Table of Contents

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

Form 10-Q

(Mark One)

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2017

March 31, 2023

Or

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from to .

Commission File Number: 000-26727

______________________________________
BioMarin Pharmaceutical Inc.

(Exact name of registrant as specified in its charter)

______________________________________

Delaware

68-0397820

Delaware

68-0397820
(State or other jurisdiction of


incorporation or organization)

(I.R.S. Employer


Identification No.)

770 Lindaro StreetSan Rafael California

California

94901

(Address of principal executive offices)

(Zip Code)

(415) 506-6700

(Registrant’s telephone number including area code)


Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, par value $0.001BMRNThe Nasdaq Global Select Market


Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes      No  

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes      No  

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer

Accelerated filer

Large Accelerated Filer

Accelerated Filer

Non-accelerated filer

  (Do not check if a smaller reporting company)

Smaller reporting company

Non-accelerated Filer

Smaller Reporting Company
Emerging growth company

Growth Company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  



Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act.)    Yes      No  

Applicable only to corporate issuers:

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date: 175,621,277187,700,942 shares of common stock, par value $0.001, outstanding as of OctoberApril 25, 2017.


BIOMARIN PHARMACEUTICAL INC.

TABLE OF CONTENTS

2023.

Page

PART I.

FINANCIAL INFORMATION

3

Item 1.

Financial Statements

3

Condensed Consolidated Balance Sheets as of September 30, 2017 (Unaudited) and December 31, 2016

3

Condensed Consolidated Statements of Comprehensive Loss (Unaudited) for the three and nine months ended September 30, 2017 and 2016

4

Condensed Consolidated Statement of Stockholders’ Equity (Unaudited) for the nine months ended September 30, 2017

5

Condensed Consolidated Statements of Cash Flows (Unaudited) for the nine months ended September 30, 2017 and 2016

6

Notes to Unaudited Condensed Consolidated Financial Statements

7

Item 2.

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

29

Item 3.

Quantitative and Qualitative Disclosures about Market Risk

42

Item 4.

Controls and Procedures

42

PART II.

OTHER INFORMATION

43

Item 1.

Legal Proceedings

43

Item 1A.

Risk Factors

44

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

66

Item 3.

Defaults Upon Senior Securities

66

Item 4.

Mine Safety Disclosures

66

Item 5.

Other Information

66

Item 6.

Exhibits

67

SIGNATURES

69




Unless the context suggests otherwise, references in this Quarterly Report on Form 10-Q to “BioMarin,” the “Company,” “we,” “us,” and “our” refer to BioMarin Pharmaceutical Inc. and, where appropriate, its wholly owned subsidiaries.

BioMarin®, BrineuraBRINEURA®, VimizimKUVAN®, NaglazymeNAGLAZYME®, KuvanPALYNZIQ®,VIMIZIM® and FirdapseVOXZOGO®are our registered trademarks. KyndrisaTM is our trademark. AldurazymeALDURAZYME® is a registered trademark of BioMarin/Genzyme LLC. ROCTAVIAN™ is a trademark of BioMarin Pharmaceutical Inc. All other brand names and service marks, trademarks and other trade names appearing in this report are the property of their respective owners.

Forward-Looking Statements

This Quarterly Report on Form 10-Q contains “forward-looking statements” as defined under securities laws. Many of these statements can be identified by the use of terminology such as “believes,” “expects,” “intends,” “anticipates,” “plans,” “may,” “will,” ���projects,“could,” would,” “projects,” “continues,” “estimates,” “potential,” “opportunity” or the negative versions of these terms and other similar expressions. Our actual results or experience could differ significantly from the forward-looking statements. Factors that could cause or contribute to these differences include those discussed in “Risk Factors,” in Part II, Item 1A of this Quarterly Report on Form 10-Q as well as information provided elsewhere in this Quarterly Report on Form 10-Q and our Annual Report on Form 10-K for the year ended December 31, 2016,2022, which was filed with the Securities and Exchange Commission (the SEC) on February 27, 2017.2023. You should carefully consider that information before you make an investment decision.

You should not place undue reliance on these types of forward-looking statements, which speak only as of the date that they were made. These forward-looking statements are based on the beliefs and assumptions of the Company’s management based on information currently available to management and should be considered in connection with any written or oral forward-looking statements that the Company may issue in the future as well as other cautionary statements the Company has made and may make. Except as required by law, the Company does not undertake any obligation to release publicly any revisions to these forward-looking statements after completion of the filing of this Quarterly Report on Form 10-Q to reflect later events or circumstances or the occurrence of unanticipated events.

The discussion of the Company’s financial condition and results of operations should be read in conjunction with the Company’s Condensed Consolidated Financial Statements and the related Notes thereto included in this Quarterly Report on Form 10-Q.

2

Risk Factors Summary
The following is a summary of the principal risks that could adversely affect our business, financial condition, operating results, cash flows or stock price. Discussion of the risks listed below, and other risks that we face, are discussed in the section titled “Risk Factors” in Part II, Item 1A of this Quarterly Report on Form 10-Q.
Business and Operational Risks
If we fail to obtain and maintain an adequate level of coverage and reimbursement for our products by third-party payers, the sales of our products would be adversely affected or there may be no commercially viable markets for our products.
Because the target patient populations for our products are relatively small, we must achieve significant market share and maintain high per-patient prices for our products to achieve and maintain profitability.
If we fail to compete successfully with respect to product sales, we may be unable to generate sufficient sales to recover our expenses related to the development of a product program or to justify continued marketing of a product and our revenues could be adversely affected.
Changes in methods of treatment of disease could reduce demand for our products and adversely affect revenues.
If we fail to develop new products and product candidates or compete successfully with respect to acquisitions, joint ventures, licenses or other collaboration opportunities, our ability to continue to expand our product pipeline and our growth and development would be impaired.
The sale of generic versions of KUVAN by generic manufacturers has adversely affected and will continue to adversely affect our revenues and may cause a decline in KUVAN revenues faster than expected.
If we do not achieve our projected development goals in the timeframes we announce or fail to achieve such goals, the commercialization of our product candidates may be delayed or never occur and the credibility of our management may be adversely affected and, as a result, our stock price may decline.


Regulatory Risks
If we fail to obtain regulatory approval to commercially market and sell our product candidates, or if approval of our product candidates is delayed, we will be unable to generate revenues from the sale of these product candidates, our potential for generating positive cash flow will be diminished, and the capital necessary to fund our operations will increase.
Any product for which we have obtained regulatory approval, or for which we obtain approval in the future, is subject to, or will be subject to, extensive ongoing regulatory requirements by the U.S. Food and Drug Administration (FDA), the European Medicines Agency (EMA) and other comparable international regulatory authorities, and if we fail to comply with regulatory requirements or if we experience unanticipated problems with our products, we may be subject to penalties, we will be unable to generate revenues from the sale of such products, our potential for generating positive cash flow will be diminished, and the capital necessary to fund our operations will be increased.
To obtain regulatory approval to market our products, preclinical studies and costly and lengthy clinical trials are required and the results of the studies and trials are highly uncertain. Likewise, preliminary, initial or interim data from clinical trials should be considered carefully and with caution because the final data may be materially different from the preliminary, initial or interim data, particularly as more patient data become available.
Government price controls or other changes in pricing regulation could restrict the amount that we are able to charge for our current and future products, which would adversely affect our revenues and results of operations.
Government healthcare reform could increase our costs and adversely affect our revenues and results of operations.
Risks Related to Our Gene Therapy Programs
Our gene therapy products and product candidates are based on a novel technology, which presents additional development, manufacturing, regulatory and treatment risks in relation to our other, more traditional drug development programs.
As compared to our other, more traditional products, gene therapy products may present additional problems with respect to the pricing, coverage, and reimbursement and acceptance of the product.
Financial and Financing Risks
If we incur operating losses or are unable to sustain positive cash flows for a period longer than anticipated, we may be unable to continue our operations at planned levels and may be forced to reduce our operations.
Manufacturing Risks
If we fail to comply with manufacturing regulations, our financial results and financial condition will be adversely affected.
If we are unable to successfully develop and maintain manufacturing processes for our product candidates to produce sufficient quantities at acceptable costs, we may be unable to support a clinical trial or be forced to terminate a program, or if we are unable to produce sufficient quantities of our products at acceptable costs, we may be unable to meet commercial demand, lose potential revenue, have reduced margins or be forced to terminate a program.
Supply interruptions may disrupt our inventory levels and the availability of our products and product candidates and cause delays in obtaining regulatory approval for our product candidates, or harm our business by reducing our revenues.
Risks Related to International Operations
We conduct a significant amount of our sales and operations outside of the United States (U.S.), which subjects us to additional business risks that could adversely affect our revenues and results of operations.
A significant portion of our international sales are made based on special access programs, and changes to these programs could adversely affect our product sales and revenues in these countries.
Our international operations pose currency risks, which may adversely affect our operating results and net income.


Intellectual Property Risks
If we are unable to protect our intellectual property, we may not be able to compete effectively or preserve our market shares.
Competitors and other third parties may have developed intellectual property that could limit our ability to market and commercialize our products and product candidates, if approved.


Table of ContentsPART I. FINANCIAL INFORMATION

Item 1.

Financial Statements


BIOMARIN PHARMACEUTICAL INC.

TABLE OF CONTENTS
Page
FINANCIAL INFORMATION
Financial Statements
Condensed Consolidated Balance Sheets as of March 31, 2023 (Unaudited) and December 31, 2022
Condensed Consolidated Statements of Comprehensive Income (Unaudited) for the three months ended March 31, 2023 and 2022
Condensed Consolidated Statement of Stockholders’ Equity (Unaudited) for the three months ended March 31, 2023 and 2022
Condensed Consolidated Statements of Cash Flows (Unaudited) for the three months ended March 31, 2023 and 2022
Notes to Condensed Consolidated Financial Statements (Unaudited)
Management’s Discussion and Analysis of Financial Condition and Results of Operations
Quantitative and Qualitative Disclosures about Market Risk
Controls and Procedures
OTHER INFORMATION
Legal Proceedings
Risk Factors
Unregistered Sales of Equity Securities and Use of Proceeds
Defaults Upon Senior Securities
Mine Safety Disclosures
Other Information
Exhibits
SIGNATURES

2


PART I. FINANCIAL INFORMATION
Item 1.    Financial Statements
BIOMARIN PHARMACEUTICAL INC.
CONDENSED CONSOLIDATED BALANCE SHEETS

September 30, 2017

March 31, 2023 and December 31, 2016

2022

(In thousands, of U.S. dollars, except share amounts)

 

 

September 30,

 

 

December 31,

 

 

 

2017

 

 

2016(1)

 

ASSETS

 

(unaudited)

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

431,399

 

 

$

408,330

 

Short-term investments

 

 

825,700

 

 

 

381,347

 

Accounts receivable, net

 

 

251,891

 

 

 

215,280

 

Inventory

 

 

457,393

 

 

 

355,126

 

Other current assets

 

 

83,646

 

 

 

61,708

 

Total current assets

 

 

2,050,029

 

 

 

1,421,791

 

Noncurrent assets:

 

 

 

 

 

 

 

 

Long-term investments

 

 

416,304

 

 

 

572,711

 

Property, plant and equipment, net

 

 

878,624

 

 

 

798,768

 

Intangible assets, net

 

 

530,957

 

 

 

553,780

 

Goodwill

 

 

197,039

 

 

 

197,039

 

Deferred tax assets

 

 

484,759

 

 

 

446,786

 

Other assets

 

 

22,985

 

 

 

32,815

 

Total assets

 

$

4,580,697

 

 

$

4,023,690

 

LIABILITIES AND STOCKHOLDERS’ EQUITY

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

Accounts payable and accrued liabilities

 

$

364,920

 

 

$

370,505

 

Short-term convertible debt, net

 

 

 

 

 

22,478

 

Short-term contingent acquisition consideration payable

 

 

52,609

 

 

 

46,327

 

Total current liabilities

 

 

417,529

 

 

 

439,310

 

Noncurrent liabilities:

 

 

 

 

 

 

 

 

Long-term convertible debt, net

 

 

1,166,036

 

 

 

660,761

 

Long-term contingent acquisition consideration payable

 

 

126,790

 

 

 

115,310

 

Other long-term liabilities

 

 

56,780

 

 

 

42,034

 

Total liabilities

 

 

1,767,135

 

 

 

1,257,415

 

Stockholders’ equity:

 

 

 

 

 

 

 

 

Common stock, $0.001 par value: 500,000,000 shares authorized; 175,495,350 and

   172,647,588 shares issued and outstanding as of September 30, 2017 and December

   31, 2016, respectively.

 

 

176

 

 

 

173

 

Additional paid-in capital

 

 

4,435,449

 

 

 

4,288,113

 

Company common stock held by Nonqualified Deferred Compensation Plan (NQDC)

 

 

(14,473

)

 

 

(14,321

)

Accumulated other comprehensive income (loss)

 

 

(21,434

)

 

 

12,816

 

Accumulated deficit

 

 

(1,586,156

)

 

 

(1,520,506

)

Total stockholders’ equity

 

 

2,813,562

 

 

 

2,766,275

 

Total liabilities and stockholders’ equity

 

$

4,580,697

 

 

$

4,023,690

 

(1)

December 31, 2016 balances were derived from the audited Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2016, filed with the SEC on February 27, 2017.

March 31, 2023December 31, 2022 ⁽¹⁾
ASSETS(unaudited) 
Current assets:
Cash and cash equivalents$580,074 $724,531 
Short-term investments572,017 567,006 
Accounts receivable, net597,913 461,316 
Inventory918,921 894,083 
Other current assets173,180 104,521 
Total current assets2,842,105 2,751,457 
Noncurrent assets:
Long-term investments340,635 333,835 
Property, plant and equipment, net1,068,142 1,073,366 
Intangible assets, net325,989 338,569 
Goodwill196,199 196,199 
Deferred tax assets1,510,568 1,505,412 
Other assets150,057 176,236 
Total assets$6,433,695 $6,375,074 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable and accrued liabilities$598,231 $572,959 
Short-term contingent consideration— 15,925 
Total current liabilities598,231 588,884 
Noncurrent liabilities:
Long-term convertible debt, net1,084,006 1,083,019 
Other long-term liabilities92,415 100,015 
Total liabilities1,774,652 1,771,918 
Stockholders’ equity:
Common stock, $0.001 par value: 500,000,000 shares authorized; 187,601,106 and 186,250,719 shares issued and outstanding, respectively188 186 
Additional paid-in capital5,417,873 5,404,895 
Company common stock held by the Nonqualified Deferred Compensation Plan(9,949)(8,859)
Accumulated other comprehensive loss(10,722)(3,867)
Accumulated deficit(738,347)(789,199)
Total stockholders’ equity4,659,043 4,603,156 
Total liabilities and stockholders’ equity$6,433,695 $6,375,074 

(1)December 31, 2022 balances were derived from the audited Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, filed with the SEC on February 27, 2023.
The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.


3



BIOMARIN PHARMACEUTICAL INC.

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS

INCOME

Three and Nine Months Ended September 30, 2017March 31, 2023 and 2016

2022

(In thousands, of U.S. dollars, except per share amounts)

(Unaudited)

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

REVENUES:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net product revenues

 

$

298,752

 

 

$

278,262

 

 

$

916,868

 

 

$

812,195

 

Royalty and other revenues

 

 

35,396

 

 

 

1,634

 

 

 

38,473

 

 

 

4,568

 

Total revenues

 

 

334,148

 

 

 

279,896

 

 

 

955,341

 

 

 

816,763

 

OPERATING EXPENSES:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cost of sales

 

 

59,480

 

 

 

50,738

 

 

 

165,791

 

 

 

145,473

 

Research and development

 

 

154,103

 

 

 

160,831

 

 

 

442,145

 

 

 

486,663

 

Selling, general and administrative

 

 

130,532

 

 

 

118,758

 

 

 

394,056

 

 

 

333,635

 

Intangible asset amortization and contingent consideration

 

 

3,760

 

 

 

9,654

 

 

 

26,096

 

 

 

(34,318

)

Impairment of intangible assets

 

 

 

 

 

 

 

 

 

 

 

599,118

 

Total operating expenses

 

 

347,875

 

 

 

339,981

 

 

 

1,028,088

 

 

 

1,530,571

 

LOSS FROM OPERATIONS

 

 

(13,727

)

 

 

(60,085

)

 

 

(72,747

)

 

 

(713,808

)

Equity in the loss of BioMarin/Genzyme LLC

 

 

(253

)

 

 

(104

)

 

 

(996

)

 

 

(374

)

Interest income

 

 

3,976

 

 

 

1,633

 

 

 

10,031

 

 

 

4,561

 

Interest expense

 

 

(10,884

)

 

 

(9,980

)

 

 

(31,043

)

 

 

(29,767

)

Other income, net

 

 

267

 

 

 

1,723

 

 

 

4,282

 

 

 

504

 

LOSS BEFORE INCOME TAXES

 

 

(20,621

)

 

 

(66,813

)

 

 

(90,473

)

 

 

(738,884

)

Benefit from income taxes

 

 

(8,094

)

 

 

(29,388

)

 

 

(24,823

)

 

 

(199,394

)

NET LOSS

 

$

(12,527

)

 

$

(37,425

)

 

$

(65,650

)

 

$

(539,490

)

NET LOSS PER SHARE, BASIC

 

$

(0.07

)

 

$

(0.22

)

 

$

(0.38

)

 

$

(3.29

)

NET LOSS PER SHARE, DILUTED

 

$

(0.07

)

 

$

(0.22

)

 

$

(0.38

)

 

$

(3.30

)

Weighted average common shares outstanding, basic

 

 

175,103

 

 

 

167,714

 

 

 

174,071

 

 

 

163,963

 

Weighted average common shares outstanding, diluted

 

 

175,103

 

 

 

167,714

 

 

 

174,071

 

 

 

164,216

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPREHENSIVE LOSS

 

$

(19,303

)

 

$

(39,795

)

 

$

(99,900

)

 

$

(558,365

)

(unaudited)

 Three Months Ended
March 31,
 20232022
REVENUES:
Net product revenues$586,426 $505,525 
Royalty and other revenues9,989 13,834 
Total revenues596,415 519,359 
OPERATING EXPENSES:
Cost of sales126,549 116,965 
Research and development171,846 160,836 
Selling, general and administrative223,003 194,619 
Intangible asset amortization and contingent consideration15,670 17,612 
Gain on sale of nonfinancial assets, net— (108,000)
Total operating expenses537,068 382,032 
INCOME FROM OPERATIONS59,347 137,327 
Interest income11,943 1,820 
Interest expense(3,703)(3,806)
Other expense, net(10,830)(1,154)
INCOME BEFORE INCOME TAXES56,757 134,187 
Provision for income taxes5,905 13,389 
NET INCOME$50,852 $120,798 
EARNINGS PER SHARE, BASIC$0.27 $0.66 
EARNINGS PER SHARE, DILUTED$0.27 $0.63 
Weighted average common shares outstanding, basic186,667 183,990 
Weighted average common shares outstanding, diluted194,363 194,886 
COMPREHENSIVE INCOME$43,997 $105,489 
The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.


4



BIOMARIN PHARMACEUTICAL INC.

CONDENSED CONSOLIDATED STATEMENTSTATEMENTS OF STOCKHOLDERS’ EQUITY

Nine

Three Months Ended September 30, 2017

March 31, 2023 and 2022

(In thousands of U.S. dollars)

(Unaudited)

thousands)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Company

 

 

Accumulated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional

 

 

Common

 

 

Other

 

 

 

 

 

 

Total

 

 

 

Common stock

 

 

Paid-in

 

 

Stock Held

 

 

Comprehensive

 

 

Accumulated

 

 

Stockholders'

 

 

 

Shares

 

 

Amount

 

 

Capital

 

 

by NQDC

 

 

Income (Loss)

 

 

Deficit

 

 

Equity

 

Balance at December 31, 2016

 

 

172,648

 

 

$

173

 

 

$

4,288,113

 

 

$

(14,321

)

 

$

12,816

 

 

$

(1,520,506

)

 

$

2,766,275

 

Net loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(65,650

)

 

 

(65,650

)

Other comprehensive loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(34,250

)

 

 

 

 

 

(34,250

)

Issuances under equity incentive

  plans, net of tax

 

 

1,648

 

 

 

2

 

 

 

7,550

 

 

 

 

 

 

 

 

 

 

 

 

7,552

 

Issuances of common stock under

  the Employee Stock Purchase Plan

  (the ESPP)

 

 

95

 

 

 

 

 

 

6,704

 

 

 

 

 

 

 

 

 

 

 

 

6,704

 

Conversion of convertible notes, net

 

 

1,104

 

 

 

1

 

 

 

22,476

 

 

 

 

 

 

 

 

 

 

 

 

22,477

 

Common stock held by NQDC

 

 

 

 

 

 

 

 

 

 

 

(152

)

 

 

 

 

 

 

 

 

(152

)

Stock-based compensation

 

 

 

 

 

 

 

 

110,606

 

 

 

 

 

 

 

 

 

 

 

 

110,606

 

Balance at September 30, 2017

 

 

175,495

 

 

$

176

 

 

$

4,435,449

 

 

$

(14,473

)

 

$

(21,434

)

 

$

(1,586,156

)

 

$

2,813,562

 

(unaudited)

Three Months Ended
March 31,
 20232022
Shares of common stock, beginning balances (1)
186,251 183,913 
Issuances under equity incentive plans1,350 989 
Shares of common stock, ending balances187,601 184,902 
Total stockholders' equity, beginning balances (1)
$4,603,156 $4,265,669 
Common stock:
Beginning balances (1)
186 184 
Issuances under equity incentive plans, net of tax
Ending balances188 185 
Additional paid-in capital:
Beginning balances (1)
5,404,895 5,191,502 
Issuances under equity incentive plans, net of tax(42,440)(33,633)
Stock-based compensation54,328 48,718 
Common stock held by the Nonqualified Deferred Compensation Plan (the NQDC)1,090 (300)
Ending balances5,417,873 5,206,287 
Company common stock held by the NQDC:
Beginning balances (1)
(8,859)(9,689)
Common stock held by the NQDC(1,090)300 
Ending balances(9,949)(9,389)
Accumulated other comprehensive income (loss):
Beginning balances (1)
(3,867)14,432 
Other comprehensive income (loss)(6,855)(15,309)
Ending balances(10,722)(877)
Accumulated Deficit:
Beginning balances (1)
(789,199)(930,760)
Net income50,852 120,798 
Ending balances(738,347)(809,962)
Total stockholders' equity, ending balances$4,659,043 $4,386,244 
(1)The beginning balances for the three-month period were derived from the audited Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022 filed with the SEC on February 27, 2023.
The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.


5



BIOMARIN PHARMACEUTICAL INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

Nine

Three Months Ended September 30, 2017March 31, 2023 and 2016

2022

(In thousands of U.S. dollars)

(Unaudited)

thousands)

 

 

2017

 

 

2016

 

CASH FLOWS FROM OPERATING ACTIVITIES:

 

 

 

 

 

 

 

 

Net loss

 

$

(65,650

)

 

$

(539,490

)

Adjustments to reconcile net loss to net cash used in operating activities:

 

 

 

 

 

 

 

 

Depreciation and amortization

 

 

59,197

 

 

 

76,805

 

Non-cash interest expense

 

 

23,792

 

 

 

22,276

 

Accretion of discount on investments

 

 

2,162

 

 

 

681

 

Stock-based compensation

 

 

106,678

 

 

 

97,220

 

(Gain) loss on the sale of equity investments

 

 

(3,252

)

 

 

2,020

 

Impairment of intangible assets

 

 

 

 

 

599,118

 

Deferred income taxes

 

 

(36,150

)

 

 

(218,700

)

Unrealized foreign exchange (gain) loss

 

 

4,348

 

 

 

(10,961

)

Non-cash changes in the fair value of contingent acquisition consideration payable

 

 

3,382

 

 

 

(56,954

)

Other

 

 

4,657

 

 

 

1,044

 

Changes in operating assets and liabilities:

 

 

 

 

 

 

 

 

Accounts receivable, net

 

 

(21,598

)

 

 

(52,023

)

Inventory

 

 

(80,885

)

 

 

(59,802

)

Other current assets

 

 

(20,787

)

 

 

(1,556

)

Other assets

 

 

(1,030

)

 

 

(5,002

)

Accounts payable and accrued liabilities

 

 

(1,732

)

 

 

(77,852

)

Other long-term liabilities

 

 

3,497

 

 

 

(4,451

)

Net cash used in operating activities

 

 

(23,371

)

 

 

(227,627

)

CASH FLOWS FROM INVESTING ACTIVITIES:

 

 

 

 

 

 

 

 

Purchases of property, plant and equipment

 

 

(159,329

)

 

 

(96,806

)

Funds held in escrow for the purchase of real property

 

 

 

 

 

(8,383

)

Maturities and sales of investments

 

 

325,678

 

 

 

302,801

 

Purchase of available-for-sale securities

 

 

(609,794

)

 

 

(370,393

)

Business acquisitions, net of cash acquired

 

 

 

 

 

(1,467

)

Other

 

 

(1,560

)

 

 

(150

)

Net cash used in investing activities

 

 

(445,005

)

 

 

(174,398

)

CASH FLOWS FROM FINANCING ACTIVITIES:

 

 

 

 

 

 

 

 

Proceeds from exercises of stock options and the ESPP

 

 

46,119

 

 

 

49,498

 

Taxes paid related to net share settlement of equity awards

 

 

(31,863

)

 

 

(55,241

)

Proceeds from public offering of common stock, net

 

 

 

 

 

712,938

 

Proceeds from convertible senior subordinated note offering, net

 

 

481,713

 

 

 

 

Payment of contingent acquisition consideration payable

 

 

(1,894

)

 

 

 

Other

 

 

(26

)

 

 

 

Net cash provided by financing activities

 

 

494,049

 

 

 

707,195

 

Effect of exchange rate changes on cash

 

 

(2,604

)

 

 

5,139

 

NET DECREASE IN CASH AND CASH EQUIVALENTS

 

 

23,069

 

 

 

310,309

 

Cash and cash equivalents:

 

 

 

 

 

 

 

 

Beginning of period

 

$

408,330

 

 

$

397,040

 

End of period

 

$

431,399

 

 

$

707,349

 

SUPPLEMENTAL CASH FLOW DISCLOSURES:

 

 

 

 

 

 

 

 

Cash paid for interest, net of interest capitalized into fixed assets

 

 

4,287

 

 

 

4,564

 

Cash paid for income taxes

 

 

21,744

 

 

 

95,163

 

Stock-based compensation capitalized into inventory

 

 

12,077

 

 

 

8,960

 

Depreciation capitalized into inventory

 

 

17,899

 

 

 

13,402

 

SUPPLEMENTAL CASH FLOW DISCLOSURES FOR NON CASH INVESTING AND FINANCING ACTIVITIES:

 

 

 

 

 

 

 

 

Decrease in accounts payable and accrued liabilities related to fixed assets

 

 

(25,047

)

 

 

(13,988

)

Conversion of convertible debt

 

 

22,477

 

 

 

8,924

 

Accrual for inventory purchases related to the acquisition of the Merck PKU Business

 

 

 

 

 

1,322

 

(unaudited)

Three Months Ended
March 31,
20232022
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income$50,852 $120,798 
Adjustments to reconcile net income to net cash used in operating activities:
Depreciation and amortization26,421 27,343 
Non-cash interest expense1,029 1,033 
Amortization of premium (accretion of discount) on investments(1,970)1,652 
Stock-based compensation53,695 47,833 
Gain on sale of nonfinancial assets, net— (108,000)
Loss on equity investment12,650 — 
Deferred income taxes(6,360)4,800 
Unrealized foreign exchange loss (gain)6,615 (6,887)
Non-cash changes in the fair value of contingent consideration— 1,989 
Other(222)700 
Changes in operating assets and liabilities:
Accounts receivable, net(138,796)(54,813)
Inventory(14,098)1,125 
Other current assets(36,001)(8,011)
Other assets(323)1,440 
Accounts payable and other short-term liabilities(31,686)(78,143)
Other long-term liabilities4,262 1,710 
Net cash used in operating activities(73,932)(45,431)
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of property, plant and equipment(24,456)(28,817)
Maturities and sales of investments215,118 155,818 
Purchases of investments(220,364)(147,361)
Proceeds from sale of nonfinancial assets— 110,000 
Purchase of intangible assets(310)(1,858)
Net cash provided by (used in) investing activities(30,012)87,782 
CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from exercises of awards under equity incentive plans21,169 8,235 
Taxes paid related to net share settlement of equity awards(51,422)(32,949)
Payments of contingent consideration(9,475)— 
Principal repayments of financing leases(1,014)(566)
Net cash used in financing activities(40,742)(25,280)
Effect of exchange rate changes on cash229 1,093 
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS(144,457)18,164 
Cash and cash equivalents:
Beginning of period$724,531 $587,276 
End of period$580,074 $605,440 
SUPPLEMENTAL CASH FLOW DISCLOSURES:
Cash paid for interest$1,437 $1,422 
Cash paid for income taxes$4,364 $1,316 
SUPPLEMENTAL CASH FLOW DISCLOSURES FOR NON-CASH INVESTING AND FINANCING ACTIVITIES:
Decrease in accounts payable and accrued liabilities related to fixed assets$(8,430)$(2,481)
Decrease in accounts payable and accrued liabilities related to intangible assets$(1,478)$(637)

The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.


6


BIOMARIN PHARMACEUTICAL INC.

NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(In thousands of U.S. dollars,Dollars, except per share amounts or as otherwise disclosed)


(1) NATURE OF OPERATIONSBUSINESS OVERVIEW AND BUSINESS RISKS

SIGNIFICANT ACCOUNTING POLICIES

Nature of Operations
Founded in 1997, BioMarin Pharmaceutical Inc. (the Company)Company or BioMarin) is a global biotechnology company thatdedicated to transforming lives through genetic discovery. The Company develops and commercializes targeted therapies that address the root cause of genetic conditions. The Company's robust research and development (R&D) capabilities have resulted in multiple innovative commercial therapies for peoplepatients with seriousrare genetic disorders. The Company's distinctive approach to drug discovery has produced a diverse pipeline of commercial, clinical, and life-threatening rare diseases and medical conditions. The Company selects productpre-clinical candidates for diseases and conditions that representaddress a significant unmet medical need, have well-understood biology, and provide an opportunity to be first-to-market or offer a significantsubstantial benefit over existing products. The Company’s therapy portfolio consiststreatment options.
Basis of six approved products and multiple clinical and pre-clinical product candidates.

The Company expects to continue to finance future cash needs that exceed its operating activities primarily through its current cash, cash equivalents, short-term and long-term investments and through proceeds from debt or equity offerings, commercial borrowing, or through collaborative agreements with corporate partners. If the Company elects to increase its spending on development programs significantly above current long-term plans or enters into potential licenses and other acquisitions of complementary technologies, products or companies, the Company may need additional capital.

The Company is subject to a number of risks, including: the financial performance of its commercial products; the potential need for additional financings; the Company’s ability to successfully commercialize its approved products; the uncertainty of the Company’s research and development (R&D) efforts resulting in future successful commercial products; the Company’s ability to successfully obtain regulatory approval for new products; significant competition from larger organizations; reliance on the proprietary technology of others; dependence on key personnel; uncertain patent protection; dependence on corporate partners and collaborators; and possible restrictions on reimbursement from governmental agencies and healthcare organizations, as well as other changes in the health care industry. Please see “Risk Factors” included in Part II, Item 1A of this Quarterly Report on Form 10-Q for a more detailed discussion of these risks.

(2) BASIS OF PRESENTATION

The accompanyingPresentation

These Condensed Consolidated Financial Statements have been prepared pursuant to United States generally accepted accounting principles (U.S. GAAP) and the rules and regulations of the SEC for Quarterly Reports on Form 10-Q and do not include all of the information and note disclosures required by U.S. GAAP for complete financial statements, although the Company believes that the disclosures herein are adequate to ensure that the information presented is not misleading. The Condensed Consolidated Financial Statements should therefore be read in conjunction with the Consolidated Financial Statements and Notes thereto for the fiscal year ended December 31, 20162022 included in the Company’s Annual Report on Form 10-K.

The Condensed Consolidated Financial Statements include the accounts of the Company and its wholly owned subsidiaries. All intercompany transactions have been eliminated. The results of operations for the three months ended March 31, 2023 are not necessarily indicative of the results that may be expected for the fiscal year ending December 31, 2023 or any other period.

Use of Estimates
U.S. GAAP requires management to make estimates and assumptions that affect amounts reported in the Condensed Consolidated Financial Statements and accompanying disclosures. Although these estimates are based on management’s best knowledge of current events and actions that the Company may undertake in the future, actual results may be different from those estimates. The Condensed Consolidated Financial Statements reflect all adjustments of a normal, recurring nature that are, in the opinion of management, necessary for a fair presentation of results for these interim periods. The results of operations for the three and nine months ended September 30, 2017 are not necessarily indicative of the results that may be expected for the fiscal year ending December 31, 2017 or any other period.

Management performed an evaluation of the Company’s activities through the date of filing of this Quarterly Report on Form 10-Q and has concluded that there were no subsequent events or transactions that occurred subsequent to the balance sheet date prior to filing this Quarterly Report on Form 10-Q that would require recognition or disclosure in the Condensed Consolidated Financial Statements.

(3) SIGNIFICANT ACCOUNTING POLICIES

Significant Accounting Policies
There have been no material changes to the Company’s significant accounting policies during the ninethree months ended September 30, 2017,March 31, 2023, as compared to the significant accounting policies disclosed in Note 3 of1 – Business Overview and Significant Accounting Policies to the Company’s Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2016.

7


BIOMARIN PHARMACEUTICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(In thousands of U.S. dollars, except per share amounts or as otherwise disclosed)

(4) RECENT ACCOUNTING PRONOUNCEMENTS

Except as described below, there2022.

Recent Accounting Pronouncements
There have been no new accounting pronouncements adopted by the Company or changes tonew accounting pronouncements issued by the Financial Accounting Standards Board during the ninethree months ended September 30, 2017,March 31, 2023, as compared to the recent accounting pronouncements described in Note 41 to the Company’s Consolidated Financial Statements of the Company’s Annual Report on Form 10-K for the year ended December 31, 2016,2022, that the Company believes are of significance or potential significance to the Company.

Effective January, 1, 2018, the Company will adopt Accounting Standards Update (ASU) No. 2014-09 (ASU 2014-09), Revenue from Contracts with Customers,

(2) FINANCIAL INSTRUMENTS
All marketable securities were classified as amended (commonly referred to as ASC Topic 606), which provides principles for recognizing revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the Company expects to be entitled in exchange for those goods or services.

As of September 30, 2017, the Company has not elected to early adopt ASC Topic 606available-for-sale at March 31, 2023 and plans to adopt the new standard using the modified retrospective method. December 31, 2022.

The Company has formed a task force that is in the process of analyzingfollowing tables show the Company’s customer contractscash, cash equivalents and the potential impacts the standard may have on previously reported revenues and future revenues. As the Company completes its analysisavailable-for-sale securities by significant investment category for each period presented:
7

Table of the accounting for the Company’s customer contracts under the new revenue standard, management is assessing the required changes to the Company’s accounting policies, systems and internal control over financial reporting. Based on management’s preliminary analysis of the Company’s material contracts with customers, management does not anticipate that ASC Topic 606 will have a material impact on the timing of revenue recognition for the products that are marketed by the Company. Management is still assessing the application of ASC Topic 606 to Aldurazyme revenues earned from Genzyme Corporation (Genzyme).

In January 2016, the Financial Accounting Standards Board (FASB) issued ASU No. 2016-01 (ASU 2016-01), Recognition and Measurement of Financial Assets and Financial Liabilities. ASU 2016-01 changes accounting for equity investments, financial liabilities under the fair value option and the presentation and disclosure requirements for financial instruments. In addition, the update clarifies guidance related to the valuation allowance assessment when recognizing deferred tax assets resulting from unrealized losses on available-for-sale debt securities. The guidance will become effective for the Company’s fiscal year beginning January 1, 2018 and must be adopted using a modified retrospective approach, with certain exceptions. Early adoption is permitted for certain provisions. The Company is currently evaluating the impact that the standard will have on its Consolidated Financial Statements. Management’s assessment indicates that the amendment will not have a significant impact as the Company currently has no significant equity investments, however, the update may have a significant impact in the future. As of September 30, 2017, the Company has not elected to early adopt the amendments of ASU 2016-01.

In February 2016, the FASB issued ASU No. 2016-02, Leases (ASU 2016-02). The amended guidance requires balance sheet recognition of lease right-of-use (ROU) assets and liabilities by lessees for leases classified as operating leases, with an option to not recognize lease ROU assets and lease liabilities for leases with a term of 12 months or less. The amendments also require new disclosures providing additional qualitative and quantitative information about the amounts recorded in the financial statements. Lessor accounting is largely unchanged. ASU 2016-02 is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. Early adoption is permitted, but, as of September 30, 2017, the Company has not made the election to do so. ASU 2016-02 will be effective for the Company’s fiscal year beginning January 1, 2019. The amendments require a modified retrospective approach with optional practical expedients.

As of September 30, 2017, the Company has formed a task force that is in the process of analyzing the Company’s lease contracts and the potential impacts the standard may have on its Consolidated Financial Statements and related disclosures. After completing the analysis of the accounting for the Company’s lease contracts under the amendments, management will assess the required changes to the Company’s accounting policies, systems and internal control over financial reporting. Based on management’s preliminary analysis, the Company anticipates the amendments may have a material impact on the Company’s Consolidated Balance Sheets due to the requirement to recognize lease ROU assets and corresponding liabilities related to leases on the Company’s Consolidated Balance Sheets, but they are not anticipated to have a material impact on the Company’s other Consolidated Financial Statements.

ContentsIn May 2017, the FASB issued ASU No. 2017-09, Compensation - Stock Compensation (Topic 718): Scope of Modification Accounting (ASU 2017-09). The amendment provides clarification about which changes to the terms or conditions of a share-based payment award require an entity to apply modification accounting in Topic 718. ASU 2017-09 is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years and early adoption is permitted. The Company has

8


BIOMARIN PHARMACEUTICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

- (continued)

(In thousands of U.S. dollars,Dollars, except per share amounts or as otherwise disclosed)

elected to early adopt ASU 2017-09, which did not have a material impact on the

March 31, 2023
Amortized CostGross
Unrealized
Gains
Gross
Unrealized
Losses
Aggregate Fair ValueCash and Cash Equivalents
Short-term
Marketable
Securities (1)
Long-term
Marketable
Securities (2)
Level 1:
Cash$279,268 $— $— $279,268 $279,268 $— $— 
Level 2:
Money market instruments300,806 — — 300,806 300,806 — — 
Corporate debt securities427,594 189 (8,333)419,450 — 262,700 156,750 
U.S. government agency securities410,940 411 (2,376)408,975 — 290,059 118,916 
Commercial paper15,325 (9)15,318 — 15,318 — 
Asset-backed securities69,314 42 (447)68,909 — 3,940 64,969 
Subtotal1,223,979 644 (11,165)1,213,458 300,806 572,017 340,635 
Total$1,503,247 $644 $(11,165)$1,492,726 $580,074 $572,017 $340,635 
December 31, 2022
Amortized CostGross
Unrealized
Gains
Gross
Unrealized
Losses
Aggregate Fair ValueCash and Cash Equivalents
Short-term
Marketable
Securities (1)
Long-term
Marketable
Securities (2)
Level 1:
Cash$463,248 $— $— $463,248 $463,248 $— $— 
Level 2:
Money market instruments248,933 — — 248,933 248,933 — — 
Corporate debt securities504,984 34 (11,541)493,477 1,881 299,153 192,443 
U.S. government agency securities312,720 45 (3,771)308,994 — 229,846 79,148 
Commercial paper48,103 11 (22)48,092 10,469 37,623 — 
Asset-backed securities63,151 69 (592)62,628 — 384 62,244 
Subtotal1,177,891 159 (15,926)1,162,124 261,283 567,006 333,835 
Total$1,641,139 $159 $(15,926)$1,625,372 $724,531 $567,006 $333,835 
(1)    The Company’s Consolidated Financial Statements because theshort-term marketable securities mature in one year or less.
(2)    The Company’s policies had already been in compliance.

In August 2017, the FASB issued ASU No. 2017-12, Derivativeslong-term marketable securities mature between one and Hedging (Topic 815): Targeted Improvements to Accounting for Hedging Activities (ASU 2017-12). The amendment changes the recognition and presentation requirements of hedge accounting, including eliminating the requirement to separately measure and report hedge ineffectiveness and presenting all items that affect earnings in the same income statement line as the hedged item. ASU 2017-12 is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years, and early adoption is permitted. Although the Company is currently evaluating the impact that the standard will have on its Consolidated Financial Statements, adoption of the amendment is not expected to have a material impact due to the nature of the Company’s hedging activity. five years.

As of September 30, 2017, the Company has not elected to early adopt the amendments of ASU 2017-12.

(5) ACQUISITIONS

The Merck PKU Business

On October 1, 2015, the Company entered into a Termination and Transition Agreement with Ares Trading S.A. (Merck Serono), as amended and restated on December 23, 2015 (the A&R Kuvan Agreement), to terminate the Development, License and Commercialization Agreement, dated May 13, 2005, as amended (the License Agreement), between the Company and Merck Serono, including the license to KuvanMarch 31, 2023, the Company had grantedthe ability and intent to Merck Serono underhold all investments that were in an unrealized loss position until maturity. The Company considered its intent and ability to hold the License Agreement. Also on October 1, 2015,securities until recovery of amortized cost basis, the Company and Merck Serono entered into a Termination Agreement (the Pegvaliase Agreement)extent to terminate the license to pegvaliase the Company had granted to Merck Serono under the License Agreement. On January 1, 2016, pursuantwhich fair value is less than amortized cost basis, conditions specifically related to the A&R Kuvan Agreementsecurity’s industry and geography, payment structure and history and changes to the Pegvaliase Agreement,ratings (if any) in determining that the decline in fair value compared to carrying value is not related to a credit loss.

The Company completed the acquisition from Merck Seronohas certain investments in non-marketable equity securities, measured using unobservable valuation inputs and its affiliatesremeasured on a nonrecurring basis, which are collectively considered strategic investments. As of certain rightsMarch 31, 2023 and other assets with respect to Kuvan and pegvaliase (the Merck PKU Business). As a result, the Company acquired all global rights to Kuvan and pegvaliase from Merck Serono, with the exception of Kuvan in Japan. Previously, the Company had exclusive rights to Kuvan in the U.S. and Canada and pegvaliase in the U.S. and Japan. In connection with the acquisition of the Merck PKU Business, the Company recognized transaction costs of $0.6 million, of which $0.3 million was recognized in each of the years ended December 31, 2016 and 2015.

Pursuant to the A&R Kuvan Agreement, the Company paid Merck Serono $374.5 million, in cash, the majority of which was paid in January 2016, and is obligated to pay Merck Serono up to a maximum of 60.0 million, in cash, if future sales milestones are met. Pursuant to the Pegvaliase Agreement, the Company is obligated to pay Merck Serono up to a maximum of 125.0 million, in cash, if future development milestones are met. Merck Serono transferred certain inventory, regulatory materials and approvals, and intellectual property rights to the Company and will perform certain transition services for the Company. As of December 31, 2016, the inventory acquired from Merck Serono had been sold through to customers. The Company and Merck Serono have no further rights or obligations under the License Agreement with respect to Kuvan or pegvaliase.

Prior to the consummation of the transactions described above, the Company sold Kuvan to Merck Serono at a price near its manufacturing costs, and Merck Serono resold the product to end-users outside the U.S., Canada and Japan. The royalty earned by the Company from Kuvan product sold by Merck Serono was included as a component of Net Product Revenues in the period earned.

Kuvan is a commercialized product for the treatment of patients with phenylketonuria (PKU) and/or for primary BH4 deficiency in certain countries. At the time of the acquisition, pegvaliase was in pivotal studies as a potential therapeutic option for adult patients with PKU. In March 2016, the Company announced that its pivotal Phase 3 PRISM-2 study of pegvaliase met the primary endpoint of change in blood Phe compared with placebo (p<0.0001); and the Company submitted a marketing application in the U.S. in June 2017 and announced its plans to submit an application for registration in the European Union (EU). Kuvan has Orphan Drug exclusivity in the EU until 2020, and pegvaliase has Orphan Drug designation in the U.S. and the EU.

The acquisition date fair value of the contingent acquisition consideration payments, Kuvan global marketing rights, with the exception of Japan, and pegvaliase in process research and development (IPR&D) acquired was estimated by applying a probability-based income approach utilizing an appropriate discount rate. This estimation was based on significant inputs that are not observable in the market, referred to as level 3 inputs. Key assumptions include a discount rate and various probability factors. The range of outcomes and assumptions used to develop these estimates has been updated to estimate2022, the fair value of the contingent acquisition consideration payable asCompany’s strategic investments was $11.3 million and $23.9 million, respectively. These investments were recorded to Other Assets in the Company’s Condensed Consolidated Balance Sheets. In the first quarter of September 30, 2017. 2023, based on new developments, the Company concluded that factors existed indicating it would no longer realize a $12.6 million equity investment in its non-marketable securities. The loss on the equity investment due to impairment was recorded to Other Expense, Net on the Company’s Condensed Consolidated Statements Of Comprehensive Income. See Note 131 - Business Overview and Significant Accounting Policies included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022 for additional information related to these Condensed Consolidated Financial Statements for additional

9

the Company’s non-marketable securities policy.
8

BIOMARIN PHARMACEUTICAL INC.

NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(In thousands of U.S. dollars,Dollars, except per share amounts or as otherwise disclosed)

discussion regarding fair value measurements

(3) SUPPLEMENTAL FINANCIAL STATEMENTS INFORMATION
Supplemental Balance Sheet Information
Inventory consisted of the contingent acquisition consideration payablefollowing:
March 31,
2023
December 31,
2022
Raw materials$138,933 $131,071 
Work-in-process437,109 410,656 
Finished goods342,879 352,356 
Total inventory$918,921 $894,083 
Property, Plant and Equipment, Net consisted of the following:
March 31,
2023
December 31,
2022
Property, plant and equipment, gross$1,875,086 $1,875,511 
Accumulated depreciation(806,944)(802,145)
Total property, plant and equipment, net$1,068,142 $1,073,366 
Depreciation expense, net of amounts capitalized into inventory, for the three months ended March 31, 2023 and 2022 was $10.3 million and $11.7 million, respectively.
Intangible Assets, Net consisted of the following:
March 31,
2023
December 31,
2022
Finite-lived intangible assets$693,356 $690,871 
Accumulated amortization(367,367)(352,302)
Net carrying value$325,989 $338,569 
Accounts Payable and Accrued Liabilities consisted of the following:
March 31,
2023
December 31,
2022
Accounts payable and accrued operating expenses$264,778 $231,238 
Accrued compensation expense134,372 207,573 
Accrued rebates payable87,761 72,654 
Accrued short-term loss contingency39,000 — 
Accrued income taxes22,387 16,213 
Foreign currency exchange forward contracts15,956 12,601 
Accrued royalties payable14,797 13,306 
Lease liabilities9,251 10,375 
Other9,929 8,999 
Total accounts payable and accrued liabilities$598,231 $572,959 
Reorganization Plan
On October 6, 2022, the Company announced a plan to simplify its organization that included a planned reduction in force of approximately 120 employees (representing approximately 4% of our global workforce), which was substantially completed as of December 31, 2022. The Company recorded costs of $23.0 million in 2022 and an additional $2.1 million in the first quarter of 2023 related to one-time termination severance and employee termination benefits within Selling, General and Administrative in the
9

BIOMARIN PHARMACEUTICAL INC.
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In thousands of U.S. Dollars, except per share amounts or as otherwise disclosed)
Company’s Condensed Consolidated Statements of Comprehensive Income. As of March 31, 2023, $19.3 million has been paid to date, of which $7.5 million was paid in 2023. The Company does not expect to incur significant incremental costs in future periods. The unpaid balance at March 31, 2023 was recorded to Accounts Payable and Accrued Liabilities on the Company’s Condensed Consolidated Balance Sheet.  

Sheet and is expected to be paid in 2023.

(4) FAIR VALUE MEASUREMENTS
The Company measures certain financial assets and liabilities at fair value in accordance with the policy described in Note 1 – Business Overview andSignificant Accounting Policies to the Company’s Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022.
The following table presentstables present the final allocation of the purchase consideration for the Merck PKU Business acquisition, including the contingent acquisition consideration payable based on the acquisition date fair value. The allocation of the purchase price below reflects an inventory adjustment in the second quarter of 2016.

Cash payments

 

$

374,545

 

Estimated fair value of contingent acquisition consideration payable

 

 

138,974

 

Total consideration

 

$

513,519

 

Kuvan intangible assets

 

$

172,961

 

Pegvaliase IPR&D

 

 

326,359

 

Inventory

 

 

14,199

 

Total identifiable assets acquired

 

$

513,519

 

The amount allocated to the Kuvan intangible assets is considered to be finite-lived and will be amortized on a straight-line basis over its estimated useful life through 2024.

The amount allocated to acquired pegvaliase IPR&D is considered to be indefinite-lived until the completion or abandonment of the associated research and development efforts. During the period the assets are considered indefinite-lived, they will not be amortized but will be tested for impairment on an annual basis and between annual tests if the Company becomes aware of any events occurring or changes in circumstances that would indicate the reduction inclassification within the fair value hierarchy of the IPR&Dfinancial assets below their respective carrying amounts. When development is complete, which generally occurs if and when regulatory approval to market a product is obtained, the associated assets would be deemed finite-lived and would then be amortized based on their respective estimated useful lives at that point. See Note 8 toliabilities not disclosed elsewhere in these Condensed Consolidated Financial Statements that are remeasured on a recurring basis as of March 31, 2023 and December 31, 2022. Other than the Company’s fixed-rate convertible debt disclosed in Note 6Debt, there were no financial assets or liabilities that were remeasured using a quoted price in active markets for furtheridentical assets (Level 1) as of March 31, 2023 or December 31, 2022.

Fair Value Measurements as of March 31, 2023
Significant Other
Observable
Inputs
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
Total
Assets:
Other current assets:
NQDC Plan assets$1,948 $— $1,948 
Other assets:
NQDC Plan assets23,958 — 23,958 
Restricted investments (1)
2,366 — 2,366 
Total other assets26,324 — 26,324 
Total assets$28,272 $— $28,272 
Liabilities:
Current liabilities:
NQDC Plan liability$1,948 $— $1,948 
Other long-term liabilities:
NQDC Plan liability23,958 — 23,958 
Total liabilities$25,906 $— $25,906 
10

BIOMARIN PHARMACEUTICAL INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - (continued)
(In thousands of U.S. Dollars, except per share amounts or as otherwise disclosed)
Fair Value Measurements as of December 31, 2022
Significant Other
Observable
Inputs
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
Total
Assets:
Other current assets:
NQDC Plan assets$2,654 $— $2,654 
Other assets:
NQDC Plan assets19,867 — 19,867 
Restricted investments (1)
2,429 — 2,429 
Total other assets22,296 — 22,296 
Total assets$24,950 $— $24,950 
Liabilities:
Current liabilities:
NQDC Plan liability$2,654 $— $2,654 
Contingent consideration— 15,925 15,925 
Total current liabilities2,654 15,925 18,579 
Other long-term liabilities:
NQDC Plan liability19,867 — 19,867 
Total liabilities$22,521 $15,925 $38,446 
(1)    The restricted investments at March 31, 2023 and December 31, 2022 secure the Company's irrevocable standby letters of credit obtained in connection with certain commercial agreements.
There were no transfers between levels during the three months ended March 31, 2023.
Liabilities measured at fair value using Level 3 inputs consisted of contingent consideration. The following table represents a roll-forward of contingent consideration.

Contingent consideration as of December 31, 2022$15,925 
Milestone payments to Ares Trading S.A. (Merck Serono)(16,255)
Realized foreign exchange loss on settlement of contingent consideration330 
Contingent consideration as of March 31, 2023$— 
(5) DERIVATIVE INSTRUMENTS AND HEDGING STRATEGIES
The Company uses foreign currency exchange forward contracts (forward contracts) to protect against the impact of changes in the value of forecasted foreign currency cash flows resulting from revenues and operating expenses denominated in currencies other than the U.S. Dollar (USD), primarily the Euro. Certain of these forward contracts are designated as cash flow hedges and have maturities of up to two years. The Company also enters into forward contracts to manage foreign exchange risk related to asset or liability positions denominated in currencies other than USD. Such forward contracts are considered to be economic hedges, are not designated as hedging instruments and have maturities of up to three months. The Company does not use derivative instruments for speculative trading purposes. The Company is exposed to counterparty credit risk on its derivatives. The Company has established and maintains strict counterparty credit guidelines and enters into hedging agreements with financial institutions that are investment grade or better to minimize the Company’s exposure to potential defaults. The Company is not required to pledge collateral under these agreements.
11

BIOMARIN PHARMACEUTICAL INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - (continued)
(In thousands of U.S. Dollars, except per share amounts or as otherwise disclosed)
The following table summarizes the aggregate notional amounts for the Company’s derivatives outstanding as of the periods presented.
Forward ContractsMarch 31, 2023December 31, 2022
Derivatives designated as hedging instruments:
Sell$781,346 $808,635 
Purchase$172,819 $177,393 
Derivatives not designated as hedging instruments:
Sell$266,645 $218,903 
Purchase$4,317 $6,785 
The fair value carrying amounts of the Company’s derivatives, which are classified as Level 2 within the fair value hierarchy, were as follows:
Balance Sheet LocationMarch 31, 2023December 31, 2022
Derivatives designated as hedging instruments:
Asset Derivatives
Other current assets$14,329 $19,464 
Other assets1,149 2,059 
Subtotal$15,478 $21,523 
Liability Derivatives
Accounts payable and accrued liabilities$15,805 $12,130 
Other long-term liabilities2,144 1,074 
Subtotal$17,949 $13,204 
Derivatives not designated as hedging instruments:
Asset Derivatives
Other current assets$116 $1,472 
Liability Derivatives
Accounts payable and accrued liabilities$151 $471 
Total Derivatives Assets$15,594 $22,995 
Total Derivatives Liabilities$18,100 $13,675 
For additional discussion of fair value measurements, see Note 1 – Business Overview and Significant Accounting Policies to the indefinite-lived intangible assets.

Company’s Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022.

12

BIOMARIN PHARMACEUTICAL INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - (continued)
(In thousands of U.S. Dollars, except per share amounts or as otherwise disclosed)
The following tables summarize the impact of gains and losses from the Company's derivatives on its Condensed Consolidated Statements of Comprehensive Income for the periods presented.
Three Months Ended March 31,
20232022
Derivatives Designated as Cash Flow Hedging InstrumentsCash Flow Hedging Gains (Losses)
Reclassified into Earnings
Cash Flow Hedging Gains (Losses)
Reclassified into Earnings
Net product revenues$3,470 $5,572 
Operating expenses$(456)$(1,379)
Derivatives Not Designated as Hedging InstrumentsGains (Losses) Recognized in EarningsGains (Losses) Recognized in Earnings
Operating expenses$(4,163)$1,292 
As of March 31, 2023, the Company expects to reclassify unrealized loss of $1.7 million from Accumulated Other Comprehensive Income (AOCI) to earnings as the forecasted revenues and operating expense transactions occur over the next twelve months. For additional discussion of balances in AOCI see Note 7Accumulated Other Comprehensive Income.
(6) NET LOSSDEBT
Convertible Notes
As of March 31, 2023, the Company had outstanding fixed-rate notes with varying maturities for an undiscounted aggregate principal amount of $1.1 billion (collectively the Notes). The Notes are senior subordinated convertible obligations, and interest is payable in arrears, semi-annually. The following table summarizes information regarding the Company’s convertible debt:
March 31,
2023
December 31,
2022
1.25% senior subordinated convertible notes due in May 2027 (the 2027 Notes)$600,000 $600,000 
Unamortized discount net of deferred offering costs(8,433)(8,941)
2027 Notes, net591,567 591,059 
0.599% senior subordinated convertible notes due in August 2024 (the 2024 Notes)495,000 495,000 
Unamortized discount net of deferred offering costs(2,561)(3,040)
2024 Notes, net492,439 491,960 
Total convertible debt, net$1,084,006 $1,083,019 
Fair value of fixed-rate convertible debt (1):
2027 Notes$623,616 $647,370 
2024 Notes507,355 526,230 
Total fair value of fixed-rate convertible debt$1,130,971 $1,173,600 
(1)    The fair value of the Company’s fixed-rate convertible debt is based on open-market trades and is classified as Level 1 in the fair value hierarchy. For additional discussion of fair value measurements, see Note 1 – Business Overview and Significant Accounting Policies to the Company’s Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022.
13

BIOMARIN PHARMACEUTICAL INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - (continued)
(In thousands of U.S. Dollars, except per share amounts or as otherwise disclosed)
Interest expense on the Company’s convertible debt consisted of the following:
Three Months Ended
March 31,
20232022
Coupon interest expense$2,616 $2,616 
Accretion of discount on convertible notes839 836 
Amortization of debt issuance costs148 148 
Total interest expense on convertible debt$3,603 $3,600 
See Note 10 - Debt to the Company’s Consolidated Financial Statements to the Company’s Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022 for additional information related to the Company’s convertible debt.
Revolving Credit Facility
In October 2018, the Company entered into an unsecured revolving credit facility of up to $200.0 million which includes a letter of credit subfacility and a swingline loan subfacility. The credit facility is intended to finance ongoing working capital needs and for other general corporate purposes. In May 2021, the Company entered into an amendment agreement in respect of the credit facility, extending the maturity date from October 19, 2021 to May 28, 2024, among other changes. The amended credit facility contains financial covenants including a maximum leverage ratio and a minimum interest coverage ratio. As of March 31, 2023, there were no amounts outstanding under the credit facility and the Company and certain of its subsidiaries that serve as guarantors were in compliance with all covenants.
(7) ACCUMULATED OTHER COMPREHENSIVE INCOME
The following tables summarize changes in the accumulated balances for each component of AOCI, including current-period other comprehensive income and reclassifications out of AOCI, for the periods presented.
Three Months Ended March 31, 2023
Unrealized Gains
(Losses) on Cash
Flow Hedges
Unrealized Gains
(Losses) on
Available for-Sale
Debt Securities
Total
AOCI balance at December 31, 2022$8,226 $(12,093)$(3,867)
Other comprehensive income (loss) before
     reclassifications
(7,859)5,247 (2,612)
Less: gain (loss) reclassified from AOCI3,014 — 3,014 
Tax effect— (1,229)(1,229)
Net current-period other comprehensive income (loss)(10,873)4,018 (6,855)
AOCI balance at March 31, 2023$(2,647)$(8,075)$(10,722)
Three Months Ended March 31, 2022
Unrealized Gains
(Losses) on Cash
Flow Hedges
Unrealized Gains
(Losses) on
Available for-Sale
Debt Securities
Total
AOCI balance at December 31, 2021$15,805 $(1,373)$14,432 
Other comprehensive income (loss) before
     reclassifications
(3,225)(10,274)(13,499)
Less: gain (loss) reclassified from AOCI4,193 — 4,193 
Tax effect— 2,383 2,383 
Net current-period other comprehensive income (loss)(7,418)(7,891)(15,309)
AOCI balance at March 31, 2022$8,387 $(9,264)$(877)
For additional discussion of reclassifications from AOCI see Note 5 Derivative Instruments and Hedging Strategies.
14

BIOMARIN PHARMACEUTICAL INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - (continued)
(In thousands of U.S. Dollars, except per share amounts or as otherwise disclosed)
(8) REVENUE, CREDIT CONCENTRATIONS AND GEOGRAPHIC INFORMATION
The Company operates in one business segment, which primarily focuses on the development and commercialization of innovative therapies for people with serious and life-threatening rare diseases and medical conditions.
The following table disaggregates total Net Product Revenues by product.
Three Months Ended
March 31,
20232022
Enzyme product revenues:
VIMIZIM$189,192 $183,059 
NAGLAZYME123,021 128,031 
PALYNZIQ62,352 54,885 
BRINEURA39,144 36,173 
ALDURAZYME34,403 24,382 
Total enzyme product revenues448,112 426,530 
VOXZOGO87,836 19,658 
KUVAN50,478 59,337 
Total net product revenues586,426 505,525 
Royalty and other revenues9,989 13,834 
Total revenues$596,415 $519,359 
The Company considers there to be revenue concentration risks for regions where Net Product Revenues exceed 10% of consolidated Net Product Revenues. The concentration of the Company’s Net Product Revenues within the regions below may have a material adverse effect on the Company’s revenues and results of operations if sales in the respective regions experience difficulties. The table below disaggregates total Net Product Revenues by geographic region, which is based on patient location for Company's commercial products sold directly by the Company, except for ALDURAZYME, which is marketed and sold exclusively by Sanofi worldwide.
Three Months Ended
March 31,
20232022
United States$166,784 $150,815 
Europe160,692 156,832 
Middle East91,642 65,607 
Latin America67,748 62,544 
Rest of world65,157 45,345 
Total net product revenues marketed by the Company$552,023 $481,143 
ALDURAZYME net product revenues marketed by Sanofi34,403 24,382 
Total net product revenues$586,426 $505,525 
The following table illustrates the percentage of the Company’s total Net Product Revenues attributed to the Company’s largest customers for the periods presented. 
Three Months Ended
March 31,
20232022
Customer A14 %17 %
Customer B10 %11 %
Total24 %28 %
15

BIOMARIN PHARMACEUTICAL INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - (continued)
(In thousands of U.S. Dollars, except per share amounts or as otherwise disclosed)
On a consolidated basis, two customers accounted for 17% and 11% of the Company’s March 31, 2023 accounts receivable balance, respectively, compared to December 31, 2022, when two customers accounted for 22% and 15% of the accounts receivable balance, respectively. As of March 31, 2023, and December 31, 2022, the accounts receivable balance for Sanofi included $68.7 million and $68.8 million, respectively, of unbilled accounts receivable, which becomes payable to the Company when the product is sold through by Sanofi. The Company does not require collateral from its customers, but does perform periodic credit evaluations of its customers’ financial condition and requires prepayments in certain circumstances.
The Company is mindful that conditions in the current macroeconomic environment, such as inflation, changes in interest and foreign currency exchange rates, banking crises, natural disasters, the continuing effects of the COVID-19 pandemic, and supply chain disruptions, could affect the Company’s ability to achieve its goals. In addition, the Company sells its products in countries that face economic volatility and weakness. Although the Company has historically collected receivables from customers in certain countries, sustained weakness or further deterioration of the local economies and currencies may cause customers in those countries to delay payment or be unable to pay for the Company’s products. The Company believes that the allowances for doubtful accounts related to these countries, if any, are adequate based on its analysis of the specific business circumstances and expectations of collection for each of the underlying accounts in these countries. The Company will continue to monitor these conditions and will attempt to adjust its business processes, as appropriate, to mitigate macroeconomic risks to its business.
(9) STOCK-BASED COMPENSATION
The Company has stockholder-approved equity incentive plans that provide for the granting of service-based restricted stock units (RSUs), market-based RSUs, performance-based RSUs, stock options and common stock granted under the Company’s Employee Share Purchase Plan (ESPP). Compensation expense included in the Company’s Condensed Consolidated Statements of Comprehensive Income for all stock-based compensation arrangements was as follows: 
Three Months Ended
March 31,
20232022
Cost of sales$4,331 $4,326 
Research and development19,828 17,190 
Selling, general and administrative29,536 26,317 
Total stock-based compensation expense$53,695 $47,833 
(10) EARNINGS PER COMMON SHARE

Potentially issuable shares of common stock include shares issuable upon the exercise of outstanding employee stock option awards, common stock issuable under the Company’s ESPP, unvested restricted stock units (RSUs), common stock held by the NQDCRSUs and contingent issuances of common stock related to the Company’s convertible debt.

16

BIOMARIN PHARMACEUTICAL INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - (continued)
(In thousands of U.S. Dollars, except per share amounts or as otherwise disclosed)
The following table sets forth the computation of basic and diluted earnings per common share (in thousands of common shares)(common shares in thousands):

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Numerator:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net loss, basic

 

$

(12,527

)

 

$

(37,425

)

 

$

(65,650

)

 

$

(539,490

)

Less: gain on common stock held by the NQDC

 

 

 

 

 

 

 

 

 

 

 

1,753

 

Net loss, diluted

 

$

(12,527

)

 

$

(37,425

)

 

$

(65,650

)

 

$

(541,243

)

Denominator:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted-average common shares outstanding, basic

 

 

175,103

 

 

 

167,714

 

 

 

174,071

 

 

 

163,963

 

Effect of dilutive securities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Common shares held by the NQDC

 

 

 

 

 

 

 

 

 

 

 

253

 

Weighted-average common shares outstanding, diluted

 

 

175,103

 

 

 

167,714

 

 

 

174,071

 

 

 

164,216

 

Net loss per common share, basic

 

$

(0.07

)

 

$

(0.22

)

 

$

(0.38

)

 

$

(3.29

)

Net loss per common share, diluted

 

$

(0.07

)

 

$

(0.22

)

 

$

(0.38

)

 

$

(3.30

)

Three Months Ended
March 31,
20232022
Numerator:
Net Income, basic$50,852 $120,798 
Add: Interest expense, net of tax, on the Notes937 2,763 
Net Income, diluted$51,789 $123,561 
Denominator:
Weighted-average common shares outstanding, basic186,667 183,990 
Effect of dilutive securities:
Issuances under equity incentive plans3,726 2,561 
Common stock issuable under the Notes3,970 8,335 
Weighted-average common shares outstanding, diluted194,363 194,886 
Earnings per common share, basic$0.27 $0.66 
Earnings per common share, diluted$0.27 $0.63 

10


BIOMARIN PHARMACEUTICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(

In thousands of U.S. dollars, except per share amounts or as otherwise disclosed)

Theaddition to the equity instruments included in the table above, the table below presents potential shares of common stock that were excluded from the computation of basic and diluted earnings per common share as they were anti-dilutive using the if-converted or treasury stock method (in thousands):

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Options to purchase common stock

 

 

8,328

 

 

 

9,610

 

 

 

8,328

 

 

 

9,610

 

Common stock issuable under the 2017 Notes

 

 

 

 

 

1,105

 

 

 

 

 

 

1,105

 

Common stock issuable under the 2018 and 2020 Notes

 

 

7,966

 

 

 

7,966

 

 

 

7,966

 

 

 

7,966

 

Common stock issuable under the 2024 Notes

 

 

3,970

 

 

 

 

 

 

3,970

 

 

 

 

Unvested restricted stock units

 

 

2,923

 

 

 

2,728

 

 

 

2,923

 

 

 

2,728

 

Common stock potentially issuable for ESPP purchases

 

 

365

 

 

 

330

 

 

 

365

 

 

 

330

 

Common stock held by the NQDC

 

 

224

 

 

 

253

 

 

 

224

 

 

 

 

Total number of potentially issuable shares

 

 

23,776

 

 

 

21,992

 

 

 

23,776

 

 

 

21,739

 

The potential effect of the capped call transactions with respect to the Company’s 0.75% senior subordinated convertible notes due in 2018 (the 2018 Notes) and the Company’s 1.50% senior subordinated convertible notes due in 2020 (the 2020 Notes) was excluded from the diluted net income/loss per share as the Company’s closing stock price on September 30, 2017 and 2016 did not exceed the conversion price of $94.15 per share for the 2018 Notes and the 2020 Notes. There is no similar capped call transaction associated with the Company’s 0.599% senior subordinated convertible notes due in 2024 (the 2024 Notes). See Note 11 to these Condense Consolidated Financial Statements for information on the Company’s debt.

(7) AVAILABLE-FOR-SALE SECURITIES

All investments were classified as available-for-sale at September 30, 2017 and December 31, 2016. The amortized cost, gross unrealized holding gains or losses, and fair value of the Company’s available-for-sale securities by major security type at September 30, 2017 and December 31, 2016 are summarized in the tables below:

 

 

Amortized Cost

 

 

Gross

Unrealized

Holding Gains

 

 

Gross

Unrealized

Holding Losses

 

 

Aggregate Fair

Value at

September 30, 2017

 

Corporate debt securities

 

$

762,462

 

 

$

413

 

 

$

(1,091

)

 

$

761,784

 

Commercial paper

 

 

28,039

 

 

 

 

 

 

 

 

 

28,039

 

U.S. government agency securities

 

 

434,533

 

 

 

2

 

 

 

(980

)

 

 

433,555

 

Foreign and other

 

 

18,525

 

 

 

123

 

 

 

(22

)

 

 

18,626

 

Total

 

$

1,243,559

 

 

$

538

 

 

$

(2,093

)

 

$

1,242,004

 

 

 

Amortized Cost

 

 

Gross

Unrealized

Holding Gains

 

 

Gross

Unrealized

Holding Losses

 

 

Aggregate Fair

Value at

December 31, 2016

 

Certificates of deposit

 

$

2,800

 

 

$

 

 

$

 

 

$

2,800

 

Corporate debt securities

 

 

641,670

 

 

 

329

 

 

 

(2,282

)

 

 

639,717

 

Commercial paper

 

 

16,075

 

 

 

 

 

 

 

 

 

16,075

 

U.S. government agency securities

 

 

310,635

 

 

 

37

 

 

 

(747

)

 

 

309,925

 

Foreign and other

 

 

48

 

 

 

86

 

 

 

 

 

 

134

 

Total

 

$

971,228

 

 

$

452

 

 

$

(3,029

)

 

$

968,651

 

As of December 31, 2016, the Company had one investment in marketable equity securities, measured using quoted prices in its active market, which was considered a strategic investment. In the first quarter of 2017, the strategic investment was sold for a realized gain of $3.3 million. As of December 31, 2016, the fair value of the Company’s marketable equity securities was $4.1 million, which included an unrealized gain of $2.3 million, and was recorded in Other Assets in the Company’s Condensed Consolidated Balance Sheet.

11


BIOMARIN PHARMACEUTICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(In thousands of U.S. dollars, except per share amounts or as otherwise disclosed)

The fair values of available-for-sale securities by contractual maturity were as follows:

 

 

September 30,

 

 

December 31,

 

 

 

2017

 

 

2016

 

Maturing in one year or less

 

$

825,700

 

 

$

395,940

 

Maturing after one year through five years

 

 

416,304

 

 

 

572,711

 

Total

 

$

1,242,004

 

 

$

968,651

 

Impairment assessments are made at the individual security level each reporting period. When the fair value of an investment is less than its cost at the balance sheet date, a determination is made as to whether the impairment is other-than-temporary and, if it is other-than-temporary, an impairment loss is recognized in earnings equal to the difference between the investment’s amortized cost and fair value at such date. As of September 30, 2017, some of the Company’s investments were in an unrealized loss position, which the Company considers temporary in nature. The Company has the ability and intent to hold all investments that have been in a continuous loss position until maturity or recovery, thus no other-than-temporary impairment is deemed to have occurred.

See Note 13 to these Condensed Consolidated Financial Statements for additional discussion regarding the fair value of the Company’s available-for-sale securities.

(8) INTANGIBLE ASSETS

Intangible assets consisted of the following:

 

 

September 30,

 

 

December 31,

 

 

 

2017

 

 

2016

 

Intangible assets:

 

 

 

 

 

 

 

 

Finite-lived intangible assets

 

$

303,297

 

 

$

305,122

 

Indefinite-lived intangible assets

 

 

332,199

 

 

 

332,199

 

Gross intangible assets:

 

 

635,496

 

 

 

637,321

 

Accumulated amortization

 

 

(104,539

)

 

 

(83,541

)

Net carrying value

 

$

530,957

 

 

$

553,780

 

Indefinite-Lived Intangible Assets

Intangible assets related to IPR&D assets are considered to be indefinite-lived until the completion or abandonment of the associated R&D efforts. During the period the assets are considered indefinite-lived, they will not be amortized but will be tested for impairment on an annual basis and between annual tests if the Company becomes aware of any events occurring or changes in circumstances that would indicate a reduction in the fair value of the IPR&D assets below their respective carrying amounts. If and when development is complete, which generally occurs if and when regulatory approval to market a product is obtained, the associated assets would be deemed finite-lived and would then be amortized based on their respective estimated useful lives at that point in time.

During the second quarter of 2016, the Company recorded impairment charges of $574.1 million based on the status of development efforts. These impairments reduced the remaining book value of certain IPR&D assets to zero due to the termination of the Kyndrisa and other exon programs. During the second quarter of 2016, the Company also recognized an impairment charge of $25.0 million related to the reveglucosidase alfa IPR&D assets due to the decision to terminate that development program. When a triggering event occurs, management evaluates both IPR&D assets and goodwill for possible impairments. Although management concluded these IPR&D assets were impaired as of June 30, 2016, management determined that goodwill was not impaired as of June 30, 2016. Because the Company’s single reporting unit is the consolidated entity, management compares the total carrying value of the single reporting unit, including goodwill, to the fair value of the reporting unit, as evidenced by the Company’s market capitalization. As of June 30, 2016, the Company’s capitalization exceeded the carrying value of its single reporting unit supporting management’s conclusion that goodwill was not impaired.

In July 2017, the Company executed a license agreement and a settlement agreement (the Agreements) with Sarepta Therapeutics (Sarepta) that provide Sarepta with global exclusive rights to our Duchenne muscular dystrophy (DMD) patent estate for EXONDYS 51 and all future exon-skipping products. The Agreements resolved the ongoing worldwide patent proceedings related to

12


BIOMARIN PHARMACEUTICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(In thousands of U.S. dollars, except per share amounts or as otherwise disclosed)

the use of EXONDYS 51 and all future exon-skipping products for the treatment of DMD. Pursuant to the Agreements, Sarepta paid the Company a one-time upfront fee of $35.0 million, which was recognized as license revenue. Under the Agreements, Sarepta may pay certain additional regulatory and commercial milestone fees for exons 51, 45, 53 and possibly on future exon-skipping products to the Company if certain development and sales milestones are achieved. Additionally, Sarepta will pay the Company royalties based on 5% of net sales in the U.S. through the end of 2023 and 8% of net sales through September 30, 2024 in the EU and in other countries where certain of the Company’s patents exist. The Company retained the right to convert the license to a co-exclusive right in the event it decides to proceed with an exon-skipping therapy for DMD.

See Note 7 to the Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2016 for additional information related to the Company’s intangible assets.

(9) PROPERTY, PLANT AND EQUIPMENT

Property, plant and equipment, net consisted of the following:

 

 

September 30,

 

 

December 31,

 

 

 

2017

 

 

2016

 

Building and improvements

 

$

636,697

 

 

$

510,805

 

Manufacturing and laboratory equipment

 

 

284,269

 

 

 

242,899

 

Computer hardware and software

 

 

139,241

 

 

 

129,506

 

Leasehold improvements

 

 

43,900

 

 

 

44,184

 

Furniture and equipment

 

 

29,451

 

 

 

27,229

 

Land improvements

 

 

4,881

 

 

 

4,881

 

Land

 

 

62,702

 

 

 

55,412

 

Construction-in-progress

 

 

68,204

 

 

 

126,446

 

 

 

 

1,269,345

 

 

 

1,141,362

 

Accumulated depreciation

 

 

(390,721

)

 

 

(342,594

)

Total property, plant and equipment, net

 

$

878,624

 

 

$

798,768

 

The construction-in-process balance primarily includes costs related to the Company’s significant in-process projects at its facilities in Marin County, California, and in Shanbally, Ireland.

Depreciation expense for the three and nine months ended September 30, 2017 was $19.4 million and $54.8 million, respectively, of which $6.1 million and $17.9 million, respectively, was capitalized into inventory. Depreciation expense for the three and nine months ended September 30, 2016 was $23.2 million and $56.1 million, respectively, of which $4.4 million and $13.4 million, respectively, was capitalized into inventory. Capitalized interest related to the Company’s property, plant and equipment purchases for each of the three and nine months ended September 30, 2017 and 2016 was insignificant.

(10) SUPPLEMENTAL BALANCE SHEET INFORMATION

Inventory consisted of the following:

 

 

September 30,

 

 

December 31,

 

 

 

2017

 

 

2016

 

Raw materials

 

$

48,355

 

 

$

51,250

 

Work-in-process

 

 

262,840

 

 

 

167,788

 

Finished goods

 

 

146,198

 

 

 

136,088

 

Total inventory

 

$

457,393

 

 

$

355,126

 

In the third quarter of 2016, process qualification production activities commenced in the Company’s Shanbally facility related to the Brineura manufacturing process. As of September 30, 2017, the value of the Shanbally qualification campaign was $25.4 million, which was capitalized into inventory because the product is expected to be sold commercially. While the Company believes it is unlikely that the manufacturing process will not be approved for Brineura, should that occur, the value of the inventory would be expensed at that time.

13


BIOMARIN PHARMACEUTICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(In thousands of U.S. dollars, except per share amounts or as otherwise disclosed)

Accounts Payable and Accrued Liabilities consisted of the following:

 

 

September 30,

 

 

December 31,

 

 

 

2017

 

 

2016

 

Accounts payable and accrued operating expenses

 

$

157,024

 

 

$

191,353

 

Accrued compensation expense

 

 

100,481

 

 

 

109,038

 

Accrued rebates payable

 

 

38,321

 

 

 

34,737

 

Accrued royalties payable

 

 

16,419

 

 

 

15,151

 

Value added taxes payable

 

 

10,577

 

 

 

7,848

 

Forward foreign currency exchange contracts

 

 

14,428

 

 

 

5,201

 

Deferred Revenue

 

 

17,430

 

 

 

985

 

Other

 

 

10,240

 

 

 

6,192

 

Total accounts payable and accrued liabilities

 

$

364,920

 

 

$

370,505

 

(11) DEBT

Convertible Notes

In August 2017, the Company issued $495.0 million in aggregate principal amount of senior subordinated convertible notes with a maturity date of August 1, 2024. The 2024 Notes were issued to the public at 98% of face value and bear interest at the rate of 0.599% per annum. Interest is payable semi-annually in cash on February 1 and August 1 of each year, beginning February 1, 2018. The 2024 Notes are convertible, at the option of the holder into shares of the Company’s common stock. The initial conversion rate for the 2024 Notes is 8.0212 shares per $1,000 principal amount of the 2024 Notes, which represents a conversion price of approximately $124.67 per share, subject to adjustment under certain conditions. Following certain corporate transactions, the Company will, in certain circumstances, increase the conversion rate for a holder that elects to convert its 2024 Notes in connection with such corporate transactions by a number of additional shares of the Company’s common stock. A holder may convert fewer than all of such holder’s 2024 Notes so long as the amount of the 2024 Notes converted is an integral multiple of $1,000 principal amount. Net proceeds from the offering were $481.7 million.

The 2024 Notes are senior subordinated, unsecured obligations, and rank (i) subordinated in right of payment to the prior payment in full of any of the Company’s existing and future senior debt, (ii) equal in right of payment to any of the Company’s existing and future senior subordinated debt, (iii) senior in right of payment to any of the Company’s existing and future indebtedness that is expressly subordinated in right of payment to the 2024 Notes, and (iii) effectively subordinated to any of the Company’s existing and future secured indebtedness, to the extent of the value of the collateral securing that indebtedness and structurally subordinated to all existing and future indebtedness and other liabilities, including trade payables, and (to the extent the Company is not a holder thereof) preferred equity, if any, of the Company’s subsidiaries. Upon the occurrence of a “fundamental change,” as defined in the indenture governing the 2024 Notes, the holders may require the Company to repurchase all or a portion of such holder’s 2024 Notes for cash at 100% of the principal amount of the 2024 Notes being purchased, plus any accrued and unpaid interest.

In connection with the issuance of the 2024 Notes, the Company recorded a discount on the 2024 Notes of $9.9 million, which will be accreted and recorded as additional interest expense over the life of the 2024 Notes. During each of the three and nine months ended September 30, 2017, the Company recognized $0.2 million of debt discount accretion. The Company also incurred $3.4 million of issuance costs. These costs were deferred and are being amortized over the life of the 2024 Notes and recorded as additional interest expense. During each of the three and nine months ended September 30, 2017, the Company recognized $0.1 million of amortization of deferred issuance costs related to the 2024 Notes.

14


BIOMARIN PHARMACEUTICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(In thousands of U.S. dollars, except per share amounts or as otherwise disclosed)

The following table summarizes information regarding the Company’s convertible debt:

 

 

September 30,

 

 

December 31,

 

 

 

2017

 

 

2016

 

Convertible Notes due in 2017

 

$

 

 

$

22,503

 

Unamortized deferred offering costs

 

 

 

 

 

(25

)

Convertible Notes due in 2017, net

 

 

 

 

 

22,478

 

 

 

 

 

 

 

 

 

 

Convertible Notes due in 2018

 

 

374,980

 

 

 

374,980

 

Unamortized discount

 

 

(16,329

)

 

 

(27,566

)

Unamortized deferred offering costs

 

 

(2,030

)

 

 

(3,484

)

Convertible Notes due in 2018, net

 

 

356,621

 

 

 

343,930

 

 

 

 

 

 

 

 

 

 

Convertible Notes due in 2020

 

 

374,993

 

 

 

374,993

 

Unamortized discount

 

 

(43,593

)

 

 

(53,239

)

Unamortized deferred offering costs

 

 

(3,954

)

 

 

(4,923

)

Convertible Notes due in 2020, net

 

 

327,446

 

 

 

316,831

 

 

 

 

 

 

 

 

 

 

Convertible Notes due in 2024

 

 

495,000

 

 

 

 

Unamortized discount

 

 

(9,707

)

 

 

 

Unamortized deferred offering costs

 

 

(3,324

)

 

 

 

Convertible Notes due in 2024, net

 

 

481,969

 

 

 

 

 

 

 

 

 

 

 

 

 

Total convertible debt, net

 

$

1,166,036

 

 

$

683,239

 

 

 

 

 

 

 

 

 

 

Fair value of fixed rate convertible debt

 

 

 

 

 

 

 

 

Convertible Notes due in 2017 (1)

 

$

 

 

$

90,977

 

Convertible Notes due in 2018 (1)

 

 

417,956

 

 

 

423,202

 

Convertible Notes due in 2020 (1)

 

 

454,334

 

 

 

442,754

 

Convertible Notes due in 2024 (1)

 

 

502,960

 

 

 

 

Total

 

$

1,375,250

 

 

$

956,933

 

(1)

The fair value of the Company’s fixed rate convertible debt is based on open market trades and is classified as Level 1 in the fair value hierarchy.

Interest expense on the Company’s convertible debt consisted of the following:

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Coupon interest

 

$

2,692

 

 

$

2,466

 

 

$

7,250

 

 

$

7,491

 

Amortization of issuance costs

 

 

1,138

 

 

 

826

 

 

 

2,910

 

 

 

2,476

 

Accretion of debt discount

 

 

7,054

 

 

 

6,688

 

 

 

20,883

 

 

 

19,800

 

Total interest expense on convertible debt

 

$

10,884

 

 

$

9,980

 

 

$

31,043

 

 

$

29,767

 

In April 2017, the Company’s 1.875% senior subordinated convertible notes due in 2017 (the 2017 Notes) matured, with holders thereof converting $22.5 million of the 2017 Notes prior to the maturity date into 1,103,704 shares of the Company’s common stock. During three and nine months ended September 30, 2016, certain existing holders of the Company’s 2017 Notes elected to convert $2.0 million and $8.9 million, respectively, in aggregate principal amount of the 2017 Notes into 97,348 and 438,315 shares of the Company’s common stock, respectively.

See Note 13 to the Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2016 for additional information related to the Company’s convertible debt.

15


BIOMARIN PHARMACEUTICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(In thousands of U.S. dollars, except per share amounts or as otherwise disclosed)

Revolving Credit Facility

In November 2016, the Company entered into a credit agreement (the Credit Agreement) with Bank of America, N.A., as the administrative agent, swing line lender and letter of credit issuer. The Credit Agreement provides for up to $100.0 million in revolving loans (the Revolving Credit Facility), a $10.0 million letter of credit subfacility and a $15.0 million swing line loan subfacility. The maturity date of the Revolving Credit Facility will occur on November 29, 2018. Interest on any outstanding balance of the Revolving Credit Facility is payable quarterly and draws may be voluntary prepaid at any time without penalty. In connection with entering into the Credit Agreement, $0.6 million in financing costs were incurred and will be amortized as Interest Expense over the term of the Credit Agreement. As of September 30, 2017 and December 31, 2016, there were no outstanding amounts due under the Revolving Credit Facility.

In connection with the Revolving Credit Facility, the Company and certain of its subsidiaries are required to comply with covenants, including, among other things, restrictions on the Company’s and such subsidiaries’ ability to incur additional indebtedness, dispose of its assets, incur liens, make investments, and pay dividends or other distributions, in each case subject to specified exceptions. The Credit Agreement also contains customary indemnification obligations and customary events of default. If the Company’s Global Liquidity, which is defined as the sum of the market value of unrestricted cash, marketable securities and other assets to the extent constituting “cash and cash equivalents,” “short-term investments” or “long-term investments” as reflected in the Company’s Condensed Consolidated Balance Sheet, in each case, held by the Company or certain of the Company’s subsidiaries at such time, regardless of where such assets are domiciled, falls below $225.0 million at the end of any month or at the time of any borrowing or issuance of a letter of credit under the Revolving Credit Facility, then the Company’s obligations under the Credit Agreement will also be secured by the assets held by the Company in the custody account, which was established in the first quarter of 2017. As of September 30, 2017, the Company and certain of its subsidiaries that serve as guarantors were in compliance with all covenants.

(12) DERIVATIVE INSTRUMENTS AND HEDGING STRATEGIES

The Company uses forward foreign currency exchange contracts to hedge certain operational exposures resulting from potential changes in foreign currency exchange rates. Such exposures result from portions of the Company’s forecasted revenues and operating expenses being denominated in currencies other than the U.S. dollar, primarily the Euro.

The Company designates certain of these forward foreign currency exchange contracts as hedging instruments and enters into some forward foreign currency exchange contracts that are considered to be economic hedges that are not designated as hedging instruments. Whether designated or undesignated, these forward foreign currency exchange contracts protect against the reduction in value of forecasted foreign currency cash flows resulting from product revenues, royalty revenues, operating expenses and asset or liability positions designated in currencies other than the U.S. dollar. The fair values of forward foreign currency exchange contracts are estimated using current exchange rates and interest rates, and take into consideration the current creditworthiness of the counterparties or the Company, as applicable. Information regarding the specific instruments used by the Company to hedge its exposure to foreign currency exchange rate fluctuations is provided below. See Note 13 to these Condensed Consolidated Financial Statements for additional discussion regarding the fair value of forward foreign currency exchange contracts.

The Company enters into forward foreign currency exchange contracts in order to protect against the fluctuations in revenue and operating expenses associated with foreign currency-denominated cash flows. The Company has formally designated these forward foreign currency exchange contracts as cash flow hedges and expects them to be highly effective in offsetting fluctuations in operating expenses denominated in Euros and revenues denominated in currencies other than the U.S. dollar related to changes in foreign currency exchange rates.

16


BIOMARIN PHARMACEUTICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(In thousands of U.S. dollars, except per share amounts or as otherwise disclosed)

The following table summarizes the Company’s designated forward foreign currency exchange contracts outstanding as of September 30, 2017 (notional amounts in millions):

 

 

 

 

 

 

Aggregate Notional

 

 

 

 

 

Number of

 

 

Amount in

 

 

 

Foreign Exchange Contracts

 

Contracts

 

 

Foreign Currency

 

 

Maturity

Brazilian Reais – Sell

 

 

2

 

 

 

33.0

 

 

Oct. 2017

Canadian Dollars – Sell

 

 

6

 

 

 

6.1

 

 

Oct. 2017 - Dec. 2017

Colombian Pesos – Sell

 

 

3

 

 

 

15,576.0

 

 

Oct. 2017 - Dec. 2017

Euros – Purchase

 

 

72

 

 

 

116.7

 

 

Oct. 2017 - Sep. 2020

Euros – Sell

 

 

304

 

 

 

381.9

 

 

Oct. 2017 - Sep. 2020

Total

 

 

387

 

 

 

 

 

 

 

The maximum length of time over which the Company is hedging its exposure to the reduction in value of forecasted foreign currency revenues through forward foreign currency exchange contracts is through September 2020. Over the next twelve months, the Company expects to reclassify unrealized losses of $12.9 million from accumulated other comprehensive income (loss) to earnings as the forecasted revenue and operating expense transactions occur.

The Company also enters into forward foreign currency exchange contracts that are not designated as hedges for accounting purposes. The changes in fair value of these forward foreign currency exchange contracts are included as a part of selling, general and administrative (SG&A) expense in the Company’s Condensed Consolidated Statements of Comprehensive Loss.

The following table summarizes the Company’s non-designated forward foreign currency exchange contracts outstanding as of September 30, 2017 (notional amounts in millions):

 

 

 

 

 

 

Aggregate Notional

 

 

 

 

 

Number of

 

 

Amount in

 

 

 

Foreign Exchange Contracts

 

Contracts

 

 

Foreign Currency

 

 

Maturity

Brazilian Reais – Purchase

 

 

1

 

 

 

33.0

 

 

Oct. 2017

British Pounds – Sell

 

 

1

 

 

 

5.2

 

 

Oct. 2017

Euros – Purchase

 

 

4

 

 

 

109.8

 

 

Oct. 2017

Total

 

 

6

 

 

 

 

 

 

 

The fair value carrying amounts of the Company’s derivative instruments were as follows:

 

 

Asset Derivatives

 

 

Liability Derivatives

 

 

 

September 30, 2017

 

 

September 30, 2017

 

 

 

Balance Sheet Location

 

Fair Value

 

 

Balance Sheet Location

 

Fair Value

 

Derivatives designated as hedging instruments:

 

 

 

 

 

 

 

 

 

 

 

 

Forward foreign currency exchange contracts

 

Other current assets

 

$

3,096

 

 

Accounts payable and accrued liabilities

 

$

14,428

 

Forward foreign currency exchange contracts

 

Other assets

 

 

4,414

 

 

Other long- term liabilities

 

 

11,380

 

Total

 

 

 

 

7,510

 

 

 

 

 

25,808

 

Derivatives not designated as hedging instruments:

 

 

 

 

 

 

 

 

 

 

 

 

Forward foreign currency exchange contracts

 

Other current assets

 

 

1,139

 

 

Accounts payable and accrued liabilities

 

 

 

Total

 

 

 

 

1,139

 

 

 

 

 

 

Total value of derivative contracts

 

 

 

$

8,649

 

 

 

 

$

25,808

 

17


BIOMARIN PHARMACEUTICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(In thousands of U.S. dollars, except per share amounts or as otherwise disclosed)

 

 

Asset Derivatives

 

 

Liability Derivatives

 

 

 

December 31, 2016

 

 

December 31, 2016

 

 

 

Balance Sheet Location

 

Fair Value

 

 

Balance Sheet Location

 

Fair Value

 

Derivatives designated as hedging instruments:

 

 

 

 

 

 

 

 

 

 

 

 

Forward foreign currency exchange contracts

 

Other current assets

 

$

13,048

 

 

Accounts payable and accrued liabilities

 

$

5,176

 

Forward foreign currency exchange contracts

 

Other assets

 

 

8,194

 

 

Other long- term liabilities

 

 

2,342

 

Total

 

 

 

 

21,242

 

 

 

 

 

7,518

 

Derivatives not designated as hedging instruments:

 

 

 

 

 

 

 

 

 

 

 

 

Forward foreign currency exchange contracts

 

Other current assets

 

 

964

 

 

Accounts payable and accrued liabilities

 

 

25

 

Total

 

 

 

 

964

 

 

 

 

 

25

 

Total value of derivative contracts

 

 

 

$

22,206

 

 

 

 

$

7,543

 

The effect of the Company’s derivative instruments on the Condensed Consolidated Financial Statements for the three and nine months ended September 30, 2017 and 2016 was as follows:

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Derivatives Designated as Hedging Instruments:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net gain (loss) recognized in accumulated other

  comprehensive loss (1)

 

$

(10,569

)

 

$

(1,984

)

 

$

(33,933

)

 

$

(5,857

)

Net gain (loss) reclassified from accumulated

  other comprehensive income (loss) into earnings (2)

 

 

(3,700

)

 

 

1,486

 

 

 

(489

)

 

 

4,616

 

Net gain recognized in net loss (3)

 

 

689

 

 

 

9

 

 

 

2,395

 

 

 

5,276

 

Derivatives Not Designated as Hedging Instruments:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net gain (loss) recognized in net loss(4)

 

$

1,655

 

 

$

826

 

 

$

7,286

 

 

$

(2,446

)

Three Months Ended
March 31,
20232022
Issuances under equity incentive plans8,610 10,927 
Common stock issuable under the Notes4,365 — 
Total number of potentially issuable shares12,975 10,927 

(1)

Net change in the fair value of the effective portion classified as accumulated other comprehensive income (loss).

(2)

Effective portion classified as Net Product Revenues and SG&A expense.

(3)

Ineffective portion and amount excluded from effectiveness testing classified as SG&A expense.

(4)

Classified as SG&A expense.

The Company is exposed to counterparty credit risk on all of its derivative financial instruments. The Company has established and maintains strict counterparty credit guidelines and enters into hedges only with financial institutions that are investment grade or better to minimize the Company’s exposure to potential defaults. The Company does not require collateral to be pledged under these agreements.

18


BIOMARIN PHARMACEUTICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(In thousands of U.S. dollars, except per share amounts or as otherwise disclosed)

(13) FAIR VALUE MEASUREMENTS

The Company measures certain financial assets and liabilities at fair value on a recurring basis, including available-for-sale fixed income securities and foreign currency derivatives. The tables below present the fair value of these financial assets and liabilities determined using the following input levels.

 

 

Fair Value Measurements at September 30, 2017

 

 

 

Quoted Price in

Active Markets

For Identical

Assets

(Level 1)

 

 

Significant Other

Observable

Inputs

(Level 2)

 

 

Significant

Unobservable

Inputs

(Level 3)

 

 

Total

 

Assets:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Money market instruments

 

$

 

 

$

223,845

 

 

$

 

 

$

223,845

 

Total cash and cash equivalents

 

 

 

 

 

223,845

 

 

 

 

 

 

223,845

 

Available-for-sale securities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Short-term:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate debt securities

 

 

 

 

 

444,966

 

 

 

 

 

 

444,966

 

Commercial paper

 

 

 

 

 

28,039

 

 

 

 

 

 

28,039

 

U.S. government agency securities

 

 

 

 

 

334,241

 

 

 

 

 

 

334,241

 

Foreign and other

 

 

 

 

 

18,454

 

 

 

 

 

 

18,454

 

Long-term:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate debt securities

 

 

 

 

 

316,818

 

 

 

 

 

 

316,818

 

U.S. government agency securities

 

 

 

 

 

99,314

 

 

 

 

 

 

99,314

 

Foreign and other

 

 

 

 

 

172

 

 

 

 

 

 

172

 

Total available-for-sale securities

 

 

 

 

 

1,242,004

 

 

 

 

 

 

1,242,004

 

Other current assets:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NQDC Plan assets

 

 

 

 

 

1,226

 

 

 

 

 

 

1,226

 

Forward foreign currency exchange contract(1)

 

 

 

 

 

4,235

 

 

 

 

 

 

4,235

 

Restricted investments (2)

 

 

 

 

 

14,878

 

 

 

 

 

 

14,878

 

Total other current assets

 

 

 

 

 

20,339

 

 

 

 

 

 

20,339

 

Other assets:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NQDC Plan assets

 

 

 

 

 

11,272

 

 

 

 

 

 

11,272

 

Forward foreign currency exchange contract(1)

 

 

 

 

 

4,414

 

 

 

 

 

 

4,414

 

Total other assets

 

 

 

 

 

15,686

 

 

 

 

 

 

15,686

 

Total assets

 

$

 

 

$

1,501,874

 

 

$

 

 

$

1,501,874

 

Liabilities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NQDC Plan liability

 

$

2,635

 

 

$

1,226

 

 

$

 

 

$

3,861

 

Forward foreign currency exchange contract(1)

 

 

 

 

 

14,428

 

 

 

 

 

 

14,428

 

Contingent acquisition consideration payable

 

 

 

 

 

 

 

 

52,609

 

 

 

52,609

 

Total current liabilities

 

 

2,635

 

 

 

15,654

 

 

 

52,609

 

 

 

70,898

 

Other long-term liabilities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NQDC Plan liability

 

$

18,405

 

 

$

11,272

 

 

 

 

 

 

29,677

 

Forward foreign currency exchange contract(1)

 

 

 

 

 

11,380

 

 

 

 

 

 

11,380

 

Contingent acquisition consideration payable

 

 

 

 

 

 

 

 

126,790

 

 

 

126,790

 

Total other long-term liabilities

 

 

18,405

 

 

 

22,652

 

 

 

126,790

 

 

 

167,847

 

Total liabilities

 

$

21,040

 

 

$

38,306

 

 

$

179,399

 

 

$

238,745

 

19


BIOMARIN PHARMACEUTICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(In thousands of U.S. dollars, except per share amounts or as otherwise disclosed)

 

 

Fair Value Measurements at December 31, 2016

 

 

 

Quoted Price in

Active Markets

For Identical

Assets

(Level 1)

 

 

Significant Other

Observable

Inputs

(Level 2)

 

 

Significant

Unobservable

Inputs

(Level 3)

 

 

Total

 

Assets:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Money market instruments

 

$

 

 

$

235,571

 

 

$

 

 

$

235,571

 

Corporate debt securities

 

 

 

 

 

8,593

 

 

 

 

 

 

8,593

 

U.S. government agency securities

 

 

 

 

 

6,000

 

 

 

 

 

 

6,000

 

Total cash and cash equivalents

 

 

 

 

 

250,164

 

 

 

 

 

 

250,164

 

Available-for-sale securities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Short-term:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Certificates of deposit

 

 

 

 

 

2,800

 

 

 

 

 

 

2,800

 

Corporate debt securities

 

 

 

 

 

193,974

 

 

 

 

 

 

193,974

 

Commercial paper

 

 

 

 

 

16,075

 

 

 

 

 

 

16,075

 

U.S. government agency securities

 

 

 

 

 

168,498

 

 

 

 

 

 

168,498

 

Long-term:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate debt securities

 

 

 

 

 

437,150

 

 

 

 

 

 

437,150

 

U.S. government agency securities

 

 

 

 

 

135,427

 

 

 

 

 

 

135,427

 

Greek government-issued bonds

 

 

 

 

 

134

 

 

 

 

 

 

134

 

Total available-for-sale securities

 

 

 

 

 

954,058

 

 

 

 

 

 

954,058

 

Other current assets:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NQDC Plan assets

 

 

 

 

 

163

 

 

 

 

 

 

163

 

Forward foreign currency exchange contract(1)

 

 

 

 

 

14,012

 

 

 

 

 

 

14,012

 

Restricted investments (2)

 

 

 

 

 

3,754

 

 

 

 

 

 

3,754

 

Total other current assets

 

 

 

 

 

17,929

 

 

 

 

 

 

17,929

 

Other assets:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NQDC Plan assets

 

 

 

 

9,121

 

 

 

 

 

 

9,121

 

Forward foreign currency exchange contract(1)

 

 

 

 

8,194

 

 

 

 

 

 

8,194

 

Strategic investment (3)

 

 

4,064

 

 

 

 

 

 

 

 

 

4,064

 

Total other assets

 

 

4,064

 

 

 

17,315

 

 

 

 

 

 

21,379

 

Total assets

 

$

4,064

 

 

$

1,239,466

 

 

$

 

 

$

1,243,530

 

Liabilities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NQDC Plan liability

 

$

2,073

 

 

$

163

 

 

$

 

 

$

2,236

 

Forward foreign currency exchange contract(1)

 

 

 

 

 

5,201

 

 

 

 

 

 

5,201

 

Contingent acquisition consideration payable

 

 

 

 

 

 

46,327

 

 

 

46,327

 

Total current liabilities

 

 

2,073

 

 

 

5,364

 

 

 

46,327

 

 

 

53,764

 

Other long-term liabilities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NQDC Plan liability

 

 

17,303

 

 

 

9,121

 

 

 

 

 

26,424

 

Forward foreign currency exchange contract(1)

 

 

 

 

2,342

 

 

 

 

 

2,342

 

Contingent acquisition consideration payable

 

 

 

 

 

 

115,310

 

 

 

115,310

 

Total other long-term liabilities

 

 

17,303

 

 

 

11,463

 

 

 

115,310

 

 

 

144,076

 

Total liabilities

 

$

19,376

 

 

$

16,827

 

 

$

161,637

 

 

$

197,840

 

(1)

See Note 12 to these Condensed Consolidated Financial Statements for further information regarding the derivative instruments.

(2)

The restricted investments at September 30, 2017 and December 31, 2016 secure the Company’s irrevocable standby letter of credit obtained in connection with certain commercial agreements.

20


BIOMARIN PHARMACEUTICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(In thousands of U.S. dollars, except per share amounts or as otherwise disclosed)

(3)

The Company had investments in marketable equity securities measured using quoted prices in an active market that were considered strategic investments. See Note 7 to these Condensed Consolidated Financial Statements for additional discussion regarding the Company’s strategic investment.

There were no transfers between levels during the three and nine months ended September 30, 2017.

The Company’s Level 2 securities are valued using third-party pricing sources. The pricing services utilize industry standard valuation models, including both income and market-based approaches, for which all significant inputs are observable, either directly or indirectly, to estimate fair value. These inputs include reported trades of and broker/dealer quotes on the same or similar securities, issuer credit spreads, benchmark securities, prepayment/default projections based on historical data and other observable inputs.

The Company validates the prices provided by its third-party pricing services by understanding the models used, obtaining market values from other pricing sources, analyzing pricing data in certain instances and confirming those securities traded in active markets. See Note 6 to these Condensed Consolidated Financial Statements for further information regarding the Company’s financial instruments.

Liabilities measured at fair value using Level 3 inputs consisted of contingent acquisition consideration payable and asset retirement obligations.

The Company’s contingent acquisition consideration payable is estimated using a probability-based income approach utilizing an appropriate discount rate. Key assumptions used by management to estimate the fair value of contingent acquisition consideration payable include estimated probabilities, the estimated timing of when a milestone may be attained and assumed discount periods and rates. Subsequent changes in the fair value of the contingent acquisition consideration payable, resulting from management’s revision of key assumptions, will be recorded in Intangible Asset Amortization and Contingent Consideration in the Company’s Condensed Consolidated Statements of Comprehensive Loss. The probability-based income approach used by management to estimate the fair value of the contingent acquisition consideration is most sensitive to changes in the estimated probabilities.

Contingent acquisition consideration payable at December 31, 2016

 

$

161,637

 

Milestone payments to former Huxley Pharmaceuticals, Inc. shareholders

 

 

(3,500

)

Reversal of contingent liability related to revised estimate of Firdapse FDA

  acceptance and approval milestones

 

 

(4,245

)

Changes in the fair value of other contingent acquisition consideration payable

 

 

7,627

 

Foreign exchange remeasurement of Euro denominated contingent

   acquisition consideration payable

 

 

17,880

 

Contingent acquisition consideration payable at September 30, 2017

 

$

179,399

 

Under certain of the Company’s lease agreements, the Company is contractually obligated to return leased space to its original condition upon termination of the lease agreement. The Company records an asset retirement obligation liability and a corresponding capital asset in an amount equal to the estimated fair value of the obligation, when estimable. In subsequent periods, for each such lease, the Company records interest expense to accrete the asset retirement obligation liability to full value and depreciates each capitalized asset retirement obligation asset, both over the term of the associated lease agreement. As of September 30, 2017, the balance of the asset retirement obligation liability was $4.1 million.

The Company acquired intangible assets as a result of various business acquisitions. The estimated fair value of these long-lived assets was measured using Level 3 inputs as of the acquisition date.

(14) STOCK-BASED COMPENSATION

The Company’s stock-based compensation plans include the 2017 Equity Incentive Plan (the 2017 Equity Incentive Plan) and the ESPP. The 2017 Equity Incentive Plan, which was approved by the Company’s stockholders on June 6, 2017 and became effective that same date, and is the successor to and continuation of the Company’s Amended and Restated 2006 Share Incentive Plan (the 2006 Share Incentive Plan), provides for awards of RSUs and stock options as well as other forms of equity compensation. No additional awards will be granted under the 2006 Share Incentive Plan; however, there are vested and unvested awards outstanding under the 2006 Share Incentive Plan. Stock option awards granted to employees generally vest over a four-year period on a cliff basis one year after the grant date and then monthly thereafter. The contractual term of the outstanding options is generally ten years. RSUs granted to employees generally vest annually on a straight-line basis over a four-year period after the grant date. RSUs granted to directors

21


BIOMARIN PHARMACEUTICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(In thousands of U.S. dollars, except per share amounts or as otherwise disclosed)

generally vest in full one year after the grant date. Shares formerly reserved for future issuance under the 2006 Share Incentive Plan were transferred to the 2017 Equity Incentive Plan, from which future shares shall be issued. The Company’s stock-based compensation plans are administered by the Company’s Board of Directors, or designated Committee thereof, which selects persons to receive awards and determines the number of shares subject to each award and the terms, conditions, performance measures and other provisions of the awards.

Determining the Fair Value of Stock Options and Stock Purchase Rights

The fair value of each option award is estimated on the date of grant using the Black-Scholes valuation model and the assumptions noted in the tables below. The expected life of options is based on observed historical exercise patterns. Groups of employees that have similar historical exercise patterns are considered separately for valuation purposes. The Company has identified two groups with distinctly different exercise patterns. The two groups identified are executive and non-executive employees. The executive employee group has a history of holding options for longer periods than non-executive employees. The expected volatility of stock options is based upon the weighted-average of the historical volatility of the Company’s common stock and the implied volatility of traded options on the Company’s common stock for fiscal periods in which there is sufficient trading volume in options on the Company’s common stock. The risk-free interest rate is based on the implied yield on a U.S. Treasury zero-coupon issue with a remaining term equal to the expected term of the option. The dividend yield reflects that the Company has not paid any cash dividends since inception and does not intend to pay any cash dividends in the foreseeable future. Effective January 1, 2016, forfeitures were accounted for as they occurred. The assumptions used to estimate the per share fair value of stock options granted under the 2017 Equity Incentive Plan and the 2006 Share Incentive Plan were as follows:

 

 

Three Months Ended September 30,

 

Nine Months Ended September 30,

 

 

2017

 

2016

 

2017

 

2016

Expected volatility

 

38 – 40%

 

38 – 40%

 

38 – 40%

 

36 – 44%

Dividend yield

 

0.0%

 

0.0%

 

0.0%

 

0.0%

Expected life

 

4.9 – 6.6 years

 

5.0 – 6.7 years

 

4.9 – 6.6 years

 

5.0 – 8.1 years

Risk-free interest rate

 

1.8 – 2.1%

 

1.1 – 1.4%

 

1.8 – 2.2%

 

1.1 – 2.1%

During the nine months ended September 30, 2017, the Company granted options to purchase 785,300 shares of common stock with a weighted-average fair value of $36.11 per share.

The Company did not issue any new stock purchase rights under the ESPP during the three months ended September 30, 2017.

Restricted Stock Unit Awards with Service-Based Vesting Conditions

RSUs are generally subject to forfeiture if employment terminates prior to the release of vesting restrictions. The Company expenses the cost of the RSUs, which is determined to be the fair value of the shares of common stock underlying the RSUs at the date of grant, based on the closing price of the Company’s common stock on that date, ratably over the period during which the vesting restrictions lapse. During the nine months ended September 30, 2017, the Company granted 1,312,350 RSUs with service-based vesting conditions with a weighted-average fair value of $87.82 per share. 

Restricted Stock Unit Awards with Performance Conditions

On March 22, 2017, pursuant to Board approval, the Company granted 133,250 RSUs with performance-vesting conditions (the 2017 Base RSUs) under the 2006 Share Incentive Plan to certain executive officers. The award of the RSUs under this specific grant is contingent upon the achievement of a 2017 revenue target and the awarded RSUs, if any, vest ratably over a three-year service period. The number of RSUs to be awarded upon achievement of the performance condition may range between 50% and 200% of the 2017 Base RSUs, dependent on the percentage of 2017 “managed revenues” (defined as the Company’s net product revenues, excluding net revenues attributable to Aldurazyme) achieved against the target managed revenues with a threshold achievement level of 75% of target and a ceiling achievement level of 125% of target. Stock-based compensation for these awards will be recognized over the service period beginning in the period the Company determines it is probable that the revenue target will be achieved. The cost of the 2017 Base RSUs was determined to be $87.42 per RSU, based on the fair value of the common stock underlying the 2017 Base RSUs on the grant date based on the closing price of the Company’s common stock on that date. The Company evaluated the 2017 revenue target in the context of its current 2017 revenue forecast and related confidence level in the forecast, and determined that attainment of the revenue target was probable for accounting purposes commencing with the first quarter of 2017. As a result, the Company recognized $1.2 million and $2.8 million of compensation expense related to these awards during the three and nine months ended September 30, 2017, respectively.

22


BIOMARIN PHARMACEUTICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(In thousands of U.S. dollars, except per share amounts or as otherwise disclosed)

On March 15, 2016, pursuant to Board approval, the Company granted 130,310 RSUs with performance-vesting conditions (the 2016 Base RSUs) and a three-year service period, under the 2006 Share Incentive Plan, to certain executive officers. Based on the Companys performance against the 2016 revenue target, the Company applied a multiplier of 103% and issued 134,219 RSUs with a grant date fair value of $83.43 per RSU. The Company recognized $0.9 million and $3.2 million of compensation expense related to these awards during the three and nine months ended September 30, 2017, respectively. The Company recognized $1.0 million and $2.1 million of compensation expense related to these awards during the three and nine months ended September 30, 2016, respectively.

On March 3, 2015, pursuant to Board approval, the Company granted 58,300 RSUs with performance-vesting conditions (the 2015 Base RSUs) and a three-year service period, under the 2006 Share Incentive Plan, to certain executive officers. Based on the Companys performance against the 2015 revenue target, the Company applied a multiplier of 111% and issued 64,713 RSUs with a grant date fair value of $108.36 per RSU. The Company recognized $0.5 million and $1.7 million of compensation expense related to these awards during the three and nine months ended September 30, 2017, respectively. The Company recognized $0.6 million and $1.8 million of compensation expense related to these awards during the three and nine months ended September 30, 2016, respectively.

Compensation expense included in the Company’s Condensed Consolidated Statements of Comprehensive Loss for all stock-based compensation arrangements was as follows:

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Cost of sales

 

$

3,007

 

 

$

2,092

 

 

$

7,803

 

 

$

5,943

 

R&D

 

 

13,832

 

 

 

14,165

 

 

 

39,973

 

 

 

42,929

 

SG&A

 

 

19,064

 

 

 

16,645

 

 

 

58,902

 

 

 

48,348

 

Total stock-based compensation expense

 

$

35,903

 

 

$

32,902

 

 

$

106,678

 

 

$

97,220

 

The Company adopted ASU No. 2016-09, Improvements to Employee Share-Based Payment Accounting, in 2016, noting that the impact of the election to use actual forfeitures rather than estimated forfeitures on quarterly reporting was not significant.

Stock-based compensation expense of $4.5 million and $12.1 million was capitalized into inventory for the three and nine months ended September 30, 2017, respectively, compared to stock-based compensation expense of $3.5 million and $9.0 million that was capitalized into inventory for the three and nine months ended September 30, 2016, respectively. Capitalized stock-based compensation is recognized as cost of sales when the related product is sold.

23


BIOMARIN PHARMACEUTICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(In thousands of U.S. dollars, except per share amounts or as otherwise disclosed)

(15) ACCUMULATED OTHER COMPREHENSIVE INCOME (LOSS)

The following table summarizes amounts reclassified out of Accumulated Other Comprehensive Income (Loss) (AOCI) and their effect on the Company’s Condensed Consolidated Statements of Comprehensive Loss for the three and nine months ended September 30, 2017 and 2016.

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

Consolidated Statement of

Details about AOCI Components

 

2017

 

 

2016

 

 

2017

 

 

2016

 

 

Comprehensive Loss Classification

Gains (losses) on cash flow hedges:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Forward foreign currency exchange

   contracts

 

$

(4,643

)

 

$

1,436

 

 

$

18

 

 

$

4,036

 

 

Net product revenues

Forward foreign currency exchange

   contracts

 

 

943

 

 

 

50

 

 

 

(507

)

 

 

4,874

 

 

SG&A

Total gain (loss) on cash flow hedges

 

 

(3,700

)

 

 

1,486

 

 

 

(489

)

 

 

8,910

 

 

 

Gain (loss) on sale of available-for-sale

   securities

 

 

 

 

 

7

 

 

 

3,252

 

 

 

(2,020

)

 

Other income

Income tax effect of the above

 

 

 

 

 

(2

)

 

 

(1,176

)

 

 

735

 

 

Benefit from income taxes

 

 

$

(3,700

)

 

$

1,491

 

 

$

1,587

 

 

$

7,625

 

 

Net loss

The following tables summarize changes in the accumulated balances for each component of AOCI, including current period other comprehensive income (loss) and reclassifications out of AOCI for the three and nine months ended September 30, 2017 and 2016.

 

 

Three Months Ended September 30, 2017

 

 

 

Unrealized Gains (Losses) on Cash Flow Hedges

 

 

Unrealized Gains (Losses) on Available-for-Sale Securities

 

 

Foreign Currency Items

 

 

Total

 

AOCI balance at June 30, 2017

 

$

(13,569

)

 

$

(1,080

)

 

$

(9

)

 

$

(14,658

)

Other comprehensive income (loss) before

     reclassifications

 

 

(10,569

)

 

 

147

 

 

 

2

 

 

 

(10,420

)

Less: net loss reclassified from AOCI

 

 

(3,700

)

 

 

 

 

 

 

 

 

(3,700

)

Tax effect

 

 

 

 

 

(56

)

 

 

 

 

 

(56

)

Net current-period other comprehensive income (loss)

 

 

(6,869

)

 

 

91

 

 

 

2

 

 

 

(6,776

)

AOCI balance at September 30, 2017

 

$

(20,438

)

 

$

(989

)

 

$

(7

)

 

$

(21,434

)

 

 

Three Months Ended September 30, 2016

 

 

 

Unrealized Gains (Losses) on Cash Flow Hedges

 

 

Unrealized Gains (Losses) on Available-for-Sale Securities

 

 

Foreign Currency Items

 

 

Total

 

AOCI balance at June 30, 2016

 

$

2,305

 

 

$

2,231

 

 

$

(8

)

 

$

4,528

 

Other comprehensive income (loss) before

     reclassifications

 

 

(1,984

)

 

 

1,738

 

 

 

(1

)

 

 

(247

)

Less: gain reclassified from AOCI

 

 

1,486

 

 

 

7

 

 

 

 

 

 

1,493

 

Tax effect

 

 

 

 

 

(630

)

 

 

 

 

 

(630

)

Net current-period other comprehensive income (loss)

 

 

(3,470

)

 

 

1,101

 

 

 

(1

)

 

 

(2,370

)

AOCI balance at September 30, 2016

 

$

(1,165

)

 

$

3,332

 

 

$

(9

)

 

$

2,158

 

24


BIOMARIN PHARMACEUTICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(In thousands of U.S. dollars, except per share amounts or as otherwise disclosed)

 

 

Nine Months Ended September 30, 2017

 

 

 

Unrealized Gains (Losses) on Cash Flow Hedges

 

 

Unrealized Gains (Losses) on Available-for-Sale Securities

 

 

Foreign Currency Items

 

 

Total

 

AOCI balance at December 31, 2016

 

$

13,006

 

 

$

(178

)

 

$

(12

)

 

$

12,816

 

Other comprehensive income (loss) before

     reclassifications

 

 

(33,933

)

 

 

1,981

 

 

 

5

 

 

 

(31,947

)

Less: gain (loss) reclassified from AOCI

 

 

(489

)

 

 

3,252

 

 

 

 

 

 

2,763

 

Tax effect

 

 

 

 

 

460

 

 

 

 

 

 

460

 

Net current-period other comprehensive income (loss)

 

 

(33,444

)

 

 

(811

)

 

 

5

 

 

 

(34,250

)

AOCI balance at September 30, 2017

 

$

(20,438

)

 

$

(989

)

 

$

(7

)

 

$

(21,434

)

 

 

Nine Months Ended September 30, 2016

 

 

 

Unrealized Gains (Losses) on Cash Flow Hedges

 

 

Unrealized Gains (Losses) on Available-for-Sale Securities

 

 

Foreign Currency Items

 

 

Total

 

AOCI balance at December 31, 2015

 

$

13,602

 

 

$

7,441

 

 

$

(10

)

 

$

21,033

 

Other comprehensive income (loss) before

     reclassifications

 

 

(5,857

)

 

 

(8,477

)

 

 

1

 

 

 

(14,333

)

Less: gain (loss) reclassified from AOCI

 

 

8,910

 

 

 

(2,020

)

 

 

 

 

 

6,890

 

Tax effect

 

 

 

 

 

2,348

 

 

 

 

 

 

2,348

 

Net current-period other comprehensive income (loss)

 

 

(14,767

)

 

 

(4,109

)

 

 

1

 

 

 

(18,875

)

AOCI balance at September 30, 2016

 

$

(1,165

)

 

$

3,332

 

 

$

(9

)

 

$

2,158

 

(16) REVENUE AND CREDIT CONCENTRATIONS

Net Product Revenue - The Company considers there to be revenue concentration risks for regions where net product revenue exceeds 10% of consolidated net product revenue. The concentration of the Company’s net product revenue within the regions below may have a material adverse effect on the Company’s revenue and results of operations if sales in the respective regions experience difficulties.

The table below summarizes consolidated net product revenue concentrations based on patient location for Brineura, Firdapse, Kuvan, Naglazyme, and Vimizim, which are sold directly by the Company, and global sales of Aldurazyme, which is marketed by Genzyme. Genzyme is the Companys sole customer for Aldurazyme and is responsible for marketing and selling Aldurazyme to third-parties.

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

United States

 

 

43

%

 

 

38

%

 

 

39

%

 

 

38

%

Europe

 

 

22

%

 

 

23

%

 

 

21

%

 

 

23

%

Latin America

 

 

9

%

 

 

14

%

 

 

13

%

 

 

13

%

Rest of world

 

 

19

%

 

 

16

%

 

 

20

%

 

 

19

%

Total net product revenue marketed by the Company

 

 

93

%

 

 

91

%

 

 

93

%

 

 

93

%

Aldurazyme net product revenues marketed by Genzyme

 

 

7

%

 

 

9

%

 

 

7

%

 

 

7

%

Total net product revenues

 

 

100

%

 

 

100

%

 

 

100

%

 

 

100

%

25


BIOMARIN PHARMACEUTICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(In thousands of U.S. dollars, except per share amounts or as otherwise disclosed)

The following table illustrates the percentage of the Company’s consolidated net product revenues attributed to the Company’s largest customers for the three and nine months ended September 30, 2017 and 2016.

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Customer A

 

 

20

%

 

 

19

%

 

 

18

%

 

 

19

%

Customer B

 

 

16

%

 

 

13

%

 

 

14

%

 

 

13

%

Customer C

 

 

11

%

 

 

10

%

 

 

10

%

 

 

10

%

Total

 

 

47

%

 

 

42

%

 

 

42

%

 

 

42

%

On a consolidated basis, the Company’s two largest customer accounts receivable balances accounted for 20% and 17% of the September 30, 2017 total accounts receivable balance, respectively, compared to December 31, 2016, when the two largest customer accounts receivable balances accounted for 26% and 20% of the total accounts receivable balance, respectively. As of September 30, 2017, and December 31, 2016, the accounts receivable balance for Genzyme included $17.8 million and $30.7 million, respectively, of unbilled accounts receivable related to net incremental Aldurazyme product transfers to Genzyme. The Company does not require collateral from its customers, but does perform periodic credit evaluations of its customers’ financial condition and requires immediate payment in certain circumstances.

The Company sells its products in countries, including Southern European countries, Russia, Chile and Brazil, which face economic crises and local currency devaluation. Although the Company has historically collected receivables from customers in those countries, sustained weakness or further deterioration of the local economies and currencies may cause customers in those countries to be unable to pay for the Company’s products. The Company has not historically experienced a significant level of uncollected receivables and has received continued payments from its more aged accounts in these countries. The Company believes that the allowances for doubtful accounts related to these countries, if any, is adequate based on its analysis of the specific business circumstances and expectations of collection for each of the underlying accounts in these countries.

(17) SEGMENT INFORMATION

The Company operates in one business segment, which focuses on the development and commercialization of innovative therapies for people with serious and life threatening rare diseases and medical conditions. All products are included in one segment because all of the Company’s products have similar economic and other characteristics, including the nature of the products and production processes, type of customers, distribution methods and regulatory environment.

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Net product revenues by product:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Aldurazyme

 

$

22,341

 

 

$

23,751

 

 

$

61,681

 

 

$

58,819

 

Brineura

 

 

3,107

 

 

 

 

 

 

3,361

 

 

 

 

Firdapse

 

 

5,086

 

 

 

4,981

 

 

 

14,051

 

 

 

13,685

 

Kuvan

 

 

105,837

 

 

 

90,899

 

 

 

300,127

 

 

 

257,806

 

Naglazyme

 

 

72,083

 

 

 

77,728

 

 

 

238,392

 

 

 

221,575

 

Vimizim

 

 

90,298

 

 

 

80,903

 

 

 

299,256

 

 

 

260,310

 

Total net product revenues

 

$

298,752

 

 

$

278,262

 

 

$

916,868

 

 

$

812,195

 

26


BIOMARIN PHARMACEUTICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(In thousands of U.S. dollars, except per share amounts or as otherwise disclosed)

The following table summarizes total revenues from external customers and collaborative partners by geographic region. Net product revenues by geographic region are based on patient location for the Company’s commercial products, except for Aldurazyme, which is based on the location of Genzyme’s headquarters. Although Genzyme sells Aldurazyme worldwide, the revenues earned by the Company based on Genzyme’s net sales are included in the U.S. region, as the transactions are with Genzyme whose headquarters are located in the U.S.

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Total revenues by geographic region:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

United States

 

$

151,010

 

 

$

130,356

 

 

$

425,107

 

 

$

365,674

 

Europe

 

 

97,825

 

 

 

62,821

 

 

 

228,775

 

 

 

187,328

 

Latin America

 

 

26,356

 

 

 

38,789

 

 

 

121,824

 

 

 

106,803

 

Rest of world

 

 

58,957

 

 

 

47,930

 

 

 

179,635

 

 

 

156,958

 

Total revenues

 

$

334,148

 

 

$

279,896

 

 

$

955,341

 

 

$

816,763

 

(18)(11) COMMITMENTS AND CONTINGENCIES

Contingencies

From time to time the Company is involved in legal actions arising in the normal course of its business. The most significant of these actions are described below.

The process of resolving matters through litigation or other means is inherently uncertain and it is possible that an unfavorable resolution of these matters could adversely affect the Company, its results of operations, financial condition andor cash flows. The Company’s general practice is to expense legal fees as services are rendered in connection with legal matters, and to accrue for liabilities when losses are probable and reasonably estimable.

Paragraph IV Notices

estimable based on existing information. The Company received a paragraph IV notice letter, dated December 23, 2016, from Dr. Reddy’s Laboratories, Inc. and Dr. Reddy’s Laboratories, Ltd. (collectively, DRL), notifying it that DRL had filed an abbreviated new drug application (ANDA) seeking approvalaccrues for the best estimate of a proposed generic version of Kuvan (sapropterin dihydrochloride) 100  mg oral powder prior toloss within a range; however, if no estimate in the expirationrange is better than any other, then the minimum amount in the range is accrued. Liabilities are evaluated and refined each reporting period as additional information is known. Any receivables for insurance recoveries for these liability claims are recorded as assets when it is probable that a recovery will be realized.

The Company is involved in a purported shareholder class action lawsuit filed against the Company and certain officers and directors alleging violations under Sections 10(b) and 20(a) of the Securities Exchange Act of 1934 as amended (the Exchange Act) for making materially false or misleading statements regarding the clinical trials and Biologics License Application (BLA) for ROCTAVIAN (formerly known as valoctocogene roxaparvovec) by purportedly failing to disclose that differences between the Company’s patents listed inPhase 1/2 and Phase 3 clinical studies limited the FDA's Approvedability of the Phase 1/2 study to support ROCTAVIAN’s durability of effect and, as a result, that it was foreseeable that the Food and Drug Products with Therapeutic Equivalence Evaluations (the Orange Book).Administration (FDA) would not approve the BLA without additional data. On March 21, 2023, the Court entered an order staying all proceedings and vacating all deadlines because the parties agreed to settle the case through a binding term sheet. The Company filedPlaintiff plans to file a lawsuit alleging patent infringement against DRL.  In August 2017,motion for preliminary approval by April 28, 2023, which the Company entered into a settlement agreement with DRL (the DRL Powder Settlement Agreement) that resolvedanticipates will describe the patent litigation with DRL in the U.S. related to Kuvan 100 mg oral powder.  Under thematerial terms of the DRL Powder Settlement Agreement,settlement. The Company maintains directors and officers liability insurance that covers exposure related to this class action lawsuit. As of March 31, 2023, based on these terms the Company granted DRL a non-exclusive licensehas recorded an estimated loss contingency of $39.0 million to its Kuvan-related patents to allow DRL to market a generic versionAccounts Payable and Accrued Liabilities and the same amount recorded for expected insurance recoveries in Other Current Assets on the Company’s Condensed Consolidated Balance Sheets. As such, this had no impact on the Company’s Consolidated Statement of sapropterin dihydrochloride in oral powder form in 100 mg and 500 mg packet formulationsComprehensive Income in the U.S. for the indications approved for Kuvan beginning on October 1, 2020, or earlier under certain circumstances.

The Company also received two separate paragraph IV notice letters, dated January 14, 2016 and January 22, 2015, from Par Pharmaceutical, Inc. (Par), notifying it that Par had filed an ANDA seeking approvalfirst quarter of proposed generic versions2023.

17

Table of Kuvan 100 mg oral powder and Kuvan 100 mg oral tablets, respectively, prior to the expiration of the Company’s patents listed in the FDA’s Orange Book.  The Company filed two lawsuits alleging patent infringement against Par (the lawsuit against Par pertaining to the proposed generic version of Kuvan 100 mg oral tablets was filed together with Merck & Cie), and the two Par cases were consolidated.  In April 2017, the Company and Merck & Cie entered into a settlement agreement with Par (the Par Settlement Agreement) that resolved both cases against Par. Under the Par Settlement Agreement, the Company granted Par a non-exclusive license to its Kuvan-related patents to allow Par to market a generic version of sapropterin dihydrochloride in 100 mg oral tablets and oral powder in 100 mg and 500 mg packet formulations in the U.S. for the indications approved for Kuvan beginning on: April 1, 2021 if Par is not entitled to the statutory 180-day first filer exclusivity period; October 1, 2020 if Par is entitled to the statutory 180-day first filer exclusivity period; or earlier under certain circumstances.

ContentsThe Company also received a paragraph IV notice letter, dated October 3, 2014, from DRL notifying it that DRL had filed an ANDA seeking approval of a proposed generic version of Kuvan 100 mg oral tablets prior to the expiration of the Company’s patents

27


BIOMARIN PHARMACEUTICAL INC.

NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(In thousands of U.S. dollars,Dollars, except per share amounts or as otherwise disclosed)

listed in the FDA’s Orange Book. The Company, together with Merck & Cie, filed a lawsuit alleging patent infringement against DRL.  In September 2015,

Contingent Payments
As of March 31, 2023, the Company and Merck & Cie entered into a settlement agreement with DRL (the DRL Tablet Settlement Agreement) that resolved the patent litigation with DRL in the U.S. related to Kuvan 100 mg oral tablets. Under the terms of the DRL Tablet Settlement Agreement, the Company granted DRL a non-exclusive license to its Kuvan-related patents to allow DRL to market a generic version of sapropterin dihydrochloride 100 mg oral tablets in the U.S. for the indications approved for Kuvan beginning on October 1, 2020, or earlier under certain circumstances.

Contingent Payments

As of September 30, 2017, the Company iswas subject to contingent payments totaling approximately $600.2considered reasonably possible of $762.5 million, upon achievement of certainincluding $381.5 million related to an early-stage development and regulatory activities and commercial sales and licensing milestones if they occur before certain datesprogram licensed from a third party in the future. Of this amount, $218.3fourth quarter of 2021 and $210.0 million (or €185 million based on the exchange rate of 1.18 USD per Euro in effect on September 30, 2017) relatesrelated to the Merck PKU Business acquisition and $53.3 million relates to programs that are no longer being developed. See Note 13 to these Condensed Consolidated Financial Statements for further information regarding the Company’s contingent acquisition consideration payable.

As of September 30, 2017, the Company has recordedan early-stage development program licensed from a total of $179.4 million of short-term and long-term contingent acquisition consideration payable on its Condensed Consolidated Balances Sheet, of which $52.6 million is expected to be paidthird party in the next twelve months.

second quarter of 2020.

Other Commitments

The Company uses experts and laboratories at universities and other institutions to perform certain R&D activities. These amounts are included as R&D expense as services are provided. In the normal course of business, the Company enters into various firm purchase commitments primarily related to active pharmaceutical ingredients and certain inventory related items. As of September 30, 2017, these commitments for the next five years were approximately $41.5 million. The amounts primarily represent minimum purchase requirements forprocure active pharmaceutical ingredients, certain inventory-related items and post-marketingcertain third-party R&D services, production services and facility construction services. As of March 31, 2023, such commitments relatedwere estimated at approximately $251.7 million, of which $205.9 million is expected to the Company’s approved products.

(19) BENEFIT FROM INCOME TAXES

be paid in 2023. The Company has historically computed its interim period benefitalso licensed technology from income taxes by applying its forecasted effective tax ratethird parties, for which it is required to year-to-date earnings. However, duepay royalties upon future sales, subject to a significant amountcertain annual minimums.

18

Item 2.    Management’s Discussion and Analysis of U.S. forecasted income used in computing the effective tax rate, the effective tax rate can be highly sensitive to minor fluctuations in U.S. forecasted income. As such, the Company has computed the U.S. componentFinancial Condition and Results of the consolidated benefit from income taxes for the three and nine months ended September 30, 2017 and 2016 using an actual year-to-date tax calculation. Foreign tax expense was computed using a forecasted annual effective tax rate for the three and nine months ended September 30, 2017 and 2016.


Operations

Item 2.

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

The following discussion of our financial condition and results of operations should be read in conjunction with our Condensed Consolidated Financial Statements and the related Notes thereto included in this Quarterly Report on Form 10-Q. This discussion contains forward-looking statements that involve risks and uncertainties. When reviewing the discussion below, you should keep in mind the substantial risks and uncertainties that could impact our business. In particular, we encourage you to review the risks and uncertainties described in “Risk Factors” in Part II, Item 1A in this Quarterly Report on Form 10-Q. These risks and uncertainties could cause actual results to differ significantly from those projected in forward-looking statements contained in this report or implied by past results and trends. Forward-looking statements are statements that attempt to forecast or anticipate future developments in our business, financial condition or results of operations. See the section titled “Forward-Looking Statements” that appears at the beginning of this Quarterly Report on Form 10-Q. These statements, like all statements in this report, speak only as of the date of this Quarterly Report on Form 10-Q (unless another date is indicated), and, except as required by law, we undertake no obligation to update or revise these statements in light of future developments.

Our Condensed Consolidated Financial Statements have been prepared in accordance with United States (U.S.) generally accepted accounting principles (U.S. GAAP) and are presented in U.S. Dollars (USD).


19

Management’s Discussion and Analysis of Financial Condition and Results of Operations (continued)
(In millions, except as otherwise disclosed)
Overview

We

Founded in 1997, we are a global biotechnology company dedicated to transforming lives through genetic discovery. We develop and commercialize targeted therapies that developsaddress the root cause of genetic conditions. Our robust research and commercializesdevelopment capabilities have resulted in multiple innovative commercial therapies for peoplepatients with seriousrare genetic disorders. Our distinctive approach to drug discovery has produced a diverse pipeline of commercial, clinical, and life-threatening rare diseases and medical conditions. We select productpre-clinical candidates for diseases and conditions that representaddress a significant unmet medical need, have well-understood biology, and provide an opportunity to be first-to-market or offer a significantsubstantial benefit over existing products.

Our therapy portfolio consiststreatment options. A summary of six products and multiple clinical and pre-clinical product candidates. Ourour commercial products, are Aldurazymeas of March 31, 2023, is provided below:

Commercial ProductsIndication
Enzyme products:
VIMIZIM (elosulfase alpha)
MPS (1) IVA
NAGLAZYME (galsulfase)
MPS VI (2)
PALYNZIQ (pegvaliase-pqpz)
PKU (3)
BRINEURA (cerliponase alfa)
CLN2 (4)
ALDURAZYME (laronidase)
MPS I (5)
Other products:
VOXZOGO (vosoritide)
Achondroplasia (6)
ROCTAVIAN (valoctocogene roxaparvovec) (7)
Severe Hemophilia A
KUVAN (sapropterin dihydrochloride)PKU
(1)For the treatment of Mucopolysaccharidosis IV Type A
(2)For the treatment of MPS VI
(3)For the treatment of adult patients with phenylketonuria (PKU)
(4)For the treatment of neuronal ceroid lipofuscinosis type 2
(5)For the treatment of MPS I. ALDURAZYME is marketed worldwide by Sanofi
(6)For the treatment of achondroplasia in children aged five years and older for Mucopolysaccharidosis I (MPS I)the United States (U.S.), Brineura (cerliponase alfa)aged two years and older for the European Union (EU) and for various age ranges for other markets
(7)ROCTAVIAN (formerly known as valoctocogene roxaparvovec) for the treatment of late infantile neuronal ceroid lipofuscinosis type 2 (CLN2), Firdapse (amifampridine phosphate)adults with severe hemophilia A was conditionally approved by the European Commission (EC) in August 2022
A summary of our on-going clinical development programs, as of March 31, 2023, is provided below:
Clinical Development ProgramsTarget
Indication
Stage
ROCTAVIANSevere Hemophilia A
FDA (1) regulatory review
BMN 255HyperoxaluriaClinical Phase 1/2
BMN 331Hereditary Angioedema (HAE)Clinical Phase 1/2
(1)U.S. Food and Drug Administration
20

Management’s Discussion and Analysis of Financial Condition and Results of Operations (continued)
(In millions, except as otherwise disclosed)
Financial Highlights
Key components of our results of operations include the following:
Three Months Ended
March 31,
20232022
Total revenues$596.4 $519.4 
Cost of sales$126.5 $117.0 
Research and development (R&D) expense$171.8 $160.8 
Selling, general and administrative (SG&A) expense$223.0 $194.6 
Gain on sale of nonfinancial assets, net$— $(108.0)
Net income$50.9 $120.8 
See “Results of Operations” below for Lambert Eaton Myasthenic Syndrome (LEMS), Kuvan (sapropterin dihydrochloride)discussion of our results for phenylketonuria (PKU), Naglazyme (galsulfase) for Mucopolysaccharidosis VI (MPS VI)the periods presented.
Uncertainty Relating to Macroeconomic Environment
Conditions in the current macroeconomic environment, such as inflation, changes in interest and Vimizim (elosulfase alpha) for Mucopolysaccharidosis IV Type A (MPS IV A).

foreign currency exchange rates, banking crises, natural disasters, the continuing effects of the COVID-19 pandemic, and supply chain disruptions, could impact our global revenue sources and our overall business operations. The extent and duration of such effects remain uncertain and difficult to predict. We are actively monitoring and managing our response and assessing actual and potential impacts to our operating results and financial condition, as well as developments in our business, which could further impact the developments, trends and expectations described below. See the risk factor, “Our business is affected by macroeconomic conditions.” described in “Risk Factors” in Part II, Item 1A of this Quarterly Report on Form 10-Q.

Business Developments

We continued to grow our commercial business and advance our product candidate pipeline during 2017.2023. We believe that the combination of our internal research programs, acquisitions and partnerships will allow us to continue to develop and commercialize innovative therapies for people with serious and life-threatening rare diseases and medical conditions. Below is a summary of key business developmentsdevelopments:
Continued Emphasis on Research and Development
Product Launches, Approvals and Mid-stage Product Life Cycle Expansion Opportunities
ROCTAVIAN: We are working to finalize reimbursement and access with German, French and Italian health insurers. At present, people in 2017 to date:

In October 2017, we announced that the FDA had completed its review of the Investigational New Drug (IND) application for valoctocogene roxaparvovec (formerly referred to as BMN 270), an investigational gene therapy treatment forGermany with severe hemophilia A, and concludedwho are eligible for treatment, can access treatment under either Named Patient authorizations or previously secured Outcomes Based Agreements.

In March 2023, the FDA determined that we could proceed with its clinical development. The IND application included 52-weekthe submission of the three-year data atanalysis from the 6e13 vg/kg dose and the protocol for theongoing Phase 3 GENEr8-1 study, using the 6e13 vg/kg dose. We expect to file for approval of valoctocogene roxaparvovec with 52-week data from the Phase 3 studies. The protocol for the second Phase 3 study using the 4e13 vg/kg dose has also been submitted to the FDA. The FDA granted valoctocogene roxaparvovec Breakthrough Therapy Designation in October 2017. The FDA’s Breakthrough Therapy Designation is intended to facilitate and expedite development and review of new drugs to address unmet medical need in the treatment of a serious condition. We also announced that the Phase 3 Clinical Trial Application was approvedas requested by the United Kingdom Medicines and Healthcare Products Regulatory Agency (MHRA). In July 2017, we announced that median and mean Factor VIII levels from week 20 through 52 for the 6e13 vg/kg dose cohort have been consistently within the normal levels post treatment. We expectFDA, constituted a Major Amendment to initiate the global Phase 3 program in the fourth quarter of 2017.

In October 2017, we announced the selection of our next drug development candidate, BMN 290, a selective chromatin modulation therapy intended for treatment of Friedreich's Ataxia (FA), a rare autosomal recessive disorder that results in disabling neurologic and cardiac progressive decline. Currently, there are no approved disease modifying therapies for FA. BMN 290 is a second-generation compound derived from a compound acquired from Repligen Corporation (Repligen) that had human clinical data demonstrating increases in frataxin in FA patients. BMN 290 was selected for its favorable penetration into the central nervous system and cardiac target tissues, and its preservation of the selectivity of the original Repligen compound. We expect to submit the IND application in the second half of 2018.

In October 2017, updated results on the open-label Phase 2 study of vosoritide demonstrated a sustained increase in annualized growth velocity that was accompanied by sustained improvements over time in height compared to age- and gender-matched unaffected children as measure by z-scores. In addition, continued improvement over time in proportionality as measured by a ratio of the upper and lower body measurements, or U/L ratio, was demonstrated. Our on-going Phase 3 trial for vosoritide for the treatment of children with achondroplasia is a randomized, placebo-controlled study of vosoritide in approximately 110 children with achondroplasia ages 5-14 for 52 weeks. This study will be


followed by a subsequent open-label extension. In April 2017, following discussions with global health authorities, we announced plans to augment the growth velocity data in the Phase 3 study with assessments of proportionality, functionality and cumulative growth observed in that study and the ongoing Phase 2 study, as well as safety and efficacy in infants.

In August 2017, the FDA accepted for Priority Review the Biologics License Application (BLA) for pegvaliase,ROCTAVIAN gene therapy for adults with severe hemophilia A, due to the substantial amount of additional data and set a PEGylated phenylanine-metabolizing enzyme product, to reduce blood phenylalanine (Phe) levels in adult patients with PKU who have uncontrolled blood Phe levels on existing management. The FDA is not currently planning to hold an advisory committee meeting to discuss the BLA. Thenew Prescription Drug User Fee Act (PDUFA) action dateTarget Action Date of June 30, 2023.

ROCTAVIAN product expansion opportunities continue, including a clinical study investigating ROCTAVIAN treatment in those with active or prior inhibitors and continued exploration of methods of administering ROCTAVIAN in people with pre-existing antibodies against AAV5.
VOXZOGO: VOXZOGO is February 28, 2018. However,currently approved for the FDA has requested additional Chemistry, Manufacturing,treatment of children two years old and Controls (CMC) information, which we expect, when submitted, will be classified as a major amendmentolder in Europe, for children five years old and resultolder in a three month extension of the PDUFA date. We also intend to submit a Marketing Authorization Application to the EMAU.S., and for all ages from birth in Japan. During the first quarter of 2018.

2023, the global expansion continued, with market access and reimbursement activities progressing.

In August 2017,the coming months, we entered intoexpect to learn the outcome of our request to expand VOXZOGO access to younger age groups based on favorable results from a settlement agreement with Dr. Reddy's Laboratories, Inc.Phase 2 study in infants and Dr. Reddy's Laboratories, Ltd. (collectively, DRL) that resolvesyoung children. If age expansions are accepted, this will increase the patent litigation with DRLnumber of children eligible for VOXZOGO treatment in the U.S. relatedand Europe. We are also engaged in discussions with health authorities concerning the opportunity to Kuvan 100 mg oral powder. Underleverage VOXZOGO, a natural regulator of bone growth, in other conditions characterized by impaired bone growth.

21

Management’s Discussion and Analysis of Financial Condition and Results of Operations (continued)
(In millions, except as otherwise disclosed)
Select Earlier-stage Development Portfolio
BMN 255 for hyperoxaluria in chronic liver disease: we have concluded the termsmulti-ascending dose study in healthy human volunteers. In January 2023, we shared early data that demonstrated a rapid and potent increase in plasma glycolate following treatment with BMN 255. Oral daily dosing at all tested levels for 14 days demonstrated a favorable safety profile and showed sustained elevations of plasma glycolate, which is predicted to have a profound reduction in oxalate excretion in patients. We plan to initiate and enroll an expanded study in patients with chronic liver disease and hyperoxaluria in 2023. We believe the agreement, we granted DRLavailability of a non-exclusive licensepotent, orally bioavailable, small molecule like BMN 255 may be able to our patents related to Kuvan to allow DRL to marketsignificantly reduce disease and treatment burden in a generic version of sapropterin dihydrochloride in oral powder form in 100 mg and 500 mg packet formulationspatient population with significant unmet need.
BMN 331 gene therapy product candidate for Hereditary Angioedema (HAE): Dosing continues in the U.S. for the indications approved for Kuvan beginning on October 1, 2020, or earlier under certain circumstances.

In July 2017, we executed a license agreement and a settlement agreement (the Agreements) with Sarepta Therapeutics (Sarepta) that provide Sarepta with global exclusive rightsPhase 1/2 HAERMONY study to our Duchenne muscular dystrophy (DMD) patent estate for EXONDYS 51 and all future exon-skipping products. The Agreements resolved the ongoing worldwide patent proceedings related to the use of EXONDYS 51 and all future exon-skipping products for the treatment of DMD. Pursuant to the Agreements, Sarepta paid us a one-time upfront fee of $35.0 million, which we recognized as license revenue. Under the Agreements, Sarepta may pay certain additional regulatory and commercial milestone fees for exons 51, 45, 53 and possibly on future exon-skipping products to us if certain development and sales milestones are achieved. Additionally, Sarepta will pay us royalties based on 5% of net sales in the U.S. through the end of 2023 and 8% of net sales through September 30, 2024 in the EU and in other countries where certain of our patents exist. We retained the right to convert the license to a co-exclusive right in the event we decide to proceed withevaluate BMN 331, an exon-skippinginvestigational AAV5-mediated gene therapy for DMD.

people living with HAE. In July 2017,January 2023, we commissioned our commercial gene therapy manufacturing facility, located in Novato, California, and began Good Manufacturing Practices (GMP) production of valoctocogene roxaparvovec to support clinical development activities and anticipated commercial demand. This facility is capable of supporting the manufacturing of product for approximately 2,000 patients per year, and the production process was developed in accordance with International Conference on Harmonisation guidance for Pharmaceuticals for Human Use facilitating worldwide registration with health authorities.

In June 2017, the European Commission granted marketing authorization for Brineura in the European Union (EU) to treat children with CLN2 disease. The marketing authorization for Brineura includes all 28 countries of the EU, Norway, Iceland and Liechtenstein. Brineura isshared that the first treatment approved in the EU for the treatment of CLN2 disease. We immediately began marketing Brineura in the EU and began shipping the product within the EU in July 2017.

In April 2017, the United States (U.S.) Food and Drug Administration (FDA) approved Brineura to treat children with CLN2 disease. Brineura is the first treatment approved in the U.S. to slow the progression of loss of ambulation in children with CLN2 disease. We immediately began marketing Brineura in the U.S., and began shipping the product within the U.S. in June 2017.

In April 2017, we entered into a settlement agreement with Par Pharmaceutical (Par) that resolves patent litigation in the U.S. with Par related to our Kuvan (sapropterin dihydrochloride) 100 mg oral tablets and powder for oral solution in 100 mg packets. Under the terms of the settlement, we granted Par a non-exclusive license to our patents related to Kuvan to allow Par to market a generic version of sapropterin dihydrochloride 100 mg tablets and powder for oral solution in 100 mg and 500 mg sachets in the U.S. for the indications approved for Kuvan beginning on: April 1, 2021 if Par is not entitled to the statutory 180-day first filer exclusivity period; October 1, 2020 if Par is entitled to the statutory 180-day first filer exclusivity period; or earlier under certain circumstances.

In January 2017, we announced preliminary results from a Phase 1/2 trial of BMN 250, an investigational enzyme replacement therapy using a novel fusion of recombinant human NAGLU with a peptide derived from insulin-like growth factor 2 (IGF2), for the treatment of Sanfilippo B syndrome, or MPS IIIB, which began enrolling patients in April 2016.  In September 2017, we announced interim data from the dose escalation portion of a Phase 1/2 trial of BMN 250. We


continued to observe that BMN 250 reduced heparan sulfate levels to normal range in cerebral spinal fluid of MPS IIIB patients and observed liver size decreases and Development Quotient stabilization or improvement.

We reported total revenues of $334.1 million $955.3 million for the three and nine months ended September 30, 2017, respectively, compared to $279.9 million and $816.8 million for the three and nine months ended September 30, 2016, respectively.

Financial Highlights

Key components of our results of operations include the following (in millions):

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Total revenues

 

$

334.1

 

 

$

279.9

 

 

$

955.3

 

 

$

816.8

 

Cost of sales

 

 

59.5

 

 

 

50.7

 

 

 

165.8

 

 

 

145.5

 

Research and development (R&D) expense

 

 

154.1

 

 

 

160.8

 

 

 

442.1

 

 

 

486.7

 

Selling, general and administrative (SG&A) expense

 

 

130.5

 

 

 

118.8

 

 

 

394.1

 

 

 

333.6

 

Intangible asset amortization and contingent consideration

  expense

 

 

3.8

 

 

 

9.7

 

 

 

26.1

 

 

 

(34.3

)

Impairment of intangible assets

 

 

 

 

 

 

 

 

 

 

 

599.1

 

Net loss

 

 

(12.5

)

 

 

(37.4

)

 

 

(65.7

)

 

 

(539.5

)

Stock-based compensation expense

 

 

35.9

 

 

 

32.9

 

 

 

106.7

 

 

 

97.2

 

See “Results of Operations” below for a discussion of the detailed components and analysis of the amounts above.

Total Revenues include net product revenues and royalty and other revenues. Net Product Revenues are generated from the six approved products in our product portfolio as of September 30, 2017. In the U.S., our commercial products are generally sold to specialty pharmacies or end-users, such as hospitals, which act as retailers. Outside the U.S., our commercial products are sold to our authorized distributors or directly to government purchasers or hospitals, which act as the end-users. Royalty and Other Revenues include royalties on net sales of products to licensees or sublicensees, collaborative agreement revenues and rental income associatedparticipant treated with the tenants in our San Rafael, California facility.

Cost of Sales includes raw materials, personnel and facility and other costs associated primarily with manufacturing Aldurazyme, Brineura, Naglazyme and Vimizim6e13vg/kg dose demonstrated C1-Inhibitor levels that were approaching the therapeutically relevant range. In March 2023, the second sentinel participant was dosed at our production facilities. Cost of Sales also includes third-party manufacturing costs for the production of the active ingredient in Kuvan and Firdapse and third-party production costs related to final formulation and packaging services for all products and cost of royalties payable to third parties for all products.

R&D Expense includes costs associated with the research and development of product candidates and post-marketing research commitments related to our approved products. R&D Expense primarily includes preclinical and clinical studies, personnel and raw materials costs associated with manufacturing product candidates, quality control and assurance, research and development, facilities and regulatory costs.

SG&A Expense primarily includes expenses associated with the commercialization of approved products and general and administrative costs to support our operations. These expenses include: product marketing and sales operations personnel; corporate facility operating expenses; information technology expenses and depreciation; and core corporate support functions, including human resources, finance and legal, and other external corporate costs such as insurance, legal fees and other professional services.

Our cash, cash equivalents, short-term investments and long-term investments totaled approximately $1.7 billion as of September 30, 2017, compared to $1.4 billion as of December 31, 2016. We have historically financed our operations primarily through our cash flows from operating activities and the issuance of common stock and convertible debt. We expect to fund our operations with our net product revenues from our commercial products, cash, cash equivalents, and short-term and long-term investments, supplemented by proceeds from equity or debt financings and loans, or collaborative agreements with corporate partners. The timing and mix of our funding options could change depending on many factors, including how much we elect to spend on our development programs, potential licenses and acquisitions of complementary technologies, products and companies or if we elect to settle all or a portion of our convertible debt in cash. See “Financial Position, Liquidity and Capital Resources” below for a further discussion of our liquidity and capital resources.

6e13vg/kg.

Critical Accounting Policies and Estimates

In preparing our Condensed Consolidated Financial Statements in accordance with U.S. generally accepted accounting principles (U.S. GAAP)GAAP and pursuant to the rules and regulations promulgated by the Securities and Exchange Commission (SEC)(the SEC), we make assumptions, judgments and estimates that can have a significant impact on our net income/loss and affect the reported amounts of certain assets, liabilities, revenuerevenues and expenses, and related disclosures. On an ongoing basis, we evaluate our estimates and discuss our critical accounting policies and estimates with the Audit Committee of our Board of Directors. We base our assumptions, judgments and estimates on historical experience and various other factorsassumptions that we believe to be reasonable under the circumstances. Actual results could differ materially from these estimates under different assumptions or conditions.

On a regular basis, we evaluate our assumptions, judgments and estimates. We also discuss our critical accounting policies and estimates with the Audit Committee of our Board of Directors. We believe that the assumptions, judgments and estimates involved in the accounting for business combinations, contingent acquisition consideration payable, income taxes, long-lived assets and revenue recognition have the greatest impact on our Condensed Consolidated Financial Statements, so we consider these to be our critical accounting policies. Historically, our assumptions, judgments and estimates relative to our critical accounting policiesestimates have not differed materially from actual results.

results.

There have been no significant changes to our critical accounting policies and estimates during the ninethree months ended September 30, 2017,March 31, 2023, compared to the critical accounting policies and estimatesthose disclosed in Management’s“Management’s Discussion and Analysis of Financial Condition and Results of OperationsOperations” included in our Annual Report on Form 10-K for the year ended December 31, 2016.

2022, filed with the SEC on February 27, 2023.

Recent Accounting Pronouncements

See Note 41 to our accompanying Condensed Consolidated Financial Statements for a description of recent accounting pronouncements, if any, and our expectation of their impact if any, on our results of operations and financial condition.

22

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

(continued)

(In millions of U.S. dollars, except as otherwise disclosed)
Results of Operations
Net Loss

Our net lossProduct Revenues

Net Product Revenues consisted of the following:
Three Months Ended
March 31,
20232022Change
Enzyme product revenues:
VIMIZIM$189.2 $183.0 $6.2 
NAGLAZYME123.0 128.0 (5.0)
PALYNZIQ62.4 54.9 7.5 
BRINEURA39.1 36.2 2.9 
ALDURAZYME34.4 24.4 10.0 
Total enzyme product revenues$448.1 $426.5 $21.6 
VOXZOGO87.8 19.7 68.1 
KUVAN50.5 59.3 (8.8)
Total net product revenues$586.4 $505.5 $80.9 
Net Product Revenues include revenues generated from our approved products. In the U.S., our commercial products, except for PALYNZIQ and ALDURAZYME, are generally sold to specialty pharmacies or end-users, such as hospitals, which act as retailers. PALYNZIQ is distributed in the U.S. through certain certified specialty pharmacies under the PALYNZIQ Risk Evaluation and Mitigation Strategy (REMS) program, and ALDURAZYME is marketed worldwide by Sanofi. Outside the U.S., our commercial products are sold to authorized distributors or directly to government purchasers or hospitals, which act as the end users.
The increase in Net Product Revenues for the three months ended September 30, 2017 was $12.5 million,March 31, 2023 as compared to a net loss of $37.4 million for the three months ended September 30, 2016. Our net loss for the nine months ended September 30, 2017, was $65.7 million, compared to a net loss of $539.5 million for the nine months ended September 30, 2016. The decrease in net loss was primarily a result of the following (in millions):

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

Change

 

 

2017

 

 

2016

 

 

Change

 

Total revenues

 

$

334.1

 

 

$

279.9

 

 

$

54.2

 

 

$

955.3

 

 

$

816.8

 

 

$

138.5

 

Cost of sales

 

 

59.5

 

 

 

50.7

 

 

 

8.8

 

 

 

165.8

 

 

 

145.5

 

 

 

20.3

 

R&D expense

 

 

154.1

 

 

 

160.8

 

 

 

(6.7

)

 

 

442.1

 

 

 

486.7

 

 

 

(44.6

)

SG&A expense

 

 

130.5

 

 

 

118.8

 

 

 

11.7

 

 

 

394.1

 

 

 

333.6

 

 

 

60.5

 

Intangible asset amortization and

  contingent consideration expense

 

 

3.8

 

 

 

9.7

 

 

 

(5.9

)

 

 

26.1

 

 

 

(34.3

)

 

 

60.4

 

Impairment of intangible assets

 

 

 

 

 

 

 

 

 

 

 

 

 

 

599.1

 

 

 

(599.1

)

Other, net (1)

 

 

(6.8

)

 

 

(6.7

)

 

 

(0.1

)

 

 

(17.7

)

 

 

(25.1

)

 

 

7.4

 

Benefit from income taxes

 

 

(8.1

)

 

 

(29.4

)

 

 

21.3

 

 

 

(24.8

)

 

 

(199.4

)

 

 

174.6

 

Net loss

 

$

(12.5

)

 

$

(37.4

)

 

$

24.9

 

 

$

(65.7

)

 

$

(539.5

)

 

$

473.8

 

(1)

Includes Equity in the loss of BioMarin/Genzyme LLC, interest income, interest expense and other income, net.


The decrease in net loss for the three and nine months ended September 30, 2017March 31, 2022 was primarily attributed to an increasethe following:

VOXZOGO: continued global market expansion and new patients initiating therapy following regulatory approvals, particularly in total revenues mainlyJapan and Europe;
ALDURAZYME: the timing of order fulfillment to Sanofi;
PALYNZIQ: new patients initiating therapy in the U.S. and Europe;
VIMIZIM: new patients initiating therapy and the timing of orders in countries that place large government orders, particularly in Europe; partially offset by
KUVAN: lower sales primarily attributed to continued market erosion due to a $31.5 million net upfront license payment from Sarepta and patients initiating therapy. The increase in revenues was partially offset by a decrease in the benefit from income taxes for the three and nine months ended September 30, 2017 compared to the same periods in 2016. Additionally, during the nine months ended September 30, 2016 we recorded an impairment charge of $599.1 million primarily due to the termination of the Kyndrisa program, which was partially offset by the reversal of the deferred tax liability that had been established for the future amortization of those intangible assets. There was no similar charge during the nine months ended September 30, 2017. See below for additional information related to the net loss fluctuations presented above, including details of our operating expense fluctuations and the aforementioned impairment charge.

Net Product Revenues

A summary of our various commercial products, including key metrics as of September 30, 2017, is provided below:

Commercial Products

 

Indication

 

U.S. Orphan Drug Exclusivity

Expiration

 

U.S. Biologic

Exclusivity

Expiration

 

EU Orphan Drug Exclusivity

Expiration

Aldurazyme

 

MPS I

 

Expired

 

Expired

 

Expired

Brineura

 

CLN2

 

2024

 

2029

 

2027

Firdapse

 

LEMS

 

NA (1)

 

NA

 

2019

Kuvan

 

PKU

 

Expired

 

NA

 

2020 (2)

Naglazyme

 

MPS VI

 

Expired

 

Expired

 

Expired

Vimizim

 

MPS IVA

 

2021

 

2026

 

2024

generic competition.

(1)

Firdapse has not received marketing approval in the U.S. We have licensed the North American rights to develop and market Firdapse to a third party.

(2)

Kuvan has been granted orphan drug status in the EU, which together with pediatric exclusivity, confers 12 years of market exclusivity in the EU that expires in 2020. Furthermore, Merck Serono marketed Kuvan in the EU until January 1, 2016. See Note 5 to our accompanying Condensed Consolidated Financial for further discussion.

Net product revenues consisted of the following (in millions):

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

Change

 

 

2017

 

 

2016

 

 

Change

 

Aldurazyme

 

$

22.4

 

 

$

23.7

 

 

$

(1.3

)

 

$

61.7

 

 

$

58.8

 

 

$

2.9

 

Brineura

 

 

3.1

 

 

 

 

 

 

3.1

 

 

 

3.4

 

 

 

 

 

 

3.4

 

Firdapse

 

 

5.1

 

 

 

5.0

 

 

 

0.1

 

 

 

14.0

 

 

 

13.7

 

 

 

0.3

 

Kuvan

 

 

105.8

 

 

 

90.9

 

 

 

14.9

 

 

 

300.1

 

 

 

257.8

 

 

 

42.3

 

Naglazyme

 

 

72.1

 

 

 

77.8

 

 

 

(5.7

)

 

 

238.4

 

 

 

221.6

 

 

 

16.8

 

Vimizim

 

 

90.3

 

 

 

80.9

 

 

 

9.4

 

 

 

299.3

 

 

 

260.3

 

 

 

39.0

 

Total net product revenues

 

$

298.8

 

 

$

278.3

 

 

$

20.5

 

 

$

916.9

 

 

$

812.2

 

 

$

104.7

 

Our Brineura, Firdapse, Kuvan, Naglazyme and Vimizim customers include a limited number of specialty pharmacies and end-users, such as hospitals and foreign government agencies. We also sell Brineura, Kuvan, Naglazyme and Vimizim to our authorized distributors and to certain larger pharmaceutical wholesalers globally, which act as intermediaries between us and end-users and generally do not stock significant quantities of our products. However, inIn certain countries, particularly in Latin America, governments place large periodic orders for Naglazyme and Vimizim. Theour products. We expect that the timing of these large government orders canwill continue to be inconsistent, and canwhich may create significant quarterperiod to quarterperiod variation in our revenues.Genzyme Corporation (Genzyme) is

See the risk factor “The sale of generic versions of KUVAN by generic manufacturers has adversely affected and will continue to adversely affect our sole customerrevenues and may cause a decline in KUVAN revenues faster than expected” included in Part II, Item 1A of this Quarterly Report for Aldurazymeadditional information on risks we face.
23

Management’s Discussion and is responsible for marketingAnalysis of Financial Condition and selling Aldurazyme to third parties.

Results of Operations (continued)

(In millions of U.S. dollars, except as otherwise disclosed)
We face exposure to movements in foreign currency exchange rates, primarily the Euro.Euro, which we expect to continue in future periods. We use foreign currency exchange forward contracts to hedge a percentage of our foreign currency exposure. The following table shows our net product revenuesNet Product Revenues denominated in U.S. dollar (USD)USD and foreign currencies (in millions):

 

 

For the Three Months Ended September 30,

 

 

For the Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

Change

 

 

2017

 

 

2016

 

 

Change

 

Sales denominated in USD

 

$

178.4

 

 

$

168.2

 

 

$

10.2

 

 

$

544.9

 

 

$

473.8

 

 

$

71.1

 

Sales denominated in foreign currencies

 

 

120.4

 

 

 

110.1

 

 

 

10.3

 

 

 

372.0

 

 

 

338.4

 

 

 

33.6

 

Total net product revenues

 

$

298.8

 

 

$

278.3

 

 

$

20.5

 

 

$

916.9

 

 

$

812.2

 

 

$

104.7

 

currencies:

Three Months Ended
March 31,
20232022Change
Sales denominated in USD$297.6 $259.3 $38.3 
Sales denominated in foreign currencies288.8 246.2 42.6 
Total net product revenues$586.4 $505.5 $80.9 

Three Months Ended
March 31,
20232022Change
Unfavorable impact of foreign currency exchange rates on product sales denominated in currencies other than USD$(28.3)$(9.0)$(19.3)
The netunfavorable impact of foreign currency exchange rates on product sales denominated in currencies other than USD during the three and nine months ended September 30, 2017 was positive by $0.2 million and $1.6 million, respectively, compared to a positive impact of $0.5 million and a negative impact of $3.0 million, respectively, during the three and nine months ended September 30, 2016.

The following is additional discussion of our revenue results by product:

Aldurazyme: The Aldurazyme net product revenues for the three and nine months ended September 30, 2017, compared to the three and nine months ended September 30, 2016, remained relatively flat. The modest changes were primarily attributable to the timing of Aldurazyme revenues reported by Genzyme, offset in part by the timing of shipments to Genzyme. Aldurazyme revenues reported by Genzyme totaled $58.4 million and $176.3 million for the three and nine months ended September 30, 2017, respectively, compared to $58.9 million and $168.5 million for the three and nine months ended September 30, 2016, respectively. Although Genzyme sells Aldurazyme worldwide, the net product revenues earned by us on Genzymes net sales are denominated in USD.

Brineura: The FDA and European Commission granted marketing approval for Brineura in April 2017 and June 2017, respectively. We began marking the product following approval in each of these markets with the first commercial shipments in the U.S. and EU occurring in June 2017 and July 2017, respectively.

Kuvan: The increase in Kuvan net product revenues for the three and nine months ended September 30, 2017, compared to the three and nine months ended September 30, 2016, was primarily attributable to an increase in patients on Kuvan therapy in the U.S. and the completion of the transition of the ex-North American territories acquired in 2016.

Naglazyme: The decrease in Naglazyme net product revenues for the three months ended September 30, 2017,March 31, 2023 as compared to the three months ended September 30, 2016, was mainly due to timing of government orders in Latin America, partially offset by new patients initiating therapy. The increase in Naglazyme net product revenues for the nine months ended September 30, 2017, compared to the nine months ended September 30, 2016,March 31, 2022 was primarily attributable to new patients initiating therapy.

driven by weakening of Argentine Peso, Euro and Japanese Yen.

Vimizim: The increase in Vimizim net product revenues for the three and nine months ended September 30, 2017, compared to the three and nine months ended September 30, 2016, was primarily attributed to new patients initiating therapy.

Royalty and Other Revenues

Royalty and Other Revenues include royalties earned on net sales of products sold by third parties, up-front licensing fees, milestones achieved by licensees or sublicensees and rental income associated with the tenants in our facilities.
Three Months Ended
March 31,
20232022Change
Royalty and other revenues$10.0 $13.8 $(3.8)
The decrease in Royalty and Other Revenues for the three and nine months ended September 30, 2017 included recognition ofMarch 31, 2023 as compared to the $31.5 million net upfront license revenuethree months ended March 31, 2022 was primarily due to lower royalty revenues earned from Sarepta and $1.4 million in royalty revenue earned on Sarepta net sales during the third quarter of 2017. parties.
We expect to continue to earn royalties from Sarepta’s net sales underthird parties in the terms of the Agreements in future quarters.

future.

Cost of Sales and Product Gross Margin

Cost of Sales includes raw materials, personnel and facility and other costs associated with manufacturing our commercial products. These costs include production materials, production costs at our manufacturing facilities, third-party manufacturing costs, amortization of technology transfer intangible assets and internal and external final formulation and packaging costs. Cost of Sales also includes royalties payable to third parties based on sales of our products and charges for inventory valuation reserves.
The following table summarizes our costCost of goods soldSales and product gross margin (in millions, except percentages):

margin:

 

 

For the Three Months Ended September 30,

 

 

For the Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

Change

 

 

2017

 

 

2016

 

 

Change

 

Total net product sales

 

$

298.8

 

 

$

278.3

 

 

$

20.5

 

 

$

916.9

 

 

$

812.2

 

 

$

104.7

 

Cost of sales

 

 

59.5

 

 

 

50.7

 

 

 

8.8

 

 

 

165.8

 

 

 

145.5

 

 

 

20.3

 

Product gross margin

 

 

80

%

 

 

82

%

 

 

(2.0

)%

 

 

82

%

 

 

82

%

 

 

         0

%

Three Months Ended
March 31,
20232022Change
Total revenues$596.4 $519.4 $77.0 
Cost of sales$126.5 $117.0 $9.5 
Gross margin78.8 %77.5 %1.3 %


Product gross margin (defined as net product revenues less costCost of sales, expressed as a percentage of net product revenues) for the three months ended September 30, 2017 compared to 2016 decreased modestly. The decrease in product gross marginSales increased for the three months ended September 30, 2017 was primarily attributed to increased Naglazyme and Vimizim manufacturing costs. Product gross margin for the nine months ended September 30, 2017March 31, 2023 as compared to the comparable period in 2016 remained flat. three months ended March 31, 2022 primarily due to increased sales volumes as noted above. Gross margin increased for the three months ended March 31, 2023 as compared to the three months ended March 31, 2022 primarily due to lower royalties owed to a third-party licensor on product sales and lower per unit manufacturing costs for our enzyme products.

24

Management’s Discussion and Analysis of Financial Condition and Results of Operations (continued)
(In millions of U.S. dollars, except as otherwise disclosed)
We expect product gross margin to remain in the low 80 percent range over the next twelve months.

between approximately 77.5% and 79.0% through 2023.

Research and Development

A summary

R&D expense includes costs associated with the research and development of product candidates and post-marketing research commitments related to our on-going major development programs, including key metrics as of September 30, 2017, is provided below:

approved products. R&D expense primarily includes preclinical and clinical studies, personnel and raw materials costs associated with manufacturing clinical product, quality control and assurance, other R&D activities, facilities and regulatory costs.

U.S. Orphan

EU Orphan

Major Products in Development

Target Indication

Designation

Designation

Stage

BMN 250

MPS IIIB

Yes

Yes

Clinical Phase 1/2

Pegvaliase

PKU

Yes

Yes

Marketing authorization

regulatory review

Valoctocogene roxaparvovec

Hemophilia A

Yes

Yes

Clinical Phase 1/2

Vosoritide

Achondroplasia

Yes

Yes

Clinical Phase 3

We manage our R&D expense by identifying the R&D activities we anticipate will be performed during a given period and then prioritizing efforts based on scientific data, probability of successful development, market potential, available human and capital resources and other similar considerations. We continually review our product pipeline and the development status of product candidates and, as necessary, reallocate resources among the research and development portfolio that we believe will best support the future growth of our business.

business.

R&D Expense decreased to $154.1 million and $442.1 million for the three and nine months ended September 30, 2017, respectively, from $160.8 million and $486.7 million for the three and nine months ended September 30, 2016, respectively. R&D expense consisted of the following (in millions):

following:

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

Change

 

 

2017

 

 

2016

 

 

Change

 

BMN 250

 

$

17.0

 

 

$

11.4

 

 

$

5.6

 

 

$

37.9

 

 

$

35.3

 

 

$

2.6

 

Brineura

 

 

10.8

 

 

 

20.2

 

 

 

(9.4

)

 

 

39.5

 

 

 

52.4

 

 

 

(12.9

)

Pegvaliase

 

 

28.7

 

 

 

19.5

 

 

 

9.2

 

 

 

85.1

 

 

 

59.0

 

 

 

26.1

 

Valoctocogene roxaparvovec

 

 

29.7

 

 

 

12.8

 

 

 

16.9

 

 

 

83.6

 

 

 

38.9

 

 

 

44.7

 

Vosoritide

 

 

13.3

 

 

 

11.6

 

 

 

1.7

 

 

 

39.2

 

 

 

35.5

 

 

 

3.7

 

Other approved products

 

 

17.4

 

 

 

16.2

 

 

 

1.2

 

 

 

54.7

 

 

 

49.9

 

 

 

4.8

 

Early stage programs

 

 

16.3

 

 

 

15.3

 

 

 

1.0

 

 

 

47.7

 

 

 

40.0

 

 

 

7.7

 

Other and non-allocated

 

 

20.9

 

 

 

53.8

 

 

 

(32.9

)

 

 

54.4

 

 

 

175.7

 

 

 

(121.3

)

Total

 

$

154.1

 

 

$

160.8

 

 

$

(6.7

)

 

$

442.1

 

 

$

486.7

 

 

$

(44.6

)

Three Months Ended
March 31,
20232022Change
Research and early development$69.0 $61.7 $7.3 
ROCTAVIAN30.7 30.7 — 
Other approved products29.8 28.3 1.5 
VOXZOGO25.1 29.1 (4.0)
BMN 3318.6 7.0 1.6 
BMN 2552.0 2.2 (0.2)
Other6.6 1.8 4.8 
Total R&D expense$171.8 $160.8 $11.0 

For the three and nine months ended September 30, 2017, R&D expense decreased by $6.7 million and $44.6 million, respectively, compared to the same periods in 2016.

The decrease in R&D expense was primarily a result of the following:

a decreaseincrease in R&D expense for otherthe three months ended March 31, 2023 as compared to the three months ended March 31, 2022 was primarily due to higher spend in research and non-allocated programs is primarily related to R&D spending in 2016 on the Kyndrisa, other exon-skipping, and reveglucosidase alfaearly development programs all of which were terminated in 2016;due to increased pre-clinical activities and

IND-enabling studies for planned IND filings.

a decrease inWe expect R&D expense related to Brineuraincrease in future periods, primarily due to the approval of the product in the U.S. and EU in June 2017 and July 2017, respectively; offset by

an increase in clinical trial activities related to BMN 250, pegvaliase, valoctocogene roxaparvovec and vosoritide product candidates; and

an increase in pre-clinical activity for our early stage programs.


During the remainder of 2017, we expect our R&D spending to increase over 2016 levels due to our BMN 250, pegvaliase, valoctocogene roxaparvovec, and vosoritide programs progressing in their development. We also expect increased spending on pre-clinical activities for our research and early development stageprograms and clinical programs. Additionally, we expect to continue incurring significant R&D expense for the foreseeable future due to long-term clinical activities related to post-approval regulatory commitments for our approved products. We continuously evaluate the recoverability of costs associated with pre-launch or pre-qualification manufacturing activities, and if it is determined that recoverability is highly likely and therefore future revenues are expected, the costs subsequently incurred related to pre-launch or pre-qualification manufacturing activities for purposes of commercial sales will likely be capitalized. When regulatory approval and the likelihood of future revenues for a product candidate are less certain, the related manufacturing costs are expensed as R&D expenses.

Selling, General and Administrative

SG&A Expense increased to $130.5 million

Sales and $394.1 million for the three and nine months ended September 30, 2017, respectively, from $118.8 million and $333.6 million for the three and nine months ended September 30, 2016, respectively. The increase in SG&A expense was primarily a result of the following (in millions):

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

Change

 

 

2017

 

 

2016

 

 

Change

 

Sales and marketing (S&M) expense

 

$

67.0

 

 

$

61.3

 

 

$

5.7

 

 

$

201.9

 

 

$

174.9

 

 

$

27.0

 

General and administrative (G&A) expense

 

 

63.5

 

 

 

57.5

 

 

 

6.0

 

 

 

192.2

 

 

 

158.7

 

 

 

33.5

 

Total SG&A expense

 

$

130.5

 

 

$

118.8

 

 

$

11.7

 

 

$

394.1

 

 

$

333.6

 

 

$

60.5

 

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

S&M expense by product

 

2017

 

 

2016

 

 

Change

 

 

2017

 

 

2016

 

 

Change

 

Brineura

 

$

8.3

 

 

$

4.9

 

 

$

3.4

 

 

$

20.7

 

 

$

9.2

 

 

$

11.5

 

Kuvan

 

 

19.4

 

 

 

13.6

 

 

 

5.8

 

 

 

62.6

 

 

 

42.9

 

 

 

19.7

 

Naglazyme

 

 

11.9

 

 

 

12.6

 

 

 

(0.7

)

 

 

37.3

 

 

 

36.6

 

 

 

0.7

 

Vimizim

 

 

18.4

 

 

 

16.9

 

 

 

1.5

 

 

 

53.7

 

 

 

48.0

 

 

 

5.7

 

Other and not allocated

 

 

9.0

 

 

 

13.3

 

 

 

(4.3

)

 

 

27.6

 

 

 

38.2

 

 

 

(10.6

)

Total S&M expense

 

$

67.0

 

 

$

61.3

 

 

$

5.7

 

 

$

201.9

 

 

$

174.9

 

 

$

27.0

 

S&Mmarketing (S&M) expense primarily consisted of employee-related expenses for our sales group, brand marketing, patient support groups and pre-commercialization expenses related to our product candidates. For the threeGeneral and nine months ended September 30, 2017, the increase of $5.7 million and $27.0 million in S&M expense, respectively, compared to the same periods in 2016, was primarily related to the following:

an increase in Kuvan S&M expense due to continued worldwide expansion of commercial activities as a result of acquiring the worldwide rights to Kuvan, except for Japan, on January 1, 2016;

an increase in Brineura S&M expense primarily due to commercial marketing expense related to the launch of Brineura; and

an increase in Vimizim S&M expense due to continued expansion of our worldwide commercial activities; offset by

a decrease in other and not allocated S&M expense primarily due to the decrease in S&M expenses related to the terminated programs, primarily Kyndrisa.

G&Aadministrative (G&A) expense primarily consisted of corporate support and other administrative expenses, including employee-related expenses.

SG&A expenses which increasedconsisted of the following:
Three Months Ended
March 31,
20232022Change
S&M expense$117.7 $104.9 $12.8 
G&A expense105.3 89.7 15.6 
Total SG&A expense$223.0 $194.6 $28.4 

25

Management’s Discussion and Analysis of Financial Condition and Results of Operations (continued)
(In millions of U.S. dollars, except as otherwise disclosed)
S&M expenses consisted of the following:
Three Months Ended
March 31,
20232022Change
Enzyme Products$59.0 $55.9 $3.1 
VOXZOGO24.7 22.1 2.6 
ROCTAVIAN23.5 15.7 7.8 
Other10.5 11.2 (0.7)
Total S&M expense$117.7 $104.9 $12.8 
The increase in S&M expense for the three and nine months ended September 30, 2017,March 31, 2023 as compared to the three and nine months ended September 30, 2016,March 31, 2022 was primarily a result of increased activities in support of the European launch of ROCTAVIAN and an increase in ROCTAVIAN pre-launch activities in the U.S.    
The increase in G&A expense for the three months ended March 31, 2023 as compared to the three months ended March 31, 2022 was primarily due to increased personnelexternal costs for consulting services related to strategic initiatives and related costs mainly due to increased headcount.

higher employee-related costs.

We expect SG&A expense to increase in future periods as a result ofwe prepare to launch new products and support the continued commercial launch of Brineura, pre-commercialization efforts related to product candidates, the continued international expansion of Kuvan and Vimizim, and the increase in administrative support required for our expanding operations.

global brands.

Intangible Asset Amortization and Contingent Consideration

and Gain on Sale of Nonfinancial Assets, Net

Changes during the periods presented for Intangible Asset Amortization and Contingent Consideration and Gain on Sale of Nonfinancial Assets, Net were as follows:
Three Months Ended
March 31,
20232022Change
Amortization of intangible assets$15.7 $15.6 $0.1 
Changes in the fair value of contingent consideration— 2.0 (2.0)
Total intangible asset amortization and contingent consideration$15.7 $17.6 $(1.9)
Gain on sale of nonfinancial assets, net$— $108.0 $(108.0)
Amortization of intangible assets – the expense for the three months ended March 31, 2023 as compared to the three months ended March 31, 2022 was relatively flat.
Fair value of contingent consideration – the decrease in the fair value of contingent acquisition consideration payable result from updates to the estimated probability of achievement or assumed timing of milestones and adjustments to the discount periods and rates. Intangible asset amortization and contingent consideration expense consisted of the following (in millions):

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

Change

 

 

2017

 

 

2016

 

 

Change

 

Changes in the fair value of contingent

   acquisition consideration payable

 

$

(3.8

)

 

$

2.1

 

 

$

(5.9

)

 

$

3.4

 

 

$

(57.0

)

 

$

60.4

 

Amortization of intangible assets

 

 

7.6

 

 

 

7.6

 

 

 

 

 

 

22.7

 

 

 

22.7

 

 

 

 

Total intangible asset amortization and

   contingent consideration

 

$

3.8

 

 

$

9.7

 

 

$

(5.9

)

 

$

26.1

 

 

$

(34.3

)

 

$

60.4

 

The changes in the fair value of the contingent acquisition consideration payable were primarily attributable to changes in the estimated probability of achieving development milestones based on the current status of the related development programs as well as the passage of time. The majority of the changes in fair value of contingent acquisition consideration payable for each period presented was attributed to the following:

during the three months ended September 30, 2017, we reducedMarch 31, 2023 as compared to the estimated probabilitythree months ended March 31, 2022 was attributable to attainment of achieving the Firdapse FDA approvalfinal commercial milestone priorin the fourth quarter of 2022.

Gain on Sale of Nonfinancial Assets, Net – the decrease in the three months ended March 31, 2023 as compared to its expiration date to zero, which resulted in a decrease of $4.2 millionthe three months ended March 31, 2022 was due to the reversalsale in the first quarter of the fair value2022 of a portionPriority Review Voucher (PRV) with no similar transaction in 2023.
26

Management’s Discussion and Analysis of Financial Condition and Results of Operations (continued)
(In millions of U.S. dollars, except as otherwise disclosed)
Interest Income
We invest our cash equivalents and investments in U.S. government securities and other high credit quality debt securities in order to limit default and market risk.
Three Months Ended
March 31,
20232022Change
Interest income$11.9 $1.8 $10.1 
The increase in Interest Income for the contingent consideration payablethree months ended March 31, 2023 compared to the former Huxley Pharmaceuticals Inc. shareholders;

during the ninethree months ended September 30, 2017,March 31, 2022 was primarily due to higher yields on our investment portfolio. We expect Interest Income to increase over the continued progress ofnext 12 months due to anticipated higher interest rates and yields on our cash equivalents and investments.

Interest Expense
We incur interest expense primarily on our convertible debt. Interest Expense for the PKU developmental programperiods presented was as follows:
Three Months Ended
March 31,
20232022Change
Interest expense$3.7 $3.8 $(0.1)
Interest Expense for pegvaliase, offset by the reversal of the fair value of the Firdapse FDA approval milestone; and

during the ninethree months ended September 30, 2016, the termination of the Kyndrisa and reveglucosidase alfa development programs that resulted in the reversal of the fair value of the remaining contingent consideration payableMarch 31, 2023 as compared to the former Prosensa Holding N.V. and Zystor Therapeutics, Inc. shareholders.

Impairment of Intangible Assets

In the second quarter of 2016, we recorded an impairment charge of $599.1 million related to the Kyndrisa and other exon and reveglucosidase alfa IPR&D assets based on the termination of the internal development of the respective programs. No impairment charges were recorded in the three and nine months ended September 30, 2017.March 31, 2022 was relatively flat. We do not expect Interest Expense to fluctuate significantly over the next 12 months as the rates on our convertible debt are fixed. See Note 86 to our accompanying Condensed Consolidated Financial Statements for additional information regarding our Intangible Assets.

Interest Income

We invest our cash, short-term and long-term investmentsdebt.

Other Expense, Net
Other Expense, Net for the periods presented was as follows:
Three Months Ended
March 31,
20232022Change
Other expense, net$(10.8)$(1.2)$(9.6)
The increase in U.S. government securities and other high credit quality securities in order to limit default and market risk. Interest income totaled $4.0 million and $10.0 millionOther Expense, Net for the three and nine months ended September 30, 2017, respectively, compared to $1.6 million and $4.6 million for the three and nine months ended September 30, 2016, respectively. The increase in interest income during the three and nine months ended September 30, 2017,March 31, 2023 compared to the three and nine months ended September 30, 2016March 31, 2022 was primarily due to highera $12.6 million loss on an equity investment balances, which increased due to the investment of the net proceeds of $481.7 million from the August 2017 issuance of $495.0 million in aggregate principal amount of 0.599% senior subordinated convertible notes due in 2024 (the 2024 Notes) and higher average interest rate on investments. Due to higher investment balances offset in part by planned spend, over the next 12 months we expect an increase in interest income from present levels.

Interest Expense

We incur interest expense on our convertible debt. Interest expense consisted of the following (in millions):

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2017

 

 

2016

 

 

Change

 

 

2017

 

 

2016

 

 

Change

 

Coupon interest

 

$

2.7

 

 

$

2.5

 

 

$

0.2

 

 

$

7.2

 

 

$

7.5

 

 

$

(0.3

)

Amortization of issuance costs

 

 

1.1

 

 

 

0.8

 

 

 

0.3

 

 

 

2.9

 

 

 

2.5

 

 

 

0.4

 

Accretion of discount on convertible notes

 

 

7.1

 

 

 

6.7

 

 

 

0.4

 

 

 

20.9

 

 

 

19.8

 

 

 

1.1

 

Total interest expense

 

$

10.9

 

 

$

10.0

 

 

$

0.9

 

 

$

31.0

 

 

$

29.8

 

 

$

1.2

 


Interest expense primarily consisted of amounts related to our senior subordinated convertible notes. Interest expenseimpairment in the three and nine months ended September 30, 2017, compared to the three and nine months ended September 30, 2016 increased due to the issuancefirst quarter of the 2024 Notes. We expect interest expense to increase over the next 12 months due to the coupon interest and amortization of issuance costs related to the 2024 Notes.2023. See Note 11 2to our accompanying Condensed Consolidated Financial Statements for additional information regardinginformation.

Provision for Income Taxes
The following table summarizes our debt.

Benefit fromProvision for Income Taxes:

Three Months Ended
March 31,
20232022Change
Provision for income taxes$5.9 $13.4 $(7.5)
The decrease in Provision for Income Taxes

For for the three and nine months ended September 30, 2017, we recognized a benefit from income taxes of $8.1 million and $24.8 million, respectively,March 31, 2023 as compared to the three and nine months ended September 30, 2016 when weMarch 31, 2022 was primarily due to taxes on lower taxable income in the first quarter of 2023. Taxable income recognized anin the first quarter of 2022 included income tax benefit of $29.4 million and $199.4 million, respectively. The benefit from income taxes for the nine months ended September 30, 2016 primarily included the reversalsale of the deferred tax liability associated with the write-offPRV.


27

Management’s Discussion and reveglucosidase alfa. We have historically computed our interim period benefit from income taxes by applying our forecasted effective tax rate to year-to-date earnings. However, due to a significant amountAnalysis of Financial Condition and Results of Operations (continued)
(In millions of U.S. permanent differences relative to the amount of U.S. forecasted income used in computing the effective tax rate, the effective tax rate can be highly sensitive to minor fluctuations in U.S. forecasted income. As such, we have computed the U.S. component of the consolidated benefit from income taxes for the three and nine months ended September 30, 2017 and 2016 using an actual year-to-date tax calculation. Foreign tax expense was computed using a forecasted annual effective tax rate for the three and nine months ended September 30, 2017 and 2016.

The benefit from income taxes for the three and nine months ended September 30, 2017 and 2016 also consisted of state, federal and foreign current tax expense that was offset by deferred tax benefits from federal orphan drug and the federal and California R&D credits, and the tax benefit related to stock option exercises during these periods, which resulted in a net tax benefit in both periods. See Note 15 to our Consolidated dollars, except as otherwise disclosed)

Financial Statements included in our Annual Report on Form 10-K for the year ended December 31, 2016 for additional discussion of the components of our benefit from income taxes.

Financial Position,Condition, Liquidity and Capital Resources

As of September 30, 2017, we had approximately $1.7 billion in

Our cash, cash equivalents, and short-terminvestments as of March 31, 2023 and long-term investments. December 31, 2022 were as follows:
March 31, 2023December 31, 2022Change
Cash and cash equivalents$580.1 $724.5 $(144.4)
Short-term investments572.0 567.0 5.0 
Long-term investments340.6 333.9 6.7 
Cash, cash equivalents and investments$1,492.7 $1,625.4 $(132.7)
We expect to fundbelieve our operations with our net product revenuescash generated from sales of our commercial products, in addition to our cash, cash equivalents and short-terminvestments will be sufficient to satisfy our liquidity requirements for at least the next 12 months. We believe we will meet longer-term expected future cash requirements and long-termobligations through a combination of cash flows from operating activities, available cash and investments supplemented by proceedsbalances and available revolving loan balances. We will need to raise additional funds from equity or debt financings andsecurities, loans or collaborative agreements with corporate partners. Weif we are unable to satisfy our liquidity requirements. For example, we may require additional financing to fund the repayment of our convertible debt, future milestone payments and our future operations, including the commercialization of our products and product candidates currently under development, preclinical studies and clinical trials, and potential licenses and acquisitions. We will need to raise additional funds from equity or debt securities, loans or collaborative agreements if we are unable to satisfy our liquidity requirements. The timing and mix of our funding optionsalternatives could change depending on many factors, including how much we elect to spend on our development programs, potential licenses and acquisitions of complementary technologies, products and companies or if we elect to settle all or a portion of our convertible debt in cash.

In managing our liquidity needs in the U.S., we do not rely on unrepatriated earnings as a source of funds and we have not provided for U.S. federal or state income taxes on these undistributed foreign earnings. As of September 30, 2017, $87.3 million of our $1.7 billion balance of cash, cash equivalents, and investments was held in foreign subsidiaries, a significant portion of which is required to fund the liquidity needs of these foreign subsidiaries. For additional discussion regarding income taxes, see Note 15 to our Consolidated Financial Statements included in our Annual Report on Form 10-K for the year ended December 31, 2016.

We are mindful that conditions in the current macroeconomic environment, such as inflation, changes in interest and foreign currency exchange rates, natural disasters, the continuing effects of the COVID-19 pandemic, and supply chain disruptions could affect our ability to achieve our goals. Some of the factors that could affect our business include: future changes to healthcare reform in the U.S., a continuation of uncertainty with respect to, or worsening of, global economic conditions, patent expirations of competitive products and the launch of generic competitors, continued government pricing pressures internationally and the potential volatility in foreign currency exchange rates. We will continue to monitor these conditions and will attempt to adjust our business processes, as appropriate, to mitigate these risks to our business.


Our liquidity and capital resources as of September 30, 2017 and December 31, 2016 were as follows (in millions):

 

 

September 30,

 

 

December 31,

 

 

 

 

 

 

 

2017

 

 

2016

 

 

Change

 

Cash and cash equivalents

 

$

431.4

 

 

$

408.3

 

 

$

23.1

 

Short-term investments

 

 

825.7

 

 

 

381.3

 

 

 

444.4

 

Long-term investments

 

 

416.3

 

 

 

572.8

 

 

 

(156.5

)

Cash, cash equivalents and investments

 

$

1,673.4

 

 

$

1,362.4

 

 

$

311.0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Convertible debt

 

$

1,166.0

 

 

$

683.2

 

 

$

482.8

 

Our cash flows for the nine months ended September 30, 2017 and 2016 are summarized as follows (in millions):

 

 

2017

 

 

2016

 

 

Change

 

Cash and cash equivalents at the beginning of the period

 

$

408.3

 

 

$

397.0

 

 

$

11.3

 

Net cash used in operating activities

 

 

(23.4

)

 

 

(227.6

)

 

 

204.2

 

Net cash used in investing activities

 

 

(445.0

)

 

 

(174.4

)

 

 

(270.6

)

Net cash provided by financing activities

 

 

494.0

 

 

 

707.2

 

 

 

(213.2

)

Foreign exchange impact

 

 

(2.5

)

 

 

5.1

 

 

 

(7.6

)

Cash and cash equivalents at the end of the period

 

$

431.4

 

 

$

707.3

 

 

$

(275.9

)

Short-term and long-term investments

 

 

1,242.0

 

 

 

690.5

 

 

 

551.5

 

Cash, cash equivalents and investments

 

$

1,673.4

 

 

$

1,397.8

 

 

$

275.6

 

Cash Used in Operating Activities

Cash used in operating activities decreased by $204.2 million from $227.6 million during the nine months ended September 30, 2016 to $23.4 million during the nine months ended September 30, 2017. Cash used in operating activities primarily consisted of net loss of $65.7 million, adjusted for non-cash items such as $106.7 million for stock-based compensation expenses, $59.2 million for depreciation and amortization expense, $23.8 million of non-cash interest expense, partially offset by $36.2 million for deferred income taxes and $3.3 million gain on the sale of strategic investments. Cash used in operating activities in the comparable period in 2016 was adjusted for the non-cash impairment of intangible assets of $599.1 million. Changes in operating assets and liabilities during the nine months ended September 30, 2017 resulted in a net cash outflow of $122.5 million that consisted primarily of increased cash outflow for increased inventory spending for all commercial products to meet anticipated future sales demand.

Cash Used in Investing Activities

Net cash used in investing activities increased by $270.6 million from $174.4 million during the nine months ended September 30, 2016 to $445.0 million during the nine months ended September 30, 2017. The increase in net cash used in investing activities during the nine months ended September 30, 2017 compared to the nine months ended September 30, 2016 was primarily attributable to a $216.5 million increase in net purchases of available-for-sale securities and a $62.5 million increase of capital purchases. We expect to continue to make significant capital investments in our manufacturing and administrative facilities to accommodate anticipated demand for new commercial products, clinical studies and the related growth in personnel to support those activities.

Cash Provided by Financing Activities

Net cash provided by financing activities decreased by $213.2 million from $707.2 million for the nine months ended September 30, 2016 to $494.0 million during the nine months ended September 30, 2017. The decrease in net cash provided by financing activities for the nine months ended September 30, 2017 was primarily attributable to a decrease of $712.9 million in proceeds from public offerings of common stock and a $3.4 million decrease in proceeds from employee equity transactions, partially offset by $481.7 million of net proceeds from the 2024 Notes issued in August 2017 and a $23.4 million decrease in taxes paid related to net share settlement of employee equity awards.


Other Information

Our indebtedness consists primarily of the Company’s 0.75% senior subordinated convertible notes due in 2018 (the 2018 Notes), the Company’s 1.50% senior subordinated convertible notes due in 2020 (the 2020 Notes)  and the 2024 Notes, which, if not converted, will be required to be repaid in cash at maturity in 2018, 2020 and 2024, respectively. The 2018 Notes, 2020 Notes and 2024 Notes are referred to collectively herein as the Notes. Our senior subordinated convertible notes due in 2017 matured on April 23, 2017, with conversion of all principal amounts except for a final cash settlement of $26,000. In August 2017, we completed an offering of $495.0 million in aggregate principal amount of the 2024 Notes, which resulted in net proceeds of $481.7 million, after deducting commissions and offering expenses. The 2024 Notes bear interest at the stated annual rates, which is payable semiannually in arrears on February 1 and August 1 of each year beginning on February 1, 2018. See Note 11 to our accompanying Condensed Consolidated Financial Statements for additional discussion.

Our $1.2 billion (undiscounted) of total convertible debt as of September 30, 2017 will impact our liquidity due to the semi-annual cash interest payments and will further impact our liquidity if we elect to settle all or portions of the 2018 Notes or the 2020 Notes in cash upon conversion. In addition, in the event the conditional conversion feature of the 2018 Notes or 2020 Notes is triggered, holders of such 2018 Notes and 2020 Notes will be entitled to convert the 2018 Notes and 2020 Notes at any time during specified periods at their option. Our liquidity could be adversely affected if we do not elect to settle conversions of the 2018 Notes and 2020 Notes solely in shares of our common stock. Even if holders of the 2018 Notes or 2020 Notes do not elect to convert their 2018 Notes and 2020 Notes, we could be required under applicable accounting rules to reclassify all or a portion of the outstanding principal of such Notes as a current rather than long-term liability (for example, if there are 12 months or less remaining until maturity), which would result in a material reduction of our net working capital. Moreover, if holders of the Notes do not elect to convert their Notes and we are unable to refinance the Notes, we must repay the Notes. We may seek to refinance or repay these obligations through funds raised from third-party financing, or equity or debt financings, none of which may be available on commercially reasonable terms, if at all. In addition, depending on market conditions, our financial position and performance and other factors, we may in the future choose to use a portion of our cash or cash equivalents to repurchase our convertible debt or other securities.

In August 2016, we sold 7.5 million shares of our common stock at a price of $96.00 per share in an underwritten public offering pursuant to an effective registration statement previously filed with the SEC. We received net proceeds of approximately $712.9 million from this public offering after accounting for the underwriting discount and offering costs.  

In November 2016 we entered into a credit agreement (the Credit Agreement) providing for up to $100.0 million in revolving loans (the Revolving Credit Facility). We expect to use the proceeds of the Revolving Credit Facility to finance ongoing working capital needs (including timing differences resulting from the strategic management of short-term investments) and for other general corporate purposes. As of September 30, 2017, we had not drawn on the Revolving Credit Facility. Although quarterly interest payments will be due on any outstanding balance due, we anticipate any balance due to be short-term in nature. See Note 11 to our accompanying Condensed Consolidated Financial Statements for additional discussion.

We sell our products in othercertain countries, including Southern European countries, Russia, Chile and Brazil, which that face economic volatility and weakness. Although we have historically collected receivables from customers in thosesuch countries, sustained weakness or further deterioration of the local economies and currencies may cause customers in those countries to be unable to pay for our products.

We will continue to monitor these conditions and will attempt to adjust our business processes, as appropriate, to mitigate macroeconomic risks to our business.

Our cash flows are summarized as follows:
Three Months Ended March 31,
20232022Change
Net cash used in operating activities$(73.9)$(45.4)$(28.5)
Net cash provided by (used in) investing activities$(30.0)$87.8 $(117.8)
Net cash used in financing activities$(40.7)$(25.3)$(15.4)
The increase in net cash used in operating activities in the three months ended March 31, 2023 compared to March 31, 2022 was primarily attributed to the timing of cash receipts from our customers and payments to vendors.
The increase in net cash provided by investing activities in the three months ended March 31, 2023 compared to March 31, 2022 was primarily attributable to the absence of $110.0 million proceeds from the sale of the PRV in the first quarter of 2022.
The increase in net cash used in financing activities in the three months ended March 31, 2023 compared to March 31, 2022 was primarily attributed to higher taxes paid for net settlement of shares under our equity incentive plans and the final payment to a third party related to a PKU sales milestone achieved in 2022, partially offset by increased proceeds from stock option exercises.
Financing and Credit Facilities
Our $1.1 billion (undiscounted) of total convertible debt as of March 31, 2023 will impact our liquidity due to the semi-annual cash interest payments as well as the repayment of the principal amount, if not converted. As of March 31, 2023, our indebtedness consisted of our 0.599% senior subordinated convertible notes due in 2024 and our 1.25% senior subordinated convertible notes due in 2027, which, if not converted, will be required to be repaid in cash at maturity in August 2024 and May 2027, respectively. For additional information related to our convertible debt, see Note 6 to our accompanying Condensed
28

Management’s Discussion and Analysis of Financial Condition and Results of Operations (continued)
(In millions of U.S. dollars, except as otherwise disclosed)
Consolidated Financial Statements and Note 10 - Debt to the Consolidated Financial Statements accompanying our Annual Report on Form 10-K for the year ended December 31, 2022.
In October 2018, we entered into an unsecured revolving credit facility of up to $200.0 million which includes a letter of credit subfacility and a swingline loan subfacility. The credit facility is intended to finance ongoing working capital needs and for other general corporate purposes. In May 2021, we amended the credit facility agreement, extending the maturity date from October 19, 2021 to May 28, 2024, among other changes. The amended credit facility contains financial covenants including a maximum leverage ratio and a minimum interest coverage ratio. As of March 31, 2023, there were no amounts outstanding under the credit facility and we and certain of our subsidiaries that serve as guarantors were in compliance with all covenants.
Material Cash Requirements
Funding Commitments

Our investment in our research and early development of product candidates and continued development of our existing commercial products has a major impact on our operating performance. R&D expenses for our commercial products and certain product candidates for the period since inception as of March 31, 2023 were as follows:
Since Program Inception
ROCTAVIAN$974.8 
VOXZOGO$826.1 
BMN 331$118.5 
BMN 255$36.9 
Other approved products$2,518.8 
We cannot estimate with certainty the cost to complete any of our product development programs. We may need or elect to increase our spending above our current long-term plans to be able to achieve our long-term goals. This may increase our capital requirements, including: costs associated with the commercialization of our products; additional clinical trials; investments in the manufacturing of our commercial products; preclinical studies and clinical trials for our product candidates; potential licenses and other acquisitions of complementary technologies, products and companies; and general corporate purposes. Additionally, we cannot precisely estimate the time to complete any of our product development programs or when we expect to receive net cash inflows from any of our product development programs. Please see Risk Factors“Risk Factors” included in Part II, Item 1A of this Quarterly Report on Form 10-Q, for a discussion of the reasons we are unable to estimate such information, and in particular the following risk factors:

information.
Purchase Obligations

IfAs of March 31, 2023, we failhad obligations of approximately$251.7 million, which primarily related to obtain regulatory approval to commercially market and sell our product candidates, or if approval of our product candidates is delayed, we will be unable to generate revenue from the sale of these product candidates, our potential for generating positive cash flow will be diminished, and the capital necessary to fund our operations will increase;

If we are unable to successfully develop and maintain manufacturing processes for our products to produce sufficient quantities at acceptable costs, we may be unable to meet demand for our products and lose potential revenue, have reduced margins or be forced to terminate a program;


If we fail to compete successfully with respect to product sales, we may be unable to generate sufficient sales to recover our expenses related to the development of a product program or to justify continued marketing of a product and our revenue could be adversely affected; and

If we do not achieve our projected development goalsfirm purchase commitments entered into in the timeframes we announcenormal course of business to procure active pharmaceutical ingredients, certain inventory-related items, certain third-party R&D services, production services and expect, the commercialization of our product candidates may be delayed and the credibility of our management may be adversely affected and, as a result, our stock price may decline.

Our investment in our product development programs and continued development of our existing commercial products has a major impact on our operating performance. Our R&D expenses of our major development programs from inception to September 30, 2017 were as follows (in millions):

 

 

Since Program

 

 

 

Inception

 

BMN 250

 

$

136.5

 

Brineura

 

 

227.7

 

Pegvaliase

 

 

485.9

 

Valoctocogene roxaparvovec

 

 

204.7

 

Vosoritide

 

 

213.8

 

Other approved products

 

 

962.4

 

Other and non-allocated

 

Not meaningful

 

We may elect to increase our spending above our current long-term plans and consequently we may be unable to achieve our long-term goals. This may increase our capital requirements, including: costs associated with the commercialization of our products; additional clinical trials; investments in the manufacturing of our commercial products; pre-clinical studies and clinical trials for our other product candidates; potential licenses and other acquisitions of complementary technologies, products and companies; and general corporate purposes.

Our future capital requirements will depend on many factors, including, but not limited to:

product sales and profitability of our products;

manufacturing, supply or distribution of our product candidates and commercial products;

progress of our product candidates through the regulatory process and our ability to successfully commercialize any such products that receive regulatory approval;

results of clinical trials, announcements of technological innovations or new products by us or our competitors;

generic competition to Kuvan relating to our settlements with DRL (related to Kuvan tablets and powder) and Par (related to Kuvan tablets and powder) or potential generic competition from future competitors;

government regulatory action affecting our product candidates, our products or our competitors’ product candidates and products in both the U.S. and non-U.S. countries;

developments or disputes concerning patent or proprietary rights;

general market conditions and fluctuations for the emerging growth and pharmaceutical market sectors;

economic conditions in the U.S. or abroad;

negative publicity about our company or the pharmaceutical industry;

broad market fluctuations in the U.S., the EU or in other parts of the world;

actual or anticipated fluctuations in our operating results, including due to timing of large order for our products, in particular in Latin America, where governments place large periodic orders for Naglazyme and Vimizim;

changes in company assessments or financial estimates by securities analysts;

acquisitions of products, businesses, or other assets; and

sales of our shares of stock by us, our significant stockholders, or members of our management or Board of Directors.


Off-Balance Sheet Arrangements

We do not have any off-balance sheet arrangements that are currently material or reasonably likely to be material to our consolidated financial position or results of operations.

Contractual and Commercial Obligations

We have contractual and commercial obligations under our debt, operating leases and other obligations related to R&D activities, purchase commitments, licenses and sales royalties with annual minimums. Our contractual obligations as of September 30, 2017 are presented in the table below (in millions).

 

 

Payments Due Within

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

More

 

 

 

 

 

 

 

1 Year

 

 

>1 -3

 

 

> 3 - 5

 

 

Than 5

 

 

 

 

 

 

 

or Less

 

 

Years

 

 

Years

 

 

Years

 

 

Total

 

2018 Notes and related interest

 

$

2.8

 

 

$

376.4

 

 

$

 

 

$

 

 

$

379.2

 

2020 Notes and related interest

 

 

5.6

 

 

 

11.3

 

 

 

377.8

 

 

 

 

 

 

394.7

 

2024 Notes and related interest

 

 

3.0

 

 

 

5.9

 

 

 

5.9

 

 

 

500.9

 

 

 

515.7

 

Operating leases

 

 

8.8

 

 

 

6.2

 

 

 

4.2

 

 

 

12.2

 

 

 

31.4

 

R&D and purchase commitments

 

 

41.5

 

 

 

 

 

 

 

 

 

 

 

 

41.5

 

Total

 

$

61.7

 

 

$

399.8

 

 

$

387.9

 

 

$

513.1

 

 

$

1,362.5

 

We are also subject to contingent payments related to certain development and regulatory activities and commercial sales and licensing milestones totaling approximately $600.2 million as of September 30, 2017, which are due upon achievement of certain development and commercial milestones, and if they occur before certain dates in the future.facility construction services. Of this amount, $218.3$205.9 million (USD equivalentis expected to be paid in the next twelve months.

Other Obligations
As of 185March 31, 2023, we expect to pay $39.0 million Euros translated at 1.18 USD per Euro) relatesrelated to the Merck PKU Business acquisitionloss contingency recorded as a current liability on the Company's Condensed Consolidated Balance Sheets. The same amount was recorded as a short term receivable related to expected insurance recoveries.
Our lease, contingent obligations and $53.3 million relates to programs that are no longer being developed. unrecognized tax benefits as of March 31, 2023 have not materially changed from those discussed in “Financial Condition, Liquidity and Capital Resources” in Part II, Item 7 of our Annual Report on Form 10-K for the year ended December 31, 2022.
See Note 1811 to our accompanying Condensed Consolidated Financial Statements for additional discussion.

information on our commitments.

Item 3.

Quantitative and Qualitative Disclosures About Market Risk

29


Item 3.    Quantitative and Qualitative Disclosures About Market Risk
Our market risks during the ninethree months ended September 30, 2017March 31, 2023 have not materially changed from those discussed in Part II, Item 7A of our Annual Report on Form 10-K for the year ended December 31, 2016, which was filed with the SEC on February 27, 2017.

2022.

Item 4.

Controls and Procedures


Item 4.    Controls and Procedures
(a) Controls and Procedures

An evaluation was carried out, under the supervision of and with the participation of our management, including our Chief Executive Officer and our Chief Financial Officer, of the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the Exchange Act)), as of the end of the period covered by this report.

Based on the evaluation, our Chief Executive Officer and our Chief Financial Officer have concluded that our disclosure controls and procedures were effective, at the reasonable assurance level, as of September 30, 2017.

March 31, 2023.

In designing and evaluating our disclosure controls and procedures, our management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives, and our management must apply its judgment in evaluating the cost-benefit relationship of possible controls and procedures. Accordingly, our disclosure controls and procedures are designed to provide reasonable, not absolute, assurance that the objectives of our disclosure controls system are met.


(b) Change in Internal Control over Financial Reporting

There were no changes in our internal control over financial reporting, as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act, during our most recently completed quarter that have materially affected or are reasonably likely to materially affect our internal control over financial reporting. We are utilizingcontinue to utilize the Committee of Sponsoring Organizations of the Treadway Commission (COSO) 2013 Framework on internal control.

30

Table of Contents
PART II. OTHER INFORMATION

Item 1.

Legal Proceedings.

Paragraph IV Notices

We received

Item 1.    Legal Proceedings
On September 25, 2020, a paragraph IV notice letter, dated December 23, 2016, from Dr. Reddy’s Laboratories, Inc.purported shareholder class action lawsuit was filed against us, our Chief Executive Officer, our President of Worldwide Research and Dr. Reddy’s Laboratories, Ltd. (collectively, DRL), notifying usDevelopment and our Chief Financial Officer in the United States District Court in the Northern District of California, alleging violations under Sections 10(b) and 20(a) of the Securities Exchange Act of 1934 as amended (the Exchange Act). The complaint alleges that DRL hadwe made materially false or misleading statements regarding the clinical trials and Biologics License Application (BLA) for ROCTAVIAN (formerly known as valoctocogene roxaparvovec) by purportedly failing to disclose that differences between the Company’s Phase 1/2 and Phase 3 clinical studies limited the ability of the Phase 1/2 study to support ROCTAVIAN’s durability of effect and, as a result, that it was foreseeable that the Food and Drug Administration (FDA) would not approve the BLA without additional data. The complaint seeks an unspecified amount of damages, prejudgment and post-judgment interest, attorneys’ fees, expert fees, and other costs. The lead plaintiff filed an abbreviated new drug application (ANDA) seeking approvalamended complaint in February 2021, dropping our Chief Financial Officer as a defendant, and asserting that the Company misled investors about the progress of a proposed generic version of Kuvan (sapropterin dihydrochloride) 100 mg oral powder prior to the expirationFDA's review of our patents listedBLA for ROCTAVIAN. On April 22, 2021, we moved to dismiss the amended complaint. On January 6, 2022, the court denied our motion to dismiss. We answered the amended complaint on February 15, 2022. Plaintiff filed a motion for class certification on October 17, 2022. We filed an opposition to Plaintiff’s motion for class certification on January 27, 2023. On March 21, 2023, the Court entered an order staying all proceedings and vacating all deadlines because the parties agreed to settle the case through a binding term sheet. The Plaintiff plans to file a motion for preliminary approval by April 28, 2023, which we anticipate will describe the material terms of the settlement.
On October 22, 2021, a purported securities class action lawsuit was filed against us, our Chief Executive Officer, our current and prior Chief Financial Officers, and our President of Worldwide Research & Development in the FDA's Approved Drug Products with Therapeutic Equivalence Evaluations (the Orange Book).United States District Court for the Northern District of California, alleging violations under Sections 10(b) and 20(a) of the Exchange Act. The complaint alleges that we made materially false or misleading statements regarding BMN 307 by purportedly failing to disclose information about BMN 307’s safety profile, and by purportedly overstating BMN 307’s clinical and commercial prospects. The complaint seeks an unspecified amount of damages, pre-judgment and post-judgment interest, attorneys’ fees, expert fees, and other costs. The Court appointed lead plaintiffs and lead counsel on January 10, 2022. Lead plaintiffs filed an amended complaint on March 25, 2022. We filed a lawsuit alleging patent infringement against DRL. In August 2017,motion to dismiss the amended complaint on May 25, 2022. On January 19, 2023, the Court granted our motion to dismiss the complaint without prejudice. On February 21, 2023, the court dismissed the complaint with prejudice at plaintiffs’ request. Plaintiffs filed a notice indicating that they plan to appeal the court’s January 19, 2023 order. We believe that the claims have no merit and we entered intointend to vigorously defend this action.
On January 19, 2023, certain of our officers and directors were named as defendants in a settlement agreement with DRL (the DRL Powder Settlement Agreement) that resolved the patent litigation with DRLshareholder derivative action filed in the U.S.Delaware Court of Chancery. The complaint asserts, inter alia, breach of fiduciary duty claims arising from the facts underlying the securities class action related to Kuvan 100 mg oral powder. UnderROCTAVIAN. The complaint seeks unspecified monetary damages, internal governance reforms by the terms ofCompany, attorneys fees and costs, and any other relief the DRL Powder Settlement Agreement,court may deem just and proper. We believe that the claims have no merit and we granted DRL a non-exclusive licenseintend to our Kuvan-related patents to allow DRL to market a generic version of sapropterin dihydrochloride in oral powder form in 100 mg and 500 mg packet formulations in the U.S. for the indications approved for Kuvan beginning on October 1, 2020, or earlier under certain circumstances.

We also received two separate paragraph IV notice letters, dated January 14, 2016 and January 22, 2015, from Par Pharmaceutical, Inc. (Par), notifying us that Par had filed an ANDA seeking approval of proposed generic versions of Kuvan 100 mg oral powder and Kuvan 100 mg oral tablets, respectively, prior to the expiration of our patents listed in the FDA’s Orange Book. We filed two lawsuits alleging patent infringement against Par (the lawsuit against Par pertaining to the proposed generic version of Kuvan 100 mg oral tablets was filed together with Merck & Cie), and the two Par cases were consolidated. In April 2017, we and Merck & Cie entered into a settlement agreement with Par (the Par Settlement Agreement) that resolved both cases against Par. Under the Par Settlement Agreement, we granted Par a non-exclusive license to our Kuvan-related patents to allow Par to market a generic version of sapropterin dihydrochloride in 100 mg oral tablets and oral powder in 100 mg and 500 mg packet formulations in the U.S. for the indications approved for Kuvan beginning on: April 1, 2021 if Par is not entitled to the statutory 180-day first filer exclusivity period; October 1, 2020 if Par is entitled to the statutory 180-day first filer exclusivity period; or earlier under certain circumstances.

We also received a paragraph IV notice letter, dated October 3, 2014, from DRL notifying us that DRL had filed an ANDA seeking approval of a proposed generic version of Kuvan 100 mg oral tablets prior to the expiration of our patents listed in the FDA’s Orange Book. We, together with Merck & Cie,vigorously defend this action.

On February 23, 2023, purported shareholders filed a lawsuit alleging patent infringement against DRL. In September 2015, weus, our Chief Executive Officer, and Merck & Cie entered into a settlement agreement with DRL (the DRL Tablet Settlement Agreement) that resolved the patent litigation with DRLour President of Worldwide Research and Development in the U.S. related to Kuvan 100 mg oral tablets. UnderUnited States District Court in the termsNorthern District of California, alleging violations under Sections 10(b) and 20(a) of the DRL Tablet Settlement Agreement,Exchange Act and a common law fraud claim. The complaint is similar to the ROCTAVIAN putative class action and largely premised on the same underlying facts. The complaint seeks an unspecified amount of compensatory damages, punitive damages, prejudgment and post-judgment interest, attorneys’ fees and other costs, and any further relief the court may deem just and proper. We believe that the claims have no merit and we granted DRL a non-exclusive licenseintend to our Kuvan-related patents to allow DRL to market a generic version of sapropterin dihydrochloride 100 mg oral tablets in the U.S. for the indications approved for Kuvan beginning on October 1, 2020, or earlier under certain circumstances.


vigorously defend this action.

Item 1A.

Risk Factors


Item 1A.     Risk Factors
An investment in our securities involves a high degree of risk. We operate in a dynamic and rapidly changing industry that involves numerous risks and uncertainties. The risks and uncertainties described below are not the only ones we face. Other risks and uncertainties, including those that we do not currently consider material, may impair our business. If any of the risks discussed below actually occur, our business, financial condition, operating results or cash flows could be materially adversely affected. This could cause the value of our securities to decline, and you may lose all or part of your investment.

investment.

We have marked with an asterisk (*) those risk factors below that include a substantive change from or update to the risk factors included in our Annual Report on Form 10-K for the year ended December 31, 2016,2022, which was filed with the SEC on February 27, 2017.

2023.


31

Business and Operational Risks Related

If we fail to obtain and maintain an adequate level of coverage and reimbursement for our products by third-party payers, the sales of our products would be adversely affected or there may be no commercially viable markets for our products.
The course of treatment for patients using our products is expensive. For all our products except ROCTAVIAN, we expect patients to need treatment for extended periods, and for some products throughout the lifetimes of the patients. We expect that most families of patients will not be capable of paying for this treatment themselves. There will be no commercially viable market for our products without coverage and reimbursement from third-party payers. Additionally, even if there is a commercially viable market, if the level of reimbursement is below our expectations, our revenues and gross margin will be adversely affected.
Third-party payers, such as government or private healthcare insurers, carefully review and increasingly challenge the prices charged for drugs. Reimbursement rates from private companies vary depending on the third-party payer, the insurance plan and other factors. Obtaining coverage and adequate reimbursement for our products may be particularly difficult because of the higher prices often associated with drugs administered under the supervision of a physician. Reimbursement systems in international markets vary significantly by country and by region, and reimbursement approvals must be obtained on a country-by-country basis.
Government authorities and other third-party payers are developing increasingly sophisticated methods of controlling healthcare costs, such as by limiting coverage and the amount of reimbursement for particular medications. Increasingly, third-party payers are requiring that drug companies provide them with predetermined discounts from list prices as a condition of coverage, are using restrictive formularies and preferred drug lists to leverage greater discounts in competitive classes, and are challenging the prices charged for medical products. Further, no uniform policy requirement for coverage and reimbursement for drug products exists among third-party payers in the U.S. Therefore, coverage and reimbursement for drug products can differ significantly from payer to payer. As a result, the coverage determination process is often a time-consuming and costly process that will require us to provide scientific and clinical support for the use of our products to each payer separately, with no assurance that coverage and adequate reimbursement will be applied consistently or obtained in the first instance.
We cannot be sure that coverage and reimbursement will be available for any product that we commercialize or will continue to be available for any product that we have commercialized and, if reimbursement is available, what the level of reimbursement will be. Even if favorable coverage and reimbursement status is attained for one or more products for which we receive regulatory approval, less favorable coverage policies and reimbursement rates may be implemented in the future. Coverage and reimbursement may impact the demand for, or the price of, any product candidate for which we obtain marketing approval. If coverage and reimbursement are not available or reimbursement is available only to limited levels, we may not successfully commercialize any product candidate for which we obtain marketing approval or continue to market any product that has already been commercialized.
Reimbursement in the European Union (EU) and many other territories must be negotiated on a country-by-country basis and in many countries the product cannot be commercially launched until pricing and/or reimbursement is approved. The timing to complete the negotiation process in each country is highly uncertain, and in some countries, we expect that it will exceed 12 months. Even after a price is negotiated, countries frequently request or require reductions to the price and other concessions over time.
For our future products, we will not know what the reimbursement rates will be until we are ready to market the product and we actually negotiate the rates. If we are unable to obtain sufficiently high reimbursement rates for our products, they may not be commercially viable or our future revenues and gross margin may be adversely affected.
Because the target patient populations for our products are relatively small, we must achieve significant market share and maintain high per-patient prices for our products to achieve and maintain profitability.
All of our products target diseases with relatively small patient populations. Our Business

two newest products, VOXZOGO and ROCTAVIAN, address potentially larger patient populations than most of our other products; however, their market sizes are considerably smaller than many drugs marketed by other pharmaceutical and biotechnology companies. As a result, our per-patient prices must be relatively high in order to recover our development and manufacturing costs and achieve and maintain profitability. For BRINEURA, NAGLAZYME and VIMIZIM in particular, we must market worldwide to achieve significant market penetration of the product. In addition, because the number of potential patients in each disease population is small, it is not only important to find patients who begin therapy to achieve significant market penetration of the product, but we also need to be able to maintain these patients on therapy for an extended period of time. Due to the expected costs of treatment for our products, we may be unable to maintain or obtain sufficient market share at a price high enough to justify our product development efforts and manufacturing expenses.

32

If we fail to compete successfully with respect to product sales, we may be unable to generate sufficient sales to recover our expenses related to the development of a product program or to justify continued marketing of a product and our revenues could be adversely affected.
Our competitors may develop, manufacture and market products that are more effective or less expensive than ours. They may also obtain regulatory approvals for their products faster than we can obtain them (including those products with orphan drug designation, which may prevent us from marketing our product entirely) or commercialize their products before we do. With respect to ROCTAVIAN, which has been conditionally approved in the EU and may be approved in the U.S. and other markets in the future, we face a highly developed and competitive market for hemophilia A treatments. As we commercialize ROCTAVIAN, we may face intense competition from large pharmaceutical companies with extensive resources and established relationships in the hemophilia A community. If we do not compete successfully, our revenues would be adversely affected, and we may be unable to generate sufficient sales to recover our expenses related to the development of a product program or to justify continued marketing of a product.
Changes in methods of treatment of disease could reduce demand for our products and adversely affect revenues.
Even if our product candidates are approved, if doctors elect a course of treatment which does not include our products, this decision would reduce demand for our products and adversely affect revenues. For example, if gene therapy becomes widely used as a treatment of genetic diseases, the use of enzyme replacement therapy, such as ALDURAZYME, NAGLAZYME, and VIMIZIM in MPS diseases, could be greatly reduced. Changes in treatment method can be caused by the introduction of other companies’ products or the development of new technologies or surgical procedures which may not directly compete with ours, but which have the effect of changing how doctors decide to treat a disease.
If we fail to develop new products and product candidates or compete successfully with respect to acquisitions, joint ventures, licenses or other collaboration opportunities, our ability to continue to expand our product pipeline and our growth and development would be impaired.
Our future growth and development depend in part on our ability to successfully develop new products from our research and development activities. The development of biopharmaceutical products is very expensive and time intensive and involves a great degree of risk. The outcomes of research and development programs, especially for innovative biopharmaceuticals, are inherently uncertain and may not result in the commercialization of any products.
Our competitors compete with us to attract organizations for acquisitions, joint ventures, licensing arrangements or other collaborations. To date, several of our former and current product programs have been acquired through acquisitions and several of our former and current product programs have been developed through licensing or collaborative arrangements, such as ALDURAZYME, KUVAN and NAGLAZYME. These collaborations include licensing proprietary technology from, and other relationships with, academic research institutions. Our future success will depend, in part, on our ability to identify additional opportunities and to successfully enter into partnering or acquisition agreements for those opportunities. If our competitors successfully enter into partnering arrangements or license agreements with academic research institutions, we will then be precluded from pursuing those specific opportunities. Because each of these opportunities is unique, we may not be able to find a substitute. Several pharmaceutical and biotechnology companies have already established themselves in the field of genetic diseases. These companies have already begun many drug development programs, some of which may target diseases that we are also targeting, and have already entered into partnering and licensing arrangements with academic research institutions, reducing the pool of available opportunities.
Universities and public and private research institutions also compete with us. While these organizations primarily have educational or basic research objectives, they may develop proprietary technology and acquire patents that we may need for the development of our product candidates. We will attempt to license this proprietary technology, if available. These licenses may not be available to us on acceptable terms, if at all. If we are unable to compete successfully with respect to acquisitions, joint venture and other collaboration opportunities, we may be limited in our ability to develop new products and to continue to expand our product pipeline.
The sale of generic versions of KUVAN by generic manufacturers has adversely affected and will continue to adversely affect our revenues and may cause a decline in KUVAN revenues faster than expected.
Generic versions of KUVAN are available in several countries around the world, including multiple generic versions in the U.S. This generic competition has adversely affected and will continue to adversely affect our revenues from KUVAN, and we cannot accurately predict the rate of decline of KUVAN revenues in these countries. We are also aware that manufacturers are challenging our patent portfolio related to KUVAN in several jurisdictions, and several generic versions of KUVAN have been approved either centrally by the European Medicines Agency (EMA) or on a country-by-country basis throughout the EU. If these patent challenges are successful, or if a manufacturer chooses to offer a generic version of KUVAN, notwithstanding our existing patents, our revenues from KUVAN may decline faster than expected.
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If we do not achieve our projected development goals in the timeframes we announce or fail to achieve such goals, the commercialization of our product candidates may be delayed or never occur and the credibility of our management may be adversely affected and, as a result, our stock price may decline.
For planning purposes, we estimate the timing of the accomplishment of various scientific, clinical, regulatory and other product development goals, which we sometimes refer to as milestones. These milestones may include the commencement or completion of scientific studies and clinical trials and the submission of regulatory filings. From time to time, we publicly announce the expected timing of some of these milestones. All of these milestones are based on a variety of assumptions. The actual timing of these milestones can vary dramatically compared to our estimates or the milestones may never be achieved, in many cases for reasons beyond our control. For example, in 2021 and early 2022, we announced that we planned to resubmit our Biologics License Application (BLA) for ROCTAVIAN to the Food and Drug Administration (FDA) in the first half of 2022; however, we did not file the BLA until the third quarter of 2022 due to the additional time we needed to include supplemental information and analyses of data requested by the FDA. If we do not meet development milestones as publicly announced, the commercialization of our products may be delayed or never occur and the credibility of our management may be adversely affected and, as a result, our stock price may decline.
We have in the past and may in the future enter into licensing arrangements, and we may not realize the benefits of such licensing arrangements.
We have in the past and may in the future enter into licensing arrangements with third parties. It is possible that we may not achieve financial or strategic benefits that justify a specific license, or we may otherwise not realize the benefits of such licensing arrangement. Further, licensing arrangements impose various diligence, milestone and royalty payment and other obligations on us. If we fail to comply with our obligations under any current or future licenses, our licensors may have the right to terminate these license agreements, which could harm our business prospects, financial condition and results of operations. Additionally, counterparties to our license agreements have in the past alleged and may in the future allege that we have breached a license agreement, which can result in litigation or other disputes that can divert management’s attention away from our business and require us to expend resources, as well as potentially having to negotiate new or reinstated licenses with less favorable terms. Any such situation could adversely affect our business, financial condition, and results of operations.

Regulatory Risks
*If we fail to obtain regulatory approval to commercially market and sell our product candidates, or if approval of our product candidates is delayed, we will be unable to generate revenuerevenues from the sale of these product candidates, our potential for generating positive cash flow will be diminished, and the capital necessary to fund our operations will increase.

We must obtain and maintain regulatory approval to market and sell our product candidates. For example, in the U.S., we must obtain Food and Drug Administration (FDA)FDA approval for each product candidate that we intend to commercialize, and in Europethe EU, we must obtain approval from the European Medicines Agency (EMA).Commission (EC), based on the opinion of the Committee for Medicinal Products for Human Use (CHMP) of the EMA. The FDA and EMAEC approval processes are typically lengthy and expensive, and approval is never certain. To obtain regulatory approval, we must first show that our product candidates are safe and effective for target indications through preclinical studies and clinical trials. Preclinical studies and clinical development are long, expensive and uncertain processes. Completion of clinical trials may take several years, and failure may occur at any stage of development. The length of time required varies substantially according to the type, complexity, novelty and intended use of a product candidate. Interim results of a preclinical test or clinical trial do not necessarily predict final results, and acceptable results in early clinical trials may not be repeated in later clinical trials. Accordingly, there are no assurances that we will obtain regulatory approval for any of our product candidates, including pegvaliase, in any jurisdiction. For example, even though the pivotal Phase 3 PRISM-2 study of pegvaliase met the primary endpoint of change in blood Phe compared with placebo (p<0.0001), we did not demonstrate a statistically significant improvement in inattention or mood scores, a key secondary clinical neurocognitive endpoint. In August 2017, the FDA accepted for Priority Review our Biologics License Application (BLA) for pegvaliase, butcandidates. Furthermore, there iscan be no assurance that a reduction in blood Phe alone will be sufficient to support the FDA’s full regulatory approval of pegvaliase.

Althoughone of our product candidates by one regulatory authority will mean that other authorities will also approve the same product candidate. For example, the EC’s conditional approval of ROCTAVIAN in August 2022 does not guarantee that the FDA will approve the same drug. Similarly, in the EU, a positive CHMP opinion for approval of a product candidate does not guarantee that the EC will approve a drug. Moreover, regulatory authorities may approve a product candidate for fewer or more limited indications than requested. In addition, regulatory authorities may not approve the labeling claims that are necessary or desirable for the successful commercialization of our product candidates.

We have had fewer interactions with regulatory authorities outside the U.S. and the EU as compared to our interactions with the FDA and EMA. The approval procedures vary among countries and can involve additional clinical testing, and the EMA have programstime required to facilitate acceleratedobtain approval processes, the timelines agreed under legislative goalsmay differ from that required to obtain FDA or mandatedEC approval. Moreover, clinical trials conducted in one country may not be accepted by regulations are subject to the possibility of substantial delays. In addition,regulatory authorities in other countries. Approval by the FDA the EMA and other internationalor EC does not ensure approval by regulatory authorities in other countries, and approval by one or more non-U.S. regulatory authorities does not ensure approval by regulatory authorities in other non-U.S. countries or by the FDA or EC. However, a failure or delay in obtaining regulatory approval in one country may have substantial discretion overa negative effect on the regulatory process in others. The non-U.S. regulatory approval process for pharmaceutical products. These regulatory agenciesmay include all of the risks associated with obtaining FDA or EC approval. We may not agree thatobtain non-U.S. regulatory approvals on a timely
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basis, if at all. We may not be able to file for regulatory approvals and even if we have demonstrated the requisite level of product safety and efficacyfile, we may not receive necessary approvals to grant approval and may require additional data. If we fail to obtain regulatory approval forcommercialize our product candidates we will be unable to market and sell those product candidates. Because of the risks and uncertainties in pharmaceutical development, our product candidates could take a significantly longer time to gain regulatory approval than we expect or may never gain approval. any market.
We also rely on independent third-party contract research organizationsContract Research Organizations (CROs) to file some of our foreignnon-U.S. marketing applications, and while we keep a close oversight on the activities we delegate to CROs, important aspects of the services performed for us by the CROs are out of our direct control. If we fail to adequately manage our CROs, if the CRO elects to prioritize work on our projects below other projects or if there is any dispute or disruption in our relationship with our CROs, the filing of our applications may be delayed.

Although the FDA and the EMA have programs to facilitate expedited development and accelerated approval processes, the timelines agreed under legislative goals or mandated by regulations are subject to the possibility of substantial delays. Accordingly, even if any of our applications receives a designation to facilitate expedited development and accelerated approval processes, these designations may not result in faster review or approval for our product candidates compared to product candidates considered for approval under conventional procedures and, in any event, do not assure ultimate approval of our product candidates by regulatory authorities. In addition, the FDA, the EMA and other comparable international regulatory authorities have substantial discretion over the approval process for pharmaceutical products. These regulatory agencies may not agree that we have demonstrated the requisite level of product safety and efficacy to grant approval and may require, and in the past have required, additional data. If we fail to obtain regulatory approval for our product candidates, we will be unable to market and sell those product candidates, which would have a negative effect on our business and financial condition.
Regulatory agencies and the new requirements and guidelines they promulgate may lengthen the regulatory review process, require us to perform additional or larger studies, increase our development costs, lead to changes in regulatory positions and interpretations, delay or prevent approval and commercialization of our treatment candidate or lead to significant post-approval studies, limitations or restrictions. For example, on August 18, 2020, the FDA issued a Complete Response Letter (CRL) to our BLA for ROCTAVIAN for the treatment of adults with severe hemophilia A. In the CRL, the FDA introduced a new request for two-year follow-up safety and efficacy data on all study participants from our ongoing Phase 3 study of ROCTAVIAN. In January 2022, we announced results from the requested two-year data analysis from our Phase 3 study. In the third quarter of 2022, we resubmitted our BLA, and the FDA subsequently accepted our submission with an original Prescription Drug User Fee Act (PDUFA) target action date of March 31, 2023. In early 2023, we supplemented our BLA by submitting our three-year analysis of the global Phase 3 study of ROCTAVIAN, which the FDA deemed to be a Major Amendment to our BLA due to the substantial amount of additional data, and the FDA set a new PDUFA target action date of June 30, 2023.
In addition, some of our product candidates are intended to be used in combination with a deliverymedical device, such as an injector or other delivery system. Medicalsystem or companion diagnostic. Such products containing a combination of new drugs, biological products or medical devices may be regulated as “combination products” in the U.S. A combination productand the EU, which are generally is defined as a productproducts consisting of components from two or more regulatory categories (e.g., drug/device, device/biologic, drug/biologic). EachIn the U.S., each component of a combination product is subject to the requirements established by the FDA for that type of component, whether a new drug, biologic or device. In order to facilitate pre-market review of combination products, the FDA designates one of its centers to have primary jurisdiction for the pre-market review and regulation of the overall product based upon a determination by the FDA of the primary mode of action of the combination product. The determination whether a product is a combination product or two separately regulated products is made by the FDA on a case-by-case basis. In the EU, if a device intended to administer a medicinal product is sold together with such medicinal product in such a way that they form a single integral product which is intended exclusively for use in the given combination and which is not reusable, that single integral product is regulated as a medicinal product. In addition, the relevant general safety and performance requirements established for medical devices by EU medical devices legislation apply to the device component of such combination products. Our product candidates intended for use with suchseparately regulated devices, or expanded indications that we may seek for our products used with such devices, may not be approved or may be substantially delayed in receiving approval if the devices do not gain and/or maintain their own regulatory approvals or clearances. Where approval of the drug or biologic product and device is sought under a single application, the increased complexity of the review process may delay approval. The FDA review process and criteria isare not a well-established area,areas, which could also lead to delays in the approval process. In addition, because these delivery devices are provided by unaffiliated third-party companies, we are dependent on the sustained cooperation and effort of those third-party companies both to obtain regulatory approval and to maintain their own regulatory compliance. Failure of third-party companies to assist in the approval process or to maintain their own regulatory compliance could delay or prevent approval of our product candidates, or limit our ability to sell a product once it is approved.


From time to time during the development and regulatory approval process for our products and product candidates, we engage in discussions with the FDA, the EMA and other comparable international regulatory authorities regarding our development programs, including discussions about the regulatory requirements for approval. As part of these discussions, we sometimes seek advice in the design of our clinical programs from various regulatory agencies globally, but we do not always follow such guidance. This increases the chance of adverse regulatory actions, but we try to always provide appropriate scientific evidence to support approval. Also,Moreover, sometimes different regulatory agencies provide different or conflicting advice. While we attempt to harmonize the advice we receive from multiple regulatory authorities, it is not always practical to do so. Also, we may choose not to harmonize conflicting advice when harmonization would significantly delay clinical trial data or is otherwise inappropriate. If we are unable to

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effectively and efficiently resolve and comply with the inquiries and requests of the FDA, the EMA and other non-U.S.comparable international regulatory authorities, the approval of our product candidates may be delayed and their value may be reduced.

Any product for which we have obtained regulatory approval, or for which we obtain approval in the future, is subject to, or will be subject to, extensive ongoing regulatory requirements by the FDA, the EMA and other comparable international regulatory authorities, and if we fail to comply with regulatory requirements or if we experience unanticipated problems with our products, we may be subject to penalties, we will be unable to generate revenuerevenues from the sale of such products, our potential for generating positive cash flow will be diminished, and the capital necessary to fund our operations will be increased.

All of our products

ALDURAZYME, BRINEURA, KUVAN, NAGLAZYME and VIMIZIM have received regulatory approval to be commercially marketed and sold in the U.S., the EU and certain other countries, with the exception of Firdapse, whichPALYNZIQ has received regulatory approval to be commercially marketed onlyin the U.S., the EU, and Australia. VOXZOGO has received regulatory approval to be commercially marketed in the U.S., the EU, and Brazil. ROCTAVIAN has received conditional approval to be commercially marketed in the EU. Any product for which we have obtained regulatory approval, or for which we obtain regulatory approval in the future, along with the manufacturing processes and practices, post-approval clinical research, product labeling, advertising and promotional activities for such product, are subject to continual requirements of, and review by, the FDA, the EMA andand/or other comparable international and national regulatory authorities. These requirements include submissions of safety and other post-marketing information and reports, registration and listing requirements, current good manufacturing practices (cGMP) requirements relating to manufacturing, quality control, quality assurance and corresponding maintenance of records and documents, requirements regarding the distribution of samples to physicians, import and export requirements and recordkeeping.

Promotionalrecord keeping.

An example of the ongoing regulatory requirements our products are subject to is the PALYNZIQ Risk Evaluation and Mitigation Strategy (REMS) program. In the U.S., PALYNZIQ is only available through the REMS program, which is required by the FDA to mitigate the risk of anaphylaxis while using the product. Notable requirements of our REMS program include the following:
prescribers must be certified by enrolling in the REMS program and completing training;
prescribers must prescribe auto-injectable epinephrine with PALYNZIQ;
pharmacies must be certified with the REMS program and must dispense PALYNZIQ only to patients who are authorized to receive it;
patients must enroll in the REMS program and be educated about the risk of anaphylaxis by a certified prescriber to ensure they understand the risks and benefits of treatment with PALYNZIQ; and
patients must have auto-injectable epinephrine available at all times while taking PALYNZIQ.
Failure of prescribers, pharmacies or patients to enroll in our REMS program or to successfully complete and comply with its requirements may result in regulatory action from the FDA or decreased sales of PALYNZIQ. The restrictions and requirements under our REMS program, as well as potential changes to these restrictions and requirements in the future, subject us to increased risks and uncertainties, any of which could harm our business. The requirement for a REMS program can materially affect the potential market for and profitability of a drug. We cannot predict whether the FDA will request, seek to require or ultimately require modifications to, or impose additional requirements on, the PALYNZIQ REMS program, or whether the FDA will permit modifications to the PALYNZIQ REMS program that we consider warranted. Any modifications required or rejected by the FDA could make it more difficult or expensive for us to distribute PALYNZIQ in the U.S., impair the safety profile of PALYNZIQ, disrupt continuity of care for PALYNZIQ patients and/or negatively affect sales of PALYNZIQ.
Moreover, promotional communications with respect to prescription drugs, including biologics, are subject to a variety of legal and regulatory restrictions and must be consistent with the information in the product'sproduct’s approved labeling. In particular, a product may not be promoted for uses that are not approved by the FDA or the EC as reflected in the product’s approved labeling. Although the FDA and other comparable international and national regulatory authorities do not regulate a physician’s choice of drug treatment made in the physician’s independent medical judgment, they do restrict promotional communications from companies or their sales force with respect to off-label uses of products for which marketing clearance has not been issued. The FDA and other national competent authorities or international regulatory agencies actively enforce the laws and regulations prohibiting the promotion of off-label uses, and a company that is found to have improperly promoted off-label uses may be subject to significant civil, criminal and administrative penalties. Thus, we willare not be able to promote any products we develop for indications or uses for which they are not approved.

Additionally, in the EU, it is prohibited to promote prescription drugs to the general public and we are therefore limited to promote our products exclusively to healthcare professionals.

Moreover, if original FDA approval for one of our product candidates is granted via the accelerated approval pathway, we will be required to conduct a post-marketing confirmatory trial to verify and describe the clinical benefit in support of full approval. An unsuccessful post-marketing study or failure to complete such a study with due diligence could result in the withdrawal of the FDA’s marketing approval for a product candidate. For example, VOXZOGO is approved in the U.S. under accelerated approval based on an improvement in annualized growth velocity. Continued approval for this indication may be contingent upon verification
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and description of clinical benefit in confirmatory studies. To fulfill this post-marketing requirement, we intend to use our ongoing open-label extension studies compared to available natural history. In addition, the FDA and the EC often requiresrequire post-marketing testing and surveillance to monitor the effects of products. The FDA, the EMA and other comparable international regulatory agencies may condition approval of our product candidates on the completion of such post-marketing clinical studies. These post-marketing studies may suggest that a product causes undesirable side effects or may present a risk to the patient.

Discovery after approval of previously unknown problems with any of our products, manufacturers or manufacturing processes, or failure to comply with regulatory requirements, may result in actions such as:

restrictions on our ability to conduct clinical trials, including full or partial clinical holds on ongoing or planned trials;

trials;

restrictions on product manufacturing processes;

restrictions on the marketing of a product;

restrictions on product distribution;

requirements to conduct post-marketing clinical trials;

untitled or warning letters or other adverse publicity;

withdrawal of the products from the market;

refusal to approve pending applications or supplements to approved applications that we submit;

recall of products;

refusal to permit the import or export of our products;

product seizure;

fines, restitution or disgorgement of profits or revenue;


injunctions; or

injunctions; or

imposition of civil or criminal penalties.

If such regulatory actions are taken, theour value of our company and our operating results will be adversely affected. Additionally, if the FDA, the EMA or any other comparable international regulatory agencyauthorities withdraws its approval of a product, we will be unable to generate revenuerevenues from the sale of that product in the relevant jurisdiction, our potential for generating positive cash flow will be diminished and the capital necessary to fund our operations will be increased. Accordingly, we continue to expend significant time, money and effort in all areas of regulatory compliance, including manufacturing, production, product surveillance, post-marketing studies and quality control.

If we fail to obtain or maintain orphan drug exclusivity for some of our products, our competitors may obtain approval to sell the same drugs to treat the same conditions and our revenues will be reduced.

As part of our business strategy, we have developed and may in the future develop some drugs that may be eligible for FDA and EU orphan drug designation. Under the Orphan Drug Act, the FDA may designate a product as an orphan drug if it is intended to treat a rare disease or condition, defined as a patient population of fewer than 200,000 in the U.S. In the EU, orphan drug designation is granted to drugs intended to treat a rare disease or condition, defined as having a prevalence of no more than five in 10,000 people in the EU, which is equivalent to around 250,000 people or fewer. The company that first obtains FDA approval for a designated orphan drug for a given rare disease receives marketing exclusivity for use of that drug for the stated condition for a period of seven years. Orphan drug exclusive marketing rights may be lost if the FDA later determines that the request for designation was materially defective or if the manufacturer is unable to assure sufficient quantity of the drug. Similar regulations are available in the EU with a ten-year period of market exclusivity.

Because the extent and scope of patent protection for some of our products is limited, orphan drug designation is especially important for our products that are eligible for orphan drug designation. For eligible products, we plan to rely on the exclusivity period under the Orphan Drug Act to maintain a competitive position. If we do not obtain orphan drug exclusivity for our products that do not have broad patent protection, our competitors may then sell the same drug to treat the same condition and our revenues will be reduced.

Even though we have obtained orphan drug designation for certain of our product candidates and even if we obtain orphan drug designation for our future product candidates, due to the uncertainties associated with developing biopharmaceutical products, we may not be the first to obtain marketing approval for any particular orphan indication, which means that we may not obtain orphan drug exclusivity and could also potentially be blocked from approval of certain product candidates until the competitor product’s orphan drug exclusivity period expires. Further, even if we obtain orphan drug exclusivity for a product, that exclusivity may not effectively protect the product from competition because different drugs can be approved for the same condition and the same drug can be approved for different conditions and potentially used off-label in the orphan indication. Even after an orphan drug is approved and granted orphan drug exclusivity, the FDA can subsequently approve the same drug for the same condition if the FDA concludes that the later drug is safer or more effective or makes a major contribution to patient care. Orphan drug designation neither shortens the development time or regulatory review time of a drug, nor gives the drug any advantage in the regulatory review or approval process.

*We may face competition from biosimilars approved through an abbreviated regulatory pathway.

Our Aldurazyme, Brineura, Naglazyme and Vimizim products are regulated by the FDA as biologics under the Federal Food, Drug, and Cosmetic Act (the FDC Act) and the Public Health Service Act (the PHS Act). Biologics require the submission of a BLA and approval by the FDA prior to being marketed in the U.S. Historically, a biologic product approved under a BLA was not subject to the generic drug review and approval provisions of the FDC Act. However, the Biologics Price Competition and Innovation Act of 2009 (BPCIA) created a regulatory pathway under the PHS Act for the abbreviated approval of biological products that are demonstrated to be “biosimilar” or “interchangeable” with an FDA-approved biological product. In order to meet the standard of interchangeability, a sponsor must demonstrate that the biosimilar product can be expected to produce the same clinical result as the reference product, and for a product that is administered more than once, that the risk of switching between the reference product and biosimilar product is not greater than the risk of maintaining the patient on the reference product. Such biosimilars would reference biological products approved in the U.S. The BPCIA establishes a period of 12 years of exclusivity for reference products. Aldurazyme’s exclusivity under the BPCIA expired in 2015, Brineura’s exclusivity under the BPCIA expires in 2029, Naglazyme’s exclusivity under the BPCIA expired in June 2017, and Vimizim’s exclusivity under the BPCIA expires in 2026. Our products approved under BLAs, as well as products in development that may be approved under BLAs in the future, could be reference products for biosimilar marketing applications.


*To obtain regulatory approval to market our products, preclinical studies and costly and lengthy clinical trials are required and the results of the studies and trials are highly uncertain.

Likewise, preliminary, initial or interim data from clinical trials should be considered carefully and with caution because the final data may be materially different from the preliminary, initial or interim data, particularly as more patient data become available.

As part of the drug development process we must conduct, at our own expense, preclinical studies in the laboratory, including studies in animals, and clinical trials on humans for each product candidate. We expect theThe number of preclinical studies and clinical trials that the regulatory authorities will require will varyvaries depending on the product candidate, the disease or condition the drug is being developed to address and regulations applicable to the particular drug. Generally, new drugs for diseases or conditions that affect larger patient populations, are less severe, or are treatable by alternative strategies must be validated through additional preclinical and clinical trials and/or clinical trials with higher enrollments. With respect to our early stageearly-stage product candidates, we may need to perform multiple preclinical studies using various doses and formulations before we can begin clinical trials, which could result in delays to our development timeline. Furthermore, even if we obtain favorable results in preclinical studies, the results in humans may be significantly different. After we have conducted preclinical studies, we must demonstrate that our product candidates are safe and efficacious for use in the targeted human patients in order to receive regulatory approval for commercial sale. Clinical testing is expensive and can take many years to complete, and its outcome is inherently uncertain. Failure can occur at any time during the clinical trial process. The results of preclinical studies and early clinical trials of our product candidates may not be predictive of the results of later-stage clinical trials, and favorable data from interim analyses do not ensure the final results of a trial will be favorable. From time to time, we have and may in the future publish or report preliminary, initial or interim data from our clinical trials. Preliminary, initial or interim data from our clinical trials may not be indicative of the final results of the trial and are subject to the risk that one or more of the clinical outcomes may materially change as patient enrollment continues and/or more patient data become available. In this regard, such data may show initial evidence of clinical benefit, but as patients continue to be followed and more patient data become available, there is a risk that any therapeutic effects will not be durable in patients and/or will decrease over time or cease entirely. Preliminary, initial or interim data also remain subject to audit and verification procedures that may result in the final data being materially different from such preliminary, initial or interim data. As a result, preliminary, initial or interim data should be considered carefully and with caution until the final data are available.
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Product candidates may fail to show the desired safety and efficacy traits despite having progressed through preclinical studies and initial clinical trials, or despite having favorable data in connection with an interim analysis. A number of companies in the biopharmaceutical industry including us with respect to Kyndrisa, have suffered significant setbacks in advanced clinical trials due to lack of efficacy or adverse safety profiles, notwithstanding promising results in earlier trials. Also, as noted above, we do not always follow the advice of regulatory authorities or comply with all of their requests regarding the design of our clinical programs. In those cases, we may choose a development program that is inconsistent with the advice of regulatory authorities, which may limit the jurisdictions where we conduct clinical trials and/or adversely affect our ability to obtain approval in those jurisdictions where we do not follow the regulatory advice.

Adverse or inconclusive clinical results could stop us from obtaining regulatory approval of our product candidates. Additional factors that can cause delay or termination of our clinical trials include:

slow or insufficient patient enrollment;

slow recruitment of, and completion of necessary institutional approvals at, clinical sites;

budgetary constraints or prohibitively high clinical trial costs;

longer treatment time required to demonstrate efficacy;

lack of sufficient supplies of the product candidate;

adverse medical events or side effects in treated patients, including immune reactions;

lack of effectiveness of the product candidate being tested;

availability of competitive therapies to treat the same indication as our product candidates;

regulatory requests for additional clinical trials or pre-clinicalpreclinical studies;

deviations in standards for Good Clinical Practice (GCP); and

disputes with or disruptions in our relationships with clinical trial partners, including CROs, clinical laboratories, clinical sites, and principal investigators

investigators.

Moreover, principal investigators

Government price controls or other changes in pricing regulation could restrict the amount that we are able to charge for our current and future products, which would adversely affect our revenues and results of operations.
We expect that coverage and reimbursement may be increasingly restricted in all the markets in which we sell our products. The escalating cost of healthcare has led to increased pressure on the healthcare industry to reduce costs. In particular, drug pricing by pharmaceutical companies has been under scrutiny for many years and continues to be subject to intense political and public debate in the U.S. and abroad. Governmental and private third-party payers have proposed healthcare reforms and cost reductions. A number of federal and state proposals to control the cost of healthcare, including the cost of drug treatments, have been made in the U.S. Specifically, there have been several recent U.S. congressional inquiries and proposed bills and enacted legislation designed to, among other things, bring more transparency to drug pricing, review the relationship between pricing and manufacturer patient programs, and reform government program reimbursement methodologies for drugs. Further, Congress and the executive branch have each indicated that they will continue to seek new legislative and/or administrative measures to control drug costs. In some international markets, the government controls the pricing, which can affect the profitability of drugs. Current government regulations and possible future legislation regarding healthcare may affect coverage and reimbursement for medical treatment by third-party payers, which may render our products not commercially viable or may adversely affect our future revenues and gross margins.
International operations are also generally subject to extensive price and market regulations, and there are many proposals for additional cost-containment measures, including proposals that would directly or indirectly impose additional price controls or mandatory price cuts or reduce the value of our intellectual property portfolio. As part of these cost containment measures, some countries have imposed and continue to propose revenue caps limiting the annual volume of sales of our products. Some of these caps are significantly below the actual demand in certain countries, and if the trend regarding revenue caps continues, our future revenues and gross margins may be adversely affected. For example, in the EU, governments influence the price of medicinal products through their pricing and reimbursement rules and control of national healthcare systems that fund a large part of the cost of those products to consumers. EU Member States are free to restrict the range of medicinal products for which their national health insurance systems provide reimbursement and to control the prices of medicinal products for human use. Some jurisdictions operate positive and negative list systems under which products may only be marketed once a reimbursement price has been agreed to by the government. An EU Member State may approve a specific price for the medicinal product, or it may instead adopt a system of direct or indirect controls on the profitability of the company placing the medicinal product on the market, including volume-based arrangements, caps and reference pricing mechanisms. Other EU Member States allow companies to fix their own prices for medicines but monitor and control company profits. The downward pressure on healthcare costs in general, particularly prescription medicines, has become very intense. Pharmaceutical products may face competition from lower-priced products in foreign countries that have placed price controls on pharmaceutical products and may
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also compete with imported foreign products. Furthermore, there is no assurance that a product will be considered medically reasonable and necessary for a specific indication or cost-effective by third-party payers. There is also no assurance that an adequate level of reimbursement will be established even if coverage is available or that the third-party payers’ reimbursement policies will not adversely affect our business.
We cannot predict the extent to which our business may be affected by these or other potential future legislative or regulatory developments. However, future price controls or other changes in pricing regulation or negative publicity related to our product pricing or the pricing of pharmaceutical drugs generally could restrict the amount that we are able to charge for our current and future products or our sales volume, which would adversely affect our revenues and results of operations.
Government healthcare reform could increase our costs and adversely affect our revenues and results of operations.
Our industry is highly regulated and changes in law may adversely impact our business, operations or financial results. In the U.S., there have been and continue to be a number of legislative initiatives to contain healthcare costs. In the U.S., there have been several recent congressional inquiries, proposed and enacted federal and state legislation and executive action designed to, among other things, bring more transparency to drug pricing, review the relationship between pricing and manufacturer patient programs, reduce the cost of drugs under Medicare, and reform government program reimbursement methodologies for drug products. Any reduction in reimbursement from Medicare and other government programs may result in a similar reduction in payments from private payers. Recently, healthcare reform initiatives culminated in the enactment of the Inflation Reduction Act (IRA) in August 2022, which will, among other things, allow U.S. Department of Health and Human Services (HHS) to negotiate the selling price of certain drugs and biologics that the CMS reimburses under Medicare Part B and Part D, although only high-expenditure single-source drugs that have been approved for at least 7 years (11 years for biologics) can be selected by CMS for negotiation. The IRA permits the Secretary of HHS to implement many of these provisions through guidance, as opposed to regulation, for the initial years. Manufacturers that fail to comply with the IRA may be subject to various penalties, including civil monetary penalties.
Prior to the IRA, the Patient Protection and Affordable Care Act of 2010, as amended by the Health Care and Education Reconciliation Act of 2010 (collectively, the PPACA) is a sweeping measure intended to, among other things, expand healthcare coverage within the U.S., primarily through the imposition of health insurance mandates on employers and individuals and expansion of the Medicaid program. Several provisions of the law have affected us and increased certain of our costs. Since its enactment, there have been executive, judicial and congressional challenges to certain aspects of the PPACA. Although the PPACA has generally been upheld thus far, it is unclear how continued challenges to the law may impact the PPACA and our business. In addition, other legislative changes have been adopted since the PPACA was enacted. Some of these changes have resulted in additional reductions in Medicare and other healthcare funding, which could have a material adverse effect on our customers and, accordingly, our financial operations.
In addition, individual states in the U.S. have also increasingly passed legislation and implemented regulations designed to control pharmaceutical product pricing, including price or patient reimbursement constraints, price disclosure and reporting requirements, discounts, restrictions on certain product access and marketing cost disclosure and transparency measures, and, in some cases, designed to encourage importation from other countries and bulk purchasing. Moreover, regional healthcare authorities and individual hospitals are increasingly using bidding procedures to determine what pharmaceutical products and which suppliers will be included in their prescription drug and other healthcare programs.
Likewise, in many EU Member States, legislators and other policymakers continue to propose and implement healthcare cost-containing measures in response to the increased attention being paid to healthcare costs in the EU. Certain of these changes could impose limitations on the prices we will be able to charge for our products and any approved product candidates or the amounts of reimbursement available for these products from governmental and private third-party payers, may increase the tax obligations on pharmaceutical companies or may facilitate the introduction of generic competition with respect to our products. Further, an increasing number of EU Member States and other non-U.S. countries use prices for medicinal products established in other countries as “reference prices” to help determine the price of the product in their own territory. If the price of one of our products decreases substantially in a reference price country, it could impact the price for that product in other countries. Consequently, a downward trend in prices of our products in some countries could contribute to similar downward trends elsewhere, which would have a material adverse effect on our revenues and results of operations. Moreover, in order to obtain reimbursement for our products in some countries, we may be required to conduct clinical trials that compare the cost-effectiveness of our products to other available therapies.
We anticipate that the IRA, PPACA and other healthcare reform measures that may serve as scientific advisorsbe adopted in the future in the U.S. or consultants toabroad, may result in more rigorous coverage criteria and an additional downward pressure on the reimbursement our customers may receive for our products. Recently there has been heightened governmental scrutiny in countries worldwide over the manner in which manufacturers set prices for their marketed products. Legally mandated price controls on payment amounts by governmental and private third-party payers or other restrictions could harm our business, results of operations, financial condition
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and prospects. The implementation of cost containment measures or other healthcare reforms may prevent us from being able to generate revenue, attain profitability or commercialize our products.
If we fail to obtain or maintain orphan drug exclusivity for some of our products, our competitors may obtain approval to sell the same drugs to treat the same conditions and our revenues will be reduced.
As part of our business strategy, we have developed and may in the future develop some drugs that may be eligible for FDA and EU orphan drug designation. Under the Orphan Drug Act, the FDA may designate a product as an orphan drug if it is intended to treat a rare disease or condition, defined as a patient population of fewer than 200,000 in the U.S. In the EU, pursuant to the Orphan Regulation, orphan drug designation is available if a sponsor can establish that: (1) the medicine is intended for the diagnosis, prevention or treatment of a life-threatening or chronically debilitating condition affecting no more than five in 10,000 people in the EU at the time the application is made, or, (2) that it is intended for the diagnosis, prevention or treatment of a life-threatening, seriously debilitating or serious and chronic condition in the EU and that without incentives derived from the orphan status, it is unlikely that the marketing of the medicine in the EU would generate sufficient return to justify the necessary investment. In both cases, the applicant must demonstrate that there exists no satisfactory method of diagnosis, prevention or treatment of the condition in question that has been authorized in the EU or, if such method exists, the medicine will be of significant benefit to those affected by that condition.
In the U.S., the company that first obtains FDA approval for a designated orphan drug for a given rare disease receives marketing exclusivity for use of that drug for the stated condition for a period of seven years. Orphan drug exclusive marketing rights may be lost if the FDA later determines that the request for designation was materially defective or if the manufacturer is unable to assure sufficient quantity of the drug. In addition, the FDA may approve another drug during a period of orphan drug exclusivity if the second drug is found to be clinically superior to the first drug. In the EU, a ten-year period of market exclusivity (extendable to twelve years for orphan drugs that have complied with an agreed Pediatric Investigation Plan (PIP) pursuant to Regulation 1901/2006), during which similar medicines for the same indication cannot be placed on the market, is granted. MAs may also be granted to a similar medicinal product with the same orphan indication if: (i) the applicant can establish that the second medicinal product, although similar to the orphan medicinal product already authorized is safer, more effective or otherwise clinically superior to the orphan medicinal product already authorized; (ii) the MA holder for the first orphan medicinal product grants its consent; or (iii) if the MA holder of the orphan medicinal product is unable to supply sufficient quantities. The period of market exclusivity may, in addition, be reduced to six years if, at the end of the fifth year, it can be demonstrated on the basis of available evidence that the criteria for its designation as an orphan medicine are no longer satisfied, for example if the original orphan medicinal product has become sufficiently profitable not to justify maintenance of market exclusivity. Because the extent and scope of patent protection for some of our products is limited, orphan drug designation is especially important for our products that are eligible for orphan drug designation. For eligible products, we plan to rely on the exclusivity period under the Orphan Drug Act and/or the Orphan Regulation, as applicable, to maintain a competitive position. If we do not obtain orphan drug exclusivity for our products that do not have broad patent protection, our competitors may then sell the same drug to treat the same condition and our revenues will be reduced.
Even though we have obtained orphan drug designation for certain of our product candidates and even if we obtain orphan drug designation for our future product candidates, due to the uncertainties associated with developing biopharmaceutical products, we may not be the first to obtain marketing approval for any particular orphan indication, which means that we may not obtain orphan drug exclusivity and could also potentially be blocked from approval of certain product candidates until the competitor product’s orphan drug exclusivity period expires. Moreover, with respect to certain biologics and gene therapies, there may be some uncertainty regarding how similarity between product candidates designed to treat the same rare disease or condition may affect such product candidates’ orphan drug exclusivities. For biologics and gene therapies, the FDA’s determination of whether a drug is the same drug or a different drug will be based on the principal molecular structural features of the products. For gene therapy products, the FDA has stated in guidance that it generally intends to consider certain key features such as transgenes and vectors used in gene therapy products to be principal molecular structural features. Further, even if we obtain orphan drug exclusivity for a product, that exclusivity may not effectively protect the product from competition because different drugs can be approved for the same condition and the same drug can be approved for different conditions and potentially used off-label in the orphan indication. Even after an orphan drug is approved and granted orphan drug exclusivity, the FDA can subsequently approve the same drug for the same condition if the FDA concludes that the later drug is safer or more effective or makes a major contribution to patient care. Orphan drug designation neither shortens the development time or regulatory review time of a drug, nor gives the drug any advantage in the regulatory review or approval process.
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We may face competition from biosimilars approved through an abbreviated regulatory pathway.
Our ALDURAZYME, BRINEURA, NAGLAZYME, PALYNZIQ and receive compensationVIMIZIM products are regulated by the FDA as biologics under the Federal Food, Drug, and Cosmetic Act and the Public Health Service Act (the PHS Act). Biologics require the submission of a BLA and approval by the FDA prior to being marketed in connectionthe U.S. The Biologics Price Competition and Innovation Act of 2009 (BPCIA) created a regulatory pathway under the PHS Act for the abbreviated approval of biological products that are demonstrated to be “biosimilar” or “interchangeable” with an FDA-approved biological product. A similar abridged MA process is available to biosimilar products in the EU. In particular, applicants for MAs of biosimilars are required to demonstrate through comprehensive comparability studies with the reference biological medicine that: a) their biological medicine is highly similar to the reference medicine, notwithstanding natural variability inherent to all biological medicines; and b) there are no clinically meaningful differences between the biosimilar and the reference medicine in terms of safety, quality and efficacy.
In the U.S., in order to meet the standard of interchangeability, a sponsor must demonstrate that the biosimilar product can be expected to produce the same clinical result as the reference product, and for a product that is administered more than once, that the risk of switching between the reference product and biosimilar product is not greater than the risk of maintaining the patient on the reference product. The BPCIA establishes a period of 12 years of exclusivity for reference products. In the EU, a medicinal product containing a new active substance benefits from eight years of data exclusivity, during which biosimilar applications referring to the data of that product may not be accepted by the regulatory authorities, and a further two years of market exclusivity, during which such services reportablebiosimilar products may not be placed on the market. The two-year period may be extended to three years if during the first eight years a new therapeutic indication with significant clinical benefit over existing therapies is approved. Our products approved under BLAs in the U.S. or as a result of Marketing Authorization Applications (MAAs) in the EU, as well as our product candidates that may be approved in the future, could be reference products for biosimilar marketing applications.
Changes in funding for the FDA, the EMA, other comparable international regulatory authorities and other government agencies or government shutdowns could hinder the ability of such agencies to hire and retain key leadership and other personnel or otherwise prevent those agencies from performing normal functions on which the operation of our business may rely, which could negatively impact our business.
Changes in funding levels of government agencies can affect their ability to hire and retain key personnel and carry out their normal functions that support our business. For example, the ability of the FDA or the EMA to timely review and approve INDs or MAAs for our product candidates may be hindered by a lack of resources and qualified personnel. In addition, funding of other government agencies on which our operations rely, including those that fund research and development activities, is subject to the political budget process, which is inherently fluid and unpredictable.
Government shutdowns could also impact the ability of government agencies to function normally and support our operations. For example, the U.S. federal government has shut down repeatedly since 1980, including for a period of 35 days beginning on December 22, 2018. During a shutdown, certain regulatory authority. Ifagencies, such as the FDA, or other regulatory authority concludes thathave had to furlough key personnel and stop critical activities. If a financial relationship between us and a principal investigator has created a conflictprolonged government shutdown occurs, it could significantly impact the ability of interest, the FDA or otherto timely review and process our regulatory authority may question the integrity of the data generated at the applicable clinical trial sitesubmissions, which could have a material adverse effect on our business.
Risks Related to Our Gene Therapy Programs
Our gene therapy products and the utility of the clinical trial itself may be jeopardized.


*Our valoctocogene roxaparvovec (formerly referred to as BMN 270) program isproduct candidates are based on a gene therapy approach, which, as a novel technology, which presents additional treatment,development, manufacturing, regulatory manufacturing, and commercialtreatment risks in relation to our other, more traditional drug development programs.

In addition to the risks set forth in this Risk Factors section associated with developing and commercializing more traditional pharmaceutical drugs, there are additional, unique development, manufacturing, regulatory and treatment risks associated with gene therapy products and product candidates like our product candidate valoctocogene roxaparvovec. ROCTAVIAN and BMN 331.
The goal of gene therapy is to be able to correct an inborn genetic defect through one-time administration of therapeutic genetic material containing non-defective gene copies. The gene copies are designed to reside permanently in a patient, allowing the patient to produce an essential protein or ribonucleic acid (RNA) molecule that a healthy person would normally produce. There is a risk, however, that the new gene copies will produce too muchlittle or too littlemuch of the desired protein or RNA. ThereAlthough administration of a gene therapy product like ROCTAVIAN is alsointended to correct an inborn genetic defect for at least several years, there is a risk that the therapeutic effect will not be durable and production of the desired protein or RNA will increasedecrease more quickly or decrease over time. Becausecease entirely earlier than expected. If the therapeutic effect decreases significantly or ceases entirely, it is uncertain whether redosing is possible or would be effective. Furthermore, because gene therapy treatment is irreversible, there may be challenges in managing side effects, particularly those caused by overproduction.potential overproduction of the desired protein. Adverse effects would not be able to be reversed or relieved by stopping dosing, and we may have to develop additional clinical safety procedures. Furthermore,Additionally, because the new gene copies are designed to reside permanently in a patient, there is a risk that they will disrupt other normal biological
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molecules and processes, including other healthy genes, and we may not learn the nature and magnitude of these side effects until long after clinical trials have been completed.

We may experience development problems related to our gene therapy program that cause significant delays or unanticipated costs, or that cannot be solved. Although numerous companies are currently advancing gene therapy product candidates through clinical trials, the FDA has only approved cell-based gene therapy treatments thus far and is only currently reviewing a vector-based gene therapy, with a decision expected in January 2018.

Moreover, there are very few approved gene therapy products outside the U.S. As a result, it is difficult to determine how long it will take or how much it will cost to obtain regulatory approvals for our product candidate in any jurisdiction. Regulatory requirements governing geneare relatively novel and cell therapy products are still evolving and may continue to change in the future. Regulatory review agencies and the new requirements and guidelines they promulgate may lengthen the regulatory review process, require us to perform additional or larger studies, increase our development costs, lead to changes in regulatory positions and interpretations, delay or prevent approval and commercialization of our treatment candidate or lead to significant post-approval studies, limitations or restrictions. Delay or failure to obtain, or unexpected costs in obtaining, the regulatory approval necessary to bring valoctocogene roxaparvovec to market could have a negative effect on our business and financial condition. Even if we do obtain regulatory approval, ethical, social and legal concerns about gene therapy arising in the future could result in additional regulations restricting or prohibiting sale of our product.

Even if we obtain regulatory approval for valoctocogene roxaparvovec, we may experience delays, and increased costs, in developing a sustainable, reproducible and large-scale manufacturing process. Gene therapy products are novel, complex and difficult to manufacture, and have only in limited cases been manufactured at scales sufficient for pivotal trials and commercialization. Few pharmaceutical contract manufacturers specialize in gene therapy products and those that do are still developing appropriate processes and facilities for large-scale production. Whether we produce valoctocogene roxaparvovec atWe invested a contract manufacturer or atconsiderable amount of capital building our own commercial gene therapy manufacturing facility, which may be subject to significant impairment if our gene therapy programs are unsuccessful. As we develop, seek to optimize and operate the gene therapy manufacturing process, we will likely face technical and scientific challenges, considerable capital costs, and potential difficulty in recruiting and hiring experienced, qualified personnel. There may also be unexpected technical or operational issues during clinical or commercial manufacturing campaigns. As a result, we could experience manufacturing delays that prevent us from completing our clinical studies or commercializing valoctocogene roxaparvovecin a timely manner, if at all, or commercializing our gene therapy products on a profitable basis, if at all.

Furthermore, we may experience regulatory challenges specific to gene therapy that cause significant delays or unanticipated costs, or that cannot be solved. Although numerous companies are currently advancing gene therapy product candidates through clinical trials, the FDA has only approved a very small number of vector-based gene therapy products thus far. Moreover, there are very few approved gene therapy products outside the U.S. As a result, it is difficult to determine how long it will take or how much it will cost to obtain regulatory approvals for our gene therapy product candidates in any jurisdiction. Regulatory requirements governing gene and cell therapy products are still evolving and may continue to change in the future. For example, in October 2020, it was reported that the Director of the Center for Biologics Evaluation and Research, the center of the FDA responsible for reviewing marketing applications for gene therapies, stated that the FDA will assess the importance of durability of effect differently for a gene therapy that treats a disease that has no other available therapies versus a condition for which there are multiple approved treatments. Additionally, in September 2021, the FDA held a Cellular, Tissue, and Gene Therapies Advisory Committee (CTGTAC) to discuss toxicity risks of adeno-associated virus (AAV) vectors for gene therapy and to seek the CTGTAC’s insight into strategies to evaluate and mitigate risks in the context of AAV vector-based product design and quality, preclinical studies, and clinical trials. ROCTAVIAN and BMN 331 are AAV vector-based product candidates. Further, the FDA continues to develop and publish new guidance and policies, such as the publication of four draft or final gene therapy-specific guidance documents in 2022. These guidance documents and other recent policy statements demonstrate that the FDA’s regulatory requirements for gene therapies are likely to continue to evolve based upon factors such as the intended disease or class of diseases, product type or mechanism of action, as well as broader considerations such as the kinds of evidence that will be required for gene therapy products to take advantage of expedited development programs. Delay or failure to obtain, or unexpected costs in obtaining, the regulatory approval necessary to bring our gene therapy product candidates to market could have a negative effect on our business and financial condition.
As compared to our other, more traditional products, gene therapy products may present additional problems with respect to the pricing, coverage, and reimbursement and acceptance of the product.
In addition to the risks set forth in this Risk Factors section associated with commercializing more traditional pharmaceutical drugs, there are additional, unique commercial risks associated with gene therapy products like ROCTAVIAN. Due to the relative novelty of gene therapy and the potential to provide extended duration therapeutic treatment with a one-time administration, we also face uncertainty with respect to the pricing, coverage and reimbursement of valoctocogene roxaparvovec, if approved.these products. In order to recover our research and development costs and commercialize this one-time treatmenttreatments on a profitable basis, we expect the cost of a single administration of valoctocogene roxaparvovec to be substantial.ROCTAVIAN is substantial, and it is likely other gene therapy products would also require relatively high prices. Therefore, we expect that coverage and reimbursement by governments and other third-party payors will bepayers is essential for the vast majority of patients to be able to afford valoctocogene roxaparvovec.ROCTAVIAN or other gene therapy products that we may commercialize in the future. Accordingly, sales of valoctocogene roxaparvovec, if approved,our gene therapy products will depend substantially both domestically and internationally, on the extent to which its cost will be paid by third-party payors.payers. Even if coverage is provided, the reimbursement amounts approved by third-party payorspayers may not be high enough to allow us to realize sufficient revenues from our investment in the development of our gene therapy products.
With respect to ROCTAVIAN specifically, we have entered into, and plan to enter into additional, outcomes-based agreements for the product with third-party payers to assist with realizing the value and sharing the risk of a sufficient return onone-time treatment, which make us subject to potential repayments if a patient does not respond to therapy or the therapeutic effect of the drug falls below specified thresholds. Although we will record reserves for potential refunds under the outcomes-based agreements for ROCTAVIAN in the same period as sales, our investment.

revenues and financial results could be adversely affected if our assumptions underlying our refund reserves differ from actual experience or otherwise underestimate refund obligations. Additionally, the increased complexity of reimbursement with outcomes-based arrangements heightens the risk that our price reporting may be inaccurate or delayed, which may result in fines and liability.

We also face uncertainty as to whether gene therapy will gain the acceptance of the public or the medical community. Even if we obtain regulatory approval for valoctocogene roxaparvovec, theThe commercial success of valoctocogene roxaparvovecROCTAVIAN or any other gene therapy product candidate that may be approved in the future will depend, in part, on the acceptance of physicians, patients and health care payorsthird-party payers of gene therapy products in general, and our product candidate in particular, as medically necessary, cost-effective and safe. In particular, our success will depend upon physicians prescribing our
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product candidate in lieu of existing treatments they are already familiar with and for which greater clinical data may be available. Even if valoctocogene roxaparvovec displays a favorable efficacyMoreover, physicians and safety profile in clinical trials and is ultimately approved, marketpatients may delay acceptance of valoctocogene roxaparvovec will not be fully knownone of our gene therapy treatments until after it is launched.the product has been on the market for a certain amount of time. Negative public opinion or more restrictive government regulations or could have a negative effect on our business and financial condition and may delay or impair the development andsuccessful commercialization of, and demand for, valoctocogene roxaparvovec.

ROCTAVIAN or future gene therapy products.

We have implemented data access plans for our main clinical trials of ROCTAVIAN, which restrict our management’s review of emerging key efficacy data from these trials. Without access to this ongoing data, management does not have the ability to adjust the trials based on such emerging data, which could adversely impact the ultimate outcome of these trials.

In order to preserve the scientific integrity of our main ROCTAVIAN clinical trials and to allow us to only report on data at intervals that we believe will be meaningful to investors, we have implemented data access plans related to these ongoing open-label trials, which plans are designed to significantly mirror blinded trials. Pursuant to the plans, the ongoing emerging data for key endpoints are generally not accessed by us, with the exception that certain specific data points are reviewed by a small group of medical personnel monitoring and managing the trials, and then, only to the extent necessary to allow them to perform their monitoring responsibilities. As we disclose and publicly discuss prior data from one of these trials, such discussions do not incorporate any of the currently emerging data that are being collected and reviewed by personnel monitoring the trial and, accordingly, this prior data may differ significantly from more recent data that are only available to such personnel. Further, because our management does not have access to any of the ongoing key efficacy data and does not have the ability to adjust the trials based on such emerging data, the data access plans could adversely impact the ultimate outcome of the trials.
Financial and Financing Risks
If we continue to incur operating losses and experience netor are unable to sustain positive cash outflowsflows for a period longer than anticipated, we may be unable to continue our operations at planned levels and may be forced to reduce our operations.

Since we began operations in March 1997, we have been engaged in substantial research and development and capital investments, and we have operated at a net loss for each year since our inception, with the exceptionexceptions of 2008, 2010, 2020 and 2010. Based upon our current plan for investments in research and development for existing and new programs, as well as capital investments in our facilities and working capital needs, such as for inventory, we expect to operate at a net loss and experience net cash outflows for at least the next 12 months.2022. Our future profitability and cash flows depend on our marketing and selling of our products, the receipt of regulatory approval of our product candidates, our ability to successfully manufacture and market any products, either by ourselves or jointly with others, our spending on our development programs, the impact of any possible future business development transactions and other risks set forth in this Risk Factors section. The extent of our future losses and the timing of profitability and positive cash flows are highly uncertain. If we fail to become profitable and cash flow positive or are unable to sustain profitability and positive cash flows on a continuing basis, then we may be unable to continue our operations at planned levels and be forced to reduce our operations.

*If we fail to obtain the capital necessary to fund our operations, our financial results and financial condition will be adversely affected and we will have to delay or terminate some or all of our product development programs.

As of September 30, 2017,March 31, 2023, we had cash, cash equivalents and short and long-term investments totaling $1.7$1.49 billion and long-term debt obligations of $1.2$1.1 billion (undiscounted). In January 2016 we terminated our License and Commercialization Agreement with Ares Trading, S.A. (Merck Serono). Pursuant to the Termination and Transition Agreement related to Kuvan and the Termination Agreement related to pegvaliase, we made cash payments on this transaction totaling $374.5 million in the nine months ended September 30, 2017, and may pay Merck Serono up to a maximum of €60 million, in cash, if future sales milestones are met with respect to Kuvan and up to a maximum of €125 million, in cash, if future development milestones are met with respect to pegvaliase. In October 2013, we completed an offering of senior subordinated convertible notes and received net proceeds of approximately $696.4 million, after deducting commissions, estimated offering expenses payable by us and the purchase of the related capped calls. In August 2017, we completed an offering of senior subordinated convertible notes and received net proceeds of approximately $481.7 million, after deducting commissions and estimated offering expenses payable by us. We will need cash to not only repay the principal amount, which consisted of our 0.75% senior subordinated convertible notes due in 2018 (the 2018 Notes), 1.50% senior subordinated convertible notes due in 2020 (the 2020 Notes), and 0.599% senior subordinated convertible notes due in 2024 (the 2024 Notes,Notes) and together with the 2018our 1.25% senior subordinated convertible notes due in 2027 (the 2027 Notes). The 2024 Notes and the 20202027 Notes (collectively, the Notes) but also, if not converted, will be required to be repaid in cash at maturity in August 2024 and May 2027, respectively. We will need cash not only to pay the ongoing interest due on the Notes during their term.    

term, but also to repay the principal amount of the Notes if not converted.

We may require additional financing to fund the repayment of ourthe Notes, future milestone payments and our future operations, including the commercialization of our products and product candidates currently under development, preclinical studies and clinical trials, and potential licenses and acquisitions. We may be unable to raise additional financing due to a variety of factors, including our financial condition, the status of our product programs, and the general condition of the financial markets. If we fail to raise any necessary additional financing we may have to delay or terminate some or all of our product development programs and our financial condition and operating results will be adversely affected.

We expect to continue to spend substantial amounts of capital for our operations for the foreseeable future. The amount of capital we will need depends on many factors, including:

our ability to successfully market and sell our products;

Genzyme’s abilitythe time and cost necessary to continuedevelop commercial manufacturing processes, including quality systems, and to successfully commercialize Aldurazyme;

build or acquire manufacturing capabilities the progress and success of our preclinical studies and clinical trials (including studies and the manufacture of materials);

the timing, number, size and scope of our preclinical studies and clinical trials;

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the time and cost necessary to obtain regulatory approvals and the costs of post-marketing studies which may be required by regulatory authorities;

the time and cost necessary to develop commercial manufacturing processes, including quality systems, and to build or acquire manufacturing capabilities;

the progress of research programs carried out by us;

our possible achievement of milestones identifiedany changes made to, or new developments in, our purchase agreements with the former stockholders of LEAD Therapeutics, Inc., ZyStor Therapeutics, Inc., Huxley Pharmaceuticals, Inc.,existing collaborative, licensing and Zacharon Pharmaceuticals Inc.,other commercial relationships or any new collaborative, licensing and under the termination agreements with Merck Serono relatedother commercial relationships that we may establish;

Sanofi’s ability to Kuvancontinue to successfully commercialize ALDURAZYME; and pegvaliase milestones;


any changes made to, or new developments in, our existing collaborative, licensing and other commercial relationships or any new collaborative, licensing and other commercial relationships that we may establish; and

whether our convertible debt is converted to common stock in the future.

Moreover, our fixed expenses such as rent, license payments, interest expense and other contractual commitments are substantial and may increase in the future. These fixed expenses may increase because we may enter into:

additional licenses and collaborative agreements;

additional contracts for product manufacturing; and

additional financing facilities or arrangements.

We will need to raise additional funds from equity or debt securities, loans or collaborative agreements if we are unable to satisfy our liquidity requirements. The sale of additional equity and/or equity-linked securities will result in additional dilution to our stockholders. Furthermore, additional financing may not be available in amounts or on terms satisfactory to us or at all. This could result in the delay, reduction or termination of our research, which could harm our business.

*

We have incurred substantial indebtedness that may decrease our business flexibility, access to capital, and/or increase our borrowing costs, which may adversely affect our operations and financial results.

As of September 30, 2017,March 31, 2023, we had $1.2$1.1 billion (undiscounted) principal amount of indebtedness, including $375.0 million (undiscounted) of indebtedness under the 2018 Notes, $375.0$495.0 million (undiscounted) principal amount of indebtedness under the 20202024 Notes and $495.0$600.0 million (undiscounted) principal amount of indebtedness under the 20242027 Notes. In November 2016,October 2018, we also entered into aan unsecured credit agreement (the 2018 Credit Agreement) with Bank of America, N.A., as the administrative agent, swing lineswingline lender and a lender, Citibank, N.A. as letter of credit issuer and each of Merrill Lynch, Pierce, Fenner & Smith Incorporated, Citibank, N.A. and Wells Fargo Securities, LLC as joint lead arrangers and joint bookrunners, providing for up to $100.0$200.0 million in revolving loans.loan commitments (the 2018 Credit Facility). In May 2021, we amended the 2018 Credit Facility to, among other things, extend the maturity date of the 2018 Credit Facility from October 19, 2021 to May 28, 2024. Our indebtedness may:

limit our ability to borrow additional funds for working capital, capital expenditures, acquisitions or other general business purposes;

limit our ability to use our cash flow or obtain additional financing for future working capital, capital expenditures, acquisitions or other general business purposes;

require us to use a substantial portion of our cash flow from operations to make debt service payments;

limit our flexibility to plan for, or react to, changes in our business and industry;

place us at a competitive disadvantage compared to our less leveraged competitors; and

increase our vulnerability to the impact of adverse economic and industry conditions.

In addition, the 2018 Credit Agreement does,Facility contains, and any future indebtedness that we may incur may contain, financial and other restrictive covenants that limit our ability to operate our business, raise capital or make payments under our other indebtedness. If we fail to comply with these covenants or to make payments under our indebtedness when due, then we would be in default under that indebtedness, which could, in turn, result in that and our other indebtedness becoming immediately payable in full. If we default under the 2018 Credit Agreement,Facility, the outstanding borrowings thereunder could become immediately due and payable, the 2018 Credit AgreementFacility lenders could refuse to permit additional borrowings under the facility, or it could lead to defaults under agreements governing our current or future indebtedness, including the indentures governing ourthe Notes. If we default under any series of the Notes, such notesseries of Notes could become immediately due and payable and it could lead to defaults under the other series of Notes and/or the 2018 Credit Agreement.

*Facility.

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In addition, our ability to refinance our indebtedness will depend on the capital markets and our financial condition at such time.

Our outstanding indebtedness consists primarily of the 2018 Notes, 20202024 Notes and 20242027 Notes, which, if not converted, will be required to be repaid in cash at maturity in 2018, 2020August 2024 and 2024,May 2027, respectively. In addition, in the event the conditional conversion feature of the 2018 Notes or 2020 Notes is triggered, holders of such Notes will be entitled to convert the 2018 Notes or 2020 Notes at any time during specified periods at their option. Our liquidity could be adversely affected if we do not elect to settle conversions of the 2018 Notes and 2020 Notes solely in shares of our common stock. Even if holders of the 2018 or 2020 Notes do not elect to convert their 2018 or 2020 Notes, we could be required under applicable accounting rules to reclassify all or a portion of the outstanding principal of such Notes as a current rather than long-term liability (for example, if there are 12 months or less remaining until maturity), which would result in a material reduction of our net working capital. Moreover, if holders of the Notes do not elect to convert their Notes and we are unable to refinance the Notes, we must repay the Notes. While we could seek to obtain additional third-party


financing to pay for any amounts due in cash upon such events,maturity of the Notes, we cannot be sure that such third-party financing will be available on commercially reasonable terms, if at all. Furthermore, if we are required to share settle any conversions of Notes, due to lack of requisite liquidity or otherwise, we may cease to be eligible to account for the Notes using the treasury stock method, which may adversely impact our diluted earnings per share.

In addition, although we had no outstanding balance under the Credit Agreement as of September 30, 2017, we also may borrow up to $100.0$200.0 million in revolving loans under the 2018 Credit Agreement,Facility, which would be required to be repaid in cash at maturity in 2018.

*on May 28, 2024.

Manufacturing Risks
If we fail to comply with manufacturing regulations, our financial results and financial condition will be adversely affected.

Before we can begin commercial manufacture of our products, regulatory authorities must approve marketing applications that identify authorized manufacturing facilities operated by us or our contract manufacturers that have passed regulatory inspection and manufacturing processes that are acceptable to the regulatory authorities. In addition, our pharmaceutical manufacturing facilities are continuously subject to scheduled and unannounced inspection by the FDA, and other comparable EU and other national and international regulatory authorities, before and after product approval, to monitor and ensure compliance with cGMP and other regulations. Our manufacturing facility in the U.S. has received a good manufacturing practice certificate from the EMA for the manufacture and distribution of ROCTAVIAN in the EU, been approved by the FDA and the EC for the manufacture of PALYNZIQ, and been approved by the FDA, the EC, and health agencies in other countries for the manufacture of Aldurazyme, Brineura, NaglazymeALDURAZYME, BRINEURA, NAGLAZYME, VIMIZIM and Vimizim. VOXZOGO.Our manufacturing facility in Shanbally, Cork, Ireland has been approved by the FDA, the EC, and health agencies in other countries for the manufacture of Vimizim.VIMIZIM and BRINEURA. In addition, our third-party manufacturers’ facilities involved with the manufacture of our products have also been inspected and approved by various regulatory authorities. Although we are not involved in the day-to-day operations of our contract manufacturers, we are ultimately responsible for ensuring that our products are manufactured in accordance with cGMP regulations.

Due to the complexity of the processes used to manufacture our products and product candidates, we may be unable to continue to pass or initially pass federal or international regulatory inspections in a cost-effective manner. For the same reason, any potential third-party manufacturer of our products or our product candidates may be unable to comply with cGMP regulations in a cost-effective manner and may be unable to initially or continue to pass a federal or international regulatory inspection.

If we, or third-party manufacturers with whom we contract, are unable to comply with manufacturing regulations, we may be subject to delay of approval of our product candidates, warning or untitled letters, fines, unanticipated compliance expenses, recall or seizure of our products, total or partial suspension of production and/or enforcement actions, including injunctions, and criminal or civil prosecution. These possible sanctions would adversely affect our financial results and financial condition.

*If we are unable to successfully develop and maintain manufacturing processes for our productsproduct candidates to produce sufficient quantities at acceptable costs, we may be unable to meet demand forsupport a clinical trial or be forced to terminate a program, or if we are unable to produce sufficient quantities of our products andat acceptable costs, we may be unable to meet commercial demand, lose potential revenue, have reduced margins or be forced to terminate a program.

Due to the complexity of manufacturing our product candidates and products, we may not be able to manufacture sufficient quantities. Our inability to produce enough of our product candidate at acceptable costs may result in the delay or termination of development programs. With respect to our commercial portfolio, we may not be able to manufacture our products successfully with a commercially viable process or at a scale large enough to support their respective commercial markets or at acceptable margins.

For example, demand for VOXZOGO in certain markets has outpaced our projections in recent quarters, and if the trend continues, we could face challenges meeting demand, we may need to postpone planned entry into additional markets until VOXZOGO inventory levels increase or we could be required to delay certain VOXZOGO development activities. If we face such inventory constraints, we could lose potential VOXZOGO revenues that may never be recouped and our VOXZOGO development program could be adversely impacted.

The development of commercially viable manufacturing processes typically is very difficult to achieve and is often very expensive and may require extended periods of time. Changes in manufacturing processes (including manufacturing cell lines), equipment or facilities (including moving manufacturing from one of our facilities to another one of our facilities or a third-party facility, or from a third-party facility to one of our facilities) may require us to complete clinical trials to receive regulatory approval of any manufacturing modifications.

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Also, we may be required to demonstrate product comparability between a biological product made after a manufacturing change and the product made before implementation of the change through additional types of analytical and functional testing or may have to complete additional clinical studies. If we contract for manufacturing services with an unproven process, our contractor is subject to the same uncertainties, high standards and regulatory controls, and may therefore experience difficulty if further process development is necessary.


Even a developed manufacturing process can encounter difficulties. Problems may arise during manufacturing for a variety of reasons, including human error, mechanical breakdowns, problems with raw materials and cell banks, malfunctions of internal information technology systems, and other events that cannot always be prevented or anticipated. Many of the processes include biological systems, which add significant complexity, as compared to chemical synthesis. We expect that, from time to time, consistent with biotechnology industry expectations, certain production lots will fail to produce product that meets our quality control release acceptance criteria. To date, our historical failure rates for all of our product programs including Aldurazyme, Brineura, Naglazyme and Vimizim, have been within our expectations, which are based on industry norms. If the failure rate increased substantially, we could experience increased costs, lost revenue, damage to customer relations, time and expense investigating the cause and, depending upon the cause, similar losses with respect to other lots or products. If problems are not discovered before the product is released to the market, recall and product liability costs may also be incurred.

In order to produce product within our time and cost parameters, we must continue to produce product within our expected success rate and yield expectations. Because of the complexity of our manufacturing processes, it may be difficult or impossible for us to determine the cause of any particular lot failure and we must effectively take corrective action in response to any failure in a timely manner.

Although we have entered into contractual relationships with third-party manufacturers to produce the active ingredient in Firdapse and Kuvan, if those manufacturers are unwilling or unable to fulfill their contractual obligations, we may be unable to meet demand for Firdapse and Kuvan or sell these products at all, we may lose potential revenue, and we may be forced to terminate a program.

We have contracts for the production of final product for Firdapse and Kuvan. We alsocurrently rely on third parties for portions of the manufacture of Aldurazyme, Brineura, Naglazyme and Vimizim.each of our products. If those manufacturers are unwilling or unable to fulfill their contractual obligations or satisfy demand outside of or in excess of the contractual obligations, we may be unable to meet demand for these products or sell these products at all and we may lose potential revenue. Further, the availability of suitable contract manufacturing capacity at scheduled or optimum times is not certain.

In addition, our manufacturing processes subject us to a variety of federal, state and local laws and regulations governing the use, generation, manufacture, storage, handling and disposal of hazardous materials and wastes resulting from their use. We incur significant costs in complying with these laws and regulations.

Supply interruptions may disrupt our inventory levels and the availability of our products and product candidates and cause delays in obtaining regulatory approval for our product candidates, or harm our business by reducing our revenues.

We depend on single-source suppliers for critical raw materials and a limited number of manufacturing facilities to manufacture our finished products and product candidates. Numerous factors could cause interruptions in the supply or manufacture of our products and product candidates, including:

timing, scheduling and prioritization of production by our contract manufacturers or a breach of our agreements by our contract manufacturers;

labor interruptions;

changes in our sources for manufacturing;

the timing and delivery of shipments;

our failure to locate and obtain replacement suppliers and manufacturers as needed on a timely basis; and

conditions affecting the cost and availability of raw materials.

materials, including inflation.

If one of our suppliers or manufacturers fails or refuses to supply us with necessary raw materials or finished products or product candidates on a timely basis or at all, it would take a significant amount of time and expense to qualify a new supplier or manufacturer. We may not be able to obtain active ingredients or finished products from new suppliers or manufacturers on acceptable terms and at reasonable prices, or at all.

Any interruption in the supply of finished products could hinder our ability to distribute finished products to meet commercial demand.

demand and adversely affect our financial results and financial condition.

With respect to our product candidates, production of product is necessary to perform clinical trials and successful registration batches are necessary to file for approval to commercially market and sell product candidates. Delays in obtaining
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clinical material or registration batches could adversely impact our clinical trials and delay regulatory approval for our product candidates.


If our Manufacturing, Marketing and Sales Agreement with Sanofi were terminated, we could be prevented from continuing to commercialize ALDURAZYME or our ability to successfully commercialize ALDURAZYME would be delayed or diminished.

*Because

Either party may terminate the target patient populationsManufacturing, Marketing and Sales Agreement (the MMS Agreement) between Sanofi and us related to ALDURAZYME for our products are small, we must achieve significant market share and maintain high per-patient prices for our products to achieve profitability.

All of our products target diseases with small patient populations. As a result, our per-patient prices must be relatively highspecified reasons, including if the other party is in order to recover our development and manufacturing costs and achieve profitability. For Brineura, Naglazyme and Vimizim in particular, we must market worldwide to achieve significant market penetrationmaterial breach of the product. In addition, becauseMMS Agreement, has experienced a change of control, as such term is defined in the number of potential patientsMMS Agreement, or has declared bankruptcy and also is in each disease population is small, it is not only important to find patients who begin therapy to achieve significant market penetrationbreach of the product, butMMS Agreement. Although we also need to be able to maintain these patients on therapy for an extended period of time. Due to the expected costs of treatment for our products, we may be unable to maintain or obtain sufficient market share at a price high enough to justify our product development efforts and manufacturing expenses.

If we fail to obtain an adequate level of coverage and reimbursement for our products by third-party payors, the sales of our products would be adversely affected or there may be no commercially viable markets for our products.

The course of treatment for patients using our products is expensive. We expect patients to need treatment for extended periods, and for some products throughout the lifetimesare not currently in breach of the patients. We expect that most families of patients will not be capable of paying for this treatment themselves. There will be no commercially viable market for our products without coverage and reimbursement from third-party payors. Additionally, even ifMMS Agreement, there is a commercially viable market, ifrisk that either party could breach the level of reimbursementMMS Agreement in the future. Either party may also terminate the MMS Agreement upon one-year prior written notice for any reason.

If the MMS Agreement is belowterminated for breach, the breaching party will transfer its interest in the BioMarin/Genzyme LLC to the non-breaching party, and the non-breaching party will pay a specified buyout amount for the breaching party’s interest in ALDURAZYME and in the BioMarin/Genzyme LLC. If we are the breaching party, we would lose our expectations, our revenuerights to ALDURAZYME and gross marginsthe related intellectual property and regulatory approvals. If the MMS Agreement is terminated without cause, the non-terminating party would have the option, exercisable for one year, to buy out the terminating party’s interest in ALDURAZYME and in the BioMarin/Genzyme LLC at a specified buyout amount. If such option is not exercised, all rights to ALDURAZYME will be adversely affected.

Third-party payors, such as government or private health care insurers, carefully review and increasingly challenge the prices charged for drugs. Reimbursement rates from private companies vary depending on the third-party payor, the insurance plan and other factors. Reimbursement systems in international markets vary significantly by country and by region, and reimbursement approvals must be obtained on a country-by-country basis.

Government authorities and other third-party payors are developing increasingly sophisticated methods of controlling healthcare costs, such as by limiting coveragesold and the amountBioMarin/Genzyme LLC will be dissolved. In the event of reimbursement for particular medications. Increasingly, third-party payors are requiring that drug companies provide themtermination of the buyout option without exercise by the non-terminating party as described above, all right and title to ALDURAZYME is to be sold to the highest bidder, with predetermined discounts from list prices as a condition of coverage, are using restrictive formulariesthe proceeds to be split between Sanofi and preferred drug lists to leverage greater discountsus in competitive classes, and are challenging the prices charged for medical products. Further, no uniform policy requirement for coverage and reimbursement for drug products exists among third-party payorsaccordance with our percentage interest in the U.S. Therefore, coverageBioMarin/Genzyme LLC.

If the MMS Agreement is terminated by either party because the other party declared bankruptcy, the terminating party would be obligated to buy out the other party and reimbursementwould obtain all rights to ALDURAZYME exclusively. If the MMS Agreement is terminated by a party because the other party experienced a change of control, the terminating party shall notify the other party, the offeree, of its intent to buy out the offeree’s interest in ALDURAZYME and the BioMarin/Genzyme LLC for drug products can differ significantlya stated amount set by the terminating party at its discretion. The offeree must then either accept this offer or agree to buy the terminating party’s interest in ALDURAZYME and the BioMarin/Genzyme LLC on those same terms. The party who buys out the other party would then have exclusive worldwide rights to ALDURAZYME. The Amended and Restated Collaboration Agreement between us and Sanofi will automatically terminate upon the effective date of the termination of the MMS Agreement and may not be terminated independently from payorthe MMS Agreement.
If we were obligated or given the option to payor. As a result,buy out Sanofi’s interest in ALDURAZYME and the coverage determination process is often a time-consumingBioMarin/Genzyme LLC, and costly process that will require usthereby gain exclusive rights to provide scientific and clinical support for the use of our products to each payor separately, with no assurance that coverage and adequate reimbursement will be applied consistently or obtained in the first instance.

We cannot be sure that coverage and reimbursement will be available for any product that we commercialize or will continue to be available for any product that we have commercialized and, if reimbursement is available, what the level of reimbursement will be. Coverage and reimbursement may impact the demand for, or the price of, any product candidate for which we obtain marketing approval. If coverage and reimbursement are not available or reimbursement is available only to limited levels,ALDURAZYME, we may not successfully commercialize any product candidate for which we obtain marketing approval or continue to market any product that has already been commercialized.

Reimbursement in the EU and many other territories must be negotiated on a country-by-country basis and in many countries the product cannot be commercially launched until reimbursement is approved. The timing to complete the negotiation process in each country is highly uncertain, and in some countries we expect that it will exceed 12 months. Even after a price is negotiated, countries frequently request or require reductions to the price and other concessions over time.

For our future products, we will not know what the reimbursement rates will be until we are ready to market the product and we actually negotiate the rates. If we are unable to obtain sufficiently high reimbursement rates for our products, they may not be commercially viable or our future revenues and gross margins may be adversely affected.

*A significant portion of our international sales are made based on special access programs, and changes to these programs could adversely affect our product sales and revenue in these countries.

We make a significant portion of our international sales of Naglazyme and Vimizim through special access or “named patient” programs, which do not require full product approval, and we expect a significant portion of our international sales of Brineura will also be through such programs. The specifics of the programs vary from country to country. Generally, special approval must be obtained for each patient. The approval normally requires an application or a lawsuit accompanied by evidence of medical need. Generally, the approvals for each patient must be renewed from time to time.


These programs are not well defined in some countries and are subject to changes in requirements and funding levels. Any change to these programs could adversely affect our ability to sell our products in those countries and delay sales. If the programs are not funded by the respective government, there could be insufficienthave sufficient funds to pay for all patients. Further, governments have in the past undertakendo so and may in the future undertake unofficial measures to limit purchases of our products, including initially denying coverage for purchasers, delaying orders and denying or taking excessively long to approve customs clearance. Any such actions could materially delay or reduce our revenues from such countries.

Without the special access programs, we would need to seek full product approval to commercially market and sell our products in certain jurisdictions. This can be an expensive and time-consuming process and may subject our products to additional price controls. Because the number of patients is so small in some countries, it may not be economically feasible to seek and maintain a full product approval, and therefore the sales in such country would be permanently reduced or eliminated. For all of these reasons, if the special access programs that we are currently using are eliminated or restricted, our revenues could be adversely affected.

If we fail to compete successfully with respect to product sales, we may be unable to generate sufficient sales to recover our expenses related to the development of a product program or to justify continued marketing of a product and our revenue could be adversely affected.

Our competitors may develop, manufacture and market products that are more effective or less expensive than ours. They may also obtain regulatory approvals for their products faster than we can obtain them (including those products with orphan drug designation, which may prevent us from marketing our product entirely) or commercialize their products before we do. If we do not compete successfully, our revenue would be adversely affected, and we may be unable to generate sufficient sales to recover our expenses related to the development of a product program or to justify continued marketing of a product.

Government price controls or other changes in pricing regulation could restrict the amount that we are able to charge for our current and future products, which would adversely affect our revenue and results of operations.

We expect that coverage and reimbursement may be increasingly restricted both in the U.S. and internationally. The escalating cost of health care has led to increased pressure on the health care industry to reduce costs. In particular, drug pricing by pharmaceutical companies has recently come under increased scrutiny and continues to be subject to intense political and public debate in the U.S. and abroad. Governmental and private third-party payors have proposed health care reforms and cost reductions. A number of federal and state proposals to control the cost of health care, including the cost of drug treatments, have been made in the U.S. Specifically, there have been several recent U.S. Congressional inquiries and proposed bills designed to, among other things, bring more transparency to drug pricing, review the relationship between pricing and manufacturer patient programs, and reform government program reimbursement methodologies for drugs. In some international markets, the government controls the pricing, which can affect the profitability of drugs. Current government regulations and possible future legislation regarding health care may affect coverage and reimbursement for medical treatment by third-party payors, which may render our products not commercially viable or may adversely affect our future revenues and gross margins.

International operations are also generally subject to extensive price and market regulations, and there are many proposals for additional cost-containment measures, including proposals that would directly or indirectly impose additional price controls or mandatory price cuts or reduce the value of our intellectual property portfolio. As part of these cost containment measures, some countries have imposed or threatened to impose revenue caps limiting the annual volume of sales of our products. To the extent that these caps are significantly below actual demand, our future revenues and gross margins may be adversely affected.

We cannot predict the extent to which our business may be affected by these or other potential future legislative or regulatory developments. However, future price controls or other changes in pricing regulation or negative publicity related to our product pricing or the pricing of pharmaceutical drugs generally could restrict the amount that we are able to charge for our current and future products or our sales volume, which would adversely affect our revenue and results of operations.

*Government health care reform could increase our costs and adversely affect our revenue and results of operations.

Our industry is highly regulated and changes in law may adversely impact our business, operations or financial results. The U.S. the Patient Protection and Affordable Care Act of 2010, as amended by the Health Care and Education Reconciliation Act of 2010 (the PPACA) is a sweeping measure intended to, among other things, expand healthcare coverage within the U.S., primarily through the imposition of health insurance mandates on employers and individuals and expansion of the Medicaid program. Several provisions of the law have affected us and increased certain of our costs.

Since its enactment, there have been judicial and Congressional challenges to certain aspects of the PPACA, as well as recent efforts by the Trump administration to repeal or replace certain aspects of the PPACA, and we expect there will be additional


challenges and amendments to the PPACA in the future. Since January 2017, President Trump has signed two Executive Orders designed to delay the implementation of certain provisions of the PPACA or otherwise circumvent some of the requirements for health insurance mandated by the PPACA. The Trump administration has also announced that it will discontinue the payment of cost-sharing reduction (CSR) payments to insurance companies until Congress approves the appropriation of funds for such CSR payments. The loss of the CSR payments is expected to increase premiums on certain policies issued by qualified health plans under the PPACA. A bipartisan bill to appropriate funds for CSR payments has been introduced in the Senate, but the future of that bill is uncertain. Further, each chamber of Congress has put forth multiple bills designed to repeal or repeal and replace portions of the PPACA. Although none of these measures has been enacted by Congress to date, Congress may consider other legislation to repeal and replace elements of the PPACA.  It is uncertain the extent to which any such changes may impact our business or financial condition. In addition, other legislative changes have been adopted since the PPACA was enacted. Some of these changes have resulted in additional reductions in Medicare and other healthcare funding, which could have a material adverse effect on our customers and, accordingly, our financial operations.

We anticipate that the PPACA, as well as other healthcare reform measures that may be adopted in the future, may result in more rigorous coverage criteria and an additional downward pressure on the reimbursement our customers may receive for our products. Recently there has been heightened governmental scrutiny over the manner in which manufacturers set prices for their marketed products. For example, there have been several recent U.S. Congressional inquiries and proposed bills designed to, among other things, bring more transparency to drug pricing, review the relationship between pricing and manufacturer patient programs, reduce the cost of drugs under Medicare, and reform government program reimbursement methodologies for drug products. Any reduction in reimbursement from Medicare and other government programs may result in a similar reduction in payments from private payors. In addition, individual states in the United States have also become increasingly active in passing legislation and implementing regulations designed to control pharmaceutical product pricing, including price or patient reimbursement constraints, discounts, restrictions on certain product access and marketing cost disclosure and transparency measures, and, in some cases, designed to encourage importation from other countries and bulk purchasing. Legally mandated price controls on payment amounts by third-party payors or other restrictions could harm our business, results of operations, financial condition and prospects. In addition, regional healthcare authorities and individual hospitals are increasingly using bidding procedures to determine what pharmaceutical products and which suppliers will be included in their prescription drug and other healthcare programs. The implementation of cost containment measures or other healthcare reforms may prevent us from being able to generate revenue, attain profitability or commercialize our products. For more information regarding government health care reform, see “Government Regulation - Health Reform” in Part I, Item 1 of our Annual Report on Form 10-K for the year ended December 31, 2016, filed with the SEC on February 27, 2017.

We face credit risks from government-owned or sponsored customers outside of the U.S. that may adversely affect our results of operations.

Our product sales to government-owned or supported customers in various countries outside of the U.S. are subject to significant payment delays due to government funding and reimbursement practices. This has resulted and may continue to result in an increase in days sales outstanding due to the average length of time that we have accounts receivable outstanding. If significant changes were to occur in the reimbursement practices of these governments or if government funding becomes unavailable, we may not be able to collect on amounts dueobtain the financing to us from these customers and our results of operations would be adversely affected.

*do so. If we are found in violation of federal or state health care laws,fail to buy out Sanofi’s interest, we may be required to pay a penalty or be suspended from participationheld in federal or state health care programs, which may adversely affect our business, financial condition and results of operations.

We are subject to various federal and state health care laws and regulations, including anti-kickback laws, false claims laws, data privacy and security laws, and laws related to ensuring compliance. The federal Anti-Kickback Statute makes it illegal for any person or entity, including a pharmaceutical company, to knowingly and willfully offer, solicit, pay or receive any remuneration, directly or indirectly, in exchange for or to induce the referral of business, including the purchase, order or prescription of a particular drug, for which payment may be made under federal health care programs, such as Medicare and Medicaid. Under federal government regulations, certain arrangements, or safe harbors, are deemed not to violate the federal Anti-Kickback Statute. However, the exemptions and safe harbors are drawn narrowly, and practices that involve remuneration not intended to induce prescribing, purchases or recommendations may be subject to scrutiny if they do not qualify for an exemption or safe harbor. Our practices may not in all cases meet allbreach of the criteria for safe harbor protection from Anti-Kickback liability, although we seek to comply with these safe harbors. Many states have adopted laws similaragreement and may lose any claim to the federal Anti-Kickback Statute, some of which applyrights to referral of patients for health care services reimbursed by any source, not just governmental payors.

FederalALDURAZYME and state false claims laws, including the civil False Claims Act, prohibit any person from knowingly presenting, or causing torelated intellectual property and regulatory approvals. We would then effectively be presented, a false claim for payment to the federal government, or knowingly making, or causing to be made, a false


statement to have a false claim paid, or knowingly making, using, or causing to be made or used, a false record or statement to avoid, decrease or conceal an obligation to pay money to the federal government. In addition, certain marketing practices, including off-label promotion, may also violate false claims laws. Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), we also are prohibited from knowinglydeveloping and willfully executing a schemecommercializing ALDURAZYME. If this happened, not only would our product revenues decrease, but our share price would also decline.

Risks Related to defraud any health care benefit program, including private payors, or knowingly and willfully falsifying, concealing or covering up a material fact or making any materially false, fictitious or fraudulent statement in connection with the delivery of or payment for health care benefits, items or services.

HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act and its implementing regulations, also imposes obligations, including mandatory contractual terms, on certain types of individuals and entities, with respect to safeguarding the privacy, security and transmission of individually identifiable health information. Many state and foreign laws also govern the privacy and security of health information. They often differ from each other in significant ways and often are not preempted by HIPAA, thus complicating compliance efforts.

Substantial new provisions affecting compliance have also been adopted, which may require us to modify our business practices with health care practitioners. The PPACA, through the Physician Payments Sunshine Act, requires drug manufacturers to collect and report to CMS information on payments or transfers of value to physicians and teaching hospitals, as well as investment and ownership interests held by physicians and their immediate family members during the preceding calendar year. Failure to submit required information may result in civil monetary penalties.

In addition, there has been a recent trend of increased state regulation of payments made to physicians. Certain states mandate implementation of compliance programs, compliance with the Office of Inspector General Compliance Program Guidance for Pharmaceutical Manufacturers and the Pharmaceutical Research and Manufacturers of America (PhRMA) Code on Interactions with Healthcare Professionals, and/or the tracking and reporting of gifts, compensation and other remuneration to physicians. The shifting compliance environment and the need to implement systems to comply with multiple jurisdictions with different compliance and/or reporting requirements increases the possibility that a pharmaceutical manufacturer may violate one or more of the requirements.

Due to the breadth of these laws, the narrowness of available statutory and regulatory exceptions and the increased focus by law enforcement agencies in enforcing such laws, our business activities could be subject to challenge under one or more of such laws.

In addition, recent health care reform legislation has strengthened these laws. For example, the PPACA, among other things, amends the intent requirement of the federal Anti-Kickback Statute and criminal healthcare fraud statutes. A person or entity no longer needs to have actual knowledge of these statutes or specific intent to violate them in order to commit a violation. Moreover, the PPACA provides that the government may assert that a claim including items or services resulting from a violation of the federal Anti-Kickback Statute constitutes a false or fraudulent claim for purposes of the False Claims Act. If we are found in violation of one of these laws, we may be subject to criminal, civil or administrative sanctions, including damages, fines, disgorgement, imprisonment, contractual damages, reputational harm, diminished profits and future earnings, additional reporting requirements and oversight if we become subject to a corporate integrity agreement or similar agreement to resolve allegations of non-compliance with these laws, curtailment of our operations, debarment, suspension or exclusion from participation in federal or state health care programs, any of which could adversely affect our business, financial condition and results of operations.

*International Operations

We conduct a significant amount of our sales and operations outside of the U.S., which subjects us to additional business risks that could adversely affect our revenuerevenues and results of operations.

A significant portion of the sales of Aldurazyme, Kuvan, Naglazyme and Vimizim, and all of the sales of Firdapseour products are generated from countries other than the U.S. Similarly,, and we expect a significant portion ofinternational markets will continue to be important for the sales of Brineura to be generated from countries other thanany products approved in the U.S.future. We have operations in Canada and in several European, Middle Eastern, Asian, and Latin American countries. We expect that we will continue to expand our international operations in the future. International operations inherently subject us to a number of risks and uncertainties, including:

the increased complexity and costs inherent in managing international operations;

diverse regulatory and compliance requirements, and changes in those requirements that could restrict our ability to manufacture, market and sell our products;

political and economic instability;

instability, such as the instability caused by Russia’s invasion of Ukraine;

diminished protection of intellectual property in some countries outside of the U.S.;

trade protection measures and import or export licensing requirements;

difficulty in staffing and managing international operations;

differing labor regulations and business practices;
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differing labor regulations and business practices;

potentially negative consequences from changes in or interpretations of tax laws;

changes in international medical reimbursement policies and programs;

financial risks such as longer payment cycles, difficulty collecting accounts receivable, exposure to fluctuations in foreign currency exchange rates and potential currency controls imposed by foreignnon-U.S. governments;

regulatory and compliance risks that relate to maintaining accurate information and control over sales and distributors’ and service providers’ activities that may fall within the purview of the Foreign Corrupt Practices Act (the FCPA); and

rapidly evolving global laws and regulations relating to data securityprotection and the unauthorized useprivacy and security of or access to, commercial and personal information.

Any of these factors may, individually or as a group, have a material adverse effect on our business and results of operations.

For example, Russia’s invasion of Ukraine and the related impacts to Ukraine’s infrastructure and healthcare system has significantly impacted our ability to provide our therapies to patients in Ukraine. Sanctions issued by the U.S. and other countries against Russia and Belarus in response to the attack on Ukraine and related counter-sanctions issued by Russia have made it very difficult for us to operate in Russia and may have a material adverse impact on our ability to sell our products and/or collect receivables from customers in Russia and Belarus.

As we continue to expand our existing international operations, we may encounter new risks. For example, as we focus on building our international sales and distribution networks in new geographic regions, we must continue to develop relationships with qualified local distributors and trading companies. If we are not successful in developing and maintaining these relationships, we may not be able to grow sales in these geographic regions. These or other similar risks could adversely affect our revenuerevenues and profitability.

*

A significant portion of our international sales are made based on special access programs, and changes to these programs could adversely affect our product sales and revenues in these countries.
We make a significant portion of our initial international sales of newly launched products through early access, special access or “named patient sales” programs in markets where we are not required to obtain regulatory approval. For example, a significant portion of our international sales of VOXZOGO since the product’s launch have been made through such programs. The specifics of the programs vary from country to country. Generally, special approval must be obtained to initiate such programs, and in some cases, special approval must be obtained for each patient. The approval normally requires an application or a lawsuit accompanied by evidence of medical need.
These programs are not well defined in some countries and are subject to changes in requirements, funding levels, unmet medical need and classification of the disease treated by our product. Any change to these programs could adversely affect our ability to sell our products in those countries and delay sales. If the programs are not funded by the respective government, there could be insufficient funds to pay for all patients. Further, governments have and may continue to undertake unofficial measures to limit purchases of our products, including initially denying coverage for purchasers, delaying orders, requiring additional in-country testing and denying or taking excessively long to approve customs clearance. Any such actions could materially delay or reduce our revenues from such countries.
Without the special access programs, we failwould need to comply with seek full product approval or official reimbursement to commercially market and sell our products in certain jurisdictions. This can be an expensive and time-consuming process and may subject our products to additional price controls. Because the number of patients is so small in some countries, it may not be economically feasible to seek, obtain and maintain a full product approval or official reimbursement, and therefore the sales in such country would be permanently reduced or eliminated. For all of these reasons, if the special access programs that we are currently using are eliminated or restricted, our revenues could be adversely affected.
Our international operations pose currency risks, which may adversely affect our operating results and net income.
A significant and growing portion of our revenues and earnings, as well as our substantial international net assets, are exposed to changes in foreign exchange rates. As we operate in multiple foreign currencies, including the Euro, the Brazilian Real, the Canadian Dollar, the Colombian Peso, the Argentine Peso and several other currencies, changes in those currencies relative to the U.S. Dollar (USD) will impact our revenues and expenses. If the USD were to weaken against another currency, assuming all other variables remained constant, our revenues would increase, having a positive impact on earnings, and our overall expenses would increase, having a negative impact on earnings. Conversely, if the USD were to strengthen against another currency (as was the case for many currencies in 2022), assuming all other variables remained constant, our revenues would decrease, having a negative impact on earnings, and our overall expenses would decrease, having a positive impact on earnings. In addition, because our financial statements are reported in USD, changes in currency exchange rates between the USD and other currencies have had, and will continue to have, an impact on our results of operations. Therefore, significant changes in foreign exchange rates can impact our results and our financial guidance.
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We implement currency hedges intended to reduce our exposure to changes in certain foreign currency exchange rates. However, our hedging strategies may not be successful, and any of our unhedged foreign exchange exposures will continue to be subject to market fluctuations. These risks could cause a material adverse effect on our business, financial position and results of operations and could cause the market value of our common stock to decline.
U.S. export control and economic sanctions may adversely affect our business, financial condition and operating resultsresults. Moreover, compliance with such regulatory requirements may be adversely affected.

We rely on a general licenseincrease our costs and negatively impact our ability to sell our products and collect cash from customers.

Our products are subject to U.S. export control laws and regulations, including the U.S. Export Administration Regulations and various economic and trade sanctions regulations administered by the U.S. Treasury Department’s Office of Foreign Assets Control (OFAC). Exports of our products and solutions must be made in compliance with these laws and regulations. Changes to these laws and regulations, or to the countries, governments, persons or activities targeted by such laws, could result in decreased use of our products, or hinder our ability to export or sell our products to existing or potential customers, which would likely adversely affect our results of operations, financial condition or strategic objectives. For example, sanctions issued by the U.S. and other jurisdictions against Russia and Belarus in response to the invasion of Ukraine have made it very difficult for us to operate in Russia and may have a material adverse impact on our ability to sell our products and/or collect receivables from customers in Russia and Belarus. Moreover, if we fail to comply with these laws and regulations, we could be subject to substantial civil or criminal penalties, including the possible loss of export or import privileges and fines.
We rely on a general license from OFAC to sell our medicines for eventual use by hospital and clinic end-users in Iran. The use of this OFAC general license requires us to observe strict conditions with respect to products sold, end-user limitations and payment requirements. Although we believe we have maintained compliance with the general license requirements, there can be no assurance that the general license will not be revoked, the general license will be renewed in the future or that we will remain in compliance.  Moreover, acompliance with the general license. A violation of the OFAC general license could result in substantial fines, sanctions, civil or criminal penalties, competitive or reputational harm, litigation or regulatory action and other consequences that might adversely affect our results of operations, financial condition or strategic objectives.

*

Moreover, U.S. export control and economic sanctions may make operating in certain countries more difficult and expensive. For example, we may be unable to find distributors or financial institutions willing to facilitate the sale of our products and collection of cash from such sales in a cost-effective manner, if at all.
Failure to comply with applicable anti-corruption legislation could result in fines, criminal penalties and materially adversely affect our business, financial condition and results of operations.

We are required to comply with anti-corruption and anti-bribery laws in the jurisdictions in which we operate, including the FCPA in the United States, the UK Bribery ActU.S. and other similar laws in other countries in which we do business. We operate in a number of countries that are recognized to have a reputation for corruption and pose an increased risk of corrupt practices. We also regularly interact with government regulators in many countries, including those that are considered higher risk for corruption, in order to secure regulatory approval to manufacture and distribute our products. The anti-corruption and anti-bribery laws to which we are subject generally prohibit companies and their intermediaries from making improper payments to foreignnon-U.S. government officials or other persons for the purposes of influencing official decisions or obtaining or retaining business and/or other benefits. These laws also require us to make and keep books and records that accurately and fairly reflect our transactions and to devise and maintain an adequate system of internal accounting controls. As part of our business, we deal with state-owned business enterprises, the employees and representatives of which may be considered foreignnon-U.S. government officials for purposes of applicable anti-corruption laws.

Although we have adopted policies and procedures designed to ensure that the Company,we, our employees and third-party agents will comply with such laws, there can be no assurance that such policies or procedures will work effectively at all times or protect us against liability under these or other laws for actions taken by our employees, partners and other third parties with respect to our business. If we are not in compliance with anti-corruption laws and other laws governing the conduct of business with government entities and/or officials (including local laws), we may be subject to criminal and civil penalties and other remedial measures, which could harm our business, financial condition, results of operations, cash flows and prospects. Investigations of any actual or alleged violations of such laws or policies related to us could harm our business, financial condition, results of operations, cash flows and prospects.

Our international operations pose currency

Moreover, there has been enhanced scrutiny of company-sponsored patient assistance programs, including insurance premium and co-pay assistance programs and donations to third-party independent charities that provide such assistance. There has also been enhanced scrutiny by governments on reimbursement support offerings, clinical education programs and promotional speaker programs. If we, our third-party agents or donation recipients are deemed to have failed to comply with laws, regulations or government guidance in any of these areas, we could be subject to criminal or civil sanctions. Any similar violations by our competitors could also negatively impact our industry reputation and increase scrutiny over our business and our products.
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We face credit risks whichfrom government-owned or sponsored customers outside of the U.S. that may adversely affect our operating results of operations.
Our product sales to government-owned or supported customers in various countries outside of the U.S. are subject to significant payment delays due to government funding and net income.

A significantreimbursement practices. This has resulted and growing portion of our revenues and earnings, as well as our substantial international net assets, are exposedmay continue to changesresult in foreign exchange rates. As we operatean increase in multiple foreign currencies, including the euro, the Brazilian real, the U.K. pound, the Canadian dollar, the Swiss franc, the Japanese yen and several other currencies, changes in those currencies relativedays sales outstanding due to the U.S. dollar will impact our revenues and expenses.average length of time that we have accounts receivable outstanding. If the U.S. dollarsignificant changes were to weaken against another currency, assuming all other variables


remained constant, our revenues would increase, having a positive impactoccur in the reimbursement practices of these governments or if government funding becomes unavailable, we may not be able to collect on earnings,amounts due to us from these customers and our overall expenses would increase, having a negative impact on earnings. Conversely, if the U.S. dollar were to strengthen against another currency, assuming all other variables remained constant, our revenues would decrease, having a negative impact on earnings, and our overall expenses would decrease, having a positive impact on earnings. In addition, because our financial statements are reported in U.S. dollars, changes in currency exchange rates between the U.S. dollar and other currencies have had, and will continue to have, an impact on our results of operations. Therefore, significant changes in foreign exchange rates can impact our results and our financial guidance.

We implement currency hedges intended to reduce our exposure to changes in foreign currency exchange rates. However, our hedging strategies may notoperations would be successful, and any of our unhedged foreign exchange exposures will continue to be subject to market fluctuations. These risks could cause a material adverse effect on our business, financial position and results of operations and could cause the market value of our common stock to decline.

*adversely affected.

Intellectual Property Risks
If we are unable to protect our intellectual property, we may not be able to compete effectively.

effectively or preserve our market shares.

Where appropriate, we seek patent protection for certain aspects of our technology. Patent protection may not be available for some of the products we are developing. If we must spend significant time and money protecting or enforcing our patents, designing around patents held by others or licensing, potentially for large fees, patents or other proprietary rights held by others, our business and financial prospects may be harmed.

The patent positions of biopharmaceutical products are complex and uncertain. The scope and extent of patent protection for some of our products and product candidates are particularly uncertain because key information on some of our product candidates has existed in the public domain for many years. The composition and genetic sequences of animal and/or human versions of Aldurazyme, NaglazymeALDURAZYME, NAGLAZYME and many of our product candidates have been published and are believed to be in the public domain. The chemical structure of 6R-BH4 (the active ingredient in Kuvan) and 3,4-DAP (the active ingredient in Firdapse) haveKUVAN) has also been published. Publication of this information may prevent us from obtaining or enforcing patents relating to our products and product candidates, including without limitation composition-of-matter patents, which are generally believed to offer the strongest patent protection.

We own or have licensed patents and patent applications related to our products. However, these patents and patent applications do not ensure the protection of our intellectual property for a number of reasons, including without limitation the following:

With respect to pending patent applications, unless and until actually issued, the protective value of these applications is impossible to determine. We do not know whether our patent applications will result in issued patents.

Patents have limited duration and expire.
Enforcing patents is expensive and may absorb significant time of our management. Management would spend less time and resources on developing products, which could increase our operating expenses and delay product programs.
Receipt of a patent may not provide much, if any, practical protection. For example, if we receive a patent with a narrow scope, then it will be easier for competitors to design products that do not infringe on our patent.
The Leahy-Smith America Invents Act of 2011, which reformed certain patent laws in the U.S., may create additional uncertainty. Among the significant changes are switching from a “first-to-invent” system to a “first-to-file” system, and the implementation of new procedures that permit competitors to challenge our patents in the U.S. Patent and Trademark Office after grant.
It is also unclear whether our trade secrets are adequately protected. Our current and former employees, consultants or contractors may unintentionally or willfully disclose trade secrets to competitors. Enforcing a claim that someone else illegally obtained and is using our trade secrets, as with patent litigation, is expensive and time consuming, requires significant resources and has an unpredictable outcome. In addition, courts outside of the U.S. are sometimes less willing to protect trade secrets. Furthermore, our competitors may independently develop equivalent knowledge, methods and know-how, in which case we would not be able to enforce our trade secret rights against such competitors.
In the EU, materials we submit to the EMA in connection with our clinical trials that were traditionally regarded as confidential, proprietary information, such as study protocols, information regarding manufacturing methods and controls, and intermediate data analyses, are now subject to public disclosure. Moreover, clinical trial data submitted to the EMA in our MAAs are also available to the public. We are only permitted to redact from public disclosures commercially confidential information, a standard which is construed narrowly and subject to the interpretation and final decision of the EU regulatory authorities. EU regulations have resulted and will continue to result in the EMA’s public disclosure of certain of our proprietary information related to recently completed and future clinical trials and MAA submissions. The move toward public disclosure of such development information could adversely affect our business in many ways, including, for example, resulting in the disclosure of our confidential methodologies for development of our products, preventing us from obtaining intellectual property right protection for innovations,
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requiring us to allocate significant resources to prevent other companies from violating our intellectual property rights, adding even more complexity to processing health data from clinical trials consistent with applicable data privacy regulations, increasing scrutiny of our product candidates and products, and enabling competitors to use our clinical trial information and data to gain approvals for their own products.

Competitors may interfere with our patent process in a variety of ways. Competitors may claim that they invented the claimed invention prior to us or that they filed their application for a patent on a claimed invention before we did. Competitors may also claim that we are infringing on their patents and therefore we cannot practice our technology. Competitors may also contest our patents by showing the patent examiner or a court that the invention was not original, was not novel or was obvious, for example. In litigation, a competitor could claim that our issued patents are not valid or are unenforceable for a number of reasons. If a court agrees, we would not be able to enforce that patent. We have no meaningful experience with competitors interfering with or challenging the validity or enforceability of our patents or patent applications.

GenericMoreover, generic manufacturers may use litigation and regulatory means to obtain approval for generic versions of our products notwithstanding our filed patents or patent applications.

Enforcing patents is expensive and may absorb significant time of our management. Management would spend less time and resources on developing products, which could increase our operating expenses and delay product programs.

Receipt of a patent may not provide much, if any, practical protection. For example, if we receive a patent with a narrow scope, then it will be easier for competitors to design products that do not infringe on our patent.

The Leahy-Smith America Invents Act of 2011, which reformed certain patent laws in the U.S., may create additional uncertainty. Among the significant changes are switching from a first-to-invent system to a first-to-file system, and the implementation of new procedures that permit competitors to challenge our patents in the U.S. Patent and Trademark Office after grant.

It is also unclear whether our trade secrets are adequately protected. Our current and former employees, consultants or contractors may unintentionally or willfully disclose trade secrets to competitors. Enforcing a claim that someone else illegally obtained and is using our trade secrets, as with patent litigation, is expensive and time consuming, requires significant resources and has an unpredictable outcome. In addition, courts outside of the U.S. are sometimes less willing to protect trade secrets. Furthermore, our competitors may independently develop equivalent knowledge, methods and know-how, in which case we would not be able to enforce our trade secret rights against such competitors.


Under policies recently adopted in the EU, clinical trial data submitted to the EMA in MAAs that were traditionally regarded as confidential commercial information are now subject to public disclosure. Subject to BioMarin’s ability to review and redact a narrow sub-set of confidential commercial information, the new EU policies will result in the EMA’s public disclosure of certain of our clinical study reports, clinical trial data summaries and clinical overviews for recently completed and future MAA submissions. The move toward public disclosure of development data could adversely affect our business in many ways, including, for example, resulting in the disclosure of our confidential methodologies for development of our products, preventing us from obtaining intellectual property right protection for innovations, requiring us to allocate significant resources to prevent other companies from violating our intellectual property rights, adding even more complexity to processing health data from clinical trials consistent with applicable data privacy regulations, and enabling competitors to use our data to gain approvals for their own products.

If we are unable to protect our intellectual property, third parties could develop competing products, which could adversely affect our revenuerevenues and financial results generally.

Competitors and other third parties may have developed intellectual property that could limit our ability to market and commercialize our products and product candidates, if approved.

Similar to us, competitors continually seek intellectual property protection for their technology. Several of our development programs, such as valoctocogene roxaparvovec,ROCTAVIAN, focus on therapeutic areas that have been the subject of extensive research and development by third parties for many years. Due to the amount of intellectual property in our field of technology, we cannot be certain that we do not infringe intellectual property rights of competitors or that we will not infringe intellectual property rights of competitors granted or created in the future. For example, if a patent holder believes our product infringes its patent, the patent holder may sue us even if we have received patent protection for our technology. If someone else claims we infringe itstheir intellectual property, we would face a number of issues, including the following:

Defending a lawsuit takes significant executive resources and can be very expensive.

If a court decides that our product infringes a competitorscompetitor’s intellectual property, we may have to pay substantial damages.

With respect to patents, in addition to requiring us to pay substantial damages, a court may prohibit us from making, selling, offering to sell, importing or using our product unless the patent holder licenses the patent to us. The patent holder is not required to grant us a license. If a license is available, it may not be available on commercially reasonable terms. For example, we may have to pay substantial royalties or grant cross licenses to our patents and patent applications.

We may need to redesign our product so it does not infringe the intellectual property rights of others.

Redesigning our product so it does not infringe the intellectual property rights of competitors may not be possible or could require substantial funds and time.

We may also support and collaborate in research conducted by government organizations, hospitals, universities or other educational institutions. These research partners may be unwilling to grant us any exclusive rights to technology or products derived from these collaborations.

If we do not obtain required licenses or rights, we could encounter delays in our product development efforts while we attempt to design around other patents or may be prohibited from making, using, importing, offering to sell or selling products requiring these licenses or rights. There is also a risk that disputes may arise as to the rights to technology or products developed in collaboration with other parties. If we are not able to resolve such disputes and obtain the licenses or rights we need, we may not be able to develop or market our products.

If

Risks Related to Ownership of Our Securities
Our stock price has been and may in the future be volatile, and an investment in our Manufacturing, Marketingstock could suffer a decline in value.
Our stock price has been and Sales Agreement with Genzyme were terminated, we couldmay in the future be prevented from continuingvolatile. Our valuation and stock price may have no meaningful relationship to commercialize Aldurazymecurrent or historical earnings, asset values, book value or many other criteria based on conventional measures of stock value. The market price of our common stock will fluctuate due to factors including:
product sales and profitability of our products;
manufacturing, supply or distribution of our product candidates and products
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Table of Contents
progress of our product candidates through the regulatory process and our ability to successfully commercialize Aldurazyme would be delayedany such products that receive regulatory approval;
results of clinical trials, announcements of technological innovations or diminished.

Either party may terminatenew products by us or our competitors;

generic competition to KUVAN tablets and powder described above in this Risk Factors section or potential generic competition from future competitors;
government regulatory action affecting our product candidates, our products or our competitors’ product candidates and products in both the Manufacturing, MarketingU.S. and Sales Agreement (the MMS Agreement) between Genzymenon-U.S. countries;
developments or disputes concerning patent or proprietary rights;
general market conditions and fluctuations for the emerging growth and pharmaceutical market sectors;
economic conditions in the U.S. or abroad;
negative publicity about us related to Aldurazyme for specified reasons, including ifor the pharmaceutical industry;
changes in the structure of healthcare payment systems;
cybersecurity incidents experienced by us or others in our industry;
broad market fluctuations in the U.S., the EU or in other party is in material breachparts of the MMS Agreement, hasworld;
actual or anticipated fluctuations in our operating results, including due to timing of large periodic orders for our products by governments in certain countries;
changes in company assessments or financial estimates by securities analysts;
acquisitions of products, businesses, or other assets; and
sales of our shares of stock by us, our significant stockholders, or members of our management or Board of Directors.
Furthermore, the stock markets have recently experienced a changeextreme price and volume fluctuations that have affected and continue to affect the market prices of control, as such term is definedequity securities of many companies. In some cases, these fluctuations have been unrelated or disproportionate to the operating performance of those companies. In the past, companies that have experienced volatility in the MMS Agreement, or has declared bankruptcymarket price of their stock have been subject to securities class action litigation. For example, in September 2020, after a substantial drop in our stock price that followed an announcement providing a regulatory update regarding ROCTAVIAN, we and also iscertain of our officers were sued in breacha putative class action lawsuit alleging violations of the MMS Agreement. Althoughfederal securities laws for allegedly making materially false or misleading statements. In addition, in October 2021, after a drop in our stock price that followed an announcement providing a regulatory update regarding BMN 307, we are not currentlyand certain of our current and former officers were sued in breacha putative class action lawsuit alleging violations of the MMS Agreement, there is a risk that either party could breachfederal securities laws for allegedly making materially false or misleading statements. We may be the MMS Agreementtarget of additional litigation of this type in the future. Either party may also terminate the MMS Agreement upon one year prior written notice for any reason.

future as well. Securities litigation against us could result in substantial costs and divert our management’s time and attention from other business concerns, which could harm our business.

If the MMS Agreement is terminated for breach, the breaching party will transfer its interestIn addition, our stock price can be materially adversely affected by factors beyond our control, such as disruptions in global financial markets or negative trends in the BioMarin/Genzyme LLC tobiotechnology sector of the non-breaching party, andeconomy, even if our business is operating well.

Conversion of the non-breaching partyNotes will pay a specified buyout amount fordilute the breaching party’sownership interest in Aldurazyme andof existing stockholders, including holders who had previously converted their Notes, or may otherwise depress the price of our common stock.
The conversion of some or all of the Notes will dilute the ownership interests of existing stockholders. Any sales in the BioMarin/Genzyme LLC. If we arepublic market of the breaching party, we would losecommon stock issuable upon such conversion could adversely affect prevailing market prices of our rightscommon stock. In addition, the existence of the Notes may encourage short selling by market participants because the conversion of the Notes could be used to Aldurazyme andsatisfy short positions, or anticipated conversion of the related intellectual property and regulatory approvals. IfNotes into shares of our common stock could depress the MMS Agreement is terminated without cause,price of our common stock.
The fundamental change repurchase feature of the non-terminating party would haveNotes may delay or prevent an otherwise beneficial attempt to take us over.
The terms of the option, exercisable for one year,Notes require us to buy outoffer to repurchase the terminating party’s interestNotes in Aldurazyme and in the BioMarin/Genzyme LLC at a specified buyout amount. If such option is not exercised, all rights to Aldurazyme will be sold and the BioMarin/Genzyme LLC will be dissolved. In the event of terminationa fundamental change (as defined in each indenture governing the Notes). A takeover of us would trigger options by the respective holders of the buyout option without exerciseapplicable Notes to
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require us to repurchase such Notes. This may have the effect of delaying or preventing a takeover of us that would otherwise be beneficial to our stockholders or investors in the Notes.
Anti-takeover provisions in our charter documents and under Delaware law may make an acquisition of us, which may be beneficial to our stockholders, more difficult.
We are incorporated in Delaware. Certain anti-takeover provisions of Delaware law and our charter documents as currently in effect may make a change in control of us more difficult, even if a change in control would be beneficial to the stockholders. Our anti-takeover provisions include provisions in our restated certificate of incorporation and amended and restated bylaws providing that stockholders’ meetings may only be called by our Chairman, the non-terminating party as described above, all rightlead independent director or the majority of our Board of Directors and titlethat the stockholders may not take action by written consent and requiring that stockholders that desire to Aldurazyme isnominate any person for election to our Board of Directors or to make any proposal with respect to business to be soldconducted at a meeting of our stockholders be submitted in appropriate form to our Secretary within a specified period of time in advance of any such meeting. Additionally, our Board of Directors has the highest bidder, withauthority to issue shares of preferred stock and to determine the proceeds to be split between Genzyme and us in accordance withterms of those shares of stock without any further action by our percentage interest in the BioMarin/Genzyme LLC.

If the MMS Agreement is terminated by either party because the other party declared bankruptcy, the terminating party would be obligated to buy out the other party and would obtain allstockholders. The rights to Aldurazyme exclusively. If the MMS Agreement is terminated by a party because the other party experienced a change of control, the terminating party shall notify the other party, the offeree,holders of its intent to buy out the offeree’s interest in Aldurazyme and the BioMarin/Genzyme LLC for a stated amount set by the terminating party at its discretion. The offeree must then either accept this offer or agree to buy the terminating party’s interest in Aldurazyme and the BioMarin/Genzyme LLC on those same terms. The party who buys out the other party would then have exclusive worldwide rights to Aldurazyme. The Amended and Restated Collaboration Agreement between us and Genzyme will automatically terminate upon the effective date of the termination of the MMS Agreement and may not be terminated independently from the MMS Agreement.

If we were obligated or given the option to buy out Genzyme’s interest in Aldurazyme and the BioMarin/Genzyme LLC, and thereby gain exclusive rights to Aldurazyme, we may not have sufficient funds to do so and we may not be able to obtain the financing to do so. If we fail to buy out Genzyme’s interest, we may be held in breach of the agreement and may lose any claimour common stock are subject to the rights of the holders of any preferred stock that may be issued. The issuance of preferred stock could make it more difficult for a third party to Aldurazymeacquire a majority of our outstanding voting stock. Delaware law also prohibits corporations from engaging in a business combination with any holders of 15% or more of their capital stock until the holder has held the stock for three years unless, among other possibilities, our Board of Directors approves the transaction. Our Board of Directors may use these provisions to prevent changes in the management and control of us. Also, under applicable Delaware law, our Board of Directors may adopt additional anti-takeover measures in the future.

Our amended and restated bylaws designate the Court of Chancery of the State of Delaware and the related intellectual propertyfederal district courts of the U.S. as the exclusive forums for the adjudication of certain disputes, which could limit our stockholders’ ability to obtain a favorable judicial forum for disputes with us or our directors, officers, or employees.
Our amended and regulatory approvals. We would then effectively be prohibited from developingrestated bylaws provide that the Court of Chancery of the State of Delaware is the sole and commercializing Aldurazyme. If this happened, not only wouldexclusive forum for the following types of actions or proceedings under Delaware statutory or common law:
any derivative claim or cause of action brought on our product revenues decrease, but our share price would also decline.

If we fail to develop new products and product candidatesbehalf;

any claim or compete successfully with respect to acquisitions, joint ventures, licensescause of action for breach of a fiduciary duty owed by any director, officer or other collaboration opportunities,employee of BioMarin to us or our ability to continue to expandstockholders;
any claim or cause of action against us or any of our product pipeline and our growth and development would be impaired.

Our future growth and development depends in part on our ability to successfully develop new products from our research and development activities. The development of biopharmaceutical products is very expensive and time intensive and involves a great degree of risk. The outcomes of research and development programs, especially for innovative biopharmaceuticals, are inherently uncertain and may not result in the commercialization of any products.

Our competitors compete with us to attract organizations for acquisitions, joint ventures, licensing arrangementsdirectors, officers or other collaborations. To date, severalemployees arising pursuant to any provision of the General Corporation Law of the State of Delaware, our restated certificate of incorporation or our amended and restated bylaws; any claim or cause of action seeking to interpret, apply, enforce or determine the validity of our formerrestated certificate of incorporation or our amended and current product programs have been acquired through acquisitionsrestated bylaws;

any claim or cause of action as to which the General Corporation Law of the State of Delaware confers jurisdiction to the Court of Chancery of the State of Delaware; and several
any claim or cause of action against us or any of our former and current product programs have been developed through licensingdirectors, officers or collaborative arrangements, such as Aldurazyme, Firdapse, Kuvan and Naglazyme. These collaborations include licensing proprietary technology from, and other relationships with, academic research institutions. Our future success will depend, in part, on our abilityemployees that is governed by the internal affairs doctrine.
This exclusive-forum provision would not apply to identify additional opportunities andsuits brought to successfully enter into partneringenforce a duty or acquisition agreements for those opportunities. If our competitors successfully enter into partnering arrangements or license agreements with academic research institutions, we will then be precluded from pursuing those specific opportunities. Because each of these opportunities is unique, we may not be able to find a substitute. Several pharmaceutical and biotechnology companies have already established themselves inliability created by the field of genetic diseases. These companies have already begun many drug development programs, some of which may target diseases that we are also targeting, and have already entered into partnering and licensing arrangements with academic research institutions, reducing the pool of available opportunities.

Universities and public and private research institutions also compete with us. While these organizations primarily have educational or basic research objectives, they may develop proprietary technology and acquire patents that we may need for the development of our product candidates. We will attempt to license this proprietary technology, if available. These licenses may not be available to us on acceptable terms, if at all. If we are unable to compete successfully with respect to acquisitions, joint venture and other collaboration opportunities, we may be limited in our ability to develop new products and to continue to expand our product pipeline.


*If generic manufacturers are successful in their use of litigation or regulatory means to obtain approval for generic versions of Kuvan, our revenue and results of operations would be adversely affected.

The Drug Price Competition and Patent Term RestorationSecurities Act of 1984, known1933, as amended, the Hatch-WaxmanExchange Act permits the FDA to approve ANDAs for generic versions of branded drugs. We refer to this process as the ANDA process. The ANDA process permits competitor companies to obtain marketing approval for a drug with the same active ingredient as a branded drug, but does not generally require the conduct and submission of clinical efficacy studies for the generic product. In place of such clinical studies, an ANDA applicant usually needs only to submit data demonstrating that its product is bioequivalent to the branded product.

Pursuant to the Hatch-Waxman Act, companies were permitted to file ANDA applications for proposed generic versions of Kuvan ator any time after December 2011. We own several patents that cover Kuvan, and we have listed those patents in conjunction with that product in the FDA’s Approved Drug Products with Therapeutic Equivalence Evaluations (the Orange Book). The Hatch-Waxman Act requires an ANDA applicant seeking FDA approval of its proposed generic product prior to the expiration of our Orange Book-listed patents to certify that the applicant believes that our patents are invalid or will not be infringed by the manufacture, use or sale of the drugother claim for which the application has been submitted (a paragraph IV certification)U.S. federal courts have exclusive jurisdiction. In addition, our amended and notifyrestated bylaws provide that the federal district courts of the U.S. of America will be the exclusive forum for resolving any complaint asserting a cause of action arising under the Securities Act.

While the Delaware courts have determined that such choice of forum provisions are facially valid, a stockholder may nevertheless seek to bring a claim in a venue other than those designated in the exclusive forum provisions. In such instance, we would expect to vigorously assert the validity and enforceability of the exclusive forum provisions of our amended and restated bylaws. This may require significant additional costs associated with resolving such action in other jurisdictions and there can be no assurance that the provisions will be enforced by a court in those other jurisdictions.
These exclusive forum provisions may limit a stockholder’s ability to bring a claim in a judicial forum that it finds favorable for disputes with us or our directors, officers, or other employees, which may discourage lawsuits against us and our directors, officers, and other employees. If a court were to find either of our exclusive forum provisions to be inapplicable or unenforceable in an action, we may incur further significant additional costs associated with resolving the dispute in other jurisdictions, all of which could seriously harm our business. Our amended and restated bylaws further provide that any person or entity that acquires any interest in shares of our capital stock will be deemed to have notice of and consented to the provisions of such certification (a paragraph IV notice). Upon receiptprovisions.
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Table of a paragraph IV notice, the Hatch-Waxman Act allows us, with proper basis, to bring an action for patent infringement against the ANDA filer, asking that the proposed generic product not be approved until after our patents expire. If we commence a lawsuit within 45 days from receipt of the paragraph IV notice, the Hatch-Waxman Act provides a 30-month stay, during which time the FDA cannot finally approve the generic’s application. If the litigation is resolved in favor of the ANDA applicant during the 30-month stay period, the stay is lifted and the FDA may approve the ANDA if it is otherwise ready for approval. The discovery, trial and appeals process in such a lawsuit is costly, time consuming, and may result in generic competition if the ANDA applicant prevails. In addition to our patent protection, we have received three-year Hatch-Waxman exclusivity for a New Patient Population for Kuvan that expires in October 2017, including pediatric exclusivity. Thus, depending on the proposed labeling of a generic product, generic versions of Kuvan may be prohibited until October 2017, though it is possible that an ANDA applicant could propose to carve out information in the Kuvan labeling protected by the New Patient Population exclusivity and obtain approval earlier.

We received a paragraph IV notice letter, dated December 23, 2016, from Dr. Reddy’s Laboratories, Inc. and Dr. Reddy’s Laboratories, Ltd. (collectively, DRL), notifying us that DRL had filed an abbreviated new drug application (ANDA) seeking approval of a proposed generic version of Kuvan (sapropterin dihydrochloride) 100 mg oral powder prior to the expiration of our patents listed in the FDA's Approved Drug Products with Therapeutic Equivalence Evaluations (the Orange Book). We filed a lawsuit alleging patent infringement against DRL. In August 2017, we entered into a settlement agreement with DRL (the DRL Powder Settlement Agreement) that resolved the patent litigation with DRL in the U.S. related to Kuvan 100 mg oral powder. Under the terms of the DRL Powder Settlement Agreement, we granted DRL a non-exclusive license to our Kuvan-related patents to allow DRL to market a generic version of sapropterin dihydrochloride in oral powder form in 100 mg and 500 mg packet formulations in the U.S. for the indications approved for Kuvan beginning on October 1, 2020, or earlier under certain circumstances.

We also received two separate paragraph IV notice letters, dated January 14, 2016 and January 22, 2015, from Par notifying us that Par had filed an ANDA seeking approval of proposed generic versions of Kuvan 100 mg oral powder and Kuvan 100 mg oral tablets, respectively, prior to the expiration of our patents listed in the FDA’s Orange Book. We filed two lawsuits alleging patent infringement against Par (the lawsuit against Par pertaining to the proposed generic version of Kuvan 100 mg oral tablets was filed together with Merck & Cie), and the two Par cases were consolidated. In April 2017, we and Merck & Cie entered into a settlement agreement with Par (the Par Settlement Agreement) that resolved both cases against Par. Under the Par Settlement Agreement, we granted Par a non-exclusive license to our Kuvan-related patents to allow Par to market a generic version of sapropterin dihydrochloride in 100 mg oral tablets and oral powder in 100 mg and 500 mg packet formulations in the U.S. for the indications approved for Kuvan beginning on: April 1, 2021 if Par is not entitled to the statutory 180-day first filer exclusivity period; October 1, 2020 if Par is entitled to the statutory 180-day first filer exclusivity period; or earlier under certain circumstances.

We also received a paragraph IV notice letter, dated October 3, 2014, from DRL notifying us that DRL had filed an ANDA seeking approval of a proposed generic version of Kuvan 100 mg oral tablets prior to the expiration of our patents listed in the FDA’s Orange Book. We, together with Merck & Cie, filed a lawsuit alleging patent infringement against DRL. In September 2015, we and Merck & Cie entered into a settlement agreement with DRL (the DRL Tablet Settlement Agreement) that resolved the patent litigation with DRL in the U.S. related to Kuvan 100 mg oral tablets. Under the terms of the DRL Tablet Settlement Agreement, we granted DRL a non-exclusive license to our Kuvan-related patents to allow DRL to market a generic version of sapropterin dihydrochloride 100 mg oral tablets in the U.S. for the indications approved for Kuvan beginning on October 1, 2020, or earlier under certain circumstances.  

For more information regarding these matters, see “Legal Proceedings” in Part II, Item 1 of this Interim Report on Form 10-Q.

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General Risk Factors

The DRL Powder Settlement Agreement, the Par Settlement Agreement, and the DRL Tablet Settlement Agreement, as well as any future ANDA or related legal proceeding, could have an adverse impact on our stock price, and litigation to enforce our patents has, and is likely to continue to, cost a substantial amount and require significant management attention. If the patents covering Kuvan and its use are not upheld in litigation, or if DRL is found to not infringe our asserted patents, the resulting generic competition following the expiration of regulatory exclusivity would have a material adverse effect on our revenue and results of operations. Moreover, generic competition from DRL (relating to Kuvan tablets) and Par (relating to Kuvan tablets and powder) following the settlements described above could have a material adverse effect on our revenue and results of operations.

We also face potential generic competition for Kuvan in certain foreign countries, and our ability to successfully market and sell Kuvan in many countries in which we operate is based upon patent rights or certain regulatory forms of exclusivity, or both. The scope of our patent rights and regulatory exclusivity for Kuvan vary from country to country and are dependent on the availability of meaningful legal remedies in each country. If our patent rights and regulatory exclusivity for Kuvan are successfully challenged, expire, or otherwise terminate in a particular country, the resulting generic competition could have a material adverse effect on our revenue and results of operations.

If we do not achieve our projected development goals in the timeframes we announce and expect, the commercialization of our product candidates may be delayed and the credibility of our management may be adversely affected and, as a result, our stock price may decline.

For planning purposes, we estimate the timing of the accomplishment of various scientific, clinical, regulatory and other product development goals, which we sometimes refer to as milestones. These milestones may include the commencement or completion of scientific studies and clinical trials and the submission of regulatory filings. From time to time, we publicly announce the expected timing of some of these milestones. All of these milestones are based on a variety of assumptions. The actual timing of these milestones can vary dramatically compared to our estimates, in many cases for reasons beyond our control. If we do not meet these milestones as publicly announced, the commercialization of our products may be delayed and the credibility of our management may be adversely affected and, as a result, our stock price may decline.

We depend upon our key personnel and our ability to attract and retain qualified employees.

Our future growth and success will depend in large part on our continued ability to attract, retain, manage and motivate our employees. The loss of the services of a significant portion of our workforce or any member of our senior management or the inability to hire or retain experienced managementqualified personnel could adversely affect our ability to execute our business plan and harm our operating results.

Because of the specialized scientific and managerial nature of our business, we rely heavily on our ability to attract and retain qualified scientific, technical and managerial personnel. In particular, the loss of one or more of our senior executive officers could be detrimental to us if we do not have an adequate succession plan or if we cannot recruit suitable replacements in a timely manner. While our senior executive officers are parties to employment agreements with us, these agreements do not guarantee that they will remain employed with us in the future. In addition, in many cases, these agreements do not restrict our senior executive officers’ ability to compete with us after their employment is terminated.
The competition for qualified personnel in the pharmaceutical field is intense, and there is a limited pool of qualified potential employees to recruit. This competition was exacerbated during the COVID-19 pandemic, and we have recently experienced increased employee turnover like many other employers in the U.S. during the “great resignation.” Due to thisthe intense competition for talent, we may be unable to continue to attract and retain qualified personnel necessary for the development of our business or to recruit suitable replacement personnel. If we are unsuccessful in our recruitment and retention efforts, our business may be harmed.

Our success depends on our ability to manage our growth.

Product

Our two newest products, VOXZOGO and ROCTAVIAN, address potentially larger patient populations than most of our other products, and product candidates that we are currently developing or may license or acquire in the future may be intended for similarly larger patient populations that are significantly larger than any of the patient populations we currently target.have historically targeted. In order to continue development of such product candidates and marketing of these products if approved,with larger markets, we will need to significantly expandcontinue expanding our operations. To manage expansion effectively, we need to continue to develop and improve our research and development capabilities, manufacturing and quality capacities, sales and marketing capabilities, financial and administrative systems and standard processes for global operations. Our staff, financial resources, systems, procedures or controls may be inadequate to support our operations and may increase our exposure to regulatory, competitive, and corruption risks and our management may be unable to manage successfully current or future market opportunities or our relationships with customers and other third parties.

Changes

New tax laws or regulations that are enacted or existing tax laws and regulations that are interpreted, modified or applied adversely to us or our customers may have a material adverse effect on our business and financial condition.
New tax laws or regulations could be enacted at any time, and existing tax laws or regulations could be interpreted, modified or applied in methodsa manner that is adverse to us or our customers, which could adversely affect our business and financial condition. For example, the Tax Cuts and Jobs Act, the Coronavirus Aid, Relief, and Economic Security Act and the Inflation Reduction Act enacted many significant changes to the U.S. tax laws. Future guidance from the Internal Revenue Service and other tax authorities with respect to such legislation may affect us, and certain aspects of treatmentsuch legislation could be repealed or modified in future legislation. In addition, it is uncertain if and to what extent various states will conform to federal tax laws. Any future tax legislation could increase our U.S. tax expense and could have a material adverse impact on our business and financial condition.
Moreover, changes in the tax laws of diseasejurisdictions in which we conduct business could reduce demandarise, including as a result of the base erosion and profit shifting (BEPS) project that is being led by the Organization for Economic Co-operation and Development (OECD), and other initiatives led by the OECD or the EC. For example, the OECD, which represents a coalition of member countries including the U.S. and other countries in which we have operations, is working on proposals, commonly referred to as “BEPS 2.0”, which, if implemented, would make important changes to the international tax system. These proposals are based on two “pillars”, Pillar One focuses on the allocation of taxing rights in respect of certain profits of multinational enterprises with annual global revenue above 20 billion euros and profitability above 10% to the jurisdictions within which they carry on business (based on the thresholds, we currently expect to be outside the scope of the Pillar One proposals) and Pillar Two imposes a minimum effective tax rate of 15% on certain multinational enterprises that have consolidated revenues of at least 750 million euros in at least two out of the last four years (based on the thresholds, we currently expect that we could fall within the scope of the Pillar Two proposals). The EU has adopted a Council Directive requiring aspects of the Pillar Two proposal to be transposed into the national laws of EU Member States by December 31, 2023, and a number of other countries in which we conduct business are also planning to enact such rules. The implementation of such rules may increase the amount of tax we have to pay, increase tax uncertainty and may adversely affect our productsprovision for income taxes, results of operations and cash flows. It is not uncommon for taxing authorities in different countries to have conflicting views, for instance, with respect to, among other things, the manner in which the arm’s length standard is applied for transfer pricing purposes, or with respect to the valuation of intellectual property. If
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tax authorities successfully challenge our transfer prices as not reflecting arm’s length transactions, they could require us to adjust our transfer prices and thereby reallocate our income to reflect these revised transfer prices, resulting in a higher tax liability. In addition, if a country from which income is reallocated does not agree with the reallocation, both that country and the other country to which the income was allocated could tax the same income, potentially resulting in double taxation. If tax authorities were to allocate income to a higher tax jurisdiction, subject our income to double taxation or assess interest and penalties, it would increase our consolidated tax liability, which could adversely affect our business, financial condition, results of operations and cash flows.
If we are found in violation of healthcare laws or privacy and data protection laws, we may be required to pay penalties, be subjected to scrutiny by regulators or governmental entities, or be suspended from participation in government healthcare programs, which may adversely affect our business, reputation, financial condition and results of operations.
We are subject to various healthcare laws and regulations in the U.S. and internationally, including anti-kickback laws, false claims laws, data privacy and security laws, and laws related to ensuring compliance. In the U.S., the federal Anti-Kickback Statute makes it illegal for any person or entity, including a pharmaceutical company, to knowingly and willfully offer, solicit, pay or receive any remuneration, directly or indirectly, in exchange for or to induce the referral of business, including the purchase, order or prescription of a particular drug, for which payment may be made under federal healthcare programs, such as Medicare and Medicaid. Under the federal Anti-Kickback Statute and related regulations, certain arrangements are deemed not to violate the federal Anti-Kickback Statute if they fit within a statutory exception or regulatory safe harbor. However, the exceptions and safe harbors are drawn narrowly, and practices that involve remuneration not intended to induce prescribing, purchases or recommendations may be subject to scrutiny if they do not qualify for an exception or safe harbor. Our practices may not in all cases meet all of the criteria for safe harbor protection from Anti-Kickback liability, although we seek to comply with these safe harbors. Many states have adopted laws similar to the federal Anti-Kickback Statute, some of which apply to referral of patients for healthcare services reimbursed by any source, not just governmental payers.
Federal and state false claims laws, including the civil False Claims Act and the Civil Monetary Penalties Law, prohibit any person or entity from knowingly presenting, or causing to be presented, a false claim for payment to the federal government, or knowingly making, or causing to be made, a false statement to have a false claim paid, or knowingly making, using, or causing to be made or used, a false record or statement to avoid, decrease or conceal an obligation to pay money to the federal government. In addition, certain marketing practices, including off-label promotion, may also violate false claims laws.
Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), we also are prohibited from, among other things, knowingly and willfully executing a scheme to defraud any healthcare benefit program, including private payers, or knowingly and willfully falsifying, concealing or covering up a material fact or making any materially false, fictitious or fraudulent statement in connection with the delivery of or payment for healthcare benefits, items or services.
In addition, recent healthcare reform legislation has strengthened these laws in the U.S. For example, the PPACA, among other things, amends the intent requirement of the federal Anti-Kickback Statute and criminal healthcare fraud statutes. A person or entity no longer needs to have actual knowledge of these statutes or specific intent to violate them in order to commit a violation. Moreover, the PPACA provides that the government may assert that a claim including items or services resulting from a violation of the federal Anti-Kickback Statute constitutes a false or fraudulent claim for purposes of the civil False Claims Act.
HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act and its implementing regulations, also imposes obligations, including mandatory contractual terms, on certain types of individuals and entities, with respect to safeguarding the privacy, integrity, availability, security and transmission of individually identifiable health information. Many state and non-U.S. laws also govern the privacy and security of health information. They often differ from each other in significant ways and often are not preempted by HIPAA, thus complicating compliance efforts. The global data protection landscape is rapidly evolving, and implementation standards and enforcement practices are likely to remain uncertain for the foreseeable future. In the U.S., California enacted the California Consumer Privacy Act (CCPA), which took effect on January 1, 2020. The CCPA gives California consumers expanded rights to access and delete their personal information, opt out of certain personal information sales, and receive detailed information about how their personal information is used. The CCPA provides for civil penalties for violations, as well as a private right of action for data breaches that is expected to increase data breach litigation. The CCPA was expanded substantially on January 1, 2023 when the California Privacy Rights Act of 2020 (CPRA) took effect and amended the CCPA. Following the CPRA amendments, the CCPA, among other things, gives consumers the ability to limit use of information deemed to be sensitive, increase the maximum penalties for violations concerning consumers under age 16, expands an individual’s private right of action and establishes the California Privacy Protection Agency to implement and enforce the new law and impose administrative fines.
In addition to California, other U.S. states have recently adopted consumer data protection and privacy laws, and more U.S. states may do so in the future. This creates the potential for a patchwork of overlapping but different state laws and could mark the beginning of a trend toward more stringent privacy legislation in the U.S., which could increase our potential liability and adversely affect revenues.

our business, financial condition, and results of operations. Many other states are considering proposed comprehensive data privacy legislation and all 50 states have passed some form of legislation relating to privacy or cybersecurity.

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Aspects of the CCPA, CPRA and similar laws in other states and their interpretation and enforcement remain uncertain. The potential effects of these laws are far-reaching and may require us to modify our data processing practices and policies and to incur substantial costs and expenses in an effort to comply. Complying with these or other similar laws, regulations, amendments to or re-interpretations of existing laws and regulations, and contractual or other obligations relating to privacy, data protection, data transfers, data localization, or information security may require us to make changes to our services to enable us or our customers to meet new legal requirements, incur substantial operational costs, modify our data practices and policies, and restrict our business operations. Any actual or perceived failure by us to comply with these laws, regulations, or other obligations may lead to significant fines, penalties, regulatory investigations, lawsuits, significant costs for remediation, damage to our reputation, or other liabilities.
The European Regulation 2016/679, known as the General Data Protection Regulation (GDPR), as well as EEA Member State legislations supplementing such regulation, apply to the processing of personal data of individuals located in the EEA, including health-related information, by companies located in the EEA, or in certain circumstances, by companies located outside of the EEA. These laws impose strict obligations on the ability to collect, record, store, disclose, use and transmit personal data, including health-related information. These include several requirements relating to (i) obtaining, in some situations, the informed consent of the individuals to whom the personal data relates, (ii) the information provided to the individuals about how their personal information is used, (iii) ensuring the security and confidentiality of the personal data, (iv) the obligation to notify regulatory authorities and affected individuals of personal data breaches, (v) extensive internal privacy governance obligations, and (vi) obligations to honor rights of individuals in relation to their personal data (for example, the right to access, correct and delete their data). Switzerland has adopted similar restrictions.
The GDPR and other European data protection laws generally restrict the transfer of personal information from Europe, including the EEA and Switzerland, to the U.S. and most other countries unless the parties to the transfer have implemented specific safeguards to protect the transferred personal information. One of the primary safeguards allowing U.S. companies to import personal information from the EEA has been the EC’s Standard Contractual Clauses (SCCs). However, the Court of Justice of the EU (CJEU) issued a decision that called into question whether the SCCs can lawfully be used for transfers of personal information from Europe to the United States or most other countries. At present, there are few, if our product candidates are approved, if doctors elect a courseany, viable alternatives to the SCCs, on which we have relied for personal information transfers from Europe to the United States and other “third countries.” After the mentioned CJEU judgment, new sets of treatment which does not include our products, this decision would reduce demand for our products and adversely affect revenues. For example, if gene therapy becomes widely used as a


treatment of genetic diseases,SCCs were published on June 4, 2021. Most importantly, the use of enzyme replacement therapy,SCCs does not any longer automatically ensure compliance with the GDPR. Instead, companies remain required to conduct a data transfer impact assessment for each transfer, which adds a compliance burden.

Potential pecuniary fines for noncompliance with the GDPR may be up to the greater of €20 million or 4% of annual global revenue. The GDPR has increased our responsibility and liability in relation to personal data that we process and has increased our compliance costs. The EU regulations that make certain materials we submit to the EMA in connection with our clinical trials subject to public disclosure have increased the risk that we may unintentionally disclose personal information protected under the GDPR and thereby incur associated penalties and suffer reputational damage.
In addition to the U.S. and European countries, other countries in which we operate have also enacted data privacy laws or may do so in the future. For example, Brazil’s General Data Protection Law (LGPD), which is modeled on the GDPR, took effect on August 16, 2020.
Substantial new laws and regulations affecting compliance have also been adopted in the U.S. and certain non-U.S. countries, which may require us to modify our business practices with healthcare practitioners. For example, in the U.S., the PPACA, through the Physician Payments Sunshine Act, requires certain drug, biologicals and medical supply manufacturers to collect and report to CMS information on payments or transfers of value to physicians (defined to include doctors, dentists, optometrists, podiatrists and chiropractors), other health care professionals (such as physicians assistants and nurse practitioners), and teaching hospitals, as well as investment and ownership interests held by such as Aldurazyme, Naglazyme,physicians and Vimizimtheir immediate family members during the preceding calendar year. In addition, there has been a recent trend of increased state regulation of payments made to physicians. Certain states and/or local jurisdictions mandate implementation of compliance programs, compliance with the Office of Inspector General Compliance Program Guidance for Pharmaceutical Manufacturers and the Pharmaceutical Research and Manufacturers of America (PhRMA) Code on Interactions with Healthcare Professionals, the registration of pharmaceutical sales representatives and/or the tracking and reporting of gifts, compensation and other remuneration to physicians, marketing expenditures, and drug pricing. Likewise, in MPS diseases,many non-U.S. countries there is an increasing focus on the relationship between drug companies and healthcare practitioners. Recently enacted non-U.S. legislation creates reporting obligations on payments, gifts and benefits made to these professionals. The shifting regulatory environment and the need to implement systems to comply with multiple jurisdictions with different compliance and/or reporting requirements increases the costs of maintaining compliance and the possibility that we may violate one or more of the requirements and be subject to fines or sanctions.
Due to the breadth of the healthcare and privacy and data protection laws described above, the narrowness of available statutory and regulatory exceptions and safe harbors and the increased focus by law enforcement agencies in enforcing such laws, our business activities could be greatly reduced. Moreover,subject to challenge under one or more of such laws. If we are found in violation of one of these laws, we may be subject to significant criminal, civil or administrative sanctions, including damages, fines, disgorgement,
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imprisonment, contractual damages, reputational harm, diminished profits and future earnings, additional reporting requirements and oversight if we obtain regulatory approval for valoctocogene roxaparvovec, the commercial successbecome subject to a corporate integrity agreement or similar agreement to resolve allegations of valoctocogene roxaparvovec will still depend,non-compliance with these laws, curtailment of our operations, and debarment, suspension or exclusion from participation in part, on the acceptancegovernment healthcare programs, any of physicians, patientswhich could adversely affect our business, financial condition and health care payorsresults of gene therapy products in general, and our product candidate in particular, as medically necessary, cost-effective and safe. Changes in treatment method can be caused by the introduction of other companies’ products or the development of new technologies or surgical procedures which may not directly compete with ours, but which have the effect of changing how doctors decide to treat a disease.

operations.

If product liability lawsuits are successfully brought against us, we may incur substantial liabilities.

We are exposed to the potential product liability risks inherent in the testing, manufacturing and marketing of human pharmaceuticals. We currently maintain insurance against product liability lawsuits for the commercial sale of our products and for the clinical trials of our product candidates. Pharmaceutical companies must balance the cost of insurance with the level of coverage based on estimates of potential liability. Historically, the potential liability associated with product liability lawsuits for pharmaceutical products has been unpredictable. Although we believe that our current insurance is a reasonable estimate of our potential liability and represents a commercially reasonable balancing of the level of coverage as compared to the cost of the insurance, we may be subject to claims in connection with our clinical trials and commercial use of our products and product candidates for which our insurance coverage may not be adequate and we may be unable to avoid significant liability if any product liability lawsuit is brought against us. If we are the subject of a successful product liability claim that exceeds the limits of any insurance coverage we obtain, we may incur substantial charges that would adversely affect our earnings and require the commitment of capital resources that might otherwise be available for the development and commercialization of our product programs.

We rely significantly on information technology systems and any failure, inadequacy, interruption or security lapse of that technology, including any cybersecurity incidents, could harm our ability to operate our business effectively.

effectively and have a material adverse effect on our business, reputation, financial condition, and results of operations.

We rely significantly on our information technology and manufacturing infrastructuresystems to effectively manage and maintain our operations, inventory and internal reports, to manufacture and ship products to customers and to timely invoice them. Any failure, inadequacy or interruption of that infrastructure or security lapse (whether intentional or inadvertent) of that technology, including cybersecurity incidents or attacks, could harm our ability to operate our business effectively. Our ability to manage and maintain our operations, inventory and internal reports, to manufacture and ship our products to customers and timely invoice them depends significantly on our enterprise resource planning, production management and other information systems. Cybersecurity attacksOur technology systems, including our cloud technologies, continue to increase in particular are evolvingmultitude and include, but are not limitedcomplexity, making them potentially vulnerable to malicious software, attempts to gain unauthorized access to databreakdown, cyberattack and other electronic security breaches thatdisruptions. Potential problems and interruptions associated with the implementation of new or upgraded technology systems or with maintenance or adequate support of existing systems could lead to disruptions in systems, misappropriationdisrupt or reduce the efficiency of our confidential or otherwise protected informationoperations and corruptionexpose us to greater risk of data.security breaches. Cybersecurity incidents resulting in the failure of our enterprise resource planning system, production management or other systems to operate effectively or to integrate with other systems, or a breach in security or other unauthorized access or unavailability of these systems or those of any third parties in our supply chain or on whom we otherwise depend, have occurred in the past and may affect our ability in the future to manage and maintain our operations, inventory and internal reports, and result in delays in product fulfillment and reduced efficiency of our operations. A breach
As part of our business, we collect, store, and transmit large amounts of confidential information, proprietary data, intellectual property, and personal data. The information and data processed and stored in security,our technology systems, and those of our research collaborators, CROs, contract manufacturers, suppliers, distributors, or other third parties on whom we depend to operate our business, may be vulnerable to loss, damage, denial-of-service, unauthorized access resultingor misappropriation. Data security breaches may be the result of unauthorized or unintended activity (or lack of activity) by our employees, contractors, or others with authorized access to our network or malware, hacking, business email compromise, phishing, ransomware or other cyberattacks directed by third parties. While we have implemented measures to protect our information and data stored in misappropriation, theft,our technology systems and those of the third parties that we rely on, our efforts may not be successful.
We have experienced and may continue to experience cybersecurity incidents, although to our knowledge we have not experienced any material incident or interruption to date. If such a significant event were to occur, it could result in a material disruption of our development programs and commercial operations, including due to a loss, corruption or unauthorized disclosure of our trade secrets, personal data or other proprietary or sensitive information. Further, these cybersecurity incidents can lead to the public disclosure of personal information (including sensitive personal information) of our employees, clinical trial patients and others and result in demands for ransom or other forms of blackmail. Such attacks, including phishing attacks and attempts to misappropriate or compromise confidential or proprietary information or sabotage enterprise IT systems, are of ever-increasing levels of sophistication and are made by groups and individuals with respecta wide range of motives (including industrial espionage) and expertise, including by organized criminal groups, “hacktivists”, nation states and others. Moreover, the costs to us to investigate and mitigate cybersecurity incidents could be significant. For example, the loss of clinical trial data could result in delays in our product development or regulatory approval efforts and significantly increase our costs to recover or reproduce the data. Any security breach that results in the unauthorized access, use or disclosure of personal data may require us to notify individuals, governmental authorities, credit reporting agencies, or other parties pursuant to privacy and security laws and regulations or other obligations. Such a security compromise could harm our reputation, erode confidence in our information security measures, and lead to regulatory scrutiny. To the extent that any disruption or security breach resulted in a loss of, or damage to, our data or
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systems, or inappropriate disclosure of confidential, proprietary or personal information, we could be exposed to a risk of loss, enforcement measures, penalties, fines, indemnification claims, litigation and confidential information, including researchpotential civil or clinical data,criminal liability, which could require significant capital investments to remediate and couldmaterially adversely affect our business, financial condition and results of operations.

*

Not all our contracts contain limitations of liability, and even where they do, there can be no assurance that limitations of liability in our contracts are sufficient to protect us from liabilities, damages, or claims related to our data privacy and security obligations. We cannot be sure that our insurance coverage will be adequate or sufficient to protect us from or to mitigate liabilities arising out of our privacy and security practices, that such coverage will continue to be available on commercially reasonable terms or at all, or that such coverage will pay future claims.
If a natural disaster, or terrorist or criminal activity or other unforeseen event caused significant damage to our facilities or the facilitiesthose of our third-party manufacturers and suppliers or significantly disrupted our operations or those of our third-party manufacturers and suppliers, we may be unable to meet demand for our products and lose potential revenue, have reduced margins, or be forced to terminate a program.

We manufacture Aldurazyme, Brineura, Naglazyme and a portion of Vimizim in a manufacturing facility located near known earthquake fault zones, and the

The occurrence of an earthquake or other catastrophic disaster could cause damage to our facility and equipment, or that of our third-party manufacturers or single-source suppliers, which could materially impair ourthe ability to manufacture Aldurazyme, Brineura, Naglazyme and Vimizimfor us or our third-party manufacturers’ abilitymanufacturers to manufacture Firdapse or Kuvan.

our products and product candidates. Our Galli Drive facility, located in Novato, California, is currently our only manufacturing facility for AldurazymeALDURAZYME, NAGLAZYME, VOXZOGO and NaglazymePALYNZIQ and is one of two manufacturing facilities for BrineuraBRINEURA and Vimizim. ItVIMIZIM. Our gene therapy manufacturing facility is also located in Novato, California, and it is currently our only manufacturing facility to support ROCTAVIAN clinical development activities, commercial demand for ROCTAVIAN in the EU, and anticipated commercial demand for ROCTAVIAN to the extent it receives approval by the FDA or other regulatory authorities. These facilities are located in the San Francisco Bay Area near known earthquake fault zones and isare vulnerable to significant damage from earthquakes. We, the third-party manufacturers with whom we contract and our single-source suppliers of raw materials, which include many of our critical raw materials, are also vulnerable to damage from other types of disasters, including fires, explosions, floods, power loss and similar events. If any disaster were to occur, or any terrorist or criminal activity caused significant damage to our facilities or the facilities of our third-party manufacturers and suppliers, our ability to manufacture Aldurazyme, Brineura, Naglazyme and Vimizim,our products, or to have Firdapse or Kuvanour products manufactured, could be seriously, or potentially completely, impaired, and our commercialization efforts and revenuerevenues could be seriously impaired.

Moreover, other unforeseen events, such as power outages, could significantly disrupt our operations or those of our third-party manufacturers and suppliers, which could result in significant delays in the manufacture of our products and adversely impact our commercial operations and revenues. Pacific Gas and Electric Company, the electric utility in the San Francisco Bay Area where many of our facilities are located, commenced widespread blackouts during the fall of 2019 to avoid and contain wildfires sparked during strong wind events by downed power lines or equipment failures. While we have not experienced damage to our facilities or material disruption to our operations as a result of these power outages, ongoing blackouts, particularly if prolonged or frequent, could impact our business going forward. The insurance that we carry, the inventory that we maintain and our risk mitigation plans may not be adequate to cover our losses resulting from disasters or other business interruptions.


*Our business is affected by macroeconomic conditions.

Various macroeconomic factors could adversely affect our business and the results of our operations and financial condition, including changes in inflation, interest rates, andor foreign currency exchange rates, banking crises, natural disasters, lasting effects of the COVID-19 pandemic or other global public health threats and overall economic conditions and uncertainties, including those resulting from the current and future conditions in the global financial markets and volatility and disruptions in the equity and debt markets. For instance, ifCOVID-19 previously adversely affected our ability to source materials and supplies. If inflation (such as that recently observed in the U.S. and elsewhere) or other factors were to significantly increase our business costs, it may not be feasible to pass price increases on to our customers due to the process by which health carehealthcare providers are reimbursed for our products by the government. Interest rates, the liquidity of the credit markets and the volatility of the capital markets could also affect the value of our investments and our ability to liquidate our investments in order to fund our operations. We purchase or enter into a variety of financial instruments and transactions, including investments in commercial paper, the extension of credit to corporations, institutions and governments and hedging contracts. If any of the issuers or counter partiescounterparties to these instruments were to default on their obligations, it could materially reduce the value of the transaction and adversely affect our cash flows.

We sell our products in countries that face economic volatility and weakness, including Southern European countries, Russia, Chile and Brazil.weakness. Although we have historically collected receivables from customers in those countries, sustained weakness or further deterioration of the local economies and currencies may cause customers in those countries to be unable to pay for our products. Additionally, if one or more of these countries were unable to purchase our products, our revenuerevenues would be adversely affected.

Interest rates and the ability to access credit markets could also adversely affect the ability of our customers/distributors to purchase, pay for and effectively distribute our products.products, which could limit our ability to obtain sufficient materials and supplies necessary for production of our therapies. Similarly, these macroeconomic factors could affect the ability of our contract
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Table of Contents
manufacturers, sole-source or single-source suppliers to remain in business or otherwise manufacture or supply product. Failure by any of them to remain a going concern could affect our ability to manufacture products.

Risks Related

Additionally, the lasting effects of the COVID-19 pandemic could continue to Ownershipadversely affect our business, results of Our Securities

*Our stock priceour operations, and financial condition. The COVID-19 pandemic impacted our global revenue sources and overall business operations by, for example, presenting challenges to our ability to find adequate resources to staff clinical trials, impacting patients’ ability to participate in trials, affecting our ability to source materials and supplies for trials and otherwise delaying trials, and the pandemic could continue to adversely impact our financial results and our business generally in 2023. Ongoing and future effects of the COVID-19 pandemic (or any future pandemic or other global public health threat) on all aspects of our business and operations and the duration of such effects are highly uncertain and difficult to predict. Moreover, while the long-term economic impact and the duration of the COVID-19 pandemic may be volatile,difficult to predict, the pandemic has resulted in, and an investmentmay continue to result in, significant disruption of global financial markets, which could reduce our stockability to access capital and could suffer a decline in value.

Our valuationnegatively affect our liquidity and stock price have no meaningful relationship to current or historical earnings, asset values, book value or many other criteria based on conventional measuresthe liquidity and stability of stock value. The market price ofmarkets for our common stock will fluctuate due to factors including:

product sales and profitability of our products;

manufacturing, supplyNotes. In addition, a recession, further market correction or distribution of our product candidates and commercial products;

progress of our product candidates throughdepression resulting from the regulatory process and our ability to successfully commercialize any such products that receive regulatory approval;

results of clinical trials, announcements of technological innovations or new products by us or our competitors;

generic competition to Kuvan relating to our settlements with DRL (related to Kuvan tablets and powder) and Par (related to Kuvan tablets and powder) or potential generic competition from future competitors;

government regulatory action affecting our product candidates, our products or our competitors product candidates and products in both the U.S. and non-U.S. countries;

developments or disputes concerning patent or proprietary rights;

general market conditions and fluctuations for the emerging growth and pharmaceutical market sectors;

economic conditions in the U.S. or abroad;

negative publicity about our company or the pharmaceutical industry;

broad market fluctuations in the U.S., the EU or in other parts of the world;

actual or anticipated fluctuations in our operating results, including due to timing of large order for our products, in particular in Latin America, where governments place large periodic orders for Naglazyme and Vimizim;

changes in company assessments or financial estimates by securities analysts;

acquisitions of products, businesses,COVID-19 pandemic or other assets; and

sales of our shares of stock by us, our significant stockholders, or members of our management or Board of Directors.


In the past, following periods of large price declines in theglobal public market price of a company’s securities, securities class action litigation has often been initiated against that company. Litigation of this typehealth threat could result in substantial costs and diversion of management’s attention and resources, which would hurt our business. Any adverse determination in litigation could also subject us to significant liabilities. In addition, our stock price can be materially adversely affected by factors beyondaffect our control, such as disruptions in global financial markets or negative trends in the biotechnology sector of the economy, even if our business is operating well.

Conversion of the Notes will dilute the ownership interest of existing stockholders, including holders who had previously converted their Notes, or may otherwise depress the price of our common stock.

The conversion of some or all of the Notes will dilute the ownership interests of existing stockholders to the extent we deliver shares upon conversion of any of the Notes. The Notes may become in the future convertible at the option of their holders prior to their scheduled terms under certain circumstances. Any sales in the public market of the common stock issuable upon such conversion could adversely affect prevailing market prices of our common stock. In addition, the existence of the Notes may encourage short selling by market participants because the conversion of the Notes could be used to satisfy short positions, or anticipated conversion of the Notes into shares of our common stock could depress the price of our common stock.

The capped call transactions may affect the value of the Notes and our common stock.

In connection with the issuance of the 2018 Notes and 2020 Notes, we entered into capped call transactions with respect to 50% of the principal amount of the 2018 Notes and 50% of the principal amount of the 2020 Notes with certain hedge counterparties. The capped call transactions will cover, subject to customary anti-dilution adjustments, the aggregate number of shares of common stock underlying 50% of the principal amount of the relevant Notes and are expected generally to reduce potential dilution to the common stock upon conversion of the relevant Notes in excess of the principal amount of such converted Notes. In connection with establishing their initial hedges of the capped call transactions, the hedge counterparties (or their affiliates) entered into various derivative transactions with respect to the common stock concurrently with, and/or purchased the common stock shortly after, the pricing of the relevant notes. The hedge counterparties (or their affiliates) are likely to modify their hedge positions by entering into or unwinding various derivative transactions with respect to the common stock and/or by purchasing or selling the common stock or other securities of ours in secondary market transactions prior to the maturity of the relevant Notes (and are likely to do so during the settlement averaging period under the relevant capped call transactions, which precedes the maturity date of the relevant Notes, and on or around any earlier conversion date related to a conversion of the relevant Notes).

The effect, if any, of any of these transactions and activities on the market price of our common stock or the Notes will depend in part on market conditions and cannot be ascertained at this time, but any of these activities could adversely affect the value of our common stock, which could affect the value of the Notes and the value of our common stock if any, that Note holders receive upon any conversion ofand Notes.

To the Notes.

*Anti-takeover provisions inextent macroeconomic conditions continue to adversely affect our charter documentsbusiness and under Delaware lawfinancial results, they may make an acquisition of us, which may be beneficial to our stockholders, more difficult.

We are incorporated in Delaware. Certain anti-takeover provisions of Delaware law and our charter documents as currently in effect may make a change in control of our company more difficult, even if a change in control would be beneficial to the stockholders. Our anti-takeover provisions include provisions in our restated certificate of incorporation and amended and restated bylaws, as amended, providing that stockholders’ meetings may only be called by our Chairman, the lead independent director or the majority of our Board of Directors and that the stockholders may not take action by written consent and requiring that stockholders that desire to nominate any person for election to our Board of Directors or to make any proposal with respect to business to be conducted at a meeting of our stockholders be submitted in appropriate form to our Secretary within a specified period of time in advance of any such meeting. . Additionally, our Board of Directors has the authority to issue shares of preferred stock and to determine the terms of those shares of stock without any further action by our stockholders. The rights of holders of our common stock are subject to the rights of the holders of any preferred stock that may be issued. The issuance of preferred stock could make it more difficult for a third party to acquire a majority of our outstanding voting stock. Delaware law also prohibits corporations from engaging in a business combination with any holders of 15% or more of their capital stock until the holder has held the stock for three years unless, among other possibilities, our Board of Directors approves the transaction. Our Board of Directors may use these provisions to prevent changes in the management and control of our company. Also, under applicable Delaware law, our Board of Directors may adopt additional anti-takeover measures in the future.


The fundamental change repurchase feature of the Notes may delay or prevent an otherwise beneficial attempt to take over our company.

The terms of the Notes require us to repurchase the Notes in the event of a fundamental change. A takeover of our company would trigger options by the respective holders of the applicable Notes to require us to repurchase such Notes. This may have the effect of delaying or preventingheightening many of the other risks described in this Risk Factors section, such as those relating to our conducting a takeoversignificant amount of our company that would otherwise be beneficial to our stockholders or investors in the Notes.

*Our amendedsales and restated bylaws, as amended, provide that the Court of Chanceryoperations outside of the State of Delaware will beU.S., exposure to changes in foreign exchange rates, our need to generate sufficient cash flows to service our indebtedness and finance our operations and the exclusive forum for the adjudication of certain disputes, which could limit our stockholders’ ability to obtain a favorable judicial forum for disputes with us or our directors, officers, or employees.

Our amended and restated bylaws, as amended, provide that the Court of Chancery of the State of Delaware is the sole and exclusive forum for:

any derivative action or proceeding brought on our behalf;

any action asserting a claim of breach of a fiduciary duty owed by any director, officer or other employee of BioMarin to us or our stockholders;

any action asserting a claim against us or anyvolatility of our directors, officers or other employees arising pursuant to any provisionstock price.

Item 2.    Unregistered Sales of the General Corporation LawEquity Securities and Use of the StateProceeds
None.

Item 3.    Defaults Upon Senior Securities
None.

Item 4.    Mine Safety Disclosures
Not applicable.

Item 5.    Other Information
None.
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any action asserting a claim against us or any of our directors, officers or other employees that is governed by the internal affairs doctrine.

This exclusive-forum provision further provides that any person or entity that acquires any interest in shares of our capital stock will be deemed to have notice of and consented to the provisions of such provision, including consent to the personal jurisdiction of the Court of Chancery of the State of Delaware related to any action covered by such provision.

This exclusive-forum provision may limit a stockholder’s ability to bring a claim in a judicial forum that it finds favorable for disputes with us or our directors, officers, or other employees, which may discourage lawsuits against us and our directors, officers, and other employees. If a court were to find this exclusive-forum provision to be inapplicable or unenforceable in an action, we may incur additional costs associated with resolving the dispute in other jurisdictions, which could seriously harm our business.

Item 6.    Exhibits

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds.

None.

Item 3.

Defaults Upon Senior Securities.

None.

Item 4.

Mine Safety Disclosures

Not applicable.

Item 5.

Other Information.

None.


Item 6.

Exhibits.

Exhibit Number

Description

Exhibit Number

Description

    2.1

Purchase Agreement, dated as of November 23, 2014, among BioMarin Falcons B.V., BioMarin Pharmaceutical Inc. and Prosensa Holding N.V., previously filed with the SEC on November 26, 2014 as Exhibit 2.01 to the Company’s Current Report on Form 8-K (File No. 000-26727), which is incorporated by reference herein.

2.1

    2.2

    2.3

2.2

Termination Agreement, dated as of October 1, 2015, between BioMarin Pharmaceutical Inc. and Ares Trading S.A., previously filed with the SEC on January 7, 2016 as Exhibit 2.2 to the Company’s Current Report on Form 8-K (File No. 000-26727), which is incorporated herein by reference.  Portions of this exhibit (indicated by asterisks) have been omitted pursuant to a request for confidential treatment. Omitted portions have been filed separately with the SEC.

    2.4

    2.5

2.3

3.1

   3.2*

3.2

   4.1

Base Indenture, dated August 11, 2017, between the Company and Wilmington Trust, National Association, as Trustee, previously filed with the SEC on August 11, 2017December 21, 2022 as Exhibit 4.13.1 to the Company’s Current Report on Form 8-K (File No. 000-26727), which is incorporated herein by reference.

   4.2

31.1*

First Supplemental Indenture, dated August 11, 2017, between the Company and Wilmington Trust, National Association, as Trustee (including the form of 0.599% Senior Subordinated Convertible Note due 2024), previously filed with the SEC on August 11, 2017 as Exhibit 4.2 to the Company’s Current Report on Form 8-K (File No. 000-26727), which is incorporated herein by reference.

 10.1*

BioMarin Pharmaceutical Inc. Summary of Independent Director Compensation.

 31.1*

31.2*

32.1*+

101.INS*

101.INS

XBRL Instance Document

- the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.

101.SCH*

Inline XBRL Taxonomy Extension Schema Document

101.CAL*

Inline XBRL Taxonomy Extension Calculation Document


Exhibit Number

Description

101.DEF*

101.DEF*

Inline XBRL Taxonomy Extension Definition Linkbase

101.LAB*

Inline XBRL Taxonomy Extension Labels Linkbase Document

101.PRE*

Inline XBRL Taxonomy Extension Presentation Link Document

*

Filed herewith

+

104

The certifications attached as Exhibit 32.1 accompany thisXBRL tags for the cover page from the Company’s Quarterly Report on Form 10-Q pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 offor the Sarbanes-Oxley Act of 2002, and shall not be deemed “filed” byquarter ended March 31, 2023, are embedded within the Registrant for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, and are not to be incorporated by reference into any of the Registrant’s filings under the Securities Act of 1933, as amended, irrespective of any general incorporation language contained in any such filing.

Inline XBRL document.

*    Filed herewith
+    The certifications attached as Exhibit 32.1 accompany this Quarterly Report on Form 10-Q pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, and shall not be deemed “filed” by the Registrant for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, and are not to be incorporated by reference into any of the Registrant’s filings under the Securities Act of 1933, as amended, irrespective of any general incorporation language contained in any such filing.
60

Attached as Exhibit 101 to this report are documents formatted in XBRL (Extensible Business Reporting Language):
(i) Condensed Consolidated Balance Sheets as of September 30, 2017March 31, 2023 and December 31, 2016,2022, (ii) Condensed Consolidated Statements of Comprehensive LossIncome for the three and nine months ended September 30, 2017March 31, 2023 and 2016,2022, (iii) Condensed Consolidated Statement of Stockholders’ Equity for the ninethree months ended September 30, 2017,March 31, 2023 and 2022, (iv) Condensed Consolidated Statements of Cash Flows for the ninethree months ended September 30, 2017March 31, 2023 and 2016,2022, and (v) Notes to Condensed Consolidated Financial Statements.


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SIGNATURE

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.

BIOMARIN PHARMACEUTICAL INC.

Dated: October 31, 2017

April 28, 2023

By

/S/ DANIEL SPIEGELMAN

BRIAN R. MUELLER

Daniel Spiegelman,

Brian R. Mueller
Executive Vice President, andFinance & Chief Financial Officer

(On behalf of the registrant and as principal financial officer)

Principal Financial Officer)

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