You should read the following discussion and analysis of our financial condition and results of operations together with our condensed consolidated financial statements and related notes appearing elsewhere in this Quarterly Report on Form 10-Q, and in conjunction with management's discussion and analysis and our audited consolidated financial statements included in our Annual Report. The following discussion contains forward-looking statements that involve risks uncertainties and assumptions. Our actual results and the timing of certain events could differ materially from those anticipated in these forward-looking statements as a result of many factors. We discuss factors that we believe



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could cause or contribute to these differences below and elsewhere in this Quarterly Report on Form 10-Q, including those set forth under "Forward-looking Statements" and "Risk Factors", as revised and supplemented by those risks described from time to time in other reports which we file with the SEC.

OVERVIEW

We are building a leading, diversified specialty pharmaceutical company committed to improving the lives of people living with serious medical conditions. Our portfolio includes Xtampza ER, the Nucynta Products, Belbuca, Symproic, and Elyxyb.

Xtampza ER is an abuse-deterrent, extended-release, oral formulation of oxycodone that was approved by the FDA in April 2016 for the management of pain severe enough to require daily, around-the-clock, long-term opioid treatment and for which alternative treatment options are inadequate. We commercially launched Xtampza ER in June 2016.

The Nucynta Products are extended-release ("ER") and immediate-release ("IR") formulations of tapentadol. Nucynta ER is indicated for the management of pain severe enough to require daily, around the clock, long-term opioid treatment, including neuropathic pain associated with diabetic peripheral neuropathy in adults, and for which alternate treatment options are inadequate. Nucynta IR is indicated for the management of acute pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate in adults. We began shipping and recognizing product sales on the Nucynta Products in January 2018 and began marketing the Nucynta Products in February 2018.

On March 22, 2022, we acquired BDSI, a specialty pharmaceutical company working to deliver innovative therapies for individuals living with serious and debilitating chronic conditions, pursuant to the Merger Agreement. Upon closing, we acquired the Belbuca, Symproic, and Elyxyb products. We began shipping and recognizing product sales related to Belbuca, Symproic, and Elyxyb in March 2022.

Belbuca is a buccal film that contains buprenorphine, a Schedule III opioid, and was approved by the FDA in October 2015 for use in patients with pain severe enough to require daily, around-the-clock, long-term opioid treatment for which alternative options are inadequate. Symproic was approved by the FDA in March 2017 for the treatment of OIC in adult patients with chronic non-cancer pain, including patients with chronic pain related to prior cancer or its treatment who do not require frequent (e.g., weekly) opioid dosage escalation. Elyxyb was approved by the FDA in May 2020 for the acute treatment of migraine with or without aura in adults.

We believe the acquisition of Belbuca, Symproic, and Elyxyb strategically aligns with our mission to build a leading, diversified specialty pharmaceutical company committed to improving the lives of people suffering from serious medical conditions.

We are promoting our pain portfolio (Xtampza ER, the Nucynta Products, Belbuca, and Symproic) to approximately 9,000 health care professionals who write approximately 62% of the branded extended-release oral opioid prescriptions in the United States with a sales team of approximately 100 sales representatives and managers. Additionally, we are currently launching Elyxyb with a sales team of 29 sales representatives and managers promoting to approximately 3,500 headache specialists and thought leaders within key markets.

Outlook

We were historically not profitable and incurred net losses in each year since inception until 2020. Substantially all our net losses resulted from costs incurred in connection with selling, general and administrative costs associated with our operations and research and development programs, and we expect to continue to incur significant commercialization expenses related to marketing, manufacturing, distribution, selling and reimbursement activities.

The BDSI Acquisition diversifies and expands our business by adding Belbuca and Symproic to our highly differentiated pain portfolio, and Elyxyb, as a new product launch opportunity that provides entry into neurology. We expect the addition of these products to further strengthen our financial position through increased revenue scale, immediate and significant earnings accretion, and accelerated cash flow generation, driven by synergies of merging operations. While we incurred significant transaction costs and other acquisition related expenses during the period ended March 31, 2022 to complete the BDSI Acquisition and to integrate BDSI's operations, we expect acquisition related expenses to decrease significantly throughout the remainder of 2022 and expect significant synergies to be reflected in the results of our



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operations for the remainder of 2022. In addition, we expect the step-up basis in inventory to impact our results of operations until all acquired inventory is sold, which we expect to occur no later than one year after the Acquisition Date.

As of the date of the filing of this Quarterly Report on Form 10-Q, we expect the COVID-19 pandemic and actions taken to contain it to continue to impact our revenue. Notwithstanding the lifting of COVID-19 restrictions in many jurisdictions, and amidst continuing public health concerns relating to the spread of COVID-19, weekly pain patient office visits continue to be depressed compared to pre-COVID periods, which in turn may account for fewer patients beginning therapy with our products. We believe that the disruptions caused by COVID-19 will continue and there remains substantial uncertainty as to when such disruptions will cease.

CRITICAL ACCOUNTING POLICIES AND ESTIMATES

We believe that several accounting policies are important to understanding our historical and future performance. We refer to these policies as "critical" because these specific areas generally require us to make judgments and estimates about matters that are uncertain at the time we make the estimate, and different estimates-which also would have been reasonable-could have been used, which would have resulted in different financial results. For a description of critical accounting policies that affect our significant judgments and estimates used in the preparation of our consolidated financial statements, refer to our Annual Report.

Changes in our critical accounting policies with respect to our Annual Report include business combination accounting and valuation of acquired assets, including goodwill and intangible assets, as described below.

Business Combination Accounting and Valuation of Acquired Assets

We completed the BDSI Acquisition on March 22, 2022, which was accounted for as a business combination. To determine whether the acquisition should be accounted for as a business combination or as an asset acquisition, we made certain judgments regarding whether the acquired set of activities and assets met the definition of a business. Judgment is required in assessing whether the acquired processes or activities, along with their inputs, would be substantive to constitute a business, as defined by U.S. GAAP.

The acquisition method of accounting requires that we recognize the assets acquired and liabilities assumed at their acquisition date fair values. Goodwill is measured as the excess of consideration transferred over the acquisition date net fair values of the assets acquired and the liabilities assumed. The purchase price allocation is a critical accounting estimate because the estimation of fair values of acquired assets and assumed liabilities is judgmental and requires various assumptions based on non-observable inputs. An income approach, which generally relies upon projected cash flow models, is used in estimating the fair value of the acquired intangible assets. These cash flow projections are based on management's estimates of economic and market conditions including the estimated future cash flows from revenues of acquired assets; the timing and projection of costs and expenses, discount rates; and tax rates.

While we use our best estimates and assumptions as part of the process to value assets acquired and liabilities assumed at the acquisition date, our estimates are inherently uncertain and subject to refinement. During the measurement period, which occurs before finalization of the purchase price allocation, changes in assumptions and estimates that result in adjustments to the fair values of assets acquired and liabilities assumed, if based on facts and circumstances existing at the acquisition date, are recorded on a retroactive basis as of the acquisition date, with the corresponding offset to Goodwill. Any adjustments not based on facts and circumstances existing at the acquisition date, or if subsequent to the conclusion of the measurement period, will be recorded to our consolidated statements of operations.



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RESULTS OF OPERATIONS

                                                       Three Months Ended March 31,
                                                         2022                2021

                                                              (in thousands)
Product revenues, net                               $        83,751     $       87,721
Cost of product revenues
Cost of product revenues (excluding intangible
asset amortization)                                          16,332             15,328
Intangible asset amortization                                18,923             16,795
Total cost of products revenues                              35,255             32,123
Gross profit                                                 48,496             55,598
Operating expenses
Research and development                                      3,983              2,930
Selling, general and administrative                          54,528             31,476
Total operating expenses                                     58,511             34,406
(Loss) income from operations                              (10,015)             21,192
Interest expense                                            (5,831)            (5,721)
Interest income                                                   4                  3
(Loss) income before income taxes                          (15,842)             15,474
(Benefit from) provision for income taxes                   (2,773)              (188)
Net (loss) income                                   $      (13,069)     $       15,662

Comparison of the three months ended March 31, 2022 and March 31, 2021

Product revenues, net

Product revenues, net were $83.8 million for the three months ended March 31, 2022 (the "2022 Quarter"), compared to $87.7 million for the three months ended March 31, 2021 (the "2021 Quarter"). The $3.9 million decrease was related to decreases in revenue for Xtampza ER of $3.9 million and a decrease in revenue for the Nucynta Products of $3.6 million, partially offset by an increase in revenue for Belbuca , Symproic, and Elyxyb totaling $3.6 million, as these products were acquired in the 2022 Quarter as a result of the BDSI Acquisition.

The decrease in net product revenues for Xtampza ER of $3.9 million is primarily due to a decrease in sales volume, higher provisions for returns, and higher gross-to-net adjustments primarily related to rebates, partially offset by an increase in gross price.

The decrease in net product revenues for the Nucynta Products of $3.6 million is primarily due to higher provisions for returns and higher gross-to-net adjustments primarily related to rebates.

The increase in net product revenues for Belbuca of $3.3 million, Symproic of $300,000, and Elyxyb of less than $100,000 was due to net product revenues attributable to the period from the Acquisition Date through March 31, 2022, which were acquired in the 2022 Quarter as a result of the BDSI Acquisition.

Cost of product revenues

Cost of product revenues (excluding intangible asset amortization) was $16.3 million for the 2022 Quarter, compared to $15.3 million for the 2021 Quarter. The $1.0 million increase was primarily related to recognition of the step-up basis in inventory acquired from the BDSI Acquisition to fair value of $63.1 million, of which $603,000 was recognized as cost of product revenues in the 2022 Quarter, combined with costs incurred for shipments of Belbuca and Symproic following the Acquisition Date.

Intangible asset amortization was $18.9 million for the 2022 Quarter, compared to $16.8 million for the 2021 Quarter. The $2.1 million increase in intangible asset amortization was due to the BDSI Acquisition, in which $445.0 million of consideration was allocated to our acquired intangible assets, Belbuca, Symproic, and Elyxyb. These intangible assets are being amortized on a straight-line basis over the respective estimated useful lives.



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Operating Expenses

Research and development expenses were $4.0 million for the 2022 Quarter, compared to $2.9 million for the 2021 Quarter. The $1.1 million increase was primarily due to severance costs and benefits related to the BDSI acquisition. The remaining change is immaterial.

Selling, general and administrative expenses were $54.5 million for the 2022 Quarter, compared to $31.5 million for the 2021 Quarter. The $23.0 million increase was primarily related to:

an increase in acquisition related expenses classified as selling, general and

administrative of $26.5 million which primarily consisted of financial

? advisory, banking, legal, and regulatory fees, other consulting fees,

employee-related severance expenses, BDSI directors and officers insurance, and

miscellaneous other acquisition expenses incurred; which was partially offset

by

a decrease in salaries, wages and benefits of $4.6 million, due to us entering

? into a plan to reduce our workforce, primarily our salesforce, in the fourth

quarter of 2021.

As a result of the BDSI Acquisition, we expect to incur additional acquisition related expenses relating to consulting fees, contract termination costs, and other integration related expenses during the remainder of 2022.

Interest expense and Interest income

Interest expense was $5.8 million for the 2022 Quarter, compared to $5.7 million in the 2021 Quarter. Interest income was $4,000 for the 2022 Quarter, compared to $3,000 in the 2021 Quarter. Interest expense and interest income were materially consistent in the 2022 Quarter compared to the 2021 Quarter. Interest expense will increase in future periods as a result of the 2022 Loan Agreement that was entered into in connection with the BDSI Acquisition.

Taxes

Benefit from income taxes was $2.8 million for the 2022 Quarter, compared to $188,000 in the 2021 Quarter. The $2.6 million increase was primarily due to higher net loss as a result of acquisition related expenses. The effective tax rate was 17.5% and (1.2)% for the three months ended March 31, 2022 and 2021, respectively. The benefit from income taxes in the first quarter of 2022 reflects the tax benefit from the net loss, which includes the impact of discrete nondeductible transaction costs and excess tax benefits. For the 2021 Quarter, the Company maintained a full valuation allowance and tax benefits were not recognized. The $188,000 benefit from income taxes in the 2021 Quarter primarily represented excess tax benefits related to stock-based compensation partially offset by provisions for current state income taxes.

LIQUIDITY AND CAPITAL RESOURCES

Sources of Liquidity

We have incurred cumulative net losses and negative cash flows from operations since inception until 2020. Historically, we have funded our operations primarily through the private placements of our preferred stock and convertible notes, public offerings of common stock and convertible notes, and commercial bank debt. We are primarily dependent on the commercial success of Xtampza, the Nucynta Products, and Belbuca. During the three months ended March 31, 2022, our debt balance increased significantly as we modified the 2020 Term Notes with Pharmakon to an increased principal balance of $650.0 million to fund a portion of the consideration paid to complete the BDSI Acquisition. We are required to pay $100.0 million in amortization payments during the first year of the 2022 Term Loan and the remaining $550.0 million balance is required to be paid in equal quarterly installments over the remaining three years of the term note. As of March 31, 2022, and December 31, 2021, we had $106.7 million and $186.4 million in cash and cash equivalents, respectively.

We believe that our cash and cash equivalents at March 31, 2022, together with expected cash inflows from the commercialization of our products, will enable us to fund our operating expenses, debt service and capital expenditure requirements under our current business plan for at least one year from the date the consolidated financial statements were issued.



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Borrowing Arrangements

On March 22, 2022, in connection with the BDSI Acquisition closing, we entered into the 2022 Loan Agreement for the 2022 Term Loan, the proceeds of which were used to repay our existing term notes, and fund a portion of the consideration to be paid to complete the BDSI Acquisition.

The 2022 Term Loan will mature on the 48-month anniversary of the closing of the BDSI Acquisition and is guaranteed by our material domestic subsidiaries. The 2022 Term Loan is also secured by substantially all of our assets and our material domestic subsidiaries. The 2022 Term Loan will bear interest at a rate based upon LIBOR (subject to a LIBOR floor of 1.20%), plus a margin of 7.5% per annum. As of March 31, 2022, the interest rate was 8.7%. We are required to repay the 2022 Term Loan by paying $100,000 in amortization payments during the first year and the remaining $550,000 balance will amortize in equal quarterly installments over the remaining three years.

The 2022 Loan Agreement permits voluntary prepayment at any time, subject to a prepayment premium. The prepayment premium is equal to 2.00% of the principal amount being prepaid prior to the second-year anniversary of the closing date, or 1.00% of the principal amount being prepaid on or after the second-year anniversary of the closing date. The 2022 Loan Agreement also includes a make-whole premium in the event of a voluntary prepayment, a prepayment due to a change in control or acceleration following an Event of Default (as defined in the 2022 Loan Agreement) on or prior to the second-year anniversary of the closing date, in each case in an amount equal to foregone interest from the date of prepayment through the second-year anniversary of the closing date. A change of control also triggers a mandatory prepayment of the 2022 Term Loan.

The 2022 Loan Agreement contains certain covenants and obligations of the parties, including, without limitation, covenants that limit our ability to incur additional indebtedness or liens, make acquisitions or other investments or dispose of assets outside the ordinary course of business. Failure to comply with these covenants would constitute an event of default under the 2022 Loan Agreement, notwithstanding our ability to meet our debt service obligations. The 2022 Loan Agreement also includes various customary remedies for the lenders following an event of default, including the acceleration of repayment of outstanding amounts under the 2022 Loan Agreement and execution upon the collateral securing obligations under the 2022 Loan Agreement.



Cash Flows

                                                       Three Months Ended March 31,
                                                         2022                2021

                                                              (in thousands)

Net cash used in (provided by) operating activities $ (25,315) $ 20,570 Net cash used in investing activities

                     (572,177)              (428)
Net cash provided by (used in) financing activities         517,764           (11,468)
Net (decrease) increase in cash, cash equivalents
and restricted cash                                 $      (79,728)     $        8,674

Operating activities. Cash used in operating activities was $25.3 million in the 2022 Quarter, compared to cash provided by operating activities of $20.6 million in 2021 Quarter. The $45.9 million decrease was primarily due to lower net income exclusive of non-cash items as a result of lower net product revenues and higher operating expenses, mainly acquisition related expenses in connection with the BDSI Acquisition, combined with changes in working capital. The changes in working capital were primarily driven by the change in accrued rebates, returns and discounts due to the timing of rebate payments.

Investing activities. Cash used in investing activities was $572.2 million in the 2022 Quarter, compared to $428,000 in the 2021 Quarter. The $571.8 million increase was primarily related to the BDSI Acquisition, net of cash acquired, which closed in the 2022 Quarter.

Financing activities. Cash provided by financing activities was $517.8 million for the 2022 Quarter, compared to cash used in financing activities of $11.5 million in the 2021 Quarter. The $529.3 million increase was primarily related to the repayment of the 2020 Term Notes and subsequent execution of the 2022 Term Loan as described in Note 11, Term Notes Payable.



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Funding Requirements

We believe that our cash and cash equivalents as of March 31, 2022, together with expected cash inflows from operations, will enable us to fund our operating expenses, debt service and capital expenditure requirements under our current business plan for at least one year from the date the consolidated financial statements were issued. However, we are subject to all the risks common to the commercialization and development of new pharmaceutical products, and we may encounter unforeseen expenses, difficulties, complications, delays and other unknown factors that may adversely affect our business.

Certain economic or strategic considerations may cause us to seek additional cash through private or public debt or equity offerings. Such funds may not be available when needed, or, we may not be able to obtain funding on favorable terms, or at all. If we are unable to raise additional capital in sufficient amounts or on terms acceptable to us, we may have to significantly delay, scale back or discontinue the development or commercialization of one or more of our products. If we raise additional funds through the issuance of additional debt or equity securities, it could result in dilution to our existing shareholders, increased fixed payment obligations and the existence of securities with rights that may be senior to those of our common stock. If we incur indebtedness, we could become subject to covenants that would restrict our operations and potentially impair our competitiveness, such as limitations on our ability to incur additional debt, limitations on our ability to acquire, sell or license intellectual property rights and other operating restrictions that could adversely impact our ability to conduct our business. Any of these events could significantly harm our business, financial condition and prospects.

Our forecast that our financial resources will be adequate to support our operations is a forward-looking statement and involves risks and uncertainties, and actual results could vary as a result of a number of factors. We have based this estimate on assumptions that may prove to be wrong, and we could utilize our available capital resources sooner than we currently expect. The amount and timing of future funding requirements, both near- and long-term, will depend on many factors, including:

? the generation of reasonable levels of revenue from products sales;

? the cost of growing and maintaining sales, marketing and distribution

capabilities for our products;

? the cost of patent infringement litigation, which may be expensive to defend;

? the cost of litigation related to opioid marketing and distribution practices;

? the timing and costs associated with manufacturing our products, for commercial

sale and clinical trials; and

? the effect of competing technological and market developments.

If we cannot capitalize on our business opportunities because we lack sufficient capital, our business, financial condition and results of operations could be materially adversely affected.

ADDITIONAL INFORMATION

To supplement our financial results presented on a GAAP basis, we have included information about certain non-GAAP financial measures such as adjusted EBITDA and adjusted operating expenses. We use these non-GAAP financial measures to understand, manage and evaluate our business as we believe they provide additional information on the performance of our business. We believe that the presentation of these non-GAAP financial measures, taken in conjunction with our results under GAAP, provide analysts, investors, lenders and other third parties insight into our view and assessment of our ongoing operating performance. In addition, we believe that the presentation of these non-GAAP financial measures, when viewed with our results under GAAP and the accompanying reconciliations, provide supplementary information that may be useful to analysts, investors, lenders, and other third parties in assessing our performance and results from period to period. We report these non-GAAP financial measures to portray the results of our operations prior to considering certain income statement elements. These non-GAAP financial measures should be considered in addition to, and not as a substitute for, or superior to, net income or other financial measures calculated in accordance with GAAP.

In our quarterly and annual reports, earnings press releases and conference calls, we may discuss the following financial measures that are not calculated in accordance with GAAP, to supplement our consolidated financial statements presented on a GAAP basis.



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Adjusted EBITDA

Adjusted EBITDA is a non-GAAP financial measure that represents GAAP net income adjusted to exclude interest expense, interest income, the benefit from or provision for income taxes, depreciation, amortization, stock-based compensation, and other adjustments to reflect changes that occur in our business but do not represent ongoing operations. Adjusted EBITDA, as used by us, may be calculated differently from, and therefore may not be comparable to, similarly titled measures used by other companies.

There are several limitations related to the use of adjusted EBITDA rather than net income, which is the nearest GAAP equivalent, such as:

adjusted EBITDA excludes depreciation and amortization, and, although these are

? non-cash expenses, the assets being depreciated or amortized may have to be

replaced in the future, the cash requirements for which are not reflected in

adjusted EBITDA;

we exclude stock-based compensation expense from adjusted EBITDA although (a)

it has been, and will continue to be for the foreseeable future, a significant

? recurring expense for our business and an important part of our compensation

strategy and (b) if we did not pay out a portion of our compensation in the

form of stock-based compensation, the cash salary expense included in operating

expenses would be higher, which would affect our cash position;

? adjusted EBITDA does not reflect changes in, or cash requirements for, working

capital needs;

? adjusted EBITDA does not reflect the benefit from or provision for income taxes

or the cash requirements to pay taxes;

? adjusted EBITDA does not reflect historical cash expenditures or future

requirements for capital expenditures or contractual commitments;

we exclude restructuring expenses from adjusted EBITDA. Restructuring expenses

? primarily include employee severance and contract termination costs that are

not related to acquisitions. The amount and/or frequency of these restructuring

expenses are not part of our underlying business;

we exclude litigation settlements from adjusted EBITDA, as well as any

? applicable income items or credit adjustments due to subsequent changes in

estimates. This does not include our legal fees to defend claims, which are

expensed as incurred;

we exclude acquisition related expenses as the amount and/or frequency of these

expenses are not part of our underlying business. Acquisition related expenses

include transaction costs, which primarily consisted of financial advisory,

? banking, legal, and regulatory fees, and other consulting fees, incurred to

complete the acquisition, employee-related expenses (severance cost and

benefits) for terminated employees after the acquisition, and miscellaneous

other acquisition expenses incurred; and

we exclude recognition of the step-up basis in inventory from acquisitions as

? the amount and/or frequency of these expenses are not part of our underlying

business.




Adjusted EBITDA for the three months ended March 31, 2022 and 2021 was as
follows:

                                            Three Months Ended
                                                March 31,
                                              2022        2021
GAAP Net (loss) income                    $   (13,069)  $ 15,662
Adjustments:
Interest expense                                 5,831     5,721
Interest income                                    (4)       (3)

(Benefit from) provision for income taxes (2,773) (188) Depreciation

                                       715       439
Amortization                                    18,923    16,795
Stock-based compensation expense                 6,135     6,879
Acquisition related expenses                    27,167         -
Recognition of step-up basis in inventory          603         -
Total adjustments                         $     56,597  $ 29,643
Adjusted EBITDA                           $     43,528  $ 45,305


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Adjusted EBITDA was $43.5 million for the 2022 Quarter compared to $45.3 million for the 2021 Quarter. The $1.8 million decrease was primarily due to lower revenue and gross profit, partially offset by a benefit from lower adjusted operating expenses, as discussed below.

Adjusted Operating Expenses

Adjusted operating expenses is a non-GAAP financial measure that represents GAAP operating expenses adjusted to exclude stock-based compensation expense, and other adjustments to reflect changes that occur in our business but do not represent ongoing operations.



Adjusted operating expenses for the three months ended March 31, 2022 and 2021
were as follows:

                                Three Months Ended
                                     March 31,
                                2022            2021
GAAP Operating expenses      $    58,511      $ 34,406
Adjustments:
Stock-based compensation           6,135         6,879
Restructuring                          -             -
Litigation settlements                 -             -
Acquisition related expenses      27,167             -
Total adjustments                 33,302         6,879

Adjusted operating expenses $ 25,209 $ 27,527

Operating expenses, excluding stock-based compensation was $25.2 million in the 2022 Quarter compared to $27.5 million in the 2021 Quarter. The $2.3 million decrease was primarily driven by lower salaries, wages and benefits due to us entering into a plan to reduce our workforce, primarily our salesforce, in the fourth quarter of 2021.

CONTRACTUAL OBLIGATIONS

With the exception of the 2022 Term Loan as discussed in Note 11, Term Notes Payable, there have been no material changes to the contractual obligations and commitments described under Management's Discussion and Analysis of Financial Condition and Results of Operations in our Annual Report.

OFF-BALANCE SHEET ARRANGEMENTS

We did not have during the periods presented any off­balance sheet arrangements, as defined under SEC rules.

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