Assertio Holdings, Inc. (“Assertio” or the “Company”) (Nasdaq: ASRT), a specialty pharmaceutical company offering differentiated products to patients, today reported financial results for the fourth quarter and full year ended December 31, 2021 and provided a corporate update.

Fourth Quarter and Full Year 2021 Commentary and Financial Highlights (unaudited):

  Three Months Ended December 31,   Twelve Months Ended December 31,
(in millions)   2021     2020       2021       2020  
Net Product Sales (GAAP) $ 32.2   $ 30.1     $ 109.4     $ 92.1  
Net Income (Loss) (GAAP) $ 4.6   $ (24.4 )   $ (1.3 )   $ (28.1 )
Adjusted EBITDA (Non-GAAP)(1) $ 17.8   $ 8.2     $ 48.8     $ 16.3  
Operating Cash Flow (GAAP) $ 4.1   $ (6.0 )   $ 5.5     $ (65.6 )

(1) See “Non-GAAP Financial Measures” below for additional information on all non-GAAP measures included in this earnings release.

  • The fourth quarter net product sales of $32.2 million were $6.2 million or 24% higher than the third quarter, which reflected another quarter of consistent volume across the portfolio, with net price favorability for Indocin, Cambia and Zipsor.
  • Net product sales for the fourth quarter increased by $2.0 million or 7% compared to the prior year due to Cambia and Indocin price favorability, partially offset by a decline in Sprix volume and the discontinuation of a product line.
  • Non-GAAP adjusted EBITDA for the fourth quarter of $17.8 million represents growth of 13% versus the third quarter and 118% versus the prior year. The results for the quarter were positively impacted by net pricing for Cambia and Zipsor, as well as a one-time royalty milestone.

2022 Full Year Financial Guidance:

Net Product Sales (GAAP) $126.0 Million to $136.0 Million
Adjusted EBITDA (Non-GAAP) $64.0 Million to $72.0 Million
  • Due to high inventory levels in the channel at acquisition on December 15, 2021, sales of Otrexup began in late January 2022.
  • The Company’s 2022 guidance accounts for addition of Otrexup, offset by the expected loss of exclusivity for Zipsor at the end of the first quarter of 2022.

“2021 represented the first year of our newly transformed Company, one in which we took major steps to transition to our new operating model, made significant strides and investments into our digital platform, right-sized our infrastructure to generate positive operating cash flow and improve our margins, and acquired a new product for the first time since 2015,” said Dan Peisert, President and Chief Executive Officer of Assertio.

“Assertio is at the forefront of the shift to a more digital, connected pharmaceutical landscape and we are excited about leveraging our platform to grow our portfolio and incorporate new, acquired assets in 2022 that will benefit patients and increase shareholder value.”

Fourth Quarter and Full Year 2021 and Subsequent Highlights:

After the Company’s announced restructuring on December 15, 2020, management established six key priorities for 2021 to put the Company on a path to return to growth, increase margins, and acquire new assets. Highlights of the year track closely with these priorities:

  1. Build a Strong and Committed Team with a Culture of Teamwork, Inclusion and Results: The Company hired or promoted an experienced and talented management team with a track record of success in growing businesses and executing mergers and acquisitions, including Senior Vice Presidents of Commercial and Operations, and Vice President of Business Development, to accelerate our strategy.
  2. Delivering on Our $45.0 Million of Restructuring Synergies: The Company completed its restructuring early in the third quarter and exceeded its target to deliver $45.0 million in annualized synergies in 2022 and beyond.
  3. Ensuring the Company Generates Strong Operating Cash Flow: For full year 2021, the Company generated $5.5 million of operating cash flow, with $8.8 million generated post restructuring in the second half of 2021 (despite cash outflows of nearly $10.0 million for one-time legal settlements and the extension of the Indocin supply agreement).
    • The Company generated $4.1 million of operating cash flow in the fourth quarter, representing the third consecutive quarter of positive cash flows.
  1. Ensuring our Debt Never Becomes a Constraint in Running the Business: The Company has $36.8 million of cash on hand, well above its minimum liquidity covenants, and its remaining senior secured debt is $70.8 million and is not due to mature until 2024.
  2. Mitigate our Legacy Legal Uncertainties: Throughout 2021, the Company continued to focus on resolving legacy legal uncertainties and took substantial steps toward settling certain matters in a way that management believes will allow it to invest in sustainable long-term growth.
    • The Company settled its federal Glumetza antitrust litigation for $7.0 million.
    • The Company also entered into settlement agreements for its securities class action and related derivative suits, for a net cost of $0.4 million.
  3. Develop Sustainable Business Model that Reflects a Changing Environment: The Company has invested into its scalable, digital, non-personal promotion Commercial model and platform.
    • The Company announced on December 15, 2021 that it acquired Otrexup (methotrexate). Assertio acquired Otrexup from Antares Pharma, Inc. in a partially seller financed transaction for a total cash purchase price of $44.0 million, inclusive of working capital investments.
      • Represents less than three times trailing 12-month revenue ending September 31, 2021.
      • Patents extend to 2031.
      • Less than 41% upfront at closing.
    • The Company has invested in the telemedicine channel and saw a 117% year-over-year total prescription growth for our portfolio of products through our partners in the fourth quarter.

Conference Call and Investor Presentation Information

Assertio’s management will host a conference call to discuss its fourth quarter and full year 2021 financial results today:

Date: Wednesday, March 9, 2022
Time: 9:00 a.m. Eastern Time
Dial-in numbers: 1-844-200-6205 (domestic)
  1-929-526-1599 (international)
Conference number: 790157

To access the live webcast, the recorded conference call replay, and other materials, please visit Assertio’s investor relations website at Please connect at least 15 minutes prior to the live webcast to ensure adequate time for any software download that may be needed to access the webcast. The replay will be available approximately two hours after the call on Assertio’s investor website.

About Assertio

Assertio is a specialty pharmaceutical company offering differentiated products to patients utilizing a non-personal promotional model. We have built and continue to build our commercial portfolio by identifying new opportunities within our existing products as well as acquisitions or licensing of additional approved products. To learn more about Assertio, visit

Investor Contact

Max NemmersHead, Investor Relations and 

Forward Looking StatementsStatements in this communication that are not historical facts are forward-looking statements that reflect Assertio's current expectations, assumptions and estimates of future performance and economic conditions. These forward-looking statements are made in reliance on the safe harbor provisions of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. These forward-looking statements relate to, among other things, future events or the future performance or operations of Assertio. All statements other than historical facts may be forward-looking statements and can be identified by words such as "anticipate," "believe," "could," "design," "estimate," "expect," "forecast," "goal," "guidance," "imply," "intend," "may", "objective," "opportunity," "outlook," "plan," "position," "potential," "predict," "project," "prospective," "pursue," "seek," "should," "strategy," "target," "would," "will," "aim" or other similar expressions that convey the uncertainty of future events or outcomes and are used to identify forward-looking statements. Such forward-looking statements are not guarantees of future performance and are subject to risks, uncertainties and other factors, some of which are beyond the control of Assertio, including the risks described in Assertio's Annual Report on Form 10-K and Quarterly Reports on Form 10-Q filed with the U.S. Securities and Exchange Commission ("SEC") and in other filings Assertio makes with the SEC from time to time. Investors and potential investors are urged not to place undue reliance on forward-looking statements in this communication, which speak only as of this date. While Assertio may elect to update these forward-looking statements at some point in the future, it specifically disclaims any obligation to update or revise any forward-looking-statements contained in this press release whether as a result of new information or future events, except as may be required by applicable law. Nothing contained herein constitutes or will be deemed to constitute a forecast, projection or estimate of the future financial performance or expected results of Assertio.

Non-GAAP Financial MeasuresTo supplement the Company’s financial results presented on a U.S. generally accepted accounting principles (GAAP) basis, the Company has included information about non-GAAP measures of EBITDA and adjusted EBITDA as useful operating metrics. The Company believes that the presentation of these non-GAAP financial measures, when viewed with results under GAAP and the accompanying reconciliation, provides supplementary information to analysts, investors, lenders, and the Company’s management in assessing the Company’s performance and results from period to period. The Company uses these non-GAAP measures internally to understand, manage and evaluate the Company’s performance, and for fiscal year 2021 used these non-GAAP measures in part, in the determination of bonuses for executive officers and employees. These non-GAAP financial measures should be considered in addition to, and not a substitute for, or superior to, net income or other financial measures calculated in accordance with GAAP. Non-GAAP financial measures used by us may be calculated differently from, and therefore may not be comparable to, non-GAAP measures used by other companies.

This release also includes estimated non-GAAP adjusted EBITDA information, which the Company believes enables investors to better understand the anticipated performance of the business, but should be considered a supplement to, and not as a substitute for or superior to, financial measures calculated in accordance with GAAP. No reconciliation of estimated non-GAAP adjusted EBITDA to estimated net income is provided in this release because some of the information necessary for estimated net income such as income taxes, fair value change in contingent consideration, and stock-based compensation is not yet ascertainable or accessible and the Company is unable to quantify these amounts that would be required to be included in estimated net income without unreasonable efforts.

Specified ItemsNon-GAAP measures presented within this release exclude specified items. The Company considers specified items to be significant income/expense items not indicative of current operations. Specified items include adjustments to interest expense, income tax expense (benefit), depreciation expense, amortization expense, sales reserves adjustments for products the Company is no longer selling, stock-based compensation expense, fair value adjustments to contingent consideration, restructuring costs, amortization of fair value inventory step-up as result of purchase accounting, non-cash adjustments to Collegium Commercialization agreement revenue, transaction-related costs, gains or losses from adjustments to long-lived assets and assets not part of current operations, and gains or losses resulting from debt refinancing or extinguishment.

Revisions to Specified Items As a result of the Company’s December 2020 restructuring plan and subsequent announcement of a new executive team, beginning in 2021, the Company no longer adjusts for legal costs and expenses incurred in connection with opioid-related litigation, investigations and regulations pertaining to the Company’s historical commercialization of opioid products as a specified item in the non-GAAP measure adjusted EBITDA. Management’s priorities include, amongst other items, operating cash flows and mitigating legacy legal uncertainties and therefore believes that investors will benefit from the ability to view the profitability of the Company’s current and ongoing business activities with such costs included. Given the timing of the December 2020 restructuring plan and subsequent announcement of the new executive team, Management believes 2021 was the appropriate time to make such an update. Prior period amounts of Adjusted EBITDA have been recast to conform to this presentation.

CONSOLIDATED STATEMENTS OF OPERATIONS(in thousands, except per share amounts)(unaudited)

  Three Months EndedDecember 31,   Twelve Months EndedDecember 31,
    2021       2020       2021       2020  
Product sales, net $ 32,152     $ 30,116     $ 109,420     $ 92,090  
Commercialization agreement, net                     11,258  
Royalties and milestones   1,188       361       2,579       1,519  
Other revenue   (10 )     (301 )     (985 )     1,408  
Total revenues   33,330       30,176       111,014       106,275  
Costs and expenses:              
Cost of sales   4,896       6,773       15,832       19,872  
Research and development expenses         230             4,213  
Selling, general and administrative expenses   13,277       21,272       56,555       104,324  
Amortization of intangible assets   7,175       6,546       28,114       24,783  
Loss on impairment of goodwill         17,432             17,432  
Restructuring charges         11,019       1,089       17,806  
Total costs and expenses   25,348       63,272       101,590       188,430  
Income (loss) from operations   7,982       (33,096 )     9,424       (82,155 )
Other (expense) income:              
Interest expense   (2,437 )     (2,598 )     (10,220 )     (15,926 )
Other (loss) gain   (503 )     346       243       (3,225 )
Gain on sale of Gralise                     126,655  
Loss on debt extinguishment                     (56,113 )
Loss on sale of NUCYNTA                     (14,749 )
Total other (expense) income   (2,940 )     (2,252 )     (9,977 )     36,642  
Net income (loss) before income taxes   5,042       (35,348 )     (553 )     (45,513 )
Income tax (expense) benefit   (433 )     10,995       (728 )     17,369  
Net income (loss) and Comprehensive income (loss) $ 4,609     $ (24,353 )   $ (1,281 )   $ (28,144 )
Basic net income (loss) per share $ 0.10     $ (0.81 )   $ (0.03 )   $ (1.07 )
Diluted net income (loss) per share $ 0.10     $ (0.81 )   $ (0.03 )   $ (1.07 )
Shares used in computing basic net income (loss) per share   45,017       29,935       43,169       26,209  
Shares used in computing diluted net income (loss) per share   45,388       29,935       43,169       26,209  

CONSOLIDATED BALANCE SHEETS(in thousands, except share and per share data)(unaudited) 

  December 31,
    2021       2020  
Current assets:      
Cash and cash equivalents $ 36,810     $ 20,786  
Accounts receivable, net   44,361       44,350  
Inventories, net   7,489       11,712  
Prepaid and other current assets   14,838       17,406  
Total current assets   103,498       94,254  
Property and equipment, net   1,527       2,437  
Intangible assets, net   216,054       200,082  
Other long-term assets   5,468       6,501  
Total assets $ 326,547     $ 303,274  
Current liabilities:      
Accounts payable $ 6,685     $ 14,808  
Accrued rebates, returns and discounts   52,662       63,114  
Accrued liabilities   14,699       28,864  
Long-term debt, current portion   12,174       11,942  
Contingent consideration, current portion   14,500       6,776  
Other current liabilities   34,299       7,182  
Total current liabilities   135,019       132,686  
Long-term debt   61,319       72,160  
Contingent consideration   23,159       31,776  
Other long-term liabilities   4,636       11,138  
Total liabilities   224,133       247,760  
Commitments and contingencies      
Shareholders’ equity:      
Common stock, $0.0001 par value, 200,000,000 shares authorized; 44,640,444 and 28,392,149 shares issued and outstanding as of December 31, 2021 and 2020, respectively   4       3  
Additional paid-in capital   531,636       483,456  
Accumulated deficit   (429,226 )     (427,945 )
Total shareholders’ equity   102,414       55,514  
Total liabilities and shareholders' equity $ 326,547     $ 303,274  


  Year Ended December 31,
    2021       2020  
Operating Activities      
Net loss $ (1,281 )   $ (28,144 )
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:      
Depreciation and amortization   29,077       26,431  
Amortization of debt discount, debt issuance costs and royalty rights   194       5,680  
Stock-based compensation   3,545       10,924  
Provisions for inventory and other assets   1,368       3,817  
Impairment of goodwill         17,432  
Loss on disposal of equipment and early termination of leases         1,588  
Income tax provision         (8,424 )
Gain on sale of Gralise         (126,655 )
Loss on sale of NUCYNTA         14,749  
Loss on extinguishment of Convertible Notes         47,880  
Loss on prepayment of Senior Notes         8,233  
Recurring fair value measurement of assets and liabilities   3,913       5,129  
Changes in assets and liabilities:      
Accounts receivable   (11 )     19,800  
Inventories   4,268       (291 )
Prepaid and other assets   3,079       10,797  
Income taxes   522       (8,973 )
Accounts payable and other accrued liabilities   (28,699 )     (36,479 )
Accrued rebates, returns and discounts   (10,452 )     (29,066 )
Net cash provided by (used in) operating activities   5,523       (65,572 )
Investing Activities      
Cash acquired in Zyla Merger         7,585  
Proceeds from sale of NUCYNTA         368,965  
Proceeds from sale of Gralise         130,261  
Purchases of property and equipment   (53 )     (10 )
Purchase of Otrexup   (18,472 )      
Proceeds from sale of investments         6,000  
Net cash (used in) provided by investing activities   (18,525 )     512,801  
Financing Activities      
Payment of contingent consideration   (4,807 )     (3,016 )
Payment of Royalty Rights   (968 )     (500 )
Payments in connection with Senior Notes settlement         (171,775 )
Payments in connection with convertible notes   (335 )     (264,731 )
Payment in connection with Series A-1 and A-2 debt   (9,500 )     (14,750 )
Payments on Promissory Note         (3,000 )
Payments on Revolver         (10,000 )
Proceeds from issuance of common stock   44,861       88  
Proceeds from exercise of stock options   193        
Shares withheld for payment of employee's withholding tax liability   (418 )     (866 )
Net cash provided by (used in) financing activities   29,026       (468,550 )
Net increase (decrease) in cash and cash equivalents   16,024       (21,321 )
Cash and cash equivalents at beginning of year   20,786       42,107  
Cash and cash equivalents at end of period $ 36,810     $ 20,786  
Supplemental Disclosure of Cash Flow Information      
Net cash refund of income taxes $     $ 1,136  
Cash paid for interest $ 10,124     $ 17,598  
Supplemental Disclosure of Non-Cash Investing Activities      
Acquisition of Otrexup intangible assets $ 26,021     $  


    Three Months Ended December 31, Twelve Months Ended December 31,   Financial Statement Classification
      2021     2020       2021       2020        
GAAP Net Income/(Loss)   $ 4,609   $ (24,353 )   $ (1,281 )   $ (28,144 )      
Interest expense     2,437     2,598       10,220       15,926       Interest expense
Income tax expense (benefit)     433     (10,995 )     728       (17,369 )     Income tax (expense) benefit
Depreciation expense     203     417       963       1,648       Selling, general and administrative expenses
Amortization of intangible assets     7,175     6,546       28,114       24,783       Amortization of intangible assets
EBITDA (Non-GAAP)   $ 14,857   $ (25,787 )   $ 38,744     $ (3,156 )      
Legacy products revenue reserves(1)     10     301       985       (1,408 )     Other Revenue
Stock-based compensation(2)     949     3,886       3,545       9,925       Multiple
Contingent consideration fair value change(3)     2,011     (356 )     3,913       1,500       Selling, general and administrative expenses
Restructuring cost(4)         11,019       1,089       17,806       Restructuring charges
Other(5)         1,151       554       5,945       Multiple
Loss on goodwill impairment(6)         17,432             17,432       Loss on impairment of goodwill
Prior year adjustments not repeating(7)         524             (31,763 )     Multiple
Adjusted EBITDA (Non-GAAP)   $ 17,827   $ 8,170     $ 48,830     $ 16,281        

(1)  Removal of the impact of revenue adjustment related to previously divested products. During the third quarter of 2021, the Company reclassified product sales adjustments for previously divested products from Product sales, net to Other revenue. There was no change to Total revenue as a result of the reclassifications. Prior period results have been recast to conform with current period presentation. 

(2)  Stock based compensation for the three and twelve months ended December 31, 2021 and three months ended December 31, 2020 is included in Selling, general and administrative expenses. Stock based compensation for the twelve months ended December 31, 2020 included $0.1 million in in Cost of sales, $0.3 million in Research and development expense and $9.6 million in Selling, general and administrative expenses.

(3)  The fair value of the contingent consideration is remeasured each reporting period, with changes in the fair value resulting from a change in the underlying inputs being recognized in operating expenses until the contingent consideration arrangement is settled.

(4)  Restructuring and related costs represents non-recurring costs associated with the Company’s announced restructuring plans

(5)  For the three and twelve months ended December 31, 2021 and the three and twelve months ended December 31, 2020, Other represents amortization of inventory step-up recognized in Cost of sales related to Zyla acquired inventories sold. For the twelve months ended December 31, 2020, Other also includes credit loss reserve recognized in the first quarter of 2020 in Other gain (loss) related the Company’s investment in a company engaged in medical research.

(6)  At December 31, 2020, the Company recorded a non-cash impairment charge of $17.4 million on its goodwill.

(7)  Represent the following one-time adjustments included in three and twelve months ended December 31, 2020:

  1. Gain on sale of Gralise of zero and $126.7 million, respectively
  2. Loss on sale of NUCYNTA of zero and $14.7 million, respectively
  3. Loss on extinguishment of convertible notes and debt of zero and $56.1 million, respectively
  4. Transaction costs of $0.5 million and $18.6 million, respectively
  5. Change in fair value of Collegium warrants of zero and $3.6 million, respectively
  6. NUCYNTA Commercialization agreement revenues of zero and $1.8 million, respectively
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