920202019Net (Loss) Income Per Share:2021202020212020
Net (loss) incomeNet (loss) income$(11,703)$(8,864)$18,306 $(30,487)Net (loss) income$(22,002)$(11,703)$(55,028)$18,306 
Weighted average shares:Weighted average shares:  Weighted average shares:  
Basic sharesBasic shares58,213 37,436 51,206 37,382 Basic shares58,585 58,213 58,506 51,206 
Effect of dilutive securities—employee and director equity awards outstanding, preferred shares and 2023 NotesEffect of dilutive securities—employee and director equity awards outstanding, preferred shares and 2023 Notes1,643 Effect of dilutive securities—employee and director equity awards outstanding, preferred shares and 2023 Notes— — — 1,643 
Diluted sharesDiluted shares58,213 37,436 52,849 37,382 Diluted shares58,585 58,213 58,506 52,849 
Net (loss) income per share - basicNet (loss) income per share - basic$(0.20)$(0.24)$0.36 $(0.82)Net (loss) income per share - basic$(0.38)$(0.20)$(0.94)$0.36 
Net (loss) income per share - diluted
Net (loss) income per share - diluted
$(0.20)$(0.24)$0.35 $(0.82)
Net (loss) income per share - diluted
$(0.38)$(0.20)$(0.94)$0.35 

Potential commonordinary shares of 15,96915,684 and 19,54415,969 were excluded from the calculation of weighted average shares for the three months ended September 30, 20202021 and 2019,2020, respectively, and potential commonordinary shares of 15,78915,497 and 20,51215,789 were excluded from the calculation of weighted average shares for the nine months ended September 30, 20202021 and 2019,2020, respectively, because either their effect was considered to be anti-dilutive or they were related to shares from PSUs for which the contingent vesting condition had not been achieved. For the three months ended September 30, 2020 and for the three and nine months ended September 30, 2019,2021 and for the three months ended September 30, 2020, the effects of dilutive securities were entirely excluded from the calculation of net loss per share as a net loss was reported in this period. these periods. 

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NOTE 18:14: Comprehensive Loss 
The following table shows the components of accumulated other comprehensive loss for the three and nine months ended September 30, 20202021 and 2019,2020, respectively, net of tax effects: 
Three Months Ended September 30,Nine Months Ended September 30,Three Months Ended September 30,Nine Months Ended September 30,
Accumulated Other Comprehensive Loss:Accumulated Other Comprehensive Loss:2020201920202019Accumulated Other Comprehensive Loss:2021202020212020
Foreign currency translation adjustment:Foreign currency translation adjustment:  Foreign currency translation adjustment:  
Beginning balanceBeginning balance$(23,733)$(23,720)$(23,738)$(23,621)Beginning balance$(23,229)$(23,733)$(22,627)$(23,738)
Net other comprehensive income (loss)534 (210)539 (309)
Net other comprehensive (loss) incomeNet other comprehensive (loss) income(237)534 (839)539 
Balance at September 30,Balance at September 30,$(23,199)$(23,930)$(23,199)$(23,930)Balance at September 30,$(23,466)$(23,199)$(23,466)$(23,199)
Unrealized gain on marketable debt securities, netUnrealized gain on marketable debt securities, net  Unrealized gain on marketable debt securities, net  
Beginning balanceBeginning balance$1,215 $872 $932 $205 Beginning balance$879 $1,215 $1,576 $932 
Net other comprehensive income, net of $(1), $(5), $(131) and $(46) tax, respectively66 86 349 753 
Net other comprehensive (loss) income, net of income tax (benefit) provision of $(59), $1 $(220) and $131, respectivelyNet other comprehensive (loss) income, net of income tax (benefit) provision of $(59), $1 $(220) and $131, respectively(157)66 (854)349 
Balance at September 30,Balance at September 30,$1,281 $958 $1,281 $958 Balance at September 30,$722 $1,281 $722 $1,281 
Accumulated other comprehensive loss at September 30,Accumulated other comprehensive loss at September 30,$(21,918)$(22,972)$(21,918)$(22,972)Accumulated other comprehensive loss at September 30,$(22,744)$(21,918)$(22,744)$(21,918)
The effect on the Company’s unaudited condensed consolidated financial statements of amounts reclassified out of accumulated other comprehensive loss was immaterial for all periods presented.

NOTE 19:15: Revenue by Product 

The Company has determined that it operates in 1 segment, the development and commercialization of pharmaceutical products, including controlled-release therapeutic products based on itsour proprietary polymer based technology. The Company’s Chief Operating Decision Maker is the Chief Executive Officer (the “CEO”). The 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 arewere included in one1 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 product sales by these products: 
Three Months Ended September 30,Nine Months Ended September 30,
Product Sales by Product:2020201920202019
Bloxiverz$$1,466 $2,201 $6,392 
Vazculep8,786 10,429 27,669 
Akovaz4,208 9,545 13,946 
Other(231)159 213 
Total product sales$$14,229 $22,334 $48,220 

On June 30, 2020, we sold the Hospital Products. See Note 4:3: Disposition of the Hospital Products. The following table presents a summary of total product sales by these products for the nine months ended September 30, 2020. The Company had no revenue during the three and nine months ended September 30, 2021 and the three months ended September 30, 2020: 
Nine Months Ended September 30,
Product Sales by Product:2020
Bloxiverz$2,201 
Vazculep10,429 
Akovaz9,545 
Other159 
Total product sales$22,334 

NOTE 20:16: Commitments and Contingencies 
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 September 30, 20202021 and December 31, 2019,2020, there were no contingent liabilities with respect to any litigation, arbitration or administrative or
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other proceeding that are reasonably likely to have a material adverse effect on the Company’s unaudited condensed consolidated financial position, results of operations, cash flows or liquidity.

Litigation RelatedFirst Complaint

On May 12, 2021, Jazz Pharmaceuticals, Inc. (“Jazz”) filed a formal complaint (the “First Complaint”) initiating a lawsuit in the United States District Court for the District of Delaware (the “Court”) against Avadel Pharmaceuticals plc, Avadel US Holdings, Inc., Avadel Management Corporation, Avadel Legacy Pharmaceuticals, LLC, Avadel Specialty Pharmaceuticals, LLC, and Avadel CNS Pharmaceuticals, LLC (collectively, the “Avadel Parties”). In the First Complaint, Jazz alleges the sodium oxybate product (“Proposed Product”) described in the NDA owned by Avadel CNS Pharmaceuticals, LLC will infringe at least one claim of US Patent No. 8731963, 10758488, 10813885, 10959956 and/or 10966931 (collectively, the “patents-in-suit”). The First Complaint further includes typical relief requests such as preliminary and permanent injunctive relief, monetary damages and attorneys’ fees, costs and expenses.

On June 3, 2021, the Avadel Parties timely filed their Answer and Counterclaims (the “Avadel Answer”) with the Court in response to Noctivathe First Complaint. The Avadel Answer generally denies the allegations set forth in the First Complaint, includes numerous affirmative defenses (including, but not limited to, non-infringement and invalidity of the patents-in-suit), and asserts a number of counterclaims seeking i) a declaratory judgment of non-infringement of each patent-in-suit, and ii) a declaratory judgment of invalidity of each patent-in-suit.

On June 18, 2021, Jazz filed its Answer (“Jazz Answer”) with the Court in response to the Avadel Answer. The Jazz Answer generally denies the allegations set forth in the Avadel Answer and sets forth a single affirmative defense asserting that Avadel has failed to state a claim for which relief can be granted.

On June 21, 2021, the Court issued an oral order requiring the parties to i) confer regarding proposed dates to be included in the Court’s scheduling order for the case, and ii) submit a proposed order, including a proposal for the length and timing of trial, to the Court by no later than July 21, 2021.

On July 30, 2021, the Court issued a scheduling order establishing timing for litigation events including i) a claim construction hearing date of August 2, 2022, and ii) a trial date of October 30, 2023.

Note 3: Subsidiary Bankruptcy and DeconsolidationOn October 18, 2021, consistent with the scheduling order, Jazz filed a status update with the Court indicating that Jazz did not intend to file a preliminary injunction with the Court at this time. briefly describesJazz further indicated that it would provide the Chapter 11 bankruptcy case which our subsidiary Specialty Pharma commencedCourt with an update regarding whether preliminary injunction proceedings may be necessary after receiving further information regarding the FDA’s action on February 6, 2019, and which on April 26, 2019 resultedAvadel’s NDA.

Second Complaint

On August 4, 2021, Jazz filed another formal complaint (the “Second Complaint”) initiating a lawsuit in the bankruptcy court-approved saleCourt against the Avadel Parties. In the Second Complaint, Jazz alleges the Proposed Product described in the NDA owned by Avadel CNS Pharmaceuticals, LLC will infringe at least one claim of all of Specialty Pharma’s intangible assetsUS Patent No. 11077079. The Second Complaint further includes typical relief requests such as preliminary and inventory topermanent injunctive relief, monetary damages and attorneys’ fees, costs and expenses.

On October 22, 2021, the Court issued an unaffiliated third party. As a result of such sale, Specialty Pharma has completed its divestment oforal order stating that this case should proceed on the assets ofsame schedule as the Noctiva business. During the pendency of the bankruptcy case all pending litigation against Specialty Pharma is automatically stayed and any new litigation against Specialty Pharma is precluded unless the bankruptcy court orders otherwise. There is currently no pending or threatened litigation or disputes to which Specialty Pharma is or would be a party. All prior litigation and disputes involving Specialty Pharma have been dismissed or resolved.filed on May 12, 2021.

Material Commitments

We have been relieved of all purchaseOther than commitments disclosed in Note 16:17: Contingent Liabilities and Commitments to the Company’s auditedCompany's consolidated financial statements included in Part II, Item 8 of the Company’s 20192020 Annual Report on Form 10-K, due to the salethere were no other material commitments outside of the Hospital Products described in Note 4: Dispositionnormal course of the Hospital Products.business.

During the three months ended September 30, 2020, we entered into a commitment with a contract manufacturer related to the purchase and validation of equipment to be used in the manufacture of FT218. The total cost of this commitment is estimated to be approximately $3,800 and is expected to be completed by the end of 2021.
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Material commitments in the normal course of business include long-term debt obligations which are disclosed in Note 11: Long-Term Debt to the Company’s unaudited condensed consolidated financial statements. Our long-term contingent consideration payable as disclosed in Note 10: Contingent Consideration Payable has also been relieved due to the sale of the Hospital Products.
Guarantees

Deerfield Guarantee

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

In connection with our February 2018 divestiture of our pediatric assets, we guaranteed to Deerfield the 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. Given our explicit guarantee to Deerfield, the Company recorded the guarantee in accordance with ASC 460. The balance of this guarantee liability was $1,486$1,121 at September 30, 2020.2021. This liability is being amortized proportionately based on undiscounted cash outflows through the remainder of the contract with Deerfield.

Armistice Guarantee

In connection with our February 2018 divestiture of the pediatric assets, Armistice Capital Master Fund, Ltd., the majority shareholder of Cerecor, guaranteed to us the FSC Product Royalties. The Company recorded the guarantee in accordance with ASC 460. The balance of this guarantee asset was $1,481$1,117 at September 30, 2020.2021. This asset is being amortized proportionately based on undiscounted cash outflows through the remainder of the contract with Deerfield.

Off-Balance Sheet Arrangements

As of September 30, 2020,2021, we did not have any off-balance sheet arrangements, as defined in Item 303(a)(4)(ii) of Regulation S-K.

NOTE 17: Subsequent Events
On October 15, 2021, we announced that the FDA informed us that the review of our NDA for FT218 was ongoing beyond its previously assigned target action date.


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ITEM 2.        MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS 

Management’s Discussion and Analysis 
(In thousands, except per share data)
(Unaudited)
 
You should read the discussion and analysis of our financial condition and results of operations set forth in this Item 2 together with our unaudited condensed consolidated financial statements and the related notes appearing elsewhere in this quarterly reportQuarterly Report on Form 10-Q. Some of the information contained in this discussion and analysis or set forth elsewhere in this quarterly reportQuarterly Report on Form 10-Q, 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 Note Regarding Forward-Looking Statements” set forth immediately following the Table of Contents of this Quarterly Report on Form 10-Q for further information on the forward looking statements herein. In addition, you should read the “Risk Factors” section in Part I, Item 1A of our Annual Report on Form 10-K filed with the U.S. Securities and Exchange Commission (“SEC”) on March 16, 20209, 2021 and Part II, Item 1A in this quarterly reportQuarterly Report on Form 10-Q for a discussion of additional 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 quarterly report.Quarterly Report.
Overview 
General Overview
Avadel Pharmaceuticals plc (Nasdaq: AVDL) (“Avadel,” the “Company,” “we,” “our,” or “us”) is an emerginga biopharmaceutical company. Our lead product candidate, FT218, is an investigational once-nightly, extended-release formulation of sodium oxybate for the treatment of excessive daytime sleepiness (“EDS”) and cataplexy in narcolepsy patients. FT218 uses our Micropump controlled release drug-delivery technology.

adults with narcolepsy. We are primarily focused on the development and potential United States (“U.S.”) Food and Drug Administration (“FDA”) approval of FT218. In December 2020, we submitted a New Drug Application (“NDA”) to the FDA for FT218 to treat excessive daytime sleepiness and cataplexy in adults with narcolepsy. In February 2021, the NDA for FT218 was accepted by the FDA and was assigned a Prescription Drug User Fee Act (“PDUFA”) target action date of October 15, 2021. On October 15, 2021, we announced that the FDA informed us that the review of our NDA for FT218 was ongoing beyond its previously assigned target action date.

Outside of our lead product candidate, we continue to evaluate opportunities to expand our product portfolio.

Recent Developments

Disposition As of the Hospital Products

On June 30, 2020 (“Closing Date”), we announced the sale of our portfolio of sterile injectable drugs used in the hospital setting (the “Hospital Products”), including our three commercial products, Akovaz, Bloxiverz and Vazculep, as well as Nouress, which is approved by the FDA to Exela Sterile Medicines LLC (“Exela Buyer”) (the “Transaction”) pursuant to an asset purchase agreement between Avadel U.S. Holdings Inc., Avadel Legacy Pharmaceuticals, LLC, Exela Holdings, Inc. and the Exela Buyer (“Purchase Agreement”). Pursuant to the Purchase Agreement, Exela Buyer paid us $14,500 on the Closing Date and will pay an additional $27,500 in ten equal monthly installments which began in September 2020 for total aggregate consideration of $42,000. During the three months ended September 30, 2020,2021, we received the first installment payment of $2,750. For more information, seedo not have any approved or commercialized products in our Current Report on Form 8-K filed with the SEC on July 2, 2020.

Subsidiary Bankruptcy

At a hearing conducted on October 6, 2020, the Bankruptcy Court granted final approval of Specialty Pharma’s disclosure statement and confirmed its Chapter 11 plan of liquidation. Pursuant to the plan, the appointment of a Plan Administrator was also approved. The Plan Administrator will be responsible for making distributions to creditors, managing the final windup and dissolution of Specialty Pharma, and taking other steps in accordance with the plan of liquidation. The plan of liquidation became effective on October 20, 2020.portfolio.

FT218 (Micropump sodium oxybate)

FT218 is a once-nightly formulation of sodium oxybate that uses our Micropump controlled release drug-delivery technology for the treatment of EDS and cataplexy in patientsadults suffering from narcolepsy. Sodium oxybate is the sodium salt of gamma hydroxybutyrate, an endogenous compound and metabolite of the neurotransmitter gamma-aminobutyric acid. Sodium oxybate is approved in Europe and the U.S. as a twice-nightly formulation indicated for the treatment of EDS and cataplexy in patients with narcolepsy and is approved in Europe for the treatment of cataplexy in patients with narcolepsy.
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Since 2002, sodium oxybate has only been available as a formulation that must be taken twice nightly, first at bedtime, and then again 2.5 to 4 hours later.

TheOn December 16, 2020, we announced the submission of our NDA to the FDA for FT218. On February 26, 2021, the FDA notified us of formal acceptance of the NDA and assigned PDUFA target action date of October 15, 2021. On October 15, 2021, we announced that the FDA informed us that the review of our NDA for FT218 was ongoing beyond its previously assigned target action date.

We conducted a Phase 3 clinical trial of FT218, the REST-ON trial, which was a randomized, double-blind, placebo-controlled study that enrolled 212 patients who received at least one dose of FT218 or placebo, and was conducted in clinical sites in the U.S., Canada, Western Europe and Australia. The last patient, last visit was completed at the end of the first quarter of 2020 and positive top line data from the REST-ON trial was announced on April 27, 2020. Patients who received 9g9 g of once-nightly FT218, the highest dose administered in the trial, demonstrated a statistically significant and clinically meaningful improvement compared to placebo across the three co-primary endpoints of the trial: maintenance of wakefulness test, or MWT, clinical global impression-improvement, or CGI-I, and mean weekly cataplexy attacks. The lower doses assessed, 6 g and 7.5 g also demonstrated a statistically significant and clinically meaningful improvement on all three co-primary endpoints compared to
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placebo. We observed the 9g9 g dose of once-nightly FT218 to be generally well tolerated. Adverse reactions commonly associated with sodium oxybate were observed in a small number of patients (nausea 1.3%, vomiting 5.2%, decreased appetite 2.6%, dizziness 5.2%, somnolence 3.9%, tremor 1.3%, and enuresis 9%), and 3.9% of the patients who received 9g9 g of FT218 discontinued the trial due to adverse reactions. We also assessed the three co-primary endpoints in patients who received 7.5g and 6g of once-nightly FT218. Patients who received either 7.5g or 6g of once-nightly FT218 also demonstrated statistically significant, clinically meaningful improvements compared to placebo for each of the three co-primary endpoints. 

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. Additionally, in April 2019, our first FT218 patent was issued, providing intellectual property protection into mid-2037. One or moreseveral FT218-related U.S. patents have been issued, since, and there are additional patent applications currently in development and/or pending at the U.S. Patent and Trademark Office (“USPTO”), as well as foreign patent offices.

In July 2020, we announced that the first patient was dosed initiating an open-label extension (“OLE”)/switch study of FT218 as a potential treatment for excessive daytime sleepinessEDS and cataplexy in patients with narcolepsy. The OLE/switch study will examineis examining the long-term safety and maintenance of efficacy of FT218 in patients with narcolepsy who participated in the REST-ON study, as well as dosing and preference data for patients switching from twice-nightly sodium oxybate to once-nightly FT218, regardless ifof whether they participated in REST-ON.

New secondary endpoints from the REST-ON trial were presented at the American Academy of Neurology, beginning April 17, 2021. The first poster described FT218 improvements in disturbed nocturnal sleep (“DNS”), defined in REST-ON as the number of shifts from stages N1, N2, N3, and rapid eye movement (“REM”) sleep to wake and from stages N2, N3, and REM sleep to stage N1. FT218 also decreased the number of nocturnal arousals as measured on polysomnography. Improvements in DNS were further supported by post-hoc analyses demonstrating increased time in deep sleep (N3, also known as slow wave sleep), and less time in N1. A second poster described the statistically significant improvements in the Epworth Sleepiness Scale, both the quality of sleep and the refreshing nature of sleep, and a decrease in sleep paralysis. These clinically relevant improvements were observed for all doses, beginning at Week 3, for the lowest 6 g dose, compared to placebo. FT218 did not demonstrate significant improvement for hypnagogic hallucinations compared to placebo.

Additional data supportive of the efficacy findings in REST-ON were presented at the annual meeting of the 35th Annual Meeting of the Associated Professional Sleep Societies, a joint meeting of the American Academy of Sleep Medicine and the Sleep Research Society, also known as SLEEP 2021, beginning June 10, 2021. New data included post-hoc analyses demonstrating endpoints improvements, regardless of concomitant stimulant use, in both narcolepsy Type 1 or not. We anticipateType 2. Additionally, a post-hoc analysis showed that FT218 was associated with decreased body mass index compared to placebo, which may be relevant as people with narcolepsy often have co-morbid obesity. In August, the primary results from the REST-ON trial were published by Kushida et al. in the journal SLEEP.New data was presented at the American College of Chest Physicians annual meeting, beginning October 17, 2021, including additional post-hoc analyses from the REST-ON trial, demonstrating a greater proportion of patients receiving FT218 experienced reductions in weekly cataplexy attacks and improvement in mean sleep latency compared to placebo, as well as the results of a discrete choice experiment, indicating that the study will enroll about 250 patients at mostoverall driver of the North American clinical trial sites that participated in the REST-ON study.patient preference between sodium oxybate treatments is a once-nightly, versus twice-nightly, formulation.

We believe FT218 has the potential to demonstrate improved dosing compliance, safety and patient satisfaction over the current standardstandards of care for EDS and cataplexy in patients with narcolepsy, which is aare twice-nightly sodium oxybate formulation.formulations. If approved, we believe FT218 has the potential to take a significant share of the sodium oxybate market. The current market size for the twice-nightly administration of sodium oxybate products is an estimated at an annualized revenue run rate of $1.6 billion.$1.8 billion annually.

Micropump Drug-Delivery Technology

Our Micropump drug-delivery technology allows for the delayedcontrolled delivery of small molecule drugs taken orally, which has the potential to improve dosing compliance, reduce toxicity and improve patient compliance. Beyond FT218, we believe there could be other product development opportunities for our Micropump drug-delivery technology, 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.

Previously Approved FDA Products

On June 30, 2020 (“Closing Date”), we announced the sale of our portfolio of sterile injectable drugs used in the hospital setting (the “Hospital Products”), including our three commercial products, Akovaz, Bloxiverz and Vazculep, as well as Nouress, which is approved by the U.S. FDA to Exela Sterile Medicines LLC.LLC (“Exela Buyer”). This sale included the following FDA approved products:

Bloxiverz (neostigmine methylsulfate injection) - Bloxiverz was approved by the FDA in May 2013 and was launched in July 2013. Bloxiverz is a drug used intravenously in the operating room to reverse 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 most frequently used products for the reversal of the effects of other agents used for neuromuscular blocks. There are approximately 2,500 vials of neostigmine sold annually in the U.S.
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Vazculep (phenylephrine hydrochloride injection) - Vazculep was approved by the FDA in June 2014 and was launched in October 2014. Vazculep is indicated for the treatment of clinically important hypotension occurring in the setting of anesthesia. There are approximately 7,400 vials of Vazculep sold annually in the U.S.

Akovaz (ephedrine sulfate injection) - Akovaz, was approved by the FDA in April 2016 and was launched in August 2016. Akovaz was the first FDA approved formulation of ephedrine sulfate, an alpha- and beta- adrenergic agonist and
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a norepinephrine-releasing agent that is indicated for the treatment of clinically important hypotension occurring in the setting of anesthesia. There are approximately 6,800 vials of Akovaz sold annually in the U.S.

Nouress (cysteine hydrochloride injection) - Nouress was approved by the FDA in December 2019. Nouress is a sterile injectable product for use in the hospital setting and two issued U.S. patents currently cover that product. Several additional patent applications for Nouress are pending with the U.S. Patent and Trademark Office (“USPTO”).to provide parenteral nutrition to neonates.

Corporate Information

We were incorporated on December 1, 2015 as an Irish private limited company, and re-registered asare an Irish public limited company (“plc”), on November 21, 2016.company. Our registered address is at 10 Earlsfort Terrace, Dublin 2, Ireland and our phone number is +353-1-920-1000. We file annual, quarterly and current reports, proxy statements and other documents with the U.S. Securities and Exchange Commission (“SEC”)SEC under the Securities Exchange Act of 1934, as amended (the “Exchange Act”). 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 SEC. These filings are also available to the public at www.sec.gov.

We currently have five direct wholly-owned subsidiaries: (a) Avadel US Holdings, Inc., (b) Flamel Ireland Limited is an Irish limited company, 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), (ii) Avadel Legacy Pharmaceuticals, LLC, (iii) Avadel Management Corporation, (iv) FSC Holding Company, (v) Avadel Operations Company, Inc. and (vi)(iv) Avadel CNS Pharmaceuticals LLC. 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. 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.SAS. A complete list of our subsidiaries can be found in Exhibit 21.1 of our Annual Report on Form 10-K filed with the SEC on March 16, 2020.9, 2021.

References in these unaudited condensed 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.
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.
Competition and Technological Change: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 products, product candidates, or 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 ourpharmaceutical 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,As such, we have seen, or likely willexpect to see additional generic competition tofor our current and future products and we continue to expect generic competition in the future.
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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, expensive and/or expensivedilutive and, as a result, could create liquidity challenges for the Company.
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Net Loss from Operations in 2020:2021 Since we: We sold our Hospital Products at June 30, 2020 and will no longer generate revenue from sales and werevenue. We will incur substantial expenses to further the clinical development of and continue our preparations for the commercial launch of FT218, we expect to incur a net loss in 2020, which we are unable to estimate at this time.if approved.

Impact of COVID-19

Since early 2020, we have seen the profound impact that the novelongoing coronavirus (“COVID-19”) pandemic is having on human health, the global economy and society at large. We have beencontinued to actively monitoringmonitor the COVID-19 situationpandemic and have taken measures to mitigate the potential impacts to our employees and business, such as implementingcontinuing to offer a work from home policy. We believe the impact of COVID-19 and measures to prevent its spread could impact our business in a number of ways, including: i) possibly delaying any remaining development activities for FT218, the submission of our NDA for FT218 to the FDA, the FDA review timeline of FT218, and/or our ongoing RESTORE open-label extension/switch study, ii) disruptions to our supply chain and third parties that we use; andparties; iii) requiring our employees to work from home for an extended period of time.time; and iv) hindering sales efforts for FT218, if approved. An extended period of global supply chain and economic disruption could materially affect our business, results of operations, access to sources of liquidity and financial condition. Despite progress in vaccination efforts, future developments and impact on our operations remain uncertain and cannot be predicted with confidence, including the duration of the COVID-19 pandemic, new strains of the virus, new information which may emerge concerning the severity of the COVID-19 pandemic, and any additional preventative and protective actions that governments, or we, may direct, which may result in extending continued business disruptions.

Financial Highlights

Highlights of our consolidated results for the three and nine months ended September 30, 20202021 are as follows: 
Revenue was $0 and $22,334 for the three and nine months ended September 30, 2020, respectively,2021, compared to $14,229$0 and $48,220$22,334 in the same periods last year, respectively. The quarter over quarter and year over year decreases were primarilydecrease for the comparative nine month periods was the result of the sale of the Hospital Products on June 30, 2020.
Operating loss was $25,663 and $62,410 for the three and nine months ended September 30, 2021, respectively, compared to operating loss of $13,697 for the three months ended September 30, 2020 and operating income wasof $20,075 and for the nine months ended September 30, 2020, respectively, compared to an operating loss of $4,147 and $16,765 and for the same period last year, respectively. The increase in operating loss for the three months ended September 30, 2020 was driven by a decline in gross margin (i.e., total revenues minus cost of products) of $11,406 driven by the sale of the Hospital Products and higher selling, general and administrative expense of $3,107. The increase in operating2020. Operating income for the nine months ended September 30, 2020 was driven by the gain on the disposition of Hospital Products of $45,760, lower R&D expense of $10,004, lower restructuring costs of $4,643, partially offset by lower gross margin of $21,917.
Gain on the dispositionsale of the Hospital Products was $45,760 for the nine months ended Septemberon June 30, 2020. The net gain included sale proceeds of $42,000 ($27,500 was recorded as a current note receivable at June 30, 2020), write-off of our inventory, intangible asset, a portion of goodwill and other related assets of $8,212, estimated transaction fees of $2,928 and the reversal of our contingent consideration liability of $14,900.
Net loss was $11,703$22,002 and $55,028 for the three months ended September 30, 2020 and net income was $18,306 for the nine months ended September 30, 2020,2021, respectively, compared to net loss of $8,864$11,703 and $30,487net income of $18,306 in the same periodsperiod last year, respectively. Included in the net income during the nine months ended September 30, 2020 was a gain on the disposition of the Hospital Products of $45,760.
Diluted net loss per share was $0.20$(0.38) and $(0.94) for the three months ended September 30, 2020 and diluted net income was $0.35 for the nine months ended September 30, 2020,2021, respectively, compared to diluted net loss per share of $0.24$(0.20) and $0.82diluted net income per share of $0.35 in the same periodsperiod last year, respectively.
Cash and marketable securities increased $167,418decreased $40,309 to $231,576$181,093 at September 30, 2020,2021, from $64,158$221,402 at December 31, 2019. This increase2020. The decrease in cash was driven primarily by the February private placement which resulted in proceeds, net of placement feescash used for operating expenses of approximately $61,000,$50,000, approximately $6,470 of interest payments, and approximately $2,850 for the May public offering, which resulted in proceeds, netpurchase of placement fees of approximately $117,000, cash proceeds from the disposition of the Hospital Products of $17,250, partiallyraw materials used for FT218 pre-NDA approval activities. Cash spend was offset by $29,609 use$14,500 of net cash in operations during the nine months ended September 30, 2020.received from Exela and approximately $4,500 related to research and development tax credits and other refunds.


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Critical Accounting Estimates 
The Company’s unaudited condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America. To prepare these financial statements, management makes estimates and assumptions that affect the reported amounts of assets, liabilities, revenues and expenses, as well as the disclosures of contingent assets and liabilities. Actual results could be significantly different from these estimates. 
Our significant accounting policies are described in Note 1 of the audited consolidated financial statements included in our Annual Report Form 10-K for the year ended December 31, 20192020 (the “2019“2020 Form 10-K”). The SEC suggests companies provide additional disclosure on those accounting policies considered most critical. The SEC considers an accounting policy to be critical if it is important to our financial condition and results of operations and requires significant judgments and estimates on the part of management in its application. Our estimates are often based on complex judgments, probabilities and assumptions that management believes to be reasonable, but that are inherently uncertain and unpredictable. It is also possible that other professionals, applying reasonable judgment to the same facts and circumstances, could develop and support a range of alternative estimated amounts. For a complete discussion of our critical accounting policies, see the “Critical Accounting Policies” section of the MD&AManagement’s Discussion & Analysis in our 20192020 Form 10-K.

Results of Operations 
The following is a summary of our financial results (in thousands, except per share amounts) for the three months ended September 30, 20202021 and 2019,2020, respectively:
  Three Months Ended
Three Months Ended September 30,Increase / (Decrease) Three Months Ended September 30,Change
2020 vs. 2019 2021 vs. 2020
Comparative Statements of (Loss) Income20202019$%
Product sales$— $14,229 $(14,229)(100.0)%
Comparative Statements of LossComparative Statements of Loss20212020$%
Operating expenses:Operating expenses:  Operating expenses:  
Cost of products— 2,823 (2,823)(100.0)%
Research and development expensesResearch and development expenses5,569 7,539 (1,970)(26.1)%Research and development expenses4,380 5,569 (1,189)(21.4)%
Selling, general and administrative expensesSelling, general and administrative expenses8,423 5,316 3,107 58.4 %Selling, general and administrative expenses21,283 8,423 12,860 152.7 %
Intangible asset amortization— 205 (205)(100.0)%
Changes in fair value of contingent considerationChanges in fair value of contingent consideration(69)627 (696)(111.0)%Changes in fair value of contingent consideration— (69)69 100.0 %
Restructuring (income) costs(226)1,866 (2,092)(112.1)%
Restructuring incomeRestructuring income— (226)226 100.0 %
Total operating expenseTotal operating expense13,697 18,376 (4,679)(25.5)%Total operating expense25,663 13,697 11,966 87.4 %
Operating lossOperating loss(13,697)(4,147)(9,550)(230.3)%Operating loss(25,663)(13,697)(11,966)(87.4)%
Investment and other income, net213 781 (568)(72.7)%
Investment and other income (expense), netInvestment and other income (expense), net489 213 276 129.6 %
Interest expenseInterest expense(3,259)(3,125)(134)(4.3)%Interest expense(1,929)(3,259)1,330 40.8 %
Other expense - changes in fair value of contingent consideration payable— (139)139 100.0 %
Loss before income taxesLoss before income taxes(16,743)(6,630)(10,113)(152.5)%Loss before income taxes(27,103)(16,743)(10,360)(61.9)%
Income tax (benefit) provision(5,040)2,234 (7,274)(325.6)%
Income tax benefitIncome tax benefit(5,101)(5,040)(61)(1.2)%
Net lossNet loss$(11,703)$(8,864)$(2,839)(32.0)%Net loss$(22,002)$(11,703)$(10,299)(88.0)%
Net loss per share - dilutedNet loss per share - diluted$(0.20)$(0.24)$0.04 16.7 %Net loss per share - diluted$(0.38)$(0.20)$(0.18)(90.0)%
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The following is a summary of our financial results (in thousands, except per share amounts) for the nine months ended September 30, 20202021 and 2019,2020, respectively:
  Nine Months Ended
Nine Months Ended September 30,Increase / (Decrease) Nine Months Ended September 30,Change
2020 vs. 2019 2021 vs. 2020
Comparative Statements of Income (Loss)20202019$%
Comparative Statements of (Loss) IncomeComparative Statements of (Loss) Income20212020$%
Product salesProduct sales$22,334 $48,220 $(25,886)(53.7)%Product sales$— $22,334 $(22,334)(100.0)%
Operating expenses:Operating expenses:  Operating expenses:  
Cost of productsCost of products5,742 9,711 (3,969)(40.9)%Cost of products— 5,742 (5,742)(100.0)%
Research and development expensesResearch and development expenses15,156 25,160 (10,004)(39.8)%Research and development expenses14,994 15,156 (162)(1.1)%
Selling, general and administrative expensesSelling, general and administrative expenses23,431 22,520 911 4.0 %Selling, general and administrative expenses47,469 23,431 24,038 102.6 %
Intangible asset amortizationIntangible asset amortization406 610 (204)(33.4)%Intangible asset amortization— 406 (406)(100.0)%
Changes in fair value of contingent considerationChanges in fair value of contingent consideration3,327 2,384 943 39.6 %Changes in fair value of contingent consideration— 3,327 (3,327)(100.0)%
Gain on sale of Hospital ProductsGain on sale of Hospital Products(45,760)— (45,760)(100.0)%Gain on sale of Hospital Products— (45,760)45,760 100.0 %
Restructuring (income) costs(43)4,600 (4,643)(100.9)%
Restructuring incomeRestructuring income(53)(43)(10)(23.3)%
Total operating expenseTotal operating expense2,259 64,985 (62,726)(96.5)%Total operating expense62,410 2,259 60,151 2,662.7 %
Operating income (loss)20,075 (16,765)36,840 219.7 %
Investment and other (expense) income, net(906)2,548 (3,454)(135.6)%
Operating (loss) incomeOperating (loss) income(62,410)20,075 (82,485)(410.9)%
Investment and other income (expense), netInvestment and other income (expense), net1,531 (906)2,437 269.0 %
Interest expenseInterest expense(9,686)(9,293)(393)(4.2)%Interest expense(5,788)(9,686)3,898 40.2 %
Loss on deconsolidation of subsidiary— (2,840)2,840 100.0 %
Gain from release of certain liabilitiesGain from release of certain liabilities166 — 166 100.0 %
Other expense - changes in fair value of contingent consideration payableOther expense - changes in fair value of contingent consideration payable(435)(496)61 12.3 %Other expense - changes in fair value of contingent consideration payable— (435)435 100.0 %
Income (loss) before income taxes9,048 (26,846)35,894 133.7 %
Income tax (provision) benefit(9,258)3,641 (12,899)(354.3)%
Net income (loss)$18,306 $(30,487)$48,793 160.0 %
Net income (loss) per share - diluted$0.35 $(0.82)$1.17 142.7 %
(Loss) income before income taxes(Loss) income before income taxes(66,501)9,048 (75,549)(835.0)%
Income tax benefitIncome tax benefit(11,473)(9,258)(2,215)(23.9)%
Net (loss) incomeNet (loss) income$(55,028)$18,306 $(73,334)(400.6)%
Net (loss) income per share - dilutedNet (loss) income per share - diluted$(0.94)$0.35 $(1.29)(368.6)%
Product sales for each
On June 30, 2020, we announced the sale of the Company’s significantHospital Products, including our three commercial products, forAkovaz, Bloxiverz and Vazculep, as well as Nouress, to the Exela Buyer. As a result of the sale, the Company no longer recorded revenue, cost of products, intangible amortization and changes to the fair value of the contingent consideration related to these products subsequent to the Closing Date.
 Three Months Ended September 30,Change
 2021 vs. 2020
Research and Development Expenses:20212020$%
Research and development expenses$4,380 $5,569 $(1,189)(21.4)%

Research and development expenses decreased $1,189 or 21.4% during the three months ended September 30, 20202021 as compared to the same period in 2020. This decrease was driven by lower clinical studies expense as well as lower purchases of active pharmaceutical ingredients used in the research and 2019 were as follows: development of FT218 during the current period when compared to the prior comparable period.
   Three Months Ended
 Three Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Product sales:20202019$%
Bloxiverz$— $1,466 (1,466)(100.0)%
Vazculep— 8,786 (8,786)(100.0)%
Akovaz— 4,208 (4,208)(100.0)%
Other— (231)231 100.0 %
Product sales$— $14,229 $(14,229)(100.0)%

Product sales were $0 for
 Nine Months Ended September 30,Change
 2021 vs. 2020
Research and Development Expenses:20212020$%
Research and development expenses$14,994 $15,156 $(162)(1.1)%

Research and development expenses decreased $162 or 1.1% during the threenine months ended September 30, 2020,2021 as compared to $14,229 for the same prior year period. Theperiod in 2020. This decrease in product sales was driven by lower clinical studies expense due to the salecompletion of the Hospital Products on June 30, 2020.
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Product sales for each of the Company’s significant products forFT218 clinical study during the nine months ended September 30, 2020, and 2019 were as follows: offset by higher pre-NDA approval activities.
   Nine Months Ended
 Nine Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Product sales:20202019$%
Bloxiverz$2,201 $6,392 $(4,191)(65.6)%
Vazculep10,429 27,669 (17,240)(62.3)%
Akovaz9,545 13,946 (4,401)(31.6)%
Other159 213 (54)(25.4)%
Product sales$22,334 $48,220 $(25,886)(53.7)%
- 29 -


Product sales were $22,334 for the nine months ended September 30, 2020, compared to $48,220 for the same prior year period. The decline in product sales is driven by the sale of the Hospital Products on June 30, 2020 as well as lower units volumes and net selling prices for Bloxiverz through the first six months of 2020 as compared to the prior year and lower unit volumes for Vazculep during the first six months of the year as compared to the prior year. due to new competitors that entered the market.
 Three Months Ended September 30,Change
 2021 vs. 2020
Selling, General and Administrative Expenses:20212020$%
Selling, general and administrative expenses$21,283 $8,423 $12,860 152.7 %

   Three Months Ended
 Three Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Cost of Products:20202019$%
Cost of products$— $2,823 $(2,823)(100.0)%
Percentage of total revenuesn/a19.8 %  

Cost of products decreased $2,823Selling, general and administrative (“SG&A”) expenses increased $12,860 or 100.0%152.7% during the three months ended September 30, 20202021 as compared to the same prior year period, driven by June 30, 2020 salethe Company’s continued commercial preparations and launch readiness activities for potential approval of the Hospital Products.FT218. These activities included an increase in marketing and market research costs of approximately $4,400, an increase in other launch planning and preparation activities totaling $1,400 and an increase in patient education costs of approximately $400. Compensation costs increased by approximately $3,600 due to an increase in headcount, primarily in commercial and medical affairs. Legal, other professional fees and insurance costs increased by approximately $2,700.
   Nine Months Ended
 Nine Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Cost of Products:20202019$%
Cost of products$5,742 $9,711 $(3,969)(40.9)%
Percentage of total revenues25.7 %20.1 %  

Cost of products decreased $3,969
 Nine Months Ended September 30,Change
 2021 vs. 2020
Selling, General and Administrative Expenses:20212020$%
Selling, general and administrative expenses$47,469 $23,431 $24,038 102.6 %

SG&A expenses increased $24,038 or 40.9%102.6% during the nine months ended September 30, 20202021 as compared to the same prior year period, driven by lower sold units due to the June 30, 2020 saleCompany’s continued commercial preparations and launch readiness activities for potential approval of the Hospital Products.

   Three Months Ended
 Three Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Research and Development Expenses:20202019$%
Research and development expenses5,569 7,539 $(1,970)(26.1)%
ResearchFT218. These activities included an increase in marketing and development (“R&D”) expenses decreased $1,970 or 26.1% during the three months ended September 30, 2020 as compared to the same period in 2019. This decline was driven by the completion of the FT218 clinical study during the three months ending March 31, 2020, as well as lower payroll, benefits and share-based compensation of $400 related to the 2019 Corporate and French restructuring plans partially offset by higher API purchases of $1,700 in the current quarter. The Company continues to invest a substantial portion of R&D in its FT218 development program.

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   Nine Months Ended
 Nine Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Research and Development Expenses:20202019$%
Research and development expenses$15,156 $25,160 $(10,004)(39.8)%
R&D expenses decreased $10,004 or 39.8% during the nine months ended September 30, 2020 as compared to the same period in 2019. This decline was driven by the completion of the FT218 clinical study during the three months ending March 31, 2020 and lower payroll, benefits and share-based compensationmarket research activities of approximately $3,300 related to the 2019 Corporate$8,300, and French restructuring plans. The Company continues to invest a substantial portion of R&Dan increase in its FT218 development program.

   Three Months Ended
 Three Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Selling, General and Administrative Expenses:20202019$%
Selling, general and administrative expenses$8,423 $5,316 $3,107 58.4 %

Selling, generalother launch planning and administrative (“SG&A) expensespreparation activities totaling approximately $3,600. Compensation costs increased $3,107 or 58.4% during the three months ended September 30, 2020 as compared to the same prior year period. This increase wasby approximately $6,800 due to an increase in consultingheadcount, primarily in commercial and professional fees of approximately $900, an increase in market research costs of $900, higher share-based compensation costs of $800 and higher legal fees of $800.
   Nine Months Ended
 Nine Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Selling, General and Administrative Expenses:20202019$%
Selling, general and administrative expenses$23,431 $22,520 $911 4.0 %
SG&A expenses increased $911 or 4.0% during the nine months ended September 30, 2020 as compared to the same prior year period. This increase was primarily due to an increase in market research costs, consulting andmedical affairs. Legal, other professional fees and legalinsurance costs ofincreased by approximately $1,300, $1,200 and $900 respectively, partially offset by a decrease of $2,200 of sales and marketing costs related to the exit of Noctiva during the first quarter 2019.$4,800.

   Three Months Ended
 Three Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Intangibles Asset Amortization:20202019$%
Intangible asset amortization$— $205 $(205)(100.0)%
 Three Months Ended September 30,Change
 2021 vs. 2020
Investment and Other Income (Expense), net20212020$%
Investment and other income (expense), net$489 $213 $276 129.6 %

Intangible asset amortization expenseInvestment and other income (expense), net increased for the three months ended September 30, 2019 related to the amortization of our acquired developed technology - Vazculep. This intangible asset was transferred to Exela Sterile Medicines LLC on June 30, 2020 as part of the disposition of the Hospital Products. See Note 4: Disposition of the Hospital Products.

   Nine Months Ended
 Nine Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Intangibles Asset Amortization:20202019$%
Intangible asset amortization$406 $610 $(204)(33.4)%
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Intangible asset amortization expense for the nine months ended September 30, 2020 and 2019 relates to the amortization of our acquired developed technology - Vazculep. This intangible asset was transferred to Exela Sterile Medicines LLC on June 30, 2020 as part of the disposition of the Hospital Products. See Note 4: Disposition of the Hospital Products.

   Three Months Ended
 Three Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Changes in Fair Value of Contingent Consideration:20202019$%
Changes in fair value of contingent consideration$(69)$627 $(696)(111.0)%

Prior to the sale of the Hospital Products on June 30, 2020, we computed the fair value of the contingent consideration using several significant assumptions and when these assumptions change, due to underlying market conditions, the fair value of these liabilities changed 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 unaudited condensed 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 our acquisition-related contingent consideration earn-out payments - Éclat, we recorded an expense of $69 and income of $627 and increased and decreased the fair value of the acquisition-related contingent consideration earn-out payments - Éclat for the three months ended September 30, 2020 and 2019, respectively. As noted in our critical accounting estimates included in the 2019 Form 10-K, there are numerous assumptions and estimates we use when determining the fair value of the acquisition-related earn-out payments - Éclat. These assumptions include estimates of pricing, market size, the 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.

For the three months ended September 30, 2020, as a result of changes to these estimates when compared to the same estimates at December 31, 2019, we recorded an increase in the fair value of our contingent consideration liabilities due to changes in certain underlying market conditions of the acquisition-related contingent consideration earn-out payments - Éclat.

For the three months ended September 30, 2019, as a result of changes to these estimates when compared to the same estimates at December 31, 2018, we recorded a decrease in the fair value of our contingent consideration liabilities, largely due to changes in certain underlying market conditions of the acquisition-related contingent consideration earn-out payments - Éclat.

   Nine Months Ended
 Nine Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Changes in Fair Value of Contingent Consideration:20202019$%
Changes in fair value of contingent consideration$3,327 $2,384 $943 39.6 %

We compute the fair value of the 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 unaudited condensed 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 our acquisition-related contingent consideration earn-out payments - Éclat, we recorded an expense of $3,327 and $2,384 and increased the fair value of the acquisition-related contingent consideration earn-out payments - Éclat for the nine months ended September 30, 2020 and 2019, respectively. As noted in our critical accounting estimates included in the 2019 Form 10-K, there are numerous assumptions and estimates we use when determining the fair value of the acquisition-related earn-out payments - Éclat. These assumptions include estimates of pricing, market size, the 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.

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For the nine months ended September 30, 2020, as a result of changes to these estimates when compared to the same estimates at December 31, 2019, we recorded an increase in the fair value of our contingent consideration liabilities due to changes in certain underlying market conditions of the acquisition-related contingent consideration earn-out payments - Éclat.

For the nine months ended September 30, 2019, as a result of changes to these estimates when compared to the same estimates at December 31, 2018, we recorded an increase in the fair value of our contingent consideration liabilities, largely due to changes in certain underlying market conditions of the acquisition-related contingent consideration earn-out payments - Éclat.

   Nine Months Ended
 Nine Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Gain on Sale of Hospital Products20202019$%
Gain on sale of Hospital Products$45,760 $— $45,760 100.0 %

On June 30, 2020, we sold our assets, rights and interests related to Bloxiverz, Vazculep, Akovaz and Nouress to the Exela Buyer pursuant to an asset purchase agreement by and among us and the Exela Buyer. We recognized a net $45,760 gain on this transaction. See Note 4: Disposition of the Hospital Products.

   Three Months Ended
 Three Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Restructuring (Income) Costs20202019$%
Restructuring (income) costs$(226)$1,866 $(2,092)(112.1)%

Restructuring income of $226 and restructuring costs of $1,866 were recognized during the three months ended September 30, 2020 and 2019, respectively. Restructuring income during the three months ended September 30, 2020, was related to share-based compensation forfeitures related to the 2019 Corporate Restructuring actions. Restructuring costs during the three months ended September 30, 2019 were primarily related to the 2019 French and Corporate Restructuring actions and mainly included severance and legal costs, see Note 15: Restructuring Costs for further details.
   Nine Months Ended
 Nine Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Restructuring (Income) Costs20202019$%
Restructuring (income) costs$(43)$4,600 $(4,643)(100.9)%
Restructuring income of $43 and costs of $4,600 were recognized during the nine months ended September 30, 2020 and 2019, respectively. Restructuring (income) costs were primarily related to the 2019 French and Corporate Restructuring actions and mainly included severance and legal costs, see Note 15: Restructuring Costs for further details.
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   Three Months Ended
 Three Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Investment and Other (Expense) Income, net20202019$%
Investment and other (expense) income, net$213 $781 $(568)(72.7)%
Investment and other (expense) income, net decreased for the three months ended September 30, 20202021 when compared to the same period in the prior year driven by lower realized gains on our marketable securities during the current period when compared to the prior period.higher foreign currency gains.
   Nine Months Ended
 Nine Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Investment and Other (Expense) Income, net20202019$%
Investment and other (expense) income, net$(906)$2,548 $(3,454)(135.6)%

 Nine Months Ended September 30,Change
 2021 vs. 2020
Investment and Other Income (Expense), net20212020$%
Investment and other income (expense), net$1,531 $(906)$2,437 269.0 %

Investment and other (expense) income (expense), net decreasedincreased for the nine months ended September 30, 20202021 when compared to the same period in the prior year driven by aan $800 legal settlement related to a bankruptcy claim an increaserecognized in net unrealized losses on our marketable equity securitiesthe prior period, higher foreign currency gains of approximately $700, higher interest income of approximately $600 and netlower realized losses on our marketable securities during the current period when compared to net unrealized gains on our marketable securities during the prior period.of approximately $400.
   Three Months Ended
 Three Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Interest Expense20202019$%
Interest expense$3,259 $3,125 $134 4.3 %

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 Three Months Ended September 30,Change
 2021 vs. 2020
Interest Expense20212020$%
Interest expense$1,929 $3,259 $(1,330)(40.8)%

Interest expense of $3,259$1,929 and $3,125$3,259 for the three months endended September 30, 2021 and 2020, and 2019respectively, is related to interest on the 2023 Notes that were issuedNotes. Included in February 2018.these amounts are coupon interest expense of $1,617 for each period and the amortization of debt issuance costs of $312 and $250 for the three months ended September 30, 2021 and 2020, respectively. Prior period interest expense also included amortization of a debt discount of $1,392, which is no longer recognized upon our adoption of ASU 2020-06. See Note 9: Long Term Debt to our unaudited condensed consolidated financial statements included in Part 1, Item 1 of this Quarterly Report on Form 10-Q for further details for further details.
  Nine Months Ended
Nine Months Ended September 30,Increase / (Decrease) Nine Months Ended September 30,Change
2020 vs. 2019 2021 vs. 2020
Interest ExpenseInterest Expense20202019$%Interest Expense20212020$%
Interest expenseInterest expense$9,686 $9,293 $393 4.2 %Interest expense$5,788 $9,686 $(3,898)(40.2)%

Interest expense of $9,686$5,788 and $9,293$9,686 for the nine months endended September 30, 2021 and 2020, and 2019respectively, is related to interest on the 2023 Notes that were issuedNotes. Included in February 2018.
   Nine Months Ended
 Nine Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Loss on Deconsolidation of Subsidiary20202019$%
Loss on deconsolidation of subsidiary$— $(2,840)$2,840 100.0 %

As a resultthese amounts are coupon interest expense of Specialty Pharma’s bankruptcy filing on February 6, 2019,$4,851 for each period and the Company concluded that it no longer controls its operationsamortization of debt issuance costs of $937 and accordingly deconsolidated this subsidiary. The Company recorded a loss on the deconsolidation during$744 for the nine months ended September 30, 2019 as2021 and 2020, respectively. Prior period interest expense also included amortization of a resultdebt discount of removing the net assets and certain liabilities$4,091, which is no longer recognized upon our adoption of this subsidiary fromASU 2020-06. See Note 9: Long Term Debt to our unaudited condensed consolidated financial statements. See Note 3: Subsidiary Bankruptcy and Deconsolidation statements included in Part 1, Item 1 of this Quarterly Report on Form 10-Q for more discussion.further details for further details.

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   Three Months Ended
 Three Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Other Expense - Changes in Fair Value of Contingent Consideration Payable20202019$%
Other expense - changes in fair value of contingent consideration payable$— $(139)$139 100.0 %

We recorded expense of $139 to increase of the fair value of these liabilities during the three months ended September 30, 2019, due to the same reasons associated with the Éclat product sales forecasts as described in the section “Changes in Fair Value of Related Party Contingent Consideration” for these periods. As noted in our critical accounting estimates section included in our 2019 Form 10-K, there are a number of assumptions and estimates we use when determining the fair value of the contingent consideration payable payments. These estimates include pricing, market size, the market share the related products are forecast to achieve and an appropriate discount rate to use when present valuing the related cash flows. These estimates often do change based on changes in current market conditions, competition and other factors.
 Three Months Ended September 30,Change
 2021 vs. 2020
Income Tax Benefit:20212020$%
Income tax benefit$(5,101)$(5,040)$(61)(1.2)%
Percentage of (loss) income before income taxes18.8 %30.1 %  

The items accounting for the difference between the income tax benefit computed at the statutory rate and the Company’s effective tax ratewas $5,101 for the three months ended September 30, 2020 and 2019, are as follows: 
   Nine Months Ended
 Nine Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Other Expense - Changes in Fair Value of Contingent Consideration Payable20202019$%
Other expense - changes in fair value of contingent consideration payable$(435)$(496)$61 12.3 %

We recorded expense2021 resulting in an effective tax rate of $435 and $496 to increase the fair value of these liabilities during the nine months ended September 30, 2020 and 2019, 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 included in our 2019 Form 10-K, there are a number of assumptions and estimates we use when determining the fair value of the contingent consideration 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.

   Three Months Ended
 Three Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Income Tax (Benefit) Provision:20202019$%
Income tax (benefit) provision$(5,040)$2,234 $(7,274)(325.6)%
Percentage of loss before income taxes(30.1)%33.6 %  

18.8%. The income tax benefit was $5,040 for the three months ended September 30, 2020 resulting in an effective tax rate of 30.1%. The income tax expense was $2,234 for the three months ended September 30, 2019 resulting in an effective tax rate of (33.6%). The net increasedecrease in the effective income tax rate for the three months ended September 30, 2020, as2021, when compared to the same period in 2019, was2020, is primarily dueattributable to decreased incomea change in the U.S. due to the salemix of the Hospital Products.losses in our foreign entities.

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   Nine Months Ended
 Nine Months Ended September 30,Increase / (Decrease)
 2020 vs. 2019
Income Tax (Benefit) Provision:20202019$%
Income tax (benefit) provision$(9,258)$3,641 $(12,899)(354.3)%
Percentage of income before income taxes(102.3)%(13.7)%  
 Nine Months Ended September 30,Change
 2021 vs. 2020
Income Tax Benefit:20212020$%
Income tax benefit$(11,473)$(9,258)$(2,215)(23.9)%
Percentage of (loss) income before income taxes17.3 %(102.3)%  

The income tax benefit was $11,473 for the nine months ended September 30, 2021 resulting in an effective tax rate of 17.3%. The income tax benefit was $9,258 for the nine months ended September 30, 2020 resulting in an effective tax rate of (102.3%). The income tax provision was $3,641 for the nine months ended September 30, 2019 resulting in an effective tax rate of (13.7%)(102.3)%. The net decreaseincrease in the effective income tax rate for the nine months ended September 30, 2020,2021 as compared to the sameprior period in 2019,2020 is primarily due to the discrete tax benefits recognized during the nine months ended September 30, 2020 under the Coronavirus Aid, Relief and Economic Security Act, also known as the CARES Act, as described above, favorable income tax benefits from the U.S. Orphan Drug and Research & Development Tax Credit, which did not occur during the nine months ended September 30, 2019, partially offset by increased income in the U.S. due to the sale of the Hospital Products during the nine months ended September 30, 2020.2021.

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Liquidity and Capital Resources 
The Company’s cash flows from operating, investing and financing activities, as reflected in the unaudited condensed consolidated statements of cash flows, are summarized in the following table: 
  Nine Months Ended
Nine Months Ended September 30,Increase / (Decrease) Nine Months Ended September 30,Change
2020 vs. 2019 2021 vs. 2020
Net cash (used in) provided by:Net cash (used in) provided by:20202019$%Net cash (used in) provided by:20212020$%
Operating activitiesOperating activities$(29,609)$(30,072)$463 1.5 %Operating activities$(54,804)$(29,609)$(25,195)(85.1)%
Investing activitiesInvesting activities(76,962)33,553 (110,515)(329.4)%Investing activities41,609 (76,962)118,571 154.1 %
Financing activitiesFinancing activities179,500 14 179,486 1,282,042.9 %Financing activities263 179,500 (179,237)(99.9)%

Operating Activities 

Net cash used in operating activities ofwas $54,804 and $29,609 for the nine months ended September 30, 2021 and 2020, decreased $463 compared to the same prior year period. This decrease inrespectively. Net cash used in operating cash flow isactivities for the nine months ended September 30, 2021 was driven by net loss of $55,028 and non-cash adjustments of $2,793, offset by favorable changes in working capital of $3,017. For the nine months ended September 30, 2020, net cash collection on all outstanding accounts receivable subsequent toused in operating activities was driven by net income of $18,306 and favorable non-cash adjustments of $7,323, offset by the $45,760 gain recorded for the sale of the hospital products,Hospital Products and a $9,478 unfavorable change in working capital. The year over year change in working capital is driven by the sale of the Hospital Products on June 30, 2020, as well as increased accrued expenses in 2021 as a result of the $2,750 installment payment received from Exela duringCompany’s commercial preparations and launch readiness activities for potential approval of FT218.

Investing Activities 

Net cash provided by investing activities was $41,609 for the threenine months ended September 30, 2020.
Investing Activities 
Cash2021 and net cash used in investing activities was $76,962 for the nine months ended September 30, 2020 compared to2020. Net cash provided by investing activities of $33,553 for the nine months ended September 30, 2019. Cash2021 was driven by proceeds from the disposition of the Hospital Products of $16,500, as well as net proceeds received from the excess of sales over purchases of marketable securities of $25,135. Net cash used in investing activities for the nine months ended September 30, 2020 was driven by higher net purchases of marketable securities during the current quarter,of $94,179, partially offset by the proceeds received from the disposition of the Hospital Products. CashProducts of $17,250.

Financing Activities 

Net cash provided by investingfinancing activities for the nine months ended September 30, 20192021 was due$263 related to net proceeds from the sales of marketable securities.
Financing Activities 
Cashstock option exercises and employee stock purchase plan (“ESPP”) issuances. Net cash provided by financing activities for the nine months ended September 30, 2020 wasof $179,500 and wasis driven by the February 2020 private placement and May 2020 public offering that resulted in net proceeds of $116,924, the February private placement that resulted in net proceeds of $60,570 and $116,924, respectively, as well as stock option exercises and ESPP issuances of $1,829.$2,006.

Liquidity and Risk Management 

The adequacy of our cash resources depends on the outcome of certain business conditions including the cost of our FT218 clinical development plan, our cost structure, our Hospital Products revenue stream and other factors set forth in “Risk Factors” within Part I, Item 1A of the 20192020 Form 10-K and within Part II, Item 1A of this quarterly report on Form 10-Q.10-K. To complete the FT218 clinical development plan and to ensure an adequate and robust NDA for filing with the FDAcommercialization plan we will need to commit substantial resources, which could result in future losses or otherwise limit our opportunities or affect our ability to operate our business. Our assumptions concerning the outcome of certain business conditions may prove to be wrong or other
- 42 -


factors may adversely affect our business, and as a result we could exhaust or significantly decrease our available cash and marketable securities balances which could, among other things, force us to raise additional funds and/or force us to reduce our expenses, either of which could have a material adverse effect on our business. Additionally, we are unable to estimate the near or long term impact thatof COVID-19, which may have a material adverse impact on our business.
In February 2020, we announced that we had entered into a definitive agreement for the sale of our ADSs and Series A Non-Voting Convertible Preferred Shares (“Series A Preferred”) in a private placement to a group of institutional accredited investors. The private placement resulted in gross proceeds of approximately $65,000 before deducting placement agent and other offering expenses, which resulted in net proceeds of $60,570.
Also, in February 2020, we filed a shelf registration statement on Form S-3 that allows issuance and sale by us, from time to time, of :
up to $250,000 in aggregate of ordinary shares, nominal value US$0.01 per share (the “Ordinary Shares”), each of which may be represented by ADSs, preferred shares, nominal value US$0.01 per share (the “Preferred Shares”), debt securities (the “Debt Securities”), warrants to purchase Ordinary Shares, ADSs, Preferred Shares and/or Debt Securities (the “Warrants”), and/or units consisting of Ordinary Shares, ADSs, Preferred Shares, one or more Debt Securities or Warrants in one or more series, in any combination, pursuant to the terms of the 2020 Shelf Registration Statement, the base prospectus contained in the 2020 Shelf Registration Statement (the “Base Prospectus”), and any amendments or supplements thereto (together, the “Securities”); including
up to $50,000 of ADSs that may be issued and sold from time to time pursuant to the terms of an Open Market Sale AgreementSM (“the Sales Agreement”), entered into with Jefferies LLC on February 4, 2020, the 2020 Shelf Registration Statement, the Base Prospectus and the terms of the sales agreement prospectus contained in the 2020 Shelf Registration Statement.
On April 28, 2020, we announced the pricing of an underwritten public offering of 11,630 ordinary shares, in the form of American Depositary Shares (“ADSs”) at a price to the public of $10.75 per ADS. Each ADS represents the right to receive one ordinary share. All of the ADSs are being offered by Avadel. The gross proceeds to us from the offering was approximately $125,000, before deducting underwriting discounts and commissions and estimated offering expenses, which resulted in net proceeds of approximately $116,924.

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.

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Cash, cash equivalent and marketable security balances as of September 30, 20202021 and unused financing sources are expected to provide the Companyus with the flexibility to meet itsour liquidity needs in 2020,2021, including its operating requirements related to the development of FT218.

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 September 30, 20202021 and December 31, 2019,2020, 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 unaudited condensed consolidated financial position, results of operations, cash flows or liquidity.
Litigation Related
First Complaint

On May 12, 2021, Jazz Pharmaceuticals, Inc. (“Jazz”) filed a formal complaint (the “First Complaint”) initiating a lawsuit in the United States District Court for the District of Delaware (the “Court”) against Avadel Pharmaceuticals plc, Avadel US Holdings, Inc., Avadel Management Corporation, Avadel Legacy Pharmaceuticals, LLC, Avadel Specialty Pharmaceuticals, LLC, and Avadel CNS Pharmaceuticals, LLC (collectively, the “Avadel Parties”). In the First Complaint, Jazz alleges the sodium oxybate product (“Proposed Product”) described in the NDA owned by Avadel CNS Pharmaceuticals, LLC will infringe at least one claim of US Patent No. 8731963, 10758488, 10813885, 10959956 and/or 10966931 (collectively, the “patents-in-suit”). The First Complaint further includes typical relief requests such as preliminary and permanent injunctive relief, monetary damages and attorneys’ fees, costs and expenses.

On June 3, 2021, the Avadel Parties timely filed their Answer and Counterclaims (the “Avadel Answer”) with the Court in response to Noctivathe First Complaint. The Avadel Answer generally denies the allegations set forth in the First Complaint, includes numerous affirmative defenses (including, but not limited to, non-infringement and invalidity of the patents-in-suit), and asserts a number of counterclaims seeking i) a declaratory judgment of non-infringement of each patent-in-suit, and ii) a declaratory judgment of invalidity of each patent-in-suit.

On June 18, 2021, Jazz filed its Answer (“Jazz Answer”) with the Court in response to the Avadel Answer. The Jazz Answer generally denies the allegations set forth in the Avadel Answer and sets forth a single affirmative defense asserting that Avadel has failed to state a claim for which relief can be granted.

On June 21, 2021, the Court issued an oral order requiring the parties to i) confer regarding proposed dates to be included in the Court’s scheduling order for the case, and ii) submit a proposed order, including a proposal for the length and timing of trial, to the Court by no later than July 21, 2021.

On July 30, 2021, the Court issued a scheduling order establishing timing for litigation events including i) a claim construction hearing date of August 2, 2022, and ii) a trial date of October 30, 2023.

Note 3: Subsidiary Bankruptcy and DeconsolidationOn October 18, 2021, consistent with the scheduling order, Jazz filed a status update with the Court indicating that Jazz did not intend to file a preliminary injunction with the Court at this time. briefly describesJazz further indicated that it would provide the Chapter 11 bankruptcy case which our subsidiary Specialty Pharma commencedCourt with an update regarding whether preliminary injunction proceedings may be necessary after receiving further information regarding the FDA’s action on February 6, 2019, and which on April 26, 2019 resultedAvadel’s NDA.

Second Complaint

On August 4, 2021, Jazz filed another formal complaint (the “Second Complaint”) initiating a lawsuit in the bankruptcy court-approved saleCourt against the Avadel Parties. In the Second Complaint, Jazz alleges the Proposed Product described in the NDA owned by Avadel CNS Pharmaceuticals, LLC will infringe at least one claim of all of Specialty Pharma’s intangible assetsUS Patent No. 11077079. The Second Complaint further includes typical relief requests such as preliminary and inventory topermanent injunctive relief, monetary damages and attorneys’ fees, costs and expenses.

On October 22, 2021, the Court issued an unaffiliated third party. As a result of such sale, Specialty Pharma has completed its divestment oforal order stating that this case should proceed on the assets ofsame schedule as the Noctiva business. During the pendency of the bankruptcy case all pending litigation against Specialty Pharma is automatically stayed and any new litigation against Specialty Pharma is precluded unless the bankruptcy court orders otherwise. There is currently no pending or threatened litigation or disputes tofiled on May 12, 2021.
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which Specialty Pharma is or would be a party. All prior litigation and disputes involving Specialty Pharma have been dismissed or resolved.

Material Commitments

We have been relieved of all purchase commitments disclosed in Note 16: Contingent Liabilities and Commitments to the Company’s audited consolidated financial statements included in Part II, Item 8 of the Company’s 2019 Annual Report on Form 10-K due to the sale of the Hospital Products described in Note 4: Disposition of the Hospital Products.

During the three months ended September 30, 2020, we entered into a commitment with a contract manufacturer related to the purchase and validation of equipment to be used in the manufacture of FT218. The total cost of this commitment is estimated to be approximately $3,800 and is expected to be completed by the end of 2021.

Material commitments in the normal course of business include long-term debt obligations which are disclosed in Note 11: Long-Term Debt to the Company’s unaudited condensed consolidated financial statements. Our long-term contingent consideration payable as disclosed in Note 10: Contingent Consideration Payable has also been relieved due to the sale of the Hospital Products.

Contractual Obligations

Disclosures regarding material commitments and contractual obligations are included in Part II, Item 7 of the Company’s 2019 Annual Report on Form 10-K and updated in Note 10: Contingent Consideration Payable16: Commitments and Contingencies to the Company’s unaudited condensed consolidated financial statements included in Part I, Item 1 of this Report.Quarterly Report is incorporated by reference herein.

ITEM 3.    QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK. 
Interest Rate Risk
The Company is subject to interest rate risk as a result of its 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.  A hypothetical 50 basis point change in interest rates would not result in a material decrease or increase in the fair value of our securities due to the general short-term nature of our investment portfolio.

ITEM 4.    CONTROLS AND PROCEDURES. 
Management of the Company, with the participation of its Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of the Company’s disclosure controls and procedures as of September 30, 2020,2021, the end of the period covered by this quarterly report on Form 10-Q.  The term “disclosure controls and procedures,” as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (“Exchange Act”), means controls and other procedures of a company that are designed to provide reasonable assurance that information required to be disclosed by the Company in the reports it files or submits under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures are also designed to provide reasonable assurance that such information is accumulated and communicated to the Company’s management, including its Chief Executive Officer and Chief Financial Officer, to allow timely decisions regarding required disclosure.  Based on their evaluation, as of the end of the period covered by this Form 10-Q, the Company’s Chief Executive Officer and Chief Financial Officer have concluded that the Company’s disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended) were effective as of September 30, 2020.2021. 
Changes in Internal Control over Financial Reporting 
There were no changes in our internal control over financial reporting identified in connection with the evaluation required by paragraph (d) of Exchange Act Rule 13a-15 or 15d-15 that occurred during the three months ended September 30, 20202021 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting. We continue
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to work from home due to the COVID-19 pandemic and will continue to monitor the impact on the design and operating effectiveness of our internal controls.

PART II – OTHER INFORMATION 
ITEM 1.    LEGAL PROCEEDINGS. 
The information contained in Note 20:16: Commitments and Contingencies to the Company’s unaudited condensed consolidated financial statements included in Part I, Item 1 of this Quarterly Report is incorporated by reference herein.
ITEM 1A.    RISK FACTORS. 
Except as set forth below, there have been no material changes in our risk factors from those disclosed in our annual reportAnnual Report on Form 10-K for the year ended December 31, 20192020 filed with the SEC on March 16, 2020.9, 2021.

COVID-19Our product candidate and future product candidates, if approved by the FDA, may materially and adversely affect our business and our financial results.not obtain desired regulatory exclusivities, including orphan drug exclusivity.

The recent COVID-19 pandemicUnder the Orphan Drug Act, as amended, the FDA may designate a drug as an orphan drug if it is understoodintended to have originatedtreat a rare disease or condition, which is defined as a patient population of fewer than 200,000 individuals in Wuhan, China in December 2019 and has since spread globally, including to the United States, or a patient population greater than 200,000 where there is no reasonable expectation that the cost of developing the drug for the rare
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disease or condition will be recovered from sales of the drug in the United States. Generally, if a drug with orphan drug designation subsequently receives the first marketing approval for the disease or condition for which it has such designation, the drug is entitled to a period of marketing exclusivity, which precludes the FDA from approving another marketing application for the same drug for the same disease or condition for seven years, except in limited circumstances, such as if the FDA concludes that a subsequent same drug is clinically superior through greater safety, greater effectiveness, or a major contribution to patient care. A designated orphan drug may not receive orphan drug exclusivity if it is approved for a use that is broader than the indication for which it received orphan designation.

Although our lead product candidate, FT218, obtained orphan drug designation for the treatment of narcolepsy from the FDA in January 2018, there is no guarantee that we will obtain approval or orphan drug exclusivity for FT218. Orphan drug designation does not give a product candidate any advantage in, or shorten the timeline for, the FDA regulatory review and European countries.approval process. In addition, because FT218 would not be the first sodium oxybate product to be approved for the treatment of narcolepsy, we must demonstrate that FT218 is clinically superior to any previously approved same drug in order to obtain orphan drug exclusivity for FT218, and we may be required to demonstrate clinical superiority for the approval and exclusivity of other product candidates in the future. Even if we obtain orphan drug exclusivity for a product, that exclusivity may not effectively protect the product from competition because different drugs can be approved for the same condition. Moreover, any orphan drug exclusive marketing rights may be lost if the FDA later determines that the request for designation was materially defective or if we are unable to assure sufficient quantity of the drug to meet the needs of patients with the particular rare disease or condition. The continued spread of COVID-19FDA may reevaluate the Orphan Drug Act and its regulations and policies. We do not know if, when, or how the FDA may change the orphan drug regulations and policies in the future, and it is uncertain how any changes might affect our business. Depending on what changes the FDA may make to its orphan drug regulations and policies, our business could be adversely impactimpacted.

Our product candidate and future product candidates will generally be subject to regulatory approval. If we or our operations, includingpharmaceutical and biotechnology company partners do not obtain such approvals, or if such approvals are delayed, our ability to initiate or complete clinical trials, manufacture sufficient supply of ourgenerate future revenues may be adversely affected.

Our lead product candidate, FT218, as well as product candidates file our New Drug Application, orwe may wish to market in the future, may not gain regulatory approval and reach the commercial market for a variety of reasons. We submitted a 505(b)(2) NDA, for FT218 in December 2020. In February 2021, the FDA assigned the NDA a PDUFA target action date of October 15, 2021 and in October 2021, the FDA notified us that its review of the FT218 NDA was still ongoing.

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, to manufacture FT218 at sufficient scale for commercialization, if approved. Any delayobtained, the timing thereof. There may be significant delays in submission of our NDA could adversely affect our abilityexpected 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 to commercialize FT218, particularly on our current projected timelines, increase our operating expenses and have a material adverse effect on our business and financial results.profitability may decline.

In addition, COVID-19 has resulted in significant governmental measures being implementedApplicants for FDA approval often must submit to control the spreadFDA extensive clinical and pre-clinical data, as well as information about product manufacturing processes and facilities and other supporting information. Varying interpretations of the virus, including quarantines, travel restrictions, social distancingdata obtained from pre-clinical and business shutdowns. Weclinical 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 have taken temporary precautionary measures intendedsubmitted a 505(b)(2) NDA for our sodium oxybate candidate and anticipate submitting applications for approval for our development products that rely on existing data to help minimizedemonstrate safety and effectiveness, the risk of the virusFDA may determine that additional studies particular to our employees, including temporarily requiring all employeesproduct candidate and future product candidates are necessary. If the FDA requires such additional studies, it would impact development plans for those products.

Changes in law or FDA’s policies during the development period or regulatory review of each submitted new product application, also may delay an approval, result in a narrower approved use or result in rejection of an application. For instance, under the Food and Drug Administration Amendments Act (“FDAAA”), we or our partners may be required to work remotely. We have already suspended non-essential travel worldwidedevelop Risk Evaluation and Mitigation Strategies (“REMS”) to ensure the safe use of our lead product candidate. If the FDA disagrees with such REMS proposals, it may be more difficult and costly to obtain regulatory approval for our employeeslead product candidate. 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 are discouraging employee attendance at other gatherings. These measures could negatively affect our business. For instance, temporarily requiring all employeesrecommendation as to work remotelywhether the application should be approved. This review may induce absenteeism, disrupt our operationsadd to the time for approval, and, although the FDA is not bound by the recommendation of an advisory committee, objections or increaseconcerns expressed by an advisory committee may cause the risk of a cybersecurity incident. COVID-19 has also caused volatility in the global financial markets and threatened a slowdown in the global economy, which may negatively affect our abilityFDA to raise additional capital on attractive termsdelay or at all.deny approval.

The extentFDA 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.
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The FDA may also withdraw product 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 European Medicines Agency (“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 COVID-19the 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 impact our businessdecline and earnings may be negatively impacted.

Our product candidate and future product candidates 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 future developments, which are highly uncertainthe development and cannotthe successful commercialization of new drugs and products that utilize our drug delivery technologies.

Even if our product candidates and current drug delivery technologies appear promising during development, there may not be predicted with confidence, such as successful commercial applications developed for them for a number of reasons, including:

the durationFDA, the EMA, the competent authority of the pandemic, the severity of COVID-19an EU Member State or the effectiveness of actionsan Institutional Review Board (“IRB”), or an Ethics Committee (EU equivalent to contain and treat COVID-19, particularly in the geographies where IRB), or our partners may delay or halt applicable clinical trials;

we or our third party supplierspartners may face slower than expected rate of patient recruitment and contract manufacturers,enrollment in clinical trials, or contract research organizations operate. We cannot presently predictmay devote insufficient funding to the scopeclinical trials;

our drug delivery technologies and severitydrug products may be found to be ineffective or to cause harmful side effects, or may fail during any stage of any potential business shutdownspre-clinical testing or disruptions. If 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;

we or our partners may face delays in completing our clinical trials due to circumstances outside of our control, including natural disasters, labor or civil unrest, global health concerns or pandemics or acts of war or terrorism;

the FDA may determine that we have identified the wrong listed drug or drugs or that approval of our 505(b)(2) application for our sodium oxybate candidate or future product candidates is blocked by patent or non-patent exclusivity of the listed drug or drugs or of other previously approved drugs with the same conditions of approval as any of our product candidates (as applicable); or

our product candidate and future product candidates could fail to obtain regulatory approval or, if approved, could fail to achieve market acceptance, could fail to be included within the third parties with whom we engage, however, were to experience shutdownspricing and reimbursement schemes of the U.S. or other business disruptions, our ability to conduct our business in the manner and on the timelines presently plannedEU Member States, or could be materially and negatively affected, which could have a material adverse impact on our business and our resultsprecluded from commercialization by proprietary rights of operations and financial condition.third parties.

Disruptions at the FDA, the SECU.S. Drug Enforcement Administration and other government agencies caused by funding shortages or global health concerns could hinder their ability to hire and retain key leadership and other personnel, prevent new products and services from being developed or commercialized in a timely manner or otherwise prevent those agencies from performing normal business functions on which the operation of our business may rely, which could negatively impact our business.

As of June 23, 2020,May 26, 2021, the FDA noted it was continuing to ensure timely reviews of applications for medical products during the ongoing COVID-19 pandemic in line with its user fee performance goals and conducting mission critical domesticU.S. and foreignnon-U.S. inspections to ensure compliance of manufacturing facilities with FDA quality standards. However, the FDA may not be able to maintain thisits current pace and delays or setbacks are possible in the future. On July 10, 2020, the FDA announced its goal of restarting domestic on-site inspections during the week of July 20, but such activities will depend on data about the virus’ trajectory in a given state and locality and the rules and guidelines that are put in place by state and local governments. The FDA has developed a rating system to assist in determining when and where it is safest to conduct prioritized domestic inspections. Should FDA determine that an inspection is necessary for approval and an inspection cannottimelines could be completed during the review cycleextended due to restrictions on travel, FDA has stated that it generally intends to issuethe ongoing COVID-19 pandemic. In 2020 and 2021, a number of companies announced receipt of complete response letter.Further, if there is inadequate informationletters due to make a determination on the acceptability of a facility, FDA may defer action on the application until an inspection can be completed.FDA’s inability to complete required inspections for their applications. Regulatory authorities outside the U.S. may adopt similar restrictions or other policy measures in response to the COVID-19 pandemic and may experience delays in their regulatory activities. We cannot guarantee
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that the FDA will be able to complete any required inspections or take other necessary actions in respect to our product candidate or future product candidates.

Third parties may claim that our product candidate or future product candidates infringe their rights, and we may incur significant costs resolving these claims. Additionally, legal proceedings related to such claims could materially delay or otherwise adversely affect commercialization plans related to our product candidate, if approved.

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 a product candidate, a third party may allege that our product candidate infringes its patents or other intellectual property rights and file suit to delay/prevent regulatory approval and/or commercialization of such product.

In May 2021, Jazz Pharmaceuticals filed a complaint against us and certain of our subsidiaries in the United States District Court for the District of Delaware alleging infringement of certain of its patents.

In response to any claim of infringement, we may choose or be forced to seek licenses, defend infringement actions or challenge the validity or enforceability of those patent rights in court or administrative proceedings. If we cannot obtain required licenses on commercially reasonably terms, or at all, are found liable for infringement or are not able to have such patent rights declared invalid or unenforceable, our business could be materially harmed. We may be subject to claims (and even held liable) for significant monetary damages (including enhanced damages and/or attorneys’ fees), 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. Even if a license is available, it may not be available on commercially reasonable terms or may be non-exclusive, which could result in our competitors gaining access to the same intellectual property. We may not have identified, or be able to identify in the future, U.S. or non-U.S. patents that pose a risk of potential infringement claims.

In addition to the possibility of intellectual property infringement claims, a third party could submit a citizen petition to the FDA requesting relief that, if granted, could materially adversely affect the NDA and/or underlying product candidate. For example, such a third-party petition could, if granted, materially adversely affect the likelihood and/or timing of NDA approval, content of final product labeling, and/or resulting regulatory exclusivity (if any) for such product.

Parties making claims against us may be able to sustain the costs of patent litigation more effectively than we can because they have substantially greater resources. In addition, any claims, with or without merit, that our product candidate, future product candidates 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.

We currently depend on a single third party manufacturer and a single third party supplier of raw materials related to the development of our product candidate and any interruption of operations of either such provider could significantly delay or have a material adverse effect on our business.

Currently, we use a single supplier of raw materials and a single manufacturer of clinical materials. If FT218 is approved, we anticipate using the same third party manufacturer for commercial supply of FT218. If the supplies or manufacture of these products or materials were interrupted for any reason, including but not limited to, quality issues, natural disasters, labor or civil unrest, global health concerns or pandemics or acts of war or terrorism, the manufacturing and supply of FT218 could be delayed. If the supplies of these materials were interrupted for any reason, our manufacturing of our lead product candidate 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 cGMP, requirements before supplying us with product or before we may incorporate that supplier’s ingredients into the manufacturing of our product candidate by our contract, development, and manufacturing organizations (“CDMOs”). Additionally, as a result of any such delays in either the supply or manufacturing, we may be unable to meet our projected needs for clinical supplies to support our activities through commercial manufacturing, if approved, and we may not be able to market or distribute FT218, if approved, on our expected timeline, or at all. Failure to obtain adequate supplies in a timely manner could have a material adverse effect on our business, financial condition and results of operations. While we plan to engage with additional suppliers and manufacturers for the supply of commercial batches for FT218, if approved, there can be no guarantee we will establish appropriate arrangements on acceptable terms, if at all.

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ITEM 2.    UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS. 
Securities Purchase AgreementNone.

On February 21, 2020, we announced that we entered into a definitive agreement for the sale of our ADSs and Series A Non-Voting Convertible Preferred Shares (“Series A Preferred”) in a private placement to a group of institutional accredited investors. The private placement resulted in gross proceeds of approximately $65,000 before deducting placement agent and other offering expenses which resulted in net proceeds of $60,570.

Pursuant to the terms of the private placement, we issued 8,680,225 ADSs and 487,614 shares of Series A Preferred at a price of $7.09 per share, priced at-the-market under Nasdaq rules. Each share of non-voting Series A Preferred is convertible into one ADS, provided that conversion will be prohibited if, as a result, the holder and its affiliates would own more than 9.99% of the total number of Avadel ADSs outstanding. The closing of the private placement occurred on February 25, 2020. Proceeds from the private placement will be used to fund continued clinical and program development of FT218, including our open-label extension study for REST-ON, a switch study to evaluate patients switching from twice-nightly sodium oxybate to once-nightly FT218, as well as for general corporate purposes.

The private placement was exempt from registration pursuant to Section 4(a)(2) of the Securities Act as a transaction by an issuer not involving a public offering.

In connection with the shelf registration statement, on April 28, 2020 we announced the pricing of an underwritten public offering of 11,630,000 ADSs at a price to the public of $10.75 per ADS. Each ADS represents the right to receive one Ordinary Share. All of the ADSs were offered by us and the gross proceeds to us from the offering were approximately $125,000, before deducting underwriting discounts and commissions and offering expenses, which resulted in net proceeds of $116,924. The offering closed on May 1, 2020.
ITEM 3.     DEFAULTS UPON SENIOR SECURITIES. 
None.
ITEM 4.    MINE SAFETY DISCLOSURES. 
Not applicable.
ITEM 5.    OTHER INFORMATION. 

None.

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ITEM 6.    EXHIBITS. 
Exhibit No.Description
 
31.1*
31.2*
32.1**
32.2**
101.SCH*Inline XBRL Taxonomy Extension Schema Document
101.CAL*Inline XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF*Inline XBRL Taxonomy Extension Definition Linkbase Document
101.LAB*Inline XBRL Taxonomy Extension Label Linkbase Document
101.PRE*Inline XBRL Taxonomy Extension Presentation Linkbase Document
104Cover Page Interactive Data File (formatted as inline XBRL with applicable taxonomy extension information contained in Exhibits 101.*) (filed herewith)
______________________ 
*    Filed herewith. 
**          Furnished herewith. 
+          Indicates management contract or compensatory plan or arrangement.


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SIGNATURES 
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized. 
 AVADEL PHARMACEUTICALS PLC
(Registrant)
   
Date: November 9, 20208, 2021By:/s/ Gregory J. Divis
  Gregory J. Divis
  Chief Executive Officer
  
(Duly Authorized Officer and Principal Executive Officer)
 
   
Date: November 9, 20208, 2021By:/s/ Thomas S. McHugh
  Thomas S. McHugh
  Senior Vice President and Chief Financial Officer
  
(Duly Authorized Officer and Principal Financial and Accounting Officer)
 


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