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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
 
FORM 10-Q
 
(Mark One)
ýQUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended June 30, 20132014.
OR
¨TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from                     to                     .
Commission file number 001-33528
 
OPKO Health, Inc.
(Exact Name of Registrant as Specified in Its Charter)
 
Delaware 75-2402409
(State or Other Jurisdiction of
Incorporation or Organization)
 
(I.R.S. Employer
Identification No.)
4400 Biscayne Blvd.
Miami, FL 33137
(Address of Principal Executive Offices) (Zip Code)
 
(305) 575-4100
(Registrant’s Telephone Number, Including Area Code)
 
Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    ý  YES    ¨  NO
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Website, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    ý  YES    ¨  NO
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company”
(in Rule 12b-2 of the Exchange Act) (Check one):
(in Rule 12b-2 of the Exchange Act) (Check one):
Large accelerated filer¨xAccelerated filerý¨
Non-accelerated filer
¨ (Do not check if a smaller reporting company)
Smaller reporting company¨
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act):   ¨  YES    ý  NO
As of July 31, 2013August 1, 2014, the registrant had 336,811,725429,195,973 shares of common stock outstanding.

 

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TABLE OF CONTENTS
Page
 
 
EX-2.11Agreement and Plan of Merger dated April 23, 2013
 EX-31.1Section 302 Certification of CEO
 EX-31.2Section 302 Certification of CFO
 EX-32.1Section 906 Certification of CEO
 EX-32.2Section 906 Certification of CFO
 EX-101.INSXBRL Instance Document
 EX-101.SCHXBRL Taxonomy Extension Schema Document
 EX-101.CALXBRL Taxonomy Extension Calculation Linkbase Document
 EX-101.DEFXBRL Taxonomy Extension Definition Linkbase Document
 EX-101.LABXBRL Taxonomy Extension Label Linkbase Document
 EX-101.PREXBRL Taxonomy Extension Presentation Linkbase Document


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CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS
This Quarterly Report on Form 10-Q contains “forward-looking statements,” as that term is defined under the Private Securities Litigation Reform Act of 1995 (“PSLRA”), Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Forward-looking statements include statements about our expectations, beliefs or intentions regarding our product development efforts, business, financial condition, results of operations, strategies or prospects. You can identify forward-looking statements by the fact that these statements do not relate strictly to historical or current matters. Rather, forward-looking statements relate to anticipated or expected events, activities, trends or results as of the date they are made. Because forward-looking statements relate to matters that have not yet occurred, these statements are inherently subject to risks and uncertainties that could cause our actual results to differ materially from any future results expressed or implied by the forward-looking statements. Many factors could cause our actual activities or results to differ materially from the activities and results anticipated in forward-looking statements. These factors include those described below and in “Item 1A-Risk Factors” of our Annual Report on Form 10-K for the year ended December 31, 2012, as updated by our Quarterly Report on Form 10-Q for the quarter ended March 31, 2013, and described from time to time in our other reports filed with the Securities and Exchange Commission. Except as required by law, we do not undertake any obligation to update forward-looking statements. We intend that all forward-looking statements be subject to the safe-harbor provisions of the PSLRA. These forward-looking statements are only predictions and reflect our views as of the date they are made with respect to future events and financial performance.
Risks and uncertainties, the occurrence of which could adversely affect our business, include the following:
We have a history of operating losses and we do not expect to become profitable in the near future.
Our technologies are in an early stage of development and are unproven.
Our business is substantially dependent on our ability to develop, launch and generate revenue from our pharmaceutical and diagnostic programs.
Our research and development activities, or that of our investees, may not result in commercially viable products.
The results of previous clinical trials may not be predictive of future results, and our current and planned clinical trials may not satisfy the requirements of the FDAUnited States (“U.S.”) Food and Drug Administration (“FDA”) or other non-U.S. regulatory authorities.
We may require substantial additional funding, which may not be available to us on acceptable terms, or at all.
We may finance future cash needs primarily through public or private offerings, debt financings or strategic collaborations, which may dilute your stockholdings in the Company.
If our competitors develop and market products that are more effective, safer or less expensive than our future product candidates, our commercial opportunities will be negatively impacted.
The regulatory approval process is expensive, time consuming and uncertain and may prevent us or our collaboration partners from obtaining approvals for the commercialization of some or all of our product candidates.
Failure to recruit and enroll patients for clinical trials may cause the development of our product candidates to be delayed.
Even if we obtain regulatory approvals for our product candidates, the terms of approvals and ongoing regulation of our products may limit how we manufacture and market our product candidates, which could materially impair our ability to generate anticipated revenues.
We may not meet regulatory quality standards applicable to our manufacturing and quality processes.
Even if we receive regulatory approval to market our product candidates, the market may not be receptive to our products.
The loss of Phillip Frost, M.D., our Chairman and Chief Executive Officer, could have a material adverse effect on our business and product development.
If we fail to attract and retain key management and scientific personnel, we may be unable to successfully develop or commercialize our product candidates.
In the event that we successfully evolve from a company primarily involved in development to a company also involved in commercialization, we may encounter difficulties in managing our growth and expanding our operations successfully.

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Failure to close the proposed merger with PROLOR Biotech, Inc. could have a negative impact on the Company and our financial condition, results of operations, cash flows and stock price.
If we fail to acquire and develop other products or product candidates, at all or on commercially reasonable terms, we may be unable to diversify or grow our business.
We have no experience manufacturing our pharmaceutical product candidates other than at one of our Israeli facilities, and at our Mexican, and Spanish facilities, and we have no experience in manufacturing our diagnostic product candidates.  We will therefore likely rely on third parties to manufacture and supply our pharmaceutical and diagnostics product candidates, and we would need to meet various standards necessary to satisfy FDA regulations if and when we commence manufacturing.in order to manufacture on our own.    
We currently have no pharmaceutical or diagnostic marketing, sales or distribution capabilities other than in Chile, Mexico, Spain, Brazil, and BrazilUruguay for sales in those countries and our active pharmaceutical ingredients (“APIs”) business in Israel, and the sales force for our laboratory business based in Nashville, Tennessee. If we are unable to develop our sales and marketing and distribution capability on our own or through collaborations with marketing partners, we will not be successful in commercializing our pharmaceutical and diagnostic product candidates.
The successCertain elements of our business will be heavilyare dependent on the success of ongoing and planned Phasephase 3 clinical trials for RayaldyRayaldeeTM and(CTAP101), AlpharenTM. (Fermagate Tablets), and hGH-CTP.
Independent clinical investigators and contract research organizations that we engage to conduct our clinical trials may not be diligent, careful or timely.
The success of our business is dependent on the actions of our collaborative partners.
Our license agreement with TESARO, Inc. (“TESARO”) is important to our business. If TESARO does not successfully develop and commercialize rolapitant, our business could be adversely affected.
If we are unable to obtain and enforce patent protection for our products, our business could be materially harmed.
We do not have an exclusive arrangement in place with Dr. Tom Kodadek with respect to technology or intellectual property that may be material to our business.
If we are unable to protect the confidentiality of our proprietary information and know-how, the value of our technology and products could be adversely affected.
We rely heavily on licenses from third parties.
We license patent rights to certain of our technology from third-party owners. If such owners do not properly maintain or enforce the patents underlying such licenses, our competitive position and business prospects will be harmed.
Our commercial success depends significantly on our ability to operate without infringing the patents and other proprietary rights of third parties.
Adverse results in material litigation matters or governmental inquiries could have a material adverse effect upon our business and financial condition.
If our products have undesirable effects on patients, we could be subject to litigation or product liability claims that could impair our reputation and have a material adverse effect upon our business and financial condition.
Medicare prescription drug coverage legislation and future legislative or regulatory reform of the health care system may adversely affect our ability to sell our products andor provide our services profitably.
Failure to obtain and maintain regulatory approval outside the United StatesU.S. will prevent us from marketing our product candidates abroad.
We may not have the funding available to pursue acquisitions.
Acquisitions may disrupt our business, distract our management, may not proceed as planned, and may also increase the risk of potential third party claims and litigation.
We may encounter difficulties in integrating acquired businesses.
Non-U.S. governments often impose strict price controls, which may adversely affect our future profitability.
Political and economic instability in Europe and Latin America and political, economic, and military instability in Israel or neighboring countries could adversely impact our operations.
We are subject to fluctuations in currency exchange rates in connection with our international businesses.

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We have a large amount of goodwill and other intangible assets as a result of acquisitions and a significant write-down of goodwill and/or other intangible assets would have a material adverse effect on our reported results of operations and net worth.
Our business may become subject to legal, economic, political, regulatory and other risks associated with international operations.
The market price of our Common Stock may fluctuate significantly.
The conversion and redemption features of our January 2013 convertible senior notes due in 2033 are classified as embedded derivatives and may continue to result in volatility in our financial statements, including having a material impact on our result of operations and recorded derivative liability.
We have reported a material weakness in our internal control over financing reporting which may cause investors and stockholders to lose confidence in our financial reporting.
Directors, executive officers, principal stockholders and affiliated entities own a significant percentage of our capital stock, and they may make decisions that you may not consider to be in your best interests or in the best interests of our stockholders.
Compliance with changing regulations concerning corporate governance and public disclosure may result in additional expenses.
If we are unable to satisfy the requirements of Section 404 of the Sarbanes-Oxley Act of 2002, as they apply to us, or our internal controls over financial reporting are not effective, the reliability of our financial statements may be questioned and our Common Stock price may suffer.
We may be unable to maintain our listing on the NYSE,New York Stock Exchange (“NYSE”), which could cause our stock price to fall and decrease the liquidity of our Common Stock.
Future issuances of Common Stock and hedging activities may depress the trading price of our Common Stock.
Provisions in our charter documents and Delaware law could discourage an acquisition of us by a third party, even if the acquisition would be favorable to you.
We do not intend to pay cash dividends on our Common Stock in the foreseeable future.


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PART I. FINANCIAL INFORMATION
Unless the context otherwise requires, all references in this Quarterly Report on Form 10-Q to the “Company”, “OPKO”, “we”, “our”, “ours”, and “us” refer to OPKO Health, Inc., a Delaware corporation, including our wholly-owned subsidiaries.
Item 1. Financial Statements
OPKO Health, Inc. and Subsidiaries
CONDENSED CONSOLIDATED BALANCE SHEETS
(Unaudited)
(In thousands except share and per share data)
June 30, 2013(1) (Unaudited)
 
December 31, 2012(1)(Audited)
June 30, 2014(1)
 
December 31, 2013(1)
ASSETS      
Current assets:      
Cash and cash equivalents$119,061
 $27,361
$134,010
 $185,798
Marketable securities50,027
 
Accounts receivable, net22,227
 21,162
23,113
 19,767
Inventory, net19,778
 22,261
18,334
 18,079
Prepaid expenses and other current assets19,023
 7,873
7,553
 19,084
Total current assets230,116
 78,657
183,010
 242,728
Property, plant, equipment, and investment properties, net16,577
 16,526
17,348
 17,027
Intangible assets, net79,775
 84,238
69,059
 74,533
In-process research and development203,052
 11,546
793,326
 793,341
Goodwill82,086
 80,450
226,001
 226,373
Investments, net26,690
 15,636
33,428
 30,653
Other assets2,784
 2,777
4,910
 6,861
Total assets$641,080
 $289,830
$1,327,082
 $1,391,516
LIABILITIES, SERIES D PREFERRED STOCK, AND EQUITY   
LIABILITIES AND EQUITY   
Current liabilities:      
Accounts payable$11,646
 $10,200
$10,041
 $13,414
Accrued expenses31,045
 24,656
54,964
 65,874
Current portion of lines of credit and notes payable16,778
 17,526
14,397
 12,562
Total current liabilities59,469
 52,382
79,402
 91,850
3.00% convertible senior notes, net of discount and estimated fair value of embedded derivatives188,524
 
2033 Senior Notes, net of discount and estimated fair value of embedded derivatives116,365
 211,912
Other long-term liabilities, principally contingent consideration and deferred tax liabilities80,603
 34,168
218,490
 214,775
Total long-term liabilities269,127
 34,168
334,855
 426,687
Total liabilities328,596
 86,550
414,257
 518,537
Commitments and contingencies:
 
Series D Preferred Stock - $0.01 par value, 2,000,000 shares authorized; no shares issued or
outstanding at June 30, 2013 and 1,129,032 shares issued and outstanding (liquidation value of
$30,595) at December 31, 2012

 24,386
Equity:      
Series A Preferred Stock - $0.01 par value, 4,000,000 shares authorized; no shares issued or
outstanding at June 30, 2013 and December 31, 2012, respectively

 
Series C Preferred Stock - $0.01 par value, 500,000 shares authorized; no shares issued or
outstanding at June 30, 2013 or December 31, 2012

 
Common Stock - $0.01 par value, 500,000,000 shares authorized; 339,045,029 and 305,560,763
shares issued at June 30, 2013 and December 31, 2012, respectively
3,391
 3,056
Treasury Stock - 2,293,056 shares at both June 30, 2013 and December 31, 2012(7,457) (7,457)
Common Stock - $0.01 par value, 750,000,000 shares authorized; 427,102,876 and 414,818,195
shares issued at June 30, 2014 and December 31, 2013, respectively
4,271
 4,148
Treasury Stock - 1,245,367 and 2,264,063 shares at June 30, 2014 and December 31, 2013,
respectively
(4,051) (7,362)
Additional paid-in capital742,097
 565,201
1,490,071
 1,379,383
Accumulated other comprehensive income2,830
 7,356
304
 3,418
Accumulated deficit(426,379) (388,770)(573,203) (503,177)
Total shareholders’ equity attributable to OPKO917,392
 876,410
Noncontrolling interests(4,567) (3,431)
Total shareholders’ equity314,482
 179,386
912,825
 872,979
Noncontrolling interests(1,998) (492)
Total equity312,484
 178,894
Total liabilities, Series D Preferred Stock, and equity$641,080
 $289,830
Total liabilities and equity$1,327,082
 $1,391,516
(1)
As of June 30, 20132014 and December 31, 20122013, total assets include $6.0$7.7 million and $5.6$6.7 million,, respectively, and total liabilities include $7.8$13.5 million and $5.5$10.4 million,, respectively, related to SciVac Ltd ("SciVac"(“SciVac”), previously known as SciGen (I.L.) Ltd, a consolidated variable interest entity. SciVac’s consolidated assets are owned by SciVac and SciVac’s consolidated liabilities are those as to which there ishave no recourse against us. Refer to Note 5.

The accompanying Notes to Condensed Consolidated Financial Statements are an integral part of these statements.
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OPKO Health, Inc. and Subsidiaries
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
(In thousands, except share and per share data)
For the three months ended June 30, For the six months ended June 30,For the three months ended June 30, For the six months ended June 30,
2013 2012 2013 20122014 2013 2014 2013
Revenues:              
Products$18,618
 $9,917
 $34,145
 $18,556
$21,392
 $18,618
 $41,219
 $34,145
Revenue from services3,188
 145
 6,280
 232
2,153
 3,188
 4,123
 6,280
Revenue from transfer of intellectual property2,015
 149
 14,772
 200

 2,015
 476
 14,772
Total revenues23,821
 10,211
 55,197
 18,988
23,545
 23,821
 45,818
 55,197
Costs and expenses:              
Costs of revenues13,103
 6,554
 24,860
 11,541
12,565
 13,103
 24,955
 24,860
Selling, general and administrative13,879
 5,435
 26,303
 10,106
14,874
 13,879
 28,686
 26,303
Research and development9,557
 4,490
 19,467
 9,321
16,234
 9,557
 37,227
 19,467
In process research and development10,055
 
 10,055
 
Contingent consideration2,577
 965
 3,921
 2,109
1,876
 2,577
 4,486
 3,921
Amortization of intangible assets2,688
 2,108
 5,402
 4,099
2,826
 2,688
 5,569
 5,402
Total costs and expenses41,804
 19,552
 79,953
 37,176
58,430
 41,804
 110,978
 79,953
Loss from operations(17,983) (9,341) (24,756) (18,188)
Operating loss(34,885) (17,983) (65,160) (24,756)
Other income and (expense), net:              
Interest income90
 47
 149
 74
7
 90
 48
 149
Interest expense(3,842) (231) (6,739) (582)(4,685) (3,842) (8,171) (6,739)
Fair value changes of derivative instruments, net12,651
 23
 (10,898) 1,140
10,967
 12,651
 452
 (10,898)
Other income (expense), net8,027
 (266) 10,358
 (85)2,990
 8,027
 4,808
 10,358
Other income and (expense), net16,926
 (427) (7,130) 547
9,279
 16,926
 (2,863) (7,130)
Loss before income taxes and investment losses(1,057) (9,768) (31,886) (17,641)(25,606) (1,057) (68,023) (31,886)
Income tax provision925
 2
 968
 217
(101) (925) (714) (968)
Loss before investment losses(1,982) (9,770) (32,854) (17,858)(25,707) (1,982) (68,737) (32,854)
Loss from investments in investees(2,371) (475) (6,261) (996)(370) (2,371) (2,426) (6,261)
Net loss(4,353) (10,245) (39,115) (18,854)(26,077) (4,353) (71,163) (39,115)
Less: Net loss attributable to noncontrolling interests(959) 
 (1,506) 
(597) (959) (1,137) (1,506)
Net loss attributable to common shareholders before
preferred stock dividend
(3,394) (10,245) (37,609) (18,854)(25,480) (3,394) (70,026) (37,609)
Preferred stock dividend
 (560) (420) (1,120)
 
 
 (420)
Net loss attributable to common shareholders$(3,394) $(10,805) $(38,029) $(19,974)$(25,480) $(3,394) $(70,026) $(38,029)
Basic and diluted loss per share$(0.01) $(0.04) $(0.12) $(0.07)
Loss per share, basic and diluted:       
Net loss per share$(0.06) $(0.01) $(0.17) $(0.12)
Weighted average number of common shares outstanding,
basic and diluted
336,732,215
 297,836,707
 324,898,133
 297,689,886
413,339,679
 336,732,215
 413,125,932
 324,898,133


The accompanying Notes to Condensed Consolidated Financial Statements are an integral part of these statements.
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OPKO Health, Inc. and Subsidiaries
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS
(Unaudited)
(In thousands)
For the three months ended June 30, For the six months ended June 30,For the three months ended June 30, For the six months ended June 30,
2013 2012 2013 20122014 2013 2014 2013
Net loss attributable to common shareholders$(3,394) $(10,805) $(38,029) $(19,974)$(25,480) $(3,394) $(70,026) $(38,029)
Other comprehensive income (loss), net of tax:              
Change in foreign currency translation(2,085) (780) (1,762) 610
Change in foreign currency translation & OCI from Equity Investments188
 (2,085) (1,613) (1,762)
Available for sale investments:              
Change in other unrealized gains, net424
 5,096
 1,829
 5,205
Change in other unrealized gains (loss), net(1,283) 424
 (948) 1,829
Less: reclassification adjustments for gains
included in net loss, net of tax
(3,602) 
 (4,593) 

 (3,602) (553) (4,593)
Comprehensive loss$(8,657) $(6,489) $(42,555) $(14,159)$(26,575) $(8,657) $(73,140) $(42,555)


The accompanying Notes to Condensed Consolidated Financial Statements are an integral part of these statements.
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OPKO Health, Inc. and Subsidiaries
CONDENSED CONSOLIDATED STATEMENT OF EQUITY
(In thousands, except share and per share data)
For the six months ended June 30, 2013

 Common Stock Treasury 
Additional
Paid-In
Capital
 
Accumulated Other
Comprehensive
Income
 
Accumulated
Deficit
 
Noncontrolling
Interests
 Total
 Shares Dollars Shares Dollars   
Balance at December 31, 2012305,560,763
 $3,056
 (2,293,056) $(7,457) $565,201
 $7,356
 $(388,770) $(492) $178,894
Equity-based compensation expense
 
 
 
 7,003
 
 
 
 7,003
Exercise of Common Stock options447,690
 4
 
 
 924
 
 
 
 928
Exercise of Common Stock warrants1,164,542
 12
 
 
 579
 
 
 
 591
Series D Preferred Stock dividend
 
 
 
 (3,015) 
 
 
 (3,015)
Conversion of Series D Preferred Stock11,290,320
 113
 
 
 24,273
 
 
 
 24,386
Issuance of Common Stock in
    connection with OPKO Brazil
    acquisition at $6.73 per share
64,684
 1
 
 
 435
 
 
 
 436
Issuance of Common Stock in
    connection with Cytochroma
    acquisition at $7.16 per share
20,517,030
 205
 
 
 146,697
 
 
 
 146,902
Net loss attributable to common
    shareholders before preferred
    stock dividend

 
 
 
 
 
 (37,609) 
 (37,609)
Net loss attributable to
    noncontrolling interests

 
 
 
 
 
 
 (1,506) (1,506)
Other comprehensive loss
 
 
 
 
 (4,526) 
 
 (4,526)
Balance at June 30, 2013 (unaudited)339,045,029
 $3,391
 (2,293,056) $(7,457) $742,097
 $2,830
 $(426,379) $(1,998) $312,484


The accompanying Notes to Condensed Consolidated Financial Statements are an integral part of these statements.
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OPKO Health, Inc. and Subsidiaries
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
(In thousands)

For the six months ended June 30,For the six months ended June 30,
2013 20122014 2013
Cash flows from operating activities:      
Net loss$(39,115) $(18,854)$(71,163) $(39,115)
Adjustments to reconcile net loss to net cash used in operating activities:      
Depreciation and amortization6,880
 4,782
7,591
 6,880
Non-cash interest on convertible senior notes3,120
 
Non-cash interest on 2033 Senior Notes3,557
 3,120
Amortization of deferred financing costs343
 
1,807
 343
Losses from investments in investees6,261
 996
2,426
 6,261
Equity-based compensation – employees and non-employees7,003
 2,169
6,993
 7,003
Provision for (recovery of) bad debts329
 (91)
(Recovery of) provision for bad debts(68) 329
Provision for inventory obsolescence1,273
 754
583
 1,273
Revenue from receipt of equity(12,620) (102)(120) (12,620)
Realized gain on investments available for sale(10,821) 
Realized gain on sale of equity securities(1,274) (10,821)
Gain on conversion of 3.00% convertible senior notes(2,668) 
Change in fair value of derivatives instruments10,898
 (1,140)(452) 10,898
In-process research and development10,055


Change in fair value of contingent consideration3,921
 2,109
4,486
 3,921
Deferred income tax benefit(602) 

 (602)
Changes in assets and liabilities of continuing operations, net of the
effects of acquisitions:
   
Changes in assets and liabilities, net of the effects of acquisitions:   
Accounts receivable(1,652) (2,681)(4,321) (1,652)
Inventory1,213
 (3,321)(1,413) 1,213
Prepaid expenses and other current assets(2,572) (1,318)3,324
 (2,572)
Other assets97
 11
3,911
 97
Accounts payable333
 (796)(3,308) 333
Foreign currency measurement450
 (109)(824) 450
Accrued expenses4,591
 (87)(3,663) 7,130
Cash used in operating activities of continuing operations(20,670) (17,678)
Cash used in operating activities of discontinued operations
 (82)
Net cash used in operating activities(20,670) (17,760)(44,541) (18,131)
Cash flows from investing activities:      
Investments in investees(13,341) (2,700)(500) (13,341)
Proceeds from sale of investments available for sale11,496
 
Proceeds from sale of equity securities1,331
 11,496
Acquisition of businesses, net of cash78
 (2,173)(1,695) 78
Purchase of marketable securities(50,027) (17,117)
 (50,027)
Capital expenditures(2,054) (408)(2,467) (2,054)
Net cash used in investing activities(53,848) (22,398)(3,331) (53,848)
Cash flows from financing activities:      
Issuance of 3.00% convertible senior notes, net, including related parties170,184
 
Issuance of 2033 Senior Notes, net, including related parties
 170,184
Payment of Series D dividends, including related parties(3,015) 

 (3,015)
Proceeds from the exercise of Common Stock options and warrants1,519
 1,492
2,747
 1,519
Contingent consideration payments(6,435) (2,539)
Borrowings on lines of credit15,354
 21,553
14,258
 15,354
Repayments of lines of credit and capital lease obligations(17,718) (16,288)
Net cash provided by financing activities166,324
 6,757
Repayments of lines of credit(14,571) (17,718)
Net cash (used in) provided by financing activities(4,001) 163,785
Effect of exchange rate on cash and cash equivalents(106) 56
85
 (106)
Net increase (decrease) in cash and cash equivalents91,700
 (33,345)
Net (decrease) increase in cash and cash equivalents(51,788) 91,700
Cash and cash equivalents at beginning of period27,361
 71,516
185,798
 27,361
Cash and cash equivalents at end of period$119,061
 $38,171
$134,010
 $119,061
SUPPLEMENTAL INFORMATION   
SUPPLEMENTAL INFORMATION:   
Interest paid$318
 $341
$2,771
 $318
Income taxes paid (refunded), net$242
 $(197)
Income taxes paid, net$796
 $242
RXi common stock received$12,500
 $
$
 $12,500
Pharmsynthez common stock received$6,264
 $
Non-cash financing:      
Shares issued upon the conversion of:      
Series D Preferred Stock$24,386
 $
$
 $24,386
Common Stock warrants, net exercised$815
 $
2033 Senior Notes$95,665
 $
Common Stock options and warrants, net exercised$3,493
 $815
Issuance of Common Stock to acquire:      
Cytochroma$146,902
 $
OPKO Renal$
 $146,902
OPKO Brazil$436
 $
$
 $436
Arama Uruguay$159
 $
Inspiro$8,566
 $


The accompanying Notes to Condensed Consolidated Financial Statements are an integral part of these statements.
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OPKO Health, Inc. and Subsidiaries
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (unaudited)
NOTE 1 BUSINESS AND ORGANIZATION
We are a multi-national biopharmaceutical and diagnostics company that seeks to establish industry-leading positions in large and rapidly growing medical markets by leveraging our discovery, development and commercialization expertise and our novel and proprietary technologies. We are developing a range of solutions to diagnose, treat and prevent various conditions, including point-of-care tests, molecular diagnostics tests, laboratory developed tests, point-of-care tests, and proprietary pharmaceuticals and vaccines. We plan to commercialize these solutions on a global basis in large and high growth markets, including emerging markets.
We own established pharmaceutical platforms in Chile, Spain, ChileMexico, and Mexico,Uruguay, which are generating revenue and which we expect to generate positive cash flow and facilitate future market entry for our products currently in development. In addition, we recentlyhave also established pharmaceutical operations in Brazil. We also operateown a specialty active pharmaceutical ingredients (“APIs”) manufacturer in Israel, which we expect to play a valuable role inwill facilitate the development of our pipeline of molecules and compounds for our proprietary molecular diagnostic and therapeutic products. We operateIn the U.S., we own a laboratory business with laboratories certified under the Clinical Laboratory Improvement Amendments of 1988, as amended (“CLIA”), with a urologic focus that has a strong presence ingenerates revenue and serves as the commercial platform for the U.S. urologic pathology market, and will provide us with a platform to commercialize certainlaunch of our novel diagnostics tests currently in development. We also own an interest in a biopharmaceutical company that develops, manufactures and markets recombinant human health care biotechnology derived products in Israel and whose principal marketed product is a novel thirdnext generation Hepatitis B vaccine currently being commercialized in Israel, India and Hong Kong.prostate cancer test to improve cancer risk stratification of patient candidates prior to prostate biopsy.
We are incorporated in Delaware and our principal executive offices are located in leased offices in Miami, Florida. We lease office and lab space in Jupiter and Miramar, Florida, and Nes Ziona, Israel, which is where our molecular diagnostics research and development, oligonucleotide research and oligonucleotidedevelopment and carboxyl terminal peptide research and development operations are based, respectively. We lease office, manufacturing and warehouse space in Woburn, Massachusetts for our point-of-care diagnostics business, and in Nesher, Israel for our API business. We lease laboratory and office space in Nashville, Tennessee and Burlingame, California for our CLIA-certified laboratory business, and we lease office space in Bannockburn, Illinois, and Markham, Ontario and laboratory space in Toronto, Ontario for our pharmaceutical business directed to chronic kidney disease.disease (“CKD”). Our Chilean and Uruguayan operations are located in leased offices and warehouse facilities in Santiago.Santiago and Montevideo, respectively. Our Mexican operations are based in owned offices, an owned manufacturing facility and a leased warehouse facility in Guadalajara and in leased offices in Mexico City. Our Spanish operations are based in owned offices in Barcelona, in an owned manufacturing facility in Banyoles and a leased warehouse facility in Palol de Revardit. Our Brazilian operations are located in leased offices in Sao Paulo.
NOTE 2 SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Basis of presentation. The accompanying unaudited condensed consolidated financial statementsCondensed Consolidated Financial Statements have been prepared in accordance with accounting principles generally accepted in the United States and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all information and notes required by accounting principles generally accepted in the United States for complete financial statements. In the opinion of management, all adjustments (consisting of only normal recurring adjustments) considered necessary to present fairly the Company’s results of operations, financial position and cash flows have been made. The results of operations and cash flows for the three and six months ended June 30, 20132014, are not necessarily indicative of the results of operations and cash flows that may be reported for the remainder of 20132014 or for future periods. The unaudited condensed consolidated financial statementsCondensed Consolidated Financial Statements should be read in conjunction with the Consolidated Financial Statements and the Notes to Consolidated Financial Statements included in our Annual Report on Form 10-K for the year ended December 31, 2012.2013.
Reclassifications.Reclassifications of certain amounts. Certain prior year amounts inDuring 2013 and the condensed consolidated financial statementsfirst quarter of 2014, we reported payments for contingent consideration and some deferred payments as cash outflows from operating activities. Amounts paid pertaining to the initial purchase accounting contingent liability have been reclassified to conformclassified as cash outflows from financing activities, reflecting such payments as financing is more accurate, thus, the change in accounting policy. Amounts paid in excess of the purchase accounting contingent liability have been classified as cash outflows from operating activities. We have adjusted the amounts previously reported in our Form 10-Q for the six months ended June 30, 2013 in conjunction with the 2013 presentation. Due to the acquisition of OPKO OURLab, LLC (formerly Prost-Data, Inc.), our CLIA-certified laboratory business (“OURLab”) in December 2012, we changed our segment presentation to include diagnostics as a reportable segment. As a resultfiling of this change in reportable segments, we restated certain prior year amounts inForm10-Q and the condensed consolidated financial statements to conform with thesix months ended June 30, 2014 by reducing cash outflows from operating activities and increasing cash outflows from financing activities by $6.4 million and $2.5 million for 2014 and 2013, presentation. These reclassifications had no impact on our results of operations. Refer to Note 12.respectively.
Principles of consolidation. The accompanying unaudited condensed consolidated financial statementsCondensed Consolidated Financial Statements include the accounts of OPKO Health, Inc., and of our wholly-owned subsidiaries and variable interest entities (“VIEs”) in which we are deemed to be the primary beneficiary. All significant intercompany accounts and transactions are eliminated in consolidation.

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Use of estimates. The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the reported amounts of assets and

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liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.
Cash and cash equivalents. Cash and cash equivalents include short-term, interest-bearing instruments with original maturities of 90 days or less at the date of purchase. We also consider all highly liquid investments with original maturities at the date of purchase of 90 days or less as cash equivalents. These investments include money markets, bank deposits, certificates of deposit and U.S. treasury securities.
Inventories. Inventories are valued at the lower of cost or market (net realizable value). Cost is determined by the first-in, first-out method. We consider such factors as the amount of inventory on hand, estimated time required to sell such inventories, remaining shelf-life, and current market conditions to determine whether inventories are stated at the lower of cost or market.
Goodwill and Intangible Assetsintangible assets. Goodwill represents the difference between the purchase price and the estimated fair value of the net assets acquired when accounted for by the purchase method of accounting and arose from our acquisitions.acquisitions of Pharma Genexx, S.A. (“OPKO Chile”), Pharmacos Exakta S.A. de C.V. (“Exakta-OPKO”), CURNA, Inc. (“CURNA”), Claros Diagnostics, Inc. (“OPKO Diagnostics”), FineTech Pharmaceuticals, Ltd. (“FineTech”), ALS Distribuidora Limitada (“ALS”), Farmadiet Group Holding, S.L. (“OPKO Spain”), Prost-Data, Inc. (“OPKO Lab”), Cytochroma Inc. (“OPKO Renal”), Silcon Comércio, Importacao E Exportacao de Produtos Farmaceuticos e Cosmeticos Ltda. (“OPKO Brazil”) and PROLOR Biotech, Inc. (“OPKO Biologics”). Goodwill, in-process research and development (“IPR&D”) and other intangible assets acquired in business combinations, licensing and other transactions at June 30, 20132014 and December 31, 20122013 were $364.9 million1.1 billion and $176.2 million1.1 billion, respectively.
Assets acquired and liabilities assumed in business combinations, licensing and other transactions are recognized at the date of acquisition at their respective fair values. Any excess of the purchase price over the estimated fair values of the net assets acquired is recognized as goodwill. We determined the fair value of intangible assets, including in-process research and development (“IPR&D”),&D, using the “income method.”
Goodwill is tested at least annually for impairment, or when events or changes in circumstances indicate that the carrying amount of such assets may not be recoverable, on an enterprise level by assessing qualitative factors or performing a quantitative analysis in determining whether it is more likely than not that its fair value exceeds the carrying value.
We amortize intangible assets with definite lives on a straight-line basis over their estimated useful lives, ranging from 3 to 10 years, and review for impairment at least annually, or when events or changes in circumstances indicate that the carrying amount of such assets may not be recoverable. We use the straight-line method of amortization as there is no reliably determinable pattern in which the economic benefits of our intangible assets are consumed or otherwise used up. Amortization expense from continuing operations was $5.6 million and $5.4 million for the six months ended June 30, 2014 and 2013, respectively.
Fair value measurements. The carrying amounts of our cash and cash equivalents, accounts receivable and accounts payable approximate their fair value due to the short-term maturities of these instruments. Investments that are considered available for sale as of June 30, 20132014 are carried at fair value.
Short-term investments, which we invest in from time to time, include bank deposits, corporate notes, U.S. treasury securities and U.S. government agency securities with original maturities of greater than 90 days and remaining maturities of less than one year. Long-term investments include corporate notes, U.S. treasury securities and U.S. government agency securities with maturities greater than one year.
In evaluating the fair value information, considerable judgment is required to interpret the market data used to develop the estimates. The use of different market assumptions and/or different valuation techniques may have a material effect on the estimated fair value amounts. Accordingly, the estimates of fair value presented herein may not be indicative of the amounts that could be realized in a current market exchange. Refer to Note 8.
Contingent consideration. Each period we revalue the contingent consideration obligations associated with certain acquisitions to their fair value and record increases in the fair value as contingent consideration expense and decreases in the fair value as contingent consideration income. Changes in contingent consideration result from changes in the assumptions regarding probabilities of successful achievement of related milestones, the estimated timing in which the milestones are achieved and the discount rate used to estimate the fair value of the liability. Contingent consideration may change significantly as our development programs progress, revenue estimates evolve and additional data is obtained, impacting our assumptions. The assumptions used in estimating fair value require significant judgment. The use of different assumptions and judgments

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could result in a materially different estimate of fair value which may have a material impact on our results from operations and financial position.
Derivative financial instruments. We record derivative financial instruments on our Condensed Consolidated Balance Sheet at their fair value and recognize the changes in the fair value in our Condensed Consolidated Statement of Operations, when they occur, the only exception being derivatives that qualify as hedges. For the derivative instrument to qualify as a hedge, we are required to meet strict hedge effectiveness and contemporaneous documentation requirements at the initiation of the hedge and assess the hedge effectiveness on an ongoing basis over the life of the hedge. At June 30, 20132014 and December 31, 20122013, our forward contracts for inventory purchases did not meet the documentation requirements to be designated as hedges. Accordingly, we recognize all changes in the fair values of our derivatives instruments in Fair value changes of derivatives instruments, net, in our Condensed Consolidated Statement of Operations. Refer to Note 9.
Revenue recognition. Generally, we recognize revenue from product sales when goods are shipped and title and risk of loss transfer to our customers. Our estimates for sales returns and allowances are based upon the historical patterns of product

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returns and allowances taken, matched against the sales from which they originated, and management’s evaluation of specific factors that may increase or decrease the risk of product returns.
Revenue for laboratory services is recognized on the accrual basis at the time test results are reported, which approximates when services are provided. Services are provided to certain patients covered by various third-party payer programs including various managed care organizations, as well as the Medicare and Medicaid programs. Billings for services under third-party payer programs are included in sales net of allowances for contractual discounts and allowances for differences between the amounts billed and estimated program payment amounts. Adjustments to the estimated payment amounts based on final settlement with the programs are recorded upon settlement as an adjustment to revenue. For the three and six months ended June 30, 20132014, revenue from services also includes $0.20.1 million and $0.4$0.1 million,, respectively, of revenue related to our consulting agreement with Neovasc Inc. (“Neovasc”) and to revenue related to molecular diagnostics collaboration agreements. For the three and six months ended June 30, 2012,2013, revenue from services included $0.1also includes $0.2 million and $0.2$0.4 million,, respectively, of revenue related to our consulting agreement with Neovasc and to revenue related to molecular diagnostics collaboration agreements. We recognize this revenue on a straight-line basis over the contractual term of the agreements.
Revenue from transfer of intellectual property includes revenue related to the sale, license or transfer of intellectual property such as upfront license payments, license fees and milestone payments received through our license, collaboration and commercialization agreements. We analyze our multiple-element arrangements to determine whether the elements can be separated and accounted for individually as separate units of accounting.
Non-refundable license fees for the out-license of our technology are recognized depending on the provisions of each agreement. We recognize non-refundable upfront license payments as revenue upon receipt if the license has standalone value and the fair value of our undelivered obligations, if any, can be determined. If the license is considered to have standalone value but the fair value of any of the undelivered items cannot be determined, the license payments are recognized as revenue over the period of our performance for such undelivered items or services. License fees with ongoing involvement or performance obligations are recorded as deferred revenue, included in Accrued expenses or Other long-term liabilities, when received and generally are recognized ratably over the period of such performance obligation only after both the license period has commenced and we have delivered the technology.
The assessment of our obligations and related performance periods requires significant management judgment. If an agreement contains research and development obligations, the relevant time period for the research and development phase is based on management estimates and could vary depending on the outcome of clinical trials and the regulatory approval process. Such changes could materially impact the revenue recognized, and as a result, management reviews the estimates related to the relevant time period of research and development on a quarterly basis. For the six months ended June 30, 20132014, we recorded $14.8$0.5 million of revenue from the transfer of intellectual property, of which $12.5 million related to the sale of substantially all of our assets in the field of RNA interference to RXi Pharmaceuticals Corporation (“RXi”) during the first quarter of 2013.property. Refer to Note 5.
Revenue from milestone payments related to arrangements under which we have continuing performance obligations are recognized as Revenue from transfer of intellectual property upon achievement of the milestone only if all of the following conditions are met: the milestone payments are non-refundable; there was substantive uncertainty at the date of entering into the arrangement that the milestone would be achieved; the milestone is commensurate with either the vendor’s performance to achieve the milestone or the enhancement of the value of the delivered item by the vendor; the milestone relates solely to past performance; and the amount of the milestone is reasonable in relation to the effort expended or the risk associated with the achievement of the milestone. If any of these conditions are not met, the milestone payments are not considered to be substantive and are, therefore, deferred and recognized as Revenue from transfer of intellectual property over the term of the arrangement as we complete our performance obligations.

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Total deferred revenue included in Accrued expenses and Other long-term liabilities was $6.08.3 million and $1.98.3 million at June 30, 20132014 and December 31, 20122013, respectively.
Allowance for doubtful accounts. We analyze accounts receivable and historical bad debt levels, customer credit worthiness and current economic trends when evaluating the adequacy of the allowance for doubtful accounts using the specific identification method. Our reported net loss is directly affected by our estimate of the collectability of accounts receivable. The amount of the allowance for doubtful accounts was $0.9$1.5 million and $0.5$1.9 million at June 30, 20132014 and December 31, 20122013, respectively.
Equity-based compensation. We measure the cost of employee services received in exchange for an award of equity instruments based on the grant-date fair value of the award. That cost is recognized in the statementCondensed Consolidated Statement of operationsOperations over the period during which an employee is required to provide service in exchange for the award. We record excess tax benefits, realized from the exercise of stock options as a financing cash inflow rather than as a reduction of taxes paid in cash flow from

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operations. Equity-based compensation arrangements to non-employees are recorded at their fair value on the measurement date. The measurement of equity-based compensation is subject to periodic adjustment as the underlying equity instruments vest. During the three months ended June 30, 20132014 and 2012,2013, we recorded $1.83.4 million and $1.01.8 million, respectively, of equity-based compensation expense. During the six months ended June 30, 20132014 and 2012,2013, we recorded $7.0$7.0 million and $2.2$7.0 million,, respectively, of equity-based compensation expense.
Research and development expenses.Research and development expenses include external and internal expenses, partially offset by third-party grants and fundings arising from collaboration agreements. External expenses include clinical and non-clinical activities performed by contract research organizations, lab services, purchases of drug and diagnostic product materials and manufacturing development costs. Research and development employee-related expenses include salaries, benefits and stock-based compensation expense. Other unallocated internal research and development expenses are incurred to support overall research and development activities and include expenses related to general overhead and facilities. We expense these costs in the period in which they are incurred. We estimate our liabilities for research and development expenses in order to match the recognition of expenses to the period in which the actual services are received. As such, accrued liabilities related to third party research and development activities are recognized based upon our estimate of services received and degree of completion of the services in accordance with the specific third party contract.
Segment reporting. Our chief operating decision-maker (“CODM”) is comprised of our executive management with the oversight of our Board of Directors. Our CODM reviews our operating results and operating plans and makes resource allocation decisions on a Company-wide or aggregate basis. We currently manage our operations in two reportable segments, pharmaceuticals and diagnostics. The pharmaceuticalspharmaceutical segment consists of two operating segments, our (i) pharmaceutical research and development segment which is focused on the research and development of pharmaceutical products, and vaccines, and (ii) the pharmaceutical operations we acquired in Chile, Mexico, Israel, Spain, Uruguay and Brazil. The diagnostics segment consists of two operating segments, our (i) pathology operations we acquired through the acquisition of OURLabOPKO Lab and (ii) point-of-care and molecular diagnostics operations. There are no inter-segment sales. We evaluate the performance of each segment based on operating profit or loss. There is no inter-segment allocation of interest expense and income taxes.
Variable interest entities. The consolidation of VIEsvariable interest entities (“VIE”) is required when an enterprise has a controlling financial interest. A controlling financial interest in a VIE will have both of the following characteristics: (a) the power to direct the activities of a VIE that most significantly impact the VIE’s economic performance and (b) the obligation to absorb losses of the VIE that could potentially be significant to the VIE. Refer to Note 5.
Investments. We have made strategic investments in development stage and emerging companies. We record these investments as equity method investments or investments available for sale based on our percentage of ownership and whether we have significant influence over the operations of the investees. For investments classified under the equity method of accounting, we record our proportionate share of their losses in Losses from investments in investees in our Condensed Consolidated Statement of Operations. Refer to Note 5. For investments classified as available for sale, we record changes in their fair value as unrealized gain or loss in Other comprehensive loss based on their closing price per share at the end of each reporting period. Refer to Note 5.
Recent accounting pronouncements. In FebruaryJuly 2013, the Financial Accounting Standards Board (“FASB”)FASB issued an Accounting Standards Update (“ASU”) 2013-2, Reporting, ASU 2013-11, Presentation of Amounts Reclassified Out of Accumulated Other Comprehensive Income, (“an Unrecognized Tax Benefit When a Net Operating Loss Carryforward, a Similar Tax Loss, or a Tax Credit Carryforward Exists. ASU 2013-2”). ASU 2013-2 requires2013-11 is intended to eliminate inconsistent practices regarding the presentation of reclassifications outan unrecognized tax benefit when a net operating loss carryforward, a similar tax loss, or a tax credit carryforward is available to reduce the taxable income or tax payable that would result from the disallowance of accumulated other comprehensive income in either (1)the notes or (2)the facea tax position. ASU 2013-11 is effective

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for our first quarter ended March 31, 2013.fiscal year beginning January 1, 2014 and subsequent interim periods. The adoption of ASU 2013-2 did2013-11 does not have a material effect on our Condensed Consolidated Financial Statements.

In May 2014, the FASB issued ASU No. 2014-09, "Revenue from Contracts with Customers." ASU No. 2014-09 clarifies the principles for recognizing revenue and develops a common revenue standard for GAAP and International Financial Reporting Standards ("IFRS") that removes inconsistencies and weaknesses in revenue requirements, provides a more robust framework for addressing revenue issues, improves comparability of revenue recognition practices across entities, industries, jurisdictions, and capital markets, provides more useful information to users of financial statements through improved disclosure requirements and simplifies the preparation of financial statements by reducing the number of requirements to which an entity must refer. ASU No. 2014-09 is effective for fiscal years, and interim periods within those years, beginning after December 15, 2016. Companies can choose to apply the ASU using either the full retrospective approach or a modified retrospective approach. We are currently evaluating both methods of adoption and the impact, if any, that the adoption of this ASU will have on our condensed consolidated financial statements.

In June 2014, the FASB issued ASU No. 2014-12, "Accounting for Share-Based Payments When the Terms of an Award Provide That a Performance Target Could Be Achieved after the Requisite Service Period (a consensus of the FASB Emerging Issues Task Force)." ASU No. 2014-12 requires that a performance target that affects vesting and that could be achieved after the requisite service period be treated as a performance condition. ASU No. 2014-12 is effective for fiscal years, and interim periods within those years, beginning after December 15, 2015. Earlier adoption is permitted. The amendments can be applied either prospectively to all awards granted or modified after the effective date or retrospectively to all awards with performance targets that are outstanding as of the beginning of the earliest annual period presented in the financial statements and to all new or modified awards. We expect to apply the ASU prospectively and do not expect the adoption to have an impact on our condensed consolidated financial statements but did require certain additional disclosures. Refer to Note 7.as our existing share-based payment awards do not fall within the scope of this ASU.
NOTE 3 LOSS PER SHARE
Basic loss per share is computed by dividing our net loss by the weighted average number of shares outstanding during the period. Diluted loss per share is computed by dividing our net loss increased by dividends on preferred stock by the weighted average number of shares outstanding and the impact of all dilutive potential common shares, primarily stock options. The dilutive impact of common stock options and common stock warrants is determined by applying the “treasury stock” method. In the periods in which their effect would be anti-dilutive, no effect has been given to outstanding options, warrants or convertible Preferred Stock in the diluted computation. Potentially dilutive shares issuable pursuant to the 2033 Senior Notes (defined in Note 6) were not included in the computation of net loss per share for the three and six months ended June 30, 20132014, because their inclusion would be anti-dilutive.
Also, a total of 29,701,83829,132,527 and 27,416,02929,701,838 potential shares of Common Stock have been excluded from the calculation of diluted net loss per share for the three months ended June 30, 20132014 and 2012,2013, respectively, because their inclusion would be anti-dilutive. A total of 29,910,49229,503,319 and 27,243,78329,910,492 potential shares of Common Stock have been excluded from the calculation of diluted net loss per share for the six months ended June 30, 20132014 and 2012,2013, respectively, because their inclusion would be anti-dilutive.
During the three months ended June 30, 20132014, 216,0531,102,741 Common Stock options and Common Stock warrants to purchase shares of our Common Stock were exercised, and issued.resulting in the issuance of 782,324 shares of Common Stock. Of the 1,102,741 Common Stock options exercised, 320,417 shares of Common Stock were surrendered in lieu of a cash payment via the net exercise feature of the agreements.
During the six months ended June 30, 20132014, 1,727,7461,705,406 Common Stock options and Common Stock warrants to purchase shares of our Common Stock were exercised, resulting in the issuance of 1,612,2321,310,250 shares of Common Stock. Of the 1,727,7461,705,406 Common Stock options and Common Stock warrants exercised, 115,514395,156 shares of Common Stock were surrendered in lieu of a cash payment via the net exercise feature of the warrant agreements.


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NOTE 4 COMPOSITION OF CERTAIN FINANCIAL STATEMENT CAPTIONS
(In thousands)June 30,
2013
 
December 31,
2012
Accounts receivable, net:   
Accounts receivable$23,135
 $21,636
Less: allowance for doubtful accounts(908) (474)
 $22,227
 $21,162
Inventories, net:   
Finished products$15,169
 $17,963
Work in-process1,253
 688
Raw materials4,721
 4,923
Less: inventory reserve(1,365) (1,313)
 $19,778
 $22,261
Intangible assets, net:   
Technologies$52,796
 $52,810
Customer relationships22,839
 23,088
Product registrations9,690
 9,637
Tradenames3,683
 3,746
Covenants not to compete8,660
 8,662
Other1,180
 367
Less:  accumulated amortization(19,073) (14,072)
 $79,775
 $84,238
Accrued expenses:   
Income taxes payable$2,421
 $1,614
Deferred revenue3,903
 1,518
Clinical trials315
 50
Professional fees933
 675
Employee benefits3,972
 3,319
Deferred acquisition payments, net of discount5,432
 6,172
Contingent consideration5,298
 5,126
Interest payable related to the Notes2,275
 
Other6,496
 6,182
 $31,045
 $24,656
Other long-term liabilities:   
Contingent consideration – Cytochroma$49,784
 $
Contingent consideration – Farmadiet529
 532
Contingent consideration – OPKO Diagnostics12,746
 11,310
Contingent consideration – FineTech
 2,578
Contingent consideration – CURNA549
 510
Deferred acquisition payments, net of discount3,983
 3,931
Mortgages and other debts payable3,636
 5,150
Deferred tax liabilities7,185
 9,777
Other, including deferred revenue2,191
 380
 $80,603
 $34,168
The change in value of the intangible assets is primarily due to the acquisitions of OPKO Do Brasil Comércio De Produtos Farmacéuticos Ltda ("OPKO Brazil"), previously known as Silcon Comércio, Importacao E Exportacao de Produtos Farmacéuticos e Cosmeticos Ltda, and Cytochroma Inc. (“Cytochroma”), as well as the foreign currency fluctuations between
(In thousands)June 30,
2014
 December 31,
2013
Accounts receivable, net   
Accounts receivable$24,660
 $21,652
Less: allowance for doubtful accounts(1,547) (1,885)
 $23,113
 $19,767
Inventories, net   
Finished products$12,455
 $13,374
Work in-process1,510
 1,350
Raw materials4,948
 4,132
Less: inventory reserve(579) (777)
 $18,334
 $18,079
Prepaid expenses and other current assets   
Prepaid supplies$1,910
 $945
Prepaid insurance1,113
 892
Pharmsynthez notes receivable
 6,151
Other receivables619
 1,985
Taxes recoverable1,298
 3,458
Other2,613
 5,653
 $7,553
 $19,084
Intangible assets, net:   
Technologies$53,012
 $51,660
Customer relationships22,511
 22,725
Product registrations9,687
 9,692
Tradenames3,615
 3,669
Covenants not to compete8,669
 8,671
Other1,190
 2,519
Less:  accumulated amortization(29,625) (24,403)
 $69,059
 $74,533
Accrued expenses:   
Taxes payable$406
 $702
Deferred revenue6,393
 7,639
Clinical trials2,616
 3,342
Professional fees1,320
 402
Employee benefits5,405
 4,399
Deferred acquisition payments, net of discount
 5,465
Contingent consideration24,618
 28,047
Other14,206
 15,878
 $54,964
 $65,874
    

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(In thousands)June 30,
2014
 December 31,
2013
Other long-term liabilities:   
Contingent consideration – OPKO Renal$37,141
 $34,401
Contingent consideration – OPKO Spain299
 504
Contingent consideration – OPKO Diagnostics10,642
 8,340
Contingent consideration – CURNA214
 316
Mortgages and other debts payable2,948
 3,270
Deferred tax liabilities165,226
 166,435
Other, including deferred revenue2,020
 1,509
 $218,490
 $214,775
All of the intangible assets and goodwill acquired relate to our acquisitions of OPKO Chile, including the intangible assets and goodwill related to the ALS acquisition, Exakta-OPKO, CURNA, OPKO Diagnostics, FineTech, OPKO Spain, OPKO Lab, OPKO Renal and OPKO Biologics. The pharmaceutical, nutraceutical and veterinary products from ALS and OPKO Spain do not require ongoing product renewals. We do not anticipate capitalizing the cost of product registration renewals, rather we expect to expense these costs, as incurred. Our goodwill is not tax deductible for income tax purposes in the U.S., Chile, Canada, Mexico, Spain, or Israel.
At June 30, 2014, the changes in value of the intangible assets and goodwill are primarily due to foreign currency fluctuations between the Chilean and Mexican pesos, the Brazilian Reals, the Euro and the Shekel against the U.S. dollar at dollar.
The following table summarizes the changes in Goodwill during the six months ended June 30, 2013 and December 31, 2012.2014.
 2014
(In thousands)Balance at January 1 Acquisitions Foreign exchange, other Balance at June 30
Pharmaceuticals       
CURNA$4,827
 $
 $
 $4,827
Exakta-OPKO113
 
 
 113
OPKO Chile6,102
 
 (310) 5,792
OPKO Spain9,075
 
 (79) 8,996
FineTech11,698
 
 
 11,698
SciVac1,740
 
 17
 1,757
OPKO Renal2,069
 
 
 2,069
OPKO Biologics139,784
 
 
 139,784
Diagnostics       
Claros17,977
 
 
 17,977
OPKO Lab32,988
 
 
 32,988
 $226,373
 $
 $(372) $226,001


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NOTE 5 ACQUISITIONS, INVESTMENTS AND LICENSES
PROLORInspiro Medical Ltd. acquisition
InOn April 2013,17, 2014, we entered into a stock purchase agreement to acquire 100% of the issued and outstanding share capital of Inspiro Medical Ltd. (“Inspiro”), an AgreementIsraeli medical device company developing a new platform to deliver small molecule drugs such as corticosteroids and Planbeta agonists and larger molecules to treat respiratory diseases.     
In connection with the transaction, we paid $1.5 million in cash and delivered 999,556 shares of Mergerour Common Stock valued at $8.6 million based on the closing price per share of our Common Stock as reported by the NYSE on the actual closing date of the acquisition, or $8.57 per share. The transaction closed on May 22, 2014. The number of shares issued was based upon our trading price as reported by the NYSE for the ten trading days immediately preceding the execution date of the purchase agreement, or $9.00 per share.
Inspiro’s Inspiromatic™ is a “smart” easy-to-use dry powder inhaler with several advantages over existing devices. We anticipate that this innovative device will play a valuable role in the improvement of therapy for asthma, chronic obstructive pulmonary disease, cystic fibrosis and other respiratory diseases. We recorded the transaction as an asset acquisition and recorded the assets and liabilities at fair value, and as a result, we recorded $10.1 million of acquired in-process research and development expenses.
OPKO Biologics acquisition
In August 2013, we acquired OPKO Biologics (formerly PROLOR) pursuant to an agreement and plan of merger dated April 23, 2013 (the “PROLOR Merger“Merger Agreement”) pursuant to which we will acquire PROLOR Biotech, Inc. (“PROLOR”), ain an all-stock transaction. OPKO Biologics is an Israeli-based biopharmaceutical company focused on developing and commercializing longer-acting proprietary versions of already approved therapeutic proteins, in an all-stock transaction. proteins.
Under the terms of the agreement,Merger Agreement, holders of PROLOR common stock will receivereceived 0.9951 shares of our Common Stock for each share of PROLOR common stock. BasedAt closing, we delivered 63,670,805 shares of our Common Stock valued at $540.6 million based on athe closing price of $7.03 per share of our Common Stock as reported by the transaction is valued at approximately $480 million,NYSE on the closing date of the acquisition, or $7.008.49 per shareshare. In addition, each outstanding option and warrant to purchase shares of PROLOR common stock. The companies expectstock that was outstanding and unexercised immediately prior to the transactionclosing date, whether vested or not vested, was converted into 7,889,265 options and warrants to be completed during the second halfpurchase OPKO Common Stock at a fair value of 2013. Closing$46.1 million.
Until completion of the transaction is subject to certain conditions including, the approval of PROLOR’s and our stockholders and other customary closing conditions.acquisition, Dr. Phillip Frost, our Chairman and Chief Executive Officer, iswas PROLOR’s Chairman of the Board and aowned greater than 5% stockholder of PROLOR.its stock. Dr. Jane H. Hsiao, our Vice Chairman and Chief Technology Officer, and Mr. Steven Rubin, our Executive Vice President, Administration, arewere both directors of PROLOR and owned less than 5% stockholders of PROLOR. The Board of Directors of each of OPKO and PROLOR (with the directors noted above abstaining) have approved the Merger and the Merger Agreement. In addition, the transaction was also approved by PROLOR’s Strategic Alternatives Committee.its stock.
CytochromaOPKO Renal acquisition
In March 2013, we acquired OPKO Renal (formerly Cytochroma, a corporation located in Markham, Canada,Inc.), whose lead products, both in Phase 3 development, are RayaldyRayaldeeTM (CTAP101), a vitamin D prohormone to treat secondary hyperparathyroidism in patients with stage 3 or 4 chronic kidney diseaseCKD and vitamin D insufficiency, and AlpharenTM (Fermagate Tablets), a non-absorbed phosphate binder to treat hyperphosphatemia in dialysis patients (the “Cytochroma“OPKO Renal Acquisition”).
In connection with the CytochromaOPKO Renal Acquisition, we delivered 20,517,030 of shares of our Common Stock valued at $146.9 million based on the closing price per share of our Common Stock as reported by the NYSE on the actual closing date of the acquisition, or $7.16 per share. The number of shares issued was based on the volume-weighted average price per share of our Common Stock as reported on the NYSE for the 10 trading days immediately preceding the date of the purchase agreement for the CytochromaOPKO Renal Acquisition, or $4.87 per share. The Cytochroma Agreement contains customary representations, warranties, conditions to closing, indemnification rights and obligations of the parties.
In addition, the CytochromaOPKO Renal Acquisition requires payments of up to an additional $190.0 million in cash or additional shares of our Common Stock, at our election, upon the achievement of certain milestones relating to development and annual revenue. As a result, we recorded $47.7 million as contingent consideration.consideration at acquisition. We evaluate the contingent consideration on an ongoing basis and the changes in the fair value are recognized in earnings until the milestones are achieved. Refer to Note 8.

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The following table summarizes the estimatedpurchase price allocation and the fair value of the net assets acquired and liabilities assumed in the acquisitionacquisitions of CytochromaOPKO Renal and OPKO Biologics at the datedates of acquisition, which areacquisition. The purchase price allocation for OPKO Biologics is subject to change while contingencies that existed on the acquisition date are resolved:
(In thousands) OPKO Renal OPKO Biologics
Current assets (including cash of $378 thousand)$1,224
Current assets (1)
$1,224
 $21,500
Intangible assets:    
In-process research and development191,530
191,530
 590,200
Patents210
210
 
Total intangible assets191,740
191,740
 590,200
Goodwill2,411
2,411
 139,784
Property, plant and equipment306
306
 1,057
Other assets
 371
Accounts payable and accrued expenses(1,069)(1,069) (9,866)
Deferred tax liability
 (156,403)
Total purchase price$194,612
$194,612
 $586,643
Goodwill is principally(1)Current assets include cash of $0.4 million and $20.5 million related to the acquiredOPKO Renal and OPKO Biologics acquisitions, respectively.
Goodwill from the acquisition of OPKO Biologics principally relates to the deferred tax liability generated as a result of this being a stock transaction and the assembled workforce. Goodwill from the acquisition of OPKO Renal principally relates to the assembled workforce. Goodwill is not tax deductible for income tax purposes.

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OPKO Brazil asset acquisition
In February 2013, we acquired the assets of OPKO Brazil, a Brazilian pharmaceutical company, pursuant to a purchase agreement entered into on December 26, 2012. Pursuant to the purchase agreement, we paid $0.3 million in cash and delivered 64,684 shares of our Common Stock at closing valued at $0.4 million based on the closing price per share of our Common Stock as reported by the NYSE on the actual closing date of the acquisition, or $6.73 per share. The number of shares issued was based on the average closing price per share of Common Stock as reported on the NYSE for the 10 trading days immediately preceding the execution of the purchase agreement, or $4.64 per share.
We accounted for this acquisition as an asset acquisition rather than a business combination. As a result we recorded the assets at fair value, with most of the value being allocated to the most significant asset, its pharmaceutical business licenses.
OURLab acquisition
In October 2012, we entered into a definitive merger agreement to acquire OURLab, a Nashville-based CLIA laboratory. In December 2012, we paid $9.4 million in cash and delivered 7,072,748 shares of our Common Stock at closing valued of $32.9 million based on the closing sales price per share of our Common Stock as reported by the NYSE on the actual closing date of the acquisition, or $4.65 per share. The number of shares issued was based on the average closing price per share of our Common Stock as reported on the NYSE for the 15 trading days immediately preceding the execution of the purchase agreement, or $4.33 per share. Pursuant to the merger agreement, 1,732,102 shares of Common Stock issued in the transaction are being held in a separate escrow account to secure the indemnification obligations of OURLab.
Farmadiet acquisition
In August 2012, we entered into a stock purchase agreement pursuant to which we acquired all of the outstanding stock of Farmadiet Group Holding, S.L. (“Farmadiet”), a Spanish company engaged in the development, manufacture, marketing, and sale of pharmaceutical, nutraceutical, and veterinary products in Europe (the “Farmadiet Transaction”).
In connection with the Farmadiet Transaction, we agreed to pay an aggregate purchase price of €13.5 million (approximately $16.0 million), of which (i) 50% ($8.4 million) was paid in cash at closing, and (ii) 50% (the “Deferred Payments”) will be paid, at our option, in cash or shares of our Common Stock as follows: (x) 25% to be paid on the first anniversary of the closing date; and (y) 25% to be paid 18 months after the closing date. On the date of acquisition, we recorded the €6.8 million Deferred Payments at $7.8 million, net of a discount of $0.6 million. The discount will be amortized as interest expense through the respective payment dates. The Deferred Payments are required to be paid in Euro and as such, the final U.S. dollar amount to be paid will be based on the exchange rate at the time the Deferred Payments are made. In the event we elect to pay the Deferred Payments in shares of our Common Stock, the number of shares issuable shall be calculated using the average closing price per share of our Common Stock as reported on the NYSE for the 10 trading days immediately preceding the applicable payment date. On August 2, 2013, we issued 585,703 shares of our Common Stock, in accordance with the first Deferred Payment. The number of shares issued was based on the average closing price per share of our Common Stock as reported on the NYSE for the 10 trading days up to and including August 1, 2013, or $7.61 per share. We have the right to hold back up to €2.8 million (approximately $3.6 million as of June 30, 2013) from the Deferred Payment to satisfy indemnity claims.
In connection with the Farmadiet Transaction, we also entered into two ancillary transactions (the “Ancillary Transactions”). In exchange for a 40% interest held by one of the sellers in one of Farmadiet’s subsidiaries, we agreed to issue up to an aggregate of 250,000 shares of our Common Stock, of which (a) 125,000 shares were issued on the closing date, and (b) 125,000 will be issued upon achieving certain milestones. In addition, we acquired an interest held by an affiliate of Farmadiet in a product in development in exchange for which we agreed to pay up to an aggregate of €1.0 million ($1.3 million) payable at our option in cash or shares of our Common Stock, of which (a) 25% ($0.3 million) was paid at closing through delivery of 70,421 shares of our Common Stock, and 75% ($1.0 million) will be paid in cash or shares of our Common Stock upon achieving certain milestones. As a result, we recorded $1.2 million as contingent consideration for the future consideration. We evaluate the contingent consideration on an ongoing basis and the changes in fair value are recognized in earnings until the milestones are achieved. Refer to Note 8. The final U.S. dollar amount to be paid will be based on the exchange rate at the time the milestones are achieved. The number of shares of our Common Stock issued is determined based on the average closing sales price for our Common Stock on the NYSE for the 10 trading days preceding the required payment date.

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ALS acquisition
In April 2012, we completed the acquisition of ALS Distribuidora Limitada (“ALS”), a privately-held Chilean pharmaceutical company, pursuant to a stock purchase agreement entered into in January 2012. In connection with the transaction, we agreed to pay up to a total of $4.0 million in cash to the sellers. Pursuant to the purchase agreement, we paid (i) $2.4 million in cash at the closing, less certain liabilities, and (ii) $0.8 million in cash at the closing into a separate escrow account to satisfy possible indemnity claims. During the six months ended June 30, 2013, we paid the remaining $0.8 million that we had agreed to pay upon the legal registration in the name of ALS of certain trademarks and product registrations previously held by the former owner of ALS, Arama Laboratorios y Compañía Limitada.
Pro forma disclosure for acquisitions
The following table includes the pro forma results for the three and six months ended June 30, 2013 and 20122014 of the combined companies as though the acquisition of CytochromaOPKO Biologics and OPKO Renal had been completed as of the beginning of eachthe period respectively.presented.
For the three months ended June 30, For the six months ended June 30,For the three months ended June 30, For the six months ended June 30,
(In thousands)2013 2012 2013 201220142013 20142013
Revenues$23,821
 $12,393
 $55,197
 $23,351
23,54523,821 45,81855,197
Net loss$(4,353) $(10,840) $(42,583) $(20,050)(26,077)(14,238) (71,163)(51,809)
Net loss attributable to common shareholders$(3,394) $(11,398) $(41,496) $(21,164)(25,480)(13,279) (70,026)(50,303)
Basic and diluted loss per share$(0.01) $(0.04) $(0.13) $(0.07)$(0.06)$(0.03) $(0.17)$(0.13)
The unaudited pro forma financial information is presented for information purposes only. The unaudited pro forma financial information may not necessarily reflect our future results of operations or what the results of operations would have been had we owned and operated each company as of the beginning of the period presented.

We incurred a pre-tax loss related to the activities
18

Table of Cytochroma of $8.5 million from the date of our acquisition through June 30, 2013.Contents

Investments
The total assets, liabilities, and net losses of our equity method investees as of and for the six months ended June 30, 20132014 were $108.4131.4 million, $33.017.7 million, and $33.825.2 million, respectively. The following table reflects our maximum exposure, accounting method, ownership interest and underlying equity in net assets of each of our unconsolidated investments as of June 30, 20132014:
(Dollars in thousands, except per share prices)
Investee name
 
Year
invested
 Accounting method 
Ownership at
June 30,
2013
 Investment Underlying equity in net assets 
Closing share price
at June 30, 2013
for investments
available for sale
 
Year
invested
 Accounting method 
Ownership at
June 30, 2014
 Investment Underlying equity in net assets 
Closing share price
at June 30, 2014
for investments
available for sale
Sorrento 2009 Equity method 20% $2,300
 $1,219
  
Cocrystal 2009 Equity method 16% 2,500
 514
  
Neovasc 2011 Equity method 4% 3,235
 486
   2011 Equity method 6% 3,798
 1,454
   
Fabrus 2010 VIE, equity method 13% 650
 (64)  
BZNE common stock 2012 VIE, equity method 12% 1,276
 (641)  
Senesco 2014 Equity method 4% 750
 366
  
RXi 2013 Equity method 21% 15,000
 3,230
   2013 Equity method 15% 15,000
 1,918
  
Pharmsynthez 2013 Equity method 10% 5,036
 5,171
   2013 Equity method 17% 11,300
 6,405
  
TESARO 2010 Investment available for sale 1% 56
   $32.74
Zebra 2013 VIE, equity method 19% 2,000
 840
  
Cocrystal 2009 Equity method 16% 5,476
 993
  
Neovasc options 2011 Investment available for sale N/A
 925
   CA$2.95
 2011 Investment available for sale N/A
 925
   
$6.25
BZNE Note and conversion feature 2012 VIE, investment available for sale N/A
 1,700
   
ChromaDex 2012 Investment available for sale 1% 1,320
   $0.78
 2012 Investment available for sale 1% 1,320
   $1.30
ARNO 2013 Investment available for sale 5% 2,000
   $1.78
Cocrystal 10 yr warrants 2014 Investment available for sale N/A
 500
    
Senesco warrants 2014 Investment available for sale N/A
 228
    
Plus unrealized gains on investments, options and warrants, netPlus unrealized gains on investments, options and warrants, net 3,671
    Plus unrealized gains on investments, options and warrants, net 8,827
    
Less accumulated losses in investeesLess accumulated losses in investees (10,979)    Less accumulated losses in investees (18,696)    
Total carrying value of equity method investees and investments, available for saleTotal carrying value of equity method investees and investments, available for sale $26,690
    Total carrying value of equity method investees and investments, available for sale $33,428
    

Cocrystal Pharma, Inc.
18

TableWe previously made investments in Biozone Pharmaceuticals, Inc. (“Biozone”) and Cocrystal Discovery, Inc. (“Cocrystal”). Effective January 2, 2014, Biozone and Cocrystal completed a merger transaction pursuant to which Cocrystal was the surviving entity, and the name of Contentsthe issuer was changed to Cocrystal Pharma, Inc. (“CPI”). In connection with the transaction, CPI issued to Cocrystal’s former security holders 1,000,000 shares of the CPI’s Series B Convertible Preferred Stock (“Series B”). The Series B shares: (i) automatically convert into shares of the CPI’s common stock at a rate of 205.08308640 shares for each share of Series B at such time that CPI has sufficient authorized capital, (ii) are entitled to vote on all matters submitted to shareholders of CPI and vote on an as converted basis and (iii) have a nominal liquidation preference. The merger was being treated as a reverse merger and recapitalization effected by a share exchange for financial accounting and reporting purposes since substantially all of the former Biozone’s operations were disposed of immediately prior to the consummation of the merger as reported on a Form 8-K filed on January 8, 2014. Cocrystal is treated as the accounting acquirer as its shareholders control CPI after the Merger.
We have determined that we and our related parties can significantly influence the success of CPI through our board representation and voting power. Accordingly, as we and our related parties have the ability to exercise significant influence over CPI’s operations, we account for our investment in CPI under the equity method.

ARNO
In October 2013, we made an investment in ARNO Therapeutics, Inc. (“ARNO”), a clinical stage company focused on the development of oncology drugs. We invested $2.0 million and received 833,333 ARNO common shares, one year warrants to purchase 833,333 ARNO common shares for $2.40 a share and five year warrants to purchase an additional 833,333 ARNO common shares for $4.00 a share. Our investment was part of a private placement by ARNO. Other investors participating in the private financing included certain related parties. Refer to Note 10. We have determined that our ownership, along with that of our related parties, does not provide us with significant influence over the operations of ARNO and as a result, we account for ARNO as an investment, available for sale, and we record changes in the fair value of ARNO as an unrealized gain or loss in Other comprehensive loss each reporting period. We recorded the warrants on the date of the grant at their estimated fair value of $3.6 million using the Black-Scholes-Merton Model. We record changes in fair value of ARNO warrants in Other income (expense), net in our Condensed Consolidated Statement of Operations.
Neovasc
In 2011, we made an investment in Neovasc, a medical technology company based in Vancouver, Canada. We invested $2.0 million and received two million Neovasc common shares, and two-year warrants to purchase an additional one million shares for $1.25 a share. During the three monthsyear ended June 30,December 31, 2013 we exercised the warrants and paid $1.2 million. We

19


accounted for the warrants as an investment, available for sale and recorded the warrants at fair value on the date of acquisition. We recorded the changes in the fair value of the warrants in Fair value changes of derivatives instruments, net in our Condensed Consolidated Statements of Operations. We have determined that our related parties can significantly influence the success of Neovasc through our board representation and voting power. Accordingly, as we and our related parties have the ability to exercise significant influence over Neovasc’s operations, we account for our investment in Neovasc under the equity method.
2013 licensing agreements
An element of our growth strategy is to leverage our proprietary technology through a combination of internal development, acquisition, and external partnerships to maximize the commercial opportunities for our portfolio of proprietary pharmaceutical and diagnostic products.products and as such during 2013, we have entered into licensing agreements with Pharmsynthez and RXi.
Pharmsynthez transactions
OnIn April 18, 2013, we entered into a series of concurrent transactions with OAO Pharmsynthez, (“Pharmsynthez”), a Russian pharmaceutical company traded on the Moscow Stock Exchange. The transactions consisted of:
We delivered approximately $9.6 million. to Pharmsynthez.
Pharmsynthez issued to us approximately 13.6 million of its common shares.
Pharmsynthez agreed, at its option, to issue approximately 12.0 million shares of its common shares to us or to pay us cash in Russian Rubles (“RUR”) 265.0 million ($8.1 million) on or before December 31, 2013 (the "Pharmsynthez“Pharmsynthez Note Receivable"Receivable”). In January 2014, Pharmsynthez delivered to us approximately 12.0 million shares of its common stock in satisfaction of the Pharmsynthez Notes Receivable.
We havehad a right to purchase additional shares in Pharmsynthez at a fixed price if Pharmsynthez pays us in cash rather than delivering to us the 12.0 million shares of Pharmsynthez common shares (the “Purchase Option”)., however in connection with the settlement of the Pharmsynthez Note Receivable in January 2014, this right terminated. 
We granted rights to certain technologies in the Russian Federation, Ukraine, Belorussia, AzerbaidjanBelarus, Azerbaijan and Kazakhstan (the “Territories”) to Pharmsynthez. 
We will receive from Pharmsynthez royalty on net sales of products incorporating the technologies in the Territories, as well as a percentage of any sublicense income from third parties for the technologies in the Territories.
Pharmsynthez will paypaid us $9.5 million under the various collaboration and funding agreements for the development of the technologies (the “Collaboration Payments”).
We recorded the initial shares received in Pharmsynthez as an equity method investment.  We initially recorded the Pharmsynthez Note Receivable, and the Purchase Option, as financial instruments and elected the fair value option for subsequent measurement. Changes in the fair value of the receivable from Pharmsynthez for its common stock or RUR, with the embedded derivative, and the Purchase Option are recorded in Fair value changes of derivative instruments, net in our Condensed Consolidated Statements of Operations forOperations. Upon settlement in January 2014, we recorded the three and six months ended June 30, 2013additional shares at fair value as an equity method investment.
We have accounted for the license and development activities as a multi-element arrangement, and allocated the total arrangement consideration based on the relative selling prices of the elements. We will record the allocated consideration for development activities as an offset to Research and development expenses over the three-year term of the Collaboration Payments.  We will record revenue in connection with the grant of rights to the technologies proportionately as the payments are received. 
During the six months ended June 30, 2014, we received $1.4 million related to the Collaboration Payments of which we recorded $0.5 million in Revenue from transfer of intellectual property and $0.8 million as an offset to Research and development expenses.
RXi transactions
In March 2013, we completed the sale to RXi Pharmaceuticals, Inc. (“RXi”) of substantially all of our assets in the field of RNA interference (the “RNAi Assets”) (collectively, the “Asset Purchase Agreement”). As consideration for the RNAi Assets, at the closing of the Asset Purchase Agreement, RXi issued to us 50 million shares of its common stock (the “APA Shares”). In accounting for the sale of the RNAi Assets, we determined that we did not have any continuing involvement in the development of the RNAi Assets or any other future performance obligations and, as a result, during the six months ended June 30, 2013, we recognized the APA Shares as $12.5 million of revenue from transfer of intellectual property in our Condensed Consolidated Statement of Operations.
Pursuant to the Asset Purchase Agreement, RXi will be required to pay us up to $50.0 million in milestone payments upon the successful development and commercialization of each drug developed by RXi, certain of its affiliates or any of its or

20


their licensees or sublicensees utilizing patents included within the RNAi Assets (each, a “Qualified Drug”). In addition, RXi will also be required to pay us royalties equal to: (a) a mid single-digit percentage of “Net Sales” (as defined in the Asset Purchase Agreement) with respect to each Qualified Drug sold for an ophthalmologic use during the applicable “Royalty

19


Period” (as defined in the Asset Purchase Agreement); and (b) a low single-digit percentage of net sales with respect to each Qualified Drug sold for a non-ophthalmologic use during the applicable royalty period.
In addition to the Asset Purchase Agreement, we purchased 17,241,380 shares of RXi, for $2.5 million, as part of a $16.4 million financing for RXi, which included other related parties. We have determined that our ownership, along with that of our related parties, provides us the ability to exercise significant influence over RXi operations and as such we have accounted for our investment in RXi under the equity method.
Senesco Technologies, Inc
We previously held a variable interest in Fabrus, Inc (“Fabrus”). Effective May 16, 2014 Senesco Technologies, Inc (“Senesco”) acquired Fabrus through a merger, with Fabrus surviving the merger as a wholly-owned subsidiary of Senesco.
Immediately prior to the effective time of the Merger, any unpaid indebtedness pursuant to all outstanding Fabrus convertible promissory notes was canceled and converted into Fabrus common stock. At the effective time of the merger, all outstanding Fabrus stock options were accelerated and terminated by Fabrus and replaced with stock options to acquire shares of Senesco common stock with identical rights and privileges except that the number of shares subject to each Senesco option equal the number of shares subject to the Fabrus option it replaced multiplied by 0.376939. As a part of the Merger consideration, Senesco issued to the Fabrus investors Common Stock Purchase Warrants to purchase shares of the Company’s common stock.
OPKO’s convertible promissory notes in Fabrus were canceled and converted into 80,000 shares of Senesco common stock, and OPKO’s 1,159,380 shares of Fabrus common stock were replaced with 437,016 shares of Senesco common stock. OPKO received a total of 517,016 shares of Senesco common stock and warrants to purchase an additional 267,927 shares of Senesco common stock.
We have determined that we and our related parties can significantly influence the success of Senesco through our board representation and voting power. Accordingly, as we and our related parties have the ability to exercise significant influence over Senesco’s operations, we account for our investment in Senesco under the equity method. Based on our review of the applicable accounting literature, we believe the transaction qualifies for carryover basis.
Investments in variable interest entities

We have determined that we hold variable interests in Fabrus, Inc. (“Fabrus”), Biozone Pharmaceutical, Inc. (“BZNE”) and SciVac Ltd ("SciVac"(“SciVac”), previously known as SciGen (I.L.) Ltd.Ltd, and Zebra Biologics, Inc. (“Zebra”). We made this determination as a result of our assessment that they do not have sufficient resources to carry out their principal activities without additional financial support.
In order to determine the primary beneficiaryOctober 2013, we acquired 840,000 shares of BZNE, we evaluated our investment and our related parties’ investments, as well as our investment combinedZebra Series A-2 Preferred Stock for $2.0 million. In connection with the related party group’s investmentstransactions, Dr. Frost also gifted to identify if weOPKO 900,000 shares of Zebra restricted common stock which he had the power to direct the activities that most significantly impact the economic performancereceived as a founding member of BZNE. We determined that power to direct the activities that most significantly impact BZNE’s economic performanceZebra. Zebra is conveyed through the board of directors of BZNE and no entity is able to appoint the BZNE governing body that oversees its executive management team. Baseda privately held biotechnology company focused on the capital structure, governing documentsdiscovery and overall business operationsdevelopment of BZNE, we determined that, whilebiosuperior antibody therapeutics and complex drugs. After the closing on October 29, 2013, OPKO owns 23.5% of the Series A-2 Preferred stock issued and outstanding of Zebra. Dr. Richard Lerner, M.D., a VIE, no single entity has the power to direct the activities that most significantly impact BZNE’s economic performance. However, we determined that wemember of our Board of Directors, is a founder of Zebra and, our related parties can significantly influence the successalong with Dr. Frost, serves as a member of BZNE through our voting power. As such, we account for investment in BZNE under the equity method.Zebra’s Board of Directors.
In order to determine the primary beneficiary of Fabrus,Zebra, we evaluated our investment and our related parties’ investment, as well as our investment combined with the related party group’s investment to identify if we had the power to direct the activities that most significantly impact the economic performance of Fabrus.Zebra. We determined that we do not have the power to direct the activities that most significantly impact Fabrus’sZebra’s economic performance is conveyed through the board of directors of Fabrus as no entity is able to appoint the Fabrus governing body that oversees its executive management team.performance. Based on the capital structure, governing documents and overall business operations of Fabrus,Zebra, we determined that, while a VIE, no single entity haswe do not have the power to direct the activities that most significantly impact Fabrus’sZebra’s economic performance. We did determine, however, that our related partieswe can significantly influence the success of FabrusZebra through our board representation and voting power. Accordingly, as we and our related parties have the ability to exercise significant influence over Fabrus’Zebra’s operations, we account for our investment in FabrusZebra under the equity method.
Consolidated variable interest entities
In June 2012, we entered into a share and debt purchase agreement whereby in exchange for $0.7 million we acquired shares representing a 45%50% stock ownership in SciVac from FDS Pharma LLP (“FDS”). SciVac is a privately-held Israeli company that produces a third-generation hepatitis B-vaccine. InFrom November 2012 March 2013 and May 2013,until June 30, 2014, we loaned to SciVac

21


a combined $1.22.6 million for working capital purposes. We have determined that we hold variable interests in SciVac based on our assessment that SciVac does not have sufficient resources to carry out its principal activities without financial support. In order to determine the fair market value of our investment in SciVac, we have utilized a business enterprise valuation approach.
In order to determine the primary beneficiary of SciVac, we evaluated our investment to identify if we had the power to direct the activities that most significantly impact the economic performance of SciVac. We have determined that the power to direct the activities that most significantly impact the economic performance of SciVac is conveyed through SciVac’s board of directors. SciVac’s board of directors appoint and oversee SciVac’s management team who carry out the activities that most significantly impact the economic performance of SciVac. As part of the share and debt purchase agreement, SciVac’s board of directors is constituted by 5 members, of which 3 members will be appointed by us, representing 60% of SciVac’s board. Based on this analysis, we determined that we have the power to direct the activities of SciVac and as such we are the primary beneficiary. As a result of this conclusion, we have consolidated the results of operations and financial position of SciVac and recordrecorded a reduction of equity for the portion of SciVac we do not own.

20


The following table represents the consolidated assets and non-recourse liabilities related to SciVac as of June 30, 20132014 and December 31, 2012.2013. These assets are owned by, and these liabilities are obligations of, SciVac, not us.
(In thousands)June 30,
2013
 
December 31,
2012
June 30,
2014
 
December 31,
2013
Assets      
Current assets:      
Cash and cash equivalents$363
 $174
$433
 $2
Accounts receivable, net266
 387
516
 283
Inventories, net1,573
 1,092
1,700
 1,696
Prepaid expenses and other current assets132
 199
529
 218
Total current assets2,334
 1,852
3,178
 2,199
Property, plant and equipment, net1,425
 1,539
1,412
 1,374
Intangible assets, net1,128
 1,154
1,055
 1,111
Goodwill822
 796
1,757
 1,821
Other assets298
 231
263
 261
Total assets$6,007
 $5,572
$7,665
 6,766
Liabilities      
Current liabilities:      
Accounts payable$1,254
 $1,108
$1,007
 $1,136
Accrued expenses5,157
 2,859
8,298
 6,498
Notes payable1,132
 
3,903
 1,537
Total current liabilities7,543
 3,967
13,208
 9,171
Other long-term liabilities282
 1,529
261
 1,240
Total liabilities$7,825
 $5,496
$13,469
 $10,411

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NOTE 6 DEBT
In January 2013, we entered into note purchase agreements (the “Notes”“2033 Senior Notes”) with qualified institutional buyers and accredited investors (collectively the “Purchaser”) in a private placement in reliance on exemptions from registration under the Securities Act of 1933, (the “Securities Act”). The Purchasers of the 2033 Senior Notes include Frost Gamma Investments Trust, a trust affiliated with Dr. Frost, and Hsu Gamma Investment, L.P., an entity affiliated with Dr. Hsiao. The 2033 Senior Notes were issued on January 30, 2013. The 2033 Senior Notes, which total $175.0$175.0 million,, bear interest at the rate of 3.00% per year, payable semiannually on February 1 and August 1 of each year, beginning August 1, 2013. The 2033 Senior Notes will mature on February 1, 2033, unless earlier repurchased, redeemed or converted. Upon a fundamental change as defined in the instruments governing the 2033 Senior Notes, subject to certain exceptions, the holders may require us to repurchase all or any portion of their 2033 Senior Notes for cash at a repurchase price equal to 100% of the principal amount of the 2033 Senior Notes being repurchased, plus any accrued and unpaid interest to but not including the fundamental change repurchase date.
The following table sets forth information related to the 2033 Senior Notes which is included our Condensed Consolidated Balance Sheets:
(In thousands)Embedded conversion option 2033 Senior Notes Discount Total
Balance at December 31, 2013$101,087
 $158,064
 $(47,239) $211,912
Amortization of debt discount
 
 3,557
 3,557
Change in fair value of embedded derivative(770) 
 
 (770)
Conversion(47,353) (70,422) 19,441
 (98,334)
Balance at June 30, 2014$52,964
 $87,642
 $(24,241) $116,365
The 2033 Senior Notes will be convertible at any time on or after November 1, 2032, through the second scheduled trading day immediately preceding the maturity date, at the option of the holders.holders. Additionally, holders may convert their 2033 Senior Notes prior to the close of business on the scheduled trading day immediately preceding November 1, 2032, under the following circumstances: (1) conversion based upon satisfaction of the trading price condition relating to the 2033 Senior Notes; (2) conversion based on the Common Stock price; (3) conversion based upon the occurrence of specified corporate events; or (4) if we call the 2033 Senior Notes for redemption. The 2033 Senior Notes will be convertible into cash, shares of our Common Stock, or a combination of cash and shares of Common Stock, at our election unless we have made an irrevocable election of net share settlement. The initial conversion rate for the 2033 Senior Notes will be 141.4827 shares of Common Stock per $1,000$1,000 principal amount of 2033 Senior Notes (equivalent to an initial conversion price of approximately $7.07$7.07 per share of Common Stock), and will be subject to adjustment upon the occurrence of certain events. In addition, we will, in certain circumstances, increase the conversion rate for holders who convert their 2033 Senior Notes in connection with a make-whole fundamental change (as defined in the Indenture) and holders who convert upon the occurrence of certain specific events prior to February 1, 2017 (other than in connection with a make-whole fundamental change). Holders of the 2033 Senior Notes may require us to repurchase the 2033 Senior Notes for 100% of their principal amount, plus accrued and unpaid interest, on February 1, 2019, February 1, 2023 and February 1, 2028, or following the occurrence of a fundamental change as defined in the indenture governing the 2033 Senior Notes.
We may not redeem the 2033 Senior Notes prior to February 1, 2017. On or after February 1, 2017 and before February 1, 2019,, we may redeem for cash any or all of the 2033 Senior Notes but only if the last reported sale price of our Common Stock exceeds 130% of the applicable conversion price for at least 20 trading days during the 30 consecutive trading day period ending on the trading day immediately prior to the date on which we deliver the redemption notice. The redemption price will equal 100% of the principal amount of the 2033 Senior Notes to be redeemed, plus any accrued and unpaid interest to but not including the redemption date. On or after February 1, 2019, we may redeem for cash any or all of the 2033 Senior Notes at a redemption price of 100% of the principal amount of the 2033 Senior Notes to be redeemed, plus any accrued and unpaid interest up to but not including the redemption date.
The terms of the 2033 Senior Notes, include, among others: (i) rights to convert into shares of our Common Stock, including upon a fundamental change; and (ii) a coupon make-whole payment in the event of a conversion by the holders of the 2033 Senior Notes on or after February 1, 2017 but prior to February 1, 2019. We have determined that these specific terms are considered to be embedded derivatives. As a result, embedded derivatives are required to be separated from the host contract, the 2033 Senior Notes, and carried at fair value when: (a) the embedded derivative possesses economic characteristics that are not clearly and closely related to the economic characteristics of the host contract; and (b) a separate, stand-alone instrument with the same terms would qualify as a derivative instrument. We have concluded that the embedded derivatives within the

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2033 Senior Notes meet these criteria and, as such, must be valued separate and apart from the 2033 Senior Notes and recorded at fair value each reporting period.
For purposes of accounting and financial reporting purposes, we combine these embedded derivatives and value them together as one unit of accounting. At each reporting period, we record these embedded derivatives at fair value which is included as a component of the 2033 Senior Notes on our Condensed Consolidated Balance Sheets.
In June 2014, we entered into an exchange agreement with a holder of the Company’s Notes pursuant to which such holder exchanged $70.4 million in aggregate principal amount of Notes for 10,974,431 shares of the Company’s Common Stock and approximately $0.8 million in cash representing accrued interest through the date of completion of the exchange. We haverecorded a 2.7 million non-cash gain related to the exchange. The gain on exchange is included within Other income (expense) on our Condensed Consolidated Statement of Operations.
We used a binomial lattice model in order to estimate the fair value of the embedded derivative in the 2033 Senior Notes. A binomial lattice model generates two probable outcomes — one up and another down —arising at each point in time, starting from the date of valuation until the maturity date. A lattice model was initially used to determine if the 2033 Senior Notes would be converted, called or held at each decision point. Within the lattice model, the following assumptions are made: (i) the 2033 Senior Notes will be converted early if the conversion value is greater than the holding value; or (ii) the 2033 Senior Notes will be called if the holding value is greater than both (a) the redemption price (as defined in the Indenture) and (b) the conversion value plus the coupon make-whole payment at the time. If the 2033 Senior Notes are called, then the holder will maximize their value by finding the optimal decision between (1) redeeming at the redemption price and (2) converting the 2033 Senior Notes.
Using this lattice model, we valued the embedded derivatives using the “with-and-without method,” where the value of the 2033 Senior Notes including the embedded derivatives is defined as the “with,” and the value of the 2033 Senior Notes excluding the embedded derivatives is defined as the “without.” This method estimates the value of the embedded derivatives by looking at the

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difference in the values between the 2033 Senior Notes with the embedded derivatives and the value of the 2033 Senior Notes without the embedded derivatives.
The lattice model requires the following inputs: (i) price of our Common Stock; (ii) Conversion Rate (as defined in the Indenture); (iii) Conversion Price (as defined in the Indenture); (iv) maturity date; (v) risk-free interest rate; (vi) estimated stock volatility; and (vii) estimated credit spread for the Company.
The following table sets forth the inputs to the lattice model used to value the embedded derivative:
 June 30, 2013 Issuance Date
Stock price$7.10
 $6.20
Conversion Rate141.4827
 141.4827
Conversion Price$7.07
 $7.07
Maturity dateFebruary 1, 2033
 February 1, 2033
Risk-free interest rate1.57% 1.12%
Estimated stock volatility35% 40%
Estimated credit spread983 basis points
 944 basis points
June 30, 2014
Stock price$8.84
Conversion Rate141.4827
Conversion Price$7.07
Maturity dateFebruary 1, 2033
Risk-free interest rate1.47%
Estimated stock volatility42%
Estimated credit spread717 basis points
The following table sets forth the fair value of the 2033 Senior Notes with and without the embedded derivatives, and the fair value of the embedded derivatives as of the issuance date andat June 30, 20132014:. At June 30, 2014 the principal amount of the 2033 Senior Notes was $87.6 million:
(In thousands)June 30, 2013 Issuance DateJune 30, 2014
Fair value of Notes:   
Fair value of 2033 Senior Notes: 
With the embedded derivatives$189,481
 $175,000
$122,723
Without the embedded derivatives$115,402
 $115,796
$69,759
Estimated fair value of the embedded derivatives$74,079
 $59,204
$52,964
Changes in certain inputs into the lattice model can have a significant impact on changes in the estimated fair value of the embedded derivatives. For example, a decrease in our estimated credit spread results in an increase in the estimated value of the embedded derivatives. Conversely, a decrease in the price of our Common Stock results in a decrease in the estimated fair value of the embedded derivatives. FromFor the date the Notes were issued through six months ended June 30, 2013,2014, we observed an increase in the market price of our

24


Common Stock which primarily resulted in a $14.9$0.8 million increase decrease in the estimated fair value of our embedded derivatives recorded in Fair value changes of derivative instruments, net in our Condensed Consolidated Statements of Operations.

The principal amounts, unamortized discount and net carrying amountsWe have line of the Notescredit agreements with twelve financial institutions as of June 30, 20132014 were as follows:
(In thousands)
Principal
Balance
 
Unamortized
Discount
 
Net Carrying
Amount
Notes$175,000
 $60,555
 $114,445

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We have entered into line of credit agreements withand fifteenfourteen financial institutions as of December 31, 2013 in Chile and Spain. These lines of credit are used primarily as a source of working capital for inventory purchases.
The following table summarizes the amountamounts outstanding under the Chilean and Spanish lines of credit:
(Dollars in thousands)      Balance Outstanding      Balance Outstanding
Lender 
Interest rate on
borrowings
 
Credit line
capacity
 June 30,
2013
 
December 31,
2012
 
Interest rate on
borrowings at June 30, 2014
 
Credit line
capacity
 June 30,
2014
 
December 31,
2013
Itau Bank 6.66% $3,000
 $2,664
 $2,738
 5.00% $1,800 $1,476 $1,999
Bank of Chile 7.50% 3,000
 2,237
 2,292
 6.40% 2,250 1,195 2,079
BICE Bank 5.02% 2,000
 940
 2,451
 5.00% 1,700 1,868 516
Corp Banca 5.00% 1,000
 140
 1,248
 —%   (47)
BBVA Bank 5.55% 3,000
 1,949
 2,823
 5.00% 2,000 1,403 523
Penta Bank 9.48% 1,000
 793
 833
 8.20% 1,200 1,096 946
Security Bank 7.60% 1,500
 994
 
 7.26% 1,300 797 1,075
BCI 5.00% 1,500
 1,591
 
 —%   198
Estado Bank 5.99% 2,000
 1,851
 1,963
 5.44% 2,800 1,709 1,772
Sabadell Bank 7.60% 195
 
 3
 4.50% 205  
Bilbao Vizcaya Bank 4.90% 390
 91
 377
 4.72% 341  
Banco Popular 8.25% 390
 11
 260
 6.09% 273  
Deutsche Bank 4.00% 204  
Santander Bank 6.00% 195
 
 
 4.09% 273  
Banesto 5.80% 195
 
 163
Banca March 6.25% 260
 
 44
Total   $19,625
 $13,261
 $15,195
 $14,346 $9,544 $9,061
At June 30, 20132014 and December 31, 20122013, the weighted average interest rate on our lines of credit was approximately 6.4%5.8% and 6.5%7.7%, respectively.
At June 30, 20132014 and December 31, 20122013, we had mortgage notes and other debt payables related to FarmadietOPKO Spain as follows:
(In thousands)June 30,
2013
 
December 31,
2012
June 30,
2014
 
December 31,
2013
Current portion of lines of credit and notes payable$2,385
 $2,331
Current portion of notes payable$950
 $1,964
Other long-term liabilities3,636
 3,916
2,948
 3,270
Total mortgage notes and other debt payables$6,021
 $6,247
Total mortgage notes and other debt$3,898
 $5,234
The mortgages and other debts payable mature at various dates ranging from 2015 through 2024 bearing variable interest rates from 2.7% up to 6.3%6.1%. The weighted average interest rate on the mortgage notes and other debt payable at June 30, 20132014 and December 31, 20122013, was 4.2%3.4% and 4.5%3.9%, respectively. The mortgages are secured by our office space in Barcelona.

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NOTE 7 ACCUMULATED OTHER COMPREHENSIVE INCOME
For the six months ended June 30, 20132014, changes in Accumulated other comprehensive income, net of tax, were as follows:
(In thousands)
Foreign
currency
 
Unrealized
gains in
Accumulated
OCI
Foreign
currency
 
Unrealized
gains in
Accumulated
OCI
 Total
Balance at December 31, 2012$3,196
 $4,160
Balance at December 31, 2013$1,371
 $2,047
 $3,418
Other comprehensive income before reclassifications, net of tax (1)
(1,762) 1,829
(1,613) (948) (2,561)
Amounts reclassified from accumulated other comprehensive income, net of tax (1)

 (4,593)
 (553) (553)
Net other comprehensive income(1,762) (2,764)(1,613) (1,501) (3,114)
Balance at June 30, 2013$1,434
 $1,396
Balance at June 30, 2014$(242) $546
 $304
(1)
Effective tax rate of 38.47%.
Amounts reclassified from Accumulated other comprehensive income for the six months ended June 30, 20132014 related to $10.81.3 million realized gain on the sales of certain of our investments available for sale. Of the $10.81.3 million gain on the sales of our investments available for sale, a $5.90.9 million and $7.5 million gains, respectively, weregain was reclassified from unrealized gains in Accumulated other comprehensive income to Other income (expense), net for the three and six months ended June 30, 20132014.
NOTE 8 FAIR VALUE MEASUREMENTS
We record fair valuevalues at an exit price, representing the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants. As such, fair value is a market-based measurement that should be determined based on assumptions that market participants would use in pricing an asset or liability. We utilize a three-tier fair value hierarchy, which prioritizes the inputs used in measuring fair value. These tiers include: Level 1, defined as observable inputs such as quoted prices in active markets; Level 2, defined as inputs other than quoted prices in active markets that are either directly or indirectly observable; and Level 3, defined as unobservable inputs in which little or no market data exists, therefore requiring an entity to develop its own assumptions.
A summary of our investments as of June 30, 2014, classified as available for sale and carried at fair value, is as follows:
 As of June 30, 2014
(In thousands)
Amortized
Cost
 
Gross
unrealized
gains in
Accumulated
OCI
 
Gross
unrealized
losses in
Accumulated
OCI
 
Gain/(Loss)
in
Accumulated
Deficit
 
Fair
value
Common stock investments, available for sale$3,320
 $1,100
 $(517) $
 $3,903
Common stock options/warrants1,425
 1,575
 
 2,980
 5,980
Total assets$4,745
 $2,675
 $(517) $2,980
 $9,883
A summary of our investments as of December 31, 2013, classified as available for sale and carried at fair value is as follows:
As of June 30, 2013As of December 31, 2013
(In thousands)
Amortized
Cost
 
Gross
unrealized
gains in
Accumulated
OCI
 
Gross
unrealized
losses in
Accumulated
OCI
 
Gain/(Loss)
in
Accumulated
Deficit
 
Fair
value
Amortized
Cost
 
Gross
unrealized
gains in
Accumulated
OCI
 
Gross
unrealized
losses in
Accumulated
OCI
 
Gain/(Loss)
in
Accumulated
Deficit
 
Fair
value
Common stock investments, available for sale$1,376
 $1,160
 $
 $
 $2,536
$3,376
 $2,698
 $
 $
 $6,074
BZNE Note and conversion feature1,700
 53
 
 287
 2,040
Neovasc common stock options925
 715
 
 679
 2,319
U.S. Treasury securities75,040
 
 (7) (7) 75,026
Common stock options/warrants925
 1,041
 
 4,022
 5,988
Total assets$79,041
 $1,928
 $(7) $959
 $81,921
$4,301
 $3,739
 $
 $4,022
 $12,062
A summary of our investments as of December 31, 2012, classified as available for sale, and carried at fair value is as follows:
 As of December 31, 2012
(In thousands)
Amortized
Cost
 
Gross
unrealized
gains in
Accumulated
OCI
 
Gross
unrealized
losses in
Accumulated
OCI
 
Gain/(Loss)
in
Accumulated
Deficit
 
Fair
value
Common stock investments, available for sale$2,051
 $6,185
 $
 $
 $8,236
BZNE Note and conversion feature1,700
 53
 
 287
 2,040
Neovasc common stock options925
 293
 
 176
 1,394
Neovasc common stock warrants659
 194
 
 (375) 478
Total assets$5,335
 $6,725
 $
 $88
 $12,148

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Any future fluctuation in fair value related to these instruments that is judged to be temporary, including any recoveries of previous write-downs, will be recorded in Accumulated other comprehensive income or loss. If we determine that any future valuation adjustment was other-than-temporary, we will record a loss during the period such determination is made.

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Table of Contents

As of June 30, 20132014, we have money market funds that qualify as cash equivalents, forward contracts for inventory purchases (Refer to Note 9) and contingent consideration related to the acquisitions of CURNA, Inc. (“CURNA”), ClarosOPKO Diagnostics, Inc. (“FineTech, OPKO Diagnostics”), FineTech Pharmaceuticals, Ltd. (“FineTech”), Farmadiet,Spain, and CytochromaOPKO Renal that are required to be measured at fair value on a recurring basis. In addition, in connection with our investment and our consulting agreement with Neovasc, we record the related Neovasc options and warrants at fair value as well as the derivative instruments related to our transactions with Pharmsynthez.
Our financial assets and liabilities measured at fair value on a recurring basis are as follows:
Fair value measurements as of June 30, 2013Fair value measurements as of June 30, 2014
(In thousands)
Quoted
prices in
active
markets for
identical
assets
(Level 1)
 
Significant
other
observable
inputs
(Level 2)
 
Significant
unobservable
inputs
(Level 3)
 Total
Quoted
prices in
active
markets for
identical
assets
(Level 1)
 
Significant
other
observable
inputs
(Level 2)
 
Significant
unobservable
inputs
(Level 3)
 Total
Assets:              
Money market funds$80,183
 $
 $
 $80,183
$112,546
 $
 $
 $112,546
U.S. Treasury securities24,999
 50,027
 
 75,026
Certificates of deposit
 827
 
 827

 827
 
 827
Pharmsynthez Note Receivable and Purchase Option
 6,795
 
 6,795
Forward contracts
 133
 
 133
Common stock investments, available for sale2,536
 
 
 2,536
3,903
 
 
 3,903
BZNE Note and conversation feature
 
 2,040
 2,040
Neovasc common stock options
 2,319
 
 2,319
Common stock options/warrants
 5,980
 
 5,980
Total assets$107,718
 $60,101
 $2,040
 $169,859
$116,449
 $6,807
 $
 $123,256
Liabilities:              
Embedded conversion option$
 $
 $74,079
 $74,079
$
 $
 $52,964
 $52,964
Forward Contracts
 55
 
 55
Deferred acquisition payments, net of discount
 
 9,415
 9,415

 
 
 
Contingent consideration:              
CURNA
 
 549
 549

 
 598
 598
OPKO Diagnostics
 
 14,512
 14,512

 
 14,174
 14,174
FineTech
 
 2,763
 2,763
Cytochroma
 
 49,784
 49,784
Farmadiet
 
 1,298
 1,298
OPKO Renal
 
 56,470
 56,470
OPKO Spain
 
 1,672
 1,672
Total liabilities$
 $
 $152,400
 $152,400
$
 $55
 $125,878
 $125,933

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 Fair value measurements as of December 31, 2012
(In thousands)
Quoted
prices in
active
markets for
identical
assets
(Level 1)
 
Significant
other
observable
inputs
(Level 2)
 
Significant
unobservable
inputs
(Level 3)
 Total
Assets:       
Money market funds$18,716
 $
 $
 $18,716
Certificates of deposit
 820
 
 820
Common stock investments, available for sale8,236
 
 
 8,236
BZNE Note and conversation feature
 
 2,040
 2,040
Neovasc common stock options
 1,394
 
 1,394
Neovasc common stock warrants
 478
 
 478
Total assets$26,952
 $2,692
 $2,040
 $31,684
Liabilities:       
Forward contracts$
 $10
 $
 $10
Deferred acquisition payments, net of discount
 
 10,103
 10,103
Contingent consideration:       
CURNA
 
 510
 510
OPKO Diagnostics
 
 12,974
 12,974
FineTech
 
 5,262
 5,262
Farmadiet
 
 1,310
 1,310
Total liabilities$
 $10
 $30,159
 $30,169
Our U.S. Treasury securities mature on September 5, 2013 ($25.0 million), September 30, 2013 ($25.0 million) and October 15, 2013 ($25.0 million).
 Fair value measurements as of December 31, 2013
(In thousands)
Quoted
prices in
active
markets for
identical
assets
(Level 1)
 
Significant
other
observable
inputs
(Level 2)
 
Significant
unobservable
inputs
(Level 3)
 Total
Assets:       
Money market funds$168,418
 $
 $
 $168,418
Certificates of deposit
 827
 
 827
Pharmsynthez Notes Receivable & Purchase Option
 6,151
 
 6,151
Common stock investments, available for sale6,074
 
 
 6,074
Common stock options/warrants
 5,988
 
 5,988
Forward contracts
 49
 
 49
Total assets$174,492
 $13,015
 $
 $187,507
Liabilities:       
Embedded conversion option
 
 101,087
 101,087
Deferred acquisition payments, net of discount
 
 5,465
 5,465
Contingent consideration:       
CURNA
 
 573
 573
OPKO Diagnostics
 
 13,776
 13,776
FineTech
 
 3,124
 3,124
OPKO Renal
 
 53,092
 53,092
OPKO Spain
 
 1,043
 1,043
Total liabilities$
 $
 $178,160
 $178,160
The carrying amount and estimated fair value of our long-term debt, as well as the applicable fair value hierarchy tiers, are contained in the table below. The fair value of the 2033 Senior Notes is determined using a binomial lattice approach in order to estimate the fair value of the embedded derivative in the 2033 Senior Notes. Refer to Note 6.
June 30, 2013June 30, 2014
(In thousands)
Carrying
Value
 
Total
Fair Value
 Level 1 Level 2 Level 3
Carrying
Value
 
Total
Fair Value
 Level 1 Level 2 Level 3
Notes$114,445
 $115,402
 $
 $
 $115,402
2033 Senior Notes$63,401
 $69,759
 $
 $
 $69,759
As of June 30, 20132014 and December 31, 20122013, the carrying value of our other assets and liabilities approximates their fair value due to their short-term nature.
The following tables reconcile the beginning and ending balances of our Level 3 assets and liabilities as of June 30, 2013 and December 31, 20122014:
June 30, 2013June 30, 2014
(In thousands)
BZNE Note
and
conversion
feature
 
Contingent
consideration
 
Deferred
acquisition
payments, net
of discount
 
Embedded
conversion
option
Contingent
consideration
 
Deferred
acquisition
payments, net
of discount
 
Embedded
conversion
option
Balance at December 31, 2012$2,040
 $20,056
 $10,103
 $
Balance at December 31, 2013$71,620
 $5,484
 $101,087
Additions
 47,710
 
 59,204

 
 
Total losses (gains) for the period:            
Included in results of operations
 3,901
 112
 14,875
4,486
 (754) (770)
Payments
 (2,761) (800) 
(3,192) (4,730) 
Balance at June 30, 2013$2,040
 $68,906
 $9,415
 $74,079
Conversion
 
 (47,353)
Balance at June 30, 2014$72,914
 $
 $52,964

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 December 31, 2012
(In thousands)
BZNE Note
and
conversion
feature
 
Contingent
consideration
 
Deferred
acquisition
payments, net
of discount
Balance at December 31, 2011$
 $18,002
 $
Additions1,700
 1,234
 9,673
Total losses (gains) for the period:     
Included in results of operations1,563
 820
 430
Included in Other comprehensive loss53
 
 
Transfer out to equity method investment(1,276) 
 
Balance at December 31, 2012$2,040
 $20,056
 $10,103
The estimated fair values of our financial instruments have been determined by using available market information and what we believe to be appropriate valuation methodologies. We use the following methods and assumptions in estimating fair value:
BZNE Notes and conversion feature - The stock market activity in BZNE does not represent an active market and as such, we determined the fair market value utilizing a business enterprise valuation approach in order to determine the fair value of our investment. The most significant assumptions are the projected revenue growth and operating income (loss). The impact of a change in any of our significant underlying assumptions +/-1% would not result in a materially different fair value.
Contingent consideration – We estimate the fair value of the contingent consideration utilizing a discounted cash flow model for the expected payments based on estimated timing and expected revenues. We use several discount rates depending on each type of contingent consideration related to FineTech, OPKO Diagnostics, CURNA, FarmadietOPKO Spain and CytochromaOPKO Renal transactions. The discount rates used range from 6% to 27% and were based on the weighted average cost of capital for those businesses. If the discount rates were to increase by 1%, on each transaction, the contingent consideration would decrease by $1.32.1 million. If estimated future sales were to decrease by 10%, the contingent consideration related to CURNA, FineTech and CytochromaOPKO Renal would decrease by $0.50.7 million. As of June 30, 20132014, of the $68.972.9 million of contingent consideration, $5.324.6 million is recorded in Accrued expenses and $63.648.3 million is recorded in Other long-term liabilities. As of December 31, 20122013, of the $20.071.6 million of contingent consideration, $5.128.0 million is recorded in Accrued expenses and $14.943.6 million is recorded in Other long-term liabilities.
Deferred payments – We estimate the fair value of the deferred payments utilizing a discounted cash flow model for the expected payments.
Embedded conversion option – We estimate the fair value of the embedded conversion option related to the 2033 Senior Notes using a binomial lattice model. Refer to Note 6 for detail description of the binomial lattice model and the fair value assumptions used.
Pharmsynthez Note Receivable and Purchase Option - We determined the fair value of the Pharmsynthez Note Receivable and Purchase Option using a number of Black-Scholes scenarios simulating changes in Pharmsynthez's common stock price. Refer to Note 8.


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NOTE 9 DERIVATIVE CONTRACTS
The following table summarizes the fair values and the presentation of our derivative financial instruments in the Condensed Consolidated Balance Sheets:
(In thousands)Balance Sheet Component June 30,
2014
 December 31,
2013
Derivative financial instruments:     
Pharmsynthez Note Receivable and Purchase OptionPrepaid expenses and other current assets $
 $6,151
Common stock options/warrantsInvestments, net $5,980
 $5,988
Embedded conversion option2033 Senior Notes, net of discount and estimated fair value of embedded derivatives $52,964
 $101,087
Forward contracts (1)
Current portion of lines of credit and notes payable $3,624
 $1,585
(1)
The loss on forward contracts is recorded in Accrued expenses. The gain on the forward contracts is recorded in Prepaid expenses and other current assets.
We enter into foreign currency forward exchange contracts to cover the risk of exposure to exchange rate differences arising from inventory purchases on letters of credit. Under these forward contracts, for any rate above or below the fixed rate, we receive or pay the difference between the spot rate and the fixed rate for the given amount at the settlement date.
The following table summarizes the fair values and the presentation of our derivative financial instruments in the Condensed Consolidated Balance Sheets:
(In thousands)Balance Sheet Component June 30,
2013
 December 31,
2012
Derivative financial instruments:     
Pharmsynthez Note Receivable and
     Purchase Option
Prepaid expenses and other current assets $6,795
 $
Neovasc common stock options/warrantsInvestments, net $2,319
 $1,872
Embedded conversion option
3.00% convertible senior notes, net of discount
     and estimated fair value of embedded
     derivatives
 $74,079
 $
Forward contracts (1)
Current portion of lines of credit and notes
      payable
 $2,242
 $1,294
(1)The effect on loss in the forward contracts is recorded in Accrued expenses. The effect on income in the forward contracts is recorded in Prepaid expenses and other current assets.
To qualify the derivative instrument as a hedge, we are required to meet strict hedge effectiveness and contemporaneous documentation requirements at the initiation of the hedge and assess the hedge effectiveness on an ongoing basis over the life of the hedge. At June 30, 20132014 and December 31, 20122013, our derivative financial instruments do not meet the documentation requirements to be designated as hedges. Accordingly, we recognize the changes in fair value in Fair value changes of derivative instruments, net in our Condensed Consolidated Statements of Operations. The following table summarizes the (losses) and gains recorded during the three and six months ended June 30, 20132014 and 2012:2013:
Three months ended June 30, Six months ended June 30,Three months ended June 30, Six months ended June 30,
(In thousands)2013 2012 2013 20122014 2013 2014 2013
Derivative gain (loss):              
Pharmsynthez Note Receivable and Purchase Option$2,599
 $
 $2,599
 $
Neovasc common stock options/warrants and BZNE Note
conversion feature
(15) 137
 1,245
 1,167
Notes9,913
 
 (14,875) 
Common stock options/warrants(860) 2,584
 $(263) $3,844
2033 Senior Notes11,882
 9,913
 770
 (14,875)
Forward contracts154
 (114) 133
 (27)(55) 154
 (55) 133
Total$12,651
 $23
 $(10,898) $1,140
$10,967
 $12,651
 $452
 $(10,898)

29


The outstanding forward contracts at June 30, 20132014 and December 31, 20122013, have been recorded at fair value, and their maturity details are as follows:
(In thousands)
Days until maturity
 Contract value 
Fair value at
 June 30, 2013
 Effect on income (loss) Contract value 
Fair value at
 June 30, 2014
 Effect on income (loss)
0 to 30 $659
 $703
 $44
 $1,157
 $1,146
 $(11)
31 to 60 410
 436
 26
 966
 951
 (15)
61 to 90 618
 654
 36
 623
 612
 (11)
91 to 120 422
 449
 27
 831
 815
 (16)
121 to 180 
 
 
 102
 100
 (2)
More than 180 
 
 
Total $2,109
 $2,242
 $133
 $3,679
 $3,624
 $(55)

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(In thousands)
Days until maturity
 Contract value 
Fair value at
 December 31, 2012
 Effect on income (loss) Contract value 
Fair value at
 December 31, 2013
 Effect on income (loss)
0 to 30 $
 $
 $
 $472
 $489
 $17
31 to 60 581
 577
 (4) 562
 579
 18
61 to 90 341
 339
 (2) 503
 517
 14
91 to 120 212
 210
 (2) 
 
 
121 to 180 170
 168
 (2) 
 
 
More than 180 
 
 
 
 
 
Total $1,304
 $1,294
 $(10) $1,537
 $1,585
 $49
NOTE 10 RELATED PARTY TRANSACTIONS

In February 2014, Dr. Frost paid a filing fee of $280,000 to the Federal Trade Commission (the "FTC") under the Hart-Scott-Rodino Antitrust Improvements Act of 1976 (“HSR Act”) in connection with filings made by us and Dr. Frost. We reimbursed Dr. Frost for the HSR filing fee.

In October, 2013, we paid the $170,000 filing fee to the FTC in connection with filings made by us and Dr. Hsiao, our Vice Chairman of the Board and Chief Technical Officer, under the HSR Act.
In October 2013, we entered into an agreement with ARNO pursuant to which we invested $2.0 million as part of an approximate $30 million financing. In exchange for our investment, we received 833,333 shares of ARNO common stock, one-year warrants to purchase 833,333 shares of ARNO common stock, for $2.40 a share and five-year warrants to purchase an additional 833,333 shares of ARNO common stock for $4.00 a share. Other investors participating in the private financing included Frost Gamma Investments Trust, a trust affiliated with Dr. Frost (the “Gamma Trust”), Hsu Gamma Investment, L.P., an entity affiliated with Dr. Hsiao (the “Hsu Gamma”), and other members of our board of directors and management. In connection with the transaction, ARNO agreed that for so long as we continue to hold at least 3% of the total number of outstanding shares of ARNO’s common stock on a fully-diluted basis, we will have the right to appoint a non-voting observer to attend all meetings of ARNO’s board of directors and we shall have a right of first negotiation that provides us with exclusive rights to negotiate with ARNO for a 45-day period regarding any potential strategic transactions that ARNO’s board of directors elects to pursue.
In October 2013, we made an investment in Zebra pursuant to which we acquired 840,000 shares of Zebra’s Series A-2 Preferred stock for $2.0 million. Zebra is a privately held biotechnology company focused on the discovery and development of biosuperior antibody therapeutics and complex drugs. Zebra’s patented platform is an advanced version of a core technology developed at The Scripps Research Institute (“TSRI”) by Dr. Lerner (the “TSRI Technology”). Zebra acquired the license to the TSRI Technology from a third party who had licensed such rights from TSRI. In connection with its acquisition of rights to the TSRI Technology, Zebra agreed to make certain research funding payments to Dr. Lerner’s laboratory at TSRI to further support development of the TSRI Technology. Dr. Lerner also participated in the Series A-2 Preferred Stock financing on the same financial terms as the Company. Each of Drs. Frost and Lerner serve as members of the board of directors and scientific consultants to Zebra. After the closing, we own 23.5% of the Series A-2 Preferred stock issued and outstanding by Zebra. Each of Drs. Frost and Lerner received 900,000 restricted shares of Zebra common stock in connection with their roles as founders and scientific consultants to Zebra. Dr. Frost gifted his 900,000 shares of Zebra restricted common stock to OPKO.
Effective May 1, 2013, we entered into an agreement with Dr. Hsiao pursuant to which we have the right to utilize approximately 5,000 square feet of laboratory space in Taiwan, inclusive of any and all utility costs, taxes and building maintenance fees. In addition, Dr. Hsiao provides certain other services to us relating to government grant work in Taiwan, as well as the coordination of work flow between our U.S. and Taiwanese operations. The term of the agreement is for five years and obligates us to pay Dr. Hsiao approximately $60,000 annually.  
In August 2013, we acquired OPKO Biologics (formerly PROLOR) pursuant to an Agreement and Plan of Merger dated as of April 23, 2013 in an all-stock transaction.  Until completion of the acquisition, Dr. Frost was PROLOR’s Chairman of the Board and a greater than 5% stockholder of PROLOR. Dr. Hsiao and Mr. Rubin were also directors and less than 5% stockholders of PROLOR. 
In January 2013, we entered into the Notes, with the Purchasers for the sale of $175.0sold $175.0 million aggregate principal amount of 2033 Senior Notes in a private placement in reliance on exemptions from registration under the Securities Act. The Purchasers of the 2033 Senior Notes include Frostthe Gamma Investments Trust a trust affiliated with Dr. Frost, and Hsu Gamma Investment, L.P., an entity affiliated with Dr. Hsiao.Gamma. The 2033 Senior Notes were issued on January 30, 2013.

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In December 2012, we entered into a five-yearfive-year lease agreement with AVI Properties, LLC (“AVI”), an entity affiliated with Dr. Jonathan Oppenheimer, OURLab’swho previously served as OPKO Lab’s Chief Executive Officer.Officer and currently serves as Strategic Director. The lease is for approximately 44,000 square feet of laboratory and office space in Nashville, Tennessee, where OURLabOPKO Lab is based. The lease provides for payments of approximately $18$18 thousand per month in the first year, increasing annually if the consumer price index exceeds 5%, plus applicable sales tax. In addition to the rent, we pay a portion of operating expenses, property taxes and parking.
During the six months ended June 30, 2014 and the year ended December 31, 2013,, our FineTech subsidiary recorded revenue of $0.1$0.3 million and $0.3 million, respectively, for the sale of APIs to Teva Pharmaceutical Industries, Limited ("Teva"(“Teva”). Dr. Frost serves as the Chairman of the Board of Directors of Teva.
In February 2012, we entered into a cooperative research funding and option agreement with The Scripps Research Institute (“TSRI”)TSRI to support research for the development of novel oligomeric compounds relating to our molecular diagnostics technology (the “Research Agreement”). Pursuant to the Research Agreement, we agreed to provide funding of approximately $0.9$0.9 million annually over a five year period. In conjunction with entering into the Research Agreement, we also entered into a license agreement with TSRI for technology relating to libraries of peptide tertiary amides. In addition, we entered into a second license with TSRI for technology relating to highly selective inhibitors of c-Jun-N-Terminal Kinases that may be useful for the treatment of various diseases, including Parkinson’s disease. We also entered into a research funding and option agreement to provide funding of approximately $0.2$0.2 million annually over three years to support further development of the technology. Dr. Frost served as a Trustee for TSRI until November 2012 and Dr. Richard Lerner, a member of our Board of Directors, served as its President until December 2011.
In February 2012, we made a $1.0$1.0 million investment in ChromaDex. Other investors participating in the private financing included the Gamma Trust, Hsu Gamma, and Dr. Lerner. Following our investment, we own 1.5% of ChromaDex, the Gamma Trust owns approximately 16% of ChromaDex; Hsu Gamma owns approximately 1%; and certain of our directors own less than 1% of ChromaDex.
In February 2012, we purchased from BZNE $1.7Biozone, now known as CPI, $1.7 million of 10% secured convertible promissory notes (the “BZNE“Biozone Notes”), convertible into BZNEBiozone common stock at a price equal to $0.20$0.20 per common share, which BZNEBiozone Notes are due and payable on February 24, 2014 and ten year warrants to purchase 8.5 million shares of BZNEBiozone common stock at an exercise price of $0.40$0.40 per share.

30

Table In December 2013, we converted the Biozone Notes into approximately 10 million shares of Contents

Mr. Roberto Prego Novo isBiozone common stock. In July 2012, we exercised the ChairmanBiozone Warrants utilizing the net exercise feature and received approximately 7,700,000 shares of BZNEBiozone common stock. We also entered into a license agreement pursuant to which we acquired a world-wide license for the development and presently serves ascommercialization of products utilizing Biozone’s proprietary drug delivery technology, including a consultanttechnology called QuSomes, exclusively for OPKO in the field of ophthalmology and non-exclusive for all other therapeutic fields, subject in each case to us. Dr. Frost and Mr. Prego Novo previously invested in BZNE in February and March, 2011. certain excluded products.

On May 16, 2011, BZNE acquired theJanuary 2, 2014, Biozone sold substantially all of its operating assets, and assumed the liabilities of Aero Pharmaceuticals, Inc.including its QuSomes technology, to MusclePharm Corporation (OTCQB: MSLP), an international, award-winning sports nutrition company (“Aero”Musclepharm”)
in exchange for which BZNE issued an aggregate of 8,331,3961.2 million shares of its restrictedMusclepharm’s common stock.  Effective January 3, 2014, Biozone completed a merger with Cocrystal, another entity in which we have an equity investment. In connection with the merger, Biozone issued to Cocrystal’s security holders 1,000,000 shares of Biozone Series B Convertible Preferred Stock (“Series B”). The Series B shares: (i) automatically convert into shares of Biozone’s common stock at a rate of 205.08308640 shares for each share of Series B at such time that Biozone has sufficient authorized capital, (ii) are entitled to Aero. On September 21, 2011, BZNE issuedvote on all matters submitted to shareholders of Biozone and vote on an as converted basis and (iii) have a nominal liquidation preference. Effective January 16, 2014, we invested an additional 13,914 shares to Aero due to$0.5 million in the late filingcompany as part of a registration statement. Prior to the transaction, Dr. Frost, through the Gamma Trust, beneficially owned approximately 46%$2.75 million private placement and received 1 million shares of Aero’s issuedcommon stock and outstanding capital stock; Mr. Prego Novo owned approximately 23% of Aero’s issued and outstanding capital stock through Olyrca Trust; and Dr. Hsiao beneficially owned approximately 12% of Aero’s issued and outstanding stock. Each of Drs. Frost and Hsiao and Mr. Prego Novo beneficially owned approximately 9.2%, 1.7%, and 8.2% of BZNE, respectively, following the purchase of Aero by BZNE. Mr. Rubin beneficially owns less than 1% of BZNE as a result of his prior ownership of Aero shares. In April 2012 and June 2012, Dr. Frost, through the Gamma Trust, also made loans to BZNE in the principal amounts of $0.31 million and $0.1 million, respectively, which were initially secured by a first priority lien on a particular BZNE receivable. The notes to Gamma Trust were subsequently amended and Gamma Trust no longer holds a security interest in the BZNE receivables. 10-year warrants exercisable at $0.50 per share.
In August 2011, we made an investment in Neovasc. Dr. Frost and other members of our management are shareholders of Neovasc. Prior to the investment, Dr. Frost beneficially owned approximately 36% of Neovasc, Dr. Hsiao owned approximately 6%, and Mr. Rubin owned less than 1%. Dr. Hsiao and Mr. Rubin also serve on the board of directors of Neovasc.
In November 2010, we made an investment in Fabrus. In exchange for the investment, we acquired approximately 13% of Fabrus on a fully diluted basis. Our investment was part of a $2.1$2.1 million financing for Fabrus. Other investors participatingIn October 2013, we made loans totaling $0.1 million to Fabrus, which loans are due and payable in the financing include the Gamma TrustJanuary, 2014 and Hsu Gamma. In connection with the financing, Drs.accrue interest as a rate of 7% per annum. No payments have been made to date. On May 16, 2014, Senesco Technologies, Inc. (OTCBB: SNTI) acquired Fabrus pursuant to an agreement and plan of merger. Dr. Frost and Hsiao joinedSteven Rubin serve on the Fabrus BoardSenesco board of Managers. Dr. Lerner owns approximately 5% of Fabrus. Mr. Vaughn Smider, Founder and CEO of Fabrus, is an Assistant Professor at TSRI. Dr. Frost served as a Trustee for TSRI until November 2012, and Dr. Lerner served as President of TSRI until December 2011.directors.
In June 2010, we entered into a cooperative research and development agreement with Academia Sinica, Taipei, Taiwan (“Academia Sinica”), for pre-clinical work for a compound against various forms of cancer. Dr. Alice Yu, a member of our

32


Board of Directors, ispreviously served as a Distinguished Research Fellow and Associate Director at the Genomics Research Center, Academia Sinica (“Genomics Research Center”). In connection with the Academia Sinica Agreement, we are required to pay Academia Sinica approximately $0.2$0.2 million over the term of the agreement.
Effective in September 2009, we entered into an agreement pursuant to which we invested $2.5$2.5 million in Cocrystal (now CPI) in exchange for 1,701,723 shares of Cocrystal’s Convertible Series A Preferred Stock. A group of investors, led by the Frost Group LLC, which is a trustan entity controlled by Dr. Frost, Dr. HsaioHsiao and Mr. Rubin, (the “Cocrystal Investors”), previously invested $5.0$5.0 million in Cocrystal, and agreed to invest an additional $5.0$5.0 million payable in two equal installments in September 2009 and March 2010. As a result of an amendment to the Cocrystal Investors’ agreements dated June 9, 2009, we, rather than the Cocrystal Investors, made the first installment investment ($($2.5 million)million) on September 21, 2009. As discussed above, effective January 2014, Cocrystal completed a merger with Biozone and is now known as Cocrystal Pharma, Inc.
In June 2009, we entered into a stock purchase agreement with Sorrento, pursuant to which we invested $2.3$2.3 million in Sorrento Therapeutics, Inc. ("Sorrento"(“Sorrento”). In exchange for the investment, we acquired approximately one-third of the outstanding common shares of Sorrento and received a fully-paid, exclusive license to the Sorrento antibody library for the discovery and development of therapeutic antibodies in the field of ophthalmology. On September 21, 2009, Sorrento entered into a merger transaction with Quikbyte Software, Inc. (“Quikbyte”). Prior to the merger transaction, certain investors, including Dr. Frost and other members of our management group, made an investment in Quikbyte. Dr. Lerner serves as a consultant and scientific advisory board member to Sorrento and owns less than one percent of its shares. In December 2013, we completed the sale of our stake in Sorrento and recorded a gain on the sale of $17.2 million and other income of $2.7 million related to an early termination fee under a license agreement with Sorrento.
In November 2007, we entered into an office lease with Frost Real Estate Holdings, LLC (“Frost Holdings”), an entity affiliated with Dr. Frost. The lease iswas for approximately 8,300 square feet of space in an office building in Miami, Florida, where our principal executive offices are located. The lease providesprovided for payments of approximately $18$18 thousand per month in the first year increasing annually to $24$24 thousand per month in the fifth year, plus applicable sales tax. The rent iswas inclusive of operating expenses, property taxes and parking. The rent for the first year was reduced to reflect a $30$30 thousand credit for the costs of tenant improvements. In August 2012, we entered into a six-month extension on the same terms as the 2007 expiring lease and in February 2013, we agreed to extend the lease on a month-to-month basisbasis. Effective January 1, 2014, we entered into a new lease agreement with Frost Holdings for upapproximately 11,000 square feet of space. The lease provides for payments of approximately $30 thousand per month in the first year increasing annually to an additional six months.$34 thousand per month in the fifth year, plus applicable sales tax. As in the original lease, the rent is inclusive of operating expenses, property taxes and parking. The rent will be reduced by $155,200 for the cost of tenant improvements, of which approximately $68 thousand will be credited against rent payments over a period of 12 months.
We reimburse Dr. Frost for Company-related use by Dr. Frost and our other executives of an airplane owned by a company that is beneficially owned by Dr. Frost. We reimburse Dr. Frost in an amount equal to the cost of a first class airline ticket between the travel cities for each executive, including Dr. Frost, traveling on the airplane for Company-related business. We do not reimburse Dr. Frost for personal use of the airplane by Dr. Frost or any other executive; nor do we pay for any other fixed or variable operating costs of the airplane. For the three and six months ended June 30, 2013,2014, we reimbursed Dr. Frost approximately $5$49 thousand and $18$62 thousand,, respectively, for Company-related travel by Dr. Frost and other OPKO

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executives. For the three and six months ended June 30, 2012, we reimbursed Dr. Frost approximately $65 thousand and $129 thousand, respectively, for Company-related travel by Dr. Frost and other OPKO executives. For the three and six months ended June 30, 2013, we reimbursed Dr. Frost approximately $5 thousand and $18 thousand, respectively, for Company-related travel by Dr. Frost and other OPKO executives.
NOTE 11 COMMITMENTS AND CONTINGENCIES
In connection with our acquisitions of CURNA, OPKO Diagnostics, FineTech, Farmadiet,OPKO Spain, and Cytochroma,OPKO Renal, we agreed to pay future consideration to the sellers upon the achievement of certain events. As a result, as of June 30, 20132014 , we recorded $68.972.9 million as contingent consideration, with $5.324.6 million recorded within Accrued expenses and $63.648.3 million recorded within Other long-term liabilities in the accompanying Condensed Consolidated Balance Sheets. Refer to Note 4.
On April 29, 2013, we were named in a putative class action filed in the Eighth Judicial District Court in and for Clark County, Nevada against PROLOR Biotech, Inc. (“PROLOR”)(now known as OPKO Biologics), the members of the PROLOR Board of Directors, individually (including Drs. Frost and Hsiao and Steven Rubin), and the Company. From May 1, 2013 through May 6, 2013, we were named in an additional five putative class actions suits filed in the Eighth Judicial District Court in and for Clark County, Nevada against the same defendants. On July 17, 2013, these suits were consolidated, for all purposes, into an amended class action complaint as part of the In re PROLOR Biotech, Inc. Shareholders' Litigation (Case No. A-13-680860-B).complaint. The lawsuit is brought by purported holders of PROLOR'sPROLOR’s common stock, both individually and on behalf of a putative class of PROLOR'sPROLOR’s stockholders, asserting claims that (i) PROLOR's directorsPROLOR’s Board of Directors breached theirits fiduciary duties in connection with the proposed merger by among other things, purportedly failing to maximize stockholder value, (ii)that PROLOR and its Board of Directors failed to disclose material information concerning the proposed merger,to PROLOR’s stockholders, and (iii)that the Company aided and abetted PROLOR's directors'

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the alleged breachbreaches of their fiduciary duties.duty. The lawsuit seeks variousmonetary damages, including increased consideration to PROLOR’s stockholders, equitable relief, including, among other things, rescission of the Merger Agreement along with recissionary damages, and an award of all costs, including reasonable attorneys’ fees. On May 5, 2014, the court issued an order dismissing all claims as to all defendants without prejudice, and reasonable attorneys' fees, as well as certain equitable relief, including enjoining consummation of the merger and, alternatively, rescindingplaintiffs did not appeal the merger in the event it is consummated. The Company denies the allegations and intends to vigorously defend the actions. It is too early to assess the probability of a favorabledismissal or unfavorable outcome or the loss or range of loss, if any.file an amended complaint.
In November 2012, Adrian Goldstein, M.D., a former employee of OURLab, filed a complaint for declaratory judgment and alleged breach of contract against OURLab in the Chancery Court for Davidson County, Tennessee. Dr. Goldstein asserts in his complaint that OURLab breached his employment agreement and owes him additional compensation and further compensation for the value of OURLab under a “compensation for sale” provision set forth in his employment agreement. Dr. Goldstein seeks recovery of compensatory damages not to exceed $20 million, plus his attorney’s fees and litigation expenses. OURLab believes this action is without merit and is vigorously defending against plaintiff’s claims. It is too early to assess the probability of a favorable or unfavorable outcome or the loss or range of loss, if any.
In October 2012, we received a letter from counsel to Optos, Inc., making certain indemnity claims against us in connection with the sale of our ophthalmic instrumentation business. It is too early to assess the likelihood of litigation in this matter or the probability of a favorable or unfavorable outcome. However, we do not currently believe this matter will have a material impact on our results of operations or financial condition.
In July 2012, OURLabOPKO Lab received a letter from AdvanceMed Corporation (“AdvanceMed”) regarding a post-payment review conducted by AdvanceMed (the “Post-Payment Review Letter”). The Post-Payment Review Letter originated with a post payment review audit by AdvanceMed of 183 claims submitted by OURLabOPKO Lab to the Medicare program. OURLabOPKO Lab believes that its billing practices were appropriate and it is following the appeal process set forth by Medicare. OURLabOPKO Lab received a partially favorable determination, which reduced the amount of the alleged overpayment, and it continues to appeal the remaining alleged overpayments. No assurances can be given about the outcome of the appeal.
We are a party to other litigation in the ordinary course of business. We do not believe that any such litigation will have a material adverse effect on our business, financial condition, or results of operations.
We expect to incur substantial losses as we continue the development of our product candidates, continue our other research and development activities, and establish a sales and marketing infrastructure in anticipation of the commercialization of our diagnostic and pharmaceutical product candidates. We currently have limited commercialization capabilities, and it is possible that we may never successfully commercialize any of our diagnostic and pharmaceutical product candidates. We do not currently generate significant revenue from any of our diagnostic and pharmaceutical product candidates. Our research and development activities are budgeted to expand over a period of time and will require further resources if we are to be successful. As a result, we believe that our operating losses are likely to be substantial over the next several years. We may need to obtain additional funds to further develop our research and development programs, and there can be no assurance that additional capital will be available to us on acceptable terms, or at all.

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NOTE 12 SEGMENTS
We currently manage our operations in two reportable segments, pharmaceuticals and diagnostics. The pharmaceuticals segment consists of two operating segments, our (i) pharmaceutical research and development segment which is focused on the research and development of pharmaceutical products, and vaccines, and (ii) the pharmaceutical operations we acquired in Chile, Mexico, Israel, Spain, Brazil, and Brazil.Uruguay. The diagnostics segment consists of two operating segments, our (i) pathology operations we acquired through the acquisition of OURLabOPKO Lab and (ii) point-of-care and molecular diagnostics operations. There are no inter-segment sales. We evaluate the performance of each segment based on operating profit or loss. There is no inter-segment allocation of interest expense and income taxes.
Information regarding our operations and assets for our operating segments and the unallocated corporate operations as well as geographic information are as follows:
For the three months ended June 30, For the six months ended June 30,For the three months ended June 30, For the six months ended June 30,
(In thousands)2013 2012 2013 20122014 2013 2014 2013
Product revenues:              
Pharmaceuticals$18,618
 $9,917
 $34,145
 $18,556
$21,392
 $18,618
 $41,219
 $34,145
Diagnostics
 
 
 

 
 
 
Corporate
 
 
 

 
 
 
$18,618
 $9,917
 $34,145
 $18,556
$21,392
 $18,618
 $41,219
 $34,145
Revenue from services and transfer of intellectual property:       
Revenue from services:       
Pharmaceuticals$
 $
 $
 $
Diagnostics2,093
 3,108
 4,003
 6,160
Corporate60
 80
 120
 120
$2,153
 $3,188
 $4,123
 $6,280
Revenue from transfer of intellectual property:       
Pharmaceuticals$1,300
 $
 $13,800
 $
$
 $1,300
 $285
 $13,800
Diagnostics3,823
 243
 7,132
 330

 715
 191
 972
Corporate80
 51
 120
 102

 
 
 
$5,203
 $294
 $21,052
 $432
$
 $2,015
 $476
 $14,772
Operating (loss) income:              
Pharmaceuticals$(4,528) $(1,955) $3,955
 $(3,317)$(20,368) $(4,528) $(36,941) $3,955
Diagnostics(6,750) (4,356) (16,384) (9,025)(6,805) (6,750) (13,882) (16,384)
Corporate(5,762) (3,030) (10,787) (5,846)(7,038) (5,762) (13,174) (10,787)
Less: Operating loss attributable to noncontrolling interests(943) 
 (1,540) 
(674) (943) (1,163) (1,540)
$(17,983) $(9,341) $(24,756) $(18,188)$(34,885) $(17,983) $(65,160) $(24,756)
Depreciation and amortization:              
Pharmaceuticals$1,702
 $1,575
 $3,397
 $3,025
$2,287
 $1,702
 $4,135
 $3,397
Diagnostics1,704
 835
 3,393
 1,669
1,716
 1,704
 3,408
 3,393
Corporate45
 44
 90
 88
24
 45
 48
 90
$3,451
 $2,454
 $6,880
 $4,782
$4,027
 $3,451
 $7,591
 $6,880
Revenues:              
United States$5,203
 $294
 $21,052
 $432
$2,153
 $5,203
 $4,599
 $21,052
Chile8,482
 7,187
 16,223
 12,888
7,852
 8,482
 15,136
 16,223
Spain5,153
 
 9,477
 
5,666
 5,153
 11,815
 9,477
Israel3,995
 1,518
 6,567
 3,145
6,307
 3,995
 10,853
 6,567
Mexico988
 1,212
 1,878
 2,523
1,546
 988
 3,377
 1,878
Uruguay21
 
 38


$23,821
 $10,211
 $55,197
 $18,988
$23,545
 $23,821
 $45,818
 $55,197


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(In thousands)June 30,
2013
 December 31,
2012
June 30,
2014
 December 31,
2013
Assets:      
Pharmaceuticals$336,266
 $142,299
$1,059,635
 $1,065,033
Diagnostics114,095
 112,422
110,454
 116,944
Corporate190,719
 35,109
156,993
 209,539
$641,080
 $289,830
$1,327,082
 $1,391,516
Goodwill:   
 
Pharmaceuticals$34,480
 $32,844
$175,036
 $175,408
Diagnostics47,606
 47,606
50,965
 50,965
Corporate
 

 
$82,086
 $80,450
$226,001
 $226,373

During the three and six months ended June 30, 20132014, one customer represented 21% and 2012, 15% of our total revenue, respectively. During the three and six months ended June 30, 2013, no customer represented more than 10% of our total revenue.
As of June 30, 2013 and December 31, 20122014, no customer represented more than 10% of our accounts receivable balance. As of 10%December 31, 2013, no customer represented more than 10% of our accounts receivable balance.
NOTE 13 SERIES D PREFERRED STOCK REDEMPTION
On March 1, 2013, our Board of Directors declared a cash dividend to all Series D Preferred Stockholders as of March 8, 2013. The total cash dividend paid was approximately $3.0 million. In addition, we also exercised our option to convert all 1,129,032 shares of our outstanding Series D Preferred Stock into 11,290,320 shares of our Common Stock effective of March 8, 2013. Following the conversion there are no outstanding shares of Series D Preferred Stock.
NOTE 1413 SUBSEQUENT EVENTS
We have reviewed all subsequent eventsannounced positive top-line results from the first pivotal phase 3 trial of Rayaldee. This trial is one of two identical randomized, double-blind, placebo-controlled, multi-site studies intended to establish the safety and transactions that occurred afterefficacy of Rayaldee as a new treatment for secondary hyperparathyroidism (SHPT) in patients with stage 3 or 4 chronic kidney disease (CKD) and vitamin D insufficiency. Top-line data from the datesecond, identical pivotal phase 3 trial are expected to be available in September 2014. Patients completing the two pivotal trials are being treated, at their election, for an additional six months with Rayaldee during an ongoing open-label extension study. A New Drug Application (NDA) submission to the U.S. FDA is on track for the end of our June 30, 2013 condensed consolidated balance sheet date, through the time of filing this Quarterly Report on Form 10-Q.2014.
ItemITEM 2. Management’s Discussion and Analysis of Financial Condition and Results of OperationsMANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATION.
OVERVIEW
You should read this discussion together with the condensed consolidated financial statements,Condensed Consolidated Financial Statements, related Notes, and other financial information included elsewhere in this report and in our Annual Report on Form 10-K for the year ended December 31, 20122013 (the “Form 10-K”). The following discussion contains assumptions, estimates and other forward-looking statements that involve a number of risks and uncertainties, including those discussed under “Risk Factors,” in Part II, Item 1A of our Form 10-K for the year ended December 31, 2012 as updated by our Quarterly Report on Form 10-Q for the quarter ended March 31, 2013. These risks could cause our actual results to differ materially from those anticipated in these forward-looking statements.
We are a multi-national biopharmaceutical and diagnostics company that seeks to establish industry-leading positions in large and rapidly growing medical markets by leveraging our discovery, development and commercialization expertise and our novel and proprietary technologies. We are developing a range of solutions to diagnose, treat and prevent various conditions, including molecular diagnosticspoint-of-care tests, laboratory developed tests, (“LDTs”), point-of-caremolecular diagnostics tests, and proprietary pharmaceuticals and vaccines. We plan to commercialize these solutions on a global basis in large and high growth markets, including emerging markets.
We own established pharmaceutical platforms in Spain, Chile, Mexico, and Mexico,Uruguay which are generating revenue and from which we expect to generate positive cash flow and facilitate future market entry for our products currently in development. We also recentlyhave established pharmaceutical operations in Brazil. We operate a specialty active pharmaceutical ingredients (“APIs”) manufacturer in Israel, which we expect will facilitate the development of our pipeline of molecules and compounds for our proprietary molecular diagnostic and therapeutic products. We operateIn the U.S., we own a full-service medical laboratory specializing in urologic pathology with CLIA-certified laboratory facilities, that will provide uscertified under the Clinical Laboratory Improvement Amendments of 1988, as amended (“CLIA”), with a urologic focus that generates revenue and serves as the commercial platform to commercialize certainfor the U.S. launch of our novel diagnostics tests currently in development.next generation prostate cancer test to improve cancer risk stratification of patient candidates for prostate biopsy.

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RECENT DEVELOPMENTS
In AprilJanuary 2014, we completed the acquisition of Laboratorio Arama de Uruguay Limitada (“Arama Uruguay”), a privately-owned company located in Montevideo, Uruguay. Arama Uruguay will expand our presence in Latin America and complement the business activities of our operations in Chile and Mexico, as well as permit commercialization of OPKO’s products currently commercialized and those in development.
In March 2014, we began selling the 4KscoreTM test through our CLIA-accredited laboratory in Nashville, TN. The laboratory developed test is designed to enhance the prostate biopsy decision making process that, in the United States, leads to approximately 1 million biopsies being performed annually, with 80% of the results indicating no cancer or a low-grade cancer. We believe the 4Kscoretest will help to reduce unnecessary prostate biopsies by providing information on the risk (probability) of having high-grade prostate cancer. The test was developed by OPKO Lab and tested in collaboration with 26 urology centers across the United States from October 2013 to March 2014. Results showed that the 4Kscore test was highly accurate for predicting the presence of high-grade cancer (Gleason score 7 or higher) prior to prostate biopsy. The full data from the blinded, prospective U.S. clinical validation study was presented at the AUA Annual Meeting in Orlando, FL on May 18th at Plenary Session.
In May 2014, we acquired Inspiro Medical Ltd. (“Inspiro”), an Israeli medical device company developing a new platform to deliver small molecule drugs such as corticosteroids and beta agonists or larger molecules to treat respiratory diseases. Inspiro’s Inspiromatic™ is a “smart” easy-to-use dry powder inhaler with several advantages over existing devices. We anticipate that this innovative device will play a valuable role in the improvement of therapy for asthma, chronic obstructive pulmonary disease, cystic fibrosis and other respiratory diseases.
In June 2014, we entered into an Agreement and Planexchange agreement with a holder of Merger (the “PROLOR Merger Agreement”)the Company’s Notes pursuant to which we will acquire PROLOR Biotech, Inc. (“PROLOR”), a biopharmaceutical company focused on developing and commercializing longer-acting proprietary versionssuch holder exchanged $70.4 million in aggregate principal amount of already approved therapeutic proteins, in an all-stock transaction. Under the termsNotes for 10,974,431 shares of the PROLOR Merger Agreement, holders of PROLOR common stock will receive 0.9951 shares of ourCompany’s Common Stock for each shareand approximately $0.8 million in cash representing accrued interest through the date of PROLOR common stock. Based on a price of $7.03 per share of our Common Stock, the transaction is valued at approximately $480 million, or $7.00 per share of PROLOR common stock. The companies expect the transaction to be completed during the second half of 2013. Closingcompletion of the transaction is subject to certain conditions including, the approval of PROLOR’s and our stockholders and other customary closing conditions. The Board of Directors of each of OPKO and PROLOR have approved the merger and the PROLOR Merger Agreement. In addition, the transaction was also approved by PROLOR’s Strategic Alternatives Committee.
In June 2013, PROLOR initiated a pivotal Phase III clinical trial for its long-acting version of human growth hormone, hGH-CTP, for treatment in adults with growth hormone deficiency (GHD). PROLOR has reported that previous trials showed that hGH-CTP has the potential to reduce the required dosing frequency of human growth hormone from the current standard of one injection per day to a single weekly injection. PROLOR has also stated that hGH-CTP demonstrated a good safety and tolerability profile in these previous clinical trials. A Phase II trial in children with GHD is currently ongoing. Recombinant human growth hormone (hGH) is used for the long-term treatment of children and adults with GHD due to inadequate secretion of endogenous growth hormone. hGH-CTP has been awarded orphan drug designation in the U.S. and Europe for both adults and children with GHD.
In April 2013, we entered into a series of concurrent transactions with OAO Pharmsynthez (“Pharmsynthez”), a Russian pharmaceutical company traded on the Moscow Stock Exchange. The transactions consisted of:
exchange.We delivered approximately $9.6 million to Pharmsynthez at inception in exchange for approximately 13.6 million of its common shares.
Pharmsynthez agreed to issue, at its option, approximately 12.0 million shares of its common stock or pay us Russian Rubles (“RUR”) 265.0 million ($8.1 million) on or before December 31, 2013.
We have a right to purchase additional shares in Pharmsynthez at a fixed price if Pharmsynthez pays us in RUR rather than the 12.0 million shares of Pharmsynthez common stock (the “Purchase Option”).
We delivered to Pharmsynthez a license agreement for certain technology rights in the Russian Federation, Ukraine, Belorussia, Azerbaidjan and Kazakhstan (the “Territories”). 
We will receive from Pharmsynthez a royalty on net sales of the technologies in the Territories, as well as a percentage of any sublicense income for products utilizing the technology to third parties in the Territories.
Pharmsynthez will pay us $9.5 million under collaboration and funding agreements (the “Collaboration Payments”) for the development of the licensed technology rights (the “Collaboration Agreements”).  
We recorded the initial shares received in Pharmsynthez as an equity method investment.  We recorded the receivable of Pharmsynthez common stock or RUR, and the Purchase Option, as financial instruments and elected the fair value option for subsequent measurement. Changes in the fair value of the receivable from Pharmsynthez for its common stock or RUR, with the embedded derivative, and the Purchase Option are recorded in Fair value changes of derivative instruments, net in our Condensed Consolidated Statements of Operations for the three and six months ended June 30, 2013
We have accounted for the license and development activities as a multi-element arrangement, and allocated the total arrangement consideration based on the relative selling prices of the elements. We will record the allocated consideration for development activities as an offset to Research and development expense over the three-year term of the Collaboration Agreements.  We will record revenue in connection with the license agreement proportionately as the payments are received.  

RESULTS OF OPERATIONS
FOR THE THREE MONTHS ENDED JUNE 30, 20132014 AND 20122013
Revenues. Revenues for the three months ended June 30, 2014, were $23.5 million, compared to $23.8 million for the three months ended June 30, 2013. During the three months ended June 30, 2014, pharmaceutical product revenue increased approximately 15% over the comparable period of 2013 principally by increased pharmaceutical product revenue from our active pharmaceutical ingredient subsidiary FineTech, Farmadiet (“OPKO Spain”) and OPKO Mexico of $2.2 million, $0.5 million and $0.6 million, respectively. The increase in FineTech revenue was principally the result of increased demand from one customer for a single product. The increases in pharmaceutical product revenue at OPKO Spain and OPKO Mexico were principally the result of increased revenue across Europe and increased government tenders, respectively. Offsetting the 14.9% increase in pharmaceutical product revenue was decreased service revenue and revenue from the transfer of intellectual property of $1.0 million and 2.0 million, respectively. The three months ended June 30, 2013, were $23.8 million, compared to $10.2 million for the 2012 period. The increase in included revenue principally reflected revenues related to the post June 30, 2012 acquisitions of Farmadiet Group Holding, S.L. (“Farmadiet”), SciVac Ltd ("SciVac"), previously known as SciGen (I.L.) Ltd, and Prost-Data, Inc. (“OURLab”),our Pharmsynthez transaction which contributed $5.2 million, $0.2 million and $2.9 million of revenue, respectively,we did not have during the three months

35


ended June 30, 2013. Revenue2014. In addition, revenue from our Chilean operations increased $1.3 million duringservices decreased at OPKO Lab principally as a result of decreased specimen volume and decreased pricing in comparison to the three months ended June 30, 2013,, which was partially offset by a decreasesales of $0.2 million in revenue from our Mexican operations. Revenue from our Israeli API business increased $2.2 million during the three months ended June 30, 2013. Revenue related to our molecular diagnostics collaboration agreements and license agreements, increased $2.0 million during the three months ended June 30, 2013 compared to the 2012 period, primarily related to revenue recorded in connection to the Pharmsynthez's license agreement.4Kscore test.
Costs of revenue. Costs of revenue for the three months ended June 30, 2013 was $13.12014, were $12.6 million,, compared to $6.6$13.1 million for the 2012 period.three months ended June 30, 2013. Costs of revenue for the three months ended June 30, 20132014, increased decreased principally due to costs oflower service revenue, recordedpartially offset by Farmadiet, SciVac and OURLab of $1.8 million, $1.1 million and $2.9 million, respectively. Costs of revenue from our Israeli API business, as well as our Chilean and Mexican operations increased $0.2 million, $0.2 million and $0.3 million, respectively, during the three months ended June 30, 2013.increase in product sales at OPKO Mexico.
Selling, general and administrative expenses. Selling, general and administrative expenses for the three months ended June 30, 20132014 were $13.9$14.9 million,, compared to $5.4$13.9 million for the 2012 period.three months ended June 30, 2013. The increase in selling, general and administrative expenses principally resulted from $5.4 million of such expenses recorded duringfor the three months ended June 30, 2013, by Farmadiet, SciVac, OURLab, Cytochroma Inc. ("Cytochroma") and OPKO Do Brasil Comércio De Produtos Farmacéuticos Ltda, previously known as Silcon Comércio, Importacao E Exportacao de Produtos Farmacéuticos e Cosmeticos Ltda ("OPKO Brazil"), which businesses were acquired post June 30, 2012. Excluding the selling, general and administrative expenses of the acquired businesses, selling, general and administrative expenses increased by $3.1 million during the three months ended June 30, 2013, principally as2014 was a result of increased sales and marketing activities related to the launch of the 4Kscore test as well as increased personnel expenses, andincluding equity based compensation expense. Partially offsetting the increase were decreased professional fees associated with our increased operations.as the 2013 period included professional fees related to the acquisition of OPKO Biologics. Selling, general and administrative expenses during the three months ended June 30, 2014 and the three months ended June 30, 2013, and 2012, also include equity-based compensation expense of $1.2$2.4 million and $0.6$1.2 million, respectively.
Research and development expenses. Research and development expenses for the three months ended June 30, 2014 and three months ended June 30, 2013, were $16.2 million and 2012, were $9.6$9.6 million, respectively. Research and development costs include external and internal expenses, partially offset by third-party grants and funding arising from collaboration agreements. External expenses include clinical and non-clinical activities performed by contract research organizations, lab services,

37


purchases of drug and diagnostic product materials and manufacturing development costs. We track external research and development expenses by individual program for phase 3 clinical trials for drug approval and PMA's for diagnostics tests, if any. Internal expenses include employee-related expenses including salaries, benefits and stock-based compensation expense. Other unallocated internal research and development expenses are incurred to support overall research and development activities and include expenses related to general overhead and facilities.
The following table summarizes the components of our research and development expenses:
 For the three months ended June 30,
 2014 2013
External expenses:   
Phase 3 clinical trials$3,399
 $2,184
Earlier-stage programs2,587
 156
Research and development employee-related expenses5,429
 3,899
Other unallocated internal research and development expenses5,326
 3,874
Third-party grants and funding from collaboration agreements(507) (556)
Total research and development expenses$16,234
 $9,557
$4.5 million, respectively. The increase in research and development expenses during the three months ended June 30, 2014, as compared to the three months ended June 30, 2013,, principally resulted from an increase of $4.0 million related to the Cytochroma development programs we acquired from OPKO Biologics, including the cost ofour ongoing phase 3 clinical trial in adults and pediatric Phase 2 clinical trial for long acting human growth hormone and the ongoing Phasephase 3 clinical trials for RayaldyRayaldeeTM (CTAP101). In addition, during the three months ended June 30, 2014 and from $0.4 million related to research and development activities performed by Farmadiet. During the three months ended June 30, 2013,, we recorded, as an offset to research and development expenses, $0.5 million, for both periods, related to research and development grants received andfrom our collaboration and funding arrangements.agreements. Research and development expenses for the three months ended June 30, 2014 and three months ended June 30, 2013 and 2012, also included include equity-based compensation expense of $0.5$1.0 million and $0.4$0.5 million, respectively.
Contingent consideration. Contingent consideration expenses for the three months ended June 30, 2014 and three months ended June 30, 2013, were $1.9 million and 2012, were $2.6$2.6 million, and $1.0 million, respectively. The increasedecrease in contingent consideration expense resulted from changes in the fair value of the contingent consideration liabilities duefinal payment to the time valueformer owner of moneyFineTech in March 2014 as well as two deferred payments to the former owners of OPKO Spain in August 2013 and the impact of changes in the underlying assumptions, if any, during the period.February 2014, respectively. The contingent consideration liabilities relate to potential amounts payable to former stockholders of CURNA, Inc. ("CURNA"), ClarosOPKO Diagnostics, Inc. (“FineTech, OPKO Diagnostics”), FineTech Pharmaceuticals, Ltd. ("FineTech"), FarmadietSpain and CytochromaOPKO Renal pursuant to our acquisition agreements in January 2011, October 2011, December 2011, August 2012 and March 2013, respectively.
Amortization of intangible assets. Amortization of intangible assets was $2.7$2.8 million and $2.1$2.7 million, respectively, for the three months ended June 30, 20132014 and 2012, respectively.2013. Amortization expense increased due toreflects the amortization of acquired intangible assets with defined useful lives. The acquisitions of Farmadiet, OURLabOPKO Renal and Cytochroma,OPKO Biologics resulted in August 2012, December 2012acquiring in-process research and March 2013, respectively.development which will not amortize until the underlying development programs are completed at which time they will be amortized over the technologies estimated useful life.
Write-off of Acquired In-Process Research and Development. In May 2014, we acquired Inspiro, a privately held company that is developing the Inspiromatic, a “smart” easy-to-use dry powder inhaler with several advantages over existing devices in a stock for stock transaction. We recorded the transaction as an asset acquisition and recorded the assets and liabilities at fair value, and as a result, we recorded $10.1 million of acquired in-process research and development expense. We did not have any such activity during the three months ended June 30, 2013.
Other income and (expense), net. Other income and (expense), net for the three months ended June 30, 20132014 and 20122013 was $16.9$9.3 million and ($0.4)$16.9 million,, respectively. During the three months ended June 30, 2013,2014, we recorded a $9.9$2.7 million non-cash gain related to the exchange of $70.4 million of principal 2033 Senior Notes as well as the non-cash write-off of deferred financing costs of $1.5 million as interest expense related to the exchange. In addition, during the three months ended June 30, 2014, we recorded $11.9 million non-cash other income expense related to the changes in the fair value of the embedded derivatives in the 3.00% convertible senior notes, (the "Notes"),2033 Senior Notes. For the three months ended June 30, 2013, we recorded a $2.6$9.9 million non-cash other income related to the changes in the fair value of the embedded derivatives in the 2033 Senior Notes, a $2.6 million non-cash other income related to the changes in the fair value of Pharmsynthez Note Receivable and Purchase Option, and a gain of $6.3$8.5 million on the sale of certain of our investments available for sale. Other income and (expense), net, for the three months ended June 30, 2013, also included $3.8 million of interest expense principally related to interest expense incurred by the Notes and by the amortization of related deferred financing costs. For the three months ended June 30, 2012, other expense, net principally consisted of interest expense incurred in our Chilean lines of credit and foreign currency expense, partially offset by the interest earned on our cash and cash equivalents.
Loss from investment in investees. Loss from investment in investees was $2.4 million and $0.5 million for the three months ended June 30, 2013 and 2012, respectively. The increase in loss from investment in investees is primarily due to the result of increased research and development activities at our investees as well as the impact of including the activities of our recent investment in RXi Pharmaceuticals Corporation ("RXi") and Pharmsynthez.

3638


Loss from investments in investees. We have made investments in other early stage companies that we perceive to have valuable proprietary technology and significant potential to create value for us as a shareholder. We account for these investments under the equity method of accounting, resulting in the recording of our proportionate share of their losses until our share of their loss exceeds our investment. Until the investees’ technologies are commercialized, if ever, we anticipate they will continue to report a net loss. Loss from investments in investees was $0.4 million and $2.4 million for the three months ended June 30, 2014 and 2013, respectively. The decrease in loss from investments in investees is primarily due to decreased losses from our portfolio companies, principally Pharmsynthez, who recorded an in-process research and development expense during the 2013 period.
Income taxes. Our income tax provision reflects the projected income tax payable in Israel, Chile, Spain, Mexico and Canada. We have recorded a full valuation allowance against our deferred tax assets in the U.S. In May 2013, our Israeli API business elected a new tax regime, which sets its effective tax rate at 12.5% compared to a previous tax rate that was based on a ratio of revenue and turnover basis in the old tax regime, ranging from 10% to 25%.
FOR THE SIX MONTHS ENDED JUNE 30, 20132014 AND 20122013

Revenues. Revenues for the six months ended June 30, 2014, were $45.8 million, compared to $55.2 million for the six months ended June 30, 2013. The decrease in revenue principally reflects non-recurring, non–cash revenue related to the transfer of technology under the RXi Asset Purchase Agreement of $12.5 million in the first six months of 2013. Partially offsetting the non-cash revenue decrease was a 21% increase in pharmaceutical product revenue principally from FineTech of $4.1 million during the six months ended June 30, 2014. In addition, pharmaceutical product revenue from our Spanish and Mexican operations increased by $2.3 million and $1.7 million, respectively, during the six months ended June 30, 2014, primarily due to increased sales by OPKO Spain throughout Europe and an increase in government tenders in Mexico. Revenue related to OPKO Lab decreased $2.1 million during the six months ended June 30, 2014, compared to the six months ended June 30, 2013, primarily related to decreased reimbursement rates and specimen volume, partially offset by revenue after the launch of our 4Kscore test.
Costs of revenue., were $55.2 million, compared to $19.0 million Costs of revenue for the 2012 period. The increase in revenue principally reflected one-time, non–cash revenue of $12.5 million related to the sale of substantially all of our assets in the field of RNA interference to RXi, and revenues related to the post June 30, 2012, acquisitions of Farmadiet, SciVac and OURLab, which contributed $9.5 million, $0.9 million and $5.8 million of revenue, respectively, during the six months ended June 30, 2013. Revenue from our Chilean operations increased $3.32014, were $25.0 million, duringcompared to $24.9 million for the six months ended June 30, 2013, which was partially offset by a decrease2013. Costs of $0.6 million in revenue from our Mexican operations. Revenue from our Israeli API business increased $2.5 million duringfor the six months ended June 30, 2013. Revenue related to our molecular diagnostics collaboration agreements and license agreements, excluding the RXi revenue, increased $2.3 million during the six months ended June 30, 2013 compared to the 2012 period, primarily related to revenue recorded in connection to the Pharmsynthez's license agreement.
Cost of revenue. Costs of revenue for the six months ended June 30, 2013 was $24.9 million, compared to $11.5 million for the 2012 period. Costs of revenue for the six months ended June 30, 20132014 increased principally as a result of costs of revenues relateddue to the post June 30, 2012 acquisitions of Farmadiet, SciVacincreased product sales at OPKO Spain and OURLab of $3.5 million, $1.9 million, and $5.6 million, respectively. Costs of revenue from our Israeli API business, our Chilean and Mexican operations increased $0.2 million, $1.7 million and $0.4 million, respectively, during the six months ended June 30, 2013.OPKO Mexico.
Selling, general and administrative expenses. Selling, general and administrative expenses for the six months ended June 30, 2013,2014 were $26.3$28.7 million,, compared to $10.1$26.3 million for the 2012 period.six months ended June 30, 2013. The increase in selling, general and administrative expenses principally resulted from $9.9 million of such expenses recorded duringfor the six months ended June 30, 2013, by Farmadiet, SciVac, OURLab, Cytochroma and OPKO Brazil, which businesses were acquired post June 30, 2012. Excluding the selling, general and administrative expenses of the acquired businesses, selling, general and administrative expenses increased by $6.3 million during the six months ended June 30, 2013, principally as2014 was a result of increased personnel expenses including equity based compensation as well as sales and marketing activities related to the launch of our 4Kscore test. These increases were partially offset by decreased professional fees associated with our increased operations.as the 2013 period included expenses related to the acquisitions of OPKO Renal and OPKO Biologics. Selling, general and administrative expenses during the six months ended June 30, 2014 and the six months ended June 30, 2013, and 2012, also include equity-based compensation expense of $2.6$4.4 million and $1.2$2.6 million, respectively.
Research and development expenses. Research and development expenses for the six months ended June 30, 20132014 were $37.2 million, compared to $19.5 million for the six months ended June 30, 2013. Research and 2012, were $19.5 milliondevelopment costs include external and internal expenses, partially offset by third-party grants and funding arising from collaboration agreements. External expenses include clinical and non-clinical activities performed by contract research organizations, lab services, purchases of drug and diagnostic product materials and manufacturing development costs. We track external research and development expenses by individual program for phase 3 clinical trials for drug approval and PMA's for diagnostics tests, if any. Internal expenses include employee-related expenses include salaries, benefits and stock-based compensation expense. Other unallocated internal research and development expenses are incurred to support overall research and development activities and include expenses related to general overhead and facilities.



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The following table summarizes the components of our research and development expenses:
 For the six months ended June 30,
 2014 2013
External expenses:   
Phase 3 clinical trials$6,446
 $2,922
Earlier-stage programs9,762
 157
Research and development employee-related expenses11,268
 9,968
Other unallocated internal research and development expenses10,763
 6,976
Third-party grants and funding from collaboration agreements(1,012) (556)
Total research and development expenses$37,227
 $19,467
$9.3 million, respectively. The increase in research and development expenses during the six months ended June 30, 2014, as compared to the six months ended June 30, 2013,, principally resulted from an increase of $5.7 millionrelated to research and development expenses incurred by OPKO Renal related to the Cytochroma development programs, including the costexternal costs of the ongoing Phase 3 clinical trials for RayaldyRayaldeeTM, (CTAP101)and from $0.7$13.4 million of costs related to research andOPKO Biologics which was acquired in August 2013. OPKO Biologics principally incurred development activities performed by Farmadiet.costs related to our hGH-CTP development program. Research and development expenses for the six months ended June 30, 2014 and six months ended June 30, 2013 and 2012, also include equity-based compensation expense of $2.6 million and $4.4 million, and $1.0 million, respectively. The increase in equity-based compensation expense principally reflects the mark to market impact of Common Stock options granted to non-employees and the associated increase in the trading price of our Common Stock during the six months ended June 30, 2013. During the six months ended June 30, 2013, we recorded, as an offset to research and development expenses, $1.0 million related to grants and collaboration and funding arrangements.
Contingent consideration. Contingent consideration expenses for the six months ended June 30, 2014 and six months ended June 30, 2013, were $4.5 million and 2012, were $3.9$3.9 million, and $2.1 million, respectively. The increase in contingent consideration expense resulted from changesthe six month period of 2014 including a full period of expense related to the acquisition of OPKO Renal, partially offset by the payments of the final payment to the seller of FineTech in March 2014 and payments to OPKO Spain in the fair valuesecond half of the contingent consideration liabilities due to the time value of money and the impact of changes in the underlying assumptions, if any, during the period.2013. The contingent consideration liabilities relate to potential amounts payable to former stockholders of CURNA, OPKO Diagnostics, FineTech, FarmadietOPKO Spain and CytochromaOPKO Renal pursuant to our acquisition agreements in January 2011, October 2011, December 2011, August 2012 and March 2013, respectively.

Amortization of intangible assets. Amortization of intangible assets was $5.4$5.6 million and $4.1$5.4 million, respectively, for the six months ended June 30, 20132014 and 2012, respectively.2013. Amortization expense increased due toreflects the amortization of acquired intangible assets with defined useful lives. The acquisitions of Farmadiet, OURLabOPKO Renal and CytochromaOPKO Biologics resulted in August 2012, December 2012principally acquiring in-process research and March 2013, respectively.development which will not amortize until the underlying development programs are completed at which time they will be amortized over the technologies' estimated useful life. The increase in amortization reflects the amortization of the amortizing intangible assets acquired from OPKO Renal and OPKO Biologics.

Write-off of Acquired In-Process Research and Development. In May 2014, we acquired Inspiro, a privately held company that is developing the Inspiromatic, a “smart” easy-to-use dry powder inhaler with several advantages over existing devices in a stock for stock transaction. We recorded the transaction as an asset acquisition and recorded the assets and liabilities at fair value, and as a result, we recorded $10.1 million of acquired in-process research and development expense. We did not have any such activity during the six months ended June 30, 2013.
Other income and (expense), net. Other income and (expense), net for the six months ended June 30, 2014 and 2013 was $(2.9) million and $(7.1) million, respectively. During the six months ended June 30, 2014, we recorded a $0.8 million non-cash charge, net, related to the changes in the fair value of the embedded derivatives in the Notes partially offset by a $2.7 million gain as the result of the exchange of $70.4 million principal of Notes in June 2014. For the six months ended June 30, 2013, and 2012, was ($7.1) million and $0.5 million, respectively. During the six months ended June 30, 2013, we recorded a $14.9$14.9 million non-cash charge, net, related to the changes in the fair value of the embedded derivatives in the Notes, partially offset by other income of $1.2$1.2 million related to changes in the fair value of the warrants and options received in connection with our investment in Neovasc and by other income of $2.6$2.6 million related to the changes in the fair value of Pharmsynthez Note Receivable and

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Purchase Option. Other income and (expense), net, for the six months ended June 30, 2013,, also included $6.7$6.7 million of interest expense primarily related to interest expense incurred by the Notes and by the amortization of related deferred financing costs. For the six months ended June 30, 2012, other income, net included $1.1 million of other income recognized from the change in fair value of the warrants received in connection with our investment in Biozone Pharmaceuticals, Inc., partially offset by other expense recognized for the decrease in fair value of warrants and options received in connections with our investment in Neovasc and the interest expense incurred by our Chilean lines of credit.
Loss from investmentinvestments in investees. We have made investments in other early stage companies that we perceive to have valuable proprietary technology and significant potential to create value for us as a shareholder. We account for these investments under the equity method of accounting, resulting in the recording of our proportionate share of their losses until our share of their loss exceeds our investment. Until the investees’ technologies are commercialized, if ever, we anticipate they will continue to report a net loss. Loss from investmentinvestments in investees was $6.3$2.4 million and $1.0$6.3 million for the six months

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ended June 30, 20132014 and 2012,2013, respectively. The increasedecrease in loss from investmentinvestments in investees is primarily due to the result of increased research and development activitiesdecreased losses at our investees as well as the impact of including the activities of RXi and Pharmsynthez for the six months ended June 30, 2013.Pharmsynthez.
Income taxes. Our income tax provision reflects the projected income tax payable in Israel, Chile, Spain, Mexico and Canada. We have recorded a full valuation allowance against our deferred tax assets in the U.S. On May 2013, our Israeli API business elected a new tax regime, which sets its effective tax rate at 12.5% compared to a previous tax rate that was based on a ratio of revenue and turnover basis in the old tax regime, ranging from 10% to 25%.


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LIQUIDITY AND CAPITAL RESOURCES
At June 30, 2013,2014, we had cash and cash equivalents and marketable securities of approximately $169.1134.0 million. Cash used in operations during 20132014 principally reflects expenses related to selling, general and administrative activities related to our corporate operations, research and development activities and our operations inat OPKO Lab, OPKO Biologics, SciVac, Exakta-OPKO, OPKO Chile Spain, SciVac,and OPKO Brazil, and Mexico, partially offset by cash provided from our operations at FineTech.FineTech and OPKO Spain. Cash used inprovided by investing activities primarily reflectsincludes the purchasedisposition of marketable securities of $50.0 million, the $13.3 million investment in RXi and Pharmsynthez, capital expenditures of $2.1 million andinvestments available for sale partially offset by net cash used in business combinations of $1.7 million, capital expenditures of $0.12.5 million, partially offset from the sale and investments in investees of investments available for sale.$0.5 million. Cash provided byused in financing activities primarily reflects the issuance$6.4 million of the Notesdeferred and contingent consideration payments related to our acquisitions of OPKO Spain and Finetech, partially offset by $1.52.7 million received from Common Stock option and Common Stock warrant exercises. Since our inception, we have not generated sufficient gross margins sufficient to offset our operating and other expenses and our primary source of cash has been from the public and private placement of stock and credit facilities available to us.
In June 2014, we entered into an exchange agreement with a holder of the Company’s 3.00% convertible senior notes due in 2033 (the “Notes”) pursuant to which such holder exchanged $70.4 million in aggregate principal amount of Notes for 10,974,431 shares of the Company’s Common stock, par value $0.01 per share and approximately $0.8 million in cash representing accrued interest through the date of completion of the exchange.
In May 2014, we acquired Inspiro, an Israeli medical device company developing a new platform to deliver small molecule drugs such as corticosteroids and beta agonists and larger molecules to treat respiratory diseases. In connection with the transaction, we paid an aggregate of $10.1 million, of which $1.0 million was paid in cash and $9.0 million was paid in shares of the Company’s Common Stock based on the average closing sales price per share of the Company’s Common Stock as reported by the NYSE for the ten trading days immediately preceding the execution date of the purchase agreement, or $9.00 per share.
In April 2013, we invested $9.6 million in exchange for approximately 13.6 million shares of Pharmsynthez common stock. Concurrent with outour investment, Pharmsynthez also agreed, to issue, at its option, to issue approximately 12.0 million shares of its common stock or pay us Russian Rubles (“RUR”) 265.0 million ($8.1 million) on or before December 31, 2013. We havehad a right to purchase additional shares in Pharmsynthez at a fixed price if Pharmsynthez payspaid us in RURcash rather than the 12.0 million shares of Pharmsynthez common stock. Pharmsynthez delivered approximately 12.0 million shares of its common stock (the “Purchase Option”).to us in January 2014.
In January 2013, we issued $175.0 million of the 2033 Senior Notes. The 2033 Senior Notes were sold in a private placement in reliance on exemptions from registration under the Securities Act. A $4.5 million discount was granted to the placement agent and an additional $0.4 million in deferred charges were recorded for professional fees related to the issuance. Net cash proceeds from the offering totaled $170.2 million. Interest on the 2033 Senior Notes is payable semiannually on February 1 and August 1, beginning August 1, 2013. Holders of the 2033 Senior Notes may require us to repurchase the 2033 Senior Notes for 100% of their principal amount, plus accrued and unpaid interest, on February 1, 2019, February 1, 2023 and February 1, 2028, or following the occurrence of a fundamental change as defined in the indenture governing the 2033 Senior Notes. On August 30, 2013, one of the conversion rights in the 2033 Senior Notes was triggered. Holders of the 2033 Senior Notes converted $16.9 million principal amount into 2,396,145 shares of our Common Stock at a rate of 141.4827 shares of Common Stock per $1,000 principal amount of 2033 Senior Notes.
In August 2012, we entered into a stock purchase agreement pursuant to which we acquired all of the outstanding stock of OPKO Spain (previously Farmadiet Group Holding, S.L.), a Spanish company engaged in the development, manufacture, marketing, and sale of pharmaceutical, nutraceutical, and veterinary products in Europe (the “OPKO Spain Transaction”). In connection with the OPKO Spain Transaction, we agreed to pay an aggregate purchase price of €13.5 million (approximately $16.0 million), of which (i) 50% ($8.4 million) was paid in cash at closing, and (ii) 50% (the “Deferred Payments”) was paid, at our option, in cash or shares of our Common Stock as follows: (x) 25% to be paid on the first anniversary of the closing date; and (y) 25% to be paid 18 months after the closing date. In the event we elected to pay the Deferred Payments in shares of our Common Stock, the number of shares issuable shall be calculated using the average closing price per share of our Common Stock as reported on the NYSE for the 10 trading days immediately preceding the applicable payment date. On August 2, 2013, we issued 585,703 shares of our Common Stock, in accordance with the first Deferred Payment. The number of shares issued was based on the average closing price per share of our Common Stock as reported on the NYSE for the 10 trading days up to

41


and including August 1, 2013, or $7.61 per share. On February 14, 2014, we delivered approximately €3.4 million in cash in accordance with the second Deferred Payment.
In connection with our acquisitions of CURNA, OPKO Diagnostics, FineTech and CytochromaOPKO Renal, we agreed to pay future consideration to the sellers upon the achievement of certain events, including minimum cash payments of $5.0 million to the former stockholder of FineTech upon the achievement of certain sales milestones, of which $2.7 million wasand $3.2 million were paid in March 2013;2013 and 2014, respectively; up to an additional $19.1 million in shares of our Common Stock to the former stockholders of OPKO Diagnostics upon and subject to the achievement of certain milestones; and up to an additional $190.0 million in either shares of our Common Stock or cash, at our option subject to the achievement of certain milestones, to the former shareholders of Cytochroma. In connection with the acquisition of Farmadiet, we agreed to pay an additional €3.4 million (US$4.3 million) in August 2013 and €3.4 million (US$4.3 million) in February 2014 in cash or shares of our Common Stock. On August 2, 2013, we issued 585,703 shares of our Common Stock to satisfy the August 2013 obligation. Further, upon the achievement of certain development milestones, we are obligated to issue 125,000 shares of our Common Stock and €0.8 million (US$1.0 million) in shares of our Common Stock or cash, at our option.OPKO Renal.
As of June 30, 20132014, we have outstanding lines of credit in the aggregate amount of $13.39.5 million with 1512 financial institutions in Chile and Spain, of which $6.44.8 million is unused. The weighted average interest rate on these lines of credit is approximately 6.4%5.8%. These lines of credit are short-term and are generally due within three months. These lines of credit are used primarily as a source of working capital for inventory purchases. The highest balance at any time during the six months ended June 30, 20132014, was $16.5$9.545 million. We intend to continue to enter into these lines of credit as needed. There is no assurance that these lines of credit or other funding sources will be available to us on acceptable terms, or at all, in the future.
We expect to incur losses from operations for the foreseeable future. We expect to incur substantial research and development expenses, including expenses related to the hiring of personnel and additional clinical trials. We expect that selling, general and administrative expenses will also increase as we expand our sales, marketing and administrative staff and add infrastructure.
We believe that the cash and cash equivalents and marketable securities on hand at June 30, 20132014, which include the net proceeds from the Notes, and the amounts available to be borrowed under our lines of credit are sufficient to meet our anticipated cash requirements for operations and debt service beyond the next 12 months. We based this estimate on assumptions that may prove to be wrong or are subject to change, and we may be required to use our available cash resources sooner than we currently expect. If we acquire additional assets or companies, accelerate our product development programs or initiate additional clinical trials, we will need additional funds. Our future cash requirements will depend on a number of factors, including possible acquisitions, the continued progress of research and development of our product candidates, the timing and outcome of clinical trials and regulatory approvals, the costs involved in preparing, filing, prosecuting, maintaining,

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defending, and enforcing patent claims and other intellectual property rights, the status of competitive products, the availability of financing, and our success in developing markets for our product candidates. If we are not able to secure additional funding when needed, we may have to delay, reduce the scope of, or eliminate one or more of our clinical trials or research and development programs or possible acquisitions.

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The following table provides information as of June 30, 20132014, with respect to the amounts and timing of our known contractual obligation payments due by period.
Contractual obligations
(In thousands)
 
Remaining Six Months ending December 31,
 2013
 2014 2015 2016 2017 2018 Thereafter Total Remaining Six Months ending December 31,
2014
 2015 2016 2017 2018 2019 Thereafter Total
Open purchase orders $12,004
 $2
 $
 $
 $
 $
 $
 $12,006
 $13,380
 $29
 $
 $
 $
 $
 $
 $13,409
Operating leases 1,255
 1,978
 1,458
 1,240
 555
 266
 321
 7,073
 1,676
 1,969
 1,582
 922
 598
 26
 52
 6,825
3.00% convertible senior notes 
 
 
 
 
 
 188,524
 188,524
2033 Senior Notes 
 
 
 
 
 
 116,365
 116,365
Deferred payments 
 
 
 
 
 
 
 
Mortgages and other debts payable (1) 2,121
 590
 504
 395
 358
 303
 1,750
 6,021
 673
 496
 373
 334
 277
 270
 1,475
 3,898
Lines of credit 13,261
 
 
 
 
 
 
 13,261
 9,544
 
 
 
 
 
 
 9,544
Interest commitments 3,289
 5,393
 5,374
 5,358
 5,344
 5,329
 518
 30,605
 1,587
 2,736
 2,720
 2,707
 2,695
 276
 62
 12,783
Total $31,930
 $7,963
 $7,336
 $6,993
 $6,257
 $5,898
 $191,113
 $257,490
 $26,860
 $5,230
 $4,675
 $3,963
 $3,570
 $572
 $117,954
 $162,824
(1)
Excludes $1.3$3.9 million of consolidated liabilities related to SciVac, as to which there is no recourse against us.
The preceding table does not include information where the amounts of the obligations are not currently determinable, including the following:
- Contractual obligations in connection with clinical trials, which span over two years, and that depend on patient enrollment. The total amount of expenditures is dependent on the actual number of patients enrolled and as such, the contracts do not specify the maximum amount we may owe.
- Product license agreements effective during the lesser of 15 years or patent expiration whereby payments and amounts are determined by applying a royalty rate on uncapped future sales.
- Contingent consideration that includes payments upon achievement of certain milestones including meeting development milestones such as the completion of successful clinical trials, new drug application approvals by the U.S. FDA and revenue milestones upon the achievement of certain revenue targets all of which are anticipated to be paid within the next 7 years and are payable in either shares of our Common Stock or cash, at our option, and that may aggregate up to $213.3$213.5 million.


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CRITICAL ACCOUNTING POLICIES AND ESTIMATES
Accounting estimates. The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of sales and expenses during the reporting period. Actual results could differ from those estimates.
Equity-based compensation. We recognize equity based compensation as an expense in our financial statements and that cost is measured at the fair value of the awards and expensed over their vesting period. Equity-based compensation arrangements to non-employees are recorded at their fair value on the measurement date. We estimate the grant-date fair value of our stock option grants using a valuation model known as the Black-Scholes-Merton formula or the “Black-Scholes Model” and allocate the resulting compensation expense over the corresponding requisite service period associated with each grant. The Black-Scholes Model requires the use of several variables to estimate the grant-date fair value of stock options including expected term, expected volatility, expected dividends and risk-free interest rate. We perform significant analyses to calculate and select the appropriate variable assumptions used in the Black-Scholes Model. We also perform significant analyses to estimate forfeitures of equity-based awards. We are required to adjust our forfeiture estimates on at least an annual basis based on the number of share-based awards that ultimately vest. The selection of assumptions and estimated forfeiture rates is subject to significant judgment and future changes to our assumptions and estimates may have a material impact on our Condensed Consolidated Financial Statements.

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Inventories. Inventories are valued at the lower of cost or market (net realizable value). Cost is determined by the first-in, first-out method. We consider such factors as the amount of inventory on hand, estimated time required to sell such inventories, remaining shelf-life, and current market conditions to determine whether inventories are stated at the lower of cost or market.
Goodwill and Intangible Assets. Goodwill and other intangible assets, including IPR&D”, acquired in business combinations, licensing and other transactions werewas $364.9 million1.1 billion million and $176.2 million, respectively, at both June 30, 20132014 and December 31, 2012,2013, representing approximately 57%82% and 61%79% of total assets, respectively.
Assets acquired and liabilities assumed in business combinations, licensing and other transactions are recognized at the date of acquisition at their respective fair values. Any excess of the purchase price over the estimated fair values of the net assets acquired is recognized as goodwill. We determined the fair value of intangible assets, including in-process research and development (“IPR&D”),&D, using the “income method.” This method starts with a forecast of net cash flows, risk adjusted for estimated probabilities of technical and regulatory success (for IPR&D) and adjusted to present value using an appropriate discount rate that reflects the risk associated with the cash flow streams. All assets are valued from a market participant view which might be different than our specific views. The valuation process is very complex and requires significant input and judgment using internal and external sources. Although the valuations are required to be finalized within a one-year period, it must consider all and only those facts and evidence availablewhich existed at the acquisition date. The most complex and judgmental matters applicable to the valuation process are summarized below:
Unit of account – Most intangible assets are valued as single global assets rather than multiple assets for each jurisdiction or indication after considering the development stage, expected levels of incremental costs to obtain additional approvals, risks associated with further development, amount and timing of benefits expected to be derived in the future, expected patent lives in various jurisdictions and the intention to promote the asset as a global brand.
Estimated useful life – The asset life expected to contribute meaningful cash flows is determined after considering all pertinent matters associated with the asset, including expected regulatory approval dates (if unapproved), exclusivity periods and other legal, regulatory or contractual provisions as well as the effects of any obsolescence, demand, competition, and other economic factors, including barriers to entry.
Probability of Technical and Regulatory Success (“PTRS”) Rate – PTRS rates are determined based upon industry averages considering the respective programs development stage and disease indication and adjusted for specific information or data known at the acquisition date. Subsequent clinical results or other internal or external data obtained could alter the PTRS rate and materially impact the estimated fair value of the intangible asset in subsequent periods leading to impairment charges.
Projections – Future revenues are estimated after considering many factors such as initial market opportunity, pricing, sales trajectories to peak sales levels, competitive environment and product evolution. Future costs and expenses are estimated after considering historical market trends, market participant synergies and the timing and level of additional development costs to obtain the initial or additional regulatory approvals, maintain or further enhance the product. We generally assume initial positive cash flows to commence shortly after the receipt of expected regulatory approvals which typically may not occur for a number of years. Actual cash flows attributed to the project are likely to be different than those assumed since projections are subjected to multiple factors including trial results and regulatory matters which could materially change the ultimate commercial success of the asset as well as significantly alter the costs to develop the respective asset into commercially viable products.
Tax rates – The expected future income is tax effected using a market participant tax rate. Our recent valuations typically use a U.S. tax rate (and applicable state taxes) after considering the jurisdiction in which the intellectual property is held and location of research and manufacturing infrastructure. We also considered that any repatriation of earnings repatriation would likely have U.S. tax consequences.
Discount rate – Discount rates are selected after considering the risks inherent in the future cash flows; the assessment of the asset’s life cycle and the competitive trends impacting the asset, including consideration of any technical, legal, regulatory, or economic barriers to entry, as well as expected changes in standards of practice for indications addressed by the asset.
Goodwill was $82.1226.0 million and $80.5226.4 million, respectively, at June 30, 20132014 and December 31, 2012.2013. Goodwill is tested at least annually for impairment or when events or changes in circumstances indicate that the carrying amount of such assets may not be recoverable, on an enterprise level by assessing qualitative factors or performing a quantitative analysis in

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determining whether it is more likely than not that its fair value exceeds the carrying value. Examples of qualitative factors include our share price, our financial performance compared to budgets, long-term financial plans, macroeconomic, industry

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and market conditions as well as the substantial excess of fair value over the carrying value of net assets from the annual impairment test performed in the prior year.

The estimated fair value of the reporting units whose fair value was calculated for purposes of the 2013 impairment testing is derived from the valuation techniques described above, incorporating the related projections and assumptions. An indication of possible impairment occurs when the estimated fair value of the reporting unit is below the carrying value of its equity. The estimated fair value for these reporting units exceeded their related carrying value as of October 1, 2013. As a result, no goodwill impairment was recorded.
The estimated fair value of the reporting unit is highly sensitive to changes in these projections and assumptions; therefore, in some instances changes in these assumptions could impact whether the fair value of a reporting unit is greater than its carrying value. For example, an increase in the discount rate and decline in the projected cumulative cash flow of a reporting unit could cause the fair value of certain reporting units to be below its carrying value. We perform sensitivity analyses around these assumptions in order to assess the reasonableness of the assumptions and the resulting estimated fair values. Ultimately, future potential changes in these assumptions may impact the estimated fair value of a reporting unit and cause the fair value of the reporting unit to be below its carrying value. The excess of fair value over carrying value for our reporting units as of October 1, 2013, was 70%. We believe that our estimates are consistent with assumptions that marketplace participants would use in their estimates of fair value. However, if actual results are not consistent with our estimates and assumptions, we may be exposed to an impairment charge that could be material.
Intangible assets were $282.8862.4 million and $95.8867.9 million, including IPR&D of $203.1793.3 million and $11.5793.3 million, respectively, at June 30, 20132014 and December 31, 20122013. Intangible assets are tested for impairment whenever events or changes in circumstances warrant a review, although IPRDIPR&D is required to be tested at least annually. Intangible assets are highly vulnerable to impairment charges, particularly newly acquired assets for recently launched products or IPR&D. These assets are initially measured at fair value and therefore any reduction in expectations used in the valuations could potentially lead to impairment. Some of the more common potential risks leading to impairment include competition, earlier than expected loss of exclusivity, pricing pressures, adverse regulatory changes or clinical trial results, delay or failure to obtain regulatory approval and additional development costs, inability to achieve expected synergies, higher operating costs, changes in tax laws and other macro-economic changes. The complexity in estimating the fair value of intangible assets in connection with an impairment test is similar to the initial valuation.
Considering the high risk nature of research and development and the industry’s success rate of bringing developmental compounds to market, IPR&D impairment charges are likely to occur in future periods. IPR&D is closely monitored and assessed each period for impairment.
Contingent consideration. Each period we revalue the contingent consideration obligations associated with certain acquisitions to their fair value and record increases in the fair value as contingent consideration expense and decreases in the fair value as contingent consideration income. Changes in contingent consideration result from changes in the assumptions regarding probabilities of successful achievement of related milestones, the estimated timing in which the milestones are achieved and the discount rate used to estimate the fair value of the liability. Contingent consideration may change significantly as our development programs progress, revenue estimates evolve and additional data is obtained, impacting our assumptions. The assumptions used in estimating fair value require significant judgment. The use of different assumptions and judgments could result in a materially different estimate of fair value which may have a material impact on our results from operations and financial position.
Equity-based compensation. We recognize equity based compensation as an expense in our financial statements and that cost is measured at the fair value of the awards and expensed over their vesting period. Equity-based compensation arrangements to non-employees are recorded at their fair value on the measurement date. We estimate the grant-date fair value of our stock option grants using a valuation model known as the Black-Scholes-Merton formula or the “Black-Scholes Model” and allocate the resulting compensation expense over the corresponding requisite service period associated with each grant. The Black-Scholes Model requires the use of several variables to estimate the grant-date fair value of stock options including expected term, expected volatility, expected dividends and risk-free interest rate. We perform significant analyses to calculate and select the appropriate variable assumptions used in the Black-Scholes Model. We also perform significant analyses to estimate forfeitures of equity-based awards. We are required to adjust our forfeiture estimates on at least an annual basis based on the number of share-based awards that ultimately vest. The selection of assumptions and estimated forfeiture rates is subject to significant judgment and future changes to our assumptions and estimates which may have a material impact on our Condensed Consolidated Financial Statements.

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Allowance for doubtful accounts and revenue recognition. Generally, we recognize revenue from product sales when goods are shipped and title and risk of loss transfer to our customers. Our estimates for sales returns are based upon the historical patterns of products returned matched against the sales from which they originated, and management’s evaluation of specific factors that may increase or decrease the risk of product returns. Revenue for services is recognized on the accrual basis at the time test results are reported, which approximates when services are provided. Services are provided to certain patients covered by various third-party payer programs including various managed care organizations, as well as the Medicare and Medicaid programs. Billings for services under third-party payer programs are included in sales net of allowances for contractual discounts and allowances for differences between the amounts billed and estimated program payment amounts. Adjustments to the estimated payment amounts based on final settlement with the programs are recorded upon settlement as an adjustment to revenue.
Werevenue.We analyze accounts receivable and historical bad debt levels, customer credit worthiness and current economic trends when evaluating the adequacy of the allowance for doubtful accounts using the specific identification method. Our reported net loss is directly affected by management’s estimate of the collectability of accounts receivable. The allowance for doubtful accounts recognized in our Condensed Consolidated Balance Sheets at June 30, 20132014 and December 31, 20122013 was $0.9$1.5 million and $0.51.9 million, respectively.
Inventories. Inventories are valued at the lower of cost or market (net realizable value). Cost is determined by the first-in, first-out method. We consider such factors as the amount of inventory on hand, estimated time required to sell such inventories, remaining shelf-life, and current market conditions to determine whether inventories are stated at the lower of cost or market.
Recent accounting pronouncementspronouncements.. In FebruaryJuly 2013, the Financial Accounting Standards Board (“FASB”)FASB issued an Accounting Standards Update (“ASU”) 2013-02, Reporting, ASU 2013-11, Presentation of Amounts Reclassified Out of Accumulated Other Comprehensive Income, (“an Unrecognized Tax Benefit When a Net Operating Loss Carryforward, a Similar Tax Loss, or a Tax Credit Carryforward Exists. ASU 2013-02”). ASU 2013-02 requires2013-11 is intended to eliminate inconsistent practices regarding the presentation of reclassifications outan unrecognized tax benefit when a net operating loss carryforward, a similar tax loss, or a tax credit carryforward is available to reduce the taxable income or tax payable that would result from the disallowance of accumulated other comprehensive income in either (1) the notes or (2) the face of the financial statements. We adopteda tax position. ASU 2013-022013-11 is effective for our first quarter ended March 31, 2013.fiscal year beginning January 1, 2014 and subsequent interim periods. The adoption of ASU 2013-02 did2013-11 does not have a material effect on our Condensed Consolidated Financial Statements.

In May 2014, the FASB issued ASU No. 2014-09, "Revenue from Contracts with Customers." ASU No. 2014-09 clarifies the principles for recognizing revenue and develops a common revenue standard for GAAP and International Financial Reporting Standards ("IFRS") that removes inconsistencies and weaknesses in revenue requirements, provides a more robust framework for addressing revenue issues, improves comparability of revenue recognition practices across entities, industries, jurisdictions, and capital markets, provides more useful information to users of financial statements through improved disclosure requirements and simplifies the preparation of financial statements by reducing the number of requirements to which an entity must refer. ASU No. 2014-09 is effective for fiscal years, and interim periods within those years, beginning after December 15, 2016. Companies can choose to apply the ASU using either the full retrospective approach or a modified retrospective approach. We are currently evaluating both methods of adoption and the impact, if any, that the adoption of this ASU will have on our condensed consolidated financial statements.

In June 2014, the FASB issued ASU No. 2014-12, "Accounting for Share-Based Payments When the Terms of an Award Provide That a Performance Target Could Be Achieved after the Requisite Service Period (a consensus of the FASB Emerging Issues Task Force)." ASU No. 2014-12 requires that a performance target that affects vesting and that could be achieved after the requisite service period be treated as a performance condition. ASU No. 2014-12 is effective for fiscal years, and interim periods within those years, beginning after December 15, 2015. Earlier adoption is permitted. The amendments can be applied either prospectively to all awards granted or modified after the effective date or retrospectively to all awards with performance targets that are outstanding as of the beginning of the earliest annual period presented in the financial statements and to all new or modified awards. We expect to apply the ASU prospectively and do not expect the adoption to have an impact on our condensed consolidated financial statements but did require certain additional disclosures.as our existing share-based payment awards do not fall within the scope of this ASU.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
In the normal course of doing business, we are exposed to the risks associated with foreign currency exchange rates and changes in interest rates.
Foreign Currency Exchange Rate Risk – Although we do not speculate in the foreign exchange market, we may from time to time manage exposures that arise in the normal course of business related to fluctuations in foreign currency exchange rates by entering into offsetting positions through the use of foreign exchange forward contracts. Certain firmly committed transactions are hedged with foreign exchange forward contracts. As exchange rates change, gains and losses on the exposed

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transactions are partially offset by gains and losses related to the hedging contracts. Both the exposed transactions and the hedging contracts are translated at current spot rates, with gains and losses included in earnings.

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Our derivative activities, which consist of foreign exchange forward contracts, are initiated to hedge forecasted cash flows that are exposed to foreign currency risk. The foreign exchange forward contracts generally require us to exchange local currencies for foreign currencies based on pre-established exchange rates at the contracts’ maturity dates. As exchange rates change, gains and losses on these contracts are generated based on the change in the exchange rates that are recognized in the Condensed Consolidated Statement of Operations at maturity, and offset the impact of the change in exchange rates on the foreign currency cash flows that are hedged. If the counterparties to the exchange contracts do not fulfill their obligations to deliver the contracted currencies, we could be at risk for currency related fluctuations. We had $2.23.6 million in foreign exchange forward contracts outstanding at June 30, 20132014, primarily to hedge Chilean-based operating cash flows against U.S. dollars. If Chilean Pesos were to strengthen in relation to the U.S. dollar, our loss or gain on hedged foreign currency cash-flows would be offset by the derivative contracts, with a net effect of zero.
We do not engage in trading market risk sensitive instruments or purchasing hedging instruments or “other than trading” instruments that are likely to expose us to significant market risk, whether interest rate, foreign currency exchange, commodity price, or equity price risk.
Interest Rate Risk – Our exposure to market risk relates to our cash and investments and to our borrowings. We maintain an investment portfolio of money market funds. The securities in our investment portfolio are not leveraged, and are, due to their very short-term nature, subject to minimal interest rate risk. We currently do not hedge interest rate exposure. Because of the short-term maturities of our investments, we do not believe that a change in market interest rates would have a significant negative impact on the value of our investment portfolio except for reduced income in a low interest rate environment.
At June 30, 20132014, we had cash and cash equivalents and marketable securities of $169.1134.0 million. The weighted average interest rate related to our cash and cash equivalents for the six months ended June 30, 20132014 was 0%. As of June 30, 20132014, the principal value of our credit lines was $13.39.5 million at a weighted average interest rate of approximately 6.4%5.8% for the sixthree months then ended. In addition, we have outstanding 3.00% convertible senior notes with
Our $87.6 million aggregate principal amount of our 2033 Senior Notes has a face value of $175 million.fixed interest rate, and therefore is not subject to fluctuations in market interest rates.
The primary objective of our investment activities is to preserve principal while at the same time maximizing yields without significantly increasing risk. To achieve this objective, we invest our excess cash in debt instruments of the U.S. Government and its agencies, bank obligations, repurchase agreements and high-quality corporate issuers, and money market funds that invest in such debt instruments, and, by policy, restrict our exposure to any single corporate issuer by imposing concentration limits. To minimize the exposure due to adverse shifts in interest rates, we maintain investments at an average maturity of generally less than three months.
Equity Price Risk – We are subject to equity price risk related to the (i) rights to convert into shares of our Common Stock, including upon a fundamental change; and (ii) a coupon make-whole payment in the event of a conversion by the holders of the 2033 Senior Notes on or after February 1, 2017 but prior to February 1, 2019. These terms are considered to be embedded derivatives. On a quarterly basis, we are required to record these embedded derivatives at fair value with the changes being recorded in our Condensed Consolidated Statement of Operations. Accordingly, our results of operations are subject to exposure associated with increases or decreases in the estimated fair value of our embedded derivatives.
Item 4. Controls and Procedures
The Company’sDisclosure Controls and Procedures
Our management, under the supervision and with the participation of the Company’sour Chief Executive Officer (“CEO”) and our Chief Financial Officer, (“CFO”), hashave evaluated the effectiveness of the Company’sour disclosure controls and procedures as(as defined in Rules 13a-15(e) and 15d-15(e) under the Securities and Exchange Commission (“SEC”Act of 1934, as amended (the “Exchange Act”) Rule 13a-15(e)) as of June 30, 2013. Basedthe end of the period covered by this Quarterly Report on that evaluation, the CEO and CFO have concluded that the Company’sForm 10-Q. Our disclosure controls and procedures are effectivedesigned to ensureprovide reasonable assurance that information the Company is required to disclosebe disclosed by us in the reports that it fileswe file or submitssubmit under the Securities Exchange Act is accumulated and communicated to management, including the CEO and CFO, as appropriate, to allow timely decisions regarding required disclosure and is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is accumulated and communicated to the company’s management, including its principal executive and principal financial officers, as appropriate to allow timely decisions regarding required disclosure. Based on this evaluation, management concluded that our disclosure controls and procedures were not effective at the reasonable assurance level as of the end of the period covered by this Quarterly Report on Form 10-Q due to a material weakness existing in our internal controls over financial reporting as of December 31, 2013 (described below), which has not been fully remediated as of the end of the period covered by this Quarterly Report on Form 10-Q.

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In connection with the preparation of our financial statements for the year ended December 31, 2013, we concluded there was a material weakness in the design and operating effectiveness of our internal control over financial reporting, as such term is defined in Rule 13a-15(f) under the Exchange Act. A material weakness is a deficiency, or a combination of deficiencies, in internal control over financial reporting such that there is a reasonable possibility that a material misstatement of the annual or interim financial statements will not be prevented or detected on a timely basis. The material weakness in internal control over financial reporting relates to the Company’s financial statement close process at its Chilean subsidiary due to the lack of sufficient controls to assure that inventory and accounts receivable balances are recorded correctly in accordance with U.S. generally accepted accounting principles.
With the oversight of senior management and our audit committee, we have taken steps, and plan to take additional measures, to remediate the underlying causes of the material weakness, primarily through the development and implementation of formal policies, improved processes and documented procedures, as well as the hiring of additional finance personnel.
As part of these ongoing efforts, we have documented and are in the process of testing our internal control over financial reporting in order to report on the effectiveness of our internal controls as of December 31, 2014. We have continued to expend significant internal and external resources in this effort. In particular, we have continued to work with a global accounting firm in preparation for reporting on the effectiveness of our internal controls, and we have engaged an additional accounting firm to assist our local management team to address the underlying cause of the material weakness primarily through the development and implementation of additional policies, improved processes and documented procedures, as well as the hiring of additional finance personnel. However, we can provide no assurance at this time that management will be able to report that our internal control over financial reporting is effective as of December 31, 2014, or that our registered independent public accounting firm will be able to attest that such internal controls are effective.
Notwithstanding the identified material weakness, management believes the Condensed Consolidated Financial Statements included in this Quarterly Report on Form 10-Q fairly represent in all material respects our financial condition, results of operations and cash flows at and for the periods presented in accordance with U.S. GAAP.
Changes to the Company’s Internal Control Over Financial Reporting
In addition to the changes above, in connection with the Farmadiet Group Holding, S.L. ("Farmadiet"), SciVac Ltd, formerly SciGen (I.L.) Ltd ("SciVac"), OPKO OURLab LLC, formerly Prost-Data, Inc. ("OURLab")Renal and Cytochroma Inc. ("Cytochroma")OPKO Biologics acquisitions in August 2012, October 2012, December 2012March 2013 and MarchAugust 2013, respectively, we began implementing standards and procedures at Farmadiet, SciVac, OURLabOPKO Renal and Cytochroma,OPKO Biologics, including upgrading and establishing controls over accounting systems, and adding employees and consultants who are trained and experienced in the preparation of financial statements in accordance with U.S. GAAP to ensure that we have in place appropriate internal control over financial reporting at Farmadiet, SciVac, OURLabOPKO Renal and Cytochroma.OPKO Biologics. These changes to the Company’s internal control over financial reporting that occurred during the Company’s second fiscal quarter of 20132014 have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.

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PART II. OTHER INFORMATION
Item 1. Legal Proceedings
On April 29, 2013, a putative class action was filed in the Eighth Judicial District Court in and for Clark County, Nevada against PROLOR Biotech, Inc. (“PROLOR”)(now OPKO Biologics), the members of the PROLOR Board of Directors, individually (including Drs. Frost and Hsiao and Steven Rubin), and the Company. From May 1, 2013 through May 6, 2013, we were named in an additional five putative class actions lawsuits filed in the Eight Judicial District Court in and for Clark County, Nevada against the same defendants. On July 17, 2013, these six suits were consolidated, for all purposes, into an amended class action complaint as part of the In re PROLOR Biotech, Inc. Shareholders' Litigation (Case No. A-13-680860-B).complaint. The lawsuit is brought by purported holders of PROLOR'sPROLOR’s common stock, both individually and on behalf of a putative class of PROLOR'sPROLOR’s stockholders, asserting claims that (i) PROLOR's directorsPROLOR’s Board of Directors breached theirits fiduciary duties in connection with the proposed merger by among other things, purportedly failing to maximize stockholder value, (ii)that PROLOR and its Board of Directors failed to disclose material information concerning the proposed merger,to PROLOR’s stockholders, and (iii)that the Company aided and abetted PROLOR's directors'the alleged breachbreaches of their fiduciary duties. The lawsuit seeks various damages,duty. On May 5, 2014, the court issued an award oforder dismissing all costs,claims as to all defendants without prejudice and reasonable attorneys' fees, as well as certain equitable relief, including enjoining consummation of the merger and, alternatively, rescindingplaintiffs did not appeal the merger in the event it is consummated. The Company denies the allegations and intends to vigorously defend the actions. It is too early to assess the probability of a favorabledismissal or unfavorable outcome or the loss or range of loss, if any.file an amended complaint.

Item 1A. Risk Factors
There have been no material changes in our risk factors from those disclosed
Political, economic and military instability in the Company’s Annual Report on Form 10-K for the year ended December 31, 2012, as updated by the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 2013.State of Israel, where we have offices, laboratory and manufacturing operations, may adversely affect our results of operations.

We maintain office, laboratory and manufacturing facilities in the State of Israel. Political, economic and military conditions in Israel may directly affect our ability to conduct business. Since the State of Israel was established in 1948, a number of armed conflicts have occurred between Israel and its neighbors. Any hostilities involving Israel or the interruption or curtailment of

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trade between Israel and its present trading partners, or a significant downturn in the economic or financial condition of Israel, could affect adversely our operations. Ongoing and revived hostilities or other Israeli political or economic factors could harm our operations and product development and cause our revenues to decrease. The recent conflict in the Gaza Strip and the surrounding areas has resulted in periodic disruptions of air travel between the United States and Israel, bomb threats, and otherwise made daily life in the region difficult for our employees. In addition, certain of our employees in Israel have been called up for active military duty, which could disrupt our development and other operations. These conflicts and disruptions could cause delays in the development or production of our products, cause our revenues to decrease and harm our business and operating results.


Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
None.On June 20, 2014, OPKO Health, Inc. (the “Company”) entered into an exchange agreement with a holder of the Company’s 3.00% convertible senior notes due 2033 (the “Notes”) pursuant to which such holder agreed to exchange $70.4 million in aggregate principal amount of Notes for 10,974,430 shares of the Company’s common stock, par value $0.01 per share (the “Common Stock”) and approximately $0.8 million in cash representing accrued interest through the date of completion of the exchange. The Company completed the exchange on or around June 25, 2014.
Item 3. Defaults Upon Senior Securities
None.
Item 4. Mine Safety Disclosures
Not Applicable.
Item 5. Other Information
None.

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Item 6. Exhibits.
Exhibit 2.113.1(1)
Agreement and Plan of Merger, dated April 23, 2013, among OPKO Health, Inc., POM Acquisition, Inc., and PROLOR Biotech, Inc.
Exhibit 3.1(2)
Amended and Restated Certificate of Incorporation.
Exhibit 3.2(3)(2)
Amended and Restated By-Laws.
Exhibit 3.3(3)
Certificate of Designation of Series D Preferred Stock.
Exhibit 4.3(4)
Indenture, dated as of January 30, 2013, between OPKO Health, Inc. and Wells Fargo Bank, National Association.
Exhibit 31.1Certification by Phillip Frost, Chief Executive Officer, pursuant to Rule 13a-14(a) and 15d-14(a) of the Securities and Exchange Act of 1934 as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 for the quarterly period ended June 30, 2013.2014.
Exhibit 31.2Certification by Juan F. Rodriguez,Adam Logal, Chief Financial Officer, pursuant to Rule 13a-14(a) and 15d-14(a) of the Securities and Exchange Act of 1934 as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 for the quarterly period ended June 30, 2013.2014.
Exhibit 32.1Certification by Phillip Frost, Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 for the quarterly period ended June 30, 2013.2014.
Exhibit 32.2Certification by Juan F. Rodriguez,Adam Logal, Chief Financial Officer, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 for the quarterly period ended June 30, 2013.2014.
Exhibit 101.INS*101.INSXBRL Instance Document
Exhibit 101.SCH*101.SCHXBRL Taxonomy Extension Schema Document
Exhibit 101.CAL*101.CALXBRL Taxonomy Extension Calculation Linkbase Document
Exhibit 101.DEF*101.DEFXBRL Taxonomy Extension Definition Linkbase Document
Exhibit 101.LAB*101.LABXBRL Taxonomy Extension Label Linkbase Document
Exhibit 101.PRE*101.PREXBRL Taxonomy Extension Presentation Linkbase Document
*As provided in Rule 406T of Regulation S-T, this information is furnished herewith and not filed for purposes of sections 11 and 12 of the Securities Act of 1933, as amended, or section 18 of the Securities Exchange Act of 1934, as amended.
(1)Filed with the Company's Preliminary Joint Proxy Statement/Prospectus, Form S-4, with the Securities Exchange Commission on June 27, 2013, as amended.
(2)(1)
Filed with the Company’s CurrentQuarterly Report on Form 8-A10-Q filed with the Securities and Exchange Commission on June 11, 2007,November 12, 2013 for the Company’s three month period ended September 30, 2013, and incorporated herein by reference.
(3)
(2)
Filed with the Company’s Annual Report on Form 10-K filed with the Securities and Exchange Commission on March 31, 2008, and incorporated herein by reference.
(3)
Filed with the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on September 24, 2009, and incorporated herein by reference.
(4)
Filed with the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on February 5, 2013, and incorporated herein by reference.

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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

Date: August 9, 201311, 2014 OPKO Health, Inc.
   
  /s/ Adam Logal
  Adam Logal
  Senior Vice President, Finance, Chief AccountingFinancial Officer,
  Chief Accounting Officer and Treasurer

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Exhibit Index
Exhibit NumberDescription
  
Exhibit 31.1Certification by Phillip Frost, Chief Executive Officer, pursuant to Rule 13a-14(a) and 15d-14(a) of the Securities and Exchange Act of 1934 as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 for the quarterly period ended June 30, 2013.2014.
  
Exhibit 31.2Certification by Juan F. Rodriguez,Adam Logal, Chief Financial Officer, pursuant to Rule 13a-14(a) and 15d-14(a) of the Securities and Exchange Act of 1934 as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 for the quarterly period ended June 30, 2013.2014.
  
Exhibit 32.1Certification by Phillip Frost, Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 for the quarterly period ended June 30, 2013.2014.
  
Exhibit 32.2Certification by Juan F. Rodriguez,Adam Logal, Chief Financial Officer, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 for the quarterly period ended June 30, 2013.2014.
  
Exhibit 101.INS*101.INSXBRL Instance Document
  
Exhibit 101.SCH*101.SCHXBRL Taxonomy Extension Schema Document
  
Exhibit 101.CAL*101.CALXBRL Taxonomy Extension Calculation Linkbase Document
  
Exhibit 101.DEF*101.DEFXBRL Taxonomy Extension Definition Linkbase Document
  
Exhibit 101.LAB*101.LABXBRL Taxonomy Extension Label Linkbase Document
  
Exhibit 101.PRE*101.PREXBRL Taxonomy Extension Presentation Linkbase Document
*As provided in Rule 406T of Regulation S-T, this information is furnished herewith and not filed for purposes of sections 11 and 12 of the Securities Act of 1933, as amended, or section 18 of the Securities Exchange Act of 1934, as amended.




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