6-K
MEDICURE INC (MCUJF)
UNITED STATES
SECURITIESAND EXCHANGE COMMISSION
Washington,D.C. 20549
FORM 6-K
REPORT OFFOREIGN PRIVATE ISSUER PURSUANT TO RULE 13a-16 OR 15d-16
UNDER THESECURITIES EXCHANGE ACT OF 1934
For the month of April 2022
Commission File Number: 001-31995
MEDICUREINC.
(Translation of registrant's name into English)
2-1250 Waverley Street
Winnipeg, MB Canada R3T 6C6
(Address of principal executive offices)
Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.
Form 20-F x Form 40-F o
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1): o
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7): o
Indicate by check mark whether the registrant by furnishing the information contained in this Form is also thereby furnishing the information to the Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934.
Yes o No x
If “Yes” is marked, indicate below the file number assigned to the registrant in connection with Rule 12g3-2(b): 8a72____.
EXHIBITLIST
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.
| Medicure Inc. | ||
|---|---|---|
| (Registrant) | ||
| Date: April 27, 2022 | By: | /s/ Dr. Albert D. Friesen |
| Dr. Albert D. Friesen | ||
| Title: CEO |
Exhibit 99.1
Consolidated Financial Statements
(Expressed in thousands of Canadian Dollars, except per share amounts)
MEDICURE INC.
Year ended December 31, 2021
MANAGEMENT REPORT
The accompanying consolidated financial statements have been prepared by management and approved by the Board of Directors of Medicure Inc. (the “Company”). Management is responsible for the information and representations contained in these consolidated financial statements.
These consolidated financial statements have been prepared in accordance with International Financial Reporting Standards as issued by the International Accounting Standards Board. The significant accounting policies, which management believes are appropriate for the Company, are described in note 3 to these consolidated financial statements. The Company maintains a system of internal control and processes intended to provide reasonable assurance that assets are safeguarded and to ensure that relevant and reliable financial information is produced.
The Board of Directors is responsible for reviewing and approving these consolidated financial statements and overseeing management’s performance of its financial reporting responsibilities. An Audit Committee of non-management Directors is appointed by the Board. The Audit Committee reviews the consolidated financial statements, audit process and financial reporting with management and with the external auditors and reports to the Board of Directors prior to the approval of the audited consolidated financial statements for publication.
Ernst & Young LLP, the Company’s external auditors for the years ended December 31, 2021 and 2020, who are appointed by the shareholders, audited the consolidated financial statements in accordance with the standards of the Public Company Accounting Oversight Board (United States) to enable them to express to the shareholders their opinion on these consolidated financial statements as at and for the years ended December 31, 2021 and 2020. PricewaterhouseCoopers LLP, the Company’s external auditors for the year ended December 31, 2019, who were appointed by the shareholders, audited the consolidated financial statements in accordance with the standards of the Public Company Accounting Oversight Board (United States) to enable them to express to the shareholders their opinion on these consolidated financial statements for the year ended December 31, 2019. The reports of Ernst & Young LLP and PricewaterhouseCoopers LLP follow.
| /s/ Albert Friesen | /s/ Neil Owens |
|---|---|
| Dr. Albert D. Friesen | Dr. Neil Owens |
| Chief Executive Officer | Interim Chief Financial Officer |
April 27, 2022
Report of independent registered public accounting firm
To the Shareholders and the Board of Directors of
Medicure Inc.
Opinion on the financial statements
We have audited the accompanying consolidated statement of financial position of Medicure Inc. [the “Company”] as of December 31, 2021 and 2020, the related consolidated statements of net loss and comprehensive loss, changes in equity and cash flows for each of the two years in the period ended December 31, 2021 and the related notes [collectively referred to as the “consolidated financial statements”]. In our opinion, the consolidated financial statements present fairly, in all material respects, the financial position of the Company at December 31, 2021 and 2020, and the results of its operations and its cash flows for each of the two years in the period ended December 31, 2021 in conformity with International Financial Reporting Standards as issued by the International Accounting Standards Board.
Basis for opinion
These statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s financial statements based on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) [“PCAOB”] and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform, an audit of its internal control over financial reporting. As part of our audits we are required to obtain an understanding of internal control over financial reporting but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control over financial reporting. Accordingly, we express no such opinion.
Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that our audits provide a reasonable basis for our opinion.
Critical audit matters
The critical audit matters communicated below are matters arising from the current period audit of the financial statements that were communicated or required to be communicated to the audit committee and that: [1] relate to accounts or disclosures that are material to the financial statements and [2] involved our especially challenging, subjective or complex judgments. The communication of critical audit matters does not alter in any way our opinion on the consolidated financial statements, taken as a whole, and we are not, by communicating the critical audit matters below, providing separate opinions on the critical audit matters or on the accounts or disclosures to which they relate.
Assessment of accrual for chargebacks
| Description of the matter | As described in note 3[e] to the<br> consolidated financial statements, revenues from product sales are recorded net of estimated chargebacks. Chargebacks result from wholesalers<br> selling the Company’s products to end hospitals at prices lower than the wholesaler acquisition cost, which results in variable<br> consideration for the Company. The provision is calculated using historical chargeback experience, timing of actual chargebacks processed<br> during the year, expected chargeback levels based on the remaining products in the wholesaler distribution channel and pricing differences.<br> Estimated chargebacks are presented within accounts payable and accrued liabilities on the consolidated statement of financial position<br> as of December 31, 2021.<br><br> <br>****<br><br> <br>Auditing the estimated chargeback<br> accrual is complex and judgmental due to the level of uncertainty involved in management’s estimates for product that remains in<br> the wholesaler distribution channel as at December 31, 2021, the extent of product sales that were expected to be subject to chargebacks<br> and pricing differences. |
|---|---|
| How we addressed the matter in our audit | To test the<br> Company’s estimated chargeback accrual, our audit procedures included, among others, testing the completeness, accuracy, and<br> relevance of the underlying data used by management to estimate the accrual through reconciliation to third-party agreements and<br> third-party reports indicating actual chargebacks. We evaluated the estimated wholesaler inventory levels by obtaining third-party<br> distribution channel reports and assessing inventory turnover of each product at the wholesaler. We inspected wholesaler agreements<br> and end hospital agreements and compared pricing differences to the chargeback rate used by management to estimate the accrual. We<br> performed a retrospective review to determine the historical accuracy of management’s estimates of chargebacks against actual<br> results. We evaluated the monthly trailing analysis of actual chargebacks processed during the year. We performed sensitivity<br> analyses to determine the effect of changes in assumptions on the chargeback accrual. |
Valuation of goodwill relatingto the acquisition of Marley Drug Inc.
| Description of the matter | At December 31, 2021, the total carrying<br> value of goodwill amounted to $3.0 million. As described in note 3[l] to the consolidated financial statements, goodwill is tested for<br> impairment at least annually, or when circumstances indicate that the carrying value may be impaired at the cash-generating unit level<br> [“CGU”].<br><br> <br>****<br><br> <br>Auditing management’s annual<br> goodwill impairment test was complex and highly judgmental due to the significant estimation and judgment applied by management in determining<br> the recoverable amount of the Retail and Mail Order Pharmacy CGU. In particular, the estimated recoverable amount was sensitive to significant<br> assumptions, such as changes in discount rate, revenue growth rate, and operating margin. |
|---|---|
| How we addressed the matter in our audit | To test the estimated recoverable<br> amount of the Company’s Retail and Mail Order Pharmacy CGU, we performed audit procedures that included, among others, testing the<br> significant assumptions discussed above and the underlying data used by the Company in its analysis. We compared the significant assumptions<br> used by management to Marley Drug Inc.’s historical results and third-party industry data. We assessed the historical accuracy of<br> management’s cash flow projections, revenue growth and operating margin by comparing management’s past projections to actual<br> performance. We performed sensitivity analyses of the revenue growth rate, discount rate and operating margin to evaluate the changes<br> in the recoverable amount of the Retail and Mail Order Pharmacy CGU that would result from changes in the assumptions. We involved our<br> valuation specialists to assist us in our evaluation of the valuation methodology used in determining the recoverable amount, as well<br> as the discount rate used by comparing to<br><br> <br>external data sources. |
| Chartered Professional Accoutants | |
|---|---|
| We have served as the Company’s auditor since 2020. Winnipeg, Canada | |
| April 27, 2022 |
Report of Independent Registered Public Accounting Firm
To the Shareholders and Board of Directors of Medicure Inc.
Opinion on the Financial Statements
We have audited the accompanying consolidated statements of net loss and comprehensive loss, of changes in equity and of cash flows of Medicure Inc. and its subsidiaries (together, the Company) for the year ended December 31, 2019, including the related notes (collectively referred to as the consolidated financial statements). In our opinion, the consolidated financial statements present fairly, in all material respects, the financial performance and cash flows of the Company for the year ended December 31, 2019 in conformity with International Financial Reporting Standards as issued by the International Accounting Standards Board.
Basis for Opinion
These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s consolidated financial statements based on our audit. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (PCAOB) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audit of these consolidated financial statements in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement, whether due to error or fraud.
Our audit included performing procedures to assess the risks of material misstatement of the consolidated financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial statements. Our audit also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the consolidated financial statements. We believe that our audit provides a reasonable basis for our opinion.
Chartered Professional Accountants
Winnipeg, Canada
April 15, 2020
We have served as the Company’s auditor from 2018 to 2020.
PricewaterhouseCoopers LLP
One Lombard Place, Suite 2300, Winnipeg, Manitoba, Canada R3B 0X6
T: +1 204 926 2400, F: +1 204 944 1020
“PwC” refers to PricewaterhouseCoopers LLP, an Ontario limited liability partnership.
Consolidated Statements of Financial Position
(expressed in thousands of Canadian dollars, except per share amounts)
| As at December 31 | Note | 2021 | 2020 | ||||
|---|---|---|---|---|---|---|---|
| Assets | |||||||
| Current assets: | |||||||
| Cash and cash equivalents | $ | 3,694 | $ | 2,716 | |||
| Restricted cash | 4 | 3 | 1,394 | ||||
| Accounts receivable | 5 | 4,659 | 5,253 | ||||
| Inventories | 6 | 3,329 | 5,139 | ||||
| Prepaid expenses | 869 | 1,174 | |||||
| Total current assets | 12,554 | 15,676 | |||||
| Non-current assets: | |||||||
| Property and equipment | 7 | 1,611 | 1,640 | ||||
| Intangible assets | 8 | 11,212 | 13,596 | ||||
| Goodwill | 9 | 2,974 | 2,986 | ||||
| Other assets | 4 | 57 | 156 | ||||
| Total non-current assets | 15,854 | 18,378 | |||||
| Total assets | $ | 28,408 | $ | 34,054 | |||
| ****<br><br>Liabilities and Equity | |||||||
| Current liabilities: | |||||||
| Accounts payable and accrued liabilities | $ | 6,668 | $ | 6,979 | |||
| Current portion of royalty obligation | 11 | 423 | 362 | ||||
| Current portion of acquisition payable | 8 | 634 | 637 | ||||
| Holdback payable | 4 | – | 1,876 | ||||
| Current portion of contingent consideration | 4 | 293 | 1,925 | ||||
| Current income taxes payable | 16 | 114 | 164 | ||||
| Current portion of lease obligation | 12 | 380 | 367 | ||||
| Total current liabilities | 8,512 | 12,310 | |||||
| Non-current liabilities | |||||||
| Royalty obligation | 11 | 65 | 335 | ||||
| Acquisition payable | 8 | 591 | 1,132 | ||||
| Contingent consideration | 4 | 40 | 51 | ||||
| Lease obligation | 4 & 12 | 789 | 1,080 | ||||
| Total non-current liabilities | 1,485 | 2,598 | |||||
| Total liabilities | 9,997 | 14,908 | |||||
| Equity: | |||||||
| Share capital | 15(b) | 80,917 | 80,917 | ||||
| Contributed surplus | 10,429 | 10,294 | |||||
| Accumulated other comprehensive loss | (6,640 | ) | (6,497 | ) | |||
| Deficit | (66,295 | ) | (65,568 | ) | |||
| Total Equity | 18,411 | 19,146 | |||||
| Total liabilities and equity | $ | 28,408 | $ | 34,054 | |||
| Commitments and contingencies | 18(a) & 18(d) |
On behalf of the board
| "Dr. Albert D. Friesen" | "Mr. Brent Fawkes" |
|---|---|
| Director | Director |
See accompanying notes to the consolidated financial statements
1
Consolidated Statements of Net Loss and Comprehensive Loss
(expressed in thousands of Canadian dollars, except per share amounts)
| For the year ended December 31 | Note | 2021 | 2020 | 2019 | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Revenue, net | ||||||||||
| Product sales, net | $ | 21,744 | $ | 11,610 | $ | 20,173 | ||||
| Cost of goods sold | 6 & 8 | 9,032 | 6,480 | 7,272 | ||||||
| Gross profit | 12,712 | 5,130 | 12,901 | |||||||
| Expenses | ||||||||||
| Selling | 20 | 10,312 | 5,359 | 13,399 | ||||||
| General and administrative | 20 | 2,697 | 4,579 | 3,395 | ||||||
| Research and development | 20 | 1,796 | 3,299 | 4,349 | ||||||
| 14,805 | 13,237 | 21,143 | ||||||||
| Other expense (income): | ||||||||||
| Other Income | 4 | (1,828 | ) | |||||||
| Revaluation of holdback | 14 | – | – | 3,623 | ||||||
| Impairment loss on intangible assets | 8 | – | – | 6,321 | ||||||
| (1,828 | ) | – | 9,944 | |||||||
| Finance (income) costs: | ||||||||||
| Finance (income) expense, net | 12 & 17 | 525 | (765 | ) | (1,115 | ) | ||||
| Foreign exchange (gain) loss, net | (31 | ) | (497 | ) | 2,570 | |||||
| 494 | (1,262 | ) | 1,455 | |||||||
| Net loss before income taxes | $ | (759 | ) | $ | (6,845 | ) | $ | (19,641 | ) | |
| Income tax recovery (expense) | ||||||||||
| Current | 16 | 32 | – | (22 | ) | |||||
| Deferred | 16 | – | – | (123 | ) | |||||
| 32 | – | (145 | ) | |||||||
| Net loss | $ | (727 | ) | $ | (6,845 | ) | $ | (19,786 | ) | |
| Item that may be reclassified to profit or loss | ||||||||||
| Exchange differences on translation of foreign subsidiaries: | (143 | ) | (746 | ) | (683 | ) | ||||
| Item that will not be reclassified to profit and loss | ||||||||||
| Revaluation of investment in Sensible Medical at FVOCI | 10 | – | – | (6,336 | ) | |||||
| Comprehensive loss | $ | (870 | ) | $ | (7,591 | ) | $ | (26,805 | ) | |
| Loss per share | ||||||||||
| Basic | 15(e) | $ | (0.07 | ) | $ | (0.64 | ) | $ | (1.32 | ) |
| Diluted | 15(e) | $ | (0.07 | ) | $ | (0.64 | ) | $ | (1.32 | ) |
See accompanying notes to the consolidated financial statements
2
Consolidated Statements of Changes in Equity
(expressed in thousands of Canadian dollars, except per share amounts)
| Note | Share<br> Capital | Contributed<br> Surplus | Accumulated<br> <br>other<br> <br>comprehensive income<br> <br>(loss) | Equity (Deficit) | Total | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Balance, December 31, 2020 | $ | 80,917 | $ | 10,294 | $ | (6,497 | ) | $ | (65,568 | ) | $ | 19,146 | ||
| Net loss for the year ended<br> December 31, 2021 | – | – | – | (727 | ) | (727 | ) | |||||||
| Other comprehensive loss for the year ended December 31, 2021 | – | – | (143 | ) | – | (143 | ) | |||||||
| Transactions with owners, recorded directly in equity | ||||||||||||||
| Share-based compensation | 15(c) | – | 135 | – | – | 135 | ||||||||
| Total transactions with owners | – | 135 | – | – | 135 | |||||||||
| Balance, December 31, 2021 | $ | 80,917 | $ | 10,429 | $ | (6,640 | ) | $ | (66,295 | ) | $ | 18,411 |
(continued on next page)
See accompanying notes to the consolidated financial statements
3
Consolidated Statements of Changes in Equity (continued)
(expressed in thousands of Canadian dollars, except per share amounts)
| Attributable to shareholders of the Company | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Note | Share<br> Capital | Warrants | Contributed<br> Surplus | Accumulated<br> <br>other<br> <br>comprehensive income<br> <br>(loss) | Equity (Deficit) | Total | |||||||||||||
| Balance, December 31, 2019 | $ | 85,364 | $ | 1,949 | $ | 8,028 | $ | (5,751 | ) | $ | (62,648 | ) | $ | 26,942 | |||||
| Net loss for the year ended<br> December 31, 2020 | – | – | – | – | (6,845 | ) | (6,845 | ) | |||||||||||
| Other comprehensive loss for the year ended December 31, 2020 | – | – | – | (746 | ) | – | (746 | ) | |||||||||||
| Transactions with owners, recorded directly in equity | |||||||||||||||||||
| Buy-back of common shares under normal course issuer bid | 15 | (b) | (4,447 | ) | – | – | – | 3,925 | (522 | ) | |||||||||
| Transfer on expiry of warrants | 15 | (d) | – | (1,949 | ) | 1,949 | – | – | – | ||||||||||
| Share-based compensation | 15 | (c) | – | – | 317 | – | – | 317 | |||||||||||
| Total transactions with owners | (4,447 | ) | (1,949 | ) | 2,266 | – | 3,925 | (205 | ) | ||||||||||
| Balance, December 31, 2020 | $ | 80,917 | – | $ | 10,294 | $ | (6,497 | ) | $ | (65,568 | ) | $ | 19,146 |
| Attributable to shareholders of the Company | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Note | Share<br> Capital | Warrants | Contributed<br> Surplus | Accumulated<br> <br>other<br> <br>comprehensive income | Equity<br> <br>(Deficit) | Total | ||||||||||||
| Balance, December 31, 2018 | $ | 122,887 | $ | 1,949 | $ | 7,628 | $ | 1,268 | $ | (50,138 | ) | $ | 83,594 | |||||
| Net loss for the year ended<br> December 31, 2019 | – | – | – | – | (19,786 | ) | (19,786 | ) | ||||||||||
| Other comprehensive loss for the year<br> ended December 31, 2019 | – | – | – | (7,019 | ) | – | (7,019 | ) | ||||||||||
| Transactions with owners, recorded directly in equity | ||||||||||||||||||
| Buy-back of common shares under normal course issuer bid | 15(b) | (5,955 | ) | – | – | – | 1,810 | (4,145 | ) | |||||||||
| Buy-back of common shares under substantial issuer bid | 15(b) | (31,605 | ) | – | – | – | 5,466 | (26,139 | ) | |||||||||
| Stock options exercised | 15(c) | 37 | – | (17 | ) | – | – | 20 | ||||||||||
| Share-based compensation | 15(c) | – | – | 417 | – | – | 417 | |||||||||||
| Total transactions with owners | (37,523 | ) | – | 400 | – | 7,276 | (29,847 | ) | ||||||||||
| Balance, December 31, 2019 | $ | 85,364 | $ | 1,949 | $ | 8,028 | $ | (5,751 | ) | $ | (62,648 | ) | $ | 26,942 |
See accompanying notes to the consolidated financial statements
4
Consolidated Statements of Cash Flows
(expressed in thousands of Canadian dollars, except per share amounts)
| For the year ended December 31 | Note | 2021 | 2020 | 2019 | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Cash (used in) provided by: | ||||||||||
| Operating activities: | ||||||||||
| Net loss for the year | $ | (727 | ) | $ | (6,845 | ) | $ | (19,786 | ) | |
| Adjustments for: | ||||||||||
| Current income tax expense (recovery) | 16 | (32 | ) | – | 22 | |||||
| Deferred income tax expense | 16 | – | – | 123 | ||||||
| Impairment of property and equipment | 7 | – | – | 95 | ||||||
| Impairment of intangible assets | 8 | – | – | 6,321 | ||||||
| Revaluation of holdback receivable | 13 | – | – | 3,623 | ||||||
| Amortization of property and equipment | 7 | 406 | 307 | 485 | ||||||
| Amortization of intangible assets | 8 | 2,739 | 2,466 | 1,438 | ||||||
| Share-based compensation | 15(c) | 135 | 317 | 417 | ||||||
| Write-down of inventories | 6 | 1,339 | 682 | 1,983 | ||||||
| Change in fair value of contingent consideration | 4 | (1,803 | ) | – | – | |||||
| Finance (income) expense, net | 17 | 525 | (765 | ) | (1,115 | ) | ||||
| Unrealized foreign exchange (gain) loss | (31 | ) | (497 | ) | 362 | |||||
| Change in the following: | ||||||||||
| Accounts receivable | 593 | 5,081 | (318 | ) | ||||||
| Inventories | 471 | 723 | (4,072 | ) | ||||||
| Prepaid expenses | 305 | 703 | 842 | |||||||
| Other assets | 99 | – | 78 | |||||||
| Accounts payable and accrued liabilities | 20 | (3,802 | ) | (4,992 | ) | |||||
| Interest received (paid), net | 17 | 49 | 22 | 1,685 | ||||||
| Income taxes paid | 16 | – | (306 | ) | (477 | ) | ||||
| Royalties paid | 18(c) | (99 | ) | (326 | ) | (1,355 | ) | |||
| Cash flows (used in) from operating activities | 3,989 | (2,240 | ) | (14,641 | ) | |||||
| Investing activities: | ||||||||||
| Acquisition of Marley Drug, Inc, net of cash acquired | 4 | – | (7,238 | ) | – | |||||
| Investment in Sensible Medical | 9 | – | – | (6,337 | ) | |||||
| Receipt of holdback receivable funds | 13 | – | – | 6,719 | ||||||
| Redemptions of short-term investments | – | – | 47,747 | |||||||
| Repayment of holdback payable | 4 | (1,876 | ) | – | ||||||
| Acquisition of property and equipment | 7 | (377 | ) | (2 | ) | (186 | ) | |||
| Acquisition of intangible assets | 8 | (441 | ) | – | (13,660 | ) | ||||
| Cash flows (used in) from investing activities | (2,694 | ) | (7,240 | ) | 34,283 | |||||
| Financing activities: | ||||||||||
| Repurchase of common shares under substantial issuer bid | 15(b) | – | – | (26,139 | ) | |||||
| Repurchase of common shares under normal course issuer bid | 15(b) | – | (522 | ) | (4,145 | ) | ||||
| Proceeds from exercise of stock options | 15(c) | – | – | 20 | ||||||
| Repayment of lease liability | 12 | (316 | ) | (244 | ) | – | ||||
| Cash flows used in financing activities | (316 | ) | (766 | ) | (30,264 | ) | ||||
| Foreign exchange loss on cash held in foreign<br> <br>currency | (1 | ) | (3 | ) | (552 | ) | ||||
| (Decrease) increase in cash | 978 | (10,249 | ) | (11,174 | ) | |||||
| Cash and cash equivalents, beginning of period | 2,716 | 12,965 | 24,139 | |||||||
| Cash and cash equivalents, end of period | $ | 3,694 | $ | 2,716 | $ | 12,965 |
See accompanying notes to the consolidated financial statements.
5
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
| 1. | Reporting entity |
|---|
Medicure Inc. (the "Company") is a company domiciled and incorporated in Canada and as of October 24, 2011, its Common Shares are listed on the TSX Venture Exchange (“TSX-V”). Prior to October 24, 2011 and beginning on March 29, 2010, the Company's Common Shares were listed on the NEX board of the TSX-V. Prior to March 29, 2010, the Company's Common Shares were listed on the Toronto Stock Exchange. Additionally, the Company's shares were listed on the American Stock Exchange (later called NYSE Amex and now called NYSE MKT) on February 17, 2004 and the shares ceased trading on the NYSE Amex effective July 3, 2008. The Company remains a U.S. Securities and Exchange Commission registrant. The address of the Company's registered office is 2-1250 Waverley Street, Winnipeg, Manitoba, Canada, R3T 6C6.
The Company is a biopharmaceutical company engaged in the research, development and commercialization of human therapeutics. Through its subsidiary Medicure International, Inc., the Company has rights to the commercial product AGGRASTAT^®^ Injection (tirofiban hydrochloride) in the United States and its territories (Puerto Rico, U.S. Virgin Islands, and Guam). AGGRASTAT^®^, a glycoprotein GP IIb/IIIa receptor antagonist, is used for the treatment of acute coronary syndrome including unstable angina, which is characterized by chest pain when one is at rest, and non-Q-wave myocardial infarction.
In September 2019 the Company acquired ownership of ZYPITAMAG^®^ from Cadila Healthcare Ltd., India (“Zydus”) for the U.S. and Canadian markets. Under terms of the agreement, the Company previously had acquired U.S. marketing rights with a profit-sharing arrangement in December 2017. With this acquisition the Company obtained full control of the product including marketing and pricing negotiation for ZYPITAMAG^®^. ZYPITAMAG^®^ is used for the treatment of patients with primary hyperlipidemia or mixed dyslipidemia and was approved in July 2017 by the U.S. Food and Drug Administration (“FDA”) for sale and marketing in the United States. On May 1, 2018 ZYPITAMAG^®^ was made available in retail pharmacies throughout the United States.
On December 17, 2020, the Company, through its subsidiary, Medicure Pharma Inc. acquired and began operating Marley Drug, Inc. (“Marley Drug”), a leading specialty pharmacy serving customers across the United States.
The Company’s ongoing research and development activities include the continued development and further implementation of a new regulatory, brand and life cycle management strategy for AGGRASTAT^®^ and the development of additional cardiovascular products. The Company continues to seek to acquire or license additional cardiovascular products.
| 2. | Basis of preparation of financial statements |
|---|---|
| (a) | Statement of compliance |
| --- | --- |
These consolidated financial statements of the Company and its subsidiaries were prepared in accordance with International Financial Reporting Standards ("IFRS") as issued by the International Accounting Standards Board ("IASB").
The consolidated financial statements were authorized for issue by the Board of Directors on April 27, 2022.
| (b) | Basis of presentation |
|---|
The consolidated financial statements have been prepared on the historical cost basis except for contingent consideration and the investment in Sensible Medical which are measured at fair value.
During the year-ended December, 31, 2021, the COVID-19 outbreak continues to impact the operations of the Company. The outbreak and efforts to contain the virus may have a significant impact on the Company’s business. The COVID-19 outbreak has resulted in governments worldwide enacting emergency measures to combat the spread of the virus. These measures, which include the implementation of travel bans, self-imposed quarantine periods and social distancing, have caused material disruption to businesses globally resulting in an economic slowdown. Global equity markets have experienced significant volatility and weakness. Governments and central banks have reacted with significant monetary and fiscal interventions designed to stabilize economic conditions. A prolonged economic shutdown could result in purchase order delays or the inability to collect receivables and it is possible that in the future there will be negative impacts on the Company’s operations that could have a material adverse effect on its financial results. Although the Company has adjusted some of its operating procedures in response to COVID-19, operations have not experienced any significant negative impact to date. The extent to which the pandemic impacts future operations and financial results, and the duration of any such impact, depends on future developments, which are highly uncertain and unknown at this time.
6
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
| 2. | Basis of preparation of financial statements (continued) |
|---|
| (c) | Functional and presentation currency |
|---|
The consolidated financial statements are presented in Canadian dollars, which is the Company's functional currency. All financial information presented has been rounded to the nearest thousand dollar except where indicated otherwise. The Company has rounded comparative figures, which were previously presented as rounded to the nearest dollar, to the nearest thousand dollar to conform to current year presentation. Additionally, certain of the comparative figures have been reclassified to conform with the current year presentation, namely for the current year presentation selling expenses have been presented separately from general and administration expenses on the statements of net (loss) income and comprehensive (loss) income.
| (d) | Use of estimates and judgments |
|---|
The preparation of these consolidated financial statements in conformity with IFRS requires management to make estimates and assumptions that affect the application of accounting policies and the reported amounts of assets, liabilities, revenue and expenses. Actual results may differ from these estimates.
Estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognized in the period in which the estimates are revised and in any future periods affected.
Information about key assumptions and estimation uncertainties that have a significant risk of resulting in a material adjustment to the carrying amount of assets and liabilities within the next financial year are included in the following notes to the consolidated financial statements for the year ended December 31, 2021:
| • | Note 3(c)(ii): The valuation of the royalty obligation |
|---|---|
| • | Note 3(e): The accruals for returns, chargebacks, rebates and discounts |
| --- | --- |
Chargebacks are considered the most significant estimates and result from wholesalers selling the Company’s products to end hospitals at prices lower than the wholesaler acquisition cost, which results in variable consideration for the Company. The provision is estimated using historical chargeback experience, timing of actual chargebacks processed during the year, expected chargeback levels based on the remaining products in the wholesaler distribution channel and pricing differences. Estimating the chargeback accrual is complex and judgmental due to the level of uncertainty involved in management’s estimates for product that remains in the wholesaler distribution channel as period end, the extent of product sales that were expected to be subject to chargebacks and pricing differences.
| • | Note 3(i): The measurement and useful lives of intangible assets |
|---|---|
| • | Note 3(o): The measurement of the amount and assessment of the recoverability of income tax assets and<br>income tax provisions |
| --- | --- |
| • | Note 3(q): The measurement and valuation of intangible assets and contingent consideration acquired and<br>recorded as business combinations |
| --- | --- |
| • | Note 3(I): Impairment of non-financial assets |
| --- | --- |
The Company’s annual goodwill impairment test is based on value-in-use calculations that use a discounted cash flow model. These calculations require the use of estimates and forecasts of future cash flows. The recoverable amount is most sensitive to the discount rate, revenue growth rate, and operating margin. A change in any of the significant assumptions or estimates used to evaluate goodwill could result in a material change to the results of operations. The key assumptions used to determine the recoverable amount are further explained in note 9.
| • | Note 3(r): The incremental borrowing rate (“IBR”) used in the valuation of leases |
|---|
7
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
| 3. | Significant accounting policies |
|---|
The accounting policies set out below have been applied consistently to all periods presented in these consolidated financial statements, unless otherwise indicated.
| (a) | Basis of consolidation |
|---|
These consolidated financial statements include the accounts of the Company and its subsidiaries. Subsidiaries are entities controlled by the Company. Control exists when the Company has power over the investee and when the Company is exposed, or has the rights, to variable returns from the investee. Subsidiaries are included in the consolidated financial results of the Company from the effective date of acquisition up to the effective date of disposition or loss of control and include wholly owned subsidiaries, Medicure International Inc., Medicure Pharma Inc., Medicure U.S.A. Inc., Medicure Mauritius Limited, Medicure Pharma Europe Limited and Apigen Investments Limited. Beginning on December 17, 2020, Marley Drug, Inc, became a subsidiary of Medicure Pharma Inc. and is consolidated with these financial statements. On October 11, 2021, the Company completed a wind up of its Medicure Mauritius Limited subsidiary. The intercompany balances owed to the Company were extinguished upon the wind up, and any intercompany foreign exchange gains or losses resulting from historical transactions between the Company and Medicure Mauritius Limited were reclassified from accumulated other comprehensive income to foreign exchange loss during the current year. The financial statements of the subsidiaries are prepared for the same reporting period as the parent company, using consistent accounting policies. All intercompany transactions and balances and unrealized gains and losses from intercompany transactions have been eliminated.
| (b) | Foreign currency |
|---|
Items included in the financial statements of each of the Company's consolidated subsidiaries are measured using the currency of the primary economic environment in which the subsidiary operates (the functional currency). The consolidated financial statements are presented in Canadian dollars, which is the Company's functional and presentation currency.
Foreign currency transactions are translated into the respective functional currencies of the Company and its subsidiaries using the exchange rates prevailing at the dates of the transactions. Foreign exchange gains and losses resulting from the settlement of such transactions and from the translation at period-end exchange rates of monetary assets and liabilities denominated in foreign currencies are recognized in profit or loss. Non-monetary items that are not carried at fair value are translated using the exchange rates as at the date of the initial transaction. Non-monetary items measured at fair value in a foreign currency are translated using the exchange rates at the date when the fair value is determined.
The results and financial position of the Company's foreign operations that have a functional currency different from the Company’s functional and presentation currency are translated into Canadian dollars as follows:
(i) assets and liabilities of foreign operations are translated at the closing rate at the date of the consolidated statement of financial position;
(ii) revenue and expenses of foreign operations for each year are translated at average exchange rates (unless this is not a reasonable approximation of the cumulative effect of the rates prevailing on the transaction dates, in which case revenue and expenses are translated at the dates of the transactions); and
(iii) all resulting exchange differences for foreign operations are recognized in other comprehensive income in the cumulative translation account.
When a foreign operation is disposed of, the component of other comprehensive income relating to that particular foreign operation is recognized in the consolidated statements of net income and comprehensive income, as part of the gain or loss on sale where applicable.
8
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
| 3. | Significant accounting policies (continued) |
|---|---|
| (c) | Financial instruments |
| --- | --- |
(i) Financial Assets
Initial recognition and measurement
Upon recognition of a financial asset, classification is made based on the business model for managing the asset and the asset’s contractual cash flow characteristics. The financial asset is initially recognized at its fair value and subsequently classified and measured as (i) amortized cost; (ii) Fair value through other comprehensive income (“FVOCI”); or (iii) Fair value through profit or loss (“FVTPL”). Financial assets are classified as FVTPL if they have not been classified as measured at amortized cost or FVOCI. Upon initial recognition of an equity instrument that is not held-for-trading, the asset is recorded as FVTPL unless the Company irrevocably designates the presentation of subsequent changes in the fair value of such equity instrument as FVOCI.
Subsequent measurement
The subsequent measurement of financial assets depends on their classification as follows:
Financial assets measured at amortized cost
A financial asset is subsequently measured at amortized cost, using the effective interest method and net of any impairment allowance, if the asset is held within a business whose objective is to hold assets in order to collect contractual cash flows; and the contractual terms of the financial asset give rise, on specified dates, to cash flows that are solely payments of principal and interest. Cash and cash equivalents, restricted cash, accounts receivable and other assets are classified within this category.
Financial assets at FVTPL
Financial assets measured at FVTPL are carried in the statement of financial position at fair value with changes in fair value therein recognized in the consolidated statement of net loss and comprehensive loss. There are presently no assets classified within this category.
Financial assets at FVOCI
Financial assets measured at FVOCI are carried in the statement of financial position at fair value with changes in fair value therein recognized in the statement of consolidated statement of net loss and comprehensive loss. The Investment in Sensible Medical was designated within this category.
(ii) Financial liabilities
Initial recognition and measurement
The Company recognizes a financial liability on the trade date in which it becomes a party to the contractual provisions of the instrument at fair value plus any directly attributable costs. Financial liabilities are subsequently measured at amortized cost or FVTPL, and are not subsequently reclassified. The Company’s financial liabilities are accounts payable and accrued liabilities, royalty obligation, acquisition payable and holdback which are recognized on an amortized cost basis. Financial liabilities measured at FVTPL include contingent consideration resulting from business combinations as defined by IFRS 9.
9
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
| 3. | Significant accounting policies (continued) |
|---|
(c***) Financialinstruments (continued)***
(ii) Financial liabilities (continued)
The royalty obligation was recorded at its fair value at the date at which the liability was incurred and subsequently measured at amortized cost using the effective interest rate method at each reporting date. Estimating fair value for this liability required determining the most appropriate valuation model which was dependent on its underlying terms and conditions. This estimate also required determining expected revenue from AGGRASTAT^®^ sales and an appropriate discount rate and making assumptions about them.
The acquisition payable liabilities were recorded at its fair value at the date at which the liability was incurred and subsequently measured at amortized cost using the effective interest rate method at each reporting date. Estimating fair value for these liabilities required determining an appropriate discount rate.
Contingent consideration resulting from a business combination are valued at fair value at the acquisition date as part of the business combination and subsequently fair valued as described in the business combination policy below.
(iii) Derecognition
A financial asset or, where applicable a part of a financial asset or part of a group of similar financial assets is derecognized when the contractual rights to receive cash flows from the asset have expired; or the Company has transferred its rights to receive cash flows from the asset or has assumed an obligation to pay the received cash flows in full without material delay to a third party under a ‘pass-through’ arrangement; and either (a) the Company has transferred substantially all the risks and rewards of the asset, or (b) the Company has neither transferred nor retained substantially all the risks and rewards of the asset, but has transferred control of the asset.
A financial liability is derecognized when the obligation under the liability is discharged or cancelled or expires.
When an existing financial liability is replaced by another from the same lender on substantially different terms, or the terms of an existing liability are substantially modified, such an exchange or modification is treated as a derecognition of the original liability and the recognition of a new liability, and the difference in the respective carrying amounts is recognized in the consolidated statements of net loss and comprehensive loss.
(iv) Offsetting of financial instruments
Financial assets and financial liabilities are offset, and the net amount reported in the statement of financial position if, and only if, there is a currently enforceable legal right to offset the recognized amounts and there is an intention to settle on a net basis, or to realize the assets and settle the liabilities simultaneously.
(v) Fair value of financial instruments
Fair value is determined based on the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants. Fair value is measured using the assumptions that market participants would use when pricing an asset or liability. Typically, fair value is determined by using quoted prices in active markets for identical or similar assets or liabilities. When quoted prices in active markets are not available, fair value is determined using valuation techniques that maximize the use of observable inputs. When observable valuation inputs are not available, significant judgement is required through determining the valuation technique to apply, the valuation techniques such as discounted cash flow analysis and selecting inputs. The use of alternative valuation techniques or valuation inputs may result in a different fair value.
(vi) Transaction costs
Transaction costs for all financial instruments measured at amortized cost, the transaction costs are included in the initial measurement of the financial asset or financial liability and are amortized using the effective interest rate method over a period that corresponds with the term of the financial instruments. Transaction costs for financial instruments classified as FVTPL are recognized as an expense in professional fees, in the period the cost was incurred.
10
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
| 3. | Significant accounting policies (continued) |
|---|
(c) Financialinstruments (continued)
(vii) Embedded Derivatives
For financial liabilities measured at amortized cost, under certain conditions, an embedded derivative must be separated from its host contract and accounted for as a derivative. An embedded derivative causes some or all of the cash flows that otherwise would be required by the contract to be modified according to a specified interest rate, financial instrument price, commodity price, foreign exchange rate, index of prices or rates, a credit rating or credit index, or other variable, provided in the case of a non-financial variable that the variable is not specific to a party to the contract. For financial assets at FVTPL, any embedded derivatives are not separated from its host contract.
| (d) | Impairment of financial assets |
|---|
An “expected credit loss” impairment model applies to financial assets which requires a loss allowance to be recorded on financial assets measured at amortized cost based on their expected credit losses. An estimate is made to determine the present value of future cash flows associated with the asset, and if required, an impairment loss is recorded. The impairment loss reduces the carrying value of the impaired financial asset to the value of the estimated present value of the future cash flows associated with the asset, discounted at the financial asset’s original effective interest rate is recorded either directly or through the use of an allowance account and the resulting impairment loss is recorded in profit or loss. The Company considers a financial asset in default when internal or external information indicates that the Company is unlikely to receive the outstanding contractual amounts in full. A financial asset is written off when there is no reasonable expectation of recovering the contractual cash flows. For accounts receivable, the Company applies a simplified approach in calculating expected credit losses. Therefore, the Company does not track changes in credit risk, but instead recognizes a loss allowance based on lifetime ECLs at each reporting date. The Company has established a provision matrix that is based on its historical credit loss experience, adjusted for forward-looking factors specific to the debtors and the economic environment.
Impairment losses on financial assets carried at amortized cost are reversed in subsequent periods if the amount of the loss decreases and the decrease can be related objectively to an event occurring after the impairment was recognized.
| (e) | Revenue from contracts with customers |
|---|
As of December 31, 2021, excluding Marley Drug, the Company has three commercially available products that generated revenue for the year ended December 31, 2021, AGGRASTAT^®^, ZYPITAMAG^®^ and Sodium Nitroprusside (the “Products”) which it sells to United States customers. The Products are sold to wholesalers for resale as well as directly to hospitals and pharmacies; with AGGRASTAT^®^ and Sodium Nitroprusside primarily being sold by the wholesalers to hospitals, while ZYPITAMAG^®^ is primarily sold by wholesalers to pharmacies. Revenue from the sale of the Products is recognized upon the receipt of goods by the wholesaler, or the hospital or pharmacy in the case of a direct sale, the point in time in which title and control of the transferred goods pass from the Company to the customer. At this point in time, the customer has gained the sole ability to route the goods, and there are no unfulfilled obligations that could affect the customer’s acceptance of the goods. Delivery of the product occurs when the goods have been received at the customer in accordance with the terms of the sale.
During 2019, the Company sold ReDS^TM^medical devices directly to end users. Revenue from the sale of ReDS^TM^ was recognized upon the receipt of goods by the end user, the point in time in which title and control of the transferred goods passed from the Company to the customer. At this point in time, the customer had gained the sole ability to benefit from the product, and there was no unfulfilled obligations that could have affected the customer’s acceptance of the goods. Delivery of the product occurred when the goods had been shipped to the customer and the customer had accepted the products in accordance with the terms of the sale.
11
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
3. Significant accountingpolicies (continued)
| (e) | Revenue from contracts with customers (continued) |
|---|
Sales are made subject to certain discounts available for prompt payment, volume discounts, rebates or chargebacks. Revenue from these sales is recognized based on the price specified per the pricing terms of the sales invoices, net of the estimated discounts, rebates or chargebacks. Variable consideration is based on historical information, using the expected value method. Revenue is only recognized to the extent that it is highly probable that a significant reversal will not occur. A liability is included within accounts payable and accrued liabilities and is measured for expected payments that will be made to the customers for the discounts in which they are entitled. Sales do not contain an element of financing as sales are made with credit terms within the normal operating cycle of the date of the invoice, which is consistent with market practice.
Through Marley Drug, the Company operates a retail pharmacy and mail order pharmacy business selling pharmaceuticals directly to end users being individual patients. Revenue for in store sales is recognized upon payment by the customer. This is the point where all performance obligations have been met in regards to the product sold. Revenue for mail order sales is recognized upon the shipment of the products to the customer, generally at the time the product is picked up from the Company’s premises by the carrier. This is the point where all performance obligations have been met in regards to the product sold.
| (f) | Cash and cash equivalents |
|---|
The Company considers all liquid investments purchased with a maturity of three months or less at acquisition to be cash and cash equivalents, which are carried and classified at amortized cost.
| (g) | Inventories |
|---|
Inventories consist of unfinished product (raw material in the form of API and packaging materials) and finished commercial product, which are available for sale either to wholesale, pharmacy and hospital customers or through Marley Drug direct to patients, and are measured at the lower of cost and net realizable value.
The cost of inventories is based on the first-in first-out principle, and includes expenditures incurred in acquiring the inventories, production or conversion costs and other costs incurred in bringing them to their existing location and condition.
Inventories are written down to net realizable value when the cost of inventories is estimated to be unrecoverable due to obsolescence, damage, or declining selling prices. Net realizable value is the estimated selling price in the ordinary course of business, less the estimated costs of completion and selling expenses. When the circumstances that previously caused inventories to be written down below cost no longer exist, or when there is clear evidence of an increase in selling prices, the amount of the write-down previously recorded is reversed.
| (h) | Property and equipment |
|---|---|
| (i) | Recognition and measurement |
| --- | --- |
Items of property and equipment are measured at cost less accumulated amortization and accumulated impairment losses and reversals. When parts of an item of property and equipment have different useful lives, they are accounted for as separate items (major components) of property and equipment. The costs of the day-to-day servicing of property and equipment are recognized in the consolidated statements of net (loss) income and comprehensive (loss) income in the period in which they are incurred.
12
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
3. Significant accountingpolicies (continued)
| (h) | Property and equipment (continued) |
|---|
| (ii) | Amortization |
|---|
Amortization is recognized in profit or loss over the estimated useful lives of each part of an item of property and equipment in a manner that most closely reflects the expected pattern of consumption of the future economic benefits embodied in the asset. The estimated useful lives for the current and comparative periods are as follows:
| Asset | Basis | Rate |
|---|---|---|
| Computers, pharmacy equipment, office equipment, furniture and fixtures | Straight-line | 20% to 25% |
| Leasehold improvements | Straight-line | Term of lease |
| ReDS™ demonstration units | Straight-line | 33% |
| Right of use assets | Straight-line | Term of lease |
Amortization methods, useful lives and residual values are reviewed at each period end and adjusted if appropriate.
| (i) | Intangible assets |
|---|
Intangible assets that are acquired separately are measured at cost less accumulated amortization and accumulated impairment losses. Subsequent expenditures are capitalized only when they increase the future economic benefits embodied in the specific asset to which they relate. All other expenditures are recognized in profit or loss as incurred.
Product licenses are amortized on a straight-line basis over the contractual term of the acquired license. Pharmacy licenses are amortized on a straight-line basis over their estimated useful life of approximately seven years. Patents and drug approvals are amortized on a straight-line basis over the legal life of the respective patent, ranging from five to twenty years, or its economic life, if shorter. Brand names are amortized on a straight-line basis over the estimated economic life of the brand name estimated at ten years. Trademarks are amortized on a straight-line basis over the legal life of the respective trademark, being ten years, or its economic life, if shorter. Customer lists are amortized on a straight-line basis over a period of seven to twelve years, or their economic life, if shorter.
Amortization on product licenses commences when the intangible asset is available for use, which would typically be in connection with the commercial launch of the associated product under the license.
Following initial recognition, intangible assets are carried at cost less accumulated amortization and accumulated impairment losses. The cost of servicing the Company's patents and trademarks are expensed as incurred.
The amortization method and amortization period of an intangible asset with a finite useful life are reviewed at least annually. Changes in the expected useful life or the expected pattern of consumption of future economic benefits embodied in the asset are accounted for by changing the amortization period or method, as appropriate, and are treated as changes in accounting estimates in the consolidated statements of net (loss) income and comprehensive (loss) income.
| (j) | Research and development |
|---|
Expenditure on research activities, undertaken with the prospect of gaining new scientific or technical knowledge and understanding, is recognized in profit or loss as incurred.
Development activities involve a plan or design for the production of new or substantially improved products and processes. Development expenditures are capitalized only if development costs can be measured reliably, the product or process is technically and commercially feasible, future economic benefits are probable, and the Company intends to and has sufficient resources to complete development and to use or sell the asset. No development costs have been capitalized to date.
13
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
3. Significant accountingpolicies (continued)
| (j) | Research and development |
|---|
Research and development expenses include all direct and indirect operating expenses supporting the products in development.
Clinical trial expenses are a component of the Company’s research and development costs. These expenses include fees paid to contract research organizations, clinical sites, and other organizations who conduct research and development activities on the Company’s behalf. The amount of clinical trial expenses recognized in a period related to clinical agreements are based on estimates of the work performed using an accrual basis of accounting. These estimates incorporate factors such as patient enrolment, services provided, contractual terms, and prior experience with similar contracts.
| (k) | Government assistance |
|---|
Government assistance, in the form of grants or the Canada Emergency Wage Subsidy, are recognized at fair value where there is reasonable assurance that the grant will be received and all attaching conditions will be complied with. Government assistance toward current expenses is recorded as a reduction of the related expenses in the period the expenses are incurred. Government assistance towards property and equipment is deducted from the cost of the related property and equipment. The benefits of investment tax credits for scientific research and experimental development expenditures ("SR&ED") incurred directly by the Company are recognized in the period the qualifying expenditure is made, provided there is reasonable assurance of recoverability. SR&ED investment tax credits receivable are recorded at their net realizable value.
| (l) | Impairment of non-financial assets |
|---|
The Company assesses at each reporting period whether there is an indication that a non-financial asset may be impaired. An impairment loss is recognized when the carrying amount of an asset, or its CGU, exceeds its recoverable amount. Impairment losses are recognized in net income and comprehensive income. A CGU is the smallest identifiable group of assets that generates cash inflows that are largely independent of the cash inflows from other assets or groups of assets. The recoverable amount is the greater of the asset's or CGU's fair value less costs to sell and value in use. In assessing value in use, the estimated future cash flows are discounted to their present value using a pre-tax discount rate that reflects current market assessments of the time value of money and the risks specific to the asset or CGU. In determining fair value less costs to sell, an appropriate valuation model is used. For an asset that does not generate largely independent cash inflows, the recoverable amount is determined for the CGU to which the asset belongs.
For assets other than goodwill, impairment losses recognized in prior periods are assessed at each reporting date for any indications that the loss has decreased or no longer exists. An impairment loss is reversed if there has been a change in the estimates used to determine the recoverable amount. An impairment loss is reversed only to the extent that the asset's carrying amount does not exceed the carrying amount that would have been determined, net of amortization, if no impairment loss had been recognized.
Goodwill is tested for impairment annually and when circumstances indicate that the carrying value may be impaired. Impairment is determined for goodwill by assessing the recoverable amount of each CGU to which the goodwill relates. When the recoverable amount of the CGU is less than its carrying amount, an impairment loss is recognized. Impairment losses relating to goodwill are not reversed in future periods.
| (m) | Employee benefits |
|---|
| (i) | Short-term employee benefits |
|---|
Short-term employee benefit obligations are measured on an undiscounted basis and are expensed as the related service is provided.
14
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
3. Significantaccounting policies (continued)
| (m) | Employee benefits (continued) |
|---|---|
| (ii) | Long-term employee benefits |
| --- | --- |
An accrual is recognized for benefits accruing to employees when it is probable that settlement will be required and it is capable of being measured reliably. Accruals recognized in respect of employee benefits which are not due to be settled within one year are measured at the present value of the estimated future cash outflows to be made by the Company in respect of services provided by employees up to the reporting date. As of December 31, 2021, the employee benefit accrual represents deferred compensation and is recorded within other long-term liabilities.
| (iii) | Share-based payment transactions |
|---|
The grant date fair value of share-based payment awards granted to employees is recognized as a personnel expense, with a corresponding increase in equity, over the period that the employees unconditionally become entitled to the awards. The amount recognized as an expense is adjusted to reflect the number of awards for which the related service and non-market vesting conditions are expected to be met, such that the amount ultimately recognized as an expense is based on the number of awards that do meet the related service and non-market performance conditions at the vesting date. For share-based payment awards with non-vesting conditions, the grant date fair value of the share-based payment is measured to reflect such conditions and there is no true-up for differences between expected and actual outcomes.
Share-based payment arrangements in which the Company receives goods or services as consideration for its own equity instruments are accounted for as equity-settled share-based payment transactions. In situations where equity instruments are issued and some or all of the goods or services received by the entity as consideration cannot be specifically identified, they are measured at fair value of the share-based payment.
For share-based payment arrangements with non-employees, the expense is recorded over the service period until the options vest. Once the options vest, services are deemed to have been received.
Where the terms of an equity-settled transaction award are modified, the minimum expense recognized is the expense as if the terms had not been modified, if the original terms of the award are met. An additional expense is recognized for any modification that increases the total fair value of the share-based payment transaction or is otherwise beneficial to the employee as measured at the date of modification.
Where an equity-settled award is cancelled, it is treated as if it vested on the date of the cancellation and any expense not yet recognized for the award (being the total expense as calculated at the grant date) is recognized immediately. This includes any awards where vesting conditions within the control of either the Company or the employee are not met. However, if a new award is substituted for the cancelled award, and designated as a replacement award on the date that it is granted, the cancelled award and new awards are treated as if they were a modification of the original awards.
| (n) | Finance income and finance costs |
|---|
Finance costs comprise interest expense on borrowings which are recognized in net income and comprehensive income using the effective interest rate method, accretion on the royalty obligation, prepayment fees on the early repayment of long-term debt and amortization of deferred debt issue costs using the effective interest rate method, offset by any finance income which is comprised of interest income on funds invested and is recognized as it accrues in net income and comprehensive income, using the effective interest rate method.
Foreign currency gains and losses are reported on a net basis.
15
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
3. Significantaccounting policies (continued)
| (o) | Income taxes |
|---|
The Company and its subsidiaries are generally taxable under the statutes of their country of incorporation.
Income tax expense comprises current and deferred taxes. Current taxes and deferred taxes are recognized in profit or loss except to the extent that they relate to a business combination, or items recognized directly in equity or in other comprehensive income.
Current taxes are the expected tax receivable or payable on the taxable income or loss for the year, using tax rates enacted or substantively enacted at the reporting date, and any adjustment to tax receivable or payable in respect of previous years.
The Company follows the liability method of accounting for deferred taxes. Under this method, deferred taxes are recognized in respect of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for taxation purposes. Deferred taxes are not recognized for the following temporary differences: the initial recognition of assets or liabilities in a transaction that is not a business combination and that affects neither accounting nor taxable profit or loss, and differences relating to investments in subsidiaries and jointly controlled entities to the extent that it is probable that they will not reverse in the foreseeable future. In addition, deferred taxes are not recognized for taxable temporary differences arising on the initial recognition of goodwill. Deferred taxes are measured at the tax rates that are expected to be applied to temporary differences when they reverse, based on the tax laws that have been enacted or substantively enacted by the reporting date. Deferred tax assets and liabilities are offset if there is a legally enforceable right to offset current tax assets and liabilities, and they relate to income taxes levied by the same tax authority on the same taxable entity, or on different tax entities, but they intend to settle current tax assets and liabilities on a net basis or their tax assets and liabilities will be realized simultaneously.
A deferred tax asset is recognized for unused tax losses, tax credits and deductible temporary differences, to the extent that it is probable that future taxable profits will be available against which they can be utilized. Deferred tax assets are reviewed at each reporting date and are reduced to the extent that it is no longer probable that the related tax benefit will be realized.
The Company has provided for income taxes, including the impacts of tax legislation in various jurisdictions, in accordance with guidance issued by accounting regulatory bodies, the Canada Revenue Agency, the U.S. Internal Revenue Service, the Barbados Revenue Authority, the Mauritius Revenue Authority, as well as other state and local governments through the date of the issuance of these consolidated financial statements. Additional guidance and interpretations can be expected and such guidance, if any, could impact future results. While management continues to monitor these matters, the ultimate impact, if any, as a result of the application of any guidance issued in the future cannot be determined at this time.
The Company and its subsidiaries file federal income tax returns in Canada, the United States, Barbados and other foreign jurisdictions, as well as various provinces and states in Canada and the United States, respectively. Uncertainties exist with respect to the interpretation of complex tax regulations, changes in tax laws and the amount and timing of future taxable income. Given the Company operates within a complex structure internationally, differences arising between the actual results and the assumptions made, or future changes to such assumptions, could necessitate future adjustments to taxable income and expenses recorded. The Company establishes provisions, based on reasonable estimates, for possible consequences of audits by the tax authorities of the respective countries in which it operates. The amount of such provisions are based on various factors, such as interpretations of tax regulations by each taxable entity and the responsible tax authority. The Company and its subsidiaries have open tax years, primarily from 2011 to 2021, with significant taxing jurisdictions, including Canada, the United States and Barbados. These open years contain certain matters that could be subject to differing interpretations of applicable tax laws and regulations and tax treaties, as they relate to the amount, timing or inclusion of revenues and expenses, or the sustainability of income tax positions of the Company and its subsidiaries. Certain of these tax years may remain open indefinitely.
16
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
| 3. | Significant accounting policies (continued) |
|---|
| (o) | Income taxes (continued) |
|---|
Such differences of interpretation may arise on a wide variety of issues, depending on the conditions prevailing in the respective company’s domicile. As the Company assesses the probability for litigation and subsequent cash outflow with respect to taxes as remote, no contingent liability has been recognized.
Tax benefits acquired as part of a business combination, but not satisfying the criteria for separate recognition at that date, would be recognized subsequently if information about facts and circumstances changed. The adjustment would either be treated as a reduction to goodwill if it occurred during the measurement period or in profit or loss, when it occurs subsequent to the measurement period.
| (p) | Earnings per share |
|---|
The Company presents basic earnings per share ("EPS") data for its common voting shares. Basic EPS is calculated by dividing the profit or loss attributable to common voting shareholders of the Company by the weighted average number of common voting shares outstanding during the period, adjusted for the Company's own shares held. Diluted EPS is computed similar to basic EPS except that the weighted average shares outstanding are increased to include additional shares for the assumed exercise of stock options and warrants, if dilutive. The number of additional shares is calculated by assuming that outstanding stock options and warrants were exercised and that the proceeds from such exercise were used to acquire common shares at the average market price during the reporting periods.
| (q) | Business combinations and goodwill |
|---|
Business combinations are accounted for using the acquisition method. The consideration for an acquisition is measured at the fair values of the assets transferred, the liabilities assumed and the equity interests issued at the acquisition date. Transaction costs that are incurred in connection with a business combination, other than costs associated with the issuance of debt or equity securities, are expensed as incurred. Identified assets acquired and liabilities and contingent liabilities assumed are measured initially at fair values at the date of acquisition. On an acquisition-by-acquisition basis, any non-controlling interest is measured either at fair value of the non-controlling interest or at the fair value of the proportionate share of the net assets acquired.
Contingent consideration is measured at fair value on acquisition date and is included as part of the consideration transferred. The fair value of the contingent consideration liability is remeasured at each reporting date with the corresponding gain or loss being recognized in profit or loss.
Goodwill is initially measured at cost, being the excess of fair value of the cost of the business combinations over the Company’s share in the net fair value of the acquiree’s identifiable assets, liabilities and contingent liabilities. Any negative difference is recognized directly in the consolidated statements of net income and comprehensive income. If the fair values of the assets, liabilities and contingent liabilities can only be calculated on a provisional basis, the business combination is recognized using provisional values. Any adjustments resulting from the completion of the measurement process are recognized within twelve months of the date of the acquisition.
| (r) | Leases |
|---|
At inception of a contract, the Company must assess whether a contract is, or contains, a lease. A contract is, or contains, a lease if the contract conveys the right to control the use of an identified asset over a period of time in exchange for consideration. The Company must assess whether the contract involves the use of an identified asset, whether it has the right to obtain substantially all of the economic benefits from the use of the asset during the term of the contract and if it has the right to direct the use of the asset. As a lessee, the Company recognizes a right-of-use asset and a lease liability at the commencement date of the lease.
17
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
3. Significant accountingpolicies (continued)
| (r) | Leases |
|---|
(i) Right-of-use asset
The right-of-use asset is initially measured at cost, which is comprised of the initial amount of the lease liability adjusted for any lease payments made and any initial direct costs incurred at or before the commencement date, plus any decommissioning and restoration costs, less any lease incentives received. The right-of-use asset is subsequently depreciated from the commencement date to the earlier of the end of the lease term, or the end of the useful life of the asset. In addition, the right-of-use asset may be reduced due to impairment losses, if any, and adjusted for certain re-measurements of the lease liability.
(ii) Lease liability
A lease liability is initially measured at the present value of the lease payments that are not paid at the commencement date discounted by the interest rate implicit in the lease or, if that rate cannot be readily determined, the incremental borrowing rate. The lease liability is subsequently measured at amortized cost using the effective interest method. Lease payments included in the measurement of the lease liability comprise: fixed payments; variable lease payments that depend on an index or a rate; amounts expected to be payable under any residual value guarantee; the exercise price under any purchase option that the Company would be reasonably certain to exercise; lease payments in any optional renewal period if the Company is reasonably certain to exercise an extension option; and penalties for any early termination of a lease unless the Company is reasonably certain not to terminate early. The Company has elected to not include non-lease components related to premises leases in the determination of the lease liability.
The Company has elected not to recognize right-of-use assets and lease liabilities for short-term leases that have a lease term of twelve months or less and leases of low-value assets. The lease payments associated with these leases are charged directly to income on a straight-line basis over the lease term.
(iii) Estimating the IBR
The Company cannot readily determine the interest rate implicit in its lease, therefore, it uses its IBR to measure lease liabilities. The IBR is the rate of interest that the Company would have to pay to borrow over a similar term, and with a similar security, the funds necessary to obtain an asset of a similar value to the right-of-use asset in a similar economic environment. The IBR therefore reflects what the Company ‘would have to pay which requires estimation when no observable rates are available or when they need to be adjusted to reflect the terms and conditions of the lease. The Company estimates the IBR using observable inputs (such as market interest rates) when available and is required to make certain entity-specific estimates (such as the subsidiary’s stand-alone credit rating).
| (s) | New standard not yet adopted |
|---|
Amendments to International AccountingStandard (“IAS”) 1 - presentation of financial statements:
In January 2020, the IAS issued an amendment to IAS 1 Presentation of Financial Statements that clarifies the criterion for classifying a liability as non-current relating to the right to defer settlement of a liability for at least 12 months after the reporting period. The amendment applies to annual reporting periods beginning on or after January 1, 2023. The Company does not expect the amendments to have a significant impact on the consolidated financial statements upon adoption.
Amendments to IAS 1 and IFRS PracticeStatement (“PS”) 2 - making materiality judgments:
In February 2021, the IAS issued amendments to IAS and IFRS PS 2, which provide guidance and examples to help entities apply materiality judgement to accounting policy disclosures. Specifically, the amendments aim to replace the requirement for entities to disclosure their “significant” accounting policies and add guidance on how to apply the concept of materiality in making decisions about accounting policy disclosures. The amendment applies to annual reporting periods beginning on or after January 1, 2023. The Company will assess the impact, if any, of adoption of the amendment.
18
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
4. Business combinations
On December 17, 2020, the Company acquired 100% of issued and outstanding shares of Marley Drug, a leading specialty pharmacy serving more than 30,000 customers across the United States for cash consideration of $7,781, of which $1,374 was held back and is recorded on the statement of financial position of the Company as restricted cash with an offsetting liability recorded as a holdback payable to be released in connection with the forgiveness of Marley Drug’s loan under the Paycheck Protection Program (“PPP”) from the United States Small Business Administration (“SBA”) and general representations and warranties one year after the acquisition date. An additional $504 was recorded as a holdback payable and will become payable once all state licenses have effectively been transferred to the Company, net of 90-day adjustments to true-up cash and working capital targets for the transaction.
During the year-ended December 31, 2021, the Company released the holdback payable amount to the seller, less $25 in legal fees incurred, as the remaining outstanding state licenses had been effectively transferred to the Company. The $25 withheld from the holdback payment has been recorded within Other Income on the consolidated statement of net loss and other comprehensive loss.
The remaining balance of $3 within restricted cash at December 31, 2021 pertains to escrow deposits required by Pharmacy Benefit Managers (“PBM”) for the administration of insurance plans for Marley Drug’s customer base.
As well, the purchase agreement included contingent consideration of additional payments to the seller based on the achievement of certain future performance targets of Marley Drug. The first contingent consideration (“One Year Payment”) is based on a one-year revenue target up to USD$1.7 million based on Marley Drugs’ historical revenues. The second contingent consideration (“Earn Out Payments”) is based on certain revenue milestone targets over a two-year period within Marley Drug. The contingent consideration period commences on the successful transfer of all licenses, unless it is triggered early by the seller. The One-Year Payment on the date of acquisition had been recorded within current portion of contingent consideration on the statement of financial position with an estimated fair value of $1,922. The Earn Out Payments had been recorded within contingent consideration on the statement of financial position with an estimated fair value of $51. The fair value of the contingent consideration was estimated using probability weighted scenarios and a discount rate of 12%.
At December 31, 2021, management concluded that there was a remote likelihood of the One Year Payment and the Earn Out Payments to occur based on fair value assessment completed at year-end. The fair value of the contingent consideration was estimated using probability weighted scenarios and a discount rate of 12%. As a result of the assessment completed by management, the Company recognized a gain of $1,803 through other income on the consolidated statement of net loss and other comprehensive loss during the year-ended December 31, 2021. At December 31, 2021, the remaining short-term and long-term contingent consideration payable balance is $293 and $40 (2020 - $1,922 and $51), respectively.
Prior to the acquisition, Marley Drug had obtained a PPP loan from the United States SBA totaling $353 which remained a liability as of the acquisition date. The PPP loan has been fair valued at zero at the acquisition date as the amount was expected to be forgiven in full. During the year-end December 31, 2021. the PPP loan was forgiven and the restricted cash and holdback payable of $353 was released to the seller in the transaction.
19
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
4. Business combinations (continued)
The following table summarizes the finalized fair values of the identifiable assets and liabilities as at the date of the acquisition:
| Net assets acquired | |||
|---|---|---|---|
| Cash and cash equivalents | $ | 542 | |
| Restricted cash | 20 | ||
| Accounts receivable | 104 | ||
| Inventories | 215 | ||
| Prepaid expenses | 22 | ||
| Property and equipment, including right of use asset | 664 | ||
| Pharmacy licenses | 1,183 | ||
| Customer lists | 4,860 | ||
| Brand name | 495 | ||
| Goodwill | 2,991 | ||
| Other assets | 131 | ||
| Accounts payable and accrued liabilities | (416 | ) | |
| Current portion of lease obligation | (98 | ) | |
| Lease obligation | (455 | ) | |
| Net assets acquired | $ | 10,258 | |
| ****<br><br>Summary of purchase consideration | |||
| Net cash paid | 6,407 | ||
| Holdback payable | 1,878 | ||
| Contingent consideration | 1,973 | ||
| Purchase consideration | $ | 10,258 |
Transaction costs relating to the Marley Drug acquisition were $421 and were included in general and administrative expenses for the year ended December 31, 2020.
From the date of acquisition to December 31, 2020, Marley Drug contributed to the 2020 results $340 of revenue and $7 of net income before income taxes. If the acquisition had taken place as at January 1, 2020, revenue in 2020 would have increased by $9.8 million and net income before income taxes in 2020 would have increased by approximately $1.2 million after considering the amortization of the intangible assets acquired in the transaction.
20
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
5. Accounts receivable
| As at December 31 | 2021 | 2020 | ||
|---|---|---|---|---|
| Trade accounts receivable | $ | 4,593 | $ | 5,097 |
| Other accounts receivable | 66 | 156 | ||
| $ | 4,659 | $ | 5,253 |
As at December 31, 2021, there were three customers with amounts owing greater than 10% of the Company’s accounts receivable which totaled 95% in aggregate (Customer A - 34%, Customer B - 29%, Customer C - 32%).
As at December 31, 2020, there were three customers with amounts owing greater than 10% of the Company’s accounts receivable which totaled 95% in aggregate (Customer A - 38%, Customer B - 23%, Customer C - 34%).
At December 31, 2021, the Company recorded a write-off of $305 (2020 - nil, 2019 - nil) in relation to pricing adjustments on sales which were deemed to be uncollectible account receivable balances. The write-off expense has been included within general and administration expenses on the consolidated statement of net loss and comprehensive loss.
6. Inventories
| As at December 31 | 2021 | 2020 | ||
|---|---|---|---|---|
| Finished commercial product available-for-sale | $ | 2,345 | $ | 4,032 |
| Finished retail pharmacy product available for sale | 266 | 216 | ||
| Unfinished product and packaging materials | 718 | 891 | ||
| $ | 3,329 | $ | 5,139 |
Inventories expensed as part of cost of goods sold during the year ended December 31, 2021 amounted to $5,790 (2020 - $3,355; 2019 - $3,585). During the year ended December 31, 2021, the Company wrote-off inventory of $1,339 (2020 - $682; 2019 - $1,983) that had expired or was otherwise unusable through cost of goods sold on the statement of loss and comprehensive loss.
21
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
7. Property and equipment
| Cost | Computers<br> and <br> equipment | Leasehold<br> improvements | Right of use <br>assets | Total | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| At December 31, 2019 | $ | 520 | $ | 170 | $ | 1,362 | $ | 2,052 | |||
| Acquisition under business combinations (note 4) | 117 | – | 547 | 664 | |||||||
| Additions | 2 | – | – | 2 | |||||||
| Disposals | (96 | ) | – | – | (96 | ) | |||||
| Effect of movements in exchange rates | – | – | (1 | ) | (1 | ) | |||||
| At December 31, 2020 | $ | 543 | $ | 170 | $ | 1,908 | $ | 2,621 | |||
| Additions | 366 | 12 | – | 378 | |||||||
| Effect of movements in exchange rates | – | – | (1 | ) | (1 | ) | |||||
| At December 31, 2021 | $ | 909 | $ | 182 | $ | 1,907 | $ | 2,998 | |||
| Accumulated amortization | Computer<br> and office<br> equipment | Leasehold<br> improvements | Right of use<br> <br>assets | Total | |||||||
| At December 31, 2019 | $ | 323 | $ | 170 | $ | 277 | $ | 770 | |||
| Amortization | 88 | – | 219 | 307 | |||||||
| Disposals | (96 | ) | – | – | (96 | ) | |||||
| At December 31, 2020 | $ | 315 | $ | 170 | $ | 496 | $ | 981 | |||
| Amortization | 116 | 1 | 289 | 406 | |||||||
| At December 31, 2021 | $ | 431 | $ | 171 | $ | 785 | $ | 1,387 | |||
| Carrying amounts | Computer<br> and office<br> equipment | Leasehold<br> improvements | Right of use<br> <br>assets | Total | |||||||
| At December 31, 2020 | $ | 228 | $ | – | $ | 1,412 | $ | 1,640 | |||
| At December 31, 2021 | $ | 478 | $ | 11 | $ | 1,122 | $ | 1,611 |
During the year ended December 31, 2021, amortization of property and equipment totaling $13 and $393 (2020 - $10 and $297; 2019 - $485 and nil) is within selling expenses and general and administration expenses, respectively, on the consolidated statements of net loss and comprehensive loss.
22
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
8. Intangible assets
| Cost | Licenses | Patents and Drug Approvals | Brand Names and Trademarks | Customer list | Software | Total | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| At December 31, 2019 | $ | – | $ | 24,929 | $ | 4,156 | $ | 733 | $ | – | $ | 29,818 | |||||
| Acquisitions under business combinations (note 4) | 1,183 | – | 495 | 4,860 | – | 6,538 | |||||||||||
| Effect of movements in exchange rates | (2 | ) | (491 | ) | (83 | ) | (22 | ) | – | (598 | ) | ||||||
| At December 31, 2020 | $ | 1,181 | $ | 24,438 | $ | 4,568 | $ | 5,571 | $ | – | $ | 35,758 | |||||
| Additions | – | – | – | – | 441 | 441 | |||||||||||
| Effect of movements in exchange rates | (5 | ) | (104 | ) | (19 | ) | (24 | ) | 5 | (147 | ) | ||||||
| At December 31, 2021 | $ | 1,176 | $ | 24,334 | $ | 4,549 | $ | 5,547 | $ | 446 | $ | 36,052 | |||||
| Accumulated amortization | Licenses | Patents and Drug Approvals | Brand Names and Trademarks | Customer list | Software | Total | |||||||||||
| At December 31, 2019 | $ | – | $ | 15,330 | $ | 4,156 | $ | 733 | $ | – | $ | 20,219 | |||||
| Amortization | 7 | 2,428 | 2 | 29 | – | 2,466 | |||||||||||
| Effect of movements in exchange rates | – | (426 | ) | (82 | ) | (15 | ) | – | (523 | ) | |||||||
| At December 31, 2020 | $ | 7 | $ | 17,332 | $ | 4,076 | $ | 747 | $ | – | $ | 22,162 | |||||
| Amortization | 166 | 1,841 | 49 | 683 | – | 2,739 | |||||||||||
| Effect of movements in exchange rates | 2 | (50 | ) | (18 | ) | 5 | – | (61 | ) | ||||||||
| At December 31, 2021 | $ | 175 | $ | 19,123 | $ | 4,107 | $ | 1,435 | $ | – | $ | 24,840 | |||||
| Carrying amounts | Licenses | Patents and Drug Approvals | Brand Names and Trademarks | Customer list | Software | Total | |||||||||||
| At December 31, 2020 | $ | 1,174 | $ | 7,106 | $ | 492 | $ | 4,824 | $ | – | $ | 13,596 | |||||
| At December 31, 2021 | $ | 1,001 | $ | 5,211 | $ | 442 | $ | 4,112 | $ | 446 | $ | 11,212 |
In September 2019 the Company acquired ownership of ZYPITAMAG^®^ for the U.S. and Canadian markets. Under terms of the agreement, Zydus received an upfront payment of U.S. $5,000 (CDN $6,622) and U.S. $2,000 (CDN $2,649) in deferred payments to be paid in equal instalments annually over the next four years, as well as contingent payments on the achievement of milestones and royalties related to net sales. The Company previously had acquired U.S. marketing rights with a profit-sharing arrangement. With this acquisition the Company obtained full control of marketing and pricing negotiation for ZYPITAMAG^®^. Upon completion of the acquisition $8,930 was recorded within patents and drug approvals relating to the upfront and deferred payments and $1,457 was transferred from licenses to patents and drug approvals pertaining to the cost of the previously acquired license over ZYPITAMAG^®^. The fair value of the remaining deferred payments of $634 and $591 is recorded on the statement of financial position within current portion of acquisition payable and acquisition payable, respectively. The initial amortization period pertaining to the ZYPITAMAG^®^ intangible assets was 4.3 years. During the year-ended December 31, 2021, management applied a prospective change to the amortization period of ZYPITAMAG^®^ license to extend the amortization period of the asset by 7 years, consistent with the term of the licensing agreement. The remaining amortization period of the ZYPITAMAG^®^ license is 9.1 years as at December 31, 2021.
During the year-ended December 31, 2021, the Company capitalized costs pertaining to the development of its e-commerce website and has classified these costs under the software category within the intangible asset schedule above. As at December 31, 2021, the e-commerce website is still under development, and as a result, the Company has not recorded any amortization during the current year in relation to this intangible asset.
23
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
8. Intangibleassets (continued)
The Company had determined there were no indicators of impairment as at December 31, 2021.
The Company recorded a write-down of intangible assets related to the ReDS^TM^license during the year ended December 31, 2019 totaling $6,321 as a result of uncertainties with ReDS^TM^ being experienced in regards to the length of the sales cycle and uptake of the product with customers, resulting in the Company’s sales being below the committed amounts required by the exclusive marketing and distribution agreement regarding ReDS^TM^. On August 20, 2020, the Company announced the termination of the marketing and distribution agreement with Sensible pertaining to the ReDS^TM^license for the marketing of the ReDS^TM^in the United States.
As at December 31, 2021, intangible assets pertaining to AGGRASTAT^®^ were fully amortized.
For the year ended December 31, 2021, amortization of intangible assets totaling $1,841 (2020 - $2,428 and 2019 - $1,438) is recorded within cost of goods sold pertaining to the ZYPITAMAG^®^intangible assets. In addition, for the year ended December 31, 2021, $897 (2020 - $38 and 2019 - nil)of amortization of intangible assets is recorded within selling expenses as a result of the amortization of the intangible assets pertaining to Marley Drug.
9. Goodwill
| Retail and Mail <br> Order Pharmacy | |||
|---|---|---|---|
| At December 31, 2019 | $ | – | |
| Additions through business combinations | 2,986 | ||
| At December 31, 2020 | $ | 2,986 | |
| Effects of movements in exchange rates | (12 | ) | |
| Ending Balance | $ | 2,974 |
The Company performed an annual impairment test with respect to the goodwill acquired as part of the Marley Drug acquisition. The recoverable amount of the Retail and Mail Order Pharmacy CGU, in which Marley Drug is included, has been determined based on value in use for the year ended December 31, 2021.
| (a) | Key Assumptions used in valuation calculations |
|---|
The calculation of value in use for all the CGUs or group of CGUs is most sensitive to the following assumptions:
| (i) | Discount rate |
|---|
Discount rates reflect the current market assessment of risks specific to each CGU or group of CGUs. The discount rate was estimated based on the weighted average cost of capital calculated based on the Company’s performance relative to its industry. This rate was further adjusted to reflect the market assessment of any risk specific to the CGU or group of CGUs for which future estimates of cash flows have not been adjusted. The discount rate used during the value in use assessment completed at December 31, 2021, was 12.60%.
| (ii) | Operating margin |
|---|
Forecasted operating margins are based on actual operating margins, less operational expenses achieved in the preceding years, plus adjustments to normalize the forecast for any non-reoccurring items. Margins are kept constant over the forecast period, with the exception of adjustments made in relation to inflation in future periods, unless management has started an efficiency improvement process.
| (iii) | Revenue growth rates |
|---|
Revenue growth rates are based on approved budgets, published research, and current customer contracts. Management considers various factors when assessing revenue growth rates used within their assessment, including but not limited to, changes in customer demographic and attrition of current customer base.
24
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
10. Investment inSensible Medical
On January 24, 2019, the Company acquired a 9.36% equity interest (7.71% on a fully-diluted basis) in Sensible Medical Innovations Ltd. (“Sensible”), and concurrently entered into an exclusive marketing and distribution agreement with Sensible to market ReDS™ in the United States. The Company acquired the rights for US$10,000 (CDN$13,351) plus US$68 (CDN$91) in directly attributable costs.
On completion of the transaction, the Company recorded the initial fair value assigned to the investment in Sensible Medical at $6,337 with the remainder attributed to the rights associated with the distribution agreement accounted for within intangible assets and ReDS™ demonstration units which are recorded within property and equipment, $7,038 was recorded within intangible assets relating to the license acquired through the exclusive marketing and distribution agreement and $67 was recorded within property and equipment pertaining to ReDS™ demonstration devices acquired as part of the agreement.
The Company made an irrevocable election at initial recognition to recognize changes in the fair value of the investment in Sensible Medial through other comprehensive income (loss), as this is a strategic investment, and the Company considers this classification to be more relevant. As noted above, the initial fair value assigned to the investment upon initial recognition was $6,337. During the year ended December 31, 2019, the Company recorded other comprehensive loss of $6,336 associated with the change in fair value of the investment in Sensible Medical. This resulted in a carrying value as at December 31, 2020 and 2019 of one dollar. The change in the fair value of the investment in Sensible Medical is as a result of uncertainties with ReDS^TM^ being experienced in regards to the length of the sales cycle and uptake of the product with customers resulting in lower-than-expected amounts being paid to Sensible Medical under the exclusive marketing and distribution agreement. The Company did not record any other comprehensive income associated with the change in fair value of the investment in Sensible Medical during the year ended December 31, 2021 or 2020.
The license was being amortized over the term of the license agreement which was equal to ten years. During the year ended December 31, 2019, amortization of $641 was recorded within cost of goods sold. The Company recorded a write-down of intangible assets related to the ReDS^TM^license during the year ended December 31, 2019 totaling $6,321. The Company did not record any amortization for the year ended December 31, 2021 or 2020 in relation to the ReDS^TM^ license as it was fully impaired.
On August 19, 2020, the Company announced the termination of the marketing and distribution agreement with Sensible for the marketing of the ReDS^TM^in the United States. In connection with the termination, Sensible and the Company have entered into a transition agreement which provides additional compensation to the Company for sales to customer leads provided by Medicure.
The exclusive marketing and distribution agreement with Sensible included a period of co-exclusivity, whereby Sensible may sell, market, and distribute products directly to customers in select states of the United States using its own sales force. The Company is currently eligible to receive 20% of the revenue earned by Sensible from such sales during the co-exclusivity period, and may be eligible to receive up to 35% of the revenue earned by Sensible upon certain conditions being met. During the year ended December 31, 2021, the Company recorded revenue of nil (2020 - $89 and 2019 - $289) relating to amounts payable from Sensible from sales made by their sales force under the exclusive marketing and distribution agreement.
11. Royalty obligation
On July 18, 2011, the Company settled its then existing long-term debt with Birmingham Associates Ltd. ("Birmingham"), an affiliate of Elliott Associates L.P., in exchange for i) $4,750 in cash; ii) 2,176,003 common shares of the Company; and iii) a royalty on future AGGRASTAT^®^ sales until May 1, 2023. The royalty is based on 4% of the first $2,000 of quarterly AGGRASTAT^®^ sales, 6% on the portion of quarterly sales between $2,000 and $4,000 and 8% on the portion of quarterly sales exceeding $4,000 payable within 60 days of the end of the preceding three-month periods ended February 28, May 31, August 31 and November 30. Birmingham has a one-time option to switch the royalty payment from AGGRASTAT^®^ to a royalty on the sale of MC-1. Management determined there is no value to the option to switch the royalty to MC-1 as the product is not commercially available for sale and the extended long-term development timelines associated with commercialization of the product.
In accordance with the terms of the agreement, if the Company were to dispose of its AGGRASTAT^®^ rights, the acquirer would be required to assume the obligations under the royalty agreement.
25
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
11. Royalty obligation(continued):
The royalty obligation was recorded at its fair value at the date at which the liability was incurred and subsequently measured at amortized cost using the effective interest rate method at each reporting date. This resulted in a carrying value as at December 31, 2021 of $488 (2020 - $697) of which $423 (2020
- $362) represents the current portion of the royalty obligation. The net change in the royalty obligation for the year ended December 31, 2021 is an expense of $262 (2020 - recovery of $953, 2019 - recovery of $316) is recorded within finance (income) expense on the consolidated statements of net loss and comprehensive loss. Royalties for the year ended December 31, 2021 totaled $464 (2020 - $441; 2019 - $1,023) with payments made during the year ended December 31, 2021 of $99 (2020 - $326; 2019 - $1,355).
12. Lease Obligations
Effective November 1, 2014, the Company entered into a sub-lease with Genesys Venture Inc. (“GVI”), a related party as described in note 17(b), to lease office space at a rate of $170 per annum for three years ending October 31, 2017, with an 18-month renewal period available. The lease was amended on May 1, 2016 and increased the leased area covered under the lease agreement at a rate of $212 per annum until October 31, 2019 with an 18-month renewal period available. The leased area covered under the lease was again increased, effective November 1, 2018 at a rate of $306 per annum until the end of the term of the lease. Effective November 1, 2019, the Company modified and extended its sub-lease with GVI to lease a reduced amount of office space at a rate of $238 per annum for three years ending October 31, 2022 with a 28-month renewal period available. The discount rate used by the Company in calculating the lease obligation relating to the ROU asset is five percent.
In connection with the acquisition of Marley Drug, the Company acquired a lease obligation and corresponding right of use asset. The lease is for Marley Drug’s 3,280 square foot retail space. The original lease was signed in May of 2006 for a period of ten years with two, five-year extension periods. An addendum to the lease allowed for the first extension which was used starting April 1, 2017 with the second five-year extension available for an additional five years to April 2027. The current rate in the lease is $87 per annum. The discount rate used by the Company in calculating the lease obligation relating to the ROU asset is three percent.
| Incremental borrowing rate % | Maturity | 2021 | 2020 | |||
|---|---|---|---|---|---|---|
| Current | 3.00 - 5.00 | 2022 | $ | 380 | $ | 367 |
| Non-Current | 3.00 - 5.00 | 2023 - 2027 | 789 | 1,080 | ||
| Lease Liability | $ | 1,169 | $ | 1,447 |
During the year ended December 31, 2021, the Company paid a total of $316 (2020 - $244) in lease payments, resulting from the lease obligations indicated above.
13. Government assistance
During the year ended December 31, 2021, the Company recorded $402 (2020 - $860, 2019 - nil) in government assistance resulting from the Canada Emergency Wage Subsidy. The funding has been recorded as a reduction of the related salary expenditures within general and administrative expenses for the year ended December 31, 2021. As at December 31, 2021, no government assistance is recorded in accounts receivable ( 2020 - $85).
26
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
14. Holdback receivable
The Company had a holdback receivable of US$10 million, which originated on October 2, 2017 as a part of the Apicore Sale Transaction. The holdback receivable was initially recorded at its fair value of $11,941 and subsequently was measured at FVTPL. Additionally, the Company had an amount recorded as other long-term liability on the statement of financial position which was payable to the former President and Chief Executive Officer of Apicore upon receipt of the holdback receivable.
On February 13, 2019, the Company received notice from the Buyer in the Apicore Sales Transaction of potential claims against the holdback receivable in respect of representations and warranties under the Apicore Sales Transaction, with the maximum exposure of the claims being the total holdback receivable. The Company proceeded diligently to investigate the potential claims and attempt to satisfactorily resolve them with a view to having the holdback receivable released. The Buyer did not make the required payments on the holdback receivable in February 2019 and April 2019.
In consideration of the uncertainty associated with the potential claims asserted by the Buyer, the Company reduced the carrying value of the holdback receivable by $1,473 on the consolidated statement of financial position as at December 31, 2018.
On December 5, 2019, the Company reached a settlement agreement with the Buyer in the Apicore Sales Transaction with respect to the amounts heldback under the Apicore Sales Transaction. A settlement agreement was reached under which the Company received US$5,100 (CDN$6,719) in relation to the holdback receivable. In connection with this settlement the amounts owing to former President and Chief Executive Officer of Apicore totaling US$880 (CDN$1,165) which were recorded within other long-term liabilities were settled by the Buyer. Immediately prior to the settlement, the Company reduced the carrying value on the statement of financial position of the holdback receivable by $3,623 to the net recoverable value from the negotiated settlement.
15. Capital Stock
| (a) | Authorized |
|---|
The Company has authorized share capital of an unlimited number of common voting shares, an unlimited number of Class A common shares and an unlimited number of preferred shares. The preferred shares may be issued in one or more series, and the directors may fix prior to each series issued, the designation, rights, privileges, restrictions and conditions attached to each series of preferred shares.
| (b) | Shares issued and outstanding |
|---|
Shares issued and outstanding are as follows:
| Number of Common Shares | Amount | |||||
|---|---|---|---|---|---|---|
| Balance, December 31, 2019 | 10,804,013 | $ | 85,364 | |||
| Shares repurchased and cancelled under a normal course issuer bid^(1)^ | (552,700 | ) | (4,447 | ) | ||
| Balance, December 31, 2020 | 10,251,313 | $ | 80,917 | |||
| Balance, December 31, 2021 | 10,251,313 | $ | 80,917 |
^(1)^ On May 30, 2019, the Company announced that the TSX-V accepted the Company's notice of intention to make an additional normal course issuer bid (the "2019 NCIB"). Under the terms of the 2019 NCIB, the Company may acquire up to an aggregate of 761,141 common shares, representing five percent of the common shares outstanding at the time of the application, over the twelve-month period that the 2019 NCIB is in place. The 2019 NCIB commenced on May 30, 2019 and ended on May 29, 2020. During the year ended December 31, 2019 the Company recorded $1,810 directly in its deficit representing the difference between the aggregate price paid for these common share and a reduction of the Company’s share capital totaling $5,955. The prices that the Company paid for the common shares purchased was the market price of the shares at the time of purchase.
27
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
15. Capital Stock(continued)
| (b) | Shares issued and outstanding (continued) |
|---|
On June 29, 2020, the Company announced that the TSX-V accepted the Company's notice of its intention to make a normal course issuer bid (the "2020 NCIB"). Under the terms of the 2020 NCIB, the Company may acquire up to an aggregate of 533,116 common shares, representing five percent of the common shares outstanding at the time of the application, over the twelve-month period that the 2020 NCIB will be in place. The 2020 NCIB commenced on June 30, 2020 and will end on June 29, 2021, or on such earlier date as the Company may complete its maximum purchases allowed under the 2020 NCIB.
During the year ended December 31, 2020, the Company repurchased and cancelled 552,700 common shares as a result of the 2019 NCIB and 2020 NCIB. The aggregate price paid during the year ended December 31, 2020 for these common shares totaled $522 and the Company recorded $3,925 directly in its deficit representing the difference between the aggregate price paid for these common shares and a reduction of the Company’s share capital totaling $4,447.
| (c) | Stock option plan |
|---|
The Company has a stock option plan which is administered by the Board of Directors of the Company with stock options granted to directors, management, employees and consultants as a form of compensation. The number of common shares reserved for issuance of stock options is limited to a maximum of 2,934,403 common shares of the Company at any time. The stock options generally have a maximum term of between five and ten years and vest within a five-year period from the date of grant.
Changes in the number of options outstanding during the year ended December 31, 2021 is as follows:
| Year ended December 31, 2021 | Options | Weighted<br> average<br> exercise<br> price | ||||
|---|---|---|---|---|---|---|
| Balance, beginning of period | 1,326,958 | $ | 3.67 | |||
| Granted | 90,000 | 1.10 | ||||
| Forfeited, cancelled or expired | (609,808 | ) | (2.99 | ) | ||
| Balance, end of period | 807,150 | $ | 3.73 | |||
| Options exercisable, end of period | 706,750 | $ | 3.49 |
Changes in the number of options outstanding during the years ended December 31, 2020 and 2019 are as follows:
| Year ended December 31 | 2020 | 2019 | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Options | Weighted<br> average<br> exercise<br> price | Options | Weighted<br> average<br> exercise<br> price | |||||||||
| Balance, beginning of period | 1,428,408 | $ | 3.67 | 1,394,642 | $ | 3.91 | ||||||
| Granted | – | – | 262,000 | 4.95 | ||||||||
| Exercised | – | – | (8,001 | ) | (2.45 | ) | ||||||
| Forfeited, cancelled or expired | (101,450 | ) | (5.06 | ) | (220,233 | ) | (6.75 | ) | ||||
| Balance, end of period | 1,326,958 | $ | 3.67 | 1,428,408 | $ | 3.67 | ||||||
| Options exercisable, end of period | 1,110,958 | $ | 3.12 | 1,059,308 | $ | 2.88 |
28
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
15. Capital Stock(continued)
| (c) | Stock option plan (continued): |
|---|
Options outstanding at December 31, 2021 consist of the following:
| Range of<br><br>exercise prices | Number <br><br>outstanding | Weighted<br><br> average<br><br> <br>remaining<br><br> contractual life | Options outstanding<br><br>weighted average<br><br>exercise price | Number<br><br>exercisable |
|---|---|---|---|---|
| $0.30 | 185,000 | 1.35 years | $ 0.30 | 185,000 |
| $0.31 - $1.50 | 90,000 | 4.58 years | $ 1.10 | 90,000 |
| $1.51 - $3.00 | 100,900 | 3.01 years | $ 1.90 | 100,900 |
| $3.01 - $5.00 | 201,000 | 2.49 years | $ 4.95 | 120,600 |
| $5.01 - $7.30 | 230,250 | 1.02 years | $ 7.24 | 210,250 |
| $0.30 - $7.30 | 807,150 | 2.11 years | $ 3.73 | 706,750 |
Compensation expense related to stock options granted during the year or from previous periods under the stock option plan for the year ended December 31, 2021 is $135 (2020
- $317; 2019 - $417). The compensation expense was determined based on the fair value of the options at the date of measurement using the Black-Scholes option pricing model. The expected life of stock options is based on historical data and current expectations and is not necessarily indicative of exercise patterns that may occur. The expected volatility reflects the assumption that the historical volatility over a period similar to the life of the options is indicative of future trends, which may not necessarily be the actual outcome.
The compensation expense for the options granted during the years ended December 31, 2021, 2020 and 2019 was determined based on the fair value of the options at the date of measurement using the Black-Scholes option pricing model with the inputs detailed below:
| Years ended December 31: | 2021 | 2020 | 2019 |
|---|---|---|---|
| Expected option life | 4.6 years | n/a | 4.4 years |
| Risk free interest rate | 0.75% | n/a | 1.40% |
| Dividend yield | nil | n/a | nil |
| Expected volatility | 69.03% | n/a | 47.10% |
| (d) | Warrants | ||
| --- | --- |
On November 17, 2016 in connection with a term loan entered into to fund an acquisition, the Company issued 900,000 warrants to the lenders, exercisable for a 48-month period following the issuance of the loan at a price of $6.50 per share. These warrants expired on November 17, 2020 without exercise.
Changes in the number of warrants outstanding during the years ended December 31, 2021, 2020, and 2019 are as follows:
| Years ended December 31 | 2021 | 2020 | 2019 | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrants | Weighted<br> average<br> exercise<br> price | Warrants | Weighted<br> average<br> exercise<br> price | Warrants | Weighted<br> average<br> exercise<br> price | |||||||||
| Balance, beginning of period | – | $ | – | 900,000 | $ | 6.50 | 900,000 | $ | 6.50 | |||||
| Expired | – | (900,000 | ) | (6.50 | ) | – | – | |||||||
| Balance, end of period | – | $ | – | – | $ | – | 900,000 | $ | 6.50 | |||||
| Warrants exercisable, end of period | – | $ | – | – | $ | – | 900,000 | $ | 6.50 |
29
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
15. Capital Stock(continued)
| (e) | Per share amounts |
|---|
The following table reflects the calculation of basic and diluted loss per share for the years ended December 31, 2021, 2020 and 2019:
| Year ended December 31 | 2021 | 2020 | 2019 | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Basic and diluted net loss | $ | (0.07 | ) | $ | (0.64 | ) | $ | (1.32 | ) |
The following table reflects the loss used in the basic and diluted loss per share computations for the years ended December 31, 2021, 2020 and 2019:
| Year ended December 31 | 2021 | 2020 | 2019 | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Net loss | $ | (727 | ) | $ | (6,845 | ) | $ | (19,786 | ) |
The following table reflects the share data used in the denominator of the basic and diluted loss per share computations for the years ended December 31, 2021, 2020 and 2019:
| Year ended December 31 | 2021 | 2020 | 2019 | |||
|---|---|---|---|---|---|---|
| Weighted average shares outstanding for basic loss per share | 10,251,313 | 10,686,041 | 14,998,540 | |||
| Weighted average shares outstanding for diluted loss per share | 10,251,313 | 10,686,041 | 14,998,540 |
Effects of dilution from 807,150 stock options (2020 - 1,326,958, 2019 - 1,428,408) were excluded in the calculation of weighted average shares outstanding for diluted loss per share for the year ended December 31, 2021 as they are anti-dilutive. Additionally, for the year ended December 31, 2019, 900,000 warrants were excluded in the calculations of weighted average shares outstanding for diluted loss per as they were anti-dilutive.
16. Income taxes
The Company recorded income tax recovery for the year ended December 31, 2021 totaling $32 (2020 - $nil; 2019 - expense of $22) and did not recognize any deferred income tax expense for the year ended December 31, 2021 (2020 - $nil, 2019 - $123).
As at December 31, 2021 and 2020, deferred tax assets have not been recognized with respect to the following table. The scientific research and experimental development deferred tax assets expire between 2025 and 2028.
| As at December 31 | 2021 | 2020 | ||
|---|---|---|---|---|
| Deferred tax assets | ||||
| Scientific research and experimental development | $ | 3,358 | $ | 3,358 |
| Non-capital losses | 2,778 | 2,356 | ||
| Other | 798 | 595 | ||
| Total deferred tax assets | $ | 6,934 | $ | 6,309 |
30
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
16. Income taxes (continued)
The reconciliation of the Canadian statutory rate to the income tax rate applied to the net loss for the years ended December 31, 2021, 2020 and 2019 to the income tax expense is as follows:
| Year ended December 31 | 2021 | 2020 | 2019 | ||||||
|---|---|---|---|---|---|---|---|---|---|
| (Loss) Income for the year | |||||||||
| Canadian | $ | (1,195 | ) | $ | (519 | ) | $ | (7,013 | ) |
| Foreign | 436 | (6,326 | ) | (12,628 | ) | ||||
| $ | (759 | ) | $ | (6,845 | ) | $ | (19,641 | ) | |
| Year ended December 31 | 2021 | 2020 | 2019 | ||||||
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Canadian federal and provincial income taxes <br>at 27% (2020 - 27%; 2019 - 27%) | $ | 205 | $ | 1,848 | $ | 5,303 | |||
| Permanent differences and other items | 165 | (159 | ) | (330 | ) | ||||
| Fair value adjustments of earnout payments | 453 | – | – | ||||||
| Foreign tax rate in foreign jurisdictions | (167 | ) | (1,551 | ) | (1,308 | ) | |||
| Change in unrecognized deferred tax assets | (624 | ) | (138 | ) | (3,810 | ) | |||
| $ | 32 | $ | – | $ | (145 | ) |
The foreign tax rate differential is the difference between the Canadian federal and provincial statutory income tax rate and the tax rates in Barbados (5.50%), Mauritius (15.00%), Ireland (12.50%) and the United States (21.00% - 23.50%) that is applicable to income or losses incurred by the Company's subsidiaries.
At December 31, 2021, the Company has the following Canadian losses available for application in future years:
| 2037 | $ | 5,276 |
|---|---|---|
| 2040 | 2,774 | |
| 2041 | 969 | |
| $ | 9,019 |
At December 31, 2021, the Company has the following Barbados losses available for application in future years:
| 2022 | $ | 128 |
|---|---|---|
| 2028 | 2,345 | |
| 2029 | 3,765 | |
| $ | 6,237 |
As at December 31, 2021, the Company has $114 (2020 - $164) included as income taxes payable on its consolidated statement of financial position.
31
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
17. Finance income(expense)
During the years ended December 31, 2021, 2020 and 2019 the Company earned finance income (incurred finance expense) as follows:
| Year ended December 31 | 2021 | 2020 | 2019 | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Interest income | $ | 78 | $ | 43 | $ | 886 | |||
| Remeasurement of royalty obligation | (262 | ) | 953 | 316 | |||||
| Accretion of acquisition payable | (96 | ) | (155 | ) | (41 | ) | |||
| Change in fair value of contingent consideration | (178 | ) | (6 | ) | – | ||||
| Bank charges and other interest | (29 | ) | (21 | ) | (24 | ) | |||
| Finance expense from lease obligation | (38 | ) | (49 | ) | (22 | ) | |||
| $ | (525 | ) | $ | 765 | $ | 1,115 |
During the years ended December 31, 2021, 2020 and 2019, the Company received (paid) finance income (expense) as follows:
| Year ended December 31 | 2021 | 2020 | 2019 | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Interest received | $ | 78 | $ | 43 | $ | 1,731 | |||
| Other interest, net and banking fees | (29 | ) | (21 | ) | (46 | ) | |||
| $ | 49 | $ | 22 | $ | 1,685 |
18. Commitmentsand contingencies
| (a) | Commitments |
|---|
As at December 31, 2021, and in the normal course of business, the Company has obligations to make future payments representing contracts and other commitments that are known and committed as follows:
| 2022 | $ | 1,879 |
|---|---|---|
| 2023 | 190 | |
| 2024 | 190 | |
| 2025 | – | |
| 2026 | – | |
| Thereafter | – | |
| $ | 2,259 |
The Company has entered into a manufacturing and supply agreement to purchase a minimum quantity of AGGRASTAT^®^unfinished product inventory totaling US$150 annually (based on current pricing) until 2024 and a minimum quantity of AGGRASTAT^®^ finished product inventory totaling US$225 annually (based on current pricing) until 2022 and #eu#490 annually (based on current pricing) until 2022. As at December 31, 2021, the Company had committed to acquiring US$573 of AGGRASTAT^®^ finished product inventory, which has been received by the Company subsequent to year-end.
Subsequent to December 31, 2021 and effective January 1, 2022, the Company renewed its business and administration services agreement with GVI, as described in note 19(b), under which the Company is committed to pay $7 per month or $85 per year for a one-year term.
Contracts with contract research organizations are payable over the terms of the associated agreements and clinical trials and timing of payments is largely dependent on various milestones being met, such as the number of patients recruited, number of monitoring visits conducted, the completion of certain data management activities, trial completion, and other trial related activities.
32
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
18. Commitments andcontingencies (continued)
| (a) | Commitments (continued) |
|---|
On October 31, 2017, the Company acquired an exclusive license to sell and market PREXXARTAN^®^ (valsartan) oral solution in the United States and its territories with a seven-year term, with extensions to the term available, which had been granted tentative approval by the U.S. Food and Drug Administration (“FDA”), and which was converted to final approval during 2017. The Company acquired the exclusive license rights for an upfront payment of US$100, with an additional US$400 payable on final FDA approval and will be obligated to pay royalties and milestone payments from the net revenues of PREXXARTAN^®^. The US$400 payment was on hold pending resolution of a dispute between the licensor and the third-party manufacturer of PREXXARTAN^®^ and was recorded within accounts payable and accrued liabilities on the consolidated statements of financial position. Due to a breach in the contract by counterparty, the Company terminated the contract and recorded a reversal of the US$400 that was recorded in accounts payable and accrued liabilities. As a result a recovery of $491 was recorded within research and development expenses on the statement of net loss and comprehensive loss for the year ended December 31, 2021.
| (b) | Guarantees |
|---|
The Company periodically enters into research agreements with third parties that include indemnification provisions customary in the industry. These guarantees generally require the Company to compensate the other party for certain damages and costs incurred as a result of claims arising from research and development activities undertaken on behalf of the Company. In some cases, the maximum potential amount of future payments that could be required under these indemnification provisions could be unlimited. These indemnification provisions generally survive termination of the underlying agreement. The nature of the indemnification obligations prevents the Company from making a reasonable estimate of the maximum potential amount it could be required to pay. Historically, the Company has not made any indemnification payments under such agreements and no amount has been accrued in the consolidated financial statements with respect to these indemnification obligations.
| (c) | Royalties |
|---|
As a part of the Birmingham debt settlement described in note 12, beginning on July 18, 2011, the Company is obligated to pay a royalty to Birmingham based on future commercial AGGRASTAT^®^ sales until 2023. The royalty is based on 4% of the first $2,000 of quarterly AGGRASTAT^®^ sales, 6% on the portion of quarterly sales between $2,000 and $4,000 and 8% on the portion of quarterly sales exceeding $4,000 payable within 60 days of the end of the preceding three-month periods ended February 28, May 31, August 31 and November 30. Birmingham has a one-time option to switch the royalty payment from AGGRASTAT^®^ to a royalty on the sale of MC-1. Management has determined there is no value to the option to switch the royalty to MC-1 as the product is not commercially available for sale and the extended long-term development timeline associated with commercialization of the product. Royalties for the year ended December 31, 2021 totaled $464 (2020 - $441; 2019 - $1,023) with payments made during the year ended December 31, 2021 of $99 (2020 - $326; 2019 - $1,355).
Beginning with the acquisition of ZYPITAMAG^®^ (note 8), completed in September 2019, the Company is obligated to pay royalties on any commercial net sales of ZYPITAMAG^®^ to Zydus subsequent to the acquisition date. During the year ended December 31, 2021, the Company expensed $62 (2020 - $15, 2019 - $2) in royalties in regards to ZYPITAMAG^®^which is recorded within cost of goods sold on the statement of net loss and comprehensive loss and had $72 (2020 - $10) recorded within accounts payable and accrued liabilities on the statement of financial position as at December 31, 2021.
33
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
18. Commitmentsand contingencies (continued)
| (d) | Contingencies |
|---|
In the normal course of business, the Company may from time to time be subject to various claims or possible claims. Although management currently believes there are no claims or possible claims that if resolved would either individually or collectively result in a material adverse impact on the Company’s financial position, results of operations, or cash flows, these matters are inherently uncertain and management’s view of these matters may change in the future.
During 2015, the Company began a development project of a cardiovascular generic drug in collaboration with Apicore. The Company has entered into a supply and development agreement under which the Company holds all commercial rights to the drug. In connection with this project, the Company is obligated to pay Apicore 50% of net profit from the sale of this drug. On August 13, 2018, the Company announced that the FDA has approved its ANDA for SNP, a generic intravenous cardiovascular product and the product became available commercially during the third quarter of 2019. To date, no amounts are due and/or payable pertaining to profit sharing on this product.
19. Related partytransactions
| (a) | Key management personnel compensation |
|---|
Key management personnel are those persons having authority and responsibility for planning, directing and controlling the activities of the Company. The Board of Directors, President and Chief Executive Officer and Chief Financial Officer are key management personnel for all periods. Beginning on July 1, 2019, the Company appointed a new President and Chief Operating Officer who was considered key management personnel beginning with this appointment. The then existing President retained the title of Chief Executive Officer and remains included in key management personnel for all periods. The Vice-President, Commercial Operations was considered key management personnel beginning on January 8, 2018 until the dissolution of his employment on June 30, 2019.
In addition to their salaries, the Company also provides non-cash benefits and participation in the Stock Option Plan. The following table details the compensation paid to key management personnel:
| Year ended December 31 | 2021 | 2020 | 2019 | |||
|---|---|---|---|---|---|---|
| Salaries, fees and short-term benefits | $ | 662 | $ | 771 | $ | 781 |
| Share-based payments | 50 | 230 | 208 | |||
| $ | 712 | $ | 1,001 | $ | 989 |
As at December 31, 2021, the Company had nil owing to members of the Company’s Board of Directors (2020 - $14, 2019 - nil) recorded within accounts payable and accrued liabilities relating to amounts payable to the members of the Company's Board of Directors for services provided.
| (b) | Transactions with related parties |
|---|
Directors and key management personnel control 26% of the voting shares of the Company as at December 31, 2021 (2020 - 25%).
34
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
19. Related partytransactions (continued)
| (b) | Transactions with related parties (continued) |
|---|
During the year ended December 31, 2021 the Company paid GVI, a company controlled by the Chief Executive Officer, a total of $85 (2020 - $85; 2019 - $85) for business administration services, $238 (2020 - $238; 2019 - $295) in rental costs and $34 (2020 - $37; 2019 - $47) for information technology support services. As described in note 18(a), the business administration services summarized above are provided to the Company through a consulting agreement with GVI.
Clinical research services are provided through a consulting agreement with GVI Clinical Development Solutions Inc. ("GVI CDS"), a company controlled by the Chief Executive Officer. Pharmacovigilance and safety, regulatory support, quality control and clinical support are provided to the Company through the GVI CDS agreement. During the year ended December 31, 2021, the Company paid GVI CDS $315 (2020 - $202; 2019 - $406) for clinical research services.
Research and development services are provided through a consulting agreement with CanAm Bioresearch Inc. ("CanAm"), a company controlled by a close family member of the President and Chief Executive Officer. During the year ended December 31, 2021, the Company paid CanAm $9 (2020 - $7; 2019 - $133) for research and development services.
These transactions have been measured at the exchange amount, which is the amount of consideration established and agreed to by the related parties.
As at December 31, 2021, included in accounts payable and accrued liabilities is $48 (2020 - $56) payable to GVI, $61 (2020 - $99) payable to GVI CDS, and nil (2020 - $7) payable to CanAm. These amounts are unsecured, payable on demand and non-interest bearing.
Effective July 18, 2016, the Company renewed its consulting agreement with its Chief Executive Officer, through A.D. Friesen Enterprises Ltd., a company owned by the Chief Executive Officer, for a term of five years, at a rate of $300 annually, increasing to $315 annually, effective January 1, 2017 and increasing to $331 annually, effective January 1, 2019. The Company may terminate this agreement at any time upon 120 days’ written notice. There were not any amounts payable to A.D. Friesen Enterprises Ltd. as a result of this consulting agreement as at December 31, 2020 or 2019. Any amounts payable to A.D. Friesen Enterprises Ltd. are unsecured, payable on demand and non-interest bearing. On September 30, 2021, the consulting agreement with A.D. Friesen Enterprises Ltd. was mutually terminated, and superseded with a new consulting agreement with its Chief Executive Officer, through ADF Family Holding Corp.
Effective October 1, 2021, the Company signed a consulting agreement with its Chief Executive Officer, through ADF Family Holding Corp., a company owned by the Chief Executive Officer, for a term of 36 months, at a rate of $18 per month. The aforementioned monthly fee shall be reviewed at January 1, 2023, and then annually thereafter on January 1 by the Board of Directors of the Company for each succeeding year during the term of the agreement, and may be adjusted at the sole discretion of the Board of Directors. The Company may terminate the agreement at any time upon 120 days’ written notice. There were not any amounts payable to ADF Family Holding Corp. as a result of this consulting agreement as at December 31, 2021. Any amounts payable to ADF Family Holding Corp are unsecured, payable on demand and non-interest bearing.
35
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
20. Expenses by nature
Expenses incurred for the years ended December 31, 2021, 2020 and 2019 are as follows:
| Year ended December 31 | 2021 | 2020 | 2019 | |||
|---|---|---|---|---|---|---|
| Personnel expenses | ||||||
| Salaries, fees and short-term benefits | $ | 4,513 | $ | 3,199 | $ | 6,394 |
| Share-based payments | 135 | 317 | 417 | |||
| 4,648 | 3,515 | 6,811 | ||||
| Depreciation, amortization and impairment | 3,132 | 2,772 | 2,017 | |||
| Research and development | 1,547 | 1,996 | 2,887 | |||
| Manufacturing | 249 | 943 | 752 | |||
| Inventory material costs | 5,790 | 3,355 | 3,851 | |||
| Write-down of inventory | 1,339 | 682 | 1,983 | |||
| Medical affairs | 58 | 161 | 718 | |||
| Administration | 1,395 | 398 | 821 | |||
| Selling and logistics | 5,114 | 2,975 | 6,997 | |||
| Professional fees | 565 | 2,920 | 1,578 | |||
| $ | 23,837 | $ | 19,717 | $ | 28,415 |
36
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
21. Financial instruments
| (a) | Financial assets and liabilities |
|---|
Set out below is a comparison by class of the carrying amounts and fair value of the Company's financial instruments as at December 31, 2021 and 2020:
| As at December 31 | 2021 | 2020 | ||||||
|---|---|---|---|---|---|---|---|---|
| Carrying<br> amount | Fair<br> value | Carrying<br> amount | Fair<br> value | |||||
| Financial assets | ||||||||
| Financial assets measured at amortized cost | ||||||||
| Cash and cash equivalents | $ | 3,694 | $ | 3,694 | $ | 2,716 | $ | 2,716 |
| Restricted cash | 3 | 3 | 1,394 | 1,394 | ||||
| Accounts receivable | 4,659 | 4,659 | 5,253 | 5,253 | ||||
| Other assets | 57 | 57 | 156 | 156 | ||||
| Financial liabilities | ||||||||
| Financial liabilities measured at amortized cost: | ||||||||
| Accounts payable and accrued liabilities | $ | 6,668 | $ | 6,668 | $ | 6,979 | $ | 6,979 |
| Current portion of royalty obligation | 423 | 423 | 362 | 362 | ||||
| Current portion of acquisition payable | 634 | 634 | 2,613 | 2,613 | ||||
| Holdback payable | – | – | 1,523 | 1,523 | ||||
| Current portion of lease obligation | 380 | 380 | 367 | 367 | ||||
| Royalty obligation | 65 | 65 | 336 | 336 | ||||
| Acquisition payable | 591 | 591 | 1,132 | 1,132 | ||||
| Lease obligation | 789 | 789 | 1,080 | 1,080 | ||||
| Financial liabilities measured at FVTPL | ||||||||
| Current portion of contingent consideration | 293 | 293 | 1,925 | 1,925 | ||||
| Contingent consideration | 40 | 40 | 51 | 51 |
The Company has determined the estimated fair values of its financial instruments based on appropriate valuation methodologies. The carrying values of current monetary assets and liabilities approximate their fair values due to their relatively short periods to maturity. The royalty obligation, and acquisition payable are carried at amortized cost.
The investment in Sensible Medical is carried at FVOCI and has a carrying value as at December 31, 2021 and 2020 of one dollar.
IFRS 13, Fair Value Measurement, establishes a fair value hierarchy that reflects the significance of the inputs used in measuring fair value. The fair value hierarchy has the following levels:
| • | Level 1 - Quoted prices (unadjusted) in active markets for identical assets or liabilities; |
|---|---|
| • | Level 2 - Inputs other than quoted prices included within Level 1 that are either directly or indirectly<br>observable; |
| --- | --- |
| • | Level 3 - Unobservable inputs in which little or no market activity exists, therefore requiring an entity<br>to develop its own assumptions about the assumptions that market participants would use in pricing. |
| --- | --- |
37
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
21. Financial instruments(continued)
| (a) | Financial assets and liabilities (continued) |
|---|
The fair value hierarchy of the following financial assets and liabilities on the consolidated statements of financial position as at December 31, 2021 is as follows:
| Level 1 | Level 2 | Level 3 | ||||
|---|---|---|---|---|---|---|
| Financial liabilities | ||||||
| Current portion of royalty obligation | $ | – | $ | – | $ | 423 |
| Current portion of acquisition payable | – | – | 634 | |||
| Current portion of contingent consideration | – | – | 293 | |||
| Royalty obligation | – | – | 65 | |||
| Acquisition payable | – | – | 591 | |||
| Contingent consideration | – | – | 40 |
The fair value hierarchy of the following financial assets and liabilities on the consolidated statements of financial position as at December 31, 2020 is as follows:
| Level 1 | Level 2 | Level 3 | ||||
|---|---|---|---|---|---|---|
| Financial liabilities | ||||||
| Current portion of royalty obligation | $ | – | $ | – | $ | 362 |
| Current portion of acquisition payable | – | – | 637 | |||
| Current portion of contingent consideration | – | – | 1,925 | |||
| Royalty obligation | – | – | 335 | |||
| Acquisition payable | – | – | 1,132 | |||
| Contingent consideration | – | – | 51 |
Royalty obligation: The royalty obligation requires determining expected revenue from AGGRASTAT^®^sales and an appropriate discount rate and making assumptions about them. If the expected revenue from AGGRASTAT^®^ sales were to change by 10%, then the royalty obligation liability recorded as at December 31, 2021 would change by approximately $49 (2020 - $55). If the discount rate used in calculating the fair value of the royalty obligation of 20% were to change by 1%, the royalty obligation liability recorded as at December 31, 2021 would change by approximately $1 (2020 - $3).
Acquisition payable: The acquisition payable liability pertaining to the ZYPITAMAG^®^ acquisition as described in note 8 requires determining an appropriate discount rate and making assumptions about it. If the discount rate used in calculating the fair value of this acquisition payable of 10% were to change by 1%, the acquisition payable recorded as at December 31, 2021 would change by approximately $3 (2020 - $15).
38
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
21. Financialinstruments (continued)
| (a) | Financial assets and liabilities (continued) |
|---|
Contingent consideration: The contingent consideration pertaining to the Marley Drug acquisition as described in note 4 required determining expected revenue from Marley Drug and the probabilities surrounding those revenues as well as an appropriate discount rate. If the discount rate used in calculating the fair value of this contingent consideration of 12% were to change by 1%, the acquisition payable recorded as at December 31, 2021 would change by approximately $3 (2020 - $18).
For assets and liabilities that are recognized in the consolidated financial statements on a recurring basis, the Company determines whether transfers have occurred between levels in the hierarchy by reassessing categorization (based on the lowest level input that is significant to the fair value measurement as a whole) at the end of each reporting period. During the years ended December 31, 2021, 2020 and 2019 there were no transfers between Level 1 and Level 2 fair value measurements.
| (b) | Risks arising from financial instruments and risk management |
|---|
The Company's activities expose it to a variety of financial risks; market risk (including foreign exchange and interest rate risks), credit risk and liquidity risk. Risk management is the responsibility of the Company, which identifies, evaluates and, where appropriate, mitigates financial risks.
| (i) | Market risk |
|---|
(a) Foreign exchange risk is the risk that the fair value of future cash flows for financial instruments will fluctuate because of changes in foreign exchange rates. The Company is exposed to currency risks primarily due to its U.S dollar denominated cash and cash equivalents, restricted cash, accounts receivable, other assets, accounts payable and accrued liabilities, holdback payable, income taxes payable, royalty obligation, acquisition payable, contingent consideration and lease obligation. The Company has not entered into any foreign exchange hedging contracts.
The Company is exposed to U.S. dollar currency risk through the following U.S. denominated financial assets and liabilities:
| As at December 31<br> <br>(Expressed in U.S. Dollars) | 2021 | 2020 | ||||
|---|---|---|---|---|---|---|
| Cash and cash equivalents | $ | 2,854 | $ | 1,758 | ||
| Restricted cash | 2 | 1,095 | ||||
| Accounts receivable | 3,657 | 4,032 | ||||
| Other assets | 45 | 123 | ||||
| Accounts payable and accrued liabilities | (3,669 | ) | (4,698 | ) | ||
| Current portion of royalty obligation | (334 | ) | (284 | ) | ||
| Current portion of acquisition payable | (500 | ) | (500 | ) | ||
| Holdback payable | – | (1,473 | ) | |||
| Current portion of contingent consideration | (231 | ) | (1,512 | ) | ||
| Income taxes payable | (114 | ) | (129 | ) | ||
| Current portion of lease obligation | (80 | ) | (77 | ) | ||
| Royalty obligation | (51 | ) | (263 | ) | ||
| Acquisition payable | (466 | ) | (889 | ) | ||
| Contingent consideration | (32 | ) | (40 | ) | ||
| Lease obligation | (291 | ) | (354 | ) | ||
| $ | 790 | $ | (3,211 | ) |
39
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
21. Financial instruments(continued)
| (b) | Risks arising from financial instruments and risk management (continued) |
|---|---|
| (i) | Market risk (continued) |
| --- | --- |
Based on the above net exposures as at December 31, 2021, assuming that all other variables remain constant, a 5% appreciation or deterioration of the Canadian dollar against the U.S. dollar would result in a corresponding increase or decrease, respectively on the Company's net loss of approximately $64 (2020 - $205).
The Company is also exposed to currency risk on the Euro and had an accounts payable balance of #eu#983 at December 31, 2021. Based on that exposure, as at December 31, 2021, assuming that all other variables remain constant, a 5% appreciation or deterioration of the Canadian dollar against the Euro would result in an increase or decrease, respectively, of $71 on the Company’s net loss. As at December 31, 2020, the Company had a nominal balance of payables denominated in Euros and assuming that all other variables remained constant, a 5% appreciation or deterioration of the Canadian dollar against the U.S. dollar would not have had a material impact on the Company's net loss.
(b) Interest rate risk is the risk that the future cash flows of a financial instrument will fluctuate because of changes in market interest rates. Based on the Company’s exposures as at December 31, 2021, as a result of the balance of cash and cash equivalents held by the Company, assuming that all other variables remain constant, a 1% appreciation or deterioration in interest rates would result in a corresponding increase or decrease, respectively on the Company's net income of approximately $37 (2020 - $27).
| (ii) | Credit risk |
|---|
Credit risk is the risk of financial loss to the Company if a partner or counterparty to a financial instrument fails to meet its contractual obligation and arises principally from the Company’s cash and accounts receivable. The carrying amounts of the financial assets represents the maximum credit exposure.
The Company limits its exposure to credit risk on cash by placing these financial instruments with high-credit quality financial institutions.
The Company is subject to a concentration of credit risk related to its accounts receivable as 95% of the balance of amounts owing are from three customers. The Company has historically had low impairment in regards to its accounts receivable. As at December 31, 2021, none of the outstanding accounts receivable were outside of the normal payment terms. The Company recorded write off of $305 for the year ended December 31, 2021 (2020 - nil; 2019 - nil) primarily relating to pricing adjustments that had been deemed uncollectible, and were included within the account receivable balance. As at December 31, 2021 and 2020, the expected credit lifetime credit losses for accounts receivable aged as current were nominal amounts. The Company considers a financial asset in default when internal or external information indicates that the Company is unlikely to receive the outstanding contractual amounts in full. A financial asset is written off when there is no reasonable expectation of recovering the contractual cash flows.
| (iii) | Liquidity risk |
|---|
Liquidity risk is the risk that the Company will not be able to meet its financial obligations as they come due. The Company manages its liquidity risk by continuously monitoring forecasted and actual cash flows, as well as anticipated investing and financing activities and to ensure that it will have sufficient liquidity to meet its liabilities and commitments when due and to fund future operations.
The majority of the Company’s accounts payable and accrued liabilities are due within the current operating period.
| (c) | Capital management |
|---|
The Company manages its capital structure and makes adjustments to it, based on the funds available to the Company, in order to continue the business of the Company. The Company, upon approval from its Board of Directors, will balance its overall capital structure through new share and warrant issuances, granting of stock options, the issuance of debt or by undertaking other activities as deemed appropriate under the specific circumstance. The Board of Directors does not establish a quantitative return on capital criteria for management, but rather relies on the expertise of the Company's management to sustain future development of the business.
40
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
21. Financial instruments(continued)
| (c) | Capital management (continued) |
|---|
The Company’s objectives when managing capital are to safeguard the Company’s ability to continue as a going concern and to provide capital to pursue the development and commercialization of its products. In the management of capital, the Company includes cash, long-term debt, capital stock, stock options, warrants and contributed surplus. The Company manages the capital structure and makes adjustments to it in light of changes in economic conditions and the risk characteristics of the underlying assets. To maintain or adjust the capital structure, the Company may attempt to issue new shares or new debt.
At the current stage of the Company's development, in order to maximize its current business activities, the Company does not pay out dividends. Management reviews its capital management approach on an ongoing basis and believes that this approach, given the relative size of the Company, is reasonable.
The Company’s overall strategy with respect to capital risk management remains unchanged for the year ended December 31, 2021.
22. Determinationof fair values
A number of the Company's accounting policies and disclosures require the determination of fair value, for both financial and non-financial assets and liabilities. Fair values have been determined for measurement and/or disclosure purposes based on the following models. When applicable, further information about the assumptions made in determining fair values is disclosed in the notes specific to that asset or liability. ****
| (a) | Share-based payment transactions |
|---|
The fair value of the employee share options is measured using the Black-Scholes option pricing model. Measurement inputs include share price on measurement date, exercise price of the instrument, expected volatility (based on weighted average historical volatility adjusted for changes expected due to publicly available information), weighted average expected life of the instruments (based on historical experience and general option holder behavior), expected dividends, and the risk-free interest rate (based on government bonds). Service and non-market performance conditions attached to the transactions are not taken into account in determining fair value.
| (b) | Royalty obligation |
|---|
The royalty obligation is recorded at its fair value at the date at which the liability was incurred and subsequently measured at amortized cost using the effective interest rate method at each reporting date. Estimating fair value for this liability requires determining the most appropriate valuation model which is dependent on its underlying terms and conditions. This estimate also requires determining expected revenue from AGGRASTAT^®^ sales and an appropriate discount rate and making assumptions about them.
| (c) | Acquisition payable |
|---|
The acquisition payable liabilities are recorded at its fair value at the date at which the liability was incurred and subsequently measured at amortized cost using the effective interest rate method at each reporting date. Estimating fair value for this liability requires determining the most appropriate valuation model which is dependent on its underlying terms and conditions. This estimate also requires determining an appropriate discount rate and making assumptions about it.
| (d) | Contingent consideration |
|---|
Contingent consideration is recorded at its fair value at the date at which the liability was incurred and subsequently measured at fair value at each reporting date. Estimating fair value for this liability requires determining the most appropriate valuation model which is dependent on its underlying terms and conditions. This estimate also requires determining expected revenue from Marley Drug and the probabilities surrounding those revenues as well as an appropriate discount rate.
41
Notes to the Consolidated Financial Statements
(expressed in thousands of Canadian dollars, except per share amounts)
23. Segmentedinformation
The Company operated under one segment, the marketing and distribution of commercial products until the acquisition of Marley Drug on December 17, 2020 as described in note 6. After December 17, 2020, the Company operated under two segments, the marketing and distribution of commercial products and the operation of a retail and mail order pharmacy.
Revenue generated from external customers for the years ended December 31, 2021, 2020 and 2019 was 100% from sales to customers in the United States.
During the year ended December 31, 2021, 100% of total revenue from the marketing and distribution of commercial products was generated from seventeen customers. Customer A accounted for 38%, Customer B accounted for 20%, Customer C accounted for 35% and the remaining fourteen customers accounted for approximately 7% of revenue.
During the year ended December 31, 2020, 100% of total revenue from the marketing and distribution of commercial products was generated from thirteen customers. Customer A accounted for 37%, Customer B accounted for 25%, Customer C accounted for 34% and the remaining ten customers accounted for approximately 4% of revenue.
During the year ended December 31, 2019, 100% of total revenue from the marketing and distribution of commercial products was generated from eight customers. Customer A accounted for 38%, Customer B accounted for 28%, Customer C accounted for 28% and the remaining ten customers accounted for less than 6% of revenue.
The Company’s property and equipment, intangible assets and goodwill are located in the following countries:
| As at December 31 | 2021 | 2020 | ||
|---|---|---|---|---|
| Canada | $ | 706 | $ | 986 |
| United States | 9,879 | 10,131 | ||
| Barbados | 5,211 | 7,105 | ||
| $ | 15,796 | $ | 18,222 |
Following the acquisition of Marley Drug, the financial measures reviewed by the Company’s chief operating decision maker are presented separately for the year ended December 31, 2021:
| Marketing and Distribution of Commercial Products | Retail and Mail Order Pharmacy | Total | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Revenue | $ | 14,317 | $ | 7,427 | $ | 21,744 | |||
| Operating expenses | (16,177 | ) | (7,660 | ) | (23,837 | ) | |||
| Other Income | 1,803 | 25 | 1,828 | ||||||
| Finance income (expense), net | (600 | ) | 75 | (525 | ) | ||||
| Foreign exchange gain, net | 31 | – | 31 | ||||||
| Net loss before income taxes | $ | (626 | ) | $ | (133 | ) | $ | (759 | ) |
42
Management's Discussion and Analysis
for the year ended December 31, 2021
MEDICURE INC.
Message to Shareholders, April 2022
With the acquisition of Marley Drug late last year, Medicure’s business growth now has four focuses:
Continued sales and profits from AGGRASTAT^®^,
Growing the ZYPITAMAG^®^ revenue and profit,
Developing Marley Drug on-line presence,
MC-1 development for PNPO deficiency
AGGRASTAT^®^ (tirofiban hydrochloride) injection continues to hold the majority of the patient market share in the US and sales for the year ended December 31, 2021 were $11.6 million compared to $10.6 million during the year ended December 31, 2020. We continue to market the benefits of AGGRASTAT^®^ and nurture brand loyalty.
Our sales of ZYPITAMAG^®^ (pitavastatin) continue to gain traction. Applying our experience from the past couple of years, improved insurance coverage and with the addition of Marley Drug’s direct to consumer market for cash paying customers, sales continue to increase from $453,000 for the year ended December 31, 2020 to $3.2 million for the year ended December 31, 2021.
Marley Drug, acquired in December 2020, is a specialty pharmacy serving customers across the US and fits well with our vision and provides excellent customer service, cost competitive medications, immediate direct to patient delivery, and is licensed all 50 states, Washington D.C. and Puerto Rico. Marley Drug has been successful in marketing directly to customers, providing access to medications without the need for health insurance, and building a loyal nationwide customer base and contributed $6.9 million of revenue to the Company in 2021. In 2022, we launched the Marley Drug e-commerce site and will be focusing on attracting new customers to the site to bolster our pharmacy business. The combined business will be well positioned to strengthen our existing national platforms, including continuing to accelerate the growth of ZYPITAMAG^®^, continuing to realize on material synergies and generating substantial shareholder value.
Earlier this year, Medicure announced the plan to carry out a Pivotal Phase 3 trial for treatment of Pyridoxal 5’-phosphate dependent epilepsy (PNPO deficiency) with the legacy product, MC-1. For this indication, MC-1 has received Orphan Drug status and a Rare Pediatric Disease Designation from the FDA, providing significant value as we work diligently towards FDA approval.
We are in unprecedented times in the world with the current COVID 19 pandemic and the safety of our employees, customers and other stakeholders is of utmost importance. At the same time, Medicure remains focused on the business and growing revenue and earnings. On behalf of the Board of Directors, I want to thank our shareholders, stakeholders, customers and employees for their continued support while we manage our business. We remain committed to creating value for you, our valued shareholders.
Yours sincerely,
Albert D. Friesen, Ph.D.
Chairman and Chief Executive Officer
2
Management’s Discussion and Analysis
The following management’s discussion and analysis (“MD&A”) is current as of April 27, 2022 and should be read in conjunction with Medicure Inc.’s (“Medicure” or the “Company”) audited consolidated financial statements for year ended December 31, 2021 which have been prepared under International Financial Reporting Standards (“IFRS”) and the Company's annual report on Form 20-F for the year ended December 31, 2021. This MD&A was prepared with reference to National Instrument 51-102 “Continuous Disclosure Obligations” of the Canadian Securities Administrators. Except as otherwise noted, the financial information contained in this MD&A and in the Company’s consolidated financial statements has been prepared in accordance with IFRS. Additional information regarding the Company is available on SEDAR at www.sedar.com and at the Company's website at www.medicure.com.
All dollar amounts here within are expressed in thousands of Canadian dollars, except per share amounts and where otherwise noted.
FORWARD-LOOKING STATEMENTS
This MD&A contains forward-looking information as defined in applicable securities laws (referred to herein as “forward-looking statements”) that reflect the Company’s current expectations and projections about its future results. All statements other than statements of historical fact are forward-looking statements. Forward-looking statements are based on the current assumptions, estimates, analysis and opinions of management of the Company made in light of its experience and its perception of trends, current conditions and expected developments, as well as other factors which the Company believes to be relevant and reasonable in the circumstances.
The Company uses words such as “believes,” “may,” “plan,” “will,” “estimate,” “continue,” “anticipates,” “intends,” “expects,” and similar expressions to identify forward-looking statements, which, by their very nature, are not guarantees of the Company’s future operational or financial performance, and are subject to risks and uncertainties, both known and unknown, as well as other factors that could cause the Company’s actual results, performance, prospects or opportunities to differ materially from those expressed in, or implied by, these forward-looking statements.
Specifically, this MD&A contains forward-looking statements regarding, but not limited to:
| • | The Company’s expectations in regard to the extent and impacts of COVID-19 including the timing<br>surrounding these impacts; |
|---|---|
| • | the Company’s intention to sell and market its acute care cardiovascular drug, AGGRASTAT^®^,<br>in the United States and its territories through its U.S. subsidiary, Medicure Pharma Inc.; |
| --- | --- |
| • | the Company’s intention to sell and market its cardiovascular drug, ZYPITAMAG^®^, in<br>the United States and its territories through its U.S. subsidiary, Medicure Pharma Inc.; |
| --- | --- |
| • | the Company’s intention to sell and market its cardiovascular drug, Sodium Nitroprusside 50mg/2ml<br>(25mg/ml) (“SNP”), in the United States and its territories through its U.S. subsidiary, Medicure Pharma Inc.; |
| --- | --- |
| • | the Company’s intention to sell and market its pharmaceutical products in the United States and<br>its territories through its newly acquired U.S. subsidiary, Marley Drug, Inc. (“Marley Drug”); |
| --- | --- |
| • | the Company’s intention to develop and implement clinical, regulatory and other plans to generate<br>an increase in the value of AGGRASTAT^®^; |
| --- | --- |
| • | the Company’s intention to expand or otherwise improve the approved indications and/or dosing information<br>contained within AGGRASTAT^®^’s approved prescribing information; |
| --- | --- |
| • | the Company’s intention to increase sales of AGGRASTAT^®^; ZYPITAMAG^®^<br>and SNP; |
| --- | --- |
| • | the Company’s intention to increase sales through Marley Drug; |
| --- | --- |
| • | the Company’s intention to develop MC-1 for the treatment of pyridox(am)ine 5’-phosphate oxidase<br>(“PNPO”) deficiency; |
| --- | --- |
| • | the likelihood of the Company to receive a priority review voucher from the United States Food and Drug<br>Administration (“FDA”) in regards to its development work for MC-1; |
| --- | --- |
| • | the Company’s intention to investigate and advance other product opportunities; |
| --- | --- |
3
Management’s Discussion and Analysis
| • | the Company’s intention to develop and commercialize additional cardiovascular generic drug products; |
|---|---|
| • | the Company’s intention and ability to obtain regulatory approval for its products and potential<br>products; |
| --- | --- |
| • | the Company’s expectations with respect to the cost of testing and commercialization of its products<br>and potential products; |
| --- | --- |
| • | the Company’s sales and marketing strategy; |
| --- | --- |
| • | the Company’s anticipated sources of revenue; |
| --- | --- |
| • | the Company’s intentions regarding the protection of its intellectual property; |
| --- | --- |
| • | the Company’s intention to identify, negotiate and complete business development transactions (e.g.<br>the sale, purchase, or license of pharmaceutical products or services); |
| --- | --- |
| • | the Company’s business strategy; and |
| --- | --- |
| • | the Company’s expectation that it will not pay dividends in the foreseeable future. |
| --- | --- |
Inherent in forward-looking statements are known and unknown risks, uncertainties and other factors beyond the Company’s ability to predict or control that may cause the actual results, events or developments to be materially different from any future results, events or developments expressed or implied by such forward-looking statements. Such risk factors include, among others, the Company’s future product revenues, stage of development, additional capital requirements, risks associated with the completion and timing of clinical trials and obtaining regulatory approval to market the Company’s products, the ability to protect its intellectual property, dependence upon collaborative partners, changes in government regulation or regulatory approval processes, and rapid technological change in the industry. These factors should be considered carefully and readers are cautioned not to place undue reliance on such forward-looking statements.
Actual results and developments are likely to differ, and may differ materially, from those expressed or implied by the forward-looking statements contained in this MD&A. Such statements are based on a number of assumptions which may prove to be incorrect, including, but not limited to, assumptions about:
| • | general business and economic conditions; |
|---|---|
| • | the extent and impact of the COVID-19 outbreak on the Company’s business including any impact on<br>our customers, contract manufacturers and other third-party service providers; |
| --- | --- |
| • | the impact of changes in Canadian-U.S. dollar and other foreign exchange rates on the Company's revenues,<br>costs and results; |
| --- | --- |
| • | the timing of the receipt of regulatory and governmental approvals for the Company's research and development<br>projects; |
| --- | --- |
| • | the availability of financing for the Company's commercial operations and/or research and development<br>projects, or the availability of financing on reasonable terms; |
| --- | --- |
| • | results of current and future clinical trials; |
| --- | --- |
| • | uncertainties associated with the acceptance and demand for new products; |
| --- | --- |
| • | changes in regards to pharmacy regulations; |
| --- | --- |
| • | clinical trials not being unreasonably delayed and expenses not increasing substantially; |
| --- | --- |
| • | government regulation not imposing requirements that significantly increase expenses or that delay or<br>impede the Company's ability to bring new products to market; |
| --- | --- |
| • | the Company's ability to attract and retain skilled management and staff; |
| --- | --- |
| • | the Company’s ability, amid circumstances and decisions beyond the Company’s control, to maintain<br>adequate supply of product for commercial sale; |
| --- | --- |
4
Management’s Discussion and Analysis
| • | inaccuracies and deficiencies in the scientific understanding of the interaction and effects of pharmaceutical<br>treatments when administered to patients; |
|---|---|
| • | market competition; |
| --- | --- |
| • | tax benefits and tax rates; and |
| --- | --- |
| • | the Company's ongoing relations with its employees and its business partners. |
| --- | --- |
Although management of the Company believes that these forward-looking statements are based on reasonable assumptions, a number of factors could cause the future results, performance or achievements of the Company to be materially different from the actual results, performance or achievements expressed or implied by such forward-looking statements. The forward-looking statements contained in this MD&A, and in any documents incorporated by reference herein, are expressly qualified by this cautionary statement. The Company cautions the reader that the foregoing list of important factors and assumptions is not exhaustive. Events or circumstances could cause actual results to differ materially from those estimated or projected and expressed herein, or implied by, these forward-looking statements. The reader should also carefully consider the matters discussed under “Risk Factors” in this MD&A which provides additional risks and uncertainties relating to the Company and its business. The Company undertakes no obligation to update publicly or otherwise revise any forward-looking statements or the foregoing list of factors, whether as a result of new information or future events or otherwise, other than as required by applicable legislation.
OVERVIEW OF THE COMPANY
Medicure is a company focused on the development and commercialization of pharmaceuticals and healthcare products for patients and prescribers in the United States market and sales to the Retail Public of pharmaceutical products. The Company’s present focus is the sale and marketing of its cardiovascular products, AGGRASTAT^®^, ZYPITAMAG^®^ and developing its e-commerce and mail order pharmaceutical business in all 50 U.S. states through Marley Drug. The cardiovascular products are distributed in the United States and its territories through the Company’s U.S. subsidiary, Medicure Pharma Inc. The Company’s registered office and head office is located at 2-1250 Waverley Street, Winnipeg, Manitoba, R3T 6C6.
The Company’s first commercial product was AGGRASTAT^®^, a glycoprotein inhibitor (“GPI”), used for the treatment of non ST elevation acute coronary syndrome (“NSTE-ACS”), including unstable angina (“UA”), which is characterized by chest pain when one is at rest, and non Q wave myocardial infarction (“MI”). The Company acquired an exclusive license to sell ZYPITAMAG^®^ in the U.S. and launched ZYPITAMAG^®^ in May 2018 in the United States. In September 2019 the Company acquired the full rights and ownership of ZYPITAMAG^®^. The Company received approval in August of 2018 from the FDA for its first abbreviated new drug application (“ANDA”) for SNP with commercial availability starting during the third quarter of 2019 in the United States with initial sales beginning during 2020.
On December 17, 2020, the Company acquired Marley Drug, a leading specialty pharmacy serving customers across the United States for an upfront payment on closing of USD $6,300, subject to certain holdbacks, as well as additional payments based on future performance of Marley Drug. Marley Drug generated unaudited revenue and EBITDA of approximately USD $7,000 and over USD $1,700, respectively, for the 12-month period ended October 31, 2020. Marley Drug provides excellent customer service, cost competitive medications, immediate direct to patient delivery, and is licensed in 50 states, Washington D.C. and Puerto Rico. Its advanced operation includes automated pill dispensing, an extended supply generic drug program, and an effective customer communication system. Marley Drug has been successful in marketing directly to customers, providing access to medications without the need for insurance, and building a nationwide customer base in the United States.
The Company’s research and development program is focused on making selective research and development investments in certain additional cardiovascular generic and reformulation product opportunities, as well as continuing the development and implementation of its regulatory, brand and life cycle management strategy for AGGRASTAT^®^, ZYPITAMAG^®^ and SNP.
On January 27, 2021, the Company filed an Investigational New Drug (“IND”) application with the FDA pertaining to its legacy product, MC-1, for the treatment of seizures associated with PNPO deficiency. The majority of patients with PNPO deficiency have mutations in the PNPO gene, which is required for the production of normal levels of P5P. In connection with the IND, the Company will proceed with a Phase 3 clinical trial to treat PNPO deficient patients with a daily dose of MC-1.
5
Management’s Discussion and Analysis
Through the Company’s sales experienced over recent years, the Company’s financial position has improved compared to previous years. The Company completed a substantial issuer bid (“SIB”) in December of 2019 under which it purchased and cancelled 4.0 million common shares at a set purchase price of $6.50 per common share resulting in a payment of $26,000. Subsequent to the closing of the SIB transaction, the Company completed the acquisition of Marley Drug, and despite lower working capital levels, the Company’s financial position remains strong.
The ongoing focus of the Company includes the sale of AGGRASTAT^®^, ZYPITAMAG^®^ and SNP, the sale of pharmaceutical products including ZYPITAMAG^®^ directly to patients through Marley Drug and the development of additional cardiovascular products. In parallel with the Company’s ongoing commitment to support AGGRASTAT^®^, its valued customers and the continuing efforts of the commercial organization, the Company is in the process of developing and further implementing its regulatory, brand and life cycle management strategy for AGGRASTAT^®^. The objective of this effort is to further expand AGGRASTAT^®^’s share of the GPI inhibitor market in the United States. GPIs are injectable platelet inhibitors used in the treatment of patients with ACS. The marketing and sales of ZYPITAMAG^®^ became a key focus of the Company during 2018 and the Marley Drug business became a key focus of the Company after its acquisition in December of 2020. In 2022, the Company launched the Marley Drug e-commerce site and will be focusing on attracting new customers to the site to bolster its Marley Drug pharmacy business. The Company also began selling SNP during early 2020.
The Company has historically financed its operations principally through the net revenue received from the sale of its commercial products, the sale of its equity securities, the issuance and subsequent exercises of warrants and stock options, interest on excess funds held and the issuance of debt. As announced on October 3, 2017, the Company sold the Apicore business for net proceeds to Medicure of approximately US$105,000, as well as additional contingent payments. The funds generated from the sale of Apicore were partially used to repay the Company’s long-term debt, fund the SIB, with $26,000 used to buy back 4.0 million shares for cancellation, completed in 2019 and the remaining funds will continue to be used to finance the Company’s operations, development and growth moving forward.
On January 28, 2019, the Company entered into an agreement with Sensible Medical Innovations Inc. ("Sensible") to become the exclusive marketing partner for ReDS™ in the United States. ReDS™ is a non-invasive, FDA cleared medical device that provides an accurate, actionable and absolute measurement of lung fluid which is important in the management of congestive heart failure. ReDS™ was already being marketed to United States hospitals by Sensible and the Company began marketing ReDS™ immediately using its existing commercial organization*.* Under the terms of the agreement, Medicure was to receive a percentage of total U.S. sales revenue from the device and was to have met minimum annual sales quotas. In addition, Medicure invested US$10,000 in Sensible for a 7.71% equity stake on a fully diluted basis and in connection with this investment the Company acquired the license for ReDS™ in the United States. On August 20, 2020, the Company announced the termination of the marketing of the ReDS^TM^device in the United States. In connection with the termination, Sensible and the Company have entered into a transition agreement which provides additional compensation to the Company for sales to customer leads provided by Medicure. The Company continues to hold its equity stake, and will continue to support Sensible in its transition to a new marketing and distribution arrangement in order to secure its investment in Sensible Medical.
RECENT DEVELOPMENTS
COVID-19
On March 11, 2020, the COVID -19 outbreak was declared a pandemic by the World Health Organization. Although the Company has adjusted some of its operating procedures in response to COVID-19, operations have not experienced any significant negative impact to date. The extent to which the pandemic impacts future operations and financial results, and the duration of any such impact, depends on future developments, which are currently uncertain.
LAUNCH OF E-COMMERCE PHARMACY PLATFORM -WWW.MARLEYDRUG.COM
Subsequent to December 31, 2021, on February 9, 2022, the Company announced that it has launched its national direct-to-consumer E-Commerce pharmacy platform - www.marleydrug.com through its subsidiary, Marley Drug® pharmacy.
6
Management’s Discussion and Analysis
For more than 100 million Americans who do not have prescription drug coverage getting better and staying healthy can often depend on access to affordable medications. Marley Drug’s new E-Commerce website is a platform where FDA approved medications can be purchased at discount prices by Americans for home delivery in all 50 States. Additionally, the platform enables a client to store their medication and ordering history, as well as that of their family, and reorder medications or request refills all within the comfort of their home. The platform focuses on ease-of-use, health and wellness resources and a U.S. based pharmacy team dedicated to providing a pleasant customer experience. Through the combination of technology, an ever-expanding portfolio of medications, and superior customer service, the E-commerce platform is designed to meet the evolving needs of Americans and strengthen our existing lines of business which include Medicure's primary care drug, ZYPITAMAG® and future branded products.
In addition to the typical 30- and 90-day fill of medications, the platform offers customers the ability to acquire extended supply fills of 6 and 12 months. For chronic care medications, 6 and 12 month quantities could increase patient adherence and lead to better management of medical conditions. Additional benefits include fewer pharmacy visits, less frequent refills and overall reduced cost. Marley Drug provides over 100 chronic care medications at USD$37.00 for 6 months and USD$70.00 for 12 months with free delivery anywhere in the United States and some territories. During the launch period, certain medications will be available at just USD$2.00 per month with free shipping for new customers.
MARLEY DRUG TO PARTNER WITH RxSPARK TO BEITS SOLE MAIL-ORDER PHARMACY
Subsequent to December 31, 2021, on February 22, 2022, the Company announced the integration of its subsidiary, Marley Drug pharmacy, as the sole mail-order pharmacy for RxSpark^TM^, the next generation in pharmacy discount programs.
Described as a much-needed disruptor in the health and pharmacy space, technology company RxSpark addresses an urgent need with its proprietary prescription drug savings program through www.rxspark.com. Poor-coverage or lack of health insurance, exacerbated by the economic impact of the COVID-19 pandemic, has placed prescription medication beyond the reach of many Americans. Additionally, the COVID-19 pandemic has accelerated changes to the healthcare system unlike any other recent event, with increased consumer demand for online services such as telehealth, remote patient monitoring and home delivery of medications. For its customers, the RxSpark platform offers a powerful search function and an improved drug results capacity which makes it easier to find the best discounted prices for medications in nearby pharmacies throughout the U.S.
The integration of Marley Drug as the sole mail-order pharmacy for the RxSpark platform now allows consumers using the platform to receive medication directly to their door. The Marley Drug home delivery service will be available to all consumers regardless of where they may live in the U.S., as Marley Drug is licensed to provide medication in all 50 states and most territories.
PIVOTAL PHASE 3 TRIAL IND FILING WITH FDAFOR TREATMENT OF SEIZURES ASSOCIATED WITH PNPO DEFICIENCY
On January 7, 2021, the Company announced that it would file an Investigational New Drug (“IND”) application with the FDA pertaining to its legacy product P5P, also referred to as “MC-1, for the treatment of seizures associated with PNPO deficiency. The majority of patients with PNPO deficiency have mutations in the PNPO gene, which is required for the production of normal levels of P5P. In connection with the IND, the Company will proceed with a Phase 3 clinical trial to treat PNPO deficient patients with a daily dose of MC-1.
The FDA and the European Medicines Agency (“EMA”) have both granted a Rare Pediatric Disease Designation to MC-1 for the treatment of seizures associated with PNPO deficiency. Additionally, the FDA has granted Orphan Drug Status and a Rare Pediatric Disease Designation to MC-1 for the treatment of PNPO deficiency. Under the Creating Hope Act passed into federal law in 2012, the FDA grants a Rare Pediatric Disease Designation for serious and life-threatening diseases that primarily affect children ages 18 years or younger and fewer than 200,000 people in the United States. If a new drug application (“NDA”) for MC- 1 in patients with PNPO deficiency is approved, the Company may be eligible to receive a priority review voucher (“PRV”) from the FDA, which can be redeemed to obtain priority review for any subsequent marketing application.
EARLY COMPLETION OF ENROLEMENT FOR iSPASM
On January 27, 2021, the Company announced the early completion of iSPASM, a randomized, double-blind, single-center, Phase 1/2a trial aimed at assessing the safety of long-term (7-day) use of AGGRASTAT^®^ injection vs. placebo in patients with aneurysmal subarachnoid hemorrhage (aSAH) (NCT03691727). The primary endpoint in the 30 patient study was hemorrhagic changes evident on head computerized tomography (“CT”) scans and/or magnetic resonance imaging (“MRI”) assessed by the rates of symptomatic and asymptomatic bleeding. iSPASM was funded by an unrestricted educational grant from Medicure. This study does not imply efficacy of AGGRASTAT^®^ in patients with aSAH. Please note that the use of AGGRASTAT^®^ in neurointerventions has not been approved by the FDA. As of this time, neither AGGRASTAT^®^ nor any of the GP IIb/IIIa inhibitors are indicated for the use in stroke patients. AGGRASTAT^®^ is approved for use in NSTE-ACS patients.
7
Management’s Discussion and Analysis
RESIGNATION OF CHIEF FINANCIAL OFFICER ANDSUCCESSION PLAN
On May 15, 2021 James Kinley, the Chief Financial Officer resigned, to pursue another business opportunity. As of June 28, 2021, David Gurvey was appointed as Chief Financial Officer.
Subsequent to December 31, 2021, on March 23, 2022, the Company announced the resignation of Chief Financial Officer David Gurvey effective March 25, 2022. The Company has initiated a search for a new Chief Financial Officer with the capabilities and qualifications to accelerate Medicure’s growth and business strategy. Dr. Neil Owens, Chief Operating Officer of the Company, will assume the role of interim Chief Financial Officer upon Mr. Gurvey’s resignation.
RESULTS FROM THE SAVI-PCI CLINICAL TRIAL
On November 4, 2021, the Company announced successful results from its SAVI-PCI trial. The trial enrolled 535 patients comparing a 1-2 hour infusion with AGGRASTAT^®^ to a label-dosing infusion of INTERGRILIN®. A third arm of bolus plus a 12-18 hour infusion was later added to the study. The Company was pleased that this study met its primary endpoint, demonstrating the non- inferiority of a bolus plus short infusion of AGGRASTAT^®^ when compared to longer infusion regimens.
COMMERCIAL
In fiscal 2007, the Company through its wholly owned Barbadian subsidiary, Medicure International Inc., acquired the U.S. rights to its first commercial product, AGGRASTAT^®^, in the United States and its territories (Puerto Rico, Virgin Islands, and Guam). AGGRASTAT^®^, a GPI, is used for the treatment of ACS, including UA, which is characterized by chest pain when one is at rest, and non Q wave MI. AGGRASTAT^®^ is indicated to reduce the rate of thrombotic cardiovascular events (combined endpoint of death, myocardial infarction, or refractory ischemia/repeat cardiac procedure) in patients with non ST elevation acute coronary syndrome (“NSTE ACS”). Under a contract with Medicure International Inc., the Company’s wholly owned U.S. subsidiary, Medicure Pharma Inc., continues to support, market and distribute the product.
Net AGGRASTAT^®^ product sales for year ended December 31, 2021 were $11,570 compared to $10,606 during the year ended December 31, 2020.
The Company primarily sells finished AGGRASTAT^®^ to drug wholesalers. These wholesalers subsequently sell AGGRASTAT^®^ to hospitals where health care providers administer the drug to patients. Wholesaler management decisions to increase or decrease their inventory of AGGRASTAT^®^ may result in sales of AGGRASTAT^®^ to wholesalers that do not track directly with demand for the product at hospitals. The Company has set up a portal called Medicure Direct to market the Company’s branded and generic products directly to hospitals and pharmacies with initial sales occurring in the fourth quarter of 2020 through this initiative.
Hospital demand for AGGRASTAT^®^ has been stable during 2021 when compared to the prior year, and the number of hospital customers using AGGRASTAT^®^ continued to remain strong leading to patient market share held by the product of approximately 65% as of December 31, 2021. The Company's commercial team continues to work on expanding its customer base, however this continued increase in the customer base for AGGRASTAT^®^ has not directly resulted in corresponding revenue increases as the Company continues to face increased competition resulting from further genericizing of the Integrilin market which has created pricing pressures on AGGRASTAT^®^ combined with lower hospital demand for the product, including a reduction in procedures being performed as a result of COVID 19. The Company continues to expect strong patient market share despite reduced revenue from the AGGRASTAT^®^ brand and diversifying revenues away from a single product became increasingly important to the Company.
All of the Company’s sales are denominated in U.S. dollars and the U.S. dollar increased in value against the Canadian dollar during the year ended December 31, 2021 when compared to the year ended December 31, 2020. This led to increased AGGRASTAT^®^ revenues, offsetting the increasing price pressures facing AGGRASTAT^®^ when comparing the two periods, offset by increased demand.
On December 5, 2019, the Company announced it had filed a patent infringement action against Nexus in the U.S. District Court for the Northern District of Illinois, alleging infringement of the ‘660 patent. On November 18, 2020, the Company announced the settlement of its ongoing patent infringement action against Nexus in the U.S. District Court for the Northern District of Illinois, which alleged infringement of the ’660 patent. As part of the settlement, Nexus has acknowledged that the ‘660 patent is valid, enforceable and infringed. The settlement results in the Company entering into a license agreement with Nexus with anticipated launch dates for Nexus’ generic products of November 1, 2022 for the 5 mg strength and January 1, 2023 for the 12.5 mg strength. The remaining terms of the settlement are confidential.
8
Management’s Discussion and Analysis
The patent infringement action is in response to Nexus’ filing of an ANDA seeking approval from the FDA to market a generic version of AGGRASTAT^®^ before the expiration of the ’660 patent. The ‘660 patent is listed in the FDA’s orange book with an expiry date of May 1, 2023. Medicure defended the ’660 patent and pursued the patent infringement action against Nexus and will continue all other legal options available to protect its product.
Previously, on November 16, 2018, the Company filed a patent infringement action against Gland Pharma Ltd. (“Gland”) in the U.S. District Court for the District of New Jersey, alleging infringement of the ‘660 patent. The patent infringement actions were in response to Gland’s filing of an ANDA seeking approval from the FDA to market a generic version of AGGRASTAT^®^ before the expiration of the ’660 patent
On August 21, 2019 the Company announced that its subsidiary, Medicure International Inc., has settled this ongoing patent infringement action. As part of the settlement, Gland has acknowledged that the ‘660 patent is valid, enforceable and infringed. The settlement resulted in the Company entering into a license agreement with Gland with an anticipated launch date for Gland’s generic product of March 1, 2023. The remaining terms of the settlement are confidential.
In September 2019 the Company announced that it had acquired the ownership of ZYPITAMAG^®^ from Zydus for U.S. and Canadian markets. Under terms of the agreement, Zydus received an upfront payment of US$5,000 and US$2,000 in deferred payments scheduled to be made over four years, as well as contingent payments on achievement of milestones and royalties related to net sales. With this acquisition Medicure obtained full control of marketing and pricing negotiations for the product.
On December 17, 2020, the Company acquired 100% of Marley Drug, a leading specialty pharmacy serving customers across the United States. Marley Drug provides excellent customer service, cost competitive medications, immediate direct to patient delivery, and is licensed in 50 states, Washington D.C. and Puerto Rico. Its advanced operation includes automated pill dispensing, an extended supply generic drug program, and an effective customer communication system. Marley Drug has been successful in marketing directly to customers, providing access to medications without the need for insurance, and building a nationwide customer base and contributed $6,945 of revenue to the Company for the year ended December 31, 2021 compared to $340 in the previous year. The Company began selling ZYPITAMAG^®^ through Marley Drug immediately following the acquisition.
ZYPITAMAG^®^ contributed revenue of $3,170 to the Company for the year ended December 31, 2021 compared to $453 during the year ended December 31, 2020. The Company continues to work towards growing the ZYPITAMAG^®^ brand, usage of the product and revenues from ZYPITAMAG^®^ including through its acquisition of Marley Drug in December of 2020.
On August 13, 2018, the Company announced that the FDA has approved its ANDA for SNP. SNP is indicated for the immediate reduction of blood pressure for adult and pediatric patients in hypertensive crisis. The product is indicated for producing controlled hypotension in order to reduce bleeding during surgery and for the treatment of acute congestive heart failure. The filing of the ANDA was previously announced by the Company on December 13, 2016. Medicure’s SNP become available in the United States with sales during the year ended December 31, 2021 of $59 being recorded compared to $116 for the year ended December 31, 2020.
Going forward and contingent on sufficient finances being available, the Company intends to further expand revenue through marketing and promotional activities, strategic investments related to AGGRASTAT^®^, ZYPITAMAG^®^ and SNP, as well as the Marley Drug business and licensing, acquisition and/or development of other cardiovascular products that fit the commercial organization.
OUTLOOK
The Company is primarily focusing on:
Maintaining and growing AGGRASTAT^®^ sales in the United States
The Company continues to work to maintain and expand the sales of AGGRASTAT^®^ in the United States. The use of AGGRASTAT^®^ is recommended by the AHA and ACC Guidelines for the treatment of ACS. AGGRASTAT^®^ has been shown, to reduce the rate of thrombotic cardiovascular events (combined endpoint of death, myocardial infarction, or refractory ischemia/repeat cardiac procedure) in patients with NSTE ACS.
9
Management’s Discussion and Analysis
The Company is providing funding for a number of investigator sponsored research projects targeting contemporary utilization of AGGRASTAT^®^ relative to its competitors. On June 29, 2020, the Company announced that results from the investigator sponsored FABOLUS-FASTER Phase 4 clinical trial, using AGGRASTAT^®^, have been published in Circulation, a peer-reviewed journal of the American Heart Association.
Growing sales of ZYPITAMAG^®^ in the United States
In September 2019 the Company announced that through its subsidiary, Medicure International Inc., it has acquired the ownership of ZYPITAMAG^®^ from Zydus for U.S. and Canadian markets. Under terms of the agreement, Zydus was to receive an upfront payment of US$5,000 and US$2,000 in deferred payments to be made over four years, as well as contingent payments on achievement of milestones and royalties related to net sales.
Previously, in December 2017, the Company acquired from Zydus, an exclusive license to sell and market ZYPITAMAG^®^, a branded cardiovascular drug, in the United States and its territories for a term of seven years with extensions to the term available. ZYPITAMAG^®^ is used for the treatment of patients with primary hyperlipidemia or mixed dyslipidemia and was approved in July 2017 by the FDA for sale and marketing in the United States. On May 1, 2018 ZYPITAMAG^®^ became commercially available in retail pharmacies throughout the United States. The Company’s product launch utilized its existing commercial infrastructure and while not an in-hospital product like AGGRASTAT^®^, ZYPITAMAG^®^ contributed revenue of $3,170 to the Company for the year ended December 31, 2021 compared to $453,000 during the year ended December 31, 2020. The Company continues to work towards growing the ZYPITAMAG^®^ brand, usage of the product and revenues from ZYPITAMAG^®^ including through its acquisition of Marley Drug in December of 2020.
Acquisition and operation of the MarleyDrug pharmacy business
On December 17, 2020, the Company acquired 100% of Marley Drug, a specialty pharmacy serving customers across the United States. Marley Drug provides excellent customer service, cost competitive medications, immediate direct to patient delivery, and is licensed in 50 states, Washington D.C. and Puerto Rico. Its advanced operating systems include automated pill dispensing, an extended supply generic drug program, and an effective customer communication system. Marley Drug has been successful in marketing directly to customers, providing access to medications without the need for insurance, and building a nationwide customer base.
The Company began selling ZYPITAMAG^®^ through Marley Drug immediately following the acquisition.
Acquisitions, licensing or marketingpartnerships for new commercial products
The Company continues to explore additional opportunities for the acquisition or licensing of other cardiovascular products that fit the commercial organization.
Developing additionalcardiovascular generic and reformulation products
On August 13, 2018, the Company announced that the FDA has approved its ANDA for SNP. SNP is indicated for the immediate reduction of blood pressure for adult and pediatric patients in hypertensive crisis. The product is also indicated for producing controlled hypotension in order to reduce bleeding during surgery and for the treatment of acute congestive heart failure. The filing of the ANDA had been previously announced by the Company on December 13, 2016. Medicure’s SNP become available in the United States with sales during the year ended December 31, 2021 of $59 being recorded compared to $116 for the year ended December 31, 2020.
Medicure is also developing two additional generic versions of acute cardiovascular drugs and is exploring other potential opportunities.
On January 7, 2021, the Company announced that it intends to file an IND application with the FDA pertaining to its legacy product, P5P, also referred to as MC-1 for the treatment of seizures associated with PNPO deficiency. The majority of patients with PNPO deficiency have mutations in the PNPO gene, which is required for the production of normal levels of P5P. In connection with the IND, the Company will proceed with a Phase 3 clinical trial to treat PNPO deficient patients with a daily dose of MC-1.
10
Management’s Discussion and Analysis
The FDA and the EMA have both granted a Rare Pediatric Disease Designation to MC-1 for the treatment of seizures associated with PNPO deficiency. Additionally, the FDA has granted Orphan Drug Status and a Rare Pediatric Disease Designation to MC-1 for the treatment of PNPO deficiency. Under the Creating Hope Act passed into federal law in 2012, the FDA grants a Rare Pediatric Disease Designation for serious and life-threatening diseases that primarily affect children ages 18 years or younger and fewer than 200,000 people in the United States. If an NDA for MC-1 for patients with PNPO deficiency is approved, the Company may be eligible to receive a PRV from the FDA, which can be redeemed to obtain priority review for any subsequent marketing application.
RESEARCH AND DEVELOPMENT
The Company’s research and development activities are predominantly conducted by its wholly-owned Barbadian subsidiary, Medicure International Inc.
AGGRASTAT^®^
One of the primary ongoing research and development activities is the continued development and further implementation of a new regulatory, brand and life cycle management strategy for AGGRASTAT^®^. The extent to which the Company is able to invest in this plan is dependent upon the availability of sufficient finances and the expected returns from those investments.
An aspect of the AGGRASTAT^®^ strategy is to advance studies related to the contemporary use and future regulatory positioning of the product. On May 10, 2012, the Company announced the commencement of enrolment in a clinical trial of AGGRASTAT^®^ entitled SAVI-PCI. SAVI-PCI is a randomized, open-label study enrolling patients undergoing PCI at sites across the United States. The study was designed to evaluate whether patients receiving the HDB regimen of AGGRASTAT^®^ (25 mcg/kg bolus over 3 minutes) followed by an infusion of 0.15 mcg/kg/min for a shortened duration of 1 to 2 hours will have outcomes that are similar, or “non-inferior,” to patients receiving a 12 to 18-hour infusion of Integrilin® (eptifibatide) (Merck & Co., Inc.) at its FDA approved dosing regimen.
The primary objective of SAVI-PCI is to demonstrate AGGRASTAT^®^ is non-inferior to Integrilin with respect to the composite endpoint of death, PCI-related myocardial infarction, urgent target vessel revascularization, or major bleeding within 48 hours following PCI or hospital discharge. The secondary objectives of this study include the assessment of safety as measured by the incidence of major bleeding.
The first patient was enrolled in June 2012. Enrolment was completed during the fourth quarter of 2018 and on December 17, 2019, the Company announced the completion of the Shortened AGGRASTAT^®^ (tirofiban hydrochloride) injection versus Integrilin® (eptifibatide) in Percutaneous Coronary Intervention (SAVI-PCI) Clinical Trial. Topline results of the SAVI-PCI trial was communicated in 2021.
The Company is also providing funding for a number of investigator sponsored research projects targeting contemporary utilization of AGGRASTAT^®^ relative to its competitors. On December 12, 2019, the Company announced the completion of the FABOLUS-FASTER Phase 4 trial, a randomized, open-label, multi-center trial assessing different regimens of intravenous platelet inhibitors, notably tirofiban and cangrelor (an IV P2Y12 inhibitor) in the early phase of primary PCI.
FABOLUS-FASTER was funded by a grant from the Company. This study does not imply comparable efficacy, safety, or product interchangeability. Please note that the use of AGGRASTAT^®^ in STEMI patients has not been approved by the FDA. As of this time, neither AGGRASTAT^®^ nor any of the GP IIb/IIIa inhibitors are indicated for the use in STEMI patients. AGGRASTAT^®^ is approved for use in NSTE-ACS patients.
On June 29, 2020, the Company announced that results from the investigator sponsored FABOLUS-FASTER Phase 4 clinical trial, using AGGRASTAT^®^, have been published in Circulation, a peer-reviewed journal of the American Heart Association. FABOLUS-FASTER studied different regimens of intravenous platelet inhibitors, notably AGGRASTAT^®^ (tirofiban hydrochloride) injection (an IV GP IIb/IIIa inhibitor) and cangrelor (an IV P2Y12 inhibitor) in the early phase of primary PCI. The FABOLUS-FASTER study randomized 122 P2Y12-naive STEMI patients to receive tirofiban (n=40), cangrelor (n=40), or a 60 mg loading dose of prasugrel (n=42). Those randomized to prasugrel were sub-randomized to chewed (n=21) or integral (n=21) tablet administration. The study was powered to test the noninferiority of cangrelor compared with tirofiban, the superiority of both tirofiban and cangrelor compared with chewed prasugrel, and superiority of chewed prasugrel compared with integral prasugrel for the primary endpoint of 30-minute inhibition of platelet aggregation (IPA) after stimulation with (20 µmol/L) ADP.
11
Management’s Discussion and Analysis
FABOLUS-FASTER studied different regimens of intravenous platelet inhibitors, notably AGGRASTAT^®^ (tirofiban hydrochloride) injection (an IV GP IIb/IIIa inhibitor) and cangrelor (an IV P2Y12 inhibitor) in the early phase of primary PCI. The FABOLUS-FASTER study randomized 122 P2Y12-naive STEMI patients to receive tirofiban (n=40), cangrelor (n=40), or a 60 mg loading dose of prasugrel (n=42). Those randomized to prasugrel were sub-randomized to chewed (n=21) or integral (n=21) tablet administration. The study was powered to test the noninferiority of cangrelor compared with tirofiban, the superiority of both tirofiban and cangrelor compared with chewed prasugrel, and superiority of chewed prasugrel compared with integral prasugrel for the primary endpoint of 30-minute inhibition of platelet aggregation (IPA) after stimulation with (20 µmol/L) ADP.
The results from the FABOLUS-FASTER trial showed cangrelor did not reach non-inferiority with tirofiban; in fact, tirofiban achieved superior IPA over cangrelor at 30 minutes (95.0%±9.0% vs 34.1%±22.5%; P <0.001). Cangrelor and tirofiban were both superior to chewed prasugrel (10.5%±11.0%, P<0.001 for both comparisons), which did not provide higher IPA over integral prasugrel (6.3%±11.4%; P=0.47).
Results from FABOLUS-FASTER were recently presented virtually at the PCR e-Course Scientific Sessions, due to the cancellation of EuroPCR 2020. Complete results from this study were published on June 27, 2020 in Circulation, a peer-reviewed journal of the American Heart Association.
On January 27, 2021, the Company announced the early completion of iSPASM, a randomized, double-blind, single-center, Phase 1/2a trial aimed at assessing the safety of long-term (7-day) use of AGGRASTAT^®^ injection vs. placebo in patients with aneurysmal subarachnoid hemorrhage (aSAH) (NCT03691727). The primary endpoint in the 30 patient study was hemorrhagic changes evident on head CT and/or MRI assessed by the rates of symptomatic and asymptomatic bleeding. iSPASM was funded by an unrestricted educational grant from Medicure. This study does not imply efficacy of AGGRASTAT^®^ in patients with aSAH. Please note that the use of AGGRASTAT^®^ in neurointerventions has not been approved by the FDA. As of this time, neither AGGRASTAT^®^ nor any of the GP IIb/IIIa inhibitors are indicated for the use in stroke patients. AGGRASTAT^®^ is approved for use in NSTE-ACS patients.
Cardiovascular Genericand Reformulation Products
On August 13, 2018, the Company announced that the FDA has approved its ANDA for SNP. SNP is indicated for the immediate reduction of blood pressure for adult and pediatric patients in hypertensive crisis. The product is also indicated for producing controlled hypotension in order to reduce bleeding during surgery and for the treatment of acute congestive heart failure. The filing of the ANDA was previously announced by the Company on December 13, 2016. Medicure’s SNP became available in the United States with sales during the year ended December 31, 2021 of $59,000 being recorded compared to $116,000 for the year ended December 31, 2020.
The Company is focused on the development of two additional cardiovascular generic drugs and expects to grow its commercial suite of products to at least four approved products in 2022.
On October 5, 2020, the Company announced that it has entered into a License, Manufacture and Supply Agreement RLS for a cardiovascular biosimilar product. Medicure is responsible for the regulatory approval process for the product. A biosimilar is a biological product that is highly similar to and has no clinically meaningful differences from an approved reference product. The Agreement grants an exclusive right to the Company to market and sell the product in the United States of America, Canada and the European Union.
The Company had been devoting resources to its research and development programs, including, but not limited to the development of TARDOXAL^TM,^P5P or MC-1 for neurological conditions such as Tardive Dyskinesia. This work included, but was not limited to, working with the FDA to better understand and refine the next steps in development of the product. The advancement of TARDOXAL^TM^ is currently on hold. The Company changed its focus from TARDOXAL^TM^to other uses of P5P and continues to devote time and resources to the advancement of P5P development.
On January 7, 2021, the Company announced that it intends to file an IND application with the FDA pertaining to its legacy product P5P, also referred to as MC-1 for the treatment of seizures associated with PNPO deficiency. The majority of patients with PNPO deficiency have mutations in the PNPO gene, which is required for the production of normal levels of P5P. In connection with the IND, the Company will proceed with a Phase 3 clinical trial to treat PNPO deficient patients with a daily dose of MC-1.
12
Management’s Discussion and Analysis
The FDA and the EMA have both granted a Rare Pediatric Disease Designation to MC-1 for the treatment of seizures associated with PNPO deficiency. Additionally, the FDA has granted Orphan Drug Status and a Rare Pediatric Disease Designation to MC-1 for the treatment of PNPO deficiency. Under the Creating Hope Act passed into federal law in 2012, the FDA grants a Rare Pediatric Disease Designation for serious and life-threatening diseases that primarily affect children ages 18 years or younger and fewer than 200,000 people in the United States. If an NDA for MC-1 for patients with PNPO deficiency is approved, the Company may be eligible to receive a PRV from the FDA, which can be redeemed to obtain priority review for any subsequent marketing application.
The following table summarizes the Company’s research and development programs, their therapeutic focus and their stage of development.
| Product Candidate | Therapeutic focus | Stage of Development |
|---|---|---|
| AGGRASTAT^®^ | Acute Cardiology | Approved/Marketed |
| ZYPITAMAG^®^ | Primary Hyperlipidemia or Mixed Dyslipidemia | Approved/Marketed |
| SNP | Acute Cardiology | ANDA approved/Marketed |
| Cardiovascular Biosimilar | Acute Cardiology | Development underway |
| Generic ANDA 2 | Acute Cardiology | ANDA filed |
| Generic ANDA 3 | Acute Cardiology | Formulation development underway |
| TARDOXAL^TM^/P5P | TD/Neurological indications | TARDOXAL^TM -^On hold<br><br> <br>P5P - IND filed |
OTHER PRODUCTS
The Company is investing in the research and development of other new product development opportunities. The Company is also exploring opportunities to grow the business through acquisition. The Company has evaluated and continues to evaluate the acquisition or license of other approved commercial products with the objective of further broadening its product portfolio and generating additional revenue.
CRITICAL ACCOUNTING POLICIES AND ESTIMATES
The preparation of the Company’s consolidated financial statements in conformity with IFRS requires management to make estimates and assumptions that affect the application of accounting policies and the reported amounts of assets, liabilities, revenue and expenses. Actual results may differ from these estimates.
Estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognized in the period in which the estimates are revised and in any future periods affected.
Information about key assumptions and estimation uncertainties that have a significant risk of resulting in a material adjustment to the carrying amount of assets and liabilities within the next financial year are included in the following notes to the consolidated financial statements for the year ended December 31, 2021:
| • | Note 3(c)(ii): The valuation of the royalty obligation |
|---|---|
| • | Note 3(e): The accruals for returns, chargebacks, rebates and discounts |
| --- | --- |
Chargebacks are considered the most significant estimates and result from wholesalers selling the Company’s products to end hospitals at prices lower than the wholesaler acquisition cost, which results in variable consideration for the Company. The provision is estimated using historical chargeback experience, timing of actual chargebacks processed during the year, expected chargeback levels based on the remaining products in the wholesaler distribution channel and pricing differences. Estimating the chargeback accrual is complex and judgmental due to the level of uncertainty involved in management’s estimates for product that remains in the wholesaler distribution channel as period end, the extent of product sales that were expected to be subject to chargebacks and pricing differences.
| • | Note 3(i): The measurement and useful lives of intangible assets |
|---|---|
| • | Note 3(o): The measurement of the amount and assessment of the recoverability of income tax assets and<br>income tax provisions |
| --- | --- |
13
Management’s Discussion and Analysis
| • | Note 3(q): The measurement and valuation of intangible assets and contingent consideration acquired and<br>recorded as business combinations |
|---|---|
| • | Note 3(I): Impairment of non-financial assets |
| --- | --- |
The Company’s annual goodwill impairment test is based on value-in-use calculations that use a discounted cash flow model. These calculations require the use of estimates and forecasts of future cash flows. The recoverable amount is most sensitive to the discount rate, revenue growth rate, and operating margin. A change in any of the significant assumptions or estimates used to evaluate goodwill could result in a material change to the results of operations. The key assumptions used to determine the recoverable amount are further explained in note 9.
| • | Note 3(r): The incremental borrowing rate (“IBR”) used in the valuation of leases |
|---|
Valuation of financial instruments
Financial Assets
Initial recognition and measurement
Upon recognition of a financial asset, classification is made based on the business model for managing the asset and the asset’s contractual cash flow characteristics. The financial asset is initially recognized at its fair value and subsequently classified and measured as (i) amortized cost; (ii) Fair Value through Other Comprehensive Income or Loss “FVOCI”; or (iii) Fair Value Through Profit or Loss “FVTP:”. Financial assets are classified as FVTPL if they have not been classified as measured at amortized cost or FVOCI. Upon initial recognition of an equity instrument that is not held-for-trading, the asset is recorded as FVTPL unless the Company irrevocably designates the presentation of subsequent changes in the fair value of such equity instrument as FVOCI.
Subsequent measurement
The subsequent measurement of financial assets depends on their classification as follows:
Financial assets measured at amortized cost
A financial asset is subsequently measured at amortized cost, using the effective interest method and net of any impairment allowance, if the asset is held within a business whose objective is to hold assets in order to collect contractual cash flows; and the contractual terms of the financial asset give rise, on specified dates, to cash flows that are solely payments of principal and interest. Cash and cash equivalents, restricted cash, accounts receivable and other assets are classified within this category.
Financial assets at FVTPL
Financial assets measured at FVTPL are carried in the statement of financial position at fair value with changes in fair value therein recognized in the statement of net (loss) income. There are presently no assets classified within this category.
Financial assets at FVOCI
Financial assets measured at FVOCI are carried in the statement of financial position at fair value with changes in fair value therein recognized in the statement of comprehensive (loss) income. The Investment in Sensible Medical was designated within this category.
Financial liabilities
Initial recognition and measurement
The Company recognizes a financial liability on the trade date in which it becomes a party to the contractual provisions of the instrument at fair value plus any directly attributable costs. Financial liabilities are subsequently measured at amortized cost or FVTPL, and are not subsequently reclassified. The Company’s financial liabilities are accounts payable and accrued liabilities, royalty obligation, acquisition payable and holdback which are recognized on an amortized cost basis. Financial liabilities measured at FVTPL include contingent consideration resulting from business combinations as defined by IFRS 9.
14
Management’s Discussion and Analysis
The royalty obligation was recorded at its fair value at the date at which the liability was incurred and subsequently measured at amortized cost using the effective interest rate method at each reporting date. Estimating fair value for this liability required determining the most appropriate valuation model which was dependent on its underlying terms and conditions. This estimate also required determining expected revenue from AGGRASTAT^®^ sales and an appropriate discount rate and making assumptions about them.
The acquisition payable liabilities were recorded at its fair value at the date at which the liability was incurred and subsequently measured at amortized cost using the effective interest rate method at each reporting date. Estimating fair value for these liabilities required determining an appropriate discount rate.
Contingent consideration resulting from a business combination are valued at fair value at the acquisition date as part of the business combination and subsequently fair valued as described in the business combination policy below:
Derecognition
A financial asset or, where applicable a part of a financial asset or part of a group of similar financial assets is derecognized when the contractual rights to receive cash flows from the asset have expired; or the Company has transferred its rights to receive cash flows from the asset or has assumed an obligation to pay the received cash flows in full without material delay to a third party under a ‘pass-through’ arrangement; and either (a) the Company has transferred substantially all the risks and rewards of the asset, or (b) the Company has neither transferred nor retained substantially all the risks and rewards of the asset, but has transferred control of the asset.
A financial liability is derecognized when the obligation under the liability is discharged or cancelled or expires.
When an existing financial liability is replaced by another from the same lender on substantially different terms, or the terms of an existing liability are substantially modified, such an exchange or modification is treated as a derecognition of the original liability and the recognition of a new liability, and the difference in the respective carrying amounts is recognized in the consolidated statements of net loss and comprehensive loss.
Offsetting of financial instruments
Financial assets and financial liabilities are offset, and the net amount reported in the statement of financial position if, and only if, there is a currently enforceable legal right to offset the recognized amounts and there is an intention to settle on a net basis, or to realize the assets and settle the liabilities simultaneously.
Fair value of financial instruments
Fair value is determined based on the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants. Fair value is measured using the assumptions that market participants would use when pricing an asset or liability. Typically, fair value is determined by using quoted prices in active markets for identical or similar assets or liabilities. When quoted prices in active markets are not available, fair value is determined using valuation techniques that maximize the use of observable inputs. When observable valuation inputs are not available, significant judgement is required through determining the valuation technique to apply, the valuation techniques such as discounted cash flow analysis and selecting inputs. The use of alternative valuation techniques or valuation inputs may result in a different fair value.
Transaction costs
Transaction costs for all financial instruments measured at amortized cost, the transaction costs are included in the initial measurement of the financial asset or financial liability and are amortized using the effective interest rate method over a period that corresponds with the term of the financial instruments. Transaction costs for financial instruments classified as FVTPL are recognized as an expense in professional fees, in the period the cost was incurred.
Embedded Derivatives
For financial liabilities measured at amortized cost, under certain conditions, an embedded derivative must be separated from its host contract and accounted for as a derivative. An embedded derivative causes some or all of the cash flows that otherwise would be required by the contract to be modified according to a specified interest rate, financial instrument price, commodity price, foreign exchange rate, index of prices or rates, a credit rating or credit index, or other variable, provided in the case of a non-financial variable that the variable is not specific to a party to the contract. For financial assets at FVTPL, any embedded derivatives are not separated from its host contract.
15
Management’s Discussion and Analysis
Accruals for returns, chargebacks, rebatesand discounts
As of December 31, 2021, excluding Marley Drug, the Company has three commercially available products that generated revenue for the year ended December 31, 2021, AGGRASTAT^®^, ZYPITAMAG^®^ and SNP (the “Products”) which it sells to United States customers. The Products are sold to wholesalers for resale as well as directly to hospitals and pharmacies; with AGGRASTAT^®^ and SNP primarily being sold by the wholesalers to hospitals, while ZYPITAMAG^®^ is primarily sold by wholesalers to pharmacies. Revenue from the sale of the Products is recognized upon the receipt of goods by the wholesaler, or the hospital or pharmacy in the case of a direct sale, the point in time in which title and control of the transferred goods pass from the Company to the customer. At this point in time, the customer has gained the sole ability to route the goods, and there are no unfulfilled obligations that could affect the customer’s acceptance of the goods. Delivery of the product occurs when the goods have been received at the customer in accordance with the terms of the sale.
During 2019, the Company sold ReDS^TM^medical devices directly to end users. Revenue from the sale of ReDS^TM^ was recognized upon the receipt of goods by the end user, the point in time in which title and control of the transferred goods passed from the Company to the customer. At this point in time, the customer had gained the sole ability to benefit from the product, and there was no unfulfilled obligations that could have affected the customer’s acceptance of the goods. Delivery of the product occurred when the goods had been shipped to the customer and the customer had accepted the products in accordance with the terms of the sale.
Sales are made subject to certain discounts available for prompt payment, volume discounts, rebates or chargebacks. Revenue from these sales is recognized based on the price specified per the pricing terms of the sales invoices, net of the estimated discounts, rebates or chargebacks. Variable consideration is based on historical information, using the expected value method. Revenue is only recognized to the extent that it is highly probable that a significant reversal will not occur. A liability is included within accounts payable and accrued liabilities and is measured for expected payments that will be made to the customers for the discounts in which they are entitled. Sales do not contain an element of financing as sales are made with credit terms within the normal operating cycle of the date of the invoice, which is consistent with market practice.
Through Marley Drug, the Company operates a retail pharmacy and mail order pharmacy business selling pharmaceuticals directly to end users being individual patients. Revenue for in store sales is recognized upon payment by the customer. This is the point where all performance obligations have been met in regards to the product sold. Revenue for mail order sales is recognized upon the shipment of the products to the customer, generally at the time the product is picked up from the Company’s premises by the carrier. This is the point where all performance obligations have been met in regards to the product sold.
The measurement of intangible assets
Intangible assets that are acquired separately are measured at cost less accumulated amortization and accumulated impairment losses. Subsequent expenditures are capitalized only when they increase the future economic benefits embodied in the specific asset to which they relate. All other expenditures are recognized in profit or loss as incurred.
Product licenses are amortized on a straight-line basis over the contractual term of the acquired license. Pharmacy licenses are amortized on a straight-line basis over their estimated useful life of approximately seven years. Patents and drug approvals are amortized on a straight-line basis over the legal life of the respective patent, ranging from five to twenty years, or its economic life, if shorter. Brand names are amortized on a straight-line basis over the estimated economic life of the brand name estimated at ten years. Trademarks are amortized on a straight-line basis over the legal life of the respective trademark, being ten years, or its economic life, if shorter. Customer lists are amortized on a straight-line basis over a period of seven to twelve years, or their economic life, if shorter.
Amortization on product licenses commences when the intangible asset is available for use, which would typically be in connection with the commercial launch of the associated product under the license.
Following initial recognition, intangible assets are carried at cost less accumulated amortization and accumulated impairment losses. The cost of servicing the Company's patents and trademarks are expensed as incurred.
The amortization method and amortization period of an intangible asset with a finite useful life are reviewed at least annually. Changes in the expected useful life or the expected pattern of consumption of future economic benefits embodied in the asset are accounted for by changing the amortization period or method, as appropriate, and are treated as changes in accounting estimates in the consolidated statements of net (loss) income and comprehensive (loss) income.
The measurement of the amount and assessmentof the recoverability of income tax assets
The Company and its subsidiaries are generally taxable under the statutes of their country of incorporation.
16
Management’s Discussion and Analysis
Income tax expense comprises current and deferred taxes. Current taxes and deferred taxes are recognized in profit or loss except to the extent that they relate to a business combination, or items recognized directly in equity or in other comprehensive income.
Current taxes are the expected tax receivable or payable on the taxable income or loss for the year, using tax rates enacted or substantively enacted at the reporting date, and any adjustment to tax receivable or payable in respect of previous years.
The Company follows the liability method of accounting for deferred taxes. Under this method, deferred taxes are recognized in respect of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for taxation purposes. Deferred taxes are not recognized for the following temporary differences: the initial recognition of assets or liabilities in a transaction that is not a business combination and that affects neither accounting nor taxable profit or loss, and differences relating to investments in subsidiaries and jointly controlled entities to the extent that it is probable that they will not reverse in the foreseeable future. In addition, deferred taxes are not recognized for taxable temporary differences arising on the initial recognition of goodwill. Deferred taxes are measured at the tax rates that are expected to be applied to temporary differences when they reverse, based on the tax laws that have been enacted or substantively enacted by the reporting date. Deferred tax assets and liabilities are offset if there is a legally enforceable right to offset current tax assets and liabilities, and they relate to income taxes levied by the same tax authority on the same taxable entity, or on different tax entities, but they intend to settle current tax assets and liabilities on a net basis or their tax assets and liabilities will be realized simultaneously.
A deferred tax asset is recognized for unused tax losses, tax credits and deductible temporary differences, to the extent that it is probable that future taxable profits will be available against which they can be utilized. Deferred tax assets are reviewed at each reporting date and are reduced to the extent that it is no longer probable that the related tax benefit will be realized.
The Company has provided for income taxes, including the impacts of tax legislation in various jurisdictions, in accordance with guidance issued by accounting regulatory bodies, the Canada Revenue Agency, the U.S. Internal Revenue Service, the Barbados Revenue Authority, the Mauritius Revenue Authority, as well as other state and local governments through the date of the issuance of these consolidated financial statements. Additional guidance and interpretations can be expected and such guidance, if any, could impact future results. While management continues to monitor these matters, the ultimate impact, if any, as a result of the application of any guidance issued in the future cannot be determined at this time.
The Company and its subsidiaries file federal income tax returns in Canada, the United States, Barbados and other foreign jurisdictions, as well as various provinces and states in Canada and the United States, respectively. Uncertainties exist with respect to the interpretation of complex tax regulations, changes in tax laws and the amount and timing of future taxable income. Given the Company operates within a complex structure internationally, differences arising between the actual results and the assumptions made, or future changes to such assumptions, could necessitate future adjustments to taxable income and expenses recorded. The Company establishes provisions, based on reasonable estimates, for possible consequences of audits by the tax authorities of the respective countries in which it operates. The amount of such provisions are based on various factors, such as interpretations of tax regulations by each taxable entity and the responsible tax authority. The Company and its subsidiaries have open tax years, primarily from 2011 to 2021, with significant taxing jurisdictions, including Canada, the United States and Barbados. These open years contain certain matters that could be subject to differing interpretations of applicable tax laws and regulations and tax treaties, as they relate to the amount, timing or inclusion of revenues and expenses, or the sustainability of income tax positions of the Company and its subsidiaries. Certain of these tax years may remain open indefinitely.
Such differences of interpretation may arise on a wide variety of issues, depending on the conditions prevailing in the respective company’s domicile. As the Company assesses the probability for litigation and subsequent cash outflow with respect to taxes as remote, no contingent liability has been recognized.
Tax benefits acquired as part of a business combination, but not satisfying the criteria for separate recognition at that date, would be recognized subsequently if information about facts and circumstances changed. The adjustment would either be treated as a reduction to goodwill if it occurred during the measurement period or in profit or loss, when it occurs subsequent to the measurement period.
Business combinations and goodwill
The Company adopted amendments to IFRS 3 with a date of application of January 1, 2020. The IASB issued amendments to the definition of a business in IFRS 3 to help entities determine whether an acquired set of activities and assets is a business or not. They clarify the minimum requirements for a business, remove the assessment of whether market participants are capable of replacing any missing elements, add guidance to help entities assess whether an acquired process is substantive, narrow the definitions of a business and of outputs, and introduce an optional fair value concentration test.
17
Management’s Discussion and Analysis
The amendments are applied to transactions that are either business combinations or asset acquisitions for which the acquisition date is on or after the beginning of the first annual reporting period beginning on January 1, 2020. Consequently, transactions that occurred in prior periods do not need to be reassessed.
The Company’s adoption of the amendments to IFRS 3 did not have a significant impact on the Company’s consolidated financial statements for the year ended December 31, 2021.
Business combinations are accounted for using the acquisition method. The consideration for an acquisition is measured at the fair values of the assets transferred, the liabilities assumed and the equity interests issued at the acquisition date. Transaction costs that are incurred in connection with a business combination, other than costs associated with the issuance of debt or equity securities, are expensed as incurred. Identified assets acquired and liabilities and contingent liabilities assumed are measured initially at fair values at the date of acquisition. On an acquisition-by-acquisition basis, any non-controlling interest is measured either at fair value of the non-controlling interest or at the fair value of the proportionate share of the net assets acquired.
Contingent consideration is measured at fair value on acquisition date and is included as part of the consideration transferred. The fair value of the contingent consideration liability is remeasured at each reporting date with the corresponding gain or loss being recognized in profit or loss.
Goodwill is initially measured at cost, being the excess of fair value of the cost of the business combinations over the Company’s share in the net fair value of the acquiree’s identifiable assets, liabilities and contingent liabilities. Any negative difference is recognized directly in the consolidated statements of net income and comprehensive income. If the fair values of the assets, liabilities and contingent liabilities can only be calculated on a provisional basis, the business combination is recognized using provisional values. Any adjustments resulting from the completion of the measurement process are recognized within twelve months of the date of the acquisition.
IBR used in the valuation of leases
At inception of a contract, the Company must assess whether a contract is, or contains, a lease. A contract is, or contains, a lease if the contract conveys the right to control the use of an identified asset over a period of time in exchange for consideration. The Company must assess whether the contract involves the use of an identified asset, whether it has the right to obtain substantially all of the economic benefits from the use of the asset during the term of the contract and if it has the right to direct the use of the asset. As a lessee, the Company recognizes a right-of-use asset and a lease liability at the commencement date of the lease.
Right-of-use asset
The right-of-use asset is initially measured at cost, which is comprised of the initial amount of the lease liability adjusted for any lease payments made and any initial direct costs incurred at or before the commencement date, plus any decommissioning and restoration costs, less any lease incentives received. The right-of-use asset is subsequently depreciated from the commencement date to the earlier of the end of the lease term, or the end of the useful life of the asset. In addition, the right-of-use asset may be reduced due to impairment losses, if any, and adjusted for certain re-measurements of the lease liability.
Lease liability
A lease liability is initially measured at the present value of the lease payments that are not paid at the commencement date discounted by the interest rate implicit in the lease or, if that rate cannot be readily determined, the incremental borrowing rate. The lease liability is subsequently measured at amortized cost using the effective interest method. Lease payments included in the measurement of the lease liability comprise: fixed payments; variable lease payments that depend on an index or a rate; amounts expected to be payable under any residual value guarantee; the exercise price under any purchase option that the Company would be reasonably certain to exercise; lease payments in any optional renewal period if the Company is reasonably certain to exercise an extension option; and penalties for any early termination of a lease unless the Company is reasonably certain not to terminate early. The Company has elected to not include non-lease components related to premises leases in the determination of the lease liability.
The Company has elected not to recognize right-of-use assets and lease liabilities for short-term leases that have a lease term of twelve months or less and leases of low-value assets. The lease payments associated with these leases are charged directly to income on a straight-line basis over the lease term.
18
Management’s Discussion and Analysis
Estimating the IBR
The Company cannot readily determine the interest rate implicit in its lease, therefore, it uses its IBR to measure lease liabilities. The IBR is the rate of interest that the Company would have to pay to borrow over a similar term, and with a similar security, the funds necessary to obtain an asset of a similar value to the right-of-use asset in a similar economic environment. The IBR therefore reflects what the Company would have to pay which requires estimation when no observable rates are available or when they need to be adjusted to reflect the terms and conditions of the lease. The Company estimates the IBR using observable inputs (such as market interest rates) when available and is required to make certain entity-specific estimates (such as the subsidiary’s stand-alone credit rating).
New standard not yet adopted
Amendments to International Accounting Standard(“IAS”) 1 - presentation of financial statements:
In January 2020, the IAS issued an amendment to IAS 1 Presentation of Financial Statements that clarifies the criterion for classifying a liability as non-current relating to the right to defer settlement of a liability for at least 12 months after the reporting period. The amendment applies to annual reporting periods beginning on or after January 1, 2023. The Company does not expect the amendments to have a significant impact on the consolidated financial statements upon adoption.
SELECTED FINANCIAL INFORMATION
It is important to note that historical patterns of expenditures cannot be taken as an indication of future expenditures. The amount and timing of expenditures and therefore liquidity and capital resources vary substantially from period to period depending on the results of commercial operations, development projects and/or the preclinical and clinical studies being undertaken at any one time and the availability of funding from investors and prospective commercial partners. The selected financial information provided below is derived from the Company's unaudited quarterly condensed consolidated interim financial statements for each of the last eight quarters. All information is presented under IFRS.
19
Management’s Discussion and Analysis
| (in thousands of CDN$, except per share data) | December 31, 2021 | September 30, 2021 | June 30, 2021 | March 31, 2021 | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Product sales, net | $ | 6,803 | $ | 4,919 | $ | 5,086 | $ | 4,936 | ||||
| Cost of goods sold | (3,021 | ) | (2,037 | ) | (2,047 | ) | (1,927 | ) | ||||
| Gross Profit | 3,782 | 2,882 | 3,039 | 3,009 | ||||||||
| Selling | (2,388 | ) | (2,601 | ) | (2,535 | ) | (2,788 | ) | ||||
| General and administrative | (1,003 | ) | (538 | ) | (571 | ) | (585 | ) | ||||
| Research and development | (42 | ) | (468 | ) | (705 | ) | (581 | ) | ||||
| Revaluation of contingent consideration | 1,828 | – | – | – | ||||||||
| Finance (expenses) income, net | (247 | ) | (40 | ) | (117 | ) | (121 | ) | ||||
| Foreign exchange gain (loss), net | 431 | (226 | ) | (172 | ) | (2 | ) | |||||
| Income (loss) for the period | 1,906 | (946 | ) | (639 | ) | (1,048 | ) | |||||
| Basic income (loss) per share | $ | 0.18 | $ | (0.09 | ) | $ | (0.06 | ) | $ | (0.10 | ) | |
| Diluted income (loss) per share | $ | 0.18 | $ | (0.09 | ) | $ | (0.06 | ) | $ | (0.10 | ) | |
| (in thousands of CDN$, except per share data) | December 31, 2020 | September 30, 2020 | June 30, 2020 | March 31, 2020 | ||||||||
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Product sales, net | $ | 2,375 | $ | 3,549 | $ | 2,676 | $ | 3,010 | ||||
| Cost of goods sold | (2,099 | ) | (1,363 | ) | (1,476 | ) | (1,542 | ) | ||||
| Gross Profit | 276 | 2,186 | 1,200 | 1,468 | ||||||||
| Selling | (1,396 | ) | (923 | ) | (971 | ) | (2,069 | ) | ||||
| General and administrative | (1,745 | ) | (1,264 | ) | (770 | ) | (800 | ) | ||||
| Research and development | (1,606 | ) | (737 | ) | (98 | ) | (858 | ) | ||||
| Revaluation of contingent consideration | – | – | – | – | ||||||||
| Finance income, net | 557 | (99 | ) | 380 | (73 | ) | ||||||
| Foreign exchange (loss) gain, net | (439 | ) | (210 | ) | 278 | 868 | ||||||
| (Loss) income for the period | (4,353 | ) | (1,047 | ) | 19 | (1,464 | ) | |||||
| Basic (loss) earnings per share | $ | (0.41 | ) | $ | (0.10 | ) | $ | – | $ | (0.14 | ) | |
| Diluted (loss) earnings per share | $ | (0.41 | ) | $ | (0.10 | ) | $ | – | $ | (0.14 | ) |
Net income for the three-month period ended December 31, 2021 totaled $1,906 compared to a net loss of $4,353 for the three months ended December 31, 2020. Significant variances are as follows:
| • | A $4,428 increase in product sales primarily from a full quarter of Marley Drug revenues in 2021 as well<br>as increasing ZYPITAMAG^®^revenue in 2021 compared to 2020. |
|---|---|
| • | A gain on the revaluation of the contingent consideration pertaining to the Marley Drug acquisition which<br>totaled $1,828. |
| --- | --- |
| • | A decrease in general and administration expenses of $742 primarily due to lower legal costs associated<br>with the Company’s patent challenge, which was settled in the fourth quarter of 2020, lower professional fees as a result of the<br>Marley Drug acquisition in the fourth quarter of 2020 and cost reductions implemented by the Company during 2021. |
| --- | --- |
| • | A decrease of $1,564 in research and developments expenses primarily as a result of the timing of research<br>and development expenditures resulting in the timing of each development project. |
| --- | --- |
Partially offset by:
| • | An increase of $992 in selling expenses primarily from a full quarter of Marley Drug operations during<br>the three months ended December 31, 2021. |
|---|---|
| • | Higher cost of goods of $922 as a result of significant inventory write-down of $1.2 million pertaining<br>to expiring AGGRASTAT^®^ inventory recorded during the three months ended December 31, 2021 |
| --- | --- |
20
Management’s Discussion and Analysis
RESULTS OF OPERATIONS
Revenue
The change in revenue for the years ended December 31, 2021 and 2020 is reflected in the following table:
| (in thousands of CDN $) | 2021 | 2020 | Increase/(Decrease) | ||||
|---|---|---|---|---|---|---|---|
| AGGRASTAT^®^ revenue, net | $ | 11,570 | $ | 10,606 | $ | 964 | |
| ZYPITAMAG^®^revenue, net | 3,170 | 453 | 2,717 | ||||
| SNP revenue, net | 59 | 116 | (57 | ) | |||
| Marley Drug revenue, net | 6,945 | 340 | 6,605 | ||||
| ReDS^TM^revenue, net | – | 95 | (95 | ) | |||
| $ | 21,744 | $ | 11,610 | $ | 10,134 |
Net AGGRASTAT^®^ product sales for year ended December 31, 2021 were $11,570 compared to $10,606 during the year ended December 31, 2020.
The Company primarily sells finished AGGRASTAT^®^ to drug wholesalers. These wholesalers subsequently sell AGGRASTAT^®^ to hospitals where health care providers administer the drug to patients. Wholesaler management decisions to increase or decrease their inventory of AGGRASTAT^®^ may result in sales of AGGRASTAT^®^ to wholesalers that do not track directly with demand for the product at hospitals. The Company has set up a portal called Medicure Direct to market the Company’s branded and generic products directly to hospitals and pharmacies with initial sales occurring in the fourth quarter of 2020 through this initiative.
Hospital demand for AGGRASTAT^®^ has been stable during 2021 when compared to the prior year, and the number of hospital customers using AGGRASTAT^®^ continued to remain strong leading to patient market share held by the product of approximately 65% as of March 31, 2022. The Company's commercial team continues to work on expanding its customer base, however this continued increase in the customer base for AGGRASTAT^®^ has not directly resulted in corresponding revenue increases as the Company continues to face increased competition resulting from further genericizing of the Integrilin market which has created pricing pressures on AGGRASTAT^®^ combined with lower hospital demand for the product, including a reduction in procedures being performed as a result of COVID 19. The Company continues to expect strong patient market share despite reduced revenue from the AGGRASTAT^®^ brand and diversifying revenues away from a single product became increasingly important to the Company.
All of the Company’s sales are denominated in U.S. dollars and the U.S. dollar increased in value against the Canadian dollar during the year ended December 31, 2021 when compared to the year ended December 31, 2020. This led to increased AGGRASTAT^®^ revenues, offsetting the increasing price pressures facing AGGRASTAT^®^ when comparing the two periods, offset by increased demand.
Net ZYPITAMAG^®^ product sales for year ended December 31, 2021 were $3,170 compared to $453 for the year ended December 31, 2020.
The Company sells ZYPITAMAG^®^ through its e-commerce and mail order pharmacy business in all 50 U.S. states through Marley Drug and to drug wholesalers. These wholesalers subsequently sell ZYPITAMAG^®^to pharmacies who in turn sell the product to patients. The growth in revenues in 2021 is a direct result of the acquisition of Marley Drug near the end of 2020 as the Company immediately began selling the product through the Marley Drug pharmacy business. The Company expects ZYPITAMAG^®^ revenues to grow throughout 2022 and beyond.
Net SNP product sales for year ended December 31, 2021 were $59 compared to $116 for the year ended December 31, 2020. The Company primarily sells finished SNP to drug wholesalers. These wholesalers subsequently sell SNP to hospitals where health care providers administer the drug to patients. Wholesaler management decisions to increase or decrease their inventory of SNP may result in sales of SNP to wholesalers that do not track directly with demand for the product at hospitals. The Company has set up a portal called Medicure Direct to market the Company’s branded and generic products directly to hospitals and pharmacies.
21
Management’s Discussion and Analysis
As a result of the acquisition of Marley Drug, which was completed on December 17, 2020, the Company recorded revenue of $6,945 for the year ended December 31, 2021 compared to revenue of $340 during the year ended December 31, 2020 pertaining to the Marley Drug in store and mail order pharmaceutical business. The increase in revenue at Marley Drug for the year ended December 31, 2021 is the result of the Company owing the business for the full 2021 year compared to only a two week period of ownership for the year ended December 31, 2020. Marley Drug sells pharmaceutical and over the counter products directly to patients in a retail setting and has a strong mail order business throughout all 50 states in the United States. In 2022, the Company launched the Marley Drug e-commerce site and will be focusing on attracting new customers to the site to bolster its Marley Drug pharmacy business.
During the year ended December 31, 2020, ReDS^TM^ contributed revenue of $95 from the sale of the product in the United States. On August 20, 2020, the Company announced the termination of the marketing and distribution agreement with Sensible for the marketing of the ReDS Pro device in the United States. In connection with the termination, Sensible and the Company have entered into a transition agreement which provides additional compensation to the Company for sales to customer leads provided by the Company.
Cost of goods sold
The change in cost of goods sold for the year ended December 31, 2021 and 2020 is reflected in the following table:
| (in thousands of CDN $) | 2021 | 2020 | Increase/(Decrease) | ||||
|---|---|---|---|---|---|---|---|
| AGGRASTAT^®^ | $ | 4,180 | $ | 3,045 | $ | 1,135 | |
| ZYPITAMAG^®^ | 2,379 | 2,807 | (428 | ) | |||
| SNP | 59 | 524 | (465 | ) | |||
| Marley Drug | 2,414 | 104 | 2,310 | ||||
| $ | 9,032 | $ | 6,480 | $ | 2,552 |
Cost of goods sold represents direct product costs associated with AGGRASTAT^®^, ZYPITAMAG^®^, and SNP, including write-downs for obsolete inventory, amortization of the related intangible assets and royalties paid on ZYPITAMAG^®^. Additionally, following the acquisition of Marley Drug, cost of goods sold includes direct product costs associated with the sale of products through the Marley Drug business.
AGGRASTAT^®^ cost of goods sold for the year ended December 31, 2021 were $4,180 compared to $3,045 for the year ended December 31, 2020. AGGRASTAT^®^ cost of goods sold for the year ended December 31, 2021 included $3,007 relating to product sold to customers and $1,173 relating to a write-down of expired inventory, while the cost of goods sold for the year ended December 31, 2020 consisted of only the cost of product sold to customers. The increase in cost of goods sold is the result of the write-down of expired inventory during the year ended December 31, 2021. Excluding this write-down, cost of goods sold remained consistent between the two years.
ZYPITAMAG^®^ cost of goods sold for year ended December 31, 2021 totaled $2,379 and includes $311 relating to product sold to the Company’s customers, $1,841 from amortization of the ZYPITAMAG^®^ intangible assets, $165 relating to a write-down of expired inventory and $62 relating to royalties on the sale of ZYPITAMAG^®^. This compares to ZYPITAMAG^®^ cost of goods sold for the year ended December 31, 2020 of $2,807 which was the result of $89 relating to product sold to the Company’s wholesale customers, $2,429 relating to amortization of the ZYPITAMAG^®^ license, $274 relating to a write-down of expired inventory and $15 relating to royalties on the sale of ZYPITAMAG^®^. The decrease in cost of goods sold between 2021 and 2020 is the result of lower amortization of the Company’s intangible assets relating to ZYPITAMAG^®^and lower write-downs of expired inventory, partially offset by a significantly higher volume of product sold during 2021. The decrease in amortization is as a result of a prospective change in the useful life of the ZYPITAMAG^®^intangible assets. The initial amortization period pertaining to the ZYPITAMAG^®^ intangible assets was 4.3 years. During the year-ended December 31, 2021, management applied a prospective change to the amortization period of ZYPITAMAG^®^ to extend the amortization period of the asset by 7 years, with the remaining amortization period being 9.1 years as at December 31, 2021.
The cost of goods sold related to SNP totaled $59 for the year ended December 31, 2021 compared to $524 for the year ended December 31, 2020. For year ended December 31, 2021, the cost of goods sold totaling $59 related to product sold to the Company’s customers. For year ended December 31, 2020, the cost of goods sold totaling $116 related to product sold to the Company’s customers as well as an impairment loss on the write-down of inventory of $408 as a result of reduced selling prices for the product experienced in the market pertaining to SNP relating to inventory.
22
Management’s Discussion and Analysis
The cost of goods sold related to the Marley Drug business totaled $2,414 for the year ended December 31, 2021. As a result of the acquisition of Marley Drug, which was completed on December 17, 2020, the Company recorded cost of goods sold of $104 during the year ended December 31, 2020 pertaining to the cost of products sold by Marley Drug’s in store and mail order pharmaceutical business. The increase in cost of goods sold at Marley Drug for the year ended December 31, 2021 is the result of the Company owing the business for the full 2021 year compared to only a two week period of ownership for the year ended December 31, 2020.
Selling
Selling expenses include salaries and related costs for those employees involved in the commercial operations of the Company, as well as costs associated with marketing, promotion, distribution of the Company’s products as well as market access activities and other commercial activities. The expenditures are required to support sales and marketing efforts of AGGRASTAT^®^, ZYPITAMAG^®^, ReDS^TM^ and SNP and beginning on December 17, 2020, costs pertaining to the Marley Drug business.
The changes in selling expenditures for the year ended December 31, 2021 and 2020 is reflected in the following table:
| (in thousands of CDN $) | 2021 | 2020 | Increase/(Decrease) | |||
|---|---|---|---|---|---|---|
| Selling | $ | 10,312 | $ | 5,359 | $ | 4,953 |
Selling expenses for the year ended December 31, 2021 were $10,312 compared to $5,359 for the year ended December 31, 2020.
Commercial sales expenses, excluding costs pertaining to the Marley Drug business, remained consistent for the year ended December 31, 2021 as compared to the prior year. The increase in selling expenses is as a result of the Company owning and operating the Marley Drug business for the full year in 2021 compared to a two week period during 2020.
General and administrative
General and administrative expenses include the cost of administrative salaries, ongoing business development and corporate stewardship activities and professional fees such as legal, audit, investor and public relations.
The changes in general and administrative expenditures for the year ended December 31, 2021 and 2020 is reflected in the following table:
| (in thousands of CDN $) | 2021 | 2020 | Increase/(Decrease) | ||||
|---|---|---|---|---|---|---|---|
| General and administrative | $ | 2,697 | $ | 4,579 | $ | (1,882 | ) |
General and administrative expenses for the year ended December 31, 2021 were $2,697 compared to $4,579 for the year ended December 31, 2020.
The decrease in general and administration expenses during the year ended December 31, 2021 when compared to the year ended December 31, 2020 is primarily related to lower legal costs associated with the Company’s patent challenge, which was settled in the fourth quarter of 2020, lower professional fees as a result of the Marley Drug acquisition in the fourth quarter of 2020 and cost reductions implemented by the Company during 2021.
During the year ended December 31, 2021, the Company recorded $402 (2020 - $860) in government assistance resulting from the Canada Emergency Wage Subsidy. The funding has been recorded as a reduction of the related salary expenditures within general and administrative expenses for the year ended December 31, 2021.
Research and Development
Research and development expenditures include costs associated with the Company’s clinical development and preclinical programs including salaries, monitoring and other research costs. The Company expenses all research costs and has not had any development costs that meet the criteria for capitalization under IFRS. Prepaid research and development costs represent advance payments under contractual arrangements for clinical activity outsourced to research centers.
23
Management’s Discussion and Analysis
The change in research and development expenditures for the year ended December 31, 2021 and 2020 is reflected in the following table:
| (in thousands of CDN $) | 2021 | 2020 | Increase/(Decrease) | ||||
|---|---|---|---|---|---|---|---|
| Research and development | $ | 1,796 | $ | 3,299 | $ | (1,503 | ) |
Net research and development expenditures for the year ended December 31, 2021 totaled $1,796 compared to $3,299 for the year ended December 31, 2020. Research and development expenditures include costs associated with the Company’s on-going AGGRASTAT^®^ development, clinical development and preclinical programs including salaries, research centered costs and monitoring costs, as well as research and development costs associated with the development projects being undertaken to develop additional cardiovascular products.
The decrease experienced during the year ended December 31, 2021 when compared to the year ended December 31, 2020 is primarily the result of the timing of research and development expenditures relating to each development project and a declining research and development budget. The Company’s research and development activities for the year ended December 31, 2021 primarily pertain to the MC-1 or P5P development project.
Revaluation of Continent Consideration
The change in the revaluation of continent consideration for the years ended December 31, 2021 and 2020 is reflected in the following table:
| (in thousands of CDN $) | 2021 | 2020 | Increase/(Decrease) | |||
|---|---|---|---|---|---|---|
| Revaluation of contingent <br>consideration | $ | 1,828 | $ | – | $ | 1,828 |
During the year ended December 31, 2021, the Company recorded a gain on the revaluation of the contingent consideration pertaining to the Marley Drug acquisition which totaled $1,828.
Finance expense (Income), Net
The change in finance expense (income), net for the year ended December 31, 2021 and 2020 is reflected in the following table:
| (in thousands of CDN $) | 2021 | 2020 | Increase/(Decrease) | ||||
|---|---|---|---|---|---|---|---|
| Finance (income) expense, net | $ | 525 | $ | (765 | ) | $ | 1,290 |
The finance expense for the year ended December 31, 2021 totaled $525 and primarily relates to remeasurement of the Company’s AGGRASTAT^®^ royalty obligation of $262 and accretion on the ZYPITAMAG^®^ acquisition payable of $273. For the year ended December 31, 2020, the Company recorded finance income of $765 as a result of a recovery on the remeasurement of the Company’s AGGRASTAT^®^ royalty obligation of $953, partially offset by accretion on the ZYPITAMAG^®^ acquisition payable.
Foreign Exchange Gain, Net
The change in foreign exchange gain, net for the year ended December 31, 2021 and 2020 is reflected in the following table:
| (in thousands of CDN $) | 2021 | 2020 | Increase/(Decrease) | |||||
|---|---|---|---|---|---|---|---|---|
| Foreign exchange gain, net | $ | (31 | ) | $ | (497 | ) | $ | 466 |
The foreign exchange gain of $31 for the year ended December 31, 2021 compares to $497 for the year ended December 31, 2020. The changes to foreign exchange gains and losses results from changes in the US dollar exchange rate during the respective periods, which led to the foreign exchange gains and losses as it applies to the significant US dollar cash balances held by the Company as at the end of both periods.
24
Management’s Discussion and Analysis
Loss and comprehensive loss
The consolidated net loss and comprehensive loss for the year ended December 31, 2021 and 2020 is reflected in the following table:
| (in thousands of CDN $) | 2021 | 2020 | Increase <br>(Decrease) | ||||||
|---|---|---|---|---|---|---|---|---|---|
| (Loss) Income for the period | $ | (727 | ) | $ | (6,845 | ) | $ | (6,135 | ) |
| Comprehensive (loss) income for the period | $ | (870 | ) | $ | (7,591 | ) | $ | (6,738 | ) |
| Basic (loss) earnings per share | $ | (0.07 | ) | $ | (0.64 | ) | $ | (0.57 | ) |
| Diluted (loss) earnings per share | $ | (0.07 | ) | $ | (0.64 | ) | $ | (0.57 | ) |
For the year ended December 31, 2021, the Company recorded a net loss of $727 or $0.07 per share ($0.07 per share diluted) compared to $6,845 or $0.64 per share ($0.64 per share diluted) for the year ended December 31, 2020.
As discussed above, the main factors contributing to the reduction in the net loss were the increased revenues as a result of the operations of Marley Drug being included for the full 2021 year compared to a two week period in 2020, increased ZYPITAMAG^®^revenue, reduced general and administrative and research and development expenses and the gain on the revaluation of the contingent consideration pertaining to the Marley Drug acquisition, partially offset by higher cost of goods sold and selling expenses as a result of the full year of Marley Drug operation.
For the year ended December 31, 2021, the Company recorded a total comprehensive loss of $870 compared to $7,591 for the year ended December 31, 2020. The change in comprehensive loss results from the factors described above as well as fluctuations in the US dollar exchange rate during the periods.
The weighted average number of common shares outstanding used to calculate basic and diluted loss per share for the year ended December 31, 2021 was 10,251,313. The weighted average number of common shares outstanding used to calculate basic and diluted loss per share for the year ended December 31, 2020 was 10,686,041.
As at December 31, 2021, the Company had 10,251,313 common shares outstanding and 807,150 stock options, of which 706,750 were exercisable, to purchase common shares outstanding.
As at April 27, 2022, the Company had 10,251,313 common shares outstanding and 807,150 stock options, of which 706,750 were exercisable, to purchase common shares outstanding.
Earnings before interest, taxes, depreciationand amortization (EBITDA)
The Company defines EBITDA as "earnings before interest, taxes, depreciation, amortization and other income or expense" and Adjusted EBITDA as “EBITDA adjusted for non-cash and non-recurring items”. The terms "EBITDA" and “Adjusted EBITDA”, as it relates to the years ended December 31, 2021 and 2020 results prepared using IFRS, do not have any standardized meaning according to IFRS. It is therefore unlikely to be comparable to similar measures presented by other companies. EBITDA and Adjusted EBITDA for the years ended December 31, 2021 and 2020 is reflected in the following table:
| (in thousands of CDN $) | 2021 | 2020 | Increase<br> (decrease) | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Operating loss | $ | (2,093 | ) | $ | (8,107 | ) | $ | 6,014 | |
| Add: amortization | 3,132 | 2,773 | 359 | ||||||
| EBITDA | $ | 1,039 | $ | (5,334 | ) | $ | 6,373 | ||
| Add: | |||||||||
| Stock-based compensation | 136 | 317 | (181 | ) | |||||
| Transaction fees - Marley Drug acquisition | 125 | 421 | (296 | ) | |||||
| Recovery of research and development expenses | (491 | ) | (491 | ) | |||||
| Write-down of inventory | 1,339 | 682 | 657 | ||||||
| Adjusted EBITDA | $ | 2,148 | $ | (3,914 | ) | $ | 6,062 |
25
Management’s Discussion and Analysis
EBITDA for the year ended December 31, 2021 was $1,039 compared to EBITDA of ($5,334) for the year ended December 31, 2020. Adjusted EBITDA for the year ended December 31, 2021 was $2,148 compared to adjusted EBITDA of ($3,914) for the year ended December 31, 2020, As discussed above the main factors contributing to the change in EBITDA for the year ended December 31, 2021 were increased revenues as a result of the operations of Marley Drug being included for the full 2021 year compared to a two week period in 2020, increased ZYPITAMAG^®^revenue and reduced general and administrative and research and development expenses, partially offset by higher cost of goods sold and selling expenses as a result of the full year of Marley Drug operation.
LIQUIDITY AND CAPITAL RESOURCES
Since the Company’s inception, it has financed operations primarily through the net revenue received from the sale of its commercial products, the sale of its equity securities, the issuance and subsequent exercises of warrants and stock options, interest on excess funds held and the issuance of debt.
On October 3, 2017, the Company announced the completion of the Apicore Sale Transaction to the Buyer. Under the Apicore Sale Transaction, the Company received net proceeds of approximately US$105,000 of which approximately US$55,000 was received on October 3, 2017, with the remainder received in early 2018. There is also a holdback receivable of US$10,000 that was due in 2019. These funds received and yet to be received by the Company were after payment of all transaction costs, the compensation paid to holders of Apicore’s employee stock options, the redemption of the remaining shares of Apicore not owned by Medicure and other adjustments.
On February 1, 2018, the Company announced that it had received the deferred purchase price proceeds of approximately US$50,000 from the Buyer as a result of the Apicore Sale Transaction. The US$50,000 was included in the total net proceeds of US$105,000 described earlier. The Company did not receive any contingent payments based on an earn out formula as certain financial results within the Apicore business were not met following the Apicore Sale Transaction.
On December 5, 2019, the Company announced that it had reached a settlement agreement with the purchaser of the Company’s interests in Apicore with respect to the amounts heldback under the Apicore sale agreement. A settlement agreement was reached under which Medicure received a net payment of US$5,100 in relation to the holdback receivable.
The funds received from the Apicore sales transaction were invested and used for business and product development purposes and to fund operations as needed as well as funding the purchase of common shares under the SIB completed by the Company in December of 2019.
Cash from operating activities for the year ended December 31, 2021 was $3,989 compared to cash used in operating activities of $2,240 for the year ended December 31, 2020. The improvement in cash from operating activities is primarily due to the decreased net loss incurred during the year ended December 31, 2021 compared to 2020.
Cash used in or from investing activities for the year ended December 31, 2021was $2,694 compared to $7,240 for the year ended December 31, 2020. The cash used in investing activities for the year ended December 31, 2021 related to payments of the holdback payable from the Marley Drug transaction totaling $1,876, acquisitions of property and equipment totaling $378 and $441 relating to the acquisition of intangible assets consisting of investing in the Marley Drug e-commerce platform. The cash used in investing activities for the year ended December 31, 2020 primarily related to the acquisition of Marley Drug, which total $7,238.
Cash used in financing activities for the year ended December 31, 2021 totaled $316 compared to $766 for the year ended December 31, 2020. The cash used in financing activities for the year ended December 31, 2021 related to repayments of the Company’s lease liabilities. The cash used in financing activities for the year ended December 31, 2020 related to cash paid to acquire the Company’s common shares under its normal course issuer bid of $522 and $244 related to repayments of the Company’s lease liabilities.
As at December 31, 2021, the Company had unrestricted cash totaling $3,694 compared to $2,716 as of December 31, 2020. As at December 31, 2021, the Company had working capital of $4,042 compared to $3,366 as at December 31, 2020.
The Company did not purchase and cancel any of its own securities during the year ended December 31, 2021.
On June 29, 2020, the Company announced that the TSX-V accepted the Company's notice of its intention to make a normal course issuer bid (the "2020 NCIB"). Under the terms of the 2020 NCIB, the Company may acquire up to an aggregate of 533,116 common shares, representing five percent of the common shares outstanding at the time of the application, over the twelve-month period that the 2020 NCIB was in place. The 2020 NCIB commenced on June 30, 2020 and will end on June 29, 2021, or on such earlier date as the Company may complete its maximum purchases allowed under the 2020 NCIB.
26
Management’s Discussion and Analysis
During the year ended December 31, 2020, the Company repurchased and cancelled 552,700 (2019 - 751,800), common shares as a result of the 2019 NCIB and 2020 NCIB. The aggregate price paid for these common shares totaled $522 (2019 - $4,145). During the year ended December 31, 2020 the Company recorded $3,925 (2019 - $1,810) directly in its deficit representing the difference between the aggregate price paid for these common shares and a reduction of the Company’s share capital totaling $4,447 (2019 - $5,955).
The Company acquired long-term debt of $353, with a fair value of nil, as at acquisition, as part of its acquisition of Marley Drug which was expected to be forgiven in 2021. The Company heldback funds to settle this debt as part of the purchase in the event it was not forgiven. The debt was forgiven in January of 2021 and the offsetting holdback was released. The Company did not have any long-term debt recorded in its consolidated financial statements as at December 31, 2021.
CONTRACTUAL OBLIGATIONS
As at December 31, 2021, in the normal course of business, the Company has obligations to make future payments, representing contracts and other commitments that are known and committed as follows:
| Contractual Obligations Payment Due by Period | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (in thousands of CDN$) | Total | 2022 | 2023 | 2024 | 2025 | 2026 | Thereafter | |||||||
| Accounts Payable and Accrued Liabilities | $ | 6,669 | $ | 6,669 | $ | – | $ | – | $ | – | $ | – | $ | – |
| Income Taxes Payable | 114 | 114 | – | – | – | – | – | |||||||
| Lease Obligation | 1,262 | 330 | 331 | 333 | 136 | 99 | 33 | |||||||
| Acquisition Payable | 1,225 | 634 | 591 | – | – | – | – | |||||||
| Contingent consideration | 333 | 293 | 40 | – | – | – | – | |||||||
| Purchase Agreement Commitments | 2,259 | 1,879 | 190 | 190 | – | – | – | |||||||
| Total | $ | 11,862 | $ | 9,919 | $ | 1,152 | $ | 523 | $ | 136 | $ | 99 | $ | 33 |
Payments in connection with the Company’s royalty obligation, as described below, are excluded from the table above.
Commitments
The Company has entered into a manufacturing and supply agreement to purchase a minimum quantity of AGGRASTAT® unfinished product inventory totaling US$150 annually (based on current pricing) until 2024 and a minimum quantity of AGGRASTAT® finished product inventory totaling US$225 annually (based on current pricing) until 2022 and #eu#490 annually (based on current pricing) until 2022.
Subsequent to December 31, 2021 and effective January 1, 2022, the Company renewed its business and administration services agreement with GVI, as described in note 18(b), under which the Company is committed to pay $7 per month or $85 per year for a one-year term.
Contracts with contract research organizations are payable over the terms of the associated agreements and clinical trials and timing of payments is largely dependent on various milestones being met, such as the number of patients recruited, number of monitoring visits conducted, the completion of certain data management activities, trial completion, and other trial related activities.
On October 31, 2017, the Company acquired an exclusive license to sell and market PREXXARTAN® (valsartan) oral solution in the United States and its territories with a seven-year term, with extensions to the term available, which had been granted tentative approval by the U.S. Food and Drug Administration (“FDA”), and which was converted to final approval during 2017. The Company acquired the exclusive license rights for an upfront payment of US$100, with an additional US$400 payable on final FDA approval and will be obligated to pay royalties and milestone payments from the net revenues of PREXXARTAN®. The US$400 payment was on hold pending resolution of a dispute between the licensor and the third-party manufacturer of PREXXARTAN® and was recorded within accounts payable and accrued liabilities on the consolidated statements of financial position. Due to a breach in the contract by counterparty, the Company terminated the contract and recorded a reversal of the US$400 that was recorded in accounts payable and accrued liabilities. As a result a recovery of $491 was recorded with other income on the statement of net loss and comprehensive loss for the year ended December 31, 2021.
27
Management’s Discussion and Analysis
The Company periodically enters into research agreements with third parties that include indemnification provisions customary in the industry. These guarantees generally require the Company to compensate the other party for certain damages and costs incurred as a result of claims arising from research and development activities undertaken on behalf of the Company. In some cases, the maximum potential amount of future payments that could be required under these indemnification provisions could be unlimited. These indemnification provisions generally survive termination of the underlying agreement. The nature of the indemnification obligations prevents the Company from making a reasonable estimate of the maximum potential amount it could be required to pay. Historically, the Company has not made any indemnification payments under such agreements and no amount has been accrued in the consolidated financial statements with respect to these indemnification obligations.
As a part of the Birmingham debt settlement described in note 12 to the consolidated financial statements, beginning on July 18, 2011, the Company is obligated to pay a royalty to Birmingham based on future commercial AGGRASTAT® sales until 2023. The royalty is based on 4% of the first $2,000 of quarterly AGGRASTAT® sales, 6% on the portion of quarterly sales between $2,000 and $4,000 and 8% on the portion of quarterly sales exceeding $4,000 payable within 60 days of the end of the preceding three-month periods ended February 28, May 31, August 31 and November 30. Birmingham has a one-time option to switch the royalty payment from AGGRASTAT® to a royalty on the sale of MC-1. Management has determined there is no value to the option to switch the royalty to MC-1 as the product is not commercially available for sale and the extended long-term development timeline associated with commercialization of the product. Royalties for the year ended December 31, 2021 totaled $464 (2020
- $441; 2019 - $1,023) with payments made during the year ended December 31, 2021 of $99 (2020 - $326; 2019 - $1,355).
Beginning with the acquisition of ZYPITAMAG®, completed in September 2019, the Company is obligated to pay royalties on any commercial net sales of ZYPITAMAG® to Zydus subsequent to the acquisition date. During the year ended December 31, 2021, the Company expensed $62 (2020 - $15, 2019 - $2) in royalties in regards to ZYPITAMAG® which is recorded within cost of goods sold on the statement of net loss and comprehensive loss and had $72 (2020 - $10) recorded within accounts payable and accrued liabilities on the statement of financial position as at December 31, 2021.
In the normal course of business, the Company may from time to time be subject to various claims or possible claims. Although management currently believes there are no claims or possible claims that if resolved would either individually or collectively result in a material adverse impact on the Company’s financial position, results of operations, or cash flows, these matters are inherently uncertain and management’s view of these matters may change in the future.
During 2015, the Company began a development project of a cardiovascular generic drug in collaboration with Apicore. The Company has entered into a supply and development agreement under which the Company holds all commercial rights to the drug. In connection with this project, the Company is obligated to pay Apicore 50% of net profit from the sale of this drug. On August 13, 2018, the Company announced that the FDA has approved its ANDA for SNP, a generic intravenous cardiovascular product and the product became available commercially during the third quarter of 2019. To date, no amounts are due and/or payable pertaining to profit sharing on this product.
FINANCIAL INSTRUMENTS
The Company is exposed to market risks related to changes in interest rates and foreign currency exchange rates. The carrying values of current monetary assets and liabilities approximate their fair values due to their relatively short periods to maturity. The royalty obligation and acquisition payable were recorded at their fair values at the date at which the liabilities were incurred and subsequently revalued using the effective interest method at each reporting date. Based on the cash and cash equivalent balances held by the Company at December 31, 2021, its results of operations or cash flows could be affected by a sudden change in market interest rates. Based on the Company’s exposures as at December 31, 2021, assuming that all other variables remain constant, a 1% appreciation or deterioration in interest rates would result in a corresponding increase or decrease, respectively on the Company's net loss of approximately $37 (2020 - $27).
The Company has not entered into any futures or forward contracts as at December 31, 2021. The Company is exposed to foreign exchange rate changes that could have a material impact on the Company’s results. Foreign exchange risk is the risk that the fair value of future cash flows for financial instruments will fluctuate because of changes in foreign exchange rates. The Company is exposed to currency risks primarily due to its U.S dollar denominated cash and cash equivalents, restricted cash, accounts receivable, other assets, accounts payable and accrued liabilities, holdback payable, income taxes payable, royalty obligation, acquisition payable, contingent consideration and lease obligations. The Company has not entered into any foreign exchange hedging contracts.
The Company is exposed to U.S. dollar currency risk through the following U.S. denominated monetary financial assets and liabilities:
28
Management’s Discussion and Analysis
| (Expressed in U.S. Dollars) | December 31, 2021 | December 31, 2020 | ||||
|---|---|---|---|---|---|---|
| Cash and cash equivalents | $ | 2,854 | $ | 1,758 | ||
| Restricted cash | 2 | 1,095 | ||||
| Accounts receivable | 3,657 | 4,032 | ||||
| Other assets | 45 | 123 | ||||
| Accounts payable and accrued liabilities | (3,669 | ) | (4,698 | ) | ||
| Current portion of royalty obligation | (334 | ) | (284 | ) | ||
| Current portion of acquisition payable | (500 | ) | (500 | ) | ||
| Holdback payable | – | (1,473 | ) | |||
| Current portion of contingent consideration | (231 | ) | (1,512 | ) | ||
| Income taxes payable | (114 | ) | (129 | ) | ||
| Current portion of lease obligation | (80 | ) | (77 | ) | ||
| Royalty obligation | (51 | ) | (263 | ) | ||
| Acquisition payable | (466 | ) | (889 | ) | ||
| Contingent consideration | (32 | ) | (40 | ) | ||
| Lease obligation | (291 | ) | (354 | ) | ||
| $ | 790 | $ | (3,211 | ) |
Based on the above net exposures as at December 31, 2021, assuming that all other variables remain constant, a 5% appreciation or deterioration of the Canadian dollar against the U.S. dollar would result in a corresponding increase or decrease, respectively, on the Company's net loss of approximately $64 (2020 - $205).
The Company is also exposed to currency risk on the Euro and had an accounts payable balance of #eu#982,555 at December 31, 2021. Based on that exposure, as at December 31, 2021, assuming that all other variables remain constant, a 5% appreciation or deterioration of the Canadian dollar against the Euro would result in an increase or decrease, respectively, of $71 on the Company’s net loss. As at December 31, 2020, the Company had a nominal balance of payables denominated in Euros and assuming that all other variables remained constant, a 5% appreciation or deterioration of the Canadian dollar against the U.S. dollar would not have had a material impact on the Company's net loss.
RELATED PARTY TRANSACTIONS
Directors and key management personnel control 26% of the voting shares of the Company as at December 31, 2021 (2020 - 25%).
During the year ended December 31, 2021 the Company paid GVI, a company controlled by the Chief Executive Officer, a total of $85 (2020 - $85; 2019 - $85) for business administration services, $238 (2020 - $238; 2019 - $295) in rental costs and $34 (2020 - $37; 2019 - $47) for information technology support services. As described in note 17(a), the business administration services summarized above are provided to the Company through a consulting agreement with GVI.
Clinical research services are provided through a consulting agreement with GVI Clinical Development Solutions Inc. ("GVI CDS"), a company controlled by the Chief Executive Officer. Pharmacovigilance and safety, regulatory support, quality control and clinical support are provided to the Company through the GVI CDS agreement. During the year ended December 31, 2021, the Company paid GVI CDS $315 (2020 - $202; 2019 - $406) for clinical research services.
Research and development services are provided through a consulting agreement with CanAm Bioresearch Inc. ("CanAm"), a company controlled by a close family member of the President and Chief Executive Officer. During the year ended December 31, 2021, the Company paid CanAm $9 (2020 - $7; 2019 - $133) for research and development services.
These transactions have been measured at the exchange amount, which is the amount of consideration established and agreed to by the related parties.
As at December 31, 2021, included in accounts payable and accrued liabilities is $48 (2020 - $56) payable to GVI, $61 (2020 - $99) payable to GVI CDS, and nil (2020 - $7) payable to CanAm. These amounts are unsecured, payable on demand and non-interest bearing.
29
Management’s Discussion and Analysis
OFF-BALANCE SHEET ARRANGEMENTS
The Company does not have any off-balance sheet arrangements other than as discussed above.
CONTROLS
The Company is not required to certify on the design and evaluation of the Company's Disclosure Controls and Procedures (“DC&P”) and Internal Controls over Financial Reporting (“ICFR”) under Canadian securities requirements. However, the Company is required to certify for the Securities Exchange Commission. Information can be found in the Company's Annual Report on Form 20-F for the year ended December 31, 2021.
RISKS AND UNCERTAINTIES
Risks and uncertainties relating to the Company and its business can be found in the “Risk Factors” section of its Annual Report on Form 20-F for the year ended December 31, 2021, which can be obtained on SEDAR (www.sedar.com) and are not discussed extensively here.
Disease outbreaks may negatively impact the performance of the Company. A local, regional, national or international outbreak of a contagious disease, including the COVID-19 coronavirus, Middle East Respiratory Syndrome, Severe Acute Respiratory Syndrome, H1N1 influenza virus, avian flu or any other similar illness, could interrupt supplies and other services from third parties upon which the Company relies (including contract manufacturers, marketing and transportation and logistics providers), decrease demand for our products, decrease the general willingness of the general population to travel, cause staff shortages, reduced customer demand, and increased government regulation, all of which may materially and negatively impact the business, financial condition and results of operations of the Company. In particular, if the current outbreak of the COVID-19 coronavirus continues or increases in severity, the Company could experience difficulty in executing it strategic plans and the marketing, sales, production, logistics and distribution of its products could be severely disrupted. These events could materially and adversely affect the Company’s business and could have a material adverse effect on the Company’s liquidity and its financial results.
While the Company’s approved product portfolio has grown to AGGRASTAT^®^, ZYPITAMAG^®^ and SNP, as well as the Marley Drug business, the Company still has products that are currently in the research and development stages. The Company may never develop another commercially viable drug product approved for marketing. To obtain regulatory approvals for its products and to achieve commercial success, human clinical trials must demonstrate that the new chemical entities are safe for human use and that they show efficacy, and generic drug products under development need to show analytical equivalence and /or bioequivalence to the referenced product on the market. Unsatisfactory results obtained from a particular study or clinical trial relating to one or more of the Company’s products may cause the Company to reduce or abandon its commitment to that program.
If the Company fails to successfully complete its development projects, it will not obtain approval from the FDA and other international regulatory agencies, to market its these products. Regulatory approvals also may be subject to conditions that could limit the market its products can be sold in or make either products more difficult or expensive to sell than anticipated. Also, regulatory approvals may be revoked at any time for various reasons, including for failure to comply with regulatory requirements or poor performance of its products in terms of safety and effectiveness.
The Company’s business, financial condition and results of operations are likely to be adversely affected if it fails to maintain or obtain regulatory approvals in the United States, Canada and abroad to market and sell its current or future drug products, including any limitations imposed on the marketing of such products.
In the near-term, a key driver of revenues will be the Company's ability to maintain or grow hospital sales of AGGRASTAT^®^, the ability to grow sales of ZYPITAMAG^®^ and SNP, as well as maintain and grow the Marley Drug business, and the development and/or acquisition of new products.
The Company’s future operations are dependent upon its ability to grow sales of AGGRASTAT^®^, successfully grow sales of ZYPITAMAG^®^and SNP, successfully maintain and grow the Marley Drug business, to develop and/or acquire new products, and/or secure additional capital, which may not be available under favorable terms or at all.
ADDITIONAL INFORMATION
Additional information regarding the Company, including the Company’s Annual Report on Form 20-F for the year ended December 31, 2021, can be obtained on SEDAR (www.sedar.com). A copy of this MD&A will be provided to anyone who requests it.
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Exhibit 99.3
FORM 52-109FV1CERTIFICATION OF ANNUAL FILINGSVENTURE ISSUER BASIC CERTIFICATE
I, Albert D. Friesen,** Chief Executive Officer of Medicure Inc*,* certify the following:
| 1. | Review: I have reviewed the AIF, if any, annual financial statements and annual MD&A, including, for greater certainty,<br>all documents and information that are incorporated by reference in the AIF (together, the “annual filings”) of MedicureInc. (the “issuer”) for the financial year ended December 31, 2021. |
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| 2. | No misrepresentations: Based on my knowledge, having exercised reasonable diligence, the annual filings do not contain<br>any untrue statement of a material fact or omit to state a material fact required to be stated or that is necessary to make a statement<br>not misleading in light of the circumstances under which it was made, for the period covered by the annual filings. |
| --- | --- |
| 3. | Fair presentation: Based on my knowledge, having exercised reasonable diligence, the annual financial statements together<br>with the other financial information included in the annual filings fairly present in all material respects the financial condition, financial<br>performance and cash flows of the issuer, as of the date of and for the periods presented in the annual filings. |
| --- | --- |
Date: April 27, 2022
/s/ Albert D. Friesen
_______________________
Albert D. Friesen
Chief Executive Officer
| NOTE TO READER<br><br> <br><br> In contrast to the certificate required for non-venture issuers under National Instrument 52-109 Certification of Disclosure in Issuers’ Annual and Interim Filings (NI 52-109), this Venture Issuer Basic Certificate does not include representations relating to the establishment<br> and maintenance of disclosure controls and procedures (DC&P) and internal control over financial reporting (ICFR), as defined in NI<br> 52-109. In particular, the certifying officers filing this certificate are not making any representations relating to the establishment<br> and maintenance of<br><br> <br>i. controls<br> and other procedures designed to provide reasonable assurance that information required to be disclosed by the issuer in its annual filings,<br> interim filings or other reports filed or submitted under securities legislation is recorded, processed, summarized and reported within<br> the time periods specified in securities legislation; and<br><br> <br>ii. a<br> process to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for<br> external purposes in accordance with the issuer’s GAAP.<br><br> <br>The issuer’s certifying officers are responsible for ensuring<br> that processes are in place to provide them with sufficient knowledge to support the representations they are making in this certificate.<br> Investors should be aware that inherent limitations on the ability of certifying officers of a venture issuer to design and implement<br> on a cost effective basis DC&P and ICFR as defined in NI 52-109 may result in additional risks to the quality, reliability, transparency<br> and timeliness of interim and annual filings and other reports provided under securities legislation. |
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Exhibit 99.4
FORM 52-109FV1CERTIFICATION OF ANNUAL FILINGSVENTURE ISSUER BASIC CERTIFICATE
I, Neil Owens,** President & Interim Chief Financial Officer of Medicure Inc*,* certify the following:
| 1. | Review: I have reviewed the AIF, if any, annual financial statements and annual MD&A, including, for greater certainty,<br>all documents and information that are incorporated by reference in the AIF (together, the “annual filings”) of MedicureInc. (the “issuer”) for the financial year ended December 31, 2021. |
|---|---|
| 2. | No misrepresentations: Based on my knowledge, having exercised reasonable diligence, the annual filings do not contain<br>any untrue statement of a material fact or omit to state a material fact required to be stated or that is necessary to make a statement<br>not misleading in light of the circumstances under which it was made, for the period covered by the annual filings. |
| --- | --- |
| 3. | Fair presentation: Based on my knowledge, having exercised reasonable diligence, the annual financial statements together<br>with the other financial information included in the annual filings fairly present in all material respects the financial condition, financial<br>performance and cash flows of the issuer, as of the date of and for the periods presented in the annual filings. |
| --- | --- |
Date: April 27, 2022
/s/ Neil Owens
_______________________
Neil Owens
President & Interim Chief Financial Officer
| NOTE TO READER<br><br> <br><br> In contrast to the certificate required for non-venture issuers under National Instrument 52-109 Certification of Disclosure in Issuers’ Annual and Interim Filings (NI 52-109), this Venture Issuer Basic Certificate does not include representations relating to the establishment<br> and maintenance of disclosure controls and procedures (DC&P) and internal control over financial reporting (ICFR), as defined in NI<br> 52-109. In particular, the certifying officers filing this certificate are not making any representations relating to the establishment<br> and maintenance of<br><br> <br>i. controls<br> and other procedures designed to provide reasonable assurance that information required to be disclosed by the issuer in its annual filings,<br> interim filings or other reports filed or submitted under securities legislation is recorded, processed, summarized and reported within<br> the time periods specified in securities legislation; and<br><br> <br>ii. a<br> process to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for<br> external purposes in accordance with the issuer’s GAAP.<br><br> <br>The issuer’s certifying officers are responsible for ensuring<br> that processes are in place to provide them with sufficient knowledge to support the representations they are making in this certificate.<br> Investors should be aware that inherent limitations on the ability of certifying officers of a venture issuer to design and implement<br> on a cost effective basis DC&P and ICFR as defined in NI 52-109 may result in additional risks to the quality, reliability, transparency<br> and timeliness of interim and annual filings and other reports provided under securities legislation. |
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