TABLE OF CONTENTS
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2 |
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2 |
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2 |
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A. |
[Reserved] |
2 |
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B. |
Capitalization and Indebtedness |
2 |
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C. |
Reasons for the Offer and Use of Proceeds |
2 |
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D. |
Risk Factors |
3 |
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30 |
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A. |
History and Development of the Company |
30
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B. |
Business Overview |
30
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C. |
Organizational Structure |
46
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D. |
Property, Plants and Equipment |
46
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47 |
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48 |
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A. |
Operating Results |
48
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B. |
Liquidity and Capital Resources |
59
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C. |
Research and Development, Patents and Licenses,etc. |
61
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D. |
Trend Information |
61
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E. |
Critical Accounting Estimates |
62
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67 |
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A. |
Directors and Senior Management |
67
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B. |
Compensation |
69
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C. |
Board Practices |
69
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D. |
Employees |
71
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E. |
Share Ownership |
71
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74
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A. |
Major Shareholders |
74
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B. |
Related Party Transactions |
75
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C. |
Interests of Experts and Counsel |
76
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76
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A. |
Consolidated Statements and Other Financial Information |
76
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B. |
Significant Changes |
76
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76 |
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A. |
Offer and Listing Details |
76
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B. |
Plan of Distribution |
76
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C. |
Markets |
76
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D. |
Selling Shareholders |
76
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E. |
Dilution |
77
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F. |
Expense of the Issue |
77
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77 |
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A. |
Share Capital |
77
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B. |
Memorandum and Articles of Association |
77
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C. |
Material Contracts |
78
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D. |
Exchange Controls |
79
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E. |
Taxation |
80
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F. |
Dividends and Paying Agents |
85
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G. |
Statement by Experts |
85
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H. |
Documents on Display |
86
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I. |
Subsidiary Information |
86
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86 |
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87 |
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PART II |
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89 |
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89 |
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89 |
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90
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90 |
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90 |
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90 |
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90 |
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90 |
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91 |
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91 |
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91 |
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91
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PART III |
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92 |
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92 |
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174 |
PRESENTATION
OF FINANCIAL AND OTHER INFORMATION
As used herein, references
to “we”, “us”, “Trinity Biotech” or the “Group” in this Form 20-F shall mean Trinity Biotech
plc and its world-wide subsidiaries, collectively. References to the “Company” in this annual report shall mean Trinity Biotech
plc. Our consolidated financial statements appearing in this Annual Report are prepared in accordance with International Financial Reporting
Standards (“IFRS”) both as issued by the International Accounting Standards Board (“IASB”) and as adopted by the
European Union (“EU”). The IFRS standards applied are those effective for accounting periods beginning January 1, 2022.
Consolidated financial statements are required by Irish law to comply with IFRS as adopted by the EU which differ in certain respects
from IFRS as issued by the IASB. These differences predominantly relate to the timing of adoption of new standards by the EU. However,
as none of the differences are relevant in the context of Trinity Biotech, the consolidated financial statements for the periods presented
comply with IFRS both as issued by the IASB and as adopted by the EU. We present our consolidated financial statements in U.S. Dollars
and except as otherwise stated herein, all monetary amounts in this annual report have been presented in US Dollars. All references in
this annual report to “Dollars” and “$” are to US Dollars, and all references to “Euro” or “€”
are to European Union Euro. For presentation purposes all financial information, including comparative figures from prior periods, have
been stated in round thousands.
MARKET,
INDUSTRY AND OTHER DATA
Unless otherwise indicated,
information contained in this Annual Report concerning our industry and the markets in which we operate, including our competitive position
and market opportunity, is based on information from our own management estimates and research, as well as from industry and general publications
and research, surveys and studies conducted by third parties. Management estimates are derived from publicly available information, our
knowledge of our industry and assumptions based on such information and knowledge, which we believe to be reasonable. Our management estimates
have not been verified by any independent source, and we have not independently verified any third-party information. In addition, assumptions
and estimates of our and our industry’s future performance are necessarily subject to a high degree of uncertainty and risk due
to a variety of factors, including those described in Item 3.D. “Risk Factors” below.
Statements made in this
Annual Report concerning the contents of any contract, agreement or other document are summaries of such contracts, agreements or documents
and are not complete descriptions of all of their terms. If we filed any of these documents as an exhibit to this Annual Report, you should
read the document itself for a complete description of its terms, and the summary included herein is qualified by reference to the full
text of the document which is incorporated by reference into this Annual Report.
CAUTIONARY
STATEMENT REGARDING FORWARD-LOOKING STATEMENTS
This Annual Report contains statements that
constitute “forward-looking statements” within the meaning of the U.S. Private Securities Litigation Reform Act of 1995. These
statements are neither historical facts nor assurances of future performance. Although we believe that these estimates and forward-looking
statements are based upon reasonable assumptions, they are subject to numerous risks and uncertainties some of which are beyond our control
and are made in light of information currently available to us.
In some cases, these
forward-looking statements can be identified by words or phrases such as “believe,” “may,” “will,”
“expect,” “estimate,” “could,” “should,” “anticipate,” “aim,”
“estimate,” “intend,” “plan,” “believe,” “potential,” “continue,”
“is/are likely to” or other similar expressions. Forward-looking statements contained in this Annual Report include, but are
not limited to, statements about:
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the development of our products; |
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the potential attributes and benefit of our products and their competitive position; |
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our ability to successfully commercialize, or enter into strategic relationships with third parties to
commercialize, our products; |
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our estimates regarding expenses, future revenues, capital requirements and our need for additional financing;
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our ability to acquire or in-licence new product candidates; |
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potential strategic relationships; and |
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the duration of our patent portfolio. |
We operate in an evolving environment. New
risks emerge from time to time, and it is not possible for our management to predict all risks, nor can we assess the effect of all factors
on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those
contained in any forward-looking statements.
These forward-looking statements are subject
to risks, uncertainties and assumptions, some of which are beyond our control. In addition, these forward-looking statements reflect our
current views with respect to future events and are not a guarantee of future performance. Actual outcomes may differ materially from
the information contained in the forward-looking statements as a result of a number of important factors, including, without limitation,
the important risk factors set forth in Item 3.D. “Risk Factors” of this Annual Report.
The forward-looking statements made in this
Annual Report relate only to events or information as of the date on which the statements are made in this Annual Report. Except as required
by law, we undertake no obligation to update or revise publicly any forward-looking statements, whether as a result of new information,
future events or otherwise, after the date on which the statements are made or to reflect the occurrence of unanticipated events. You
should read this Annual Report and the documents that we have filed as exhibits hereto completely and with the understanding that our
actual future results or performance may be materially different from what we expect.
PART
I
| Item 1. |
Identity of Directors, Senior Management and Advisers |
Not applicable.
| Item 2. |
Offer Statistics and Expected Timetable |
Not applicable.
| B. |
Capitalization and Indebtedness |
Not applicable.
| C. |
Reasons for the Offer and Use of Proceeds |
Not applicable.
D.
Risk Factors
Summary of Risk Factors
Investing in our shares involves a high
degree of risk and uncertainty. You should carefully consider all of the information set forth in this Form 20-F, including the following
summary of risk factors, when investing in our securities. These risks and uncertainties reflect the international scope of our company’s
operations and the highly regulated industry in which it operates. The risks and uncertainties presented below, which are discussed in
more detail in the Risk Factors are reviewed on an annual basis and represent the principal risks and uncertainties faced by us at the
time of compilation of this annual report on Form 20-F. During the course of 2023, new risks and uncertainties may materialise attributable
to changes in markets, regulatory environments and other factors and existing risks and uncertainties may become less relevant, including
the following:
Risks Related to our
Business Industry
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Competition and trading conditions - our ability to sell products could be adversely affected
by competition from new and existing diagnostic products, changing conditions in the diagnostic market, including, inter alia, reductions
in government funding and sector consolidation. |
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Borrowings - we have incurred substantial debt, which could impair our flexibility and access
to capital and adversely affect our financial position. To the extent we are unable to repay our debt as it becomes due with cash on hand
or from other sources, we will need to refinance our debt, sell assets or repay the debt with the proceeds from equity offerings in order
to continue in business. Our ability to obtain additional funding may determine our ability to continue as a going concern. Failure
to comply with the terms of the credit agreement for our term loan could result in a default under its terms and, if uncured, could result
in action against our pledged assets. We are exposed to interest rate risk on some of our borrowings, which could cause our debt service
obligations to increase significantly. |
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Capital structure - we expect we will require future additional capital. |
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New product development - our long-term success depends upon the successful development and
commercialization of new products. |
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Supply chains - significant interruptions in production at our principal manufacturing facilities
and/or third-party manufacturing facilities would adversely affect our business and operating results. We are dependent on third-party
suppliers for certain critical components and the primary raw materials required for our test kits. Our inability to manufacture products
in accordance with applicable specifications, performance standards or quality requirements could adversely affect our business.
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Product recalls and claims - our products may in the future be subject to product recalls
that could harm our reputation, business and financial results. If our products cause or contribute to a death or a serious injury, or
malfunction in certain ways, we will be subject to medical device reporting regulations, which can result in voluntary corrective actions
or regulatory agency enforcement actions. We may be subject to liability resulting from our products or services.
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Financial impairment - the large amount of intangible assets and goodwill recorded on our
balance sheet may lead to significant impairment charges in the future. |
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Corporate strategy - failure to achieve our financial and strategic objectives could have
a material adverse impact on our business prospects. |
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Global economic conditions – changes in global economic conditions may have a material
adverse impact on our results. |
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People - we are highly dependent on our senior management team and other key employees, and
the loss of one or more of these employees or the inability to attract and retain qualified personnel as necessary could adversely affect
our operations. |
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Distributor network - our revenues are highly dependent on a network of distributors worldwide.
Our success depends on our ability to service and support our products directly or in collaboration with our strategic partners.
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Cyber security - our ability to protect our information systems and electronic transmissions
of sensitive data from data corruption, cyber-based attacks, security breaches or privacy violations is critical to the success of our
business. |
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Foreign exchange - our sales and operations are subject to the risks of fluctuations in currency
exchange rates. |
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Taxation - tax matters, including disagreements with taxing authorities, the changes in corporate
tax rates and imposition of new taxes could impact our results of operations and financial condition. |
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Acquisitions - future acquisitions may be less successful than expected, not generate the
expected benefits, disrupt our ongoing business, distract our management, increase our expenses and adversely affect our business, and
therefore, growth may be limited. |
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Pandemic impact - the Covid-19 outbreak could significantly disrupt our operations and adversely
affect our results of operations. |
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Environmental, Social and Governance - increasing scrutiny and changing expectations from
investors, lenders, customers and other market participants with respect to our Environmental, Social and Governance, or ESG, policies
may impose additional costs on us or expose us to additional risks. |
Risks Related to Government
Regulations
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Clinical trials
- clinical trials necessary to support future premarket submissions will be expensive and will require enrolment of suitable patients
who may be difficult to identify and recruit. Delays or failures in our clinical trials will prevent us from commercializing any modified
or new products and will adversely affect our business, operating results and prospects. If the third parties on whom we rely to conduct
our pre-clinical studies and clinical trials and to assist in pre-clinical development do not perform as contractually required or expected,
we may not be able to obtain regulatory approval or commercialize our products. The results of our clinical trials may not support our
product candidate claims.
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Regulatory compliance
- we may be subject to fines, penalties or injunctions if we are determined to be promoting the use of our products for unapproved or
“off-label” uses. If the FDA were to modify its policy of enforcement discretion with respect to our laboratory developed
tests, we could incur substantial costs and delays associated with trying to obtain premarket clearance or other approvals.
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Product approvals
- if we fail to maintain regulatory approvals and clearances our ability to commercially distribute and market these products could suffer.
Failure to comply with FDA or other regulatory requirements may require us to suspend production of our products or institute a recall
which could result in higher costs and a loss of revenues. Modifications to our products may require new 510(k) clearances or pre-market
approvals, or may require us to cease marketing or recall the modified products until clearances or approvals are obtained. Our laboratory
business could be harmed from the loss or suspension of a licence or imposition of a fine or penalties under, or future changes in, the
law or regulations of the Clinical Laboratory Improvement Amendments of 1988 (“CLIA”), or those of other state or local agencies.
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International
regulations - we face risks relating to our international sales and business
operations, including regulatory risks, which could impact our current business operations and growth strategy.
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Healthcare
industry laws and public company regulations - we are subject to various
laws targeting fraud and abuse in the healthcare industry. Changes in healthcare regulation could affect our revenues, costs and financial
condition. Compliance with regulations governing public company corporate governance and reporting is complex and expensive.
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Risks Related to Our
Intellectual Property
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Proprietary rights
- we may be unable to protect or obtain proprietary rights that we utilise or intend to utilise.
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Patent protection
– our patent protection may not be sufficiently broad to compete effectively, the existing patents could be challenged; and trade
secrets and confidential know-how could be obtained by competitors. Our patent protection could be reduced or eliminated for non-compliance
with various procedural requirements or due to changes in patent law. We may be involved in lawsuits to enforce our patents, the patents
of our licensors or our other intellectual property rights, which could be expensive, time consuming and unsuccessful. Product infringement
claims by other companies could result in costly disputes and could limit our ability to sell our products. |
Risks Related to Ownership
of our American Depository Shares (ADSs)
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Significant shareholder
- MiCo IVD Holdings, LLC (“MiCo”) currently owns approximately 29.3% of the voting share capital of our Company, which
may give MiCo significant influence over our management and affairs and may deter a change in control or other transaction that may be
favorable to our shareholders. |
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Information
- as a foreign private issuer we are exempt from a number of reporting requirements under the Exchange Act and are permitted to file less
information with the SEC than a domestic U.S. reporting company. |
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Passive foreign investment company
- we may be classified as a passive foreign investment company, or PFIC, which would subject our U.S. investors to adverse tax rules.
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Volatility
- the market price of our ADSs has been, and may continue to be, highly volatile. Future sales of our ADSs could reduce the market
price of the ADSs. |
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Capital
- we expect we will need additional capital in the future. |
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Dilution -
the conversion of our outstanding employee share options, any new employee share options and existing warrants would dilute the ownership
interest of existing shareholders. |
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Governed by Irish law
- it could be difficult for U.S. holders of ADSs to enforce any securities laws claims against Trinity Biotech, its officers or directors
in Irish Courts. |
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Dividends
- we have no plans to pay dividends on our ADSs, and you may not receive funds without selling the ADSs. |
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Voting rights of holders of ADSs
– the terms of the deposit agreement limit the voting
rights of holders of ADSs. |
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NASDAQ
listing standards - our securities
could be delisted from Nasdaq if we do not comply with Nasdaq’s listing standards. |
Risks Related to our Business Industry
Our
ability to sell products could be adversely affected by competition from new and existing diagnostic products.
We have invested in research and development
but there can be no guarantees that our RD programmes will not be rendered technologically obsolete or financially non-viable by
the technological advances of our competitors, which would also adversely affect our existing product lines and inventory. Our main competitors
(and their principal products with which we compete) include: Premier (First response™), Chembio (Stat-Pak™, DPP HIV-Syphilis),
Abbott (Determine™, SD BioLine™, Abon™, Acon™, Afinion™, Architect™), SD Biosensor, Wondf, Bejing
Wanta, Roche TinaQuant 3™, Bio_Rad (Variant 2 Turbo™, D 100™, BioPlex 2200) Tosoh ( G8™ G11™) Arkray
8180™, Siemens DCA™, Sebia Capyllaris 23™, Bio-Rad Variant 2™, Sebia Capyllaris 2, Euroimmun™, Aesku™,
Werfen, Copan™, Becton Dickenson™, Pointe Scientific and DiaSorin Liaison.
The
diagnostics industry is focused on the testing of biological specimens in a laboratory or at the point-of-care and is highly competitive
and rapidly changing. As new products enter the market, our products may become obsolete or a competitor’s products may be more
effective or more effectively marketed and sold than ours. If we fail to maintain and enhance our competitive position, our customers
may decide to use products developed by competitors which could result in a loss of revenues and adversely affect our results of operations,
cash flow and business.
We may in certain instances also face competition
from products that are sold at a lower price. Where this occurs, customers may choose to buy lower cost products from third parties or
we may be forced to sell our products at a lower price, both of which could result in a loss of revenues or a lower gross margin contribution
from the sale of our products. We may also be required to increase our marketing efforts in order to compete effectively, which would
increase our costs.
Our tests compete with products made by
our competitors. Multiple competitors are making investments in competing technologies and products, and a number of our competitors have
significantly greater financial, technical, research and other resources. Some competitors offer broader product lines and may have greater
market presence or name recognition than we have. If we receive FDA or other regulatory clearance, and in order to achieve market acceptance,
we and/or our distributors will likely be required to undertake substantial marketing efforts and spend significant funds to inform potential
customers and the public of the existence and perceived benefits of our products. Our marketing efforts for these products may not be
successful. As such, there can be no assurance that these products will obtain significant market acceptance and fill the market needs
that are perceived to exist on a timely basis, or at all.
We
have incurred substantial debt, which could impair our flexibility and access to capital and adversely affect our financial position.
As of December 31, 2022, we had total indebtedness
with a carrying value of approximately US$73.8 million, comprising a senior secured term loan (“Term Loan”) from Perceptive
Credit Holdings III, LP (“Perceptive”), a convertible note, a derivative liability related to warrants issued to Perceptive,
lease liabilities and a residual amount owing for an exchangeable note which was almost completely retired in 2022. The Term Loan, which
is repayable in January 2026, had a nominal outstanding amount of US$46.8 million at December 31, 2022. In February 2023, we entered into
an amended and restated senior secured term loan credit agreement which allowed for an immediate US$5 million increase to our outstanding
Term Loan and provided for a US$20 million facility to fund potential acquisitions. None of the US$20 million has been drawn down to date.
The convertible note, which has a nominal outstanding amount of US$20 million, mandatorily converts into ADSs if the volume weighted average
price of the Company’s ADSs is at or above US$3.24 for any five consecutive trading days.
On April 27, 2023, we announced that we
had closed the sale of our Fitzgerald Industries life sciences supply business, for cash proceeds of approximately US$30 million subject
to customary adjustments. The Company has used approximately US$11 million of the proceeds of this sale to repay approximately US$10.1
million of its senior secured debt held by Perceptive plus an approximately US$0.9 million early repayment penalty. In connection with
this transaction, we entered into an amendment to our senior secured term loan credit facility with Perceptive Advisors, which significantly
reduces our minimum revenue covenants under that loan.
We may face further liquidity challenges
if we are unable to meet obligations set forth in the Term Loan's credit agreement, including a financial covenant requiring that we achieve
specified minimum total revenue amounts measured as of the end of each quarter. A breach of the minimum total revenue covenant or any
other covenant in the credit agreement would result in a default under the credit agreement, which could enable the lender to declare
all amounts outstanding thereunder, together with accrued interest, to be immediately due and payable. We cannot assure you that, in such
an event, we would have sufficient assets to pay amounts due under the credit agreement.
As a result, we may need to raise capital
in one or more debt or equity offerings to fund our operations and obligations. There can be no assurance, however, that we will be successful
in raising the necessary capital or that any such offering will be available to us on terms acceptable to us, or at all. If we are unable
to raise additional capital that may be needed on terms in sufficient amounts or on terms acceptable to us, it could have a material adverse
effect on our company. 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 our deliveries under our outstanding customer purchase orders or the development or commercialization
of one or more of our products or one or more of our other research and development initiatives, sell assets and/or cease trading.
Our debt may:
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require us to use a substantial portion of our cash flow from operations to make debt service payments; |
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limit our ability to use our cash flow or obtain additional financing for working capital, capital expenditures, acquisitions or
other general business purposes; |
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limit our flexibility to plan for, or react to, changes in our business and industry; |
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result in dilution to our existing shareholders in the event we issue equity to fund our debt obligations; |
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place us at a competitive disadvantage compared to our less leveraged competitors; and |
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increase our vulnerability to the impact of adverse economic and industry conditions. |
To the extent we are unable to repay our
debt as it becomes due with cash on hand or from other sources, we will need to refinance our debt, sell assets or repay the debt with
the proceeds from equity offerings in order to continue in business. Additional indebtedness or equity financing may not be available
to us in the future for the refinancing or repayment of existing debt, or if available, such additional debt or equity financing may not
be available on a timely basis, or on terms acceptable to us and within the limitations specified in our then existing debt instruments.
In addition, in the event we decide to sell additional assets, we can provide no assurance as to the timing of any asset sales or the
proceeds that could be realized by us from any such asset sale. Our ability to obtain additional funding may determine our ability to
continue as a going concern.
The
failure to comply with the terms of the Credit Agreement could result in a default under its terms and, if uncured, could result in action
against our pledged assets and dilution of our stockholders.
On December 15, 2021, the Company and certain of our subsidiaries, entered into the Credit Agreement, under
which we obtained a US$81,250,000 senior secured term loan credit facility. The facility was conditioned on obtaining shareholder approval.
Following shareholder approval in January 2022, the loan was drawn in full on January 27, 2022. In 2022, the Company made an early partial
settlement of the term loan amounting to US$34,500,000. As at December 31, 2022, the Term Loan had a nominal outstanding amount of US$46,750,000.
In February 2023, the Company entered into an amended and restated senior secured term loan credit agreement which allowed for an immediate
US$5,000,000 increase to its outstanding Term Loan and provided for a US$20,000,000 facility to fund potential acquisitions. The Credit
Agreement is secured by substantially all of our property and assets, including our equity interests in our subsidiaries. On April 27,
2023, the Company announced it had closed the sale of its Fitzgerald Industries life sciences supply business, for cash proceeds of approximately
US$30 million subject to customary adjustments. The Company has used approximately US$11 million of the proceeds of this sale to repay
approximately US$10.1 million of its senior secured debt held by Perceptive plus an approximately US$0.9 million early repayment penalty.
In connection with this transaction, the Company has entered into an amendment to its senior secured term loan credit facility with Perceptive
Advisors, which significantly reduces the Company’s minimum revenue covenants under that loan.
The amended Credit Agreement also contains financial covenants
requiring that we (a) maintain aggregate unrestricted cash of not less than US$2,000,000 at all times (effective from May 1, 2023 this
limit increased to US$5,000,000), which must be held in one or more accounts subject to the security interests of the lenders under the
Credit Agreement, and (b) commencing as of the end of the fiscal quarter ended June 30, 2023, achieve specified minimum total revenue
requirements for the twelve months preceding each quarter end. In addition, the Credit Agreement contains covenants that restrict our
ability to finance future operations or capital needs or to engage in other business activities. The Credit Agreement restricts the ability
of our company and the restricted subsidiaries to, among other things:
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incur, assume or guarantee additional indebtedness; or |
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repurchase capital stock; |
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make other restricted payments, including paying dividends and making investments; |
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sell or otherwise dispose of assets, including capital stock of subsidiaries; |
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enter into agreements that restrict dividends from subsidiaries; |
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acquire another company or business or enter into mergers or consolidations; |
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enter into certain inbound and outbound licenses of intellectual property, subject to certain exceptions;
and |
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enter into transactions with affiliates. |
A breach of the minimum
total revenue covenant or any other covenant in the Credit Agreement would result in a default under the Credit Agreement. Upon an event
of default under the Credit Agreement, the lender could elect to declare all amounts outstanding thereunder, together with accrued interest,
to be immediately due and payable. In such an event, there can be no assurance that we would have sufficient liquidity to fund payment
of the amounts that would be due under the Credit Agreement or that, if such liquidity were not available, we would be successful in raising
additional capital on acceptable terms, or at all, or in completing any other endeavor to continue to be financially viable and continue
as a going concern. If we were unable to pay such amounts due under the Credit Agreement, the lenders could proceed against the collateral
securing the loan. Our inability to raise additional capital on acceptable terms in the near future, whether for purposes of funding payments
required under the Credit Agreement or providing additional liquidity needed for our operations, could have a material adverse effect
on our business, prospects, results of operations, liquidity and financial condition.
We
expect we will require future additional capital.
Our future liquidity and ability to meet
our future capital requirements will depend on numerous factors, including, but not limited to, the following:
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The costs and timing of expansion of sales and marketing activities; |
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• |
The timing and size of any repayment requirements for existing debt obligations; |
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The timing and success of the commercial launch of new products; |
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The extent to which we gain or expand market acceptance for existing, new or enhanced products; |
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The costs and timing of the expansion of our manufacturing capacity; |
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The success of our research and product development efforts; |
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The time, cost and degree of success of conducting clinical trials and obtaining regulatory approvals; |
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The magnitude of capital expenditures; |
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Changes in existing and potential relationships with distributors and other business partners; |
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The costs involved in obtaining and enforcing patents, proprietary rights and necessary licences; |
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The costs and liability associated with patent infringement or other types of litigation; |
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Competing technological and market developments; and |
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The scope and timing of strategic acquisitions. |
If additional financing is needed, we may
seek to raise funds through the sale of equity or other securities or through bank borrowings. There can be no assurance that financing
through the sale of securities, bank borrowings or otherwise will be available to us on satisfactory terms, or at all.
Our
variable rate indebtedness subjects us to interest rate risk, which could cause our debt service obligations to increase significantly.
Borrowings under our senior secured Term
Loan are at a variable rate of interest and expose us to interest rate risk. The Term Loan accrues interest at an annual rate equal to
11.25% plus the greater of (a) the Term SOFR Reference Rate and (b) one percent per annum. If interest rates continue to increase,
our debt service obligations on the variable rate indebtedness will increase and our net income and cash flows, including cash available
for servicing our indebtedness, would correspondingly decrease. As of December 31, 2022, the nominal amount of our variable rate debt
was US$46.8 million. The indebtedness increased by US$5 million to US$51.8 million in February 2023, following an amendment to the Term
Loan credit agreement. On April 27, 2023, the Company announced it had closed the sale of its Fitzgerald Industries life sciences
supply business, for cash proceeds of approximately US$30 million subject to customary adjustments. The Company has used approximately
US$11 million of the proceeds of this sale to repay approximately US$10.1 million of its senior secured debt held by Perceptive plus an
approximately US$0.9 million early repayment penalty. Our anticipated annual cash interest expense on US$41.7 million variable rate debt
at the current rate of 16 percent would be US$6.7 million. Every one percent increase in the interest rate results in additional annual
interest payable of US$0.4 million, based on the current amount of indebtedness.
Our
business could be adversely affected by changing conditions in the diagnostic market.
The diagnostics industry is in transition
with a number of changes that affect the market for diagnostic test products. The diagnostics industry has experienced considerable consolidation
through mergers and acquisitions in the past several years. For example, major consolidation among reference laboratories and the formation
of multi-hospital alliances, reducing the number of institutional customers for diagnostic test products. There can be no assurance that
we will be able to enter into and/or sustain contractual or other marketing or distribution arrangements on a satisfactory commercial
basis with these institutional customers. In the past, we have discontinued selling our Lyme Western Blot and HIV point-of-care tests
in the U.S. due to changing market conditions which made those sales uncommercial. Further, this consolidation trend may result in the
remaining companies having greater financial resources and technological capabilities, thereby intensifying competition in the industry,
which could have a material adverse effect on our business.
Reductions
in government funding to agencies and organizations we work with could adversely affect our business and financial results.
We sell our products into the public health
market, which consists of state, county and other governmental public health agencies, community-based organizations, service organizations
and similar entities. Many of these customers depend to a significant degree on grants or funding provided by governments or governmental
agencies to run their operations, including programs that use our products, such as our HIV testing products. In international markets,
we often sell our products to parties funded by such agencies. The level of available government grants or funding is unpredictable, and
certain organizations may not have their contracts renewed for funding. Available funding may be affected by various factors including
future economic conditions, legislative and regulatory developments, political changes, civil unrest, changing public health priorities
and changing priorities for research and development activities. Any reduction or delay in government funding or change in organizational
contracts could cause our customers to delay, reduce or forego purchases of our products or cause short-term or long-term fluctuations
in our product revenues through these channels.
Our
long-term success depends upon the successful development and commercialization of new products.
Our long-term viability and growth will
depend upon the successful discovery, development and commercialization of new and enhanced products from our research and development
(“RD”) activities. In order to remain competitive, we are committed to significant expenditures on RD and the commercialization
of new or enhanced products. The RD process generally takes a significant amount of time from product inception to commercial launch.
However, there is no certainty that this investment in research and development will yield technically feasible or commercially viable
products. We may have to abandon a new or enhanced product during its development phase after our investment of substantial time and money.
During the fiscal years ended December 31, 2022, 2021 and 2020, we incurred US$4.5 million, US$6.8 million and US$6.9 million, respectively,
in capitalised RD expenses. We expect to continue to incur significant costs related to our research and development activities.
Successful products require significant
development and investment, including testing to demonstrate their performance capabilities, cost-effectiveness or other benefits prior
to commercialization. In addition, unless exempt, regulatory clearance or approval must be obtained before our medical device products
may be sold. Additional development efforts on these products may be required before we are ready to submit applications for marketing
authorisation to any regulatory authority. Regulatory authorities may not clear or approve these products for commercial sale or may substantially
delay or condition clearance or approval. In addition, even if a product is successfully developed and all applicable regulatory clearances
or approvals are obtained, there may be little or no market for the product. Accordingly, if we fail to develop and gain commercial acceptance
for our products, or if we have to abandon a new product during its development phase, or if competitors develop more effective products
or a greater number of successful new products, customers may decide to use products developed by our competitors. This would result in
a loss of revenues and adversely affect our results of operations, cash flow and business.
Our future growth in the U.S. is dependent
in part on Food and Drug Administration (“FDA”) clearance of products. If FDA clearance is delayed or not achieved for these
products, it could have a material impact on the future growth of our business.
Similarly, future growth outside of U.S.
is dependent on clearance of products by the relevant regulatory authorities in those countries.
Consolidation
of our customers or the formation of group purchasing organisations could result in increased pricing pressure that could adversely affect
our operating results.
The health care industry has undergone significant
consolidation resulting in increased purchasing leverage for customers and consequently increased pricing pressures on our business. Additionally,
some of our customers have become affiliated with group purchasing organisations. Group purchasing organisations typically offer members
price discounts on laboratory supplies and equipment if they purchase a bundled group of one supplier’s products, which results
in a reduction in the number of manufacturers selected to supply products to the group purchasing organization and increases the group
purchasing organization’s ability to influence its members’ buying decisions. Further consolidation among customers or their
continued affiliation with group purchasing organizations may result in significant pricing pressures and correspondingly reduce the gross
margins of our business or may cause our customers to reduce their purchases of our products, thereby adversely affecting our business,
prospects, operating results or financial condition.
The trend towards managed care, together
with healthcare reform of the delivery system in the U.S. and efforts to reform in Europe, has resulted in increased pressure on healthcare
providers and other participants in the healthcare industry to reduce selling prices. Consolidation among healthcare providers and consolidation
among other participants in the healthcare industry has resulted in fewer, more powerful groups, whose purchasing power gives them cost
containment leverage. In particular, there has been a consolidation of laboratories. These industry trends and competitive forces place
constraints on the levels of overall pricing, and thus could have a material adverse effect on our gross margins for products we sell
in clinical diagnostic markets.
We
are dependent on third-party suppliers for certain critical components and the primary raw materials required for our test kits.
The primary raw materials required for Trinity
Biotech’s test kits consist of antibodies, antigens or other reagents, glass fibre and packaging materials which are acquired from
third parties. If our third-party suppliers are unable or unwilling to supply or manufacture a required component or product or if they
make changes to a component, product or manufacturing process or do not supply materials meeting our specifications, we may need to find
another source and/or manufacturer. This could require that we perform additional development work.
Some of our products, which we acquire from third parties,
are highly technical and are required to meet exacting specifications, and any quality control problems that we experience with respect
to the products supplied by third-party vendors could adversely and materially affect our reputation, our attempts to complete our clinical
trials or commercialization of our products and adversely and materially affect our business, operating results and prospects. We may
also need to obtain FDA or other regulatory authorisations for the use of an alternative component or for certain changes to our products
or manufacturing process. We may also have difficulty obtaining similar components from other suppliers that are acceptable to the FDA
or foreign regulatory authorities and the failure of our suppliers to comply with strictly enforced regulatory requirements could expose
us to regulatory action including, warning letters, product recalls, termination of distribution, product seizures, or civil penalties.
Completing that development and obtaining such authorisations could require significant time and expense and we may not obtain such authorisations
on a timely basis, or at all. The availability of critical components and products from other third parties could also reduce our control
over pricing, quality and timely delivery. These events could either disrupt our ability to manufacture and sell certain of our products
into one or more markets or completely prevent us from doing so and could increase our costs. Any such event could have a material adverse
effect on our results of operations, cash flow and business. Furthermore, since some of these suppliers are located outside of the United
States, we are subject to foreign export laws and United States import and customs regulations, which complicate and could delay shipments
of components to us. In 2022, we experienced significant disruption to our international supply chain which caused some disruption to
operations. There can be no assurance that these disruptions will not continue or intensify in the future which may create significant
challenges in fulfilling customer orders that we may not be able to overcome.
Although typically we do not plan to be
dependent upon any one source for these critical components or raw materials, alternative sources of such raw materials or components
with the characteristics and quality desired by us may not be available or commercially viable. Such unavailability could affect the quality
of our products and our ability to meet orders for specific products.
If
our products cause or contribute to a death or a serious injury, or malfunction in certain ways, we will be subject to medical device
reporting regulations, which can result in voluntary corrective actions or agency enforcement actions.
We are also required to comply with the
FDA’s Medical Device Reporting (“MDR”) requirements in the United States and comparable regulations worldwide, such
as the Health Products Regulatory Authority (“HPRA”). For example, under the FDA’s MDR regulations, we are required
to report to the FDA any incident in which our product may have caused or contributed to a death or serious injury or in which our product
malfunctioned and, if the malfunction were to recur, would likely cause or contribute to death or serious injury. In addition, all manufacturers
placing medical devices in European Union markets are legally bound to report any serious or potentially serious incidents involving devices
they produce or sell to the competent authority in whose jurisdiction the incident occurred.
Were this to happen to us, the relevant
competent authority would file an initial report, and there would then be a further inspection or assessment if there are particular issues.
This would be carried out either by the competent authority or it could require that our Notified Body, carry out the inspection or assessment.
We have reported MDRs in the past, and we
anticipate that in the future it is likely that we may experience events that would require reporting to the FDA pursuant to the MDR regulations.
Any adverse event involving our products could result in future voluntary corrective actions, or agency actions, such as inspection, mandatory
recall or other enforcement action.
Any corrective action, whether voluntary
or involuntary, as well as defending ourselves in a lawsuit, will require the dedication of our time and capital, distract management
from operating our business, and may harm our reputation and financial results.
We
may be subject to liability resulting from our products or services.
We may be subject to claims for personal
injuries or other damages if any of our products, services, or any product which is made with the use or incorporation of any of our technologies,
causes injury of any type or is found otherwise unsuitable during product testing, manufacturing, marketing, sale or usage. There is no
assurance that we would be successful in defending any product liability lawsuits brought against us. Regardless of merit or eventual
outcome, product liability claims could result in:
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Decreased demand for our products; |
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Damage to our image or reputation; |
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Costs related to litigation; and |
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Diversion of management time and attention; |
We have global product liability insurance
in place for our manufacturing subsidiaries up to a maximum of €6,500,000 (US$6,921,000) for any one accident, limited to a maximum
of €6,500,000 (US$6,921,000) in any one-year period of insurance and is subject to a deductible. We also have professional indemnity
insurance for the laboratory services business up to a maximum of US$5,000,000 for each claim and a U$7,000,000 aggregate limit. There
can be no assurance that our product liability insurance is sufficient to protect us against liability that could have a material adverse
effect on our business. In addition, although we believe that we will be able to continue to obtain adequate coverage in the future, there
is no assurance that we will be able to do so at acceptable costs.
Our
products may be subject to product recalls that could harm our reputation, business and financial results.
Manufacturers may, on their own initiative,
initiate actions, including a non-reportable market withdrawal, a correction, a safety alert or a reportable product recall, for the purpose
of correcting a material deficiency, improving device performance, or for other reasons. Additionally, the FDA and similar foreign health
or governmental authorities have the authority to require an involuntary recall of commercialized products in the event of material deficiencies
or defects in design, manufacturing or labelling or in the event that a product poses an unacceptable risk to health. In the case of the
FDA, the authority to require a recall must be based on an FDA finding that there is a reasonable probability that a device intended for
human use would cause serious, adverse health consequences or death. A government-mandated or voluntary recall by us or one of our distributors
could occur as a result of component failures, manufacturing errors, modifications, design or labelling defects or other deficiencies
and issues. Recalls of any of our products would divert managerial and financial resources and have an adverse effect on our financial
condition and results of operations. The FDA requires that certain classifications of recalls be reported to FDA within 10 working days
after the recall is initiated.
Companies are required to maintain certain
records of post-market actions, even if they determine such actions are not reportable to the FDA. If we determine that certain actions
do not require notification of the FDA, the FDA may disagree with our determinations and require us to report those actions as recalls.
A future recall announcement could harm our reputation with customers and negatively affect our sales. In addition, the FDA could take
enforcement action for failing to report the recalls when they were conducted or failing to timely report or initiate a reportable product
action. Further, depending on the corrective action we take to redress a product’s deficiencies or defects, the FDA may require,
or we may decide, that we will need to obtain new approvals or clearances before we may market or distribute the corrected device. Seeking
such approvals or clearances may delay our ability to replace the recalled devices in a timely manner.
The
large amount of intangible assets and goodwill recorded on our balance sheet may lead to significant impairment charges in the future.
We regularly review our long-lived assets, including identifiable intangible assets and goodwill, for impairment.
Goodwill and acquired indefinite life intangible assets are subject to impairment review on a periodic basis and whenever potential impairment
indicators are present. Other long-lived assets are reviewed when there is an indication that an impairment may have occurred. The amount
of goodwill and identifiable intangible assets on our consolidated balance sheet as of December 31, 2022, was US$35 million (2021: US$36
million) (2020: US$34 million). In 2022, we recorded total impairment charges of intangible assets of US$5 million (2021: US$4 million)
(2020: US$15 million) as a result of our periodic impairment review. We may record further significant impairment charges in the future
if there are changes in market conditions, a significant reduction in share price or other changes in the future outlook. In addition,
we may from time to time sell assets that we determine are not critical to our strategy or execution. Future events or decisions may lead
to asset impairments and/or related charges. Certain impairments may result from a change in our strategic goals, business direction or
other factors relating to the overall business environment. Any significant impairment charges could have a material adverse effect on
our results of operations.
Failure
to achieve our financial and strategic objectives could have a material adverse impact on our business prospects.
As a result of any number of risk factors
identified herein, no assurance can be given that we will be successful in implementing our financial and strategic objectives. In addition,
the funds for research, clinical development and other projects have in the past come partly from our business operations. If our business
slows and we have less money available to fund research and development and clinical programs, we will have to decide at that time which
programs to cut, and by how much. Similarly, if adequate financial, personnel, equipment or other resources are not available, we may
be required to delay or scale back our business. Our operations will be adversely affected if our total revenue and gross profits do not
correspondingly increase or if our technology, product, clinical and market development efforts are unsuccessful or delayed. Furthermore,
our failure to successfully introduce new or enhanced products and develop new markets could have a material adverse effect on our business
and prospects.
Global
economic conditions may have a material adverse impact on our results.
Uncertainty
in global economic conditions may continue for the foreseeable future and intensify. The invasion of Ukraine by Russia has destabilised
markets, increased volatility and created uncertainty, particularly in energy supply and energy prices. This uncertainty poses a risk
to the overall economy that could impact demand for our products, as well as our ability to manage normal commercial relationships with
our customers, suppliers and creditors, including financial institutions. Volatile economic conditions have adversely affected and could
continue to adversely affect our financial performance and condition or those of our customers and suppliers. These circumstances could
adversely affect our access to liquidity needed to conduct or expand our business or conduct future acquisitions, refinance existing debts,
or make other discretionary investments. Many of our customers rely on public funding provided by federal, state and local governments,
and this funding may be reduced or deferred as a result of economic conditions.
If global economic conditions deteriorate
significantly, our business could be negatively impacted, including such areas as reduced demand for our products from a slow-down in
the general economy, supplier or customer disruptions resulting from tighter credit markets and/or temporary interruptions in our ability
to conduct day-to-day transactions through our financial intermediaries involving the payment to or collection of funds from our customers,
vendors and suppliers. These circumstances may adversely impact our customers and suppliers, which, in turn, could adversely affect their
ability to purchase our products or supply us with necessary equipment, raw materials or components. Even with the improvement of economic
conditions, it may take time for our customers and suppliers to establish new budgets and return to normal purchasing and shipping patterns.
We cannot predict the reoccurrence of any economic slowdown or the strength or sustainability of the economic recovery.
We
are highly dependent on our senior management team and other key employees, and the loss of one or more of these employees or the inability
to attract and retain qualified personnel as necessary could adversely affect our operations.
Our success is dependent to a large extent upon the contributions
of our key employees who in 2022 were Ronan O’Caoimh, our CEO and Chairman, who on October 3, 2022, was succeeded by Aris Kekedjian,
and John Gillard, our CFO/Executive Director. The effectiveness of our senior leadership team generally, and any further transition as
a result of these changes, could have a significant impact on our results of operations. Management transition is often difficult and
inherently causes some loss of institutional knowledge, which could negatively affect our results of operations and financial condition.
Our ability to execute our business strategies may be adversely affected by the uncertainty associated with these transitions. We may
not be able to attract or retain a sufficient number of qualified employees in the future due to the intense competition for qualified
personnel among medical products and other life science businesses.
If we are not able to attract and retain
the necessary personnel to accomplish our business objectives, we may experience constraints that will adversely affect our ability to
effectively manufacture, sell and market our products, to meet the demands of our strategic partners in a timely fashion, or to support
research, development and clinical programs. Although we believe we will be successful in attracting and retaining qualified personnel,
competition for experienced scientists and other personnel from numerous companies and academic and other research institutions may limit
our ability to do so on acceptable terms.
Significant
interruptions in production at our principal manufacturing facilities and/or third-party manufacturing facilities would adversely affect
our business and operating results.
Products manufactured at our facilities
in Bray, Ireland, Jamestown and Buffalo, New York and Kansas City, Missouri accounted for the majority of our revenues during the fiscal
year ended December 31, 2022. Our global supply of these products and services is dependent on the uninterrupted and efficient operation
of these facilities. In addition, we currently rely on a small number of third-party manufacturers to produce certain of our diagnostic
products and product components. 2022 continued to see significant interruptions to international supply chains which may continue
for some time to come. If we do not negotiate long-term contracts, our suppliers will likely not be required to provide us with any guaranteed
minimum production levels. As a result, we cannot assure you that we will be able to obtain sufficient quantities of product in the future.
In addition, our reliance on third-party suppliers involves a number of risks, including, among other things:
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contract manufacturers or suppliers may fail to comply with regulatory requirements or make errors in manufacturing that could negatively
affect the efficacy or safety of our products or cause delays in shipments of our products; |
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we or our contract manufacturers and suppliers may not be able to respond to unanticipated changes in customer orders, and if orders
do not match forecasts, we or our suppliers may have excess or inadequate inventory of materials and components; |
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we or our contract manufacturers and suppliers may be subject to price fluctuations due to a lack of long-term supply arrangements
for key components; |
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we or our contract manufacturers and suppliers may lose access to critical services and components, resulting in an interruption
in the manufacture, assembly and shipment of our systems; |
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we may experience delays in delivery by our contract manufacturers and suppliers due to changes in demand from us or their other
customers; |
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fluctuations in demand for products that our contract manufacturers and suppliers manufacture for others may affect their ability
or willingness to deliver components to us in a timely manner; |
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our suppliers or those of our contract manufacturer may wish to discontinue supplying components or services to us for risk management
reasons; |
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we may not be able to find new or alternative components or reconfigure our system and manufacturing processes in a timely manner
if the necessary components become unavailable; and |
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our contract manufacturers and suppliers
may encounter financial hardships unrelated to our demand, which could inhibit their ability to fulfil our orders and meet our requirements.
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The operations of our facilities or these
third-party manufacturing facilities could be adversely affected by fire, power failures, natural or other disasters, such as earthquakes,
floods, pandemics, or terrorist threats. Although we carry insurance to protect against certain business interruptions at our facilities,
some pieces of manufacturing equipment are difficult to replace and could require substantial replacement lead-time. There can be no assurance
that such coverage will be adequate or that such coverage will continue to remain available on acceptable terms, if at all.
If any of these risks materialize, it could
significantly increase our costs and impact our ability to meet demand for our products and/or services. If we are unable to satisfy commercial
demand for our products in a timely manner, our ability to generate revenue would be impaired, market acceptance of our products could
be adversely affected, and customers may instead purchase or use our competitors’ products. In addition, we could be forced to secure
new or alternative contract manufacturers or suppliers. Securing a replacement contract manufacturer or supplier could be difficult. The
introduction of new or alternative manufacturers or suppliers also may require design changes to our products that are subject to FDA
and/or other regulatory clearances or approvals.
We may also be required to assess the new
manufacturer’s compliance with all applicable regulations and guidelines, which could further impede our ability to manufacture
our products in a timely manner. As a result, we could incur increased production costs, experience delays in deliveries of our products,
suffer damage to our reputation, and experience an adverse effect on our business and financial results. Any significant interruption
in our or third-party manufacturing capabilities could materially and adversely affect our operating results.
Our
inability to manufacture products in accordance with applicable specifications, performance standards or quality requirements could adversely
affect our business.
The materials and processes used to manufacture
our products must meet detailed specifications, performance standards and quality requirements to ensure our products will perform in
accordance with their label claims, our customers’ expectations and applicable regulatory requirements.
As a result, our products and the materials
used in their manufacture or assembly undergo regular inspections and quality testing. Factors such as defective materials or processes,
mechanical failures, human errors, environmental conditions, changes in materials or production methods by our vendors, and other events
or conditions could cause our products or the materials used to produce or assemble our products to fail inspections and quality testing
or otherwise not perform in accordance with our label claims or the expectations of our customers.
Any failure or delay in our ability to meet
the applicable specifications, performance standards, quality requirements or customer expectations could adversely affect our ability
to manufacture and sell our products or comply with regulatory requirements. These events could, in turn, adversely affect our revenues
and results of operations.
Our
revenues are highly dependent on a network of distributors worldwide.
We currently distribute our product portfolio
through distributors in approximately 100 countries worldwide. Our continuing economic success and financial security is dependent on
our ability to secure effective channels of distribution on favourable trading terms with suitable distributors.
The loss or termination of our relationship
with these key distributors could significantly disrupt our existing business unless suitable alternatives were quickly found or lost
sales to one distributor are absorbed by another distributor. Finding a suitable alternative to a lost or terminated distributor may pose
challenges in our industry’s competitive environment, and another suitable distributor may not be found on satisfactory terms, if
at all. For instance, some distributors already have exclusive arrangements with our competitors, and others do not have the same level
of penetration into our target markets as our existing distributors. If total revenue from these or any of our other significant distributors
were to decrease in any material amount in the future or we are not successful in timely transitioning business to new distributors, our
business, operating results and financial condition could be materially and adversely affected.
Our
success depends on our ability to service and support our products directly or in collaboration with our strategic partners.
To the extent that we or our strategic partners
fail to maintain a high-quality level of service and support for diagnostic products, there is a risk that the perceived quality of our
products will be diminished in the marketplace. Likewise, we may fail to provide the level, quantity or quality of service expected by
the marketplace. These risks increased as a result of the public health restrictions put in place due to Covid-19. This could result
in slower adoption rates and lower than anticipated utilisation of our products which could have a material adverse effect on our business,
financial condition and results of operations.
Our
ability to protect our information systems and electronic transmissions of sensitive data from data corruption, cyber-based attacks, security
breaches or privacy violations is critical to the success of our business.
We are highly dependent on information technology
networks and systems, including the Internet, to securely process, transmit and store electronic information, including personal information
of our customers. Security breaches of this infrastructure, including physical or electronic break-ins, computer viruses, malware attacks
by hackers and similar breaches, can cause all or portions of our websites to be unavailable, create system disruptions, shutdowns, erasure
of critical data and software or unauthorised disclosure of confidential information. We invest in security technology to protect our
data against risks of data security breaches and cyber-attacks and we have implemented solutions, processes, and procedures to help mitigate
these risks, such as encryption, virus protection, security firewalls and comprehensive information security and privacy policies. However,
despite our security measures, our information technology and infrastructure may be vulnerable to attacks by hackers or breached due to
employee error, malfeasance or other disruptions. We have been the victim of cyber-attacks but these have had no material impact on our
operations. The age of our information technology systems, as well as the level of our protection and business continuity or disaster
recovery capability, varies from site to site, and there can be no guarantee that any such plans, to the extent they are in place, will
be effective. In addition, a security breach or privacy violation that leads to disclosure of personal information, including but not
limited to employee or consumer information (including personally identifiable information or protected health information) could harm
our reputation, compel us to comply with disparate state breach notification laws and otherwise subject us to liability under laws that
protect personal data, resulting in increased costs or loss of revenue. If we are unable to prevent further security breaches or privacy
violations or implement satisfactory remedial measures, our operations could be disrupted, we may be subject to legal claims or proceedings,
or we may suffer loss of reputation, financial loss and other regulatory penalties because of lost or misappropriated information, including
sensitive consumer data, which could have a material adverse impact on our business, financial condition and results of operations. While
we currently expend resources to protect against cyber-attacks and security breaches, hackers and other cyber criminals are using increasingly
sophisticated and constantly evolving techniques, and we may need to expend additional resources to continue to protect against potential
security breaches or to address problems caused by such attacks or any breach of our safeguards. In addition, a data security breach could
distract management or other key personnel from performing their primary operational duties.
In addition, the interpretation and application
of consumer and data protection laws in the United States, Europe and elsewhere are often uncertain, contradictory and in flux. It is
possible that these laws may be interpreted and applied in a manner that is inconsistent with our data practices. If so, this could result
in government-imposed fines or orders requiring that we change our data practices, which could have an adverse effect on our business.
Complying with these various laws could cause us to incur substantial costs or require us to change our business practices in a manner
adverse to our business.
Section 3305 of FDORA (Food and Drug Omnibus
Reform Act of 2022) aims to ensure cybersecurity of medical devices and requires manufacturers of cyber devices, when making a premarket
submission to FDA, to provide a plan to monitor and address any post-market cybersecurity vulnerabilities; create and maintain procedures
to ensure the device and related systems are cybersecure; provide a software bill of materials; and comply with any other requirements
FDA may develop to ensure the device and related systems are cybersecure. This provision makes a failure to comply with these requirements
a prohibited act. We have carried out the appropriate cybersecurity assessments for any of our relevant products in accordance with FDA,
AAMI and ANSI requirements and standards in place at time of approval. We note that Section 3305 of FDORA does not apply to submissions
made prior to the date of enactment.
Our
sales and operations are subject to the risks of fluctuations in currency exchange rates.
A substantial portion of our operations
are based in Ireland and Europe is one of our main sales territories. As a result, changes in the exchange rate between the U.S. Dollar
and the Euro can have significant effects on our results of operations. In addition, in markets where we invoice in U.S. Dollars but where
the local currency has weakened, we have been required to reduce our pricing in order to preserve our competitiveness. We have an exposure
to the Canadian Dollar through our Canadian operations and to the Brazilian Real through our Brazilian subsidiary. We also have revenues
and costs denominated in British Sterling.
The ongoing geopolitical uncertainty, inflation
and central bank actions may lead to greater volatility in currency exchange rates globally. In the future, we may enter into hedging
instruments to manage our currency exchange rate risk. However, our attempts to hedge against these risks may not be successful. If we
are unable to successfully hedge against unfavourable foreign currency exchange rate movements, our consolidated financial results may
be adversely impacted.
Tax
matters, including disagreements with taxing authorities, the changes in corporate tax rates and imposition of new taxes could impact
our results of operations and financial condition.
We are subject to regular reviews, examinations,
and audits by tax authorities in a number of jurisdictions across the world with respect to our taxes. Although we believe our tax estimates
are reasonable, if a taxing authority disagrees with the positions we have taken, we could face additional tax liability, including interest
and penalties. There can be no assurance that payment of such additional amounts upon final adjudication of any disputes will not have
a material impact on our results of operations and financial position.
A significant portion of our business is
located in the U.S. and is subject to income and other taxes in the U.S. and our operations, plans and results are affected by tax and
other initiatives. Changes to the US tax code could have a significant impact on our profitability. Changes to the tax code could also
affect our valuation of deferred tax assets and liabilities. Any such change in valuation would have a material impact on our income tax
expense and deferred tax balances.
Future
acquisitions and investments may be less successful than expected, not generate the expected benefits, disrupt our ongoing business, distract
our management, increase our expenses and adversely affect our business, and therefore, growth may be limited.
We have historically grown organically and
through the acquisition of, and investment in, other companies, product lines and technologies. We may enter into strategic acquisitions
or investments as a way to expand our business. These activities, and their impact on our business, are subject to many risks, including
the following:
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Suitable acquisitions or investments may not be found or consummated on terms or schedules that are satisfactory to us or consistent
with our objectives; |
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The benefits expected to be derived from an acquisition may not materialize and could be affected by numerous factors, such as regulatory
developments, insurance reimbursement, general economic conditions and increased competition; |
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We may be unable to successfully integrate an acquired company’s personnel, assets, management systems, products and/or technology
into our business; |
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Worse than expected performance of an acquired business may result in the impairment of intangible assets; |
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Acquisitions may require substantial expense and management time and could disrupt our business; |
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We may not be able to accurately forecast the performance or ultimate impact of an acquired business; |
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An acquisition and subsequent integration activities may require greater capital and other resources than originally anticipated
at the time of acquisition; |
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An acquisition may result in the incurrence of unexpected expenses, the dilution of our earnings or our existing stockholders’
percentage ownership, or potential losses from undiscovered liabilities not covered by an indemnification from the seller(s) of the acquired
business; |
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An acquisition may result in the loss of our or the acquired company’s key personnel, customers, distributors or suppliers;
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An acquisition of a foreign business may involve additional risks, including, but not limited to, foreign currency exposure, liability
or restrictions under foreign laws or regulations, and our inability to successfully assimilate differences in foreign business practices
or overcome language or cultural barriers; and |
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Our ability to integrate future acquisitions may be adversely affected by inexperience in dealing with new technologies. |
The occurrence of one or more of the above
or other factors may prevent us from achieving all or a significant part of the benefits expected from an acquisition or investment. This
may adversely affect our financial condition, results of operations and ability to grow our business or otherwise achieve our financial
and strategic objectives.
Public
health emergencies, epidemics or pandemics, such as the emergence and spread of the Covid‑19 pandemic, have the potential to significantly
impact our operations through a decrease in demand for our products, interruption to business and a reduction in staff availability.
The Covid‑19 pandemic has had a material
impact on the healthcare industry and specifically the medical diagnostics sector in which we operate. The reduced but continuing uncertainty
around the global pandemic could have an adverse effect on our operating results, cash flows, financial condition and/or prospects.
The global spread of Covid‑19 and
the public healthcare measures implemented by governments, such as quarantines and the temporary closure of businesses led and could again
in the future lead to fewer patients presenting themselves for medical check-ups resulting in a fall in demand for certain of our products
which may or may not be offset by increased demand within our Covid-19 related portfolio of products. Furthermore, funding allocated to
combatting Covid-19 may result in a reduction or a postponement in the funding available for other diseases, conditions and disorders
that our products are used to diagnose.
We operate in a labour‑intensive industry
where employees’, contractors’ and customers’ activities can be adversely impacted by the availability of people to
produce, manufacture or install our products. Covid-19 lead to the temporary closure of our manufacturing sites and associated furloughing
of some staff. Furthermore, Covid-19 reduced our ability to visits customers and suppliers and required some of our staff to work
from home in line with public health measures. Any significant loss of employee resources for a sustained period of time due to lockdown
restrictions, self‑isolation or sickness as a result of a public health emergency could impact our ability to produce, manufacture
and deliver goods. Similarly, our customer facing activities could be adversely impacted by similar employee availability issues.
The situation with the Covid‑19 pandemic
remains fluid and uncertain at this time.
Increasing
scrutiny and changing expectations from investors, lenders, customers and other market participants with respect to our Environmental,
Social and Governance, or ESG, policies may impose additional costs on us or expose us to additional risks.
Companies across all industries are facing
increasing scrutiny relating to their ESG policies. Investors, lenders and other market participants are increasingly focused on ESG practices
and in recent years have placed increasing importance on the implications and social cost of their investments. The increased focus and
activism related to ESG may hinder our access to capital, as investors and lenders may reconsider their capital investment allocation
as a result of their assessment of our ESG practices. If we do not adapt to or comply with investor, lender or other industry shareholder
expectations and standards, which are evolving, or if we are perceived to have not responded appropriately to the growing concern for
ESG issues, regardless of whether there is a legal requirement to do so, we may suffer from reputational damage and the business, financial
condition and the price of our company’s ADS’s could be materially and adversely affected.
Risks Related to Government Regulations
Clinical
trials necessary to support future premarket submissions will be expensive and will require enrolment of suitable patients who may be
difficult to identify and recruit. Delays or failures in our clinical trials will prevent us from commercializing any modified or new
products and will adversely affect our business, operating results and prospects.
Initiating and completing clinical trials
necessary to support approval of future products under development, is time consuming and expensive and the outcome uncertain. Moreover,
the results of early clinical trials are not necessarily predictive of future results, and any product we advance into clinical trials
may not have favorable results in later clinical trials.
Conducting successful clinical studies will
require the enrolment of patients who may be difficult to identify and recruit. Patient enrolment in clinical trials and completion of
patient participation and follow-up depends on many factors, including the size of the patient population, the nature of the trial protocol,
and the availability of appropriate clinical trial investigators. Patients may not participate in our clinical trials if they choose to
participate in contemporaneous clinical trials of competitive products. Continuing public health measures against Covid-19 may increase
the difficulty of conducting clinical trials.
Development
of sufficient and appropriate clinical protocols to demonstrate safety and efficacy are required and we may not adequately develop such
protocols to support clearance and approval. Further, the FDA and/or other regulatory authorities may require us to submit data on a greater
number of patients than we originally anticipated and/or for a longer follow-up period or change the data collection requirements or data
analysis applicable to our clinical trials. Any challenges to patient enrolment may cause an increase in costs and delays in the approval
and attempted commercialization of our products or result in the failure of the clinical trial. In addition, despite considerable time
and expense invested in our clinical trials, FDA and/or other regulatory authorities may not consider our data adequate to demonstrate
safety and efficacy. Such increased costs and delays or failures could adversely affect our business, operating results and prospects.
Our facilities and our clinical investigational
sites operate under procedures that govern the conduct and management of FDA-regulated clinical studies under 21 CFR Parts 50, 56 and
812, and Good Clinical Practices. Although the majority of our in-vitro diagnostic (“IVD”) clinical studies meet the definition
of exempted investigations under 21 Part 812 and are exempt from the Investigational Device Exemption (“IDE”) regulations
in 21 CFR Part 812, we are still required to meet the requirements of 21 CFR Parts 50 and 56 for informed consent and Institutional Review
Board (“IRB”) approval. FDA may conduct Bioresearch Monitoring (“BiMo”) inspections of us and/or our clinical
sites to assess compliance with FDA regulations, our procedures, and the clinical protocol. If the FDA were to find that we or our clinical
investigators are not operating in compliance with applicable regulations, we could be subject to the above FDA enforcement action as
well as refusal to accept all or part of our data in support of a 510(k) or PMA and/or we may need to conduct additional studies.
In relation to World Health Organisation (WHO) qualification,
our IVD clinical studies are required to meet all the requirements of the TSS-1: Human Immunodeficiency Virus (HIV) rapid diagnostic tests
for professional use. If we are not operating in compliance with this regulation, we could be subject to WHO enforcement action. In addition, our
IVD clinical studies are required to meet the requirements of:
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WMA Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Subjects (2008); |
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ICH Harmonised Guidelines - Integrated Addendum to ICH E6 (R2) Guideline for Good Clinical Practice (Nov 2016); |
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ISO 20916:2019 In vitro diagnostic medical devices — Clinical performance studies using specimens from human subjects —
Good study practice; |
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ISO 14155:2011: Clinical investigation of medical devices for human subjects – Good clinical practice. |
If
the third parties on whom we rely to conduct our pre-clinical studies and clinical trials and to assist in pre-clinical development do
not perform as contractually required or expected, we may not be able to obtain regulatory approval or commercialize our products.
We may not have the ability to independently
conduct our pre-clinical studies and clinical trials for our products and we may rely on third parties, such as contract research organizations,
medical institutions, clinical investigators and contract laboratories to conduct such trials. If these third parties do not successfully
carry out their contractual duties or regulatory obligations or meet expected deadlines, if these third parties need to be replaced, or
if the quality or accuracy of the data they obtain is compromised due to the failure to adhere to our pre-clinical or clinical protocols
or regulatory requirements or for other reasons, our pre-clinical development activities or clinical trials may be extended, delayed,
suspended or terminated, and we may not be able to obtain regulatory approval for, or successfully commercialize, our products on a timely
basis, if at all, and our business, operating results and prospects may be adversely affected. Furthermore, our third-party clinical trial
investigators may be delayed in conducting our clinical trials for reasons outside of their control.
The
results of our clinical trials may not support our product candidate claims.
Even if our clinical trials are completed
as planned, we cannot be certain that their results will support our product candidate claims or that the FDA or other regulatory authorities
will agree with our conclusions regarding them. The clinical trial process may fail to demonstrate that our product candidates are safe
and effective for the proposed indicated uses, which could cause us to abandon a product candidate and may delay development of others.
Any delay or termination of our clinical trials will delay the filing of our product submissions and, ultimately, our ability to commercialize
our product candidates and generate revenues.
We
may be subject to fines, penalties or injunctions if we are determined to be promoting the use of our products for unapproved or “off-label”
uses.
Our promotional materials must comply with
FDA and other applicable laws and regulations. We believe that the specific uses for which our products are marketed fall within the scope
of the indications for use that have been cleared or approved by the FDA or other relevant regulatory authorities. However, the FDA and/or
the other relevant regulatory authorities could disagree and require us to stop promoting our products for those specific uses until we
obtain clearance or approval for them. In addition, if the FDA or other relevant regulatory authorities determines that our promotional
materials constitute promotion of an unapproved use, it could demand that we modify our promotional materials or subject us to regulatory
or enforcement actions, including the issuance of an untitled letter, a warning letter, injunction, seizure, civil fine and criminal penalties.
It is also possible that other federal,
state or foreign enforcement authorities might take action if they consider our promotional materials to constitute promotion of an unapproved
use, which could result in significant fines or penalties under other statutory authorities, such as laws prohibiting false claims for
reimbursement. In that event, our reputation could be damaged and adoption of the products would be impaired.
If
the FDA were to modify its policy of enforcement discretion with respect to our laboratory developed tests, we could incur substantial
costs and delays associated with trying to obtain premarket clearance or other approvals.
Although the FDA has statutory authority
to assure that medical devices are safe and effective for their intended uses, the FDA has generally exercised its enforcement discretion
and not enforced applicable regulations with respect to laboratory developed tests (“LDTs”), although reagents, instruments,
software or components provided by third parties and used to perform LDTs may be subject to FDA regulation. The FDA defines the term “laboratory
developed test” as an IVD test that is intended for clinical use and designed, manufactured and used within a single laboratory.
Until 2014, the FDA exercised enforcement discretion such that it did not enforce provisions of the Food, Drug, and Cosmetic Act, or FDA
Act, with respect to LDTs. In July 2014, due to the increased proliferation of LDTs for complex diagnostic testing, and concerns with
several high-risk LDTs related to lack of evidentiary support for claims and erroneous results, the FDA provided notice that it intended
to issue draft guidance to collect information from laboratories regarding their current LDTs and newly developed LDTs through a notification
process. As part of developing this framework, the FDA issued draft guidance in October 2014 that, when finalized, would adopt a
risk-based framework that would increase FDA oversight of LDTs. The FDA will use this information to classify LDTs and to prioritize enforcement
of premarket review requirements for categories of LDTs based on risk, using a public process. Specifically, the FDA plans to use advisory
panels to provide recommendations to the agency on LDT risks, classification and prioritization of enforcement of applicable regulatory
requirements on certain categories of LDTs, as appropriate.
We cannot provide any assurance that FDA
regulation, including premarket review, will not be required in the future for any of our LDTs, whether through additional guidance or
regulations issued by the FDA, new enforcement policies adopted by the FDA or new legislation enacted by Congress. It is possible that
legislation will be enacted into law, regulations could be promulgated or guidance could be issued by the FDA which may result in increased
regulatory burdens for us to continue to offer our current LDTs or to develop and introduce new LDTs. We cannot predict the timing or
content of future legislation enacted, regulations promulgated or guidance issued regarding LDTs, or how it will affect our business.
If FDA premarket review, including clearance
or approval, is required for our current or future LDTs (either alone or together with sample collection devices), products or services
we may develop, or if we decide to voluntarily pursue FDA clearance or approval, we may be forced to stop selling our LDTs while we work
to obtain such FDA clearance or approval. Our business would be negatively affected until such review was completed and clearance to market
or approval was obtained. The regulatory process may involve, among other things, successfully completing additional clinical studies
and submitting premarket notification or filing a premarket approval application with the FDA and the process can be costly. If premarket
review is required by the FDA or if we decide to voluntarily pursue FDA premarket review of our LDTs, there can be no assurance that any
tests, products or services we may develop in the future will be cleared or approved on a timely basis, if at all, nor can there be assurance
that labelling claims will be consistent with our current claims or adequate to support continued adoption of for our LDTs. If our LDTs
are allowed to remain on the market but there is uncertainty in the marketplace about our tests, if we are required by the FDA to label
them investigational and we cannot offer the LDTs for diagnostic purposes, or if labelling claims, the FDA allows us to make are limited,
orders may decline and adversely affect our results of operations, cash flow and business.
Ongoing compliance with FDA regulations
would increase the cost of conducting our business, and subject us to heightened regulation by the FDA and penalties for failure to comply
with these requirements.
If
we fail to maintain regulatory approvals and clearances, or are unable to obtain, or experience significant delays in obtaining, regulatory
clearances or approvals for our future products or product enhancements, our ability to commercially distribute and market these products
could suffer.
Our medical device products and operations
are subject to rigorous government regulation in the United States by the FDA, and numerous other federal, state and foreign governmental
authorities, as well as and by comparable regulatory authorities in other jurisdictions such as the HPRA in Ireland. In particular, we
are subject to strict governmental controls on the development, manufacture, labelling, storage, testing, advertising, promotion, marketing,
distribution and import and export of our products. In addition, we or our distributors are often required to register with and/or obtain
clearances or approvals from foreign governments or regulatory bodies before we can import and sell our products in foreign countries.
The clearance and approval process for our products, while variable across countries, is generally lengthy, time consuming, detailed and
expensive.
The process of obtaining and maintaining
regulatory clearances or approvals to market a medical device can be costly and time consuming, and we may not be able to obtain these
clearances or approvals on a timely basis, if at all. In particular, the FDA permits commercial distribution of a new medical device only
after the device has received clearance under Section 510(k) of the Federal Food, Drug, and Cosmetic Act (“FDCA”), or is the
subject of an approved premarket approval application (“PMA”) unless the device is specifically exempt from those requirements.
The FDA will clear marketing of a lower risk medical device through the 510(k) process if the manufacturer demonstrates that the new product
is substantially equivalent to other 510(k)-cleared products. High risk devices deemed to pose the greatest risk, such as life-sustaining,
life-supporting, or implantable devices, or devices not deemed substantially equivalent to a previously cleared device, require the approval
of a PMA.
The PMA process is more costly, lengthy
and uncertain than the 510(k) clearance process. A PMA application must be supported by extensive data, including, but not limited to,
technical, preclinical, clinical trial, manufacturing and labelling data, to demonstrate to the FDA’s satisfaction the safety and
efficacy of the device for its intended use. The 510(k) clearance process usually takes from three to 12 months, but it can take longer.
The process of obtaining PMA approval is much more costly and uncertain than the 510(k) clearance process. It generally takes from one
to three years, or even longer, from the time the PMA application is submitted to the FDA, until an approval is obtained. There is no
assurance that we will be able to obtain FDA clearance or approval for any of our new products on a timely basis, or at all.
In the United States, many of our currently
commercialized products have received pre-market clearance under Section 510(k) of the FDCA. If the FDA requires us to go through a lengthier,
more rigorous examination for future products or modifications to existing products than we had expected, our product introductions or
modifications could be delayed or cancelled, which could cause our sales to decline. In addition, the FDA may determine that future products
will require the more costly, lengthy and uncertain PMA process. Although we currently market only one device pursuant to an approved
PMA, the FDA may demand that we obtain a PMA prior to marketing certain of our future products.
The FDA can delay, limit or deny clearance
or approval of a device for many reasons, including:
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our inability to demonstrate to the FDA’s satisfaction that our products are safe and effective for their intended users;
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insufficient data from our pre-clinical studies and clinical trials to support clearance or approval, where required; and |
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the failure of the manufacturing process or facilities we use to meet applicable requirements. |
In addition, the FDA may change its clearance
and approval policies, adopt additional regulations or revise existing regulations, or take other actions which may prevent or delay approval
or clearance of our products under development or impact our ability to modify our currently cleared products on a timely basis. For example,
in response to industry and healthcare provider concerns regarding the predictability, consistency and rigor of the 510(k) regulatory
pathway, the FDA initiated an evaluation of the program, and in January 2011, announced several proposed actions intended to reform the
review process governing the clearance of medical devices. FDA’s review of its 510(k) clearance process could result in additional
changes to regulatory requirements or guidance documents which could increase the costs of compliance, or restrict our ability to maintain
current clearances. In addition, as part of the Food and Drug Administration Safety and Innovation Act (“FDASIA”), Congress
reauthorised the Medical Device User Fee Amendments with various FDA performance goal commitments and enacted several “Medical Device
Regulatory Improvements” and miscellaneous reforms which are further intended to clarify and improve medical device regulation both
pre- and post-clearance and approval. Furthermore, regulatory authorities, including the FDA, may not agree with our interpretation of
its policies and regulations which may lead to enforced modifications, restrictions, discontinuation, etc. of some of our products, even
if they were previously approved.
Our continued success is dependent on our
ability to develop and market new or updated products, some of which are currently awaiting clearance or approval from the applicable
regulatory authorities. There is no certainty that such clearance or approval will be granted or, even once granted, will not be revoked
during the continuing review and monitoring process. Further, regulatory authorities, including the FDA, may not approve or clear our
future products for the indications that are necessary or desirable for successful commercialization. A regulatory authority may impose
requirements as a condition to granting a marketing authorisation, may include significant restrictions or limitations as part of a marketing
authorisation it grants and may delay or refuse to authorise a product for marketing, even though a product has been authorised for marketing
without restrictions or limitations in another country or by another agency. Failure to receive clearance or approval for our new products,
or commercially undesirable limitations on our clearances or approvals, would have an adverse effect on our ability to expand our business.
Modifications made to our products may invalidate previously granted regulatory approvals which may lead to revised regulatory clearances,
enforced modifications, restrictions, discontinuation, etc. of some of our products.
Additionally, changes in the FDA’s
review of certain clinical diagnostic products referred to as laboratory developed tests, which are tests developed by a single laboratory
for use only in that laboratory, could affect some of our customers who use our Life Science instruments for laboratory developed tests.
In the past, the FDA has chosen to not enforce applicable regulations and has not reviewed such tests for approval. However, the FDA has
issued draft guidance that it may begin enforcing its medical device requirements, including premarket submission requirements, to such
tests. Any delay in, or failure to receive or maintain, clearance or approval for our products could prevent us from generating revenue
from these products and adversely affect our business operations and financial results.
Failure
to comply with FDA or other regulatory requirements may require us to suspend production of our products or institute a recall which could
result in higher costs and a loss of revenues.
Even after we obtain clearance or approval
for our medical devices, we are still subject to ongoing and extensive post market regulatory requirements. Regulation by the FDA and
other federal, state and foreign regulatory agencies, such as the HPRA in E.U., impacts many aspects of our operations, and the operations
of our suppliers and distributors, including manufacturing, labelling, packaging, adverse event reporting, storage, advertising, promotion,
marketing, record keeping, import and export. For example, the manufacture of medical devices must comply with the FDA’s Quality
System Regulation (“QSR”), which covers the methods and documentation of the design, testing, production, control, quality
assurance, labelling, packaging, sterilization, storage and shipping of our products. Our manufacturing facilities and those of our suppliers
and distributors are, or can be, subject to periodic regulatory inspections by the FDA to assess compliance with the QSR and other regulations,
and by other comparable foreign regulatory authorities with respect to similar requirements in other jurisdictions. The FDA and foreign
regulatory agencies may require post-marketing testing and surveillance to monitor the performance of approved products or place conditions
on any product clearances or approvals that could restrict the commercial applications of those products. The failure by us or one of
our suppliers to comply with applicable statutes and regulations administered by the FDA and other regulatory bodies, or the failure to
timely and adequately respond to any adverse inspectional observations or product safety issues, could result in, among other things,
any of the following enforcement actions:
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untitled letters, warning letters, fines, injunctions, consent decrees and civil penalties; |
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unanticipated expenditures to address or defend such actions; |
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customer notifications for repair, replacement and refunds; |
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recall, detention or seizure of our products; |
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operating restrictions or partial suspension or total shutdown of production; |
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refusing or delaying our requests for 510(k) clearance or premarket approval of new products or modified products; |
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operating restrictions; |
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withdrawing 510(k) clearances on PMA approvals that have already been granted; |
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refusal to grant export approval for our products; or |
Other regulatory authorities have similar
sanctions in their respective jurisdictions.
If any of these actions were to occur, they
may harm our reputation and cause our product sales and profitability to suffer and may prevent us from generating revenue. Furthermore,
our key component suppliers may not currently be or may not continue to be in compliance with all applicable regulatory requirements which
could result in our failure to produce our products on a timely basis and in the required quantities, if at all.
For example, in August 2020, our subsidiary
received a Warning Letter from FDA following an inspection of our subsidiary’s Kansas City, Missouri manufacturing facility that
took place in January and February 2020. We have taken voluntary remediation actions to correct the observations noted in the Warning
Letter and on December 22, 2022, we received a close-out letter from FDA, noting that based on FDA’s evaluation, it appears that
the violations contained in the Warning Letter have been addressed.
Even if regulatory clearance or approval
of a product is granted, such clearance or approval may be subject to limitations on the intended uses for which the product may be marketed
and reduce our potential to successfully commercialize the product and generate revenue from the product. If the FDA determines that our
promotional materials, labelling, training or other marketing or educational activities constitute promotion of an unapproved use, it
could request that we cease or modify our training or promotional materials or subject us to regulatory enforcement actions. It is also
possible that other federal, state or foreign enforcement authorities might take action if they consider our training or other promotional
materials to constitute promotion of an unapproved use, which could result in significant fines or penalties under other statutory authorities,
such as laws prohibiting false claims for reimbursement.
In addition, we may be required to conduct
costly post-market testing and surveillance to monitor the safety or effectiveness of our products, and we must comply with medical device
reporting requirements, including the reporting of adverse events and malfunctions related to our products. Later discovery of previously
unknown problems with our products, including unanticipated adverse events or adverse events of unanticipated severity or frequency, manufacturing
problems, or failure to comply with regulatory requirements such as QSR, may result in changes to labelling, restrictions on such products
or manufacturing processes, withdrawal of the products from the market, voluntary or mandatory recalls, a requirement to repair, replace
or refund the cost of any medical device we manufacture or distribute, fines, suspension of regulatory approvals, product seizures, injunctions
or the imposition of civil or criminal penalties which would adversely affect our business, operating results and prospects.
In the ordinary course of business, we must
frequently make subjective judgments with respect to compliance with applicable laws and regulations. If regulators subsequently disagree
with the manner in which we have sought to comply with these regulations, we could be subjected to substantial civil and criminal penalties,
as well as product recall, seizure or injunction with respect to the sale of our products. The assessment of any civil and criminal penalties
against us could severely impair our reputation within the industry and any limitation on our ability to manufacture and market our products
could have a material adverse effect on our business.
In addition to the FDA and other regulations
described above, laws and regulations in some countries may restrict our ability to sell products in those countries. While we intend
to comply with any applicable restrictions, there is no guarantee we will be successful in these efforts.
We
must also comply with numerous laws relating to such matters as safe working conditions, manufacturing practices, environmental protection,
fire hazard control, disposal of hazardous substances and labour or employment practices. Compliance with these laws or any new or changed
laws regulating our business could result in substantial costs. Because of the number and extent of the laws and regulations affecting
our industry, and the number of governmental agencies whose actions could affect our operations, it is impossible to reliably predict
the full nature and impact of these requirements. To the extent the costs and procedures associated with complying with these laws and
requirements are substantial or it is determined that we do not comply, our business and results of operations could be adversely affected.
Modifications
to our products, may require new 510(k) clearances or pre-market approvals, or may require us to cease marketing or recall the modified
products until clearances or approvals are obtained.
Any modification to a 510(k)-cleared device
in the United States that could significantly affect its safety or effectiveness, or that would constitute a major change in its intended
use, design or manufacture, requires a new 510(k) clearance or, possibly, approval of a PMA. The FDA requires every manufacturer to make
this determination in the first instance, but the FDA may review any manufacturer’s decision. The FDA may not agree with our decisions
regarding whether new clearances or approvals are necessary. If the FDA disagrees with our determination and requires us to submit new
510(k) notifications or PMAs for modifications to previously cleared products for which we conclude that new clearances or approvals are
unnecessary, we may be required to cease marketing or to recall the modified product until we obtain clearance or approval, and we may
be subject to significant regulatory fines or penalties. Further, our products could be subject to recall if the FDA determines, for any
reason, that our products are not safe or effective. Any recall or FDA requirement that we seek additional approvals or clearances could
result in significant delays, fines, increased costs associated with modification of a product, loss of revenue and potential operating
restrictions imposed by the FDA.
For example, we obtained 510(k) clearance
for our Primus Variant System for the separation and quantification of normal and abnormal haemoglobin species as an aid in the diagnosis
of haemoglobinopathies. The sample type used by this system was blood tubes. We subsequently introduced two systems based on the original
Primus Variant System and they were named as ultra² GeneSys Variant System and ultra² Resolution Variant System. The primary
focus of the GeneSys Variant System was on newborn screening using Dried Blood Spots as the sample type, while the Resolution was intended
for confirmatory testing on the adult population using blood tubes as the sample type. We determined that these modifications to the indications
for use to both systems were within our existing clearance and did not require the submission of a new 510(k) notification. The FDA stated
that the use of Dried Blood Spots with the ultra² GeneSys Variant System was not part of the original submission and represented
a new modified Intended Use. The FDA informed us that it disagreed with our decision not to seek new 510(k) clearances for these modifications,
and we filed new 510(k) notifications to obtain clearance for these indications. The FDA rejected our filing on the basis that the predicate
device chosen did not meet their requirements. Additionally, the FDA asked us to withdraw the ultra² GeneSys Variant System from
the market. A recall was conducted and has since been closed.
Additionally, in August 2020, we received
a Warning Letter from the FDA. In the Warning Letter, FDA stated that we had made additional changes to the ultra² Resolution Variant
System not covered within our existing 510(k). Accordingly, we conducted a voluntary recall of the ultra² Resolution Variant System.
We have developed the Premier Resolution as a successor instrument to the ultra² Resolution Variant System and this has already been
launched in various jurisdictions outside the United States. We submitted a 510(k) application for this successor instrument in
2022 which, if approved, will allow us to market this instrument in the United States.
Furthermore, the FDA’s ongoing review
of the 510(k) program may make it more difficult for us to make modifications to any products for which we obtain clearance, either by
imposing more strict requirements on when a manufacturer must submit a new 510(k) notification for a modification to a previously cleared
product, or by applying more onerous review criteria to such submissions. For example, in accordance with FDASIA, the FDA was obligated
to prepare a report for Congress on the FDA’s approach for determining when a new 510(k) clearance will be required for modifications
or changes to a previously cleared device. The FDA issued this report and indicated that manufacturers should continue to adhere to the
FDA’s 1997 Guidance on this topic when making a determination as to whether or not a new 510(k) clearance is required for a change
or modification to a device. However, the practical impact of the FDA’s continuing scrutiny of the 510(k) program remains unclear.
We
are subject to export controls and economic sanctions laws, and our customers and distributors are subject to import controls that could
subject us to liability if we are not in full compliance with applicable laws.
Certain of our products are subject to U.S.
export controls and sanctions regulations and we would be permitted to export such solutions to certain destinations outside the U.S.
only by first obtaining an export license from the U.S. government, or by utilizing an existing export license exception/General License,
or after clearing U.S. government agency review. Obtaining the necessary export license or accomplishing a U.S. government review for
a particular export may be time-consuming and may result in the delay or loss of sales opportunities.
Although we take precautions to prevent
our products from being provided in violation of U.S. export control and economic sanctions laws, our products may have been in the past,
and could in the future be, provided inadvertently in violation of such laws. If we were to fail to comply with U.S. export law requirements,
U.S. customs regulations, U.S. economic sanctions or other applicable U.S. laws, we could be subject to substantial civil and criminal
penalties, including fines, incarceration for responsible employees and managers and the possible loss of export or import privileges.
U.S. export controls, sanctions and regulations apply to our distributors as well as to us. Any failure by our distributors to comply
with such laws, regulations or sanctions could have negative consequences, including reputational harm, government investigations and
penalties.
Changes or new versions of our products
or changes in export and import regulations may create delays in the introduction of our products into international markets, prevent
our distributors from deploying our products globally or, in some cases, prevent the export or import of our products to certain countries,
governments or persons altogether. In addition, any change in export or import regulations, economic sanctions or related legislation,
shift in the enforcement or scope of existing regulations, or change in the countries, governments, persons or technologies targeted by
such regulations, could result in decreased use of our products by, or in our decreased ability to export or sell our products to, existing
or potential international customers. Any decreased use of our principal products or limitation on our ability to export or sell such
products would likely adversely affect our business, financial condition and operating results.
We
are subject to anti-corruption, anti-bribery and similar laws, and non-compliance with such laws can subject us to criminal penalties
or significant fines and harm our business and reputation.
We are subject to anti-corruption and anti-bribery
and similar laws, such as the U.S. Foreign Corrupt Practices Act of 1977, as amended, or the Foreign Corrupt Practices Act, the U.S. domestic
bribery statute contained in 18 U.S.C. § 201, the U.S. Travel Act, the USA PATRIOT Act, the U.K. Bribery Act 2010 and other anti-corruption,
anti-bribery and anti-money laundering laws in countries in which we conduct activities. Anti-corruption and anti-bribery laws have been
enforced aggressively in recent years and are interpreted broadly and prohibit companies and their employees and agents from promising,
authorizing, making, offering, soliciting, or accepting, directly or indirectly, improper payments or other improper benefits to or from
any person whether in the public or private sector. As we increase our international sales and business, our risks under these laws may
increase. Noncompliance with these laws could subject us to investigations, sanctions, settlements, prosecution, other enforcement actions,
disgorgement of profits, significant fines, damages, other civil and criminal penalties or injunctions, adverse media coverage and other
consequences. Any investigations, actions or sanctions could adversely affect our business, results of operations and financial condition.
Changes
in healthcare regulation could affect our revenues, costs and financial condition.
In the United States in recent years, there
have been numerous initiatives at the federal and state level for comprehensive reforms affecting the payment for, the availability of
and reimbursement for healthcare services. These initiatives have ranged from proposals to fundamentally change federal and state healthcare
reimbursement programs, including providing comprehensive healthcare coverage to the public under government-funded programs, to minor
modifications to existing programs. One example is the Patient Protection and Affordable Care Act, the Federal healthcare reform law enacted
in 2010 (the “Affordable Care Act”). Similar reforms may occur internationally.
Third party payors, such as Medicare and
Medicaid in the United States, have reduced their reimbursements for certain medical products and services. Our business is impacted by
the level of reimbursement available for clinical tests from third party payors. In the United States payment for many diagnostic tests
furnished to Medicare fee-for-service beneficiaries is made based on the Medicare Clinical Laboratory Fee Schedule (CLFS), a fee schedule
established and adjusted from time to time by the Centers for Medicare and Medicaid Services (CMS). Some commercial payors are guided
by the CLFS in establishing their reimbursement rates. Laboratories and clinicians may decide not to order or perform certain clinical
diagnostic tests if third party payments are inadequate, and we cannot predict whether third party payors will offer adequate reimbursement
for tests utilizing our products to make them commercially attractive. Legislation, such as the Affordable Care Act, as amended by the
Health Care and Education Reconciliation Act and the Middle Class Tax Relief and Job Creation Act of 2012, has reduced the payments for
clinical laboratory services paid under the CLFS. In addition, the Protecting Access to Medicare Act of 2014 (PAMA) has made significant
changes to the way Medicare will pay for clinical laboratory services, which has further reduced reimbursement rates.
Legislative and regulatory bodies are likely
to continue to pursue healthcare reform initiatives in many forms and may continue to reduce funding in an effort to lower overall federal
healthcare spending. The U.S. government recently enacted legislation that eliminated what is known as the “individual mandate”
under the Affordable Care Act and may enact other changes in the future. The ultimate content and timing of any of these types of changes
in other healthcare reform legislation and the resulting impact on us are impossible to predict. If significant reforms are made to the
healthcare system in the U.S., or in other jurisdictions, those reforms may increase our costs or otherwise have an adverse effect on
our financial condition and results of operations.
Our
laboratory business could be harmed from the loss or suspension of a licence or imposition of a fine or penalties under, or future changes
in, the law or regulations of the Clinical Laboratory Improvement Amendments of 1988 (“CLIA”), or those of other state or
local agencies.
Our laboratory operated by our subsidiary
Immco Diagnostics Inc. is subject to CLIA, which is administered by CMS and extends federal oversight to virtually all clinical laboratories
by requiring that they be certified by the federal government or by a federally-approved accreditation agency. CLIA is designed to ensure
the quality and reliability of clinical laboratories by, among other things, mandating specific standards in the areas of personnel qualifications,
administration, and participation in proficiency testing, patient test management, quality control, quality assurance and inspections.
Laboratories must undergo on-site surveys at least every two years, which may be conducted by the Federal CLIA program or by a private
CMS approved accrediting agency such as the College of American Pathologists, among others. The sanction for failure to comply with CLIA
requirements may be suspension, revocation or limitation of a laboratory’s CLIA certificate, which is necessary to conduct business,
as well as significant fines and/or criminal penalties.
We are also subject to regulation of laboratory
operations under state clinical laboratory laws of New York and of certain other states from where we accept specimens. State clinical
laboratory laws may require that laboratories and/or laboratory personnel meet certain qualifications, specify certain quality controls
or require maintenance of certain records. For example, California requires that we maintain a licence to conduct testing in California,
and California law establishes standards for our day-to-day laboratory operations, including the training and skill required of laboratory
personnel and quality control.
In some respects, notably with respect to
qualifications of testing personnel, California’s clinical laboratory laws impose more rigorous standards than does CLIA. Certain
other states, including Florida, Maryland, New York and Pennsylvania, require that we hold licences to test specimens from patients residing
in those states, and additional states may require similar licences in the future. Potential sanctions for violation of these statutes
and regulations include significant fines and the suspension or loss of various licences, certificates and authorisations, which could
adversely affect our business and results of operations.
We
are also subject to various federal and state laws targeting fraud and abuse in the healthcare industry.
If we fail to comply with federal and state
health care laws, including fraud and abuse, false claims, physician payment transparency and privacy and security laws, we could face
substantial penalties and our business, operations and financial condition could be adversely affected. We are subject to anti-kickback
laws, self-referral laws, false claims laws, and laws constraining the sales, marketing and other promotional activities of manufacturers
of medical devices by limiting the kinds of financial arrangements we may enter into with physicians, hospitals, laboratories and other
potential purchasers of our products. The laws that may affect our ability to operate include, but are not limited to:
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the federal Anti-Kickback
Statute, which prohibits, among other things, persons from knowingly and wilfully soliciting, receiving, offering or paying remuneration,
directly or indirectly, in exchange for or to induce either the referral of an individual for, or the purchase, order or recommendation
of, any good or service for which payment may be made under federal healthcare programs, such as the Medicare and Medicaid programs. A
person or entity does not need to have actual knowledge of the federal Anti-Kickback Statute or specific intent to violate it to have
committed a violation; in addition, 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; |
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the Physician Self-Referral Law, also known as the “Stark Law”, which provides for strict liability for referrals by
physicians to entities with which they or their immediate family members have a financial arrangement for certain designated health services,
including clinical laboratory services provided by our CLIA-certified laboratory owned and operated by our subsidiary Immco Diagnostics
Inc., that are reimbursable by federal healthcare programs, unless an exception applies. Penalties
for violating the Stark Law include denial of payment, civil monetary penalties of up to fifteen thousand dollars per claim submitted,
and exclusion from federal health care programs, as well as a penalty of up to one-hundred thousand dollars for attempts to circumvent
the law; |
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federal false claims laws which prohibit, among other things, individuals or entities from knowingly presenting, or causing to be
presented, claims for payment from Medicare, Medicaid or other federal third-party payers that are false or fraudulent. Suits filed under
the False Claims Act, known as “qui tam” actions, can be brought by any individual on behalf of the government and such individuals,
commonly known as “whistleblowers”, may share in any amounts paid by the entity to the government in fines or settlement.
When an entity is determined to have violated the False Claims Act, it may be required to pay up to three times the actual damages sustained
by the government, plus civil penalties for each separate false claim. Often, to avoid the threat of treble damages and penalties under
the False Claims Act, which in 2020 were $11,665 to $23,331 per false claim, companies will resolve allegations in a settlement without
admitting liability to avoid the potential treble damages. Any such settlement could materially affect our business, financial operations,
and reputation; |
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the federal Civil Monetary Penalties Law, which prohibits, among other things, offering or transferring remuneration to a federal
healthcare beneficiary that a person knows or should know is likely to influence the beneficiary’s decision to order or receive
items or services reimbursable by the government from a particular provider or supplier; |
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federal criminal laws that prohibit executing a scheme to defraud any federal healthcare benefit program or making false statements
relating to healthcare matters. Similar to the federal Anti-Kickback Statute, a person or entity does not need to have actual knowledge
of the statute or specific intent to violate it to have committed a violation; |
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the federal Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for Economic
and Clinical Health Act, which governs the conduct of certain electronic healthcare transactions and protects the security and privacy
of protected health information; |
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the federal Physician Payment Sunshine Act, which requires manufacturers of drugs, devices, biologics and medical supplies for which
payment is available under Medicare, Medicaid or the Children’s Health Insurance Program (with certain exceptions) to report annually
to the CMS, information related to payments or other “transfers of value” made to physicians (defined to include doctors,
dentists, optometrists, podiatrists and chiropractors) and teaching hospitals, and requires applicable manufacturers to report annually
to the government ownership and investment interests held by the physicians described above and their immediate family members and payments
or other “transfers of value” to such physician owners. Manufacturers are required to submit reports to CMS by the 90th day
of each calendar year. We cannot assure you that we have and will successfully report all transfers of value by us, and any failure to
comply could result in significant fines and penalties. Failure to submit the required information may result in civil monetary penalties
up to an aggregate of $150,000 per year (and up to an aggregate of $1 million per year for “knowing failures”) for all
payments, transfers of value or ownership or investment interests not reported in an annual submission, and may result in liability under
other federal laws or regulations; |
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federal and state laws governing the certification and licensing of clinical laboratories, including operational, personnel and quality
requirements designed to ensure that testing services are accurate and timely, and federal and state laws governing the health and safety
of clinical laboratory employees; |
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the U.S. Foreign
Corrupt Practices Act, or the FCPA, which prohibits corporations and individuals from paying, offering to pay or authorising the payment
of anything of value to any foreign government official, government staff member, political party or political candidate in an attempt
to obtain or retain business or to otherwise influence a person working in an official capacity; the UK Bribery Act, which prohibits both
domestic and international bribery, as well as bribery across both public and private sectors; and bribery provisions contained in the
German Criminal Code, which makes the corruption and corruptibility of physicians in private practice and other healthcare professionals
a criminal offense; and |
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analogous state and foreign law equivalents of each of the above federal laws, such as anti-kickback and false claims laws which
may apply to items or services reimbursed by any payor, including commercial insurers; state laws that require device companies to comply
with the industry’s voluntary compliance guidelines and the applicable compliance guidance promulgated by the federal government
or otherwise restrict payments that may be made to healthcare providers and other potential referral sources; state laws that require
device manufacturers to report information related to payments and other transfers of value to physicians and other healthcare providers
or marketing expenditures; and state laws governing the privacy and security of health information in certain circumstances, many of which
differ from each other in significant ways and may not have the same effect, thus complicating compliance efforts. |
Because of the breadth of these laws and
the narrowness of the statutory exceptions and safe harbours available under such laws, it is possible that some of our business activities,
including our relationships with physicians and other healthcare providers, some of whom may recommend, purchase and/or order our tests,
our sales and marketing efforts and certain arrangements with customers, including those where we provide our instrumentation for free
in exchange for minimum purchase requirements of our reagents, and our billing and claims processing practices, could be subject to challenge
under one or more of such laws. By way of example, some of our consulting arrangements with physicians do not meet all of the criteria
of the personal services safe harbour under the federal Anti-Kickback Statute. Accordingly, they do not qualify for safe harbour protection
from government prosecution. A business arrangement that does not substantially comply with a safe harbour, however, is not necessarily
illegal under the Anti-Kickback Statute, but may be subject to additional scrutiny by the government. We are also exposed to the risk
that our employees, independent contractors, principal investigators, consultants, vendors and distributors may engage in fraudulent or
other illegal activity. Any action against us for violation of these laws, even if we successfully defend against it, could cause us to
incur significant legal expenses and divert our management’s attention from the operation of our business.
To enforce compliance with the federal laws,
the U.S. Department of Justice (“DOJ”), has recently increased its scrutiny of interactions between health care companies
and health care providers, which has led to a number of investigations, prosecutions, convictions and settlements in the health care industry.
Dealing with investigations can be time and resource consuming and can divert management’s attention from the business. In addition,
settlements with the DOJ or other law enforcement agencies have forced healthcare providers to agree to additional compliance and reporting
requirements as part of a consent decree or corporate integrity agreement. Any such investigation or settlement could increase our costs
or otherwise have an adverse effect on our business.
Many of the existing requirements are new
and have not been definitively interpreted by state authorities or courts, and available guidance is limited. In addition, changes in
or evolving interpretations of these laws, regulations, or administrative or judicial interpretations, may require us to change our business
practices or subject our business practices to legal challenges, which could have a material adverse effect on our business, financial
condition and results of operations.
We have not yet developed a comprehensive
compliance program that establishes internal controls to facilitate adherence to the rules and program requirements to which we are or
may become subject. Although the development and implementation of such compliance programs can mitigate the risk of investigation, prosecution,
and penalties assessed for violations of these laws, or any other laws that may apply to us, the risks cannot be entirely eliminated.
If our operations are found to be in violation
of any of the laws described above or any other laws and regulations that apply to us, we could receive adverse publicity, face enforcement
action and be subject to penalties, including civil and criminal penalties, damages, fines, the curtailment or restructuring of our operations,
the exclusion from participation in federal and state healthcare programs and imprisonment, any of which could adversely affect our ability
to operate our business and our results of operations.
Compliance
with regulations governing public company corporate governance and reporting is complex and expensive.
Many laws and regulations impose obligations
on public companies, which have increased the scope, complexity and cost of corporate governance, reporting and disclosure practices.
Our implementation of certain aspects of these laws and regulations has required and will continue to require substantial management time
and oversight and may require us to incur significant additional accounting and legal costs. We continually evaluate and monitor developments
with respect to new and proposed rules and cannot predict or estimate the ultimate amount of additional costs we may incur or the timing
of such costs. These laws and regulations are also subject to varying interpretations, in many cases due to their lack of specificity,
and as a result, their application in practice may evolve over time as new guidance is provided by regulatory and governing bodies. This
could result in continuing uncertainty regarding compliance matters and higher costs necessitated by ongoing revisions to disclosure and
governance practices. Although we are committed to maintaining high standards of corporate governance and public disclosure, if we fail
to comply with any of these requirements, legal proceedings may be initiated against us, which may adversely affect our business.
Risks Related to Our
Intellectual Property
We
may be unable to protect or obtain proprietary rights that we utilise or intend to utilise.
In developing and manufacturing our products,
we employ a variety of proprietary and patented technologies. In addition, we have licenced, and expect to continue to licence, various
complementary technologies and methods from academic institutions and public and private companies. We cannot provide any assurance that
the technologies that we own or licence provide protection from competitive threats or from challenges to our intellectual property. In
addition, we cannot provide any assurances that we will be successful in obtaining licences or proprietary or patented technologies in
the future, or that licences granted to us by third parties will not be granted to other third parties who could potentially compete with
us.
Filing, prosecuting and defending patents
covering our current and future products throughout the world would be prohibitively expensive. Competitors may use our technologies in
jurisdictions where we have not obtained patent protection to develop their own products and, further, may export otherwise infringing
products to territories where we may obtain patent protection, but where patent enforcement is not as strong as that in the United States.
These products may compete with our products in jurisdictions where we do not have any issued or licenced patents and any future patent
claims or other intellectual property rights may not be effective or sufficient to prevent them from so competing.
The
scope of the patent protection we obtain may not be sufficiently broad to compete effectively in our markets; our patent applications
could be rejected or the existing patents could be challenged; and trade secrets and confidential know-how could be obtained by competitors.
Trinity Biotech currently owns a number
of active patents, some with protection across multiple countries. These patents have remaining patent lives ranging from 5 years to 12
years. We may fail to identify patentable aspects of our research and development output before it is too late to obtain patent protection.
The patent applications that we own, or in-licence, may fail to result in issued patents with claims that cover our current products or
any future products in the United States or in other foreign countries. There is no assurance that all of the potentially relevant prior
art relating to our patents and patent applications has been found, which can invalidate a patent or prevent a patent from issuing from
a pending patent application.
We can provide no assurance that third parties
will not challenge the validity, enforceability or scope of the patents Trinity Biotech may apply for, or obtain, which may result in
such patents being narrowed, invalidated, or held unenforceable. Any successful opposition to these patents or any other patents owned
by or licenced to us could deprive us of rights necessary for the successful commercialization of any products covered by those patents.
Further, if we encounter delays in regulatory
approvals, the period of time during which we could market a product under patent protection could be reduced. We can provide no assurance
that our patents will continue to be commercially valuable.
Trade secrets and confidential know-how
are important to our scientific and commercial success. Although we seek to protect our proprietary information through confidentiality
agreements and other contracts, we can provide no assurance that others will not independently develop the same or similar information
or gain access to our proprietary information.
Obtaining
and maintaining our patent protection depends on compliance with various procedural, document submission, fee payment and other requirements
imposed by governmental patent agencies, and our patent protection could be reduced or eliminated for non-compliance with these requirements.
Periodic maintenance fees on any issued
patent are due to be paid to the United States Patent and Trademark Organization (“USPTO”) and other foreign patent agencies
in several stages over the lifetime of the patent. The USPTO and various foreign national or international patent agencies require compliance
with a number of procedural, documentary, fee payment and other similar provisions during the patent application process. While an inadvertent
lapse can in many cases be cured by payment of a late fee or by other means in accordance with the applicable rules, there are situations
in which noncompliance can result in abandonment or lapse of the patent or patent application, resulting in partial or complete loss of
patent rights in the relevant jurisdiction. Non-compliance events that could result in abandonment or lapse of patent rights include,
but are not limited to, failure to timely file national and regional stage patent applications based on our international patent application,
failure to respond to official actions within prescribed time limits, non-payment of fees and failure to properly legalise and submit
formal documents. If we or our licensors fail to maintain the patents and patent applications covering our current or future products,
our competitors might be able to enter the market, which would have an adverse effect on our business.
Changes in patent law
could diminish the value of patents in general, thereby impairing our ability to protect our products.
Depending on actions by the U.S. Congress,
the federal Courts, and the USPTO, the laws and regulations governing patents could change in unpredictable ways that would weaken our
ability to obtain new patents or to enforce patents that we have licenced or that we might obtain in the future. Similar changes could
happen to patent laws outside of USA which would have the same consequences.
For example, the United States has enacted
and implemented wide-ranging patent reform legislation, which could increase the uncertainties and costs surrounding the prosecution of
our patent applications and the enforcement or defence of our issued patents. On September 16, 2011, the Leahy-Smith America Invents Act,
or the Leahy-Smith Act, was signed into law. The Leahy-Smith Act includes a number of significant changes to United States patent law.
These include provisions that affect the way patent applications are prosecuted and may also affect patent litigation. The United States
Patent Office developed regulations and procedures to govern administration of the Leahy-Smith Act, and many of the substantive changes
to patent law associated with the Leahy-Smith Act, and in particular, the first to file provisions, only became effective on March 16,
2013. Accordingly, it is not clear what, if any, impact the Leahy-Smith Act will have on the operation of our business. However, the Leahy-Smith
Act and its implementation could increase the uncertainties and costs surrounding the prosecution of our patent applications and the enforcement
or defence of our issued patents, all of which could have an adverse effect on our business and financial condition.
Additionally, the U.S. Supreme Court has
ruled on several patent cases in recent years, either narrowing the scope of patent protection available in certain circumstances or weakening
the rights of patent owners in certain situations. In addition to increasing uncertainty with regard to our ability to obtain patents
in the future, this combination of events has created uncertainty with respect to the value of patents, once obtained.
Product
infringement claims by other companies could result in costly disputes and could limit our ability to sell our products.
Litigation over intellectual property rights
is prevalent in the diagnostic industry, including patent infringement lawsuits, interferences, derivation and administrative law proceedings,
inter party review, and post-grant review before the USPTO, as well as oppositions and similar processes in foreign jurisdictions.
As the market for diagnostics continues
to grow and the number of participants in the market increases, we may increasingly be subject to patent infringement claims. It is possible
that a third-party may claim infringement against us. For example, because patent applications can take many years to issue, there may
be currently pending patent applications which may later result in issued patents that our products may infringe. Defence of these claims,
regardless of their merit, would involve substantial litigation expense and would be a substantial diversion of managerial and financial
resources from our business. Parties making claims against us may obtain injunctive or other equitable relief, which could effectively
block our ability to further develop and commercialise one or more of our products. The pendency of any litigation may cause our distributors
and customers to reduce or terminate purchases of our products. If found to infringe, we may have to pay substantial damages, including
treble damages and attorneys’ fees for wilful infringement, obtain one or more licences from third parties, pay royalties or redesign
our affected products, which may be impossible or require substantial time and monetary expenditure. Any substantial loss resulting from
such a claim could cause our revenues to decrease and have a material adverse effect on our profitability, and the damage to our reputation
in the industry could have a material adverse effect on our business.
If we need to obtain a licence as a result
of litigation, we cannot predict whether any such licence would be available at all or whether it would be available on commercially reasonable
terms. Furthermore, even in the absence of litigation, we may need to obtain licences from third parties to advance our research or allow
commercialisation of our products. We may fail to obtain any of these licences at a reasonable cost or on reasonable terms, if at all.
In that event, we would be unable to further develop and commercialise one or more of our products, which could harm our business significantly.
We
may be involved in lawsuits to enforce our patents, the patents of our licensors or our other intellectual property rights, which could
be expensive, time consuming and unsuccessful.
Competitors may infringe or otherwise violate
our patents, the patents of our licensors or our other intellectual property rights. To counter infringement or unauthorised use, we may
be required to file legal claims, which can be expensive and time-consuming. In addition, in an infringement proceeding, a Court may decide
that a patent of ours or our licensors is not valid or is unenforceable or may refuse to stop the other party from using the technology
at issue on the grounds that our patents do not cover the technology in question. An adverse result in any litigation or defence proceedings
could put one or more of our patents at risk of being invalidated or interpreted narrowly and could put our patent applications at risk
of not issuing. The initiation of a claim against a third party may also cause the third party to bring counter claims against us such
as claims asserting that our patents are invalid or unenforceable. In patent litigation in the United States, defendant counterclaims
alleging invalidity or unenforceability are commonplace. Grounds for a validity challenge could be an alleged failure to meet any of several
statutory requirements, including lack of novelty, obviousness, non-enablement or lack of statutory subject matter. Grounds for an unenforceability
assertion could be an allegation that someone connected with prosecution of the patent withheld relevant material information from the
USPTO, or made a materially misleading statement, during prosecution. Third parties may also raise similar validity claims before the
USPTO in post-grant proceedings such as ex parte re-examinations, inter partes review, or post-grant review, or oppositions or similar
proceedings outside the United States, in parallel with litigation or even outside the context of litigation. The outcome following legal
assertions of invalidity and unenforceability is unpredictable.
We cannot be certain that there is no invalidating
prior art, of which we and the patent examiner were unaware during prosecution. For the patents and patent applications that we have licenced,
we may have limited or no right to participate in the defence of any licenced patents against challenge by a third party. If a defendant
were to prevail on a legal assertion of invalidity or unenforceability, we would lose at least part, and perhaps all, of any future patent
protection on our current or future products. Such a loss of patent protection could harm our business.
We may not be able to prevent, alone or
with our licensors, misappropriation of our intellectual property rights, particularly in countries where the laws may not protect those
rights as fully as in the United States. Our business could be harmed if in litigation the prevailing party does not offer us a licence
on commercially reasonable terms. Any litigation or other proceedings to enforce our intellectual property rights may fail, and even if
successful, may result in substantial costs and distract our management and other employees.
Furthermore, because of the substantial
amount of discovery required in connection with intellectual property litigation, there is a risk that some of our confidential information
could be compromised by disclosure during this type of litigation. There could also be public announcements of the results of hearings,
motions or other interim proceedings or developments. If securities analysts or investors perceive these results to be negative, it could
have an adverse effect on the price of our ADSs.
Risks Related to Ownership of our ADSs
MiCo IVD Holdings, LLC (“MiCo”)
owns approximately 29.3% of the voting share capital of our Company, which may give MiCo significant influence over our management and
affairs and may deter a change in control or other transaction that may otherwise be favorable to our shareholders.
MiCo owns 11.2 million of our ADSs, which represents approximately 29.3% of the outstanding
voting share capital of our Company and, under the terms of the Company’s Redeemable Unsecured Convertible Loan Note issued
to MiCo (the “Convertible Note”) and the purchase agreement for those ADSs, MiCo is entitled to nominate a total of four individuals,
three of whom must be independent of MiCo, for consideration by the nomination committee of the board of directors of the Company for
appointment as directors for as long as MiCo continues to hold qualifying amounts of ADSs or principal value of the Convertible Note or
converted ADSs, as applicable. Because of its ownership interest and right to nominate directors, MiCo may have significant influence
over our management and affairs and over matters requiring shareholder approval, including the election of directors and significant corporate
transactions, such as a merger or other sale of our Company or our assets, for the foreseeable future. This concentration of ownership
may also delay, deter or prevent a change in control, and may make some transactions more difficult or impossible to complete without
the support of MiCo, regardless of the impact of such transactions on our other shareholders. The interests of MiCo may differ from the
interests of other shareholders and thus result in corporate decisions that are disadvantageous to other shareholders. On December 8,
2022, MiCo filed an initial Schedule 13D with the Commission wherein they indicated that they had sought a management change in order
to, in their purported opinion, turn around the operational and financial performance of the Company. MiCo had previously sought
to convene an extraordinary general meeting of the Company’s shareholders to effect such a change. In late October 2022, two of
MiCo’s representatives resigned from their positions on the board of directors of the Company, with Aris Kekedjian, the third director
nominated by MiCo, remaining as a director of the Company (having become the Company’s CEO) and no extraordinary general meeting
was convened. The Company is currently in discussions with MiCo in an effort to resolve the differences between the parties. No
assurance can be given that MiCo will not seek to cause a change in our management in the future.
We are a foreign private
issuer under the rules and regulations of the SEC and are therefore exempt from a number of rules under the Exchange Act and are permitted
to file less information with the SEC than a domestic U.S. reporting company, which reduces the level and amount of disclosure that you
receive.
As a foreign private issuer under the Exchange
Act, we are exempt from certain rules under the Exchange Act, including the proxy rules, which impose certain disclosure and procedural
requirements for proxy solicitations. Moreover, we are not required to file periodic reports and financial statements with the SEC as
frequently or as promptly as domestic U.S. companies with securities registered under the Exchange Act; and are not required to comply
with Regulation FD, which imposes certain restrictions on the selective disclosure of material information. In addition, our officers,
directors and principal shareholders are exempt from the reporting and “short-swing” profit recovery provisions of Section
16 of the Exchange Act and the rules under the Exchange Act with respect to their purchases and sales of our ADSs. Accordingly, you receive
less information about our company than you would receive about a domestic U.S. company and are afforded less protection under the U.S.
federal securities laws than you would be afforded in holding securities of a domestic U.S. company.
As a foreign private issuer whose ADSs are
listed on the NASDAQ Global Market, we are permitted to follow certain home country corporate governance practices instead of certain
requirements of the NASDAQ Stock Market Rules. Among other things, as a foreign private issuer we may also follow home country practice
with regard to, the composition of the board of directors, director nomination procedure, compensation of officers and quorum at shareholders’
meetings. In addition, we may follow our home country law, instead of the NASDAQ Stock Market Rules, which require that we obtain shareholder
approval for certain dilutive events, such as for the establishment or amendment of certain equity based compensation plans, an issuance
that will result in a change of control of the company, certain transactions other than a public offering involving issuances of a 20%
or more interest in the company and certain acquisitions of the stock or assets of another company. Accordingly, our shareholders may
not be afforded the same protection as provided under NASDAQ’s corporate governance rules. In addition, as foreign private issuer,
we are not required to file quarterly reviewed financial statements. A foreign private issuer that elects to follow a home country practice
instead of such requirements must submit to NASDAQ in advance a written statement from an independent counsel in such issuer’s home
country certifying that the issuer’s practices are not prohibited by the home country’s laws.
We may be classified as
a passive foreign investment company, or PFIC, which would subject our U.S. investors to adverse tax rules.
U.S. holders of our
ADSs may face income tax risks. Based on the composition of our income, assets (including the value of our goodwill, going-concern value
or any other unbooked intangibles, which may be determined based on the price of the ordinary shares), and operations, we believe we will
not be classified as a “passive foreign investment company”, or PFIC, for the 2022 taxable year. However, because PFIC status
is based on our income, assets and activities for the entire taxable year, it is not possible to determine whether we will be characterized
as a PFIC for our current taxable year or future taxable years until after the close of the applicable taxable year. Moreover, we must
determine our PFIC status annually based on tests that are factual in nature, and our status in the current year and future years will
depend on our income, assets and activities in each of those years and, as a result, cannot be predicted with certainty as of the date
hereof. Furthermore, fluctuations in the market price of our ordinary shares may cause our classification as a PFIC for the current or
future taxable years to change because the aggregate value of our assets for purposes of the asset test, including the value of our goodwill
and unbooked intangibles, generally will be determined by reference to the market price of our shares from time to time (which may be
volatile). The IRS or a Court may disagree with our determinations, including the manner in which we determine the value of our assets
and the percentage of our assets that are passive assets under the PFIC rules. Therefore, there can be no assurance that we will not be
a PFIC for the current taxable year or for any future taxable year. Our treatment as a PFIC could result in a reduction in the after-tax
return to U.S. Holders (as defined below under Item 10E. “Additional Information – Taxation”) of our ADSs and would
likely cause a reduction in the value of such shares. A foreign corporation will be treated as a PFIC for U.S. federal income tax purposes
if either (1) at least 75% of its gross income for any taxable year consists of certain types of “passive income,” or (2)
at least 50% of the average value of the corporation’s gross assets produce, or are held for the production of, such “passive
income.” For purposes of these tests, “passive income” includes dividends, interest, gains from the sale or exchange
of investment property and rents and royalties other than rents and royalties that are received from unrelated parties in connection with
the active conduct of a trade or business. If we are treated as a PFIC, U.S. Holders of ADSs would be subject to a special adverse U.S.
federal income tax regime with respect to the income derived by us, the distributions they receive from us, and the gain, if any, they
derive from the sale or other disposition of their ADSs. U.S. Holders should carefully read Item 10E. “Additional Information –
Taxation” for a more complete discussion of the U.S. federal income tax risks related to owning and disposing of ADSs.
The
market price of our ADSs has been, and may continue to be, highly volatile, and such volatility could cause the market price of our ADSs
to decrease and could cause you to lose some or all of your investment in our ADSs.
The stock market in
general and the market prices of the ADSs on Nasdaq, in particular, are or will be subject to fluctuation, and changes in these prices
may be unrelated to our operating performance. During the first quarter of 2023, the market price of our ADSs fluctuated from a high of
$1.18 per ADS to a low of $0.87 per ADS, and the price of our ADSs continues to fluctuate. We anticipate that the market prices of our
securities will continue to be subject to wide fluctuations. The market price of our securities may be subject to a number of
factors, including:
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announcements of new products by us or others; |
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announcements by us of significant acquisitions,
disposals, strategic partnerships, in-licensing,
joint ventures or capital commitments;
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the developments of the businesses and projects of our various subsidiaries;
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expiration or terminations of licences, research contracts or other collaboration
agreements; |
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public concern as to the safety of the products we sell; |
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the volatility of market prices for shares of companies with whom we compete;
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developments concerning intellectual property rights or regulatory approvals;
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variations in our and our competitors’ results of operations; |
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changes in revenues, gross profits and earnings announced by us; |
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changes in estimates or recommendations by securities analysts, if the ADSs are covered
by analysts; |
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fluctuations in the share price of our publicly traded subsidiaries; |
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changes in government regulations or patent decisions; and |
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general market conditions and other factors, including factors unrelated to our operating
performance. |
These factors
may materially and adversely affect the market price of our securities and result in substantial losses by our investors.
We expect we will need
additional capital in the future. If additional capital is not available, we may not be able to continue to operate our business pursuant
to our business plan or we may have to discontinue our operations entirely.
We expect we will require
additional capital in the future. If we continue to incur losses, we will need significant additional financing, which we may seek through
a combination of private and public equity offerings, debt financings, and asset sales, etc. To the extent that we raise additional capital
through the sale of equity or convertible debt securities, the ownership interest of our shareholders will be diluted, and the terms of
any such offerings may include liquidation or other preferences that may adversely affect the then existing shareholders rights. Debt
financing, if available, would result in increased fixed payment obligations and may involve agreements that include covenants limiting
or restricting our ability to take specific actions such as incurring debt or making capital expenditures. If we raise additional funds
through collaboration, strategic alliance or licensing arrangements with third parties, we may have to relinquish valuable rights to our
technologies, future revenue streams or product candidates, or grant licences on terms that are not favorable to us.
Future
sales of our ADSs could reduce the market price of the ADSs.
Substantial sales of our ADSs may cause the market price of our
ADSs to decline. Sales by us or our security holders of substantial amounts of our ADSs, or the perception that these sales may occur
in the future, could cause a reduction in the market price of our ADSs.
The issuance of any additional ADSs, or any securities that are
exercisable for or convertible into our ADSs, may have an adverse effect on the market price of our ADSs and will have a dilutive effect
on our existing holders of ADSs.
The
conversion of our outstanding share options and warrants would dilute the ownership interest of existing shareholders.
The total share options exercisable at December 31,
2022, as described in Item 18, Note 19 to the consolidated financial statements, are convertible into American Depository Shares (ADSs),
1 ADS representing 4 A Ordinary Shares. The exercise of the outstanding share options will likely occur only when the conversion price
is below the trading price of our ADSs and will dilute the ownership interests of existing shareholders. For instance, if all of the vested
and currently exercisable options outstanding at April 15, 2023 were exercised, the Company would have to issue 17,101,339 additional
‘A’ Ordinary Shares (4,275,335 ADSs). Similarly, at April 15, 2023, if all of the outstanding warrants to purchase ‘A’
Ordinary Shares were exercised, the Company would have to issue 10,000,000 ‘A’ Ordinary Shares (2,500,000 ADSs). On the
basis of 152,830,282 ‘A’ Ordinary Shares outstanding at April 15, 2023, the exercise
of both the share options and the warrants would effectively dilute the ownership interest of the existing shareholders by approximately
15%.
It
could be difficult for US holders of ADSs to enforce any securities laws claims against Trinity Biotech, its officers or directors in
Irish Courts.
At present, no treaty exists between the
United States and Ireland for the reciprocal enforcement of foreign judgments. Therefore, a final judgment for the payment of money rendered
by any U.S. federal or state Court based on civil liability, whether or not based solely on U.S. federal or state securities laws, would
not automatically be recognized or enforceable in Ireland. A judgment of the U.S. Courts will be enforced by the Irish Courts if the following
general requirements are met:
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the debt is for a liquidated or defined sum; |
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the procedural rules of the U.S. Court must have been observed and the U.S. Court must have had jurisdiction in relation to the particular
defendant according to Irish conflict of law rules (the submission to jurisdiction by the defendant would satisfy this rule); and
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• |
the judgment must be final and conclusive and the decree must be final and unalterable in the Court which pronounces it. A judgment
can be final and conclusive even if it is subject to appeal or even if an appeal is pending. If the effect of lodging an appeal under
the applicable law is to stay execution of the judgment, it is possible that, in the meantime, the judgment should not be actionable in
Ireland. It remains to be determined whether final judgment given in default of appearance is final and conclusive. |
However, the Irish Courts may refuse to
enforce a judgment of the U.S. Courts which meets the above requirements for one of the following reasons:
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• |
if the judgment is not for a debt or a definite sum of money; |
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• |
if the judgment was obtained or alleged to have been obtained by fraud; |
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• |
if the process and decision of the U.S. Courts were contrary to natural or constitutional justice under the laws of Ireland and if
the enforcement of the judgment in Ireland would be contrary to natural or constitutional justice; |
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• |
if the judgment is contrary to Irish public policy or involves certain United States laws which will not be enforced in Ireland or
constitute the enforcement of a judgment of a penal or taxation nature; |
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• |
if jurisdiction cannot be obtained by the Irish Courts over the judgment debtors in the enforcement proceedings by personal service
in Ireland or outside Ireland under Order 11 of the Irish Superior Courts Rules; |
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• |
there is no practical benefit to the party in whose favor the foreign judgment is made in seeking to have that judgment enforced
in Ireland, or |
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• |
if the judgment is not consistent with a judgment of an Irish Court in respect of the same matter. |
In addition, actions in the United States
under U.S. federal securities laws could be affected under certain circumstances by the Foreign Tribunals Evidence Act 1856, which is
the statute applicable in Ireland to obtaining evidence in aid of foreign civil proceedings, which may preclude or restrict the obtaining
of evidence in Ireland or from Irish persons in connection with those actions.
We have no plans to pay
dividends on our ADSs, and you may not receive funds without selling the ADSs.
We do not expect to
pay any cash dividends on our ADSs for the foreseeable future. We currently intend to retain any additional future earnings to finance
our operations and growth and, therefore, we have no plans to pay cash dividends at this time. Any future determination to pay cash dividends
will be at the discretion of our board of directors and will be dependent on our earnings, financial condition, operating results, capital
requirements, any contractual restrictions, and other factors that our board of directors deems relevant. Accordingly, you may have to
sell some or all of the ADSs in order to generate cash from your investment. You may not receive a gain on your investment when you sell
the ADSs and may lose the entire amount of your investment.
The voting rights of holders
of ADSs are limited by the terms of the deposit agreement, and you may not be able to exercise your right to direct the voting of your
Class A ordinary shares underlying the ADSs.
Holders of ADSs do not have the same rights as our registered
shareholders. As a holder of the ADSs, you will not have any direct right to attend general meetings of our shareholders, cast any votes
at such meetings or otherwise exercise the rights of registered shareholders set out in our articles of association or in Irish law. You
will only be able to exercise the voting rights which attach to the Class A ordinary shares underlying the ADSs indirectly by giving voting
instructions to the depositary in accordance with the provisions of the deposit agreement. Under the deposit agreement with the depositary,
you may vote only by giving voting instructions to the depositary, as the registered holder of the Class A ordinary shares underlying
the ADSs. If the depositary asks for your instructions, then upon receipt of such voting instructions, it will try to vote the underlying
Class A ordinary shares in accordance with these instructions. If we do not instruct the depositary to ask for your instructions, the
depositary may still vote in accordance with instructions you give, but it is not required to do so. You will not be able to directly
exercise any right to vote with respect to the underlying Class A ordinary shares unless you withdraw the shares underlying your ADSs
and become the registered holder of such shares prior to the record date for the general meeting. When a general meeting is convened,
you may not receive sufficient advance notice of the meeting to enable you to withdraw the shares underlying the ADSs and become the registered
holder of such shares prior to the record date for such general meeting to allow you to attend the general meeting and to vote directly
with respect to any specific matter or resolution to be considered and voted upon at the general meeting. Where any matter is to be put
to a vote at a general meeting, upon our instruction, the depositary will notify you of the upcoming vote and deliver our voting materials
to you. We cannot assure you that you will receive the voting materials in time to ensure you can direct the depositary to vote the Class
A ordinary shares underlying your ADSs in accordance with your instructions. In addition, the depositary and its agents are not responsible
for failing to carry out your voting instructions or for their manner of carrying out your voting instructions. This means that you may
not be able to exercise your right to direct how the shares underlying the ADSs are voted and you may have no legal remedy if the shares
underlying the ADSs are not voted as you instructed.
Our securities could
be delisted from Nasdaq if we do not comply with Nasdaq’s listing standards.
Our ADSs are listed on the NASDAQ Capital Market under the
symbol “TRIB.” To continue to be listed on the NASDAQ Capital Market, we need
to satisfy a number of conditions, including to maintain a minimum bid price of $1.00 per ADS and Nasdaq Listing Rule 5810(c)(3)(A) provides
that a failure to meet the minimum bid price requirement exists if the deficiency continues for a period of 30 consecutive business
days. As of the date of this Annual Report on Form 20-F, we were in compliance with the Nasdaq continued listing requirements. In accordance
with Nasdaq Listing Rule 5810(c)(3)(A), if we fail to remain in compliance with the minimum bid price requirement we will be given 180
days to regain compliance. In the event that we do not regain compliance within this 180-day period, we may be eligible to seek an additional
compliance period of 180 calendar days if we meet the continued listing requirement for market value of publicly held shares and all other
initial listing standards for the Nasdaq Capital Market, with the exception of the bid price requirement, and provide written notice to
Nasdaq of our intent to cure the deficiency during this second compliance period, by effecting a reverse stock split, if necessary. However,
if it appears to the Nasdaq staff that we will not be able to cure the deficiency, or if we are otherwise not eligible, Nasdaq will provide
notice to us that our ADSs will be subject to delisting.
If our ADSs become
subject to delisting, they would be subject to rules that impose additional sales practice requirements on broker-dealers who sell our
securities. The additional burdens imposed upon broker-dealers by these requirements could discourage broker-dealers from effecting transactions
in our ADSs. This would adversely affect the ability of investors to trade our ADSs and would adversely affect the value of our ADSs.
Delisting could also impair our ability to raise capital.
| Item 4. |
Information on the Company |
| A. |
History and Development of the Company |
We were incorporated in Ireland in 1992 as a private limited company and re-registered
as a public limited company (“plc”) in July of that year. In October 1992 we completed an initial public offering of our securities
in the US and our ADS have traded on the Nasdaq Global Market since that time under the symbol “TRIB.”.
The principal offices of our company are located at IDA Business Park, Bray, County
Wicklow, Ireland. The Group has expanded its product base through internal development and acquisitions.
Our
website address is https://www.trinitybiotech.com/
. The information contained on, or that can be accessed from, our website does not form part of this Annual Report. The SEC maintains
an Internet site that contains reports, proxy and information statements, and other information regarding issuers, such as we, that file
electronically, with the SEC at www.sec.gov.
B. Business Overview
Overview
We and our subsidiaries (the “Group”) develop,
acquire, manufacture and market medical diagnostic products for the clinical laboratory and point-of-care segments of the diagnostic market.
These products are used to detect autoimmune, infectious and sexually transmitted diseases, diabetes and disorders of the liver and intestine.
We are also a significant provider of raw materials to the life sciences and research industries globally through Fitzgerald Industries.
Refer to Item 18, Note 28, Post Balance Sheet Events for more information on the sale of the Fitzgerald Industries in April 2023.
We market our portfolio of several hundred
products to customers in approximately 100 countries around the world through our own sales force and a network of international distributors
and strategic partners.
Organisational
Structure
While our executive offices are located
at Bray, Ireland, our research and development, manufacturing and marketing activities are principally conducted at the following:
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Trinity Biotech Manufacturing Limited, based in Bray, Ireland; |
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Clark Laboratories Inc, based in Jamestown, New York; |
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Primus Corporation, based in Kansas City; |
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Biopool US Inc (trading as Trinity Biotech USA), based in Jamestown, New York; |
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Immco Diagnostics Inc, based in Amherst and Buffalo, New York; |
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Nova Century Scientific Inc, based in Burlington, Canada; and |
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Trinity Biotech Brazil based in Sao Paulo, Brazil. |
The Group’s distributor of raw materials
for the life sciences industry, Benen Trading Ltd (trading as Fitzgerald Industries), is based in Bray, Ireland and Acton, Massachusetts.
Principal
Markets
The brand names of the principal products
of Trinity Biotech are listed below, organised first by point of use and second by application.
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Point-Of-Care |
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Clinical
Laboratory |
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Infectious Diseases
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Infectious Diseases
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Haemoglobin
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Autoimmune
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Clinical Chemistry |
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Blood Bank Screening
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UniGold |
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MarDx |
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Premier |
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ImmuBlot |
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EZ |
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Captia |
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Recombigen |
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FlexTrans |
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Ultra |
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ImmuGlo |
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Trinscreen |
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ImmuLisa |
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OTOblot |
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We also sell raw materials to the life sciences
industry and research institutes globally through our wholly owned subsidiary, Benen Trading Ltd., trading as Fitzgerald Industries.
We sell our products through our direct
sales organisations in the United States, Brazil and to an extent in the United Kingdom, France and Germany and then through our network
of principal distributors and non-governmental bodies into approximately 100 countries globally.
Point-of-Care
(“POC”)
Point-of-care refers to diagnostic tests
which are carried out in the presence of the patient.
Uni-Gold™ HIV
We believe that Trinity Biotech makes a
very significant contribution to the global effort to meet the challenge of human immuno-deficiency virus, or HIV, with its principal
product, Uni-Gold™ HIV. In Africa, Uni-Gold™ HIV has been used for many years in voluntary counselling and testing centers
in the sub-Saharan region where it is a cornerstone to early detection and treatment intervention.
Trinscreen
In Africa, HIV testing typically involves
using a point-of-care rapid test for screening followed by a different rapid test as the confirmatory test. Our Uni-Gold™ HIV product
is a leading confirmatory HIV test in the African market.
Point-Of-Care is key to the growth of Trinity Biotech. Central
to this growth is our new HIV screening test, TrinScreen HIV, which received World Health Organisation approval in February 2022. Trinity
Biotech has not previously competed in the larger screening market, which is estimated to be valued at approximately US$150 million p.a.
The screening market is addressed by few companies. TrinScreen should not significantly jeopardise our existing confirmatory business
as it employs a different HIV antigen to the existing Uni-Gold™ HIV test. In other words, countries will be able to use both the
TrinScreen HIV test and the Uni-Gold™ HIV test as part of their testing algorithm. Our strategy is to leverage the existing brand
equity of Trinity Biotech in African markets to take market share in the screening market. This initiative will be supported by increased
sales and marketing resources in the African market. Market opportunities for the TrinScreen HIV product also exist in other territories,
in particular in emerging countries.
These point-of-care products will be sold
through Trinity Biotech’s sales and marketing organisation to a variety of customers including public health authorities, non-governmental
organisations, clinical and reference laboratories directly in the United Kingdom, France and Germany and through independent distributors
and strategic partners in other countries.
Clinical
Laboratory
Trinity Biotech supplies the clinical laboratory
segment of the in-vitro diagnostic market with a range of diagnostic tests and instrumentation
which detect:
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Glycated haemoglobin (for diabetes monitoring and diagnosis) and haemoglobin variants for the detection of haemoglobinopathies (haemoglobin
abnormalities); |
Trinity Biotech also supplies this market
with other products through its clinical chemistry business.
Infectious Diseases
Trinity Biotech manufactures kits for the
detection of specialty and esoteric biomarkers of infectious diseases and other associated laboratory products. The products are used
in processing patient samples whose results aid physicians in the diagnosis and clinical assessment of a broad range of infectious diseases.
The key clinical laboratory disease areas that Trinity Biotech serves include:
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Sexually transmitted diseases, including Syphilis and Herpes; |
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Markers for Epstein Barr, Measles, Mumps, Toxoplasmosis, Cytomegalovirus, Rubella, Varicella and other viral pathogens; |
Trinity
Biotech develops, manufactures and distributes products predominantly in enzyme-linked immunosorbent assay (“ELISA”)
format. As a complement to its product range, the company also offers third party automated processors to its customers.
Many of the products in our Infectious Diseases
product line are FDA cleared for sale in the United States and CE marked in Europe. Products are sold in approximately 100 countries in
total, with the focus on the Americas, Europe and Asia. The infectious disease products are sold through the sales and marketing organisation
of Trinity Biotech to a variety of customers including public health authorities, clinical and reference laboratories directly in the
U.S. and U.K. and through independent distributors and strategic partners in other countries.
Diabetes and Haemoglobinopathies
Trinity Biotech manufactures products for in-vitro diagnostic
measurement of haemoglobin A1c (“HbA1c”) used in the monitoring and diagnosis of diabetes, as well identifying those who are
at a high risk of developing diabetes (pre-diabetic). The Premier Hb9210 uses boronate affinity technology to measure HbA1c which is a
marker of a patient’s average blood sugar control over the last 100 to 120 days. It is a highly accurate biomarker available for
the diagnosis of diabetes and is a strong indicator of a diabetic’s glycemic control. HbA1c is also used to identify those at risk
of becoming diabetic; often referred to as impaired glucose tolerance. Additionally, HbA1c is used in the assessment of diabetes complications.
Trinity Biotech manufactures its own HbA1c instrument, the Premier Hb9210, which was
launched in Europe and obtained FDA approval in late 2011. In Europe, Trinity Biotech distributes Premier Hb9210 through its partner A.
Menarini. In the USA and Brazil, Trinity Biotech sells the Premier Hb9210 through its own direct sales organisations. In the rest of the
world, Trinity sells the Premier Hb9210 through a network of distributors. The Premier’s unique features, cost structure and core
technology enable it to compete in most economies and settings.
Trinity Biotech also sells products for haemoglobin variants, through the Premier
Resolution (CE cleared - meaning it can be sold in the EU). The Premier Resolution detects and identifies haemoglobinapothies. These are
genetic defects that result in abnormal structure of the haemoglobin molecule. Haemoglobinapathies include sickle-cell diseases, alpha
and beta thalassemia which are amongst the most common genetic disorders in the world.
Trinity Biotech has launched the Premier Resolution, its next generation Haemoglobinapothy
Analyzer in Europe and the Middle East after undergoing rigorous and successful field trials. In 2022, we submitted a 510(k) clearance
for the Premier Resolution to the FDA. The Premier Resolution uses an internally designed column as well as state of the art hardware
and software.
Autoimmune Diseases
Autoimmune diseases are diseases that involve
an abnormal immune response in which the immune system attacks the body’s own cells and tissues.
In 2013, Trinity Biotech acquired Immco
Diagnostics (“Immco”), an autoimmunity company known for novel assay development and high impact contributions to autoimmune
disease diagnostic research. Immco develops, manufactures and sells products in the following formats for diagnosis of autoimmune diseases:
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Immunofluorescence Assay (“IFA”); |
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Enzyme-linked immunosorbent (“ELISA”); |
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Western Blot (“WB”); and |
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Line immunoassay (“LIA”). |
Many of Immco’s products are FDA cleared
for sale in the U.S. and CE marked in Europe. The Immco product line addresses the lower throughput, specialty autoimmune segment, where
competition is limited. The principal autoimmune conditions in this segment are Rheumatoid Arthritis, Vasculitis, Lupus, Celiac and Crohn’s
Disease, Ulcerative Colitis, Neuropathy, Hashimoto’s Disease and Grave’s Disease.
In addition, Immco markets a panel of proprietary
early markers for Sjögrens disease often referred to as “dry eye disorder”.
The Immco products are sold through Trinity
Biotech’s sales and marketing organisation to clinical and reference laboratories directly in the USA and via distributors in other
countries.
The diagnostic product line is complemented
by Immco’s New York State Department of Health licenced reference laboratory offering specialised services in diagnostic immunology,
pathology and immunogenetics, and is marketed to U.S.-based reference laboratories and hospitals.
Clinical Chemistry
The speciality clinical chemistry business
of Trinity Biotech includes reagent products such as ACE, bile acids, oxalate and glucose-6-phosphate dehydrogenase (“G6PDH”)
that are clearly differentiated in the marketplace. These products are suitable for both manual and automated testing and have proven
performance in the diagnosis of many disease states from liver and kidney disease to G6PDH deficiency which is an indicator of haemolytic
anaemia.
Blood Bank Screening
Trinity Biotech manufactures enzyme-linked
immunosorbent assays (“ELISA”), for the detection of Syphilis and Malaria. These products are sold through distributors and
are manufactured under original equipment manufacturer agreements for other major third party diagnostic companies. The business is not
currently operating in the United States.
Sales
and Marketing
Trinity Biotech sells its products through
its own direct sales force in the United States. Our sales team in the United States is responsible for marketing and selling the Trinity
Biotech range of Point-Of-Care, Infectious Diseases, Haemoglobins, Autoimmune and Clinical Chemistry products. Meanwhile the direct sales
force in Brazil sells the company’s haemogloblins product range.
Through its international sales and marketing
organisation, which is located in Ireland, Trinity Biotech sells:
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Its Clinical Chemistry product range directly to hospitals and laboratories in Germany and France; |
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Infectious Diseases and Clinical Chemistry product ranges directly to hospitals and laboratories in the UK; and |
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All product lines through independent distributors and strategic partners in a further approximately 100 countries. |
Competition
The diagnostic industry is very competitive.
There are many companies, both public and private, engaged in the sale of medical diagnostic products and diagnostics-related research
and development, including a number of well-known pharmaceutical and chemical companies. Competition is based primarily on product reliability,
customer service and price. This is a technology driven market with an emphasis on automation and emerging biomarkers. Trinity actively
works on increasing automation for the clinical laboratory. Trinity seeks to bring novel biomarkers to market by licensing agreements
with universities and innovative companies.
The Group’s competition includes several
large companies such as, but not limited to: Abbott Diagnostics, Arkray, Becton Dickenson, Bio-Rad, Copan, Diasorin Inc., Johnson
Johnson, Roche Diagnostics, Sebia, Siemens (from the combined acquisitions of Bayer, Dade-Behring and DPC), Thermo Fisher, Tosoh and Werfen.
Research and Development
Research
Development (“RD”) carried out by third parties
Certain RD activities of the Group have been outsourced
to third parties. These activities are carried out in the normal course of business with these companies. During 2022, a number of third-party
consultants and contractors were engaged to assist with development projects, working principally on the Covid antigen projects. The total
amount paid to these RD consultants and contractors in 2022 was US$707,000 (2021: US$807,000).
Research
and Products under Development
Trinity Biotech has research and development
groups focusing separately on haemoglobin and infectious diseases products. During 2022, these groups were located in Ireland and the
USA and largely mirror the production capability at each production site. In addition to in-house activities, Trinity Biotech sub-contracts
some research and development from time to time to independent researchers based in the USA and Europe.
Principal
Development Projects
The following table sets forth for each
of Trinity Biotech’s main development projects, the costs incurred during each period presented and the cumulative costs (before
amortization and impairment) incurred as at 31 December 2022:
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|
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2022
|
|
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2021
|
|
|
Total project
costs to December
31, 2022¹ |
|
|
Product Name |
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US$’000
|
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|
US$’000
|
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|
US$’000
|
|
Premier Instruments for A1c and haemoglobinopathies testing
|
|
|
1,904 |
|
|
|
2,538 |
|
|
|
37,828 |
|
|
HIV screening rapid test |
|
|
379 |
|
|
|
1,488 |
|
|
|
12,619 |
|
|
COVID-19 tests² |
|
|
1,378 |
|
|
|
1,320 |
|
|
|
3,165 |
|
|
Mid-tier haemoglobins instrument |
|
|
484 |
|
|
|
303 |
|
|
|
1,093 |
|
¹ Cumulative costs to December 31, 2022 are shown before deduction of amortization and impairment losses.
²
In 2022, the development expenditure on COVID tests related to a rapid COVID-19 antigen test which was approved for professional
use in the EU during 2022. However, the demand for our COVID-19 portfolio of products is highly uncertain and very difficult to predict
and in our experience the market has moved to over the counter (“OTC”) rapid COVID-19 tests, for which this product is not
yet approved. As such the Company’s efforts to commercialise this test have been unsuccessful. In addition, pricing for rapid COVID-19
tests in the EU is relatively weak, with stronger pricing available in, for example, the US market, for which this product is not yet
approved. Given the market outlook for rapid COVID-19 testing products and continued uncertainty regarding regulatory approval pathways
in key markets, including the US, management has chosen to not immediately pursue further regulatory approvals but does intend to monitor
these markets and regulatory pathways with a view to potentially seeking additional regulatory approvals. However, as the Company has
no imminent plans to pursue these regulatory approvals, these intangible assets were written down to zero in 2022.
The costs in the foregoing table mainly
comprise the cost of internal resources, such as the payroll costs for the development teams and attributable overheads. The remainder
mainly comprises materials, consumables, regulatory trial and third party consultants’ costs.
There are inherent risks and uncertainties
associated with completing development projects on schedule. In the experience of Trinity Biotech, the main risks to the achievement of
a project’s planned completion date occur primarily during the product’s verification and validation phase. During these phases
the product must attain successful results from in-house product testing and from third party clinical trials. Obtaining regulatory approval
on a timely basis is another variable in achieving a project’s planned completion date.
Some aspects of the development of a new
product are outside of the control of Trinity Biotech. Notwithstanding the uncertainty surrounding these external factors, Trinity Biotech
believes the planned completion dates of these projects are realistic and achievable. As the manufacturing lead time for these new products
is relatively short, it is anticipated that material cash inflows will commence shortly after each of the project’s planned completion
date.
The following is a description of the principal
projects which are currently being undertaken by the research and development groups within Trinity Biotech:
Haemoglobin Development
Group
Premier Hb9210 Instrument
for Haemoglobin A1c Testing
A multi-generational product development plan focussed on improvements in our flagship Premier 9210 instrument
has commenced. With phased launches planned across the next 18 months, the package of changes is expected to expand the target market,
reduce instrument downtime and service cost, and significantly expand operating margins. New features are expected to include an enhanced
column delivering up to three times the current injection capacity and stability, a reduced frequency of calibration, and an improved
user interface and lab system integration.
Premier Resolution Instrument for Haemoglobin Variant Testing
We have developed the Premier Resolution instrument which is utilised for haemoglobin
variant testing and is currently being rolled out in certain international markets outside of the USA. We continue to work closely
with the FDA to gain clearance of our 510(k) submission for this instrument and we are planning the USA launch in 2023. Meanwhile, Premier
Resolution continues to be enhanced with unique features such as lot specific gradients, an optimised internally designed column with
extended column life, and a rapidly expanding on-board variant library.
Low to Medium throughput
Haemoglobin instrument for A1c Testing
We are developing a low to medium throughput
Haemoglobin A1c instrument with a view to targeting the market segment for testing volumes lower than the Premier Hb9210. We are targeting
a launch date in the next two years.
Tri-stat instrument
In 2022, there was a strategic review of
our Tri-stat instrument as part of a broader review of our haemoglobins product portfolio. In order to rationalise the haemoglobins product
portfolio and to allow us to focus our resources on the higher growth products within that portfolio, management decided that Tri-stat
sales would be restricted to only certain targeted partnerships. Further development of the instrument ceased at the end of the third
quarter of 2022.
Point-of-Care Development
Group
A syphilis point-of-care rapid test is also
being developed using our existing lateral flow format. In 2022, other projects were prioritized, but
it is expected this project will resume within the next one to two years.
Autoimmunity Development Group
IFA Smart Reader Project
We have been developing ScopeSmart, an automated
IFA reader capable of performing image capture, pattern recognition and analysis on IFA slides. The development project was paused
in 2022 as management reviewed other options, including the potential to proceed with a third-party reader instead of our own internally
developed reader. Following this review, we determined that there were likely greater opportunities to capture more market share in a
more capital efficient manner through partnering with a third-party reader manufacturer rather than pursuing an independent strategy.
There is significant uncertainty if we will complete the project to develop our own in-house autoimmune smart reader but we may re-visit
this decision in the future.
Patents and Licences
Patents
Many of Trinity Biotech’s tests are
not protected by specific patents, due to the significant cost of putting patents in place for Trinity Biotech’s wide range of products.
However, Trinity Biotech believes that substantially all of its tests are protected by proprietary know-how, manufacturing techniques
and trade secrets.
From time-to-time, certain companies have
asserted exclusive patent, copyright and other intellectual property rights to technologies that are important to the industry in which
Trinity Biotech operates. In the event that any of such claims relate to its planned products, Trinity Biotech intends to evaluate such
claims and, if appropriate, seek a licence to use the protected technology. There can be no assurance that Trinity Biotech would, firstly,
be able to obtain licences to use such technology or, secondly, obtain such licences on satisfactory commercial terms. If Trinity Biotech
or its suppliers are unable to obtain or maintain a licence to any such protected technology that might be used in Trinity Biotech’s
products, Trinity Biotech could be prohibited from marketing such products. It could also incur substantial costs to redesign its products
or to defend any legal action taken against it. If Trinity Biotech’s products should be found to infringe protected technology,
Trinity Biotech could also be required to pay damages to the infringed party.
Licences
Trinity Biotech has entered into a number
of licensing arrangements including the following:
Immco entered into a licence agreement on
January 19, 2012, and subsequently an amended licence agreement on June 14, 2018. The licence pertains to any product or service relating
to identifying indicators of Sjogren’s disease. The agreement is effective through January 21, 2036 and is worldwide in scope. Royalties
are payable based on agreement in place.
In 2013, Trinity Biotech entered into a
licence agreement with a leading market participant, giving the Group a non-exclusive, worldwide licence access to a significant HIV-2
patent portfolio for the purpose of making, using and selling a HIV test kit, subject to certain limitations.
On December 19, 1999, Trinity Biotech
obtained a non-exclusive commercial licence from the National Institute of Health (“NIH”) in the United States for NIH patents
relating to the general method of producing HIV-1 in cell culture and methods of serological detection of antibodies to HIV-1.
Each of the licensing arrangements disclosed
under this subheading terminates on the date expiration or adjudication of invalidity or unenforceability of the last of the particular
licenced patents covered by the respective agreement. Each licensor has the right to terminate the arrangement in the event of non-performance
by Trinity Biotech. The key licensing arrangements, with the exception of the agreement entered into in 2013 which provides for the payment
of a lump sum licence fee, require the Group to pay a royalty to the licence holder which is based on sales of the products which utilise
the relevant technology being licenced. The total amount paid by Trinity Biotech under key licensing arrangements in 2022 was US$360,000
(2021: US$540,000).
Government
Regulation
The research, development, preclinical and
clinical testing, as well as the manufacture, labelling, marketing, sales, record-keeping, advertising, distribution, and promotion of
Trinity Biotech’s products are subject to extensive and rigorous government regulation in the United States and in other countries
in which Trinity Biotech’s products are sought to be marketed.
The process of obtaining authorisation to
market our products varies, depending on the product categorisation and the country, from merely notifying the authorities of intent to
sell, to lengthy formal approval procedures which often require detailed laboratory and clinical testing and other costly and time-consuming
processes. The main regulatory bodies which require extensive clinical testing are the FDA in the United States, the Health Products
Regulatory Authority (as the authority over Trinity Biotech in Europe), the Medicines and Healthcare products Regulatory Agency (MHRA)
in the United Kingdom and Health Canada.
The process in each country varies considerably
depending on the nature of the test, the perceived risk to the user and patient, the facility at which the test is to be used and other
factors. As 54% of Trinity Biotech’s 2022 revenues were generated in the Americas (with a large concentration of this in the
United States) and as the United States represents a substantial proportion of the worldwide diagnostics market, an overview of FDA regulation
has been included below.
Food and Drug Administration
Many of our products sold in the United
States are medical devices subject to the Federal Food, Drug, and Cosmetic Act (“FDCA”), as implemented and enforced by the
U.S. Food and Drug Administration (“FDA”). Certain products sold in the United States require FDA clearance to market under
Section 510(k) of the FDCA. Other products sold in the United States require premarket approval (“PMA”) to market.
Failure by us or by our suppliers to comply
with applicable regulatory requirements can result in enforcement action by the FDA or other regulatory authorities, which may result
in sanctions including, but not limited to:
|
• |
untitled letters, warning letters, fines, injunctions, consent decrees and civil penalties; |
|
• |
unanticipated expenditures to address or defend such actions |
|
• |
customer notifications for repair, replacement, refunds; |
|
• |
recall, detention or seizure of our products; |
|
• |
operating restrictions or partial suspension or total shutdown of production; |
|
• |
refusing or delaying our requests for 510(k) clearance or premarket approval of new products or modified products; |
|
• |
operating restrictions; |
|
• |
withdrawing 510(k) clearances or PMA approvals that have already been granted; |
|
• |
refusal to grant export approval for our products; or |
The FDA governs the following activities
that we perform or that are performed on our behalf, to ensure that medical products distributed domestically or exported internationally
are safe and effective for their intended uses:
|
• |
product design, development and manufacture; |
|
• |
product safety, testing, labelling and storage; |
|
• |
record keeping procedures; |
|
• |
product marketing, sales and distribution; and |
|
• |
post-marketing surveillance, complaint handling, medical device reporting, reporting of deaths, serious injuries or device malfunctions
and repair or recall of products. |
FDA premarket clearance
and approval requirements
Access
to U.S. Market. Each medical device that Trinity Biotech may wish
to commercially distribute in the U.S. will require either pre-market notification (more commonly known as 510(k)) clearance or approval
of a pre-market approval (“PMA”) application prior to commercial distribution, unless specifically exempt. Under the
FDCA, medical devices are classified into one of three classes -- Class I, Class II or Class III -- depending on the degree of risk associated
with each medical device and the extent of control needed to ensure safety and effectiveness. Class I devices are those for which safety
and effectiveness can be assured by adherence to FDA’s general regulatory controls for medical devices, which include compliance
with the applicable portions of the FDA's Quality System Regulation ("QSR"), facility registration and product listing, reporting of adverse
medical events, and appropriate, truthful and non-misleading labelling, advertising, and promotional materials (the “General Controls”).
Some Class I devices also require premarket clearance by the FDA through the 510(k) premarket notification process described below.
Class II devices are subject to FDA’s
general controls, and any other special controls as deemed necessary by FDA to ensure the safety and effectiveness of the device.
Premarket review and clearance by the FDA for Class II devices is accomplished through the 510(k) premarket notification process.
Unless a specific exemption applies, 510(k) premarket notification submissions are subject to user fees.
Devices deemed by the FDA to pose the greatest
risk, such as life sustaining, life-supporting or implantable devices, or devices deemed not substantially equivalent to a previously
510(k)-cleared device are categorised as Class III, requiring approval of a PMA.
510(k)
Clearance Pathway. When a 510(k) clearance is required, Trinity Biotech
must submit a pre-market notification demonstrating that the proposed device is substantially equivalent to a previously cleared 510(k)
device, a device that was in commercial distribution before May 28, 1976 for which the U.S. Food and Drug Administration has not yet called
for the submission of pre-market approval applications, or is a device that has been reclassified from Class III to either Class II or
I. By regulation, the FDA is required to clear or deny a 510(k) premarket notification within 90 days of submission of the application.
As a practical matter, clearance may take longer. As a practical matter, the FDA’s 510(k) clearance pathway usually takes from 3
to 12 months, but it can take longer, and clearance is never assured. Although many 510(k) pre-market notifications are cleared
without clinical data, in some cases, the U.S. Food and Drug Administration requires significant clinical data to support substantial
equivalence.
In reviewing a pre-market notification,
the FDA may request additional information, including clinical data, which may significantly prolong the review process.
After a device receives 510(k) clearance,
any modification that could significantly affect its safety or effectiveness, or that would constitute a major change in its intended
use, requires a new 510(k) clearance or could even require a PMA approval, if the change raises complex or novel scientific issues or
the product has a new intended use. The FDA requires each manufacturer to make this determination initially, but the FDA may review any
such decision and may disagree with a manufacturer’s determination.
If the FDA disagrees with a manufacturer’s
determination, the FDA may require the manufacturer to cease marketing and/or recall the modified device until 510(k) clearance or pre-market
approval is obtained. We have modified aspects of some of our devices since receiving regulatory clearance. Some of those
modifications we believe could not significantly affect the safety or efficacy of the device, and therefore, we believe new 510(k) clearances
or pre-market approvals are not required. We have also obtained new 510(k) clearances from the FDA for other modifications to our
devices.
In the future, we may make additional modifications
to our products after they have received FDA clearance or approval, and in appropriate circumstances, determine that new clearance or
approval is unnecessary.
However, the FDA may disagree with our determination
and if the FDA requires us to seek 510(k) clearance or pre-market approval for any modifications to a previously cleared product, we may
be required to cease marketing or recall the modified device until we obtain the required clearance or approval. Under these circumstances,
we may also be subject to significant regulatory fines or other penalties. In addition, the FDA continues to evaluate the 510(k)
process and may make substantial changes to industry requirements, including which devices are eligible for 510(k) clearance, the ability
to rescind previously granted 510(k)s and additional requirements that may significantly impact the process.
PMA
Approval Pathway. A device that does not qualify for 510(k) clearance
generally will be placed in Class III and required to obtain PMA approval, which requires proof of the safety and effectiveness of the
device to the FDA’s satisfaction for its intended use. A PMA application must provide extensive technical, preclinical and
clinical trial data and also information about the device and its components regarding, among other things, device design, manufacturing
and labelling. In addition, an advisory panel made up of clinicians and/or other appropriate experts from outside the FDA is typically
convened to evaluate the application and make recommendations to the FDA as to whether the device should be approved.
Although the FDA is not bound by the advisory
panel decision, the panel’s recommendation is important to the FDA’s overall decision making process. The PMA approval
pathway is more costly, lengthy and uncertain than the 510(k) clearance process. After a premarket approval application is sufficiently
complete, the FDA will accept the application and begin an in-depth review of the submitted information. By statute, the FDA has
180 days to review the “accepted application”, although, generally, review of the application can take between one and three
years, but it may take significantly longer. During this review period, the FDA may request additional information or clarification of
information already provided. In addition, the FDA will conduct a pre-approval inspection of the manufacturing facility to ensure
compliance with Quality System Regulation, which imposes elaborate design development, testing, control, documentation and other quality
assurance procedures in the design and manufacturing process. In February 2022, FDA published proposed regulation to update the
Quality System Regulation to incorporate the international standard specific for medical device quality management systems (ISO 13485).
If finalized, the quality management system requirements for FDA-regulated devices would be harmonized with the ISO 13485 standards.
After approval of a PMA, a new PMA or PMA supplement is required
in the event of a modification to the device, its labelling or its manufacturing process. The FDA imposes substantial user fees
for the submission and review of PMA applications. The FDA may approve a PMA application with post-approval conditions intended
to ensure the safety and effectiveness of the device including, among other things, restrictions on labelling, promotion, sale and distribution
and collection of long-term follow-up data from patients in the clinical study that supported approval. Failure to comply with the conditions
of approval can result in materially adverse enforcement action, including the loss or withdrawal of the approval. New PMA applications
or PMA supplements are required for significant modifications to the manufacturing process, labelling of the product and design of a device
that is approved through the PMA process. PMA supplements often require submission of the same type of information as the original
PMA application, except that the supplement is limited to information needed to support any changes from the device covered by the original
PMA application and may not require as extensive clinical data or the convening of an advisory panel.
Clinical
Studies
Devices that have not
received FDA approval or clearance and are used in clinical trials are considered to be and must be labelled as investigational devices.
FDA regulates these products under the IDE regulations. (See 21 C.F.R. § 812.)
Per the IDE regulations,
clinical studies that involve investigational devices are divided into two categories, based on the type of device. Studies of devices
considered by the agency to present a significant risk require prior approval by an Institutional Review Board (“IRB”), informed
consent of patients, and FDA approval of an IDE application, which details in part the clinical study protocol, pursuant to 21 C.F.R.
§ 812. A significant risk device study is defined as a study of a device that presents a potential for serious risk to the
health, safety, or welfare of a subject and falls into at least one of the following categories: (1) it is intended as an implant; (2)
it is used in supporting or sustaining human life; (3) it is of substantial importance in diagnosing, curing, mitigating or treating a
disease, or otherwise prevents impairment of human health; or (4) it otherwise presents a potential for serious risk to the health, safety,
or welfare of a subject. See 21 C.F.R. 812.3(m). Studies of non-significant risk investigational devices require IRB approval
and informed consent; however, the sponsor of the study does not have to obtain FDA approval of an IDE application before beginning the
study.
Most clinical studies
of IVDs (all of which technically involve investigational use only (“IUO”) devices) are exempted from the IDE regulation,
so long as the IUO device and the study meet certain regulatory criteria. Specifically, devices are exempt from IDE requirements
if they are intended for IUO and:
|
• |
Do not require an invasive sampling procedure that poses a significant risk; |
|
• |
Do not introduce energy into a subject by design or intention; |
|
• |
Are not to be used as a diagnostic procedure without confirmation of the diagnosis by another medically established diagnostic product
or procedure; and |
|
• |
Comply with the labelling requirements for IUO devices, as outlined in 21 C.F.R. § 812.2(c)(3).
|
If an IUO device does
not meet all the requirements for exemption, studies involving that IUO device would be subject to the IDE regulations. The majority
of our products are exempt from the IDE regulation. However, we are required to have IRB approval prior to and during our clinical
trials and must obtain informed consent from study participants.
Post-market Regulation
After the FDA permits a device to enter
commercial distribution, numerous regulatory requirements apply. These include:
|
• |
product listing and establishment registration, which helps facilitate FDA inspections and other regulatory action; |
|
• |
Quality System Regulation, (“QSR”), which requires manufacturers, including third-party manufacturers, to follow stringent
design, testing, control, documentation and other quality assurance procedures during all aspects of the manufacturing process;
|
|
• |
labelling regulations and FDA prohibitions against the promotion of products for uncleared, unapproved or off-label use or indication;
|
|
• |
clearance of product modifications that could significantly affect safety or efficacy or that would constitute a major change in
intended use of one of our cleared devices; |
|
• |
approval of product modifications that affect the safety or effectiveness of one of our approved devices; |
|
• |
medical device reporting regulations, which require that manufacturers comply with FDA requirements to report if their device may
have caused or contributed to a death or serious injury, or has malfunctioned in a way that would likely cause or contribute to a death
or serious injury if the malfunction of the device or a similar device were to recur; |
|
• |
post-approval restrictions or conditions, including post-approval study commitments; |
|
• |
post-market surveillance regulations, which apply when necessary to protect the public health or to provide additional safety and
effectiveness data for the device; |
|
• |
the FDA's recall authority, whereby it can ask, or under certain conditions order, device manufacturers to recall from the market
a product that is in violation of governing laws and regulations; |
|
• |
regulations pertaining to voluntary recalls; and |
|
• |
notices of corrections or removals. |
We have registered our facilities with the
FDA as medical device manufacturers. The FDA has broad post-market and regulatory enforcement powers. We are subject to announced and
unannounced inspections by the FDA to determine our compliance with the QSR and other regulations and these inspections may include the
manufacturing facilities of our suppliers. In 2017, the FDA closed its pilot program for MDSAP (Medical Device Single Audit Program) and
began accepting third party inspection reports from approved Auditing Organizations in lieu of conducting its own routine surveillance
inspections. MDSAP audits are paid by the manufacturer and conducted annually. The FDA receives and reviews the MDSAP report and may respond
to the manufacturer with its own inspection if it deems the facility is not in control. If the FDA finds any failure to comply, the agency
can institute a wide variety of enforcement actions, ranging from a public warning letter to more severe sanctions such as fines, injunctions,
and civil penalties; recall or seizure of products; the issuance of public notices or warnings; operating restrictions, partial suspension
or total shutdown of production; refusing requests for 510(k) clearance or PMA approval of new products; withdrawing 510(k) clearance
or PMA approvals already granted; and criminal prosecution.
Advertising and promotion
of medical devices, in addition to being regulated by the FDA, are also regulated by the Federal Trade Commission and by state regulatory
and enforcement authorities. Recently, promotional activities for FDA-regulated products of other companies have been the subject of enforcement
action brought under healthcare reimbursement laws and consumer protection statutes. In addition, under the federal Lanham Act and similar
state laws, competitors and others can initiate litigation relating to advertising claims. If the FDA determines that our promotional
materials or training constitutes promotion of an unapproved use, it could request that we modify our training or promotional materials
or subject us to regulatory or enforcement actions, including the issuance of an untitled letter, a warning letter, injunction, seizure,
civil fine or criminal penalties. It is also possible that other federal, state or foreign enforcement authorities might take action
if they consider our promotional or training materials to constitute promotion of an unapproved use, which could result in significant
fines or penalties under other statutory authorities, such as laws prohibiting false claims for reimbursement. In that event, our
reputation could be damaged and adoption of the products would be impaired.
Furthermore, our products
could be subject to voluntary recall if we or the FDA determine, for any reason, that our products pose a risk of injury or are otherwise
defective. Moreover, the FDA can order a mandatory recall if there is a reasonable probability that our device would cause serious
adverse health consequences or death.
Unanticipated changes
in existing regulatory requirements or adoption of new requirements could have a material adverse effect on the Group. Any failure
to comply with applicable QSR or other regulatory requirements could have a material adverse effect on the Group’s revenues, earnings
and financial standing.
There can be no assurances that the Group
will not be required to incur significant costs to comply with laws and regulations in the future or that laws or regulations will not
have a material adverse effect upon the Group’s revenues, earnings and financial standing.
Clinical
Laboratory Improvement Amendments of 1988, (“CLIA”)
Purchasers of Trinity Biotech’s clinical
diagnostic products and our reference laboratory in the United States may be regulated under The Clinical Laboratory Improvements Amendments
of 1988 and related federal and state regulations. CLIA is intended to ensure the quality and reliability of clinical laboratories
in the United States by mandating specific standards in the areas of personnel qualifications, administration and participation in proficiency
testing, patient test management, quality control, quality assurance and inspections. The regulations promulgated under CLIA established
three levels of diagnostic tests (“waived”, “moderately complex” and “highly complex”) and the standards
applicable to a clinical laboratory depend on the level of the tests it performs. Laboratories performing high complexity testing
are required to meet more stringent requirements than laboratories performing less complex tests. In addition, we and our customers
are required to meet certain laboratory licensing requirements for states with regulations beyond CLIA. For more information on
state licensing requirements, see the sections entitled “Government Regulation – New York Laboratory Licensing” and
“Government Regulation – Other States’ Laboratory Licensing.”
Under CLIA, a laboratory is any facility
that performs laboratory testing on specimens derived from humans for the purpose of providing information for the diagnosis, prevention
or treatment of disease, or the impairment of or assessment of health.
CLIA requires that a laboratory hold a certificate
applicable to the type of laboratory examinations it performs and that it complies with, among other things, standards covering operations,
personnel, facilities administration, quality systems and proficiency testing, which are intended to ensure that clinical laboratory testing
services are accurate, reliable and timely. Laboratories must register and list their tests with the CMS, the agency that oversees
CLIA.
CLIA compliance and certification is also
a prerequisite to be eligible to bill for services provided to governmental payor program beneficiaries and for many private payors.
CLIA is user-fee funded. Therefore, all costs of administering the program must be covered by regulated facilities, including certification
and survey costs.
To renew the CLIA certificate for our Autoimmune
Reference Laboratory, we are subject to survey and inspection every two years to assess compliance with program standards. We also may
be subject to additional unannounced inspections. Laboratories performing high complexity testing are required to meet more stringent
requirements than laboratories performing less complex tests. CLIA requires full validation including accuracy, precision, specificity,
sensitivity and establishment of a reference range for any test used in clinical testing. The regulatory and compliance standards
applicable to the testing we perform may change over time and any such changes could have a material effect on our business.
Federal
Oversight of Laboratory Developed Tests and Research Use Only Products
Trinity Biotech supplies clinical laboratories
with raw materials, such as reagent products, that may be used by clinical laboratories in clinical laboratory tests, which are regulated
under CLIA, as well as by applicable state laws. Although the FDA has statutory authority to assure that medical devices are safe and
effective for their intended uses, the FDA has generally exercised its enforcement discretion and not enforced applicable regulations
with respect to laboratory developed tests, or LDTs. The FDA defines the term “laboratory developed test” as an in vitro
diagnostic test that is intended for clinical use and designed, manufactured and used within a single laboratory. Until 2014, the FDA
exercised enforcement discretion such that it did not enforce provisions of the Food, Drug and Cosmetic Act with respect to LDTs. In July
2014, due to the increased proliferation of LDTs for complex diagnostic testing, and concerns with several high-risk LDTs related to lack
of evidentiary support for claims and erroneous results, the FDA provided notice that it intended to issue draft guidance to collect information
from laboratories regarding their current LDTs and newly developed LDTs through a notification process. As part of developing this framework,
the FDA issued draft guidance in October 2014 that, when finalized, would adopt a risk-based framework that would increase FDA oversight
of LDTs. The FDA will use this information to classify LDTs and to prioritize enforcement of premarket review requirements for categories
of LDTs based on risk, using a public process. Specifically, FDA plans to use advisory panels to provide recommendations to the agency
on LDT risks, classification and prioritization of enforcement of applicable regulatory requirements on certain categories of LDTs, as
appropriate. FDA issued a discussion paper on LDTs in January 2017 discussing possible approaches to oversight of LDTs.
Some products are for research use only
(“RUO”), or for IUO. RUO and IUO products are not intended for human clinical use and must be properly labelled in accordance
with FDA guidance. Claims for RUOs and IUOs related to safety, effectiveness, or diagnostic utility or that it are intended for human
clinical diagnostic or prognostic use are prohibited. In November 2013, the FDA issued guidance titled “Distribution of In Vitro
Diagnostic Products Labelled for Research Use Only or Investigational Use Only - Guidance for Industry and Food and Drug Administration
Staff.” This guidance sets forth the requirements to utilize such designations, labelling requirements and acceptable distribution
practices, among other requirements. Mere placement of an RUO or IUO label on an in vitro diagnostic product does not render the device
exempt from otherwise applicable clearance, approval or other requirements. The FDA may determine that the device is intended for use
in clinical diagnosis based on other evidence, including how the device is marketed.
We cannot predict the potential effect the
FDA’s current and forthcoming guidance on LDTs and IUOs/RUOs will have on our reagents or materials that we market to the life sciences
industry, and that we may use in the development of assays in our reference laboratory. We cannot be certain that the FDA might not promulgate
rules or issue guidance documents that could affect our ability to sell these materials to the market. Should any of the reagents marketed
by us to the life sciences industry and used in conducting diagnostic services be affected by future regulatory actions, our business
could be adversely affected by those actions.
We cannot provide any assurance that FDA
regulation, including premarket review, will not be required in the future for LDTs that rely on our reagents or through our reference
laboratory, whether through additional guidance or regulations issued by the FDA, new enforcement policies adopted by the FDA or new legislation
enacted by Congress.
Legislative proposals addressing oversight
of LDTs were introduced in recent years and we expect that new legislative proposals will be introduced from time to time. It is possible
that legislation could be enacted into law or regulations or guidance could be issued by the FDA which may result in new or increased
regulatory requirements.
Product Imports/Exports
Products for export from the United States
are subject to foreign countries’ import requirements and the exporting requirements of the FDA, as applicable. In particular, international
sales of medical devices manufactured in the United States that are not approved or cleared by the FDA for use in the United States, or
are banned or deviate from lawful performance standards, are subject to FDA export requirements.
Foreign countries often require, among other
things, an FDA certificate for products for export, also called a Certificate for Foreign Government (“CFG”). To obtain this
certificate from the FDA, the device manufacturer must apply to the FDA. The FDA certifies that the product has been granted clearance
or approval in the United States and that the manufacturing facilities were in compliance with QSR regulations at the time of the last
FDA inspection. If the FDA determines that our facilities or procedures do not comply with the QSR regulations, it may refuse to provide
such certificates until we resolve the issues to the FDA’s satisfaction. Failure to obtain a CFG could inhibit our ability to export
our products to countries that require such certificates.
Export of products subject to 510(k) notification
requirements, but not yet cleared to market, are permitted without FDA export approval, if statutory requirements are met. Unapproved
products subject to PMA requirements can be exported to any country without prior FDA approval provided, among other things, they are
not contrary to the laws of the destination country, they are manufactured in substantial compliance with the QSR, and have been granted
valid marketing authorisation in Australia, Canada, Israel, Japan, New Zealand, Switzerland, South Africa or member countries of the European
Union or of the European Economic Area (“EEA”). FDA approval must be obtained for exports of unapproved products subject
to PMA requirements if these export conditions are not met.
There can be no assurance that Trinity Biotech
will meet statutory requirements and/or receive required export approval on a timely basis, if at all, for the marketing of its products
outside the United States.
Foreign Corrupt Practices
Act and Other Anti-Corruption Laws
The U.S. Foreign Corrupt Practices Act (“FCPA”),
to which we are subject, prohibits corporations and individuals from engaging in bribery and corruption when dealing with foreign government
officials and foreign political parties. It is illegal to corruptly offer, pay, promise, or authorize the giving of anything of value
to any officer or employee of a foreign government or public international organization, political party, political party official, or
political candidate, in an attempt to obtain or retain business or to otherwise improperly influence a person working in an official capacity
on behalf of a foreign government or public international organization. Our present and future business has and will continue to be subject
to the FCPA and various other laws, rules and/or regulations applicable to us as a result of our international sales. We also are subject
to the FCPA’s accounting provisions, which require us to keep accurate books and records and to maintain a system of internal accounting
controls sufficient to assure management’s control, authority, and responsibility over the company's assets. The failure to comply
with the FCPA and similar laws could result in civil or criminal sanctions or other adverse consequences.
The laws to which we are subject as a result
of our international sales also include the U.K. Bribery Act (the “Bribery Act”), which proscribes giving and receiving bribes
in the public and private sectors, bribing a foreign public official, and failing to have adequate procedures to prevent employees and
other agents from giving bribes. U.S. companies that conduct business in the United Kingdom generally will be subject to the Bribery Act.
Penalties under the Bribery Act include potentially unlimited fines for companies and criminal sanctions for corporate officers under
certain circumstances.
Healthcare Reform
The Protecting Access to Medicare Act
of 2014 (“PAMA”), which was signed into law on April 1, 2014, significantly alters the current payment methodology under the
Medicare Clinical Laboratory Fee Schedule, or CLFS. Under PAMA, beginning January 1, 2016, clinical laboratories must report laboratory
test contracted payment data for each Medicare-covered clinical diagnostic laboratory test that it furnishes during a time period to be
defined by future regulations, which we expect will cover the previous 12 months. The reported data must include the payment rate (reflecting
all discounts, rebates, coupons and other price concessions) and the volume of each test that was paid by each contracted private payor
(including health insurance issuers, group health plans, Medicare Advantage plans and Medicaid managed care organisations). Beginning
in 2017, the Medicare payment rate for each clinical diagnostic lab test is equal to the weighted median amount for the test from the
most recent data collection period.
Other recent laws make changes impacting
clinical laboratories, many of which have already gone into effect. The Patient Protection and Affordable Care Act, as amended by
the Health Care and Education Reconciliation Act, collectively, the Affordable Care Act (“ACA”), enacted in March 2010, among
other things:
| • |
includes a reduction in the annual update factor used to adjust payments under the CLFS for inflation. This update factor reflects
the consumer price index for all urban consumers, or CPI-U, and the ACA reduces the CPI-U by 1.75% for the years 2011 through 2015.
The Affordable Care Act also imposes a multifactor productivity adjustment in addition to the CPI-U, which may further reduce payment
rates; |
| • |
requires certain medical device manufacturers to pay an excise tax in an amount equal to 2.3% of the price for which such manufacturer
sells its medical devices that are listed with the FDA; and |
| • |
requires the coordination and promotion of research on comparative clinical effectiveness of different technologies and procedures,
initiatives to revise Medicare payment methodologies, such as bundling of payments across the continuum of care by providers and clinicians
and initiatives to promote quality indicators in payment methodologies. |
The Budget Control Act of 2011, among other
things, created measures for spending reductions by Congress. A Joint Select Committee on Deficit Reduction, tasked with recommending
a targeted deficit reduction of at least $1.2 trillion for the years 2013 through 2021, was unable to reach required goals, thereby triggering
the legislation’s automatic reduction (known as sequestration) to several government programs. This included aggregate reductions
to Medicare payments to providers of 2% per fiscal year, which went into effect on April 1, 2013 and, due to subsequent legislative amendments
to the statute, will remain in effect through 2024 unless additional Congressional action is taken.
Further, in February 2012, the Middle Class
Tax Relief and Job Creation Act of 2012 was passed, which, among other things, reduced by 2% the 2013 Medicare CLFS and rebased payments
at the reduced rate for subsequent years. Overall, when adding this 2% reduction to the ACA’s 1.75% reduction to the update factor
and the productivity adjustment, the payment rates under the CLFS declined by 2.95% and 0.75% for 2013 and 2014, respectively.
This reduction does not include the additional
sequestration adjustment. Lastly, on January 2, 2013, the American Taxpayer Relief Act of 2012 was signed into law, which, among
other things, increased the statute of limitations period for the government to recover overpayments to providers from three to five years.
State and Federal Privacy
and Security Laws
Under the federal Health Insurance Portability
and Accountability Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health Act, or collectively,
HIPAA, the U.S. Department of Health and Human Services (“HHS”), has issued regulations to protect the privacy and security
of individually identifiable health information, also known as protected health information (“PHI”), held, used or disclosed
by health care providers, such as our reference laboratory, and other covered entities.
HIPAA also regulates standardisation of
data content, codes and formats used in certain electronic health care transactions and standardisation of identifiers for health plans
and providers. HIPAA also governs patient access to laboratory test reports. Effective October 6, 2014, individuals (or their personal
representatives, as applicable) have the right to access test reports directly from laboratories and to direct that copies of those reports
be transmitted to persons or entities designated by the individual. Penalties for violations of HIPAA regulations include civil and criminal
penalties.
In addition to federal privacy regulations,
there are a number of state laws governing the privacy, confidentiality and security of individually identifiable health information and
other personal information that are applicable to our business. Where these state laws are stricter than the requirements imposed
by HIPAA or impose different or additional requirements than HIPAA, we may be subject to additional restrictions and liability above and
beyond HIPAA’s requirements.
The laws governing privacy and security
of health information and other personal information are rapidly changing and new laws governing privacy and security may be adopted in
the future as well. We can provide no assurance that we are or will remain in compliance with diverse privacy and security requirements
in all of the jurisdictions in which we do business or process personal information, or in which our patients reside, or that we will
be able to keep up with the cost of complying with new or additional requirements. Failure to comply with privacy and security requirements
could result in damage to our reputation, adversely affect customer or investor confidence in us and reduce the demand for our services
from existing and potential customers. In addition, we could face litigation, penalties and regulatory actions including civil or criminal
penalties and significant costs for compliance with new or changing requirements, all of which could generate negative publicity and which
could have a materially adverse effect on our business.
Federal and State Anti-Kickback
Laws
The Federal Anti-Kickback Statute makes
it a felony for a person or entity, including a laboratory, to knowingly and wilfully offer, pay, solicit or receive any remuneration,
directly or indirectly, to induce or in return for either the referral of an individual or the purchase, lease or order, or arranging
for the purchase, lease or order, of items, services or other business that is reimbursable under any federal health care program, including
Medicare and Medicaid. Courts have stated that an arrangement may violate the Anti-Kickback Statute if any one purpose of the arrangement
is to encourage patient referrals or other federal health care program business, regardless of whether there are other legitimate purposes
for the arrangement. In addition, a person or entity does not need to have actual knowledge of the statute or specific intent to
violate it in order to have committed a violation. The definition of "remuneration" has been broadly interpreted to include anything of
value, including for example, gifts, discounts, the furnishing of supplies or equipment, credit arrangements, payments of cash, waivers
of payments, ownership interests and providing anything at less than its fair market value. The Anti-Kickback Statute is broad and prohibits
many arrangements and practices that are lawful in businesses outside of the healthcare industry.
Recognising that the Anti-Kickback Statute
may technically prohibit innocuous or beneficial arrangements within the healthcare industry, HHS has issued a series of regulatory safe
harbours. Although full compliance with these safe harbours protects health care providers and other parties against prosecution
under the federal Anti-Kickback Statute, the failure of a transaction or arrangement to fit within a specific safe harbour does not necessarily
mean that the transaction or arrangement is illegal or that prosecution under the federal Anti-Kickback Statute will be pursued. Instead,
the legality of the arrangement will be evaluated on a case-by-case basis based on a cumulative review of all of its facts and circumstances.
Penalties for the Federal Anti-Kickback Statute violations are severe and include imprisonment, criminal fines, civil money penalties
and exclusion from participation in federal health care programs.
Federal and state law enforcement authorities
scrutinise arrangements between health care entities or providers and potential referral sources to ensure that the arrangements are not
designed as a mechanism to induce patient care referrals or induce the purchase or prescribing of particular products or services.
The law enforcement authorities, the Courts
and Congress have also demonstrated a willingness to look behind the formalities of a transaction to determine the underlying purpose
of payments between health care providers or entities and actual or potential referral sources.
Many states have also adopted statutes similar
to the federal Anti-Kickback Statute, some of which apply to payments in connection with the referral of patients for healthcare items
or services reimbursed by any source, not only governmental payor programs. There can be no assurance that our relationships with
physicians, hospitals, clinical laboratories and other customers will not be subject to investigation or challenge under such laws.
Physician Self-Referral
Prohibitions
In addition to the Anti-Kickback Statute,
a federal law directed at physician "self-referral," commonly known as the Stark Law, prohibits, among other things, physicians who personally
or through an immediate family member, have a financial relationship, including an investment, ownership or compensation relationship
with an entity, including clinical laboratories, from referring Medicare patients to that entity for designated health services, which
include clinical laboratory services, unless an exception applies. In addition, the clinical laboratory is prohibited from billing for
any tests performed pursuant to a prohibited referral. Recent Court cases have extended the Stark law's prohibition to referral
of Medicaid patients as well. A person who engages in a scheme to circumvent the Stark Law's referral prohibition may be fined up
to US$100,000 for each such arrangement or scheme. In addition, any person who presents or causes to be presented a claim to the Medicare
or Medicaid programs in violation of the Stark Law is subject to civil monetary penalties of up to US$15,000 per bill submission, an assessment
of up to three times the amount claimed and possible exclusion from participation in federal governmental payor programs. Bills submitted
in violation of the Stark Law may not be paid by Medicare or Medicaid and any person collecting any amounts with respect to any such prohibited
bill is obligated to refund such amounts. Many states also have anti- "self-referral" and other laws that are not limited to Medicare
and Medicaid referrals.
Like the Anti-Kickback Statute, the Stark
Law is broad in its application to health care transactions and arrangements. Accordingly, the Stark Law contains many exceptions, which
protect certain arrangements and transactions from the Stark Law penalties. The Stark Law is a strict liability statute, however, so intent
is irrelevant, i.e., a physician's financial relationship with a laboratory must meet an exception
under the Stark Law, or the referrals are prohibited. Thus, unlike the Anti-Kickback Statute's safe harbours, if a laboratory's
financial relationship with a referring physician does not meet the requirements of a Stark Law exception, then the physician is prohibited
from making Medicare and Medicaid referrals to the laboratory and any such referrals will result in overpayments to the laboratory and
subject the laboratory to the Stark Law's penalties. Many states have also adopted statutes similar to the Stark Law, some of which
apply to payments in connection with the referral of patients for healthcare items or services reimbursed by any source, not only governmental
payor programs.
Civil Monetary Penalties
Law
The federal Civil Monetary Penalties Law,
among other things, prohibits the offering or giving of remuneration, including the provision of free items and services, to a Medicare
or Medicaid beneficiary that the person knows or should know is likely to influence the beneficiary's selection of a particular supplier
of items or services reimbursable by a federal or state governmental program. Violations could lead to civil money penalties of up to
$10,000 for each wrongful act, assessment of three times the amount claimed for each item or service and exclusion from the federal healthcare
programs.
Federal Physician Payment
Sunshine Act
The U.S. Physician Payment Sunshine Act
requires certain manufacturers of drugs, biologics, devise and medical supplies to record any transfers of value to certain U.S. healthcare
providers and U.S. teaching hospitals. These payments and transfers of value must be reported annually to CMS Open Payments.
Sunshine Act reporting requirements were expanded in 2021 to include any payments and transfers of value to physician assistants, nurse
practitioners, clinical nurse specialists, certified nurse anaesthetists, and certified nurse-midwives. Failure to comply with Sunshine
Act reporting requirements may result in civil monetary penalties of up to $100,000 for each knowing violation.
Other Federal and State
Fraud and Abuse Laws
In addition to the requirements discussed
above, several other health care fraud and abuse laws apply to our business. For example, provisions of the Social Security Act permit
Medicare and Medicaid to exclude an entity that charges the federal health care programs substantially in excess of its usual charges
for its services. The terms "usual charge" and "substantially in excess" are ambiguous and subject to varying interpretations.
HIPAA also created federal criminal statutes
that prohibit, among other actions, knowingly and willfully executing or attempting to execute, a scheme to defraud any healthcare benefit
program, including private third-party payors, and 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. Similar to the Anti-Kickback Statute, a person or entity does not need to have actual knowledge of these statutes or
specific intent to violate them in order to have committed a violation.
A violation of each of these statutes is
a felony and may result in fines, imprisonment or exclusion from governmental payor programs. Many states have similar statutes
that may carry significant penalties.
The Federal False Claims Act prohibits a
person from knowingly submitting a claim, making a false record or statement in order to secure payment or retaining an overpayment by
the federal government. Actions which violate the Anti-Kickback Statute or Stark Law also incur liability under the False Claims Act.
In addition to actions initiated by the government itself, the statute’s “qui tam” provisions authorise actions to be
brought on behalf of the federal government by a private party having knowledge of the alleged fraud.
Because the complaint is initially filed
under seal, the action may be pending for some time before the defendant is even aware of the action. If the government is ultimately
successful in obtaining redress in the matter or if the plaintiff succeeds in obtaining redress without the government's involvement,
then the plaintiff will receive a percentage of the recovery.
When an entity is determined to have violated
the False Claims Act, it may be required to pay up to three times the actual damages sustained by the government, plus civil penalties
ranging from $5,500 to $11,000 for each separate false claim, exclusion from participation in federal health care programs and criminal
penalties. Several states have also adopted comparable state false claims act, some of which apply to all payors.
The ACA, among other things, also imposed
new reporting requirements on manufacturers of certain devices, drugs and biologics for certain payments and transfers of value by them
and in some cases their distributors to physicians and teaching hospitals, as well as ownership and investment interests held by physicians
and their immediate family members.
New
York Laboratory Licensing
Because our reference laboratory located
in New York receives specimens from New York State, our clinical reference laboratory is required to be licenced under New York laws and
regulations, which establish standards for, among other things:
|
• |
day-to-day operation of a clinical laboratory, including training and skill levels required of laboratory personnel; |
|
• |
physical requirements of a facility; |
|
• |
validation and quality control. |
New York law also mandates proficiency testing
for laboratories licenced under New York state law, regardless of whether such laboratories are located in New York. If a laboratory is
out of compliance with New York statutory or regulatory standards, the state regulatory agency may suspend, limit, revoke or annul the
laboratory's New York licence, censure the holder of the licence or assess civil money penalties. Statutory or regulatory noncompliance
may result in a laboratory's operator being found guilty of a misdemeanor under New York law. The state regulatory agency also must approve
any LDT before the test is offered in New York. Should we be found out of compliance with New York laboratory requirements, we could be
subject to such sanctions, which could harm our business. We cannot provide assurance that the state will at all times find us to be in
compliance with applicable laws.
Other States' Laboratory
Licensing
In addition to New York, other states including
California, Florida, Maryland, Pennsylvania and Rhode Island, require licensing of out-of-state laboratories under certain circumstances.
From time to time, we may become aware of other states that require out-of-state laboratories to obtain licensure in order to accept specimens
from the state and it is possible that other states do have such requirements or will have such requirements in the future.
Regulation outside the
United States
Distribution of Trinity Biotech’s
products outside of the United States is also subject to foreign regulation. Each country’s regulatory requirements for product
approval and distribution are unique and may require the expenditure of substantial time, money, and effort. We are also subject
to regulations in foreign countries governing products, human clinical trials and marketing, and may need to obtain approval (or pre-qualification
or endorsement) from local regulators in such countries or international public health agencies, such as the World Health Organization,
in order to sell products in certain countries. Approval processes vary from country to country, and the length of time required for approval
or to obtain other clearances may in some cases be longer than that required for U.S. governmental approvals. We generally pursue approval
only in those countries that we believe have a significant market opportunity.
The International Organization for Standardization
(“ISO”) is a worldwide federation of national standards bodies from some 130 countries, established in 1947. The mission of
the ISO is to promote the development of standardization and related activities in the world with a view to facilitating the international
exchange of goods and services. ISO 13485 certification indicates that our quality system complies with standards applicable to activities
ranging from initial product design and development through production and distribution.
In the European Union (EU), diagnostic
products are also categorized into four risk categories and the regulatory process, which is governed by the European In Vitro Diagnostic
Medical Device Regulation (Regulation (EU) 2017/746) with 3 of the product categories requiring review and approval by an independent
company, known as a Notified Body, before the manufacturer can affix a CE mark to the product to declare conformity to the Regulation.
The remaining product category, where - low patient and public health risk is presented, only require a self-certification process.
In the medical devices segment, the research
and development process begins with research on a specific technology that is evaluated for feasibility and commercial viability. If the
research program passes that hurdle, it moves forward into development. The development process includes evaluation, selection and qualification
of a product design, completion of applicable clinical trials to test the product’s safety and efficacy, and validation of the manufacturing
process to demonstrate its repeatability and ability to consistently meet pre-determined specifications.
In the EU, medical devices are also categorized into different
classes and the regulatory process, which is governed by the European Medical Device Regulation (Regulation (EU) 2017/745, requires each
product to bear a CE mark to show compliance with the Regulation.
Some products require submission of a design
dossier to the appropriate regulatory authority for review and approval prior to CE marking of the device. For other products, the company
is required to prepare a technical file which includes testing results and clinical evaluations but can self-certify its ability to apply
the CE mark to the product. Outside the U.S. and the EU, the regulatory requirements vary across different countries and regions.
There can be no assurance that new laws
or regulations will not have a material adverse effect on Trinity Biotech’s business, financial condition, and results of operation.
The time required to obtain needed product approval by particular foreign governments may be longer or shorter than that required for
FDA clearance or approval. There can be no assurance that Trinity Biotech will receive on a timely basis, if at all, any foreign
government approval necessary for marketing its products.
C. Organizational Structure
Please refer to Note 30
to our audited consolidated financial statements (“Group Undertakings”) included elsewhere in this Annual Report for a listing
of our significant subsidiaries, including name, country of incorporation, and proportion of ownership interest.
D. Property, Plants and
Equipment
Our headquarters, manufacturing and research and development
facilities as well as our sales offices are located in Bray Ireland. We have entered into a number of related party transactions with
JRJ Investments (“JRJ”), a partnership currently owned by Mr Ronan O’Caoimh and Dr Walsh, directors of the Company,
and directly with Mr O’Caoimh, to provide premises in Bray, Ireland. We entered into an agreement for a 25 year lease with JRJ effective
from December 2003 for 15,780 square feet of offices at an annual rent of €381,000 (US$406,000). In 2007 we entered into a 25-year
lease agreement with JRJ for a 43,860 square foot manufacturing facility in Bray, Ireland with an annual rent of €787,605 (US$838,000).
Subsequent to the signing of this lease, the ownership of the building transferred from JRJ to Mr O’Caoimh solely. In 2016, we entered
into a 10-year lease with Mr. O’Caoimh for a warehouse adjacent to our leased manufacturing facility in Bray, Ireland. The warehouse
is 16,000 square feet with an annual rent of €144,000 (US$153,000). In late 2020, the Group occupied some additional space adjoining
the warehouse owned by Mr O’Caoimh. This was a short-term arrangement, and no payments were made for the additional space during
2020 and 2021. The Company vacated this space in 2021. In 2022, the rent payable to Mr O’Caoimh of US$90,000 was settled. See Item
7 – Major Shareholders and Related Party Transactions.
For the majority of
2022, we had six main manufacturing sites worldwide, five in the Americas (Amherst, Williamsville and Jamestown, NY, Kansas City, MO,
and Extrema, Brazil), and one in Bray, Ireland. In November 2022 the number of manufacturing sites was reduced to five when we vacated
the site located in Amherst and consolidated our Buffalo operations in the nearby existing Williamsville site. An additional facility
is owned in Burlington, Canada which serves as a distribution centre and also carries out some research and development activities.
The U.S. and Irish facilities are each FDA
registered and ISO certified facilities. As part of our ongoing commitment to quality, each Trinity Biotech facility was granted
the latest ISO 13485 certification. This certification was granted by internationally recognised notified bodies. This serves
as external verification that Trinity Biotech has established an effective quality system in accordance with an internationally recognised
standard. By having an established quality system there is a presumption that we will consistently manufacture products in a controlled
manner. To achieve this certification, each Trinity Biotech facility performed an extensive review of the existing quality system
and implemented any additional regulatory requirements.
The facilities at Jamestown, NY, Kansas
City, MO and Bray, Ireland also achieved certification to the requirements of the Medical Device Single Audit Programme (MDSAP).
The Medical Device Single Audit Program allows an MDSAP recognized Auditing Organization to conduct a single regulatory audit of a medical
device manufacturer that satisfies the relevant requirements of the regulatory authorities participating in the program. International
regulatory authorities that are participating in the MDSAP include, US Food and Drug Administration, Therapeutic Goods Administration
of Australia, Brazil’s Agência Nacional de Vigilância Sanitária, Health Canada, Japan’s Ministry of Health,
Labour and Welfare, and the Japanese Pharmaceuticals and Medical Devices Agency The World Health Organization (WHO) Prequalification of
In Vitro Diagnostics (IVDs) Programme and the European Union (EU) are Official Observers.
Trinity Biotech USA operates from a 25,610
square foot FDA registered facility in Jamestown, New York. The facility was purchased in 1994. Additional warehousing space is rented
in Jamestown, New York at an annual rental charge of US$203,000.
Primus Corp. operates from a 39,000 square
foot facility in Kansas City, Missouri and an adjacent 13,500 square foot facility mainly used for warehousing. The leases on these properties
run until 2025 and 2027 respectively and annual rents are US$133,000 and US$61,000 respectively.
For the majority of 2022, Immco Diagnostics
Inc. operated from a 20,520 square foot facility in Amherst, New York and a 31,731 square foot facility in Williamsville, New York. The
lease for the Amherst site expired in November 2022. In November 2022, we vacated the site located
in Amherst, Buffalo and consolidated our Buffalo operations into the nearby site at Williamsville. The lease for the Williamsville
site expires in 2034. The annual rent for the now vacated Amherst facility was US$259,000. The Williamsville facility’s annual rent
is currently US$405,000, rising to US$452,000 by 2029. An additional 5,120 square foot facility is owned by Trinity Biotech in Burlington,
Canada.
Additional office and factory space is leased
by the Group in Acton, Massachusetts, Sao Paulo, Brazil and Extrema, Brazil at an annual cost of US$104,000, US$11,000 and US$58,000 respectively.
At present, we have sufficient productive
capacity to cover demand for our product range. We continue to review our level of capacity in the context of future revenue forecasts.
In the event that these forecasts indicate capacity constraints, we will either obtain new facilities, expand our existing facilities
or outsource operations.
The following are the facilities where the
Group currently manufactures products:
Bray,
Ireland – Point-of-Care/HIV, Clinical Chemistry products are manufactured
at this site.
Jamestown,
New York – this site specializes in the production of Microtitre Plate
EIA products for infectious diseases and auto-immunity. Viral Transport Media products are also manufactured at this facility.
Kansas
City, Missouri – this site is responsible for the manufacture of the
Group’s haemoglobin range of products. It also carries out all of the Group’s haemoglobin RD activities.
Buffalo,
New York – this site is responsible for the manufacture of autoimmune
test kits along with its reference laboratory business.
Extrema,
Brazil - this site is responsible for the manufacture of some of the haemoglobin range of products sold in Brazil.
We are in material compliance with all environmental
legislation, regulations and rules applicable in each jurisdiction in which we operate.
Principal Capital Expenditure
and Divestitures
Our principal capital
expenditure in the last three financial years has been on developing new products internally. The amount capitalized for development projects
has been US$4.5million, US$6.8 million, US$6.9 million for years ended December 31, 2022, 2021 and 2020 respectively. In 2023, we expect
the capital expenditure on development projects will be in the range US$1,400,000 to US$2,400,000, however this remains subject to ongoing
review.
| Item 4A. |
Unresolved Staff Comments |
Not applicable.
| Item 5. |
Operating and Financial
Review and Prospects |
Overview
We develop, manufacture and market diagnostic
test kits used for the clinical laboratory and Point-of-Care (“POC”) segments of the diagnostic market. These test kits are
used to detect infectious diseases, sexually transmitted diseases, blood disorders and autoimmune disorders, as well as monitoring and
diagnosing diabetes and haemoglobin variants. The Group markets hundreds of different diagnostic products in approximately 100 countries.
In addition, the Group manufactures its own diagnostic instrumentation. Through our Fitzgerald subsidiary, we are a provider of raw materials
to the life sciences industry.
Our consolidated financial statements include
the attributable results of Trinity Biotech plc and all its subsidiaries. This discussion covers the years ended December 31, 2022
and December 31, 2021 and should be read in conjunction with the consolidated financial statements and notes thereto appearing elsewhere
in this Form 20-F. The financial statements have been prepared in accordance with IFRS both as issued by the International Accounting
Standards Board (“IASB”) and as subsequently adopted by the European Union (“EU”) (together “IFRS”).
Consolidated financial statements are required by Irish law to comply with IFRS as adopted by the EU which differ in certain respects
from IFRS as issued by the IASB. These differences predominantly relate to the timing of adoption of new standards by the EU. However,
as none of the differences are relevant in the context of Trinity Biotech, the consolidated financial statements for the periods presented
comply with IFRS both as issued by the IASB and as adopted by the EU.
We have relied on an exemption under the
SEC’s rules to prepare consolidated financial statements without a reconciliation to U.S. generally accepted accounting principles
(“U.S. GAAP”) as at and for the three year period ended December 31, 2022 as Trinity Biotech is a foreign private issuer
and the financial statements have been prepared in accordance with IFRS as issued by the IASB.
Factors
affecting our results
The global diagnostics market is growing
due to, among other reasons, the ageing population and the increasing demand for rapid tests in a clinical environment.
Our revenues are directly related to our
ability to identify significant revenue-generating products, carry out the necessary development work and to bring them to market quickly
and effectively. Efficient and productive research and development is crucial in this environment as we, like our competitors, search
for effective and cost-efficient solutions to diagnostic problems. The growth in new technology will almost certainly have a fundamental
effect on the diagnostics industry as a whole and upon our future development.
The comparability of our financial results
for the years ended December 31, 2022 and 2021 were impacted by impairment losses as a result of impairment reviews during the years
ended December 31, 2022 and 2021 (See Item 18, Note 12).
For further information about the Group’s
principal products, principal markets and competition please refer to Item 4, “Information on the Company”.
Going Concern
The accompanying consolidated financial
statements have been prepared assuming that the Company will continue as a going concern, which contemplates the realization of assets
and the discharge of liabilities in the normal course of business for the foreseeable future.
As reflected in the accompanying consolidated
financial statements, for the years ended December 31, 2022 and 2021, we recorded a loss of US$41.0 million and a profit of US$0.9 million,
respectively. In addition, for the years ended December 31, 2022 and 2021, we reported cash outflows of US$19.2 million and US$1.5 million,
respectively. As of December 31, 2022, we had net current assets of US$29.3 million but had an accumulated deficit in equity attributable
to the equity holders of the Company of US$2.2 million.
The directors have considered the Group’s
current financial position and cash flow projections, taking into account all known events and developments including the amendment and
restatement of the term loan with Perceptive, and the divestiture of the Fitzgerald Industries life sciences supply business. The
directors believe that the Group will be able to continue its operations for at least the next 12 months from the date of this report,
and that it is appropriate to continue to prepare the consolidated financial statements on a going concern basis.
At the date of this report, the Group’s
liquidity position has substantially improved following the sale of its Fitzgerald life sciences business for cash proceeds of approximately
$30 million (subject to customary adjustments). This transaction substantially improves the Group’s capital structure by reducing
gross debt by approximately US$10 million; with the balance of the proceeds (net of costs) providing significant capital for growth, transformation,
and potentially further debt reduction. There are no material debt maturities until 2026.
Impact
of Currency Fluctuation
Trinity Biotech’s revenue and expenses
are affected by fluctuations in currency exchange rates especially the exchange rate between the US Dollar and the Euro, the Brazilian
Real and Canadian Dollar. Trinity Biotech’s revenues are primarily denominated in US Dollars and its expenses are incurred principally
in US Dollars, Euro and Brazilian Real. The weakening of the US Dollar could have an adverse impact on future profitability.
Trinity Biotech holds most of its cash assets
in US Dollars. As Trinity Biotech reports in US Dollars, fluctuations in exchange rates do not result in exchange differences on these
cash assets. Fluctuations in the exchange rate between the Euro or Brazilian Real and the US Dollar may impact on the Group’s
Euro or Real monetary assets and liabilities and on Euro, Swedish Krona or Real expenses and consequently the Group’s earnings.
Impact of Covid-19 Pandemic
Our revenues decreased by US$18.2 million
or 19.6% in 2022 compared to 2021. The decrease is mainly due to lower sales of our COVID-19 focussed PCR Viral Transport Media products,
as a result of the curtailing of large-scale PCR testing of the population in North America. Outside of our PCR Viral Transport Media
products, the COVID-19 pandemic had an insignificant impact on our revenues in 2022, except for sales of infectious diseases products
in China, where sales opportunities were hindered by a return to COVID-19 quarantine restrictions.
Covid-19
products
We developed three
different Covid-19 diagnostic tests, namely a COVID-19 antibody test using an ELISA platform, a COVID-19 rapid antibody test and a rapid
COVID-19 antigen test. To date we have not commercialised any of these tests. The antigen test is approved for professional use in the
EU. However, the demand for our COVID-19 portfolio of products is highly uncertain and very difficult to predict and in our experience
the market has moved to over-the-counter rapid COVID-19 tests, for which this product is not yet approved. As such the Company’s
efforts to commercialise this test have been unsuccessful. In addition, pricing for rapid COVID-19 tests in the EU is relatively weak,
with stronger pricing available in, for example, the US market, for which this product is not yet approved. Given the market outlook for
rapid COVID-19 testing products and continued uncertainty regarding regulatory approval pathways in key markets, including the US, management
chose not to immediately pursue further regulatory approvals but does intend to monitor these markets and regulatory pathways with a view
to potentially seeking additional regulatory approvals. We have no imminent plans to pursue these regulatory approvals.
Operations
and Employee Safety
In response to the
COVID-19 pandemic, we implemented health and safety policies to help safeguard our on-site employees and maintain business continuity,
and these policies resulted in enhanced cleaning procedures, additional personal hygiene supplies and protective equipment. Where practical,
we facilitated many employees to work remotely. Since the beginning of the pandemic, we have been able to maintain our operations without
significant interruption. As the effects of the pandemic eased in 2022, some of these health and safety policies were relaxed where appropriate.
Remote workers have been encouraged to attend our offices more frequently.
Supply
Chains
In common with most
companies, the pandemic caused delays in our supply chain, which have to a large extent been eliminated. We are continuously evaluating
our supply chain to identify potential gaps and take steps intended to ensure continuity.
Outlook
The extent to which
demand for our Covid-19 portfolio of products is sustained into 2023 and beyond is highly uncertain and very difficult to predict. Widespread
public testing programmes for COVID-19 using PCR tests have largely been discontinued across North America. In 2022, PCR VTM revenues
accounted for approximately 4% of total Group revenues. We expect the amount of our Covid-19 portfolio of products as a percentage of
total Group revenues to diminish further in 2023.
Year ended December 31,
2022 compared to the year ended December 31, 2021
Revenues
Trinity Biotech’s revenues for the
year ended December 31, 2022 were US$74.8 million compared to revenues of US$93.0 million for the year ended December 31, 2021, which
represents a decrease of US$18.2 million or 19.6%.
The decrease is mainly due to lower sales
of our PCR Viral Transport Media (“VTM”) products. In 2020-21, demand for VTM products was very strong with demand exceeding
supply due to a limited worldwide manufacturing capacity. As the pandemic persisted, manufacturing capacity ramped up significantly with
a consequent negative impact on selling prices. Excluding our Covid focused PCR VTM products, 2022 revenues of US$71.5 million were 1.0%
lower than in 2021.
The following table sets forth selected
sales data for each of the periods indicated.
|
|
|
Year ended December 31, |
|
|
|
|
|
|
|
2022
US$’000 |
|
|
2021
US$’000 |
|
|
% Change |
|
|
Revenues |
|
|
|
|
|
|
|
|
|
|
|
|
Clinical laboratory goods |
|
|
58,294 |
|
|
|
74,700 |
|
|
|
(22.0% |
) |
|
Clinical laboratory services |
|
|
7,272 |
|
|
|
7,928 |
|
|
|
(8.3% |
) |
|
Point-of-Care |
|
|
9,213 |
|
|
|
10,337 |
|
|
|
(10.9% |
) |
| |
|
|
74,779 |
|
|
|
92,965 |
|
|
|
(19.6% |
) |
Clinical Laboratory Goods
Clinical Laboratory goods revenues decreased
by US$16.4 million in 2022, which represents a decrease of 22.0%. The decrease is mainly due to lower sales of our PCR VTM product. The
decrease is mainly due to lower sales volumes for our COVID-19 VTM products. While the outlook relating to COVID-19 products remains unpredictable,
the Company has retained the capability to flex manufacturing volumes should market conditions warrant it.
Partly offsetting the reduction in revenues
from our PCR VTM products was a continued strong performance in our haemoglobins product line, particularly for our diabetes products
which recorded a year-on-year revenue increase of US$4.2m or 26.6%. The growth driver in this product line is the higher instrument installed
base and continuing high incidence of diabetes, particularly in Asia and Latin America.
Fitzgerald Industries, our life science
raw materials recorded single digit revenue growth in 2022. Autoimmune product revenues in 2022 recorded a slight decrease of US$0.2 million
compared to 2021, mainly due to lower sales in Europe.
Clinical Laboratory Services
Our New York reference laboratory offers laboratory-testing
services for autoimmune disorders, such as Sjogren’s syndrome, hearing loss, celiac disease, lupus, rheumatoid arthritis and systemic
sclerosis. Revenues for the laboratory decreased by 8.3% to US$7.3 million. While revenues for our proprietary Sjogren’s syndrome
test increased by 11% compared to 2021 these were offset by a reduction in testing for other disorders due to customer attrition. In addition,
the laboratory has provided transplant testing services to a local healthcare provider for a number of years, however in early 2023 that
healthcare provider informed the Company that it was moving to a different service provider and this will result in lost revenues for
the laboratory beginning quarter 2, 2023.
Point-of-Care
Point-of-Care revenues decreased from US$10.3
million in 2021 to US$9.2 million in 2022, a decrease of US$1.1 million or 10.9%. This decrease reflected significant non-recurring bulk
orders of HIV tests from Nigeria in 2021.
Revenues by Geographical
Region
The following table sets forth selected sales data, analysed
by geographic region, based on location of customer:
|
|
|
Year ended December 31, |
|
|
|
|
|
|
|
2022
US$‘000 |
|
|
2021
US$‘000 |
|
|
% Change |
|
|
Revenues |
|
|
|
|
|
|
|
|
|
|
|
|
Americas |
|
|
40,176 |
|
|
|
57,799 |
|
|
|
(30.5% |
) |
|
Asia/Africa |
|
|
25,022 |
|
|
|
25,504 |
|
|
|
(1.9% |
) |
|
Europe |
|
|
9,581 |
|
|
|
9,662 |
|
|
|
(0.8% |
) |
|
Total |
|
|
74,779 |
|
|
|
92,965 |
|
|
|
(19.6% |
) |
In the Americas, revenues decreased US$17.6
million or 30.5% mainly due to decreased sales of our VTM products which were used in the COVID-19 testing programs in U.S. and Canada.
To a lesser extent, haemoglobin revenues were impacted by the discontinuation of sales of the Ultra II instrument reagents in U.S. in
the early part of 2021.
In Asia/Africa, revenues decreased by 1.9%,
or US$0.5 million compared to 2021. The decrease is mainly due to lower Point-of-Care revenues in Africa reflecting significant non-recurring
bulk orders of HIV tests from Nigeria in 2021 and lower sales of infectious diseases products to China due to strict public health quarantines
which limited patients’ ability to visit hospitals and clinics to get tested for diseases. This was largely offset by an increase
in haemoglobins revenues in Asia. There was particularly strong demand for our diabetes products in Asia with year-on-year revenue
growth of 36%. We continue to scale our commercial coverage in these markets where the increase in the incidence of diabetes and propensity
for haemoglobin variants is at some of its highest rates and our boronate affinity technology has a particular competitive advantage.
In Europe, revenues decreased by US$0.1
million, or 0.8% compared to 2021. There were decreased revenues for autoimmune and clinical chemistry products, with the latter being
caused by supply chain issues for a key raw material which limited our production output of the oxalate and G6PDH products. These decreases
were largely offset by strong European demand for our haemoglobins products and for our life science business, Fitzgerald Industries.
Cost of sales, gross profit
and gross margin
Total cost of sales decreased by US$2.2
million from US$54.9 million for the year ended December 31, 2021 to US$52.7 million, for the year ended December 31, 2022, a decrease
of 3.9%. This resulted in a gross profit for 2022 of US$22.0 million compared to a gross profit for 2021 of US$38.1 million. The gross
margin of 29.5% in 2022 compares to a gross margin of 41.0% in 2021.
The gross profit for the year ended December
31, 2022 reflects significant excess inventory and obsolescence charges of US$4.7m recorded in Q3 2022, consisting of the following:
|
i. |
VTM inventory write down (US$3.5 million) – as disclosed previously, we have not seen any evidence during the winter season
of 2022-23 of significant peaks in demand for VTM products. This has led management to revisit our strategy of maintaining significant
levels of raw materials inventory to meet demand peaks. Consequently, the value of inventory was written down in Q3, 2022 to our
estimate of its net realisable value. |
|
ii. |
Other inventory write down (US$0.9 million) - the value of certain excess raw materials and work in progress was written down in
Q3, 2022 following a review and an update to our relevant quality assurance policy. |
|
iii. |
Tri-stat inventory write down (US$0.3 million) - as disclosed previously, we undertook a strategic review of our Tri-stat instrument
line as part of a broader review of our haemoglobins product portfolio. Management decided to limit sales of Tri-stat to certain targeted
partnerships and as a consequence the value of this inventory was written down to reflect the revised outlook. |
Excluding the effect of these significant
excess inventory and obsolescence charges of US$4.7 million, the gross margin was 35.8% for fiscal year 2022, compared to 41.0% for the
year ended December 31, 2021. The remainder of the reduction in gross margin in the year ended December 31, 2022 compared
to year ended December 31, 2021 is largely due to sales mix changes, particularly the reduction in higher margin PCR VTM, inflationary
increases in the price of raw materials and an under recovery of labour and overhead costs at three of our manufacturing facilities due
to reduced production activity, partially driven by limited VTM production. To mitigate the impact of rising input costs, management implemented
sales price increases where appropriate.
Other
operating income
Other operating income decreased from US$4.7 million in the year ended December 31, 2021 to US$0.3 million
in the year ended December 31, 2022. Other operating income in 2022 consist of government grants for RD activities. In 2021, the
US$4.7 million of Other operating income related to loan funding received in 2020 and 2021 under the U.S. government’s Paycheck
Protection Program (“PPP”). Six PPP loans received by the Company in 2020-21, totalling US$4.7 million, were forgiven during
year ended December 31, 2021 and were therefore recognised as income in 2021. No funding was received under the U.S. government’s
PPP program in the year ended December 31, 2022.
Research
and development expenses
Research and development expenses declined
from US$4.5 million in the year ended December 31, 2021 to US$4.1 million when compared to the year ended December 31, 2022, a decrease
of 8.0% mainly due to our lower headcount.
Selling,
general and administrative expenses
Selling, general and administrative (SGA)
expenses increased from US$24.7 million in the year ended December 31, 2021 to US$29.2 million in the year ended December 31, 2022, an
increase of US$4.5 million or 18.2%. The main reasons for this increase are as follows:
|
o |
The share-based payments expense was US$0.7m higher in 2022 compared to 2021, mainly due to share options granted during 2022. The
majority of the options granted in 2022 are performance share options and are structured such that they are exercisable only if the market
price for Company’s ADSs exceeds certain levels ($3.00, $4.00 and $5.00 per ADS) during the life of the option. These performance
share options align the goals of our team and our shareholders in the creation of shareholder value. |
|
o |
With the lifting of COVID-related travel restrictions, we have tasked our sales and marketing teams to increase travel to customers
and trade shows as we continue to revitalise our sales activities. Similarly, some key functional leaders based in Ireland have resumed
visits to our overseas facilities as we seek to drive operational efficiencies. All of this has led to an approximately US$1.1 million
increase in travel and promotional costs in 2022. |
|
o |
Due diligence and other legal and professional fees increased by approximately US$0.8 million in 2022 as we took an active, but disciplined,
approach to pursuing a pipeline of attractive MA opportunities. |
|
o |
Non-recurring professional fees, primarily associated with the debt refinancing, of US$0.6 million were expensed in 2022. |
|
o |
Increased expected credit loss on trade receivables, with the majority of the increase due to one distributor. |
|
o |
Higher recruitment fees in 2022 due to the hiring of more employees in senior management roles. |
Impairment
charges
The Company recognised impairment charges
of US$5.8 million in the year ended December 31, 2022, compared to US$6.9 million for the year ended December 31, 2021.
It was determined that four internally developed
products had a recoverable amount of zero and the total impairment charge for these was US$4.6 million. They comprise the following:
|
o |
Autoimmune smart reader (impairment charge US$1.3 million) - there is significant uncertainty whether the Company will complete the
project to develop its own in-house autoimmune smart reader. While we may re-visit this decision in the future, in the interests of prudence
we impaired the project’s carrying value. |
|
o |
Tri-stat instrument (impairment charge US$1.0 million) - following a strategic review of the Tri-stat instrument, it was decided
that Tri-stat sales would be restricted to only certain targeted partnerships, and this led to an impairment in the carrying value of
the Tri-stat intangible asset. |
|
o |
COVID-19 antigen test on a rapid lateral flow format (impairment charge US$2.2 million) - this test is approved for professional
use in the EU. However, the demand for our COVID-19 portfolio of products is highly uncertain and very difficult to predict and in our
experience the market has moved to over the counter (“OTC”) rapid COVID-19 tests, for which this product is not yet approved.
As such the Company’s efforts to commercialise this test have been unsuccessful. In addition, pricing for rapid COVID-19 tests in
the EU is relatively weak, with stronger pricing available in, for example, the US market, for which this product is not yet approved.
Given the market outlook for rapid COVID-19 testing products and continued uncertainty regarding regulatory approval pathways in key markets,
including the US, management chose not to immediately pursue further regulatory approvals but does intend to monitor these markets and
regulatory pathways with a view to potentially seeking additional regulatory approvals. As the Company has no imminent plans to pursue
these regulatory approvals, under IFRS accounting rules these intangible assets were written down to zero. |
|
o |
COVID-19 test on an ELISA format (impairment charge US$0.1 million) – this development project was written off because the
market changed and there was no demand for a test on this format. |
The impairment test on our cash-generating
units performed as at June 30, 2022, identified an impairment loss of US$0.5 million in two cash-generating units, namely Biopool US Inc
and Trinity Biotech Do Brasil. The impairment test on our cash-generating units performed as at December 31, 2022 identified an impairment
loss of US$0.7 million in two cash-generating units, namely Clark Laboratories Inc and Trinity Biotech Do Brasil. For further details,
see Item 18, Notes 11, 12 and 16.
Operating
Loss
Operating loss for the year ended December 31, 2022 was US$16.8m,
compared to an operating profit of US$6.6m in the year ended December 31, 2021. The reduction in profitability was mainly attributable
to decreased revenues, lower gross margin, lower other operating income and higher indirect costs, partly offset by lower impairment charges.
Financial
expenses
Financial expenses for current and comparative
fiscal years are summarised in the table below.
|
|
2022
US$’000
|
2021
US$’000
|
|
Loss on disposal of exchangeable notes |
9.7 |
- |
|
Penalty for early settlement of term loan |
3.5 |
- |
|
Term loan interest |
9.8 |
- |
|
Convertible note interest |
0.7 |
- |
|
Notional interest on lease liabilities for Right-of-use assets |
0.7 |
0.8
|
|
Exchangeable note interest |
0.4 |
4.6
|
|
Loan origination costs - term loan |
- |
1.6
|
|
Fair value movement for derivative asset |
0.1 |
- |
|
Total |
24.7 |
7.1 |
Note: table contains rounded numbers
Financial expenses in the year ended December
31, 2022 were US$24.7 million compared to US$7.1m in the year ended December 31, 2021, an increase of US$17.6m. The increase is
mainly due to two material non-recurring expenses incurred in 2022.
Firstly, we recorded a loss of US$9.7 million on the disposal
of the exchangeable notes. In January 2022, the Company retired approximately US$99.7 million of the exchangeable notes. The accounting
measure of total consideration for the retirement of the exchangeable Notes was US$92.9 million, consisting of cash consideration of US$86.7
million and the issuance of ADSs with a market value at the date of issue of US$6.2 million. The exchangeable notes were treated as a
host debt instrument under IFRS with embedded derivatives attached. The embedded derivatives related to a number of put and call options
which were measured at fair value in the Consolidated statement of operations. On initial recognition in 2015, the host debt instrument
was recognised at the residual value of the total net proceeds of the bond issue less fair value of the embedded derivatives. Subsequently,
the host debt instrument was measured at amortised cost using the effective interest rate method. At date of disposal, the carrying value
of the extinguished exchangeable notes was US$83.2 million. As the IFRS measure of consideration was higher by US$9.7 million, the resulting
loss on disposal was recorded as a once-off charge in the consolidated statement of operations in the year ended December 31, 2022.
Secondly, the Company made an early partial
settlement of the senior secured term loan of US$34.5 million and in accordance with the Term Loan’s credit agreement, there was
an early repayment penalty of US$3.45 million.
The remaining increase in financial expenses is due to the debt re-financing
which took place at the end of January 2022. Exchangeable notes with a fixed coupon rate of 4.0% were replaced by a senior secured term
loan with a variable interest rate, which averaged 13% in the year. Cash interest payable on the term loan in the year ended December
31, 2022 was US$7.0 million, compared to US$4.0 million for the exchangeable notes in the year ended December 31, 2021. The accretion
interest on the senior secured term loan was US$2.8 million in the year ended December 31, 2022 and this includes a one-off charge of
US$2.1 million because the Company made an early partial settlement of the Term Loan, which resulted in an acceleration of the accretion
interest expense. Additionally, there was a new convertible note issued in the second quarter and the financial expense for this instrument
totaled US$0.7 million in 2022.
Financial
income
Financial income for the year ended December
31, 2022 was US$0.3 million, relating to fair value adjustments of derivative financial instruments. In the year ended December 31, 2021,
US$1.2 million of financial income was recorded relating to the decrease in the fair value of the embedded derivatives liability related
to the exchangeable notes, the vast majority of which has since been retired.
Income
tax credit
The Company recorded a tax credit on continuing
operations of US$0.2 million for the year ended December 31, 2022 compared to a tax credit of US$0.2 million for the year ended December
31, 2021. The 2022 tax credit consists of US$0.3 million of current tax credit and US$0.1 million of a deferred tax charge. The
2021 tax credit consists of US$0.2 million of current tax credit and US$0.04 million of a deferred tax charge. For further details on
the Group’s tax charge please refer to Item 18, Note 7 and Note 13 to the consolidated financial statements.
(Loss)/profit from continuing operations
The loss for the year from continuing operations
was US$41.0 million, compared to a profit of US$0.9 million in 2021.
Loss from discontinued
operations
The Cardiac Point-of-Care operation was
discontinued during the year ended December 31, 2016. Expenses, gains and losses relating to the discontinuation of the Cardiac point-of-care
tests operation have been eliminated from profit or loss from the Group’s continuing operations and are shown as a single line item
in the Statement of Operations. The loss on discontinued operations was US$7,000 in year ended December 31, 2022 (2021: US$54,000), which
is mainly due to administrative expenses. For further details, see Item 18, Note 8.
Year ended December 31,
2021 compared to the year ended December 31, 2020
Revenues
In 2021, revenues decreased by 8.8% from
US$102.0 million in 2020 to US$93.0 million. The decrease is mainly due to lower sales of our PCR VTM products. In 2020, demand for VTM
products was exceptional while there was limited worldwide manufacturing capacity. As the pandemic has persisted, manufacturing capacity
has ramped up significantly with a consequent negative impact on selling prices in 2021.
Trinity Biotech’s revenues for the
year ended December 31, 2021 were US$93.0 million compared to revenues of US$102.0 million for the year ended December 31, 2020, which
represents a decrease of US$9.0 million or 8.8%. The following table sets forth selected sales data for each of the periods indicated.
|
|
|
Year ended December 31, |
|
|
|
|
|
|
|
2021
US$’000 |
|
|
2020
US$’000 |
|
|
% Change |
|
|
Revenues |
|
|
|
|
|
|
|
|
|
|
|
|
Clinical laboratory goods |
|
|
74,700 |
|
|
|
84,280 |
|
|
|
(11.4% |
) |
|
Clinical laboratory services |
|
|
7,928 |
|
|
|
8,485 |
|
|
|
(6.6% |
) |
|
Point-of-Care |
|
|
10,337 |
|
|
|
9,215 |
|
|
|
12.2% |
|
| |
|
|
92,965 |
|
|
|
101,980 |
|
|
|
(8.8% |
) |
Clinical Laboratory Goods
Clinical Laboratory goods revenues decreased
by US$9.6 million in 2021, which represents a decrease of 11.4%. The decrease is mainly due to lower sales of our PCR VTM. In 2020, demand
for VTM products was exceptional while there was limited worldwide manufacturing capacity. As the pandemic has persisted, manufacturing
capacity has ramped up significantly with a consequent negative impact on selling prices.
There was a significant reduction in demand
for new orders of VTM from early 2021 as COVID-19 testing volumes dropped and customers utilised stockpiled product. While the situation
relating to COVID-19 products remains very fluid, with the evolving impact of the new variants the Company has seen increased customer
interest in VTM products over recent months and has resumed manufacturing VTM products, albeit in lower volumes compared to late 2020.
The Company has retained the capability to flex manufacturing volumes should market conditions warrant it.
In 2021, there was a partial return towards
more normalised level of Haemoglobins testing. While COVID-19 public health restrictions remained in place in 2021 in many markets, these
restrictions were not as severe as in 2020. As a result, diabetic related testing revenues increased by almost 20% in 2021 and we
are continuing to see increasing demand for these instruments and consumables as diabetic testing programmes continue their return to
normalisation. Offsetting this increase was lower sales in our haemoglobinopathies products due to the recall of the Ultra II instrument
in U.S. in the early part of 2021.
Fitzgerald Industries, our life science
raw materials business and our clinical chemistry product line both recorded single digit revenue growth in 2021. Similarly, autoimmune
product revenues in 2021 recorded single digit revenue growth compared to 2020, mainly due to a lessening of the impact of the Covid-19
pandemic.
Clinical Laboratory Services
Our New York reference laboratory offers
laboratory-testing services for autoimmune disorders, such as Sjogren’s syndrome, hearing loss, celiac disease, lupus, rheumatoid
arthritis and systemic sclerosis. Revenues for the laboratory decreased by 6.6% to US$7.9 million. While revenues for our proprietary
Sjogren’s syndrome test increased by 46% compared to 2020 these were offset by a reduction in testing for other disorders due to
fewer patients visiting their physicians for pandemic reasons and due to the ending of certain testing that was carried out for a high-volume
customer.
Point-of-Care
Point-of-Care revenues increased from US$9.2
million in 2020 to US$10.3 million in 2021, an increase of US$1.1 million or 12.0%. This was driven by higher HIV sales in Africa. In
2020, HIV revenues were negatively impacted by logistical and testing constraints arising from COVID-19. Non-HIV point-of-care revenues,
which mainly comprise a syphilis test sold in U.S., were broadly unchanged year on year.
Revenues by Geographical
Region
The following table sets forth selected sales data, analysed
by geographic region, based on location of customer:
|
|
|
Year ended December 31, |
|
|
|
|
|
|
|
2021
US$‘000 |
|
|
2020
US$‘000 |
|
|
% Change |
|
|
Revenues |
|
|
|
|
|
|
|
|
|
|
|
|
Americas |
|
|
57,799 |
|
|
|
70,408 |
|
|
|
(17.9% |
) |
|
Asia/Africa |
|
|
25,504 |
|
|
|
22,567 |
|
|
|
13.0% |
|
|
Europe |
|
|
9,662 |
|
|
|
9,005 |
|
|
|
7.3% |
|
|
Total |
|
|
92,965 |
|
|
|
101,980 |
|
|
|
(8.8% |
) |
In the Americas, revenues decreased US$12.6
million or 17.9% mainly due to decreased sales of our VTM products which were used in the Covid-19 testing programs in U.S. and Canada.
To a lesser extent, haemoglobin revenues were impacted by the recall of the Ultra II instrument in U.S. in the early part of 2021, following
an FDA warning letter in the prior year.
Asia/Africa revenues increased by 13.0%,
or US$2.9 million compared to 2020. The increase is due i) to higher Point-of-Care revenues in Africa where logistical and testing constraints
arose in 2020 due to Covid-19 and ii) an increase in haemoglobins revenues as there was a return to more normal diabetes testing schedules
in China and our other Asian markets, in contrast to the disruptions that were seen in 2020 due to the pandemic.
In Europe, revenues increased by 7.3% or
US$0.7 million, compared to 2020. The increase was due to higher haemoglobin A1c and infectious diseases revenues in the territory, mainly
due to more patients attending their doctors for heath checks following the easing of the public healthcare emergency. Similar to Asia/Africa,
there was an increase in haemoglobins instrument sales in Europe as customers that had postponed their instrument purchases in 2020 due
to uncertainty created by the pandemic, returned to the market.
Cost of sales, gross profit
and gross margin
Total cost of sales increased by US$1.5
million from US$53.4 million for the year ended December 31, 2020 to US$54.9 million, for the year ended December 31, 2021, an increase
of 2.8%. This resulted in a gross profit for 2021 of US$38.1 million compared to a gross profit for 2020 of US$48.6 million. The gross
margin of 41.0% in 2021 compares to a gross margin of 47.6% in 2020. Gross margin remains susceptible to product mix changes, geographic
spread, currency fluctuations and product level variation. The reduction in the gross margin in 2021 compared to 2020 is mainly due to
comparatively higher sales prices for VTM in 2020 caused by exceptionally high demand with prices and consequently gross margin reducing
progressively during 2021. Lower margins were also recorded in our Fitzgerald life sciences supply business in 2021 compared to 2020 as
we made a strategic decision to pursue larger volume orders that typically have lower pricing but are expected to add to overall profitability.
Additionally, the receipt of government payroll supports in 2020 related to COVID-19 helped to increase the gross margin in 2020 and these
supports were not claimed in 2021.
Other
operating income
Other operating income increased from US$1.9
million in 2020 to US$4.7 million in 2021. In both years, this income almost entirely comprises income received under the U.S. government’s
Cares Act, principally its PPP and its Provider Relief Fund. All PPP loans received in 2020 and in 2021 have now been 100% forgiven by
the U.S. government. Four PPP loans received in 2020, but not forgiven until 2021, totalling US$2.9m, were treated as short-term liabilities
at December 31, 2020.
Research
and development expenses
Research and development (“RD”)
expenditures decreased from US$5.1 million in 2020 to US$4.5 million in 2021. The decrease in costs in 2021 is mainly due to the closure
of an RD centre located in Carlsbad, California in June 2020. For details of the Company’s various RD projects see “Research
and Products under Development” below.
Selling,
general and administrative expenses
Selling, general and administrative expenses
(excluding impairment charges, closure costs, recognition of contingent asset and tax settlement) decreased from US$26.4 million in 2020
to US$24.7 million in 2021, which represents a decrease of 6.5%. In 2020, selling, general and administrative expenses were unusually
low due to certain non-recurring savings, principally the furloughing of employees because of the pandemic and government payroll supports
related to COVID-19. Despite neither of these savings occurring in 2021, a reduction in costs was recorded due to a cost saving program
which saw headcount reduced by 7%, as well as lower performance-related pay due to lower revenues. Additionally, in 2021 a foreign currency
gain was recorded on Euro-denominated lease liabilities while the equivalent foreign currency movement in 2020 was a loss.
The Group recorded a total share-based payments
charge of US$1.1 million in 2021 compared to US$0.8 million in 2020. The increase of US$0.3 million in the total share-based payments
expense is mainly due to a higher number of options being in their vesting period in 2021 compared to 2020 due to options granted in prior
years. Share based payments included in selling, general and administrative expenses was US$1.1 million in 2021 and US$0.8 million in
2020. For further details, refer to Item 18, Note 19 to the consolidated financial statements.
Amortisation decreased from US$1.4 million
for the year ended December 31, 2020 to US$0.9 million for the year ended December 31, 2021. The decrease of US$0.5 million is mainly
due to the impairment recorded at December 31, 2020 which resulted in a lower carrying value for development projects and other intangible
assets such as acquired technology, customer and supplier lists.
Recognition of contingent
asset
In 2019, we disclosed a contingent asset of US$1.2 million
which had not been recognised. It was in connection with the 2019 tax audit settlement and was payable by Darnick Company. This balance
was settled in the year ended December 31, 2020 and was credited within selling, general and administrative expenses – recognition
of contingent asset in 2020. The underlying amount was denominated in Euro. Due to a depreciation in the US Dollar between 2019 and 2020,
the US Dollar equivalent amount increased from US$1.2 million to US$1.3 million.
Closure costs
In 2020, management decided to close a production
facility in Carlsbad, California which specialised in Western Blot manufacturing. The last number of years had seen a steady migration
of customers away from using the Western Blot testing format for diagnosing Lyme Disease in favour of alternative testing platforms.
Production volumes declined steadily at the plant to the extent that it no longer made economic sense to continue. The plant was
closed on June 30, 2020. Production of remaining products was transferred to other locations. The charge for closing the facility
in 2020 was US$2.4 million which largely comprised redundancy costs, the write-off of inventory and the cost of exiting lease obligations.
Impairment
charges
The Company recognized impairment charges
of US$6.9 million in 2021. In 2020, the impairment charges were US$17.8 million. In accordance with the provisions of accounting standards
under IFRS, a company is required to carry out impairment reviews in order to determine the appropriate carrying value of its net assets.
A number of factors impacted this calculation including cash flow projections and net asset values across each of the Group’s cash-generating
units, the Company’s share price at the date on which the impairment test is performed (in 2021, two tests were performed, one at
June 30 and one at December 31) and the cost of capital. The impairment loss of US$5.0 million for Immco Diagnostics Inc. mainly comprised
a write down of intangible assets. Trinity Biotech Do Brasil incurred an impairment loss of almost US$1.0 million (mainly comprising property,
plant and equipment assets) in 2021 as this CGU continues to be impacted by the weakness of the Brazilian Real. Trinity Biotech Manufacturing
Limited recorded an impairment loss of US$0.8 million relating to one development project intangible asset. Biopool US Inc. incurred an
impairment loss of US$0.1 million in 2021, with a downward trend in non-Covid-19 related infectious disease revenues in U.S. being a major
factor. For further details, see Item 18, Notes 11, 12 and 16.
Operating
profit
The operating profit for continuing operations
was US$6.6 million for the year, which compares to an operating profit of US$0.1 million for 2020.
Net
financing expenses
Net financing expense was US$5.9 million
for the year-end December 31, 2021 compared to US$6.7 million in 2020.
Financial income increased by US$1.2 million
from US$0.04 million for the year-end December 31, 2020 to US$1.2 million in 2021. There was a decrease of US$33,000 in bank deposit interest
mainly due to lower interest rates and an increase of US$1.2 million in the income arising from the revaluation of embedded derivatives
at fair value.
Financial expenses increased by US$0.3 million
to US$7.1 million during 2021 due to loan origination costs of US$1.7 million incurred in 2021 relating to the new term loan from Perceptive
Advisors which was drawn down in 2022. Offsetting this an expense of US$1.2 million which arose in 2020 from revaluation of embedded derivatives
at fair value. The equivalent revaluation in 2021 is a gain which is recorded in financial income.
Income
tax credit
The Group recorded a tax credit on continuing
operations of US$0.2 million for the year ended December 31, 2021 compared to a tax credit of US$0.6 million for the year ended December
31, 2020. The 2021 tax credit consists of US$0.2 million of current tax credit and US$0.04 million of a deferred tax charge. In
2020, the tax credit comprised US$0.4 million of current tax credit and US$0.2 million of a deferred tax credit. For further details on
the Group’s tax charge please refer to Item 18, Note 7 and Note 13 to the consolidated financial statements.
Profit/(loss) from continuing
operations
The profit for the year from continuing
operations was US$0.9 million, compared to a loss of US$6.0 million in 2020.
Loss from discontinued
operations
The Cardiac Point-of-Care operation was
discontinued during the year ended December 31, 2016. Expenses, gains and losses relating to the discontinuation of the Cardiac point-of-care
tests operation have been eliminated from profit or loss from the Group’s continuing operations and are shown as a single line item
in the Statement of Operations. The loss on discontinued operations is US$0.05 million in year ended December 31, 2021, which is mainly
due to administrative expenses. The loss on discontinued operations is US$0.4 million in year ended December 31, 2020, which is mainly
due to the unwinding of closure provisions and a change of estimate in relation to a tax receivable balance. For further details, see
Item 18, Note 8.
| B. |
Liquidity and Capital Resources |
The Group’s capital structure is a
mixture of debt and equity. In the first quarter of 2022, the Group re-financed its exchangeable notes debt by securing a term loan credit
facility of US$81.3 million (the “Term Loan”) from Perceptive. The re-financing improved the Group’s capital structure
by reducing gross debt by approximately US$19 million with the Group having no material debt maturities until 2026. As the Term
Loan could be repaid, in part or in full, before the end of the four-year term, this gave the Group increased optionality regarding its
future capital structure. In May 2022, the Group repaid just over 42% of the Term Loan (US$34.5 million) using the proceeds of an equity
investment and the issuance of a 7-year convertible note.
Exchangeable notes
The Group originally issued US$115.0 million
of 30-year exchangeable senior notes in 2015. The notes are senior unsecured obligations and accrue interest at an annual rate of 4%,
payable semi-annually in arrears. In August 2018, the Group purchased US$15.1 million of the exchangeable notes. The nominal amount of
the debt since this purchase had been US$99.9 million. The notes are convertible into ordinary shares of the parent entity at the applicable
exchange rate, at any time prior to the close of business on the second business day immediately preceding the maturity date, at the option
of the holder, or repayable on April 1, 2045. The conversion rate is 47.112 ADSs per $1,000 principal amount of notes, equivalent to an
exchange price of approximately $21.88 per ADS. The notes include a number of non-financial covenants, all of which were complied with
at December 31, 2022.
In December 2021, we entered into agreements
with five holders of the exchangeable notes for the repurchase of approximately 99.7% of the outstanding notes. The agreements were conditioned
on certain lending conditions being met and required shareholder approval, which was obtained in January 2022. In January 2022,
we paid approximately US$86.7 million to the five note holders, using funds from a new term loan from Perceptive and the Company’s
own cash resources. We also issued a total of 5.3 million ADSs to the five note holders as partial consideration for the exchange of the
notes. The remaining outstanding amount owing for exchangeable notes at December 31, 2022 is US$210,000.
Term loan with Perceptive
In December 2021, we and our subsidiaries
entered into a US$81.3 million senior secured term loan credit facility with Perceptive. The Term Loan was drawn down in January
2022, when the necessary shareholder approvals were obtained.
The 48-month term loan will mature in January
2026 and accrues interest at an annual rate equal to 11.25% plus the greater of (a) one-month LIBOR (later changed to the Term SOFR Reference
Rate effective from October 28, 2022) and (b) one percent per annum, and interest is payable monthly in arrears in cash. The term
loan does not require any amortization, and the entire unpaid balance will be payable upon maturity. The term loan can be repaid, in part
or in full, at a premium before the end of the four-year term.
In connection with the Term Loan, we agreed to issue warrants
to Perceptive for 2.5 million of the Company’s ADSs. The per ADS exercise price of the Warrants was US$1.30. The warrants
are exercisable, in whole or part, until the seventh anniversary of the date of drawdown of the funding under the Term Loan.
We made an early partial settlement of the
senior secured term loan of US$34.5 million and in accordance with the Term Loan’s credit agreement, there was an early repayment
penalty of US$3.45 million. The remaining outstanding amount owing for the Term Loan at December 31, 2022 is US$46.8 million.
In February 2023, we announced that we
and our subsidiaries had entered into an amended and restated senior secured term loan credit facility to allow for an immediate US$5
million increase to the outstanding Term Loan and provide for a US$20 million facility to fund potential acquisitions. In connection
with the increased Term Loan facility, we agreed to reprice the 2,500,000 warrants originally issued under the Term Loan, with the Warrants
now having a per ADS exercise price of US$1.071 compared to their initial per ADS exercise price of US$1.30.
On April 27, 2023, we announced that we
had closed the sale of our Fitzgerald Industries life sciences supply business, for cash proceeds of approximately US$30 million subject
to customary adjustments. The Company used approximately US$11 million of the proceeds of this sale to repay approximately US$10.1 million
of its senior secured debt held by Perceptive plus an approximately US$0.9 million early repayment penalty. In connection with this transaction,
the Company has entered into an amendment to its senior secured term loan credit facility with Perceptive Advisors, which significantly
reduces the Company’s minimum revenue covenants under that loan.
Investment from MiCo
Ltd.
In May 2022, the Company announced a US$45.2
million investment from MiCo Ltd (“MiCo”). MiCo, a KOSDAQ-listed and Korea-based company, that is engaged in the biomedical
business through its affiliate MiCo BioMed. The investment consisted of an equity investment of US$25.2 million and a seven-year, unsecured
junior convertible note of US$20.0 million. The convertible note has an interest rate of 1.5% and interest is payable quarterly. The convertible
note mandatorily converts into ADSs if the volume weighted average price of the Company’s ADSs is at or above US$3.24 for any five
consecutive NASDAQ trading days.
Leases
The Group entered into sale and leaseback
arrangements in 2018 with Allied Irish Bank and Wells Fargo. In January 2022, the Group settled its outstanding lease liability with Allied
Irish Bank. At December 31, 2022, the amount owed under the other remaining sale and leaseback arrangement was US$45,000. The Group also
has lease liabilities relating to right-of-use assets with lease maturities between 1 and 11 years.
Cash and cash equivalents
At December 31, 2022, the cash and cash
equivalents balance was US$6.6 million. In the future, the amount of cash generated from operations will depend on a number of factors
which include the following:
|
• |
The ability of the Group to generate revenue growth from its existing product lines and from new products following the successful
completion of its development projects; |
|
• |
The extent to which capital expenditure is incurred on additional property plant and equipment; |
|
• |
The level of investment required to undertake both new and existing development projects; and |
|
• |
Successful working capital management in the context of a growing business. |
Liquidity
In the Directors’ opinion, the Group
will have access to sufficient funds to support its existing operations for at least the next 12 months by utilising existing cash resources
and cash generated from operations and external financing. The directors have considered the Group’s current financial position
and cash flow projections, taking into account all known events and developments.
The Directors are acutely aware of the
relatively high cost of its borrowings and are focused on transforming the Group into a high growth business. The Company is actively
examining the potential disposal of parts of its portfolio of businesses that are non-core to our future vision and strategy. Proceeds
from these disposals may be used to fund repayments of the Group’s debt and to fund investments with higher growth opportunities
in strategically core areas.
Cash
Flows
As at December 31,
2022, our consolidated cash and cash equivalents were US$6.6 million. The following table presents the major components of net cash flows
used in and provided by operating, investing and financing activities.
|
|
|
Year ended December 31, |
|
|
|
|
2022
US$‘000 |
|
|
2021
US$‘000 |
|
|
Net cash (used in) / generated by operating activities |
|
|
(921 |
) |
|
|
13,238 |
|
|
Net cash outflow from investing activities |
|
|
(5,977 |
) |
|
|
(8,691 |
) |
|
Net cash outflow from financing activities |
|
|
(12,322 |
) |
|
|
(6,019 |
) |
|
Net decrease in cash and cash equivalents and short-term investments |
|
|
(19,220 |
) |
|
|
(1,472 |
) |
Operating Activities
Net cash used in operating
activities for the year ended December 31, 2022 amounted to US$0.9 million (2021: inflow of US$13.2 million), a decrease of US$14.2 million.
The decrease in net cash generated from operating activities of US$14.2 million is attributable to a decrease in operating cash flows
before changes in working capital of US$16.6 million and a decrease in taxes received of US$1.6 million partially offset by a decrease
in working capital outflows of US$4.1 million. The working capital outflow decrease, when compared to the prior year, is due to an increased
inflow in trade and other payables of US$7.8 million and a decreased outflow associated with inventories of US$3.5 million partially offset
by an increased cash outflow for trade and other receivables of US$7.2 million. The decrease in operating cash flows before changes in
working capital is primarily driven by a lower operating profit compared to the prior year.
Investing Activities
Net cash outflows from
investing activities for the year ended December 31, 2022 amounted to US$6.0 million (2021: US$8.7 million) which were principally made
up as follows:
|
• |
Payments to acquire intangible assets of US$4.9 million (2021: US$6.9 million), which principally related
to development expenditure capitalised as part of the Group’s on-going product development activities; and |
|
• |
Acquisition of property, plant and equipment of US$1.1 million (2021: US$1.8 million) incurred as part
of the Group’s investment programme for its manufacturing and distributing activities. |
Financing Activities
Net cash outflows from
financing activities for the year ended December 31, 2022 amounted to US$12.3 million (2021: US$6.0 million). This outflow is due to the
payment of US$86.7 million for the retirement of the exchangeable Notes, the partial early settlement of the Term Loan plus a penalty
of US$38.0 million, payments for lease liabilities of US$2.8 million, interest payments of US$7.9 million, refinancing costs US$2.4 million,
partly offset by proceeds of issuance of shares of US$25.3 million and the draw down of the Term Loan of US$80.0 million (net of associated
costs) and proceeds of US$20 million from the convertible note issued to MiCo. In 2021, the outflow was due to the payment of lease liabilities
(US$3.0 million) and an interest payment on the exchangeable notes (US$4.0 million), refinancing costs (US$0.8m) partially offset by the
receipt of loans in 2021 under the U.S. government’s PPP (US$1.8 million).
C. Research and Development,
Patents and Licences, etc.
For
information on research and development, patents and licences see “Item
4. Information on the Company—Item 4.B Business overview.”
D. Trend Information
In 2020 and 2021, the Company recorded
combined revenues for our COVID-focused PCR Viral Transport Media products in excess of US$50 million, all of which related to North America.
In 2022, our revenues for VTM products decreased to approximately US$3 million due to a significant scaling down of PCR testing programs
for COVID-19 in North America and more competition. The demand for our COVID focused VTM products is highly uncertain and very difficult
to predict.
The current indications
are that public health policy has shifted away from large scale PCR testing of the population and instead the virus will be diagnosed
by over-the-counter (“OTC”) rapid antigen tests. The Company has developed an OTC rapid test for COVID-19 which has regulatory
approval to be sold in the EU for professional use only. However, our efforts to commercialise this test have been unsuccessful. Pricing
for rapid COVID-19 tests in the EU is relatively weak, with stronger pricing available in, for example, the US market, for which our product
is not yet approved. Given the market outlook for rapid COVID-19 testing products and continued uncertainty regarding regulatory approval
pathways in key markets, including the US, we have chosen to not immediately pursue further regulatory approvals but intend to monitor
these markets and regulatory pathways with a view to potentially seeking additional regulatory approvals.
Excluding our COVID
focused Viral Transport Media products, Group revenues in 2022 were 1.0% lower than in 2021. Haemoglobins is our largest product line
in revenue terms, making up just under one third of our total Group revenues in 2022. We have seen continued strong performance in our
haemoglobins product line in 2022, particularly for our diabetes products which recorded a year-on-year revenue increase of 26.6%. The
growth driver in this product line is the higher instrument installed base and continuing high incidence of diabetes, particularly in
Asia and Latin America. We expect revenues from this business to continue this growth trend driven by a higher instrument installed base
and operational and strategic supply chain changes, which we expect will also drive margin increases.
Fitzgerald Industries, our life science
raw materials business recorded single digit revenue growth in 2022, which is a typical result based on past trends. On April 27, 2023,
we announced that we closed the sale of our Fitzgerald Industries life sciences supply business for cash proceeds of approximately US$30
million. For more information on this sale, refer to Item 18, Note 28. Autoimmune product revenues in 2022 recorded a slight decrease
of US$0.2 million compared to 2021, mainly due to lower sales in Europe. Point-of-Care revenues, which mainly comprises sales of HIV lateral
flow tests in Africa, decreased by US$1.1 million or 10.9%, reflecting significant non-recurring bulk orders of HIV tests from Nigeria
in 2021. Revenues for our infectious diseases assays have been trending downwards for several years now, as the products in this portfolio
are in the mature phase of their product life cycle. In 2022, the decrease for these products was approximately 23%, which was exacerbated
by weak sales in China due to strict quarantine protocols enforced by public health officials to combat the spread of COVID-19.
E. Critical Accounting
Policies and Estimates
Our discussion and analysis of our financial
condition and results of operations are based upon our consolidated financial statements, which have been prepared in accordance with
IFRS. The preparation of these financial statements requires us to make estimates and judgements that affect the reported amount of assets,
liabilities, revenues and expenses, and related disclosure of contingent assets and liabilities.
On an on-going basis, we evaluate our estimates,
including those related to intangible assets, contingencies and litigation. We base our estimates on historical experience and on various
other assumptions that are believed to be reasonable under the circumstances, the results of which form the basis for making judgements
about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these
estimates under different assumptions or conditions.
We believe the critical accounting policies
described below reflect our more significant judgements and estimates used in the preparation of our consolidated financial statements.
Revenue Recognition
The Group recognises revenue when it transfers
control over a good or service to a customer. Revenue is recognised to the extent that it is probable that economic benefit will flow
to the Group and the revenue can be measured. No revenue is recognised if there is uncertainty regarding recovery of the consideration
due at the outset of the transaction. Revenue, including any amounts invoiced for shipping and handling costs, represents the value of
goods and services supplied to external customers, net of discounts and rebates and excluding sales taxes.
The core principle in IFRS 15 is a five-step
model framework: 1) identify the contract(s) with a customer, 2) identify the performance obligations in the contract, 3) determine the
transaction price, 4) allocate the transaction price to the performance obligations in the contract and 5) recognise revenue when (or
as) the entity satisfies a performance obligation.
Revenue from products is generally recorded
as of the date of shipment, consistent with typical ex-works shipment terms. Where the shipment terms do not permit revenue to be recognised
as of the date of shipment, revenue is recognised when the Group has satisfied all of its performance obligations to the customer in accordance
with the shipping terms.
Some contracts oblige the Group to ship product to the customer
ahead of the agreed payment schedule. For these shipments, a contract asset is recognised when control over the goods has transferred
to the customer. The financing component is insignificant as invoicing for these shipments occurs within a short period of time after
shipment has occurred and typically standard 30 day credit terms apply. Some contracts could be regarded as offering the customer a right
of return. Due to the uncertainty of the magnitude and likelihood of product returns, there is a level of estimation involved in assessing
the amount of revenue to be recognized for these types of contracts. In accordance with IFRS 15, when estimating the effect of an uncertainty
on an amount of variable consideration to which the Group will be entitled, all information that is reasonably available, including historical,
current and forecast, is considered.
The Group operates a licenced referenced
laboratory in the US, which provides testing services to institutional customers and insurance companies. In the US, there are rules requiring
all insurance companies to be billed the same amount per test. However, the amount that each insurance company pays for a particular test
varies according to their own internal policies and this can typically be considerably less than the amount invoiced. We recognise lab
services revenue for insurance companies by taking the invoiced amount and reducing it by an estimated percentage based on historical
payment data. We review the percentage reduction annually based on the latest data. As a practical expedient, and in accordance with IFRS,
we apply a portfolio approach to the insurance companies as they have similar characteristics. We judge that the effect on the financial
statements of using a portfolio approach for the insurance companies will not differ materially from applying IFRS 15 to the individual
contracts within that portfolio.
Revenue from services rendered is recognised
in the statement of operations in proportion to the stage of completion of the transaction at the balance sheet date.
The Group leases instruments to customers
typically as part of a bundled package. Where a contract has multiple performance obligations and its duration is greater than one year,
the transaction price is allocated to the performance obligations in the contract by reference to their relative standalone selling prices.
For contracts where control of the instrument is transferred to the customer, the fair value of the instrument is recognised as revenue
at the commencement of the lease and is matched by the related cost of sale. Fair value is determined on the basis of standalone selling
price. In the case where control of the instrument does not transfer to the customer, revenue is recognised on the basis of customer usage
of the instrument. See also Note 1(v).
In obtaining these contracts, the Group
incurs a number of incremental costs, such as sales bonus paid to sales staff commissions paid to distributors and royalty payments. NAs
the amortisation period of these costs, if capitalised, would be less than one year, the Group makes use of the practical expedient in
IFRS 15.94 and expenses them as they incur.
A receivable is recognised when the goods
are delivered as this is the point in time that the consideration is unconditional because only the passage of time is required before
the payment is due.
The Group’s obligation to provide
a refund for faulty products under the standard warranty terms is recognised as a provision, see Note 21 for details.
Research and development
expenditures -capitalized development costs
Under IFRS as issued by IASB, we write-off
research and development expenditures as incurred, with the exception of expenditures on projects whose outcome has been assessed with
reasonable certainty as to technical feasibility, commercial viability and recovery of costs through future revenues. Such expenditure
is capitalised at cost within intangible assets and amortised over its expected useful life of 15 years, which commences when the product
is launched.
Acquired in-process research and development (IPRD) is
valued at its fair value at acquisition date in accordance with IFRS 3. The Company determines this fair value by adopting the income
approach valuation technique. Once the fair value has been determined, the Company will recognise the IPRD as an intangible asset
when it: (a) meets the definition of an asset and (b) is identifiable (i.e., is separable or arises from contractual or other
legal rights). IPRD is tested for impairment on an annual basis, in the fourth quarter, or more frequently if impairment indicators
are present, using projected discounted cash flow models. If IPRD becomes impaired or is abandoned, the carrying value of the IPRD
is written down to its revised fair value with the related impairment charge recognised in the period in which the impairment occurs.
If the fair value of the asset becomes impaired as the result of unfavourable data from any ongoing or future clinical trial, changes
in assumptions that negatively impact projected cash flows, or because of any other information regarding the prospects of successfully
developing or commercialising our programs, we could incur significant charges in the period in which the impairment occurs. The valuation
techniques utilised in performing impairment tests incorporate significant assumptions and judgments to estimate the fair value, as described
above. The use of different valuation techniques or different assumptions could result in materially different fair value estimates.
Factors which impact our judgement to capitalise
certain research and development expenditure include the degree of regulatory approval for products and the results of any market research
to determine the likely future commercial success of products being developed. We review these factors each year to determine whether
our previous estimates as to feasibility, viability and recovery should be changed. At December 31, 2022 the carrying value of capitalised
development costs was US$17.0 million (2021: US$17.7 million) (see Item 18, Note 12 to the consolidated financial statements). The decrease
in 2022 was mainly due to impairment and amortization of US$5.1 million partly offset by additions of US$4.5 million.
Impairment of intangible
assets and goodwill
Definite lived intangible assets are reviewed
for indicators of impairment periodically while goodwill and indefinite lived assets are tested for impairment periodically, either individually
or at the cash-generating unit level. Factors considered important, as part of an impairment review, include the following:
|
• |
Significant underperformance relative to expected, historical or projected future operating results; |
|
• |
Significant changes in the manner of our use of the acquired assets or the strategy for our overall business; |
|
• |
Obsolescence of products; |
|
• |
Significant decline in our stock price for a sustained period; and |
|
• |
Our market capitalisation relative to net book value. |
When we determine that the carrying value
of intangibles, non-current assets and related goodwill may not be recoverable based upon the existence of one or more of the above indicators
of impairment, any impairment is measured based on our estimates of projected net discounted cash flows expected to result from that asset,
including eventual disposition. Our estimated impairment could prove insufficient if our analysis overestimated the cash flows or conditions
change in the future.
Goodwill and other intangibles are subject
to impairment testing on a periodic basis. The recoverable amount of seven cash-generating units (“CGUs”) is determined based
on a value-in-use computation. Among other macroeconomic considerations, the impact of the COVID-19 pandemic has been factored into our
impairment testing.
The value-in-use calculations use cash flow
projections based on the 2023 projections for each CGU and a further four years projections using estimated revenue and cost average growth
rates of between 0% and 5%. At the end of the five-year forecast period, terminal values for each CGU, based on a long term growth rate
of 2%, are used in the value-in-use calculations. The value-in-use represents the present value of the future cash flows, including the
terminal value, discounted at a rate appropriate to each CGU. The pre-tax discount rates used range from 16% to 24% (2021: 16% to 25%).
Refer to Item 18, Note 12 for further information.
The cash flows have been arrived at taking
into account the Group’s financial position, its recent financial results and cash flow generation and the nature of the medical
diagnostic industry, where product obsolescence can be a feature. However, expected future cash flows are inherently uncertain and are
therefore liable to material change over time. The key assumptions employed in arriving at the estimates of future cash flows factored
into impairment testing are subjective and include projected EBITDA margins, net cash flows, discount rates used and the duration of the
discounted cash flow model. Significant under-performance in any of the Group’s major CGUs may give rise to a material impairment
which would have a substantial impact on the Group’s income and equity.
The impairment testing performed during the year ended December
31, 2022 identified an impairment loss in three CGUs, namely Biopool US Inc, Clark Laboratories Inc, and Trinity Biotech Do Brasil totalling
US$1.2 million. The impairment testing performed during the year ended December 31, 2021 identified an impairment loss in four CGUs, namely
Trinity Biotech Manufacturing Limited, Biopool US Inc, Immco Diagnostics, and Trinity Biotech Do Brasil totalling US$6.9 million.
The impairment loss of US$0.4 million for
Biopool US Inc. mainly comprised a write down of tangible assets and prepayments. A downward trend in non-Covid-19 related infectious
disease revenues in U.S. was a major factor in this impairment. Trinity Biotech Do Brasil incurred an impairment loss of almost US$0.5
million (mainly comprising property, plant and equipment assets) in 2022 as this CGU continues to be impacted by the weakness of the Brazilian
Real and low profitability. Clark Laboratories Inc. incurred an impairment loss of US$0.4 million in 2022 as this CGU manufactures and
sells a range of infectious disease products which are in the mature stage of their product life cycle and accordingly the growth prospects
are limited. For further details, see Item 18, Notes 11, 12 and 16.
The value-in-use calculation is subject
to significant estimation, uncertainty and accounting judgements and the following sensitivity analysis has been performed:
|
• |
In the event that there was a reduction of 10% in the assumed level of future growth in revenue growth rate, which would represent
a reasonably likely range of outcomes, there would be no additional impairment loss recorded at December 31, 2022. |
|
• |
In the event there was a 10% increase in the discount rate used to calculate the potential impairment of the carrying values, which
would represent a reasonably likely range of outcomes, there would be no additional impairment loss recorded at December 31, 2022.
|
In addition to impairment charges relating
to the three CGUs, there were also specific impairment charges recorded in 2022 to write down the carrying value of four development projects
to zero. These were recorded in intangible assets. The four impairments related to the Tri-stat instrument (US$1.0 million impairment
charge), autoimmune smart reader (US$1.3 million), COVID-19 ELISA format assay (US$0.1 million) and COVID-19 rapid antigen test (US$2.2
million). Refer to Item 18, Note 12 for further information.
Allowance for slow-moving and obsolete inventory
We evaluate the realisability of our inventory on a case-by-case basis and make adjustments
to our inventory provision based on our estimates of expected losses. We write off inventory that is approaching its “use-by”
date and for which no further re-processing can be performed. We also consider recent trends in revenues for various inventory items and
instances where the realisable value of inventory is likely to be less than its carrying value. Given the allowance is calculated on the
basis of the actual inventory on hand at the particular balance sheet date, there were no material changes in estimates made during 2022,
2021 or 2020 which would have an impact on the carrying values of inventory during those periods, except as discussed below. At December 31,
2022 our allowance for slow moving and obsolete inventory was US$16.3 million which represents approximately 42.0% of gross inventory
value. At December 31, 2021 our allowance for slow moving and obsolete inventory was US$12.1 million, which represented approximately
29.3% of gross inventory value and at December 31, 2020 the provision was US$9.8 million, or approximately 24.5% of gross inventory value
(see Item 18, Note 15 to the consolidated financial statements).
The estimated allowance for slow moving
and obsolete inventory as a percentage of gross inventory has increased between 2022 and 2021 due to
significant increases in the provision for the following categories of inventory:
|
(i) |
VTM inventory – there was no evidence during the winter season of 2022-23 of significant peaks in demand for VTM products.
This has led management to revisit the strategy of maintaining significant levels of raw materials inventory to meet demand peaks.
Consequently, the provision for this inventory was increased by US$3.5 million in 2022 reflecting our estimate of its net realisable value.
|
|
(ii) |
Tri-stat inventory – the Company undertook a strategic
review of our Tri-stat instrument line as part of a broader review of our haemoglobins product portfolio. Management decided to limit
sales of Tri-stat to certain targeted partnerships and as a consequence the value of this inventory was written down by US$0.3 million
to reflect the revised outlook. |
|
(iii) |
Raw materials and work in progress failing to meet our revised quality policy - the value of certain excess raw materials and work
in progress was written down by US$0.9 million in 2022 following a review and an update to our relevant quality assurance policy.
|
Management is satisfied that the assumptions
made with respect to future sales and production levels of these products are reasonable to ensure the adequacy of this provision. In
the event that the estimate of the provision required for slow moving and obsolete inventory was to increase or decrease by 2% of gross
inventory, which would represent a reasonably likely range of outcomes, then a change in allowance of US$0.8 million at December 31,
2022 (2021: US$0.8 million) (2020: US$0.8 million) would result.
Share-based payments
For equity-settled share-based payments
(share options), the Group measures the services received and the corresponding increase in equity at fair value at the measurement date
(which is the grant date) using a trinomial model. Given that the share options granted do not vest until the completion of a specified
period of service, the fair value, which is assessed at the grant date, is recognised on the basis that the services to be rendered by
employees as consideration for the granting of share options will be received over the vesting period.
Certain share options have been granted
for which there is a condition that the options only become exercisable into ADSs when the market price of an ADS reaches a certain level.
This is deemed to be a non-vesting condition. The term ‘non-vesting condition’ is not explicitly defined in IFRS 2, Share
based Payment, but is inferred to be any condition that does not meet the definition of a vesting condition. The only condition for these
options to vest is that the option holder continues service and there were no other conditions which would be considered non-vesting conditions.
Non-vesting conditions are reflected in measuring the grant-date fair value of the share-based payment and there is no true-up in the
measurement of the share-based payment for differences between the expected and the actual outcome of non-vesting conditions. If all service
conditions are met, then the share-based payment cost will be recognized even if the option holder does not receive the share-based payment
due to a failure to meet the non-vesting condition.
The expense in the statement of operations
in relation to share options represents the product of the total number of options anticipated to vest and the fair value of those options;
this amount is allocated to accounting periods on a straight-line basis over the vesting period.
Share based payments, to the extent they
relate to direct labour involved in development activities, are capitalised.
The proceeds received net of any directly
attributable transaction costs are credited to share capital (nominal value) and share premium when the options are exercised. The Group
does not operate any cash-settled share-based payment schemes or share-based payment transactions with cash alternatives as defined in
IFRS 2.
Senior secured term loan and related derivative
balances
In 2022, the Company completed the drawdown
of a senior secured term loan credit facility with Perceptive. The term loan is represented by three separate balances in our balance
sheet. Firstly, included in Long Term liabilities is a Senior secured term loan balance, which, at initial recognition, comprised the
principal loan amount of US$81.3 million less loan origination costs of US$3.6 million, less two derivative financial balances totalling
US$1.7 million. This balance was reduced by an early partial settlement of the loan of US$34.5 million during 2022. The other two balances
are a derivative financial asset and a derivative financial liability and these were initially recognised at fair value under IFRS 9.
The derivative financial asset is valued at US$0.1m at December 31, 2022 and represents an estimate of the value to the Company of being
able to repay the term loan early and potentially refinance at lower interest rate. The derivative financial liability is valued
at US$1.6 million at December 31, 2022 and represents the fair value of the warrants issued to Perceptive. As part of the Credit Agreement,
the Company agreed to issue warrants to Perceptive for 2.5 million of the Company’s ADSs. The per ADS exercise price of the
warrants was US$1.30 (this was revised to US$1.07 in 2023). The warrants are exercisable, in whole or part, until the seventh anniversary
of the date of drawdown of the funding under the term loan.
Litigation
From time to time we may be subject to various claims and contingencies
in the ordinary course of business, including those related to litigation, business transactions, our intellectual property, regulatory
compliance, employee-related matters and taxes, and others. When we are aware of a claim or potential claim, we assess the likelihood
of any loss or exposure. If it is probable that a loss will result and the amount of the loss can be reasonably estimated, we will record
a liability for the loss. In addition to the estimated loss, the recorded liability includes probable and estimable legal costs associated
with the claim or potential claim. There is no assurance that such matters will not materially and adversely affect our business, financial
position, and results of operations or cash flows.
Item 6.
Directors, Senior Management and Employees
A. Directors and Senior
Management
Executive Officers and
Directors
We are managed by a board of directors,
which is currently comprised of five members, and our senior management. The following table presents information about our current
executive officers, members of our board of directors and our senior management, including their ages. The term executive officer
refers to any person in charge of a principal business unit, division or function (such as sales, administration or finance), any
other officer who performs a policy making function or any other person who performs similar policy making functions for the registrant. Executive
officers of subsidiaries may be deemed executive officers of the registrant if they perform such policy making
functions for the registrant.
Directors and Senior Management
|
Name
|
Age
|
Title
|
|
Directors |
|
|
|
Aris Kekedjian |
57 |
Chairman and Chief Executive Officer |
|
Ronan O’Caoimh |
67 |
Founder Director |
|
Jim Walsh, PhD |
64 |
Executive Director of Business Development |
|
John Gillard |
42 |
Chief Financial Officer, Company Secretary, Director |
|
Tom Lindsay |
65 |
Director |
|
Senior Management |
|
|
|
Ian Wells, PhD |
54 |
Vice President of Quality and Regulatory Affairs |
|
Simon Dunne |
49 |
Chief Accounting Officer |
|
Gary Keating, PhD |
50 |
Chief Technology Officer |
|
Eibhlín Kelly |
39 |
Chief Information Officer |
|
Colm Molloy |
52 |
Group Director of Human Resources and Culture |
|
John Mee |
59 |
Global Supply Chain Director |
|
Nick O’Hare |
50 |
Vice President of Global Commercial Operations and International Sales |
|
Mícheál Roche |
63 |
Vice President of Global Health |
Changes in Executive Officers and Board composition
James Merselis, Clint Severson and Kevin Tansley retired as directors on May 3, 2022.
Seon Kyu Jeon, Aris Kekedjian and Michael Sung Soo Kim were appointed as directors on May 3, 2022. Seon Kyu Jeon and Michael Sung
Soo Kim resigned as directors on October 24, 2022. Aris Kekedjian was initially appointed in a non-executive capacity and was appointed
to replace Ronan O’Caoimh as Chief Executive Officer on October 3, 2022 and was appointed Chairman on September 30, 2022.
Tom Lindsay was appointed as a director on October 25, 2022.
The executive officers, Fernando Devia and Sanjiv Suri left the Company during 2022
and Dan Goldsand left the Company in January 2023. Terence Dunne, moved to a part-time role in the Company in late 2022.
Aris Kekedjian, Chairman and
Chief Executive Officer, joined the Board of Trinity Biotech in May 2022, initially in a non-executive capacity and was appointed
to replace Ronan O’Caoimh as Chief Executive Officer on October 3, 2022. Mr Kekedjian was appointed as Chairman on September 30,
2022. Mr. Kekedjian spent 30 years in GE in several senior roles, including as GE’s Chief Investment Officer and Global Head of
Business Development. Mr. Kekedjian previously held roles as President Chief Executive Officer at Icahn Enterprises, Senior Advisor
to ECN Capital, and Independent Director of various public companies including Xerox Corporation, Finserv Acquisition Corp. and XPO Logistics,
Inc. He received his undergraduate degree from Concordia University.
Ronan O’Caoimh, Director,
co-founded Trinity Biotech in June 1992 and acted as Chief Financial Officer until March 1994 when he became Chief Executive Officer.
He was also elected Chairman in May 1995. On May 3, 2022, Mr. O’Caoimh stepped down as Chairman and was replaced as Chairman by
Seon Kyu Jeon. On October 3, 2022, Mr O’Caoimh stepped down as Chief Executive Officer. Prior to joining Trinity Biotech, Mr O’Caoimh
was Managing Director of Noctech Limited, an Irish diagnostics company. Mr O’Caoimh was Finance Director of Noctech Limited from
1988 until January 1991 when he became Managing Director. Mr O’Caoimh holds a Bachelor of Commerce degree from University College
Dublin. On March 30, 2011, the service agreement with Ronan O’Caoimh as Chief Executive Officer was terminated and replaced
by a management agreement with Darnick Company. This arrangement ceased with effect from December 31, 2018 with Ronan O’Caoimh returning
as an employee of the company.
Jim Walsh, PhD, Executive Director
of Business Development, initially joined Trinity Biotech in October 1995 as Chief Operations Officer. Dr Walsh resigned from
the role of Chief Operations Officer in 2007 to become a Director of the Company. In October 2010, Dr Walsh rejoined the company as Chief
Scientific Officer. Dr Walsh transferred from this position in 2015 and now provides strategic advice and technical diligence support,
on a part time basis, with regards to the Company’s business development activities. Prior to joining Trinity Biotech, Dr
Walsh was Managing Director of Cambridge Diagnostics Ireland Limited (“CDIL”). He was employed with CDIL since 1987. Before
joining CDIL he worked with Fleming GmbH as Research Development Manager. Dr. Walsh is a director of a number of private
Irish companies in the biotechnology and diagnostics sector, including EPONA Biotech since 2016, AllWorth Diagnostics since 2019 and AbacusLabs
since 2020. Dr Walsh holds a PhD degree in Chemistry from University College Galway.
John Gillard, Chief Financial Officer, Company Secretary and Director,
joined Trinity Biotech in November 2020 as Chief Financial Officer, Secretary to the Board of Directors and was appointed to the
Board as Executive Director. Mr. Gillard is both a Chartered Accountant and Chartered Tax Advisor, having trained at PWC. Prior
to joining Trinity Biotech, Mr. Gillard held a number of senior financial roles including from 2012 to 2016 at Alphabet Inc./Google, and
from Nov 2016 to May 2020 at ION Investment Group. Since June 2020 Mr. Gillard has also acted as a business consultant. Mr. Gillard
holds a Bachelor of Commerce degree from the National University of Ireland Galway and a Master’s degree in Accounting from University
College Dublin.
Tom Lindsay, Director, joined the Board as a non-executive director
in October 2022. Mr. Lindsay has more than 35 years of sales and marketing leadership experience in the global medical diagnostics industry
and was President of Alere Inc’s (now Abbotts’s) business in Africa for many years. Most recently, Mr Lindsay has provided
consultancy services to several international in vitro diagnostics businesses. He currently serves as a non-executive director for Genedrive
plc, a rapid, low-cost molecular diagnostics platform for the identification and treatment of a selection of infectious diseases.
Ian Wells, Vice
President of Quality and Regulatory Affairs, has served as Vice President of Quality and Regulatory Affairs of Trinity Biotech
since September 2022. Dr. Wells has greater than 30 years’ experience in the health care sector having worked in RD,
Operations and Quality/Regulatory for Zeneca, Johnson Johnson, Ortho Clinical Diagnostics and Werfen. Dr. Wells graduated
from Plymouth University and Technical University of Vienna with a BSc. in Chemistry (1993) and a PhD. in Chemometrics and Molecular Spectroscopy
(1996). He is the co-author of Transforming Quality Organisations (published by BEP LLC, New York, April 2023).
Simon Dunne, Chief Accounting Officer, has
served as our chief accounting officer since November 2007, having previously been our European CFO from November 2006. Prior to joining
us, Mr. Dunne held various finance leadership positions with Misys plc and worked in the auditing division of PWC. He graduated from University
College Dublin with a Bachelor of Commerce degree and is a Fellow of the Institute of Chartered Accountants Ireland.
Gary Keating, Chief Technology Officer, joined
Trinity Biotech in October 2022 following a range of technical leadership roles in start-up and multinational diagnostics companies, including
Transfer Manager at Abbott Diagnostics, RD Manager at Diasorin Ireland, and CTO at HiberGene Ltd. Dr Keating graduated from
the University of Ulster at Jordanstown with a BSc in Applied Biochemical Sciences in 1993 and earned a PhD in Applied Immunology from
Dublin City University in 1998.
Eibhlín Kelly, Chief Information Officer, has
served as Chief Information Officer of Trinity Biotech since September 2015. Previously, she served as Customer Services Manager at Lynq
Limited between 2011 and 2015, and Service Delivery/Support Manager at Trinity Biotech between 2005 and 2011. She graduated with an honour’s
degree in Business Information Systems Development from Dublin Institute of Technology.
Colm Molloy, Group
Director of Human Resources and Culture, has over 30 years Human Resources and Training experience and joined Trinity Biotech in
January 2021. Prior to joining Trinity Biotech, he served as Head of Human Resources with Nuritas, a biotechnology company from 2019 to
2020. His previous roles included HR Director at Storm Technology from 2015 to 2019 and Head of Human Resources at Grant Thornton Ireland
from 2011 to 2015. He is a Fellow of the Chartered Institute of Personnel and Development (CIPD) and a Graduate of the Marketing Institute
of Ireland.
John Mee, Global Supply Chain Director has
served in this position since joining Trinity Biotech in August 2022. Previous positions include Director of Supply Chain and Operations
Consulting Services for EY, Supply Chain and Information System Manager for Glanbia Consumer Foods, Global inventory Planning Director
for Grifols. John has held senior Supply Chain positions in Ireland and internationally. John holds an MSc in Supply Chain Management,
an MSc in Manufacturing 4.0, a BSc in Data Analytics, is a qualified auditor (BS5750 Part 2), and a Certified Advanced Forecaster (Institute
of Business Forecasting). John sits on the Executive Board of The Irish Exporters Association.
Nick O’Hare, Vice President of Global Commercial Operations and International
Sales joined Trinity Biotech in January 2022. Prior to joining Trinity Biotech, Mr. O’Hare was a business consultant at hmR
Ireland. In his career, he has held a range of senior roles in GSK, Roche Diagnostics, Novartis, IQVIA Ireland and PWC. Mr O’Hare
has a primary degree in science from Dublin City University and also holds an MBA.
Mícheál Roche, Vice President of Global
Health, joined Trinity Biotech in 2001. Prior to his current role as VP of Global Heath, he served as VP of HIV, Infectious Disease
and Clinical Chemistry since October 2013. Earlier in his career, he worked for AB Biodisk and B. Braun Biotech. He graduated from the
National University of Ireland with a Bachelor of Science degree and a master’s degree in biotechnology.
Additional Information
There are no family relationships between
any of the directors or members of senior management named above.
Our Memorandum
and Articles of Association of the Company (the “Articles”) provide for a board of directors of not less than four
and not more than ten members with the exact number of directors, from time, to time, determined by either (i) a resolution of our board
of directors or (ii) a vote of the shareholders at a general meeting or by way of written resolution.
Our board of directors is currently composed
of five directors. Officers serve at the pleasure of the board of directors, subject to the terms of any agreement between the officer
and us.
Pursuant to the terms of the Securities Purchase Agreement
signed by Trinity Biotech plc and MiCo IVD Holdings LLC (“MiCo”) on April 11, 2022 and the Redeemeable Unsecured Convertible
Loan Note issued by the Company on May 3, 2022, MiCo have the right to nominate up to four individuals for consideration by the Nomination
Committee of the Board of Directors for appointment to the Board of Directors, subject to certain minimum holding requirements.
Three of MiCo's four nominees are required to meet the independence standards set out in the NASDAQ stock Market Rules at all times and
at least one of those nominees must have substantial experience at a diagnostics testing business having annualised revenues of greater
than US$1 billion. In considering MiCo's nominees, the Nomination Committee of the Board of Directors is required to take into consideration
the need for the Company to retain its Irish tax status and status as a foreign private issuer under applicable federal securities laws.
We are not aware of any other arrangements
or understandings with major shareholders, customers, suppliers or others, pursuant to which any person referred to above was selected
as a director or member of senior management.
B. Compensation
The 2022 remuneration scheme was approved
by the Board of Directors.
Total directors and non-executive directors’
remuneration, excluding pension and share options, for the year ended December 31, 2022 amounted to US$1,639,000. The pension charge
for the year amounted to US$24,000. See Item 18, Note 9 to the consolidated financial statements. The split of directors’ remuneration
set out by director is detailed in the table below:
|
Director |
|
Title |
|
Salary/Other payments/
Benefits
US$’000 |
|
|
Performance
related bonus
US$’000 |
|
|
Transaction
related bonus
US$’000 |
|
|
Defined
contribution
pension
US$’000 |
|
|
Total
2022
US$’000 |
|
|
Total
2021
US$’000 |
|
|
Aris Kekedjian1,
2 |
|
Chairman and Chief Executive officer |
|
|
262 |
|
|
|
125 |
|
|
|
— |
|
|
|
— |
|
|
|
387 |
|
|
|
— |
|
|
Ronan O’Caoimh1
|
|
Executive Director |
|
|
340 |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
340 |
|
|
|
643 |
|
|
Jim Walsh |
|
Executive Director |
|
|
20 |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
20 |
|
|
|
20 |
|
|
John Gillard 3
|
|
Executive Director |
|
|
452 |
|
|
|
183 |
|
|
|
204 |
|
|
|
24 |
|
|
|
863 |
|
|
|
593 |
|
|
Tom Lindsay4
|
|
Director |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
Kevin Tansley5
|
|
Former Director |
|
|
19 |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
19 |
|
|
|
60 |
|
|
Clint Severson6
|
|
Former Director |
|
|
17 |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
17 |
|
|
|
49 |
|
|
James Merselis7
|
|
Former Director |
|
|
17 |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
17 |
|
|
|
49 |
|
|
|
|
|
|
|
1,127 |
|
|
|
308 |
|
|
|
204 |
|
|
|
24 |
|
|
|
1,663 |
|
|
|
1,414 |
|
1
Aris Kekedjian was appointed as a director on May 3, 2022, initially in a non-executive capacity and on October 3, 2022 was appointed
to replace Ronan O’Caoimh as Chief Executive Officer.
2
Salary, other payments and benefits for Aris Kekedjian includes US$65,000 payable to him on commencement of employment as CEO and
Chairman.
3 John Gillard’s
transaction bonus was in relation to a financial transaction successfully completed during the year.
4
Tom Lindsay was appointed as a director on October 25, 2022.
5
Kevin Tansley retired as director on May 3, 2022.
6
Clint Severson retired as director on May 3, 2022.
7
James Merselis retired as director on May 3, 2022.
As at December 31, 2022 there was US$5,000
(2021: NIL) accrued by the Company to provide pension, retirement or similar benefits for the directors
In 2022, options to subscribe for up to
29,400,000 ‘A’ ordinary shares (equivalent to 7,350,000 ADSs) were granted to the directors (2021: nil).
In addition, see Item 7 - Major Shareholders
and Related Party Transactions for further information on the compensation of Directors and Officers.
Compensation
of Senior Management
Compensation of our
executive officers is composed primarily of base salary and the payment of short-term and mid-term cash bonuses. Cash bonuses are generally
tied to the achievement of financial performance indicators and strategic objectives, and they may vary as a percentage of base salary
depending upon the level of responsibilities of the executive officer. Our executive compensation package is also complemented by long-term
incentives in the form of stock options.
As previously set out by our Chairman and
CEO, Mr. Aris Kekedjian and endorsed by our Board, one of our key priorities is to build a performance culture and drive ownership and
accountability in the Company. A share-based compensation model that ensures shareholder alignment is regarded as core to this transformation
and is currently in the process being rolled out to staff and senior management across the Company. To facilitate this shareholder aligned
share-based compensation model for employees and senior management, on December 15, 2022, our Board approved an amendment to the Trinity
Biotech Employee Share Option Plan 2020 (with the updated plan being the Company’s 2023 Amended Restated Plan) to increase
the number of ordinary shares issuable under such plan by 30 million Class “A” ordinary shares (the equivalent to 7.5 million
ADS). As this point in time, it is intended that these share-based compensation awards will be structured in a manner similar the
options granted to our CEO, with a significant proportion of any awards being performance-based awards that only become exercisable if
the market price of the Company’s ADS reaches certain levels. These performance share-based compensation awards are intended to
closely align the goals of our broader team with those of our shareholders in the creation of shareholder value. The majority of
Mr. Kekedjian’s options are performance share options and are structured such that they are exercisable only if the market price
of the Company's ADSs increases to certain levels ($3.00, $4.00 and $5.00 per ADS) during the term of the option.
For the financial year ended December 31, 2022, our executive officers and directors, as a group (22 persons
for 2022 including three executive officers that left the company during the year and one executive officer who moved to a part-time role
during the year), received aggregate compensation of US$3,821,000 for services they rendered in all capacities during 2022, which amount
includes base salary, commissions, bonuses, ex gratia payments and benefits in kind, excluding share options. The Board has appointed
Korn Ferry, an internationally recognised consulting firm, to advise the Board on compensation matters for directors and senior management.
C.
Board Practices
The Articles of Trinity Biotech provide
that one third of the directors for the time being other than a director holding an executive office with Trinity Biotech or, if
their number is not three or a multiple of three, then the number nearest to, but not exceeding, one third shall retire from office at
each annual general meeting,but if at any annual general meeting the number of directors who are subject to retirement by rotation is
two, one of such directors shall retire and, if the number of such directors is one, that director shall retire. The directors to retire
at each annual general meeting shall be the directors who have been longest in office since their last appointment. As between directors
of equal seniority the directors to retire shall, in the absence of agreement, be selected from among them by lot. Subject as aforesaid,
a retiring director shall be eligible for re-appointment and shall act as a director throughout the meeting at which he retires.
The Board has retained PWC to review and advise on the Company’s existing corporate
governance practices and structures to ensure they are appropriate and proportional for our company. We expect this process and
any associated changes to be completed and implemented by the end of quarter 3, 2023.
The Board of Directors has established audit, remuneration and employee compensation
committees. The Remuneration Committee consisted of Mr Clint Severson (committee chairman and lead director) and Mr James Merselis until
the date of their resignation in May 2022. This Committee is responsible for approving executive directors’ remuneration including
bonuses and share option grants. The Board has appointed an internationally recognised independent consulting firm to advise the
Board on compensation matters for directors and senior management.
The Audit Committee reviews the Group’s annual and interim financial statements and reviews reports
from management on the effectiveness of the Group’s internal controls. It also appoints the external auditors, reviews the scope
and results of the external audit and monitors the relationship with the auditors. Until May 2022, the Audit Committee comprised two non-executive
directors of the Group, James Merselis (Committee Chairman) and Clint Severson. When these two directors retired in May 2022, they were
replaced on the Audit Committee by non-executive directors Michael Sung Soo Kim and Aris Kekedjian (Committee Chairman). When Michael
Sung Soo Kim resigned as a director in October 2022, he left the Audit Committee, and Aris Kekedjian left the audit committee on May 2,
2023. As a transitional arrangement, the Audit Committee now comprises solely the non-executive director, Tom Lindsay. The Board of Directors
intend to appoint a second person to the Audit Committee once another suitably qualified non-executive director has joined the Board.
The Board of Directors has also formed an employee compensation committee currently
comprises Mr Aris Kekedjian (Committee Chairman) and Mr. John Gillard. This committee is responsible for approving share-based compensation
grants to employees of the Group, other than executive directors, pursuant to the terms of the Employee Share Option Plan. The Board determines
the exercise price and the term of the options. Individual option grants of less than 30,000 ‘A’ ordinary shares (7,500 ADRs)
are approved by the Compensation Committee and subsequently ratified by the Board.
The Company also typically operates a Nomination Committee for appointments to the Board of Directors.
Because Trinity Biotech is a foreign private issuer, it is not required to comply
with all of the corporate governance requirements set forth in NASDAQ Rule 5600 as they apply to U.S. domestic companies.
Indemnification
of Directors and Officers
Subject to exceptions,
the Companies Act 2014 of Ireland, (the “Companies Act 2014”) does not permit a company to exempt a director or certain officers
from, or indemnify a director against, liability in connection with any negligence, default, breach of duty or breach of trust by a director
in relation to the company.
The exceptions allow
a company to: (a) purchase and maintain directors and officers insurance against any liability attaching in connection with any negligence,
default, breach of duty or breach of trust owed to the company; and (b) indemnify a director or such other officer against any liability
incurred in defending proceedings, whether civil or criminal, (i) in which judgment is given in his or her favor or in which he or
she is acquitted or (ii) in respect of which an Irish Court grants him or her relief from any such liability on the grounds that
he or she acted honestly and reasonably and that, having regard to all the circumstances of the case, he or she ought fairly to be excused
for the wrong concerned.
The Articles includes
a provision which, subject to the provisions of the Companies Act 2014 as aforesaid, entitles every present and former director and other
officer of the Company to be indemnified out of the assets of the Company (other than any person (whether an officer or not) engaged by
the Company as auditor) against any loss or liability incurred by him or her for negligence, default, breach of duty or breach of trust
in relation to the affairs of the Company or otherwise incurred by him or her in the execution and discharge of his or her duties to the
Company.
Under the Companies
Act 2014 and the Articles, the Company may purchase and maintain directors’ and officers’ liability insurance, at the expense
of the Company, for the benefit any of its present and former directors and other officers.
Limitation
on Director Liability
Subject to exceptions,
as described above, the Companies Act 2014 does not permit a company to exempt any director or certain officers from any liability arising
from negligence, default, breach of duty or breach of trust against the company. One of the exceptions is that an Irish company is permitted
to purchase and maintain directors’ and officers’ liability insurance, at the expense of the company, for the benefit of any
of its present and former directors and other officers, including insurance against liability arising from the aforementioned matters.
Separately, in proceedings
where negligence, default, breach of duty or breach of trust against a director has or may be established (or in anticipation of any such
proceedings), an Irish Court has the power to grant a director or other officer relief from liability on the grounds that he or she acted
honestly and reasonably and that, having regard to all the circumstances of the case, he or she ought fairly to be excused for the wrong
concerned.
The Company has purchased directors’ and officers’
liability insurance which would indemnify the directors and officers against damages arising out of certain kinds of claims which might
be made against them based on their negligent acts or omissions while acting in their capacity as such. In addition, certain of the
Company's existing US-incorporated subsidiaries have entered into customary deeds of indemnity with our directors.
D. Employees
The following table details certain data
on the average workforce of Trinity Biotech and its consolidated subsidiaries:
| |
|
Year Ended December 31,
2022
|
|
| |
|
2022 |
|
|
2021 |
|
|
2020 |
|
|
Numbers of employees by geographic location |
|
|
|
|
|
|
|
|
|
|
United States |
|
|
217 |
|
|
|
237 |
|
|
|
310 |
|
|
Ireland |
|
|
146 |
|
|
|
211 |
|
|
|
199 |
|
|
United Kingdom |
|
|
1 |
|
|
|
2 |
|
|
|
3 |
|
|
Brazil |
|
|
34 |
|
|
|
27 |
|
|
|
31 |
|
|
Total workforce |
|
|
398 |
|
|
|
477 |
|
|
|
543 |
|
|
Numbers of employees by category of activity |
|
|
|
|
|
|
|
|
|
|
|
|
|
Research scientists technicians |
|
|
30 |
|
|
|
41 |
|
|
|
52 |
|
|
Manufacturing/Operations |
|
|
188 |
|
|
|
239 |
|
|
|
280 |
|
|
Quality Assurance |
|
|
61 |
|
|
|
63 |
|
|
|
63 |
|
|
Finance/Administration |
|
|
75 |
|
|
|
68 |
|
|
|
65 |
|
|
Sales Marketing |
|
|
44 |
|
|
|
66 |
|
|
|
83 |
|
|
Total workforce |
|
|
398 |
|
|
|
477 |
|
|
|
543 |
|
We consider our employees the most valuable
asset of our company. We offer competitive compensation and comprehensive benefits to attract and retain our employees. The remuneration
and rewards include retention through share-based compensation and performance-based bonuses. We generally
provide our employees with benefits and working conditions beyond the required minimums in each geographic and regulatory environment
in which the Group operates.
We believe that an engaged workforce is key to maintaining
our ability to innovate. We have been successful in integrating new employees into the business and keeping our employees engaged. Investing
in our employees’ career growth and development is an important focus for us. We offer learning opportunities and training programs
including workshops, guest speakers and various conferences to enable our employees to advance in their chosen professional paths.
We are committed to providing a safe work environment for our
employees. We took the necessary precautions in response to the Covid-19 outbreak, including offering employees flexibility to work from
home where practical, mandatory social distancing requirements in the workplace (such as adding more space between workspaces) and provision
of hand sanitizer to all employees, and improvement and optimization of our telecommuting system to support remote work arrangements.
E. Share Ownership
Beneficial
Ownership of Executive Officers and Directors
Stock Option Plans
The Board of Directors have adopted the Employee Share Option
Plans (the “Plans”); with the most recently adopted Share Option Plan being the Company’s 2023 Amended Restated
Plan. The purpose of these Plans is to provide Trinity Biotech’s employees, consultants, officers and directors with additional
incentives to improve Trinity Biotech’s ability to attract, retain and motivate individuals upon whom Trinity Biotech’s sustained
growth and financial success depends. These Plans are administered by the Board of Directors. Options under the Plans may be awarded only
to employees, officers, directors and consultants of Trinity Biotech.
The exercise price of options is determined
by the Board of Directors, through its remuneration and employee compensation committees as the case may be. The term of an option will
be determined by the Board, provided that the term may not exceed ten years from the date of grant. Option grants up to 30,000 ‘A’
ordinary shares (7,500 ADRs) are administered by the employee compensation committee and subsequently ratified by the Board. The committee
will also determine the exercise price and term of these options. All options will terminate 90 days after termination of the option holder’s
employment, service or consultancy with Trinity Biotech (or one year after such termination because of death or disability) except where
a longer period is approved by the board of directors.
Under certain circumstances involving a
change in control of Trinity Biotech, the Board may accelerate the exercisability and termination of options.
As of April 15, 2023, our directors and
executive officers as a group, then consisting of 13 persons, held options to purchase an aggregate of 40,627,336 ‘A’ shares
(10,156,834 ADS equivalent), having exercise prices ranging from US$0.19 per ‘A’ ordinary share (US$0.77 per ADS) to US$1.34
per ‘A’ ordinary share (US$5.35 per ADS) and expiration dates ranging from 2024 to 2029. Generally, the options vest
over a two to four year period and have no performance conditions. One exception to this is that the majority of the options granted to
Aris Kekedjian and John Gillard in the fourth quarter of 2022 are performance share options and are structured such that they are exercisable
only if the market price of the Company's ADSs increases to certain levels (US$3.00, US$4.00 and US$5.00 per ADS) during the life of the
option.
The following table sets forth certain information as of April
15, 2023, regarding the beneficial ownership by each of our directors and executive officers:
|
Name |
|
Number of ‘A’ Ordinary Shares Beneficially Owned (1)
|
|
|
Percentage of Ownership (2)
|
|
|
Ronan O’Caoimh (3) |
|
|
18,761,496 |
|
|
|
11.6 |
% |
|
Aris Kekedjian (4) |
|
|
4,000,000 |
|
|
|
2.6 |
% |
|
Jim Walsh (5) |
|
|
2,743,612 |
|
|
|
1.8 |
% |
|
John Gillard (6) |
|
|
1,900,000 |
|
|
|
1.2 |
% |
|
Tom Lindsay |
|
|
- |
|
|
|
- |
|
|
Simon Dunne (7) |
|
|
240,000 |
|
|
|
* |
|
|
Ian Wells |
|
|
- |
|
|
|
- |
|
|
Eibhlín Kelly |
|
|
- |
|
|
|
- |
|
|
Gary Keating |
|
|
- |
|
|
|
- |
|
|
Colm Molloy |
|
|
- |
|
|
|
- |
|
|
John Mee |
|
|
- |
|
|
|
- |
|
|
Nick O’Hare |
|
|
- |
|
|
|
- |
|
|
Mícheál Roche |
|
|
- |
|
|
|
- |
|
|
Executive officers and directors as a group (13 persons) |
|
|
27,645,108 |
|
|
|
16.3 |
% |
|
(1) |
Beneficial ownership is determined in accordance with the rules of the SEC and generally
includes voting or investment power with respect to securities. Ordinary Shares relating to options currently exercisable or exercisable
within 60 days of the date of this table are deemed outstanding for computing the percentage of the person holding such securities but
are not deemed outstanding for computing the percentage of any other person. Share options that have a performance condition related to
the share price of the equity of the Company are deemed to be exercisable irrespective of whether the performance condition has been,
or is expected to be, satisfied within 60 days of the date of this table. Except as indicated by footnote, and subject to community property
laws where applicable, the persons named in the table above have sole voting and investment power with respect to all shares shown as
beneficially owned by them. |
|
(2) |
The percentages shown are based on ‘A’ Ordinary Shares issued and outstanding
as of April 15, 2023. |
|
(3) |
Represents (a) 9,724,160 ‘A’ ordinary shares and (b) 9,037,336 ‘A’
ordinary shares underlying options that are currently vested and exercisable or that vest within sixty days of April 15, 2023. Includes
options issued to Darnick Company which in the past provided Trinity Biotech with the services of Mr. O’Caoimh as Chief Executive
Officer.
|
|
(4) |
Represents 4,000,000 ‘A’ ordinary shares underlying options that are currently
vested and exercisable or that vest within sixty days of April 15, 2023. |
|
(5) |
Represents (a) 1,393,612 ‘A’ ordinary shares and (b) 1,350,000 ‘A’
ordinary shares underlying options that are currently vested and exercisable or that vest within sixty days of April 15, 2023. Note that
1,393,612 ‘A’ ordinary shares of Dr Walsh’s shares are held in trust for the benefit of Dr Walsh’s immediate family.
|
|
(6) |
Represents 1,900,000 ‘A’ ordinary shares underlying options that are currently
vested and exercisable or that vest within sixty days of April 15, 2023. |
|
(7) |
Represents 240,000 ‘A’ ordinary shares underlying options that are currently
vested and exercisable or that vest within sixty days of April 15, 2023. |
As of April 15, 2023, 40,387,336 (10,096,834
ADS equivalent) of the options outstanding were held by the directors of Trinity Biotech as follows:
|
Director/Company Secretary |
|
Number of Options
‘A’ Shares |
|
|
Number of Options
ADS Equivalent
|
|
|
Exercise Price
(Per ‘A’ Share) |
|
|
Exercise Price (Per
ADS) |
|
|
Hurdle
Price 2
(Per ADS) |
|
Expiration Date of
Options |
|
Aris Kekedjian |
|
|
8,000,000 |
|
|
|
2,000,000 |
|
|
|
0.27 |
|
|
|
1.07 |
|
|
None |
|
03/10/2029 |
| |
|
|
4,000,000 |
|
|
|
1,000,000 |
|
|
|
0.27 |
|
|
|
1.07 |
|
|
$ |
3.00 |
|
03/10/2029 |
| |
|
|
4,000,000 |
|
|
|
1,000,000 |
|
|
|
0.27 |
|
|
|
1.07 |
|
|
$ |
4.00 |
|
03/10/2029 |
| |
|
|
4,000,000 |
|
|
|
1,000,000 |
|
|
|
0.27 |
|
|
|
1.07 |
|
|
$ |
5.00 |
|
03/10/2029 |
|
John Gillard |
|
|
600,000 |
|
|
|
150,000 |
|
|
|
0.67 |
|
|
|
2.69 |
|
|
None |
|
23/10/2027 |
|
|
|
|
1,400,000 |
|
|
|
350,000 |
|
|
|
0.27 |
|
|
|
1.09 |
|
|
None |
|
25/03/2029 |
|
|
|
|
3,200,000 |
|
|
|
800,000 |
|
|
|
0.29 |
|
|
|
1.14 |
|
|
None |
|
19/12/2029 |
| |
|
|
1,600,000 |
|
|
|
400,000 |
|
|
|
0.29 |
|
|
|
1.14 |
|
|
$ |
3.00 |
|
19/12/2029 |
| |
|
|
1,600,000 |
|
|
|
400,000 |
|
|
|
0.29 |
|
|
|
1.14 |
|
|
$ |
4.00 |
|
19/12/2029 |
| |
|
|
1,600,000 |
|
|
|
400,000 |
|
|
|
0.29 |
|
|
|
1.14 |
|
|
$ |
5.00 |
|
19/12/2029 |
|
Ronan O’Caoimh 1
|
|
|
2,244,000 |
|
|
|
561,000 |
|
|
|
1.34 |
|
|
|
5.35 |
|
|
None |
|
07/09/2024 |
|
|
|
|
4,060,000 |
|
|
|
1,015,000 |
|
|
|
0.69 |
|
|
|
2.74 |
|
|
None |
|
14/06/2026 |
|
|
|
|
333,336 |
|
|
|
83,334 |
|
|
|
0.19 |
|
|
|
0.77 |
|
|
None |
|
20/03/2027 |
|
|
|
|
2,400,000 |
|
|
|
600,000 |
|
|
|
0.73 |
|
|
|
2.90 |
|
|
None |
|
17/11/2027 |
|
Jim
Walsh |
|
|
750,000 |
|
|
|
187,500 |
|
|
|
1.34 |
|
|
|
5.35 |
|
|
None |
|
07/09/2024 |
|
|
|
|
600,000 |
|
|
|
150,000 |
|
|
|
0.19 |
|
|
|
0.77 |
|
|
None |
|
20/03/2027 |
1
Includes options issued to Darnick Company which in the past provided Trinity Biotech with the services of Mr. O’Caoimh as
Chief Executive Officer.
2
Share options with a hurdle price are structured such that they may only become exercisable into ADSs when the average closing price of
the Company’s ADSs, for ten trading days out of the thirty previous trading days, is equal to or greater than the relevant hurdle
price of US$3.00, US$4.00 or US$5.00 per ADS (adjusted for any stock splits, reverse splits or equivalent reorganisations) during
the life of the option. At April 15, 2023, none of the directors’ share options with a hurdle price were exercisable as the hurdle
price condition has not been achieved.
As of April 15, 2023 the following total options were outstanding:
|
|
|
Number of ‘A’
Ordinary Shares
Subject to Option |
|
|
Range of
Exercise Price
per Ordinary Share |
|
|
Range of Exercise Price
per ADS |
|
|
Total options outstanding |
|
|
46,794,672 |
|
|
$ |
US0.19-US$1.34 |
|
|
$ |
US0.77-US$5.35 |
|
Item 7.
Major Shareholders and Related Party Transactions
As of April 15, 2023, Trinity Biotech has
outstanding 152,830,284 ‘A’ Ordinary shares (excluding treasury shares). Such totals exclude 46,794,672 shares issuable upon
the exercise of outstanding options and 10,000,000 shares issuable upon the exercise of outstanding warrants.
The following
table sets forth certain information regarding the beneficial ownership of our ordinary shares, as of April 15, 2023, by each person who
we believe beneficially owns 5% or more of our outstanding ordinary shares and all of our directors and executive officers as a group. Except
as otherwise noted, all of the persons and groups shown below have sole voting and investment power with respect to the shares indicated.
|
Name |
|
Number of ‘A’
Ordinary Shares Beneficially
Owned |
|
|
Number of ADSs Beneficially Owned (1) |
|
|
Percentage
ownership (2) |
|
|
MiCo IVD Holdings, LLC |
|
|
44,759,388 |
(3) |
|
|
11,189,847 |
|
|
|
29.3 |
% |
|
All directors and officers as a group |
|
|
|
|
|
|
|
|
|
|
16.3 |
% |
|
Perceptive Credit Holdings III, LP |
|
|
10,000,000 |
(4) |
|
|
2,500,000 |
|
|
|
6.1 |
% |
| (1) |
Beneficial ownership is determined in accordance with the rules of the SEC and generally includes voting
or investment power with respect to securities. Ordinary Shares relating to options currently exercisable or exercisable within 60 days
of the date of this table are deemed outstanding for computing the percentage of the person holding such securities but are not deemed
outstanding for computing the percentage of any other person. Share options that have a performance condition related to the share price
of the equity of the Company are deemed to be exercisable irrespective of whether the performance condition has been, or is expected to
be, satisfied within 60 days of the date of this table. Except as indicated by footnote, and subject to community property laws where
applicable, the persons named in the table above have sole voting and investment power with respect to all shares shown as beneficially
owned by them.
|
|
(2) |
The percentages shown are based on ‘A’
Ordinary Shares outstanding (excluding treasury shares).
|
|
(3) |
Based upon a Schedule 13D filed on December 8, 2022, by MiCo IVD Holdings, LLC with the SEC. The principal
business address of MiCo IVD Holdings, LLC is 85 Orchard Road. Skillman, New Jersey 08558 United States. |
| |
|
|
(4) |
Based upon warrant agreement issued to Perceptive Credit Holdings III, LP in January
2022 in respect of 10,000,000 ‘A’ Ordinary Shares (2,500,000 ADSs). |
Significant Changes in
the Ownership of Major Shareholders
To our knowledge, other
than as disclosed in the table below there has been no significant change in the percentage ownership held by any major shareholder since
January 1, 2020.
The following shareholders have disclosed
ownership above 5% since January 1, 2020 but their ownership is below 5% as at April 15, 2023 according to their Schedule 13G filings.
|
|
|
Number of ‘A’
Ordinary Shares Beneficially
Owned |
|
|
Number of ADSs Beneficially Owned (1) |
|
|
Percentage
‘A’ Ordinary
Shares (2) |
|
|
Percentage Total
Voting Power
|
|
Date of Filing |
|
Whitefort Capital Master Fund, LP |
|
|
2,342,280 |
|
|
|
585,570 |
|
|
|
1.5 |
% |
|
|
1.5 |
% |
February 16, 2021 |
|
Highbridge Capital Management, LLC |
|
|
675,064 |
|
|
|
168,766 |
|
|
|
0.4 |
% |
|
|
0.4 |
% |
April 14, 2022 |
|
Renaissance Technologies LLC |
|
|
5,573,752 |
|
|
|
1,393,438 |
|
|
|
3.6 |
% |
|
|
3.6 |
% |
February 13, 2023 |
|
Stonehill Capital Management LLC |
|
|
6,690,592 |
|
|
|
1,672,648 |
|
|
|
4.4 |
% |
|
|
4.4 |
% |
February 13, 2023 |
|
Paradice Investment Management, LLC |
|
|
6,172,460 |
|
|
|
1,543,115 |
|
|
|
4.0 |
% |
|
|
4.0 |
% |
February 7, 2020 |
Major
Shareholders Voting Rights
Our major shareholders
do not have different voting rights.
B. Related Party Transactions
The following is a
description of our related party transactions since January 1, 2022.
The Group has entered into various arrangements
with JRJ Investments (“JRJ”), a partnership owned by Mr O’Caoimh and Dr Walsh, directors of Trinity Biotech, and directly
with Mr O’Caoimh, to provide for current and potential future needs to extend its premises at IDA Business Park, Bray, Co. Wicklow,
Ireland.
The Group entered into an agreement for a 25-year lease with JRJ effective from December 2003 for offices
that adjacent to its then premises at IDA Business Park, Bray, Co. Wicklow, Ireland with an annual rent is €381,000 (US$406,000).
Upward-only rent reviews are carried out every five years and there have been no increases arising from these rent reviews.
In 2007 the Group also entered into 25-year lease agreements with Mr O’Caoimh and Dr Walsh for a
43,860 square foot manufacturing facility in Bray, Ireland. The annual rent for the manufacturing facility is €787,000 (US$838,000). Subsequent
to the signing of this lease, the ownership of the building transferred from JRJ to Mr O’Caoimh solely. In 2016 the Group also entered
into 10-year lease agreement with Mr O’Caoimh for a warehouse of 16,000 square feet adjacent to the leased manufacturing facility
in Bray, Ireland. The annual rent for the warehouse is €144,000 (US$153,000). At the time, independent valuers advised the Group
that the rent in respect of each of the leases represents a fair market rent. Upward-only rent reviews are carried out every five years
and there have been no increases to date arising from these rent reviews, although a rent review of the 43,860 square foot facility is
currently ongoing.
Trinity Biotech and its directors (excepting Mr O’Caoimh
and Dr Walsh who express no opinion on this point) believe at the time that the arrangements entered into represented a fair and reasonable
basis on which the Group could meet its ongoing requirements for premises. Dr Walsh has no ownership interest in the additional space
adjoining the warehouse owned by Mr O’Caoimh and was therefore entitled to express an opinion on this arrangement.
In late 2020, the Group occupied some additional
space adjoining the warehouse owned by Mr O’Caoimh. This was a short-term arrangement, and no payments were made for the additional
space during 2020 and 2021. The Company vacated this space in 2021. In 2022, the rent payable to Mr O’Caoimh of US$90,000 was settled.
Indemnity
Agreements
We have entered into customary agreements with each of our current
directors and executive officers to indemnify them to the fullest extent permitted by law, subject to limited exceptions.
Related
Person Transaction Policy
Our Board of Directors has adopted an interested
party transaction policy, which governs the identification, reporting and approval of transactions with interested parties.
C. Interests of Experts
and Counsel
Not applicable.
Item 8.
Financial Information
A. Consolidated Statements
and Other Financial Information
Consolidated Financial
Statements
See Item 18. “Financial
Statements.”
Export Sales
In the year ended December
31, 2022, the amount of our export sales (i.e., sales outside of Ireland) was approximately US$74,675,181 which represents 99.9% of our
total sales.
Legal and Arbitration
Proceedings
From time to time,
we may be involved in various claims and legal proceedings related to claims arising out of our operations. We are not currently a party
to any material legal proceedings, including any such proceedings that are pending or threatened, of which we are aware.
Dividend Policy
We have not paid a
cash dividend on our ordinary shares or ADSs since 2015 and do not intend to pay cash dividends on our ADSs in the foreseeable future.
Our earnings and other cash resources will be used to continue the development and expansion of our business. Any future dividend policy
will be determined by our Board of Directors and will be based upon conditions then-existing, including our results of operations, financial
condition, current and anticipated cash needs, contractual restrictions and other conditions.
B. Significant Changes
Except as otherwise disclosed in this Annual
Report, no significant change has occurred since December 31, 2022.
Item 9.
The Offer and Listing
A. Offer and Listing
Details
Trinity Biotech’s ADSs are listed
on the NASDAQ Global Market under the symbol “TRIB” and the depositary bank for the ADSs is The Bank of New York Mellon.
B. Plan of Distribution
Not applicable.
C. Markets
Trinity Biotech’s ADSs, each representing
four ordinary shares, are listed on the NASDAQ Global Market under the symbol “TRIB” and the depositary bank for the ADSs
is The Bank of New York Mellon.
D. Selling Shareholders
Not Applicable.
E. Dilution
Not applicable.
F. Expenses of the Issue
Not applicable.
Item 10.
Additional Information
A. Share Capital
Not applicable.
B. Memorandum and Articles
of Association
Copies of our Articles
are filed as Exhibit 1.1 to this Annual Report. The information called for by this Item 10.B. is included in Exhibit 2.1 to this Annual
Report and is incorporated herein by reference.
Irish Law
Each of Trinity Biotech’s principal subsidiary undertakings
incorporated in Ireland (refer to Item 18, Note 30) is registered as a private company limited by shares under the Companies Act 2014.
Pursuant to Irish law, Trinity Biotech must maintain a register of its shareholders. This register is open to inspection by shareholders
free of charge and to any member of the public on payment of a small fee. The books containing the minutes of proceedings of any general
meeting of Trinity Biotech are required to be kept in Ireland and are kept at the registered office of the Company and are open to the
inspection of any member without charge. Minutes of meetings of the board of directors are not open to scrutiny by shareholders. Trinity
Biotech is obliged to keep proper accounting records. The shareholders have no statutory right to inspect the accounting records. The
only financial records, which are open to the shareholders, are the statutory financial statements, which are sent to shareholders with
the annual report. Irish law also obliges Trinity Biotech to file information regarding certain events relating to the Company (such as
changes to share rights, changes to the board of directors etc). This information is filed with the Companies Registration Office in Ireland
and is open to public inspection. The Articles permit ordinary shareholders to approve corporate matters in writing provided that the
relevant resolution is signed by all the members for the time being entitled to vote and attend at general meeting. A general meeting
can be convened by ordinary shareholders which hold not less than 50 per cent of the paid up share capital of the Company carrying the
right of voting at general meetings of the Company. In addition, the directors of the Company are required to convene a general
meeting forthwith upon the deposit of a requisition signed by ordinary shareholders holding not less than one-tenth of the paid up capital
of the Company carrying the right of voting at general meetings of the Company. Trinity Biotech is generally permitted, subject to company
law, to issue shares with preferential rights, including preferential rights as to voting, dividends or rights to a return of capital
on a winding up of the Company. Any shareholder who complains that the affairs of the Company are being conducted or that the powers of
the directors of the Company are being exercised in a manner oppressive to him or any of the shareholders (including himself), or in disregard
of his or their interests as shareholders, may apply to the Irish Courts for relief. Shareholders have no right to maintain proceedings
in respect of wrongs done to the Company.
Directors have extensive and wide–ranging duties under
Irish law. These arise from both common law and statute (principally the Companies Act 2014, which codified a number of key fiduciary
duties). Our directors owe their duties individually and primarily to Trinity Biotech and not its shareholders (although there is
a requirement that directors consider the interests of employees in addition to those of the company). Additionally, directors will also
need to have regard to the interests of creditors, where a director believes, or has reasonable cause to believe, that a company is, or
is likely to be, unable to pay its debts, or becomes aware of the company’s insolvency. All of the directors have equal and overall
responsibility for the management of the Company (although directors who also serve as employees will have additional responsibilities
and duties arising under their employment agreements and may be expected to exercise a greater degree of skill and diligence than non-executive
directors). Those duties include duties to act in good faith in the interests of Trinity Biotech, act honestly and responsibly in the
conduct of the Company’s affairs, act in accordance with the Company’s Constitution and exercise their powers only for purposes
allowed by law, not use the Company’s property for their own or a third party's, benefit (unless duly authorised), not agree to
restrict their power to exercise an independent judgment (subject to limited exceptions) and avoid conflicts of interests (unless they
are properly released). A director must exercise the care, skill and diligence which would be exercised in the same circumstances
by a reasonable person having the knowledge and experience that (a) may reasonably be expected of a person in the same position as the
director and (b) which that particular director has. Other statutory duties include ensuring the maintenance of proper books of account,
having annual accounts prepared, having an annual audit performed, maintaining certain registers and making certain filings as well as
the disclosure of personal interests. When directors, as agents in transactions, make contracts on behalf of the Company, they generally
incur no personal liability under these contracts. It is Trinity Biotech, as principal, which will be liable under them, as long as the
directors have acted within Trinity Biotech’s objects and within their own authority. A director who commits a breach of his duties
shall be liable to Trinity Biotech for any profit made by him or for any damage suffered by Trinity Biotech as a result of the breach.
In addition to the above, a breach by a director of his duties may (where relevant) lead to the summary dismissal of the director, civil
or criminal sanction from a Court, including penalties or imprisonment, and/or the imposition of orders restricting or disqualifying the
director from acting as a director.
C. Material Contracts
Other than contracts entered into in the
ordinary course of business, the following represents the material contracts entered into by the Group:
Term loan agreement
with Perceptive Advisors
On December 15, 2021, the Company and its
subsidiaries entered into a US$81.25 million senior secured term loan credit facility (the “Term Loan”) with Perceptive Advisors
(“Perceptive”), an investment manager with an expertise in healthcare. Proceeds from the Term Loan, along with existing
cash and the issuance of new American Depository Shares (“ADS”) in the Company, were used to retire the exchangeable notes
in January 2022. The Term Loan will mature on the fourth anniversary of the drawdown date and accrues interest at an annual rate equal
to 11.25% plus the greater of (a) one-month LIBOR (later changed to the Term SOFR Reference Rate effective from October 28, 2022) and
(b) one percent per annum, and interest will be payable monthly in arrears in cash. The Term Loan does not require any amortization,
and the entire unpaid balance will be payable upon maturity. The Term Loan can be repaid, in part or in full, at a premium before the
end of the four-year term.
The drawdown of the Term Loan by the Company was subject to a number of conditions precedent
including the repayment of at least 99.7% of the exchangeable notes and approval by the Company’s shareholders of the Term Loan,
an increase in the authorized share capital of the Company and the issuance of the Warrants. At the Extraordinary General Meeting
held on January 25, 2022, the Company’s shareholders approved all of the four resolutions put to the meeting, with each resolution
being approved by at least 97% of votes cast. The term loan was drawn down on January 27, 2022. In May 2022, the Company made an early
partial settlement of the term loan amounting to US$34,500,000.
In February 2023, the Company entered into an amended
and restated senior secured term loan credit agreement which allowed for an immediate US$5,000,000 increase to its outstanding Term Loan
and provided for a US$20,000,000 facility to fund potential acquisitions. In April 2023, the Company used approximately US$11 million
of the proceeds of the sale of Fitzgerald Industries to repay approximately US$10.1 million of the Term Loan plus an approximately US$0.9
million early repayment penalty. In connection with this transaction, the Company entered into an amendment to its senior secured term
loan credit facility with Perceptive Advisors, which significantly reduces the Company’s minimum revenue covenants under that loan.
Warrant agreement with
Perceptive Advisors
On December 15, 2021, the Company agreed,
subject to drawdown of the Term Loan, to issue warrants exercisable for 2,500,000 of the Company’s ADSs to Perceptive. The warrants
were issued in January 2022 following the drawdown of the term loan. The per ADS exercise price of the Warrants is US$1.30, based on the
lower of i) the 10-day volume weighted average price (“VWAP”) for the Company’s ADSs for the 10 business days prior
to the Closing Date of the Credit Agreement for the Term Loan and ii) the 10-day VWAP for the Company’s ADSs for the 10 business
days prior to the drawdown date of the funding under the Term Loan. The Warrants are exercisable, in whole or part, until the seventh
anniversary of the date of drawdown of the funding under the Term Loan.
In February 2023, in connection with an
increased Term Loan facility, the Company agreed to reprice the 2,500,000 warrants originally issued to Perceptive, with the Warrants
now having a per ADS price of US$1.071.
Exchange agreement with
certain holders of the Exchangeable Notes
On December 15, 2021, the Company entered into exchange agreements (the “Exchange Agreements”)
with five institutional investors that held approximately US$99,700,000 of the outstanding exchangeable notes, which are puttable by the
holders to the Group, at par, in April 2022. Under the terms of this agreement each holder agreed to exchange their Notes at a discount
to par with each holder receiving $0.87 of cash and the equivalent of $0.08 of the Company’s ADS (based upon the 5-day trailing
VWAP of the ADSs on NASDAQ on December 10, 2021, discounted by 13%) per $1 nominal value of the Notes. The consummation of the Exchange
Agreements was conditional upon (among other things) the approval by the Company’s shareholders of the issuance of ADSs pursuant
to the Exchange Agreements and certain matters related to the drawdown of the Term Loan. At the Extraordinary General Meeting held on
January 25, 2022, the Company’s shareholders approved all of the four resolutions put to the meeting, with each resolution being
approved by at least 97% of votes cast. The Company retired the Notes owned by the five institutional investors on January 27, 2022.
In April 2022, the Company announced a US$45 million investment from MiCo, a KOSDAQ-listed
and Korea-based company. The investment consisted of an equity investment of approximately US$25.2 million (11.2 million ADSs at a price
of US$2.25 per ADS) and a seven-year, unsecured US$20 million junior convertible note, with a fixed interest rate of 1.5% and an ADS conversion
price of US$3.24 per ADS. The convertible note mandatorily converts into ADS if the volume weighted average price of the Company’s
ADSs is at or above US$3.24 for any five consecutive NASDAQ trading days.
The chair of MiCo, Seon Kyu Jeon, along with Aris Kekedjian and Michael Sung Soo Kim
joined the Board of Trinity Biotech after the investment completed. Existing directors Kevin Tansley, Clint Severson and James Merselis
retired from the Board at the same time. In October 2022, Seon Kyu Jeon Jeon and Michael Sung Soo Kim resigned from the Board of Trinity
Biotech.
Employment contract
with Mr Aris Kekedjian
Mr. Aris Kekedjian was appointed as CEO
with effect from October 3, 2022. As part of Mr. Kekedjian’s compensation package he is entitled to a substantial share options
package that is designed to align Mr. Kekedjian’s interests with those of Trinity Biotech shareholders. Under the share options
package, he is entitled to:
|
- |
Options to purchase 2 million ADS at an exercise price of US$1.071 (the closing price
on 30 September 2022). The options will vest on a quarterly basis over 24 months from the date of commencement of employment. |
|
-
|
Options to purchase 3 million ADS which become exercisable in the event the closing
price of the ADS reach certain levels for ten (10) trading days out of the thirty (30) previous trading days, of which: (i) options to
purchase 1 million ADSs become exercisable if and when the closing price of the ADSs is equal to or greater than $3.00, (ii) options to
purchase 1 million ADSs become exercisable if and when the closing price of the ADSs is equal to or greater than $4.00, and (iii) options
to purchase 1 million ADSs become exercisable if and when the closing price of the ADSs is equal to or greater than $5.00, in each case
adjusted for any stock splits, reverse splits or equivalent reorganisations. These options have an exercise price of US$1.071 and vest
rateably over 3 years from the date of commencement of employment. |
|
- |
Accelerated vesting of the share options in certain circumstances. |
Sale of Fitzgerald Life Sciences business
On April 27, 2023, the Company announced
it had closed the sale of its Fitzgerald Industries life sciences supply business, consisting of Benen Trading Ltd and Fitzgerald Industries
International, Inc, to Biosynth for cash proceeds of approximately US$30 million subject to customary adjustments. The Fitzgerald life
sciences supply business generated revenue of approximately US$12 million in the year ended December 31, 2022, and was EBITDA positive.
The cash proceeds from Biosynth includes funding to Fitzgerald Industries to allow it repay intercompany loans owed to Trinity Biotech.
Management determined that the life sciences supply business was no longer core to the Group’s long-term strategy and pursued this
transaction as part of its plan to transform into a high growth innovator in diabetes care and decentralised diagnostic solutions.
D.
Exchange Controls
As an EU Member State, EU Council Regulations which implement EU and UN sanctions
decisions automatically have direct effect in Irish law once they enter into force at EU level. Ireland does not currently operate an
autonomous sanctions policy which departs from EU and UN sanctions decisions. At present EU Council Regulations prohibit financial transfers
involving a number of persons, entities and bodies, which are subject to amendment on an ongoing, regular basis and currently include,
but are not limited to: certain persons and activities in Afghanistan, Belarus, Bosnia Herzegovina, Burundi, the Central African
Republic, Democratic Republic of Congo, the Republic of Guinea, the Republic of Guinea-Bissau, Haiti, the Democratic People's Republic
of Korea, Egypt, Eritrea, Iran, Iraq, Lebanon, Libya, Myanmar/Burma, Nicaragua, Russia, Syria, Somalia, South Sudan, Sudan, Tunisia, Turkey,
Ukraine, Venezuela, Yemen, and Zimbabwe without the prior permission of the Central Bank of Ireland.
Under the Financial Transfers Act 1992 (the “1992 Act”), the Minister
for Finance of Ireland may make provision for the restriction of financial transfers between Ireland and other countries. Financial transfers
are broadly defined, and the acquisition or disposal of the ADRs, which represent shares issued by an Irish incorporated company, the
acquisition or the disposal of Ordinary Shares and associated payments may fall within this definition. Dividends or payments on the redemption
or purchase of shares and payments on the liquidation of an Irish-incorporated company would fall within this definition. Any orders
made under the 1992 Act typically align with the EU and UN sanctions decisions as Ireland does not operate an autonomous sanctions policy
at present.
Any transfer of, or payment in respect of, an ADS involving
the government of any country that is currently the subject of EU or UN sanctions, any person or body controlled by any of the foregoing,
or any person acting on behalf of the foregoing, may be subject to restrictions pursuant to such sanctions as implemented into Irish law.
The Company does not anticipate that orders made under the 1992 Act or EU or UN sanctions implemented into Irish law will have a material
effect on its business.
E. Taxation
The following discussion is based on U.S.
and Republic of Ireland tax law, statutes, treaties, regulations, rulings and decisions all as of the date of this annual report. Taxation
laws are subject to change, from time to time, and no representation is or can be made as to whether such laws will change, or what impact,
if any, such changes would have on the statements contained in this summary. No assurance can be given that proposed amendments will be
enacted as proposed, or that legislative or judicial changes, or changes in administrative practice, will not modify or change the law
as described herein.
This summary is of a general nature only.
It does not constitute legal or tax advice nor does it discuss all aspects of Irish taxation that may be relevant to any particular Irish
Holder or U.S. Holder of ordinary shares or ADSs.
This summary does not discuss all aspects
of Irish and U.S. federal income taxation that may be relevant to a particular holder of Trinity Biotech ADSs in light of the holder’s
own circumstances or to certain types of investors subject to special treatment under applicable tax laws (for example, financial institutions,
life insurance companies, tax-exempt organisations, and non-U.S. taxpayers) and it does not discuss any tax consequences arising under
the laws of taxing jurisdictions other than the Republic of Ireland and the U.S. federal government. The tax treatment of holders of Trinity
Biotech ADSs may vary depending upon each holder’s own particular situation.
Prospective purchasers of Trinity Biotech
ADSs are advised to consult their own tax advisors as to the US, Irish or other tax consequences of the purchase, ownership and disposition
of such ADSs.
U.S. Federal Income Tax
Consequences to U.S. Holders
The following is a summary of certain material U.S. federal
income tax consequences that generally would apply with respect to the ownership and disposition of Trinity Biotech ADSs, in the case
of a holder of such ADSs who a U.S. Holder (as defined below) is and who holds the ADSs as capital assets. This summary is based on the
U.S. Internal Revenue Code of 1986, as amended (the “Code”), Treasury Regulations promulgated thereunder, and judicial and
administrative interpretations thereof, all as in effect on the date hereof and all of which are subject to change either prospectively
or retroactively. For the purposes of this summary, a U.S. Holder is: an individual who is a citizen or tax resident of the U.S.; a corporation
created or organised in or under the laws of the U.S. or any political subdivision thereof; an estate whose income is subject to U.S.
federal income tax regardless of its source; or a trust that (a) is subject to the primary supervision of a Court within the U.S.
and control by one or more U.S. persons or (b) has a valid election in effect under applicable U.S. Treasury regulations to be treated
as a U.S. person.
This summary does not address all tax considerations
that may be relevant with respect to an investment in ADSs. This summary does not discuss all the tax consequences that may be relevant
to a U.S. Holder in light of such Holder’s particular circumstances or to U.S. Holders or other persons subject to special rules,
including persons that are not U.S. Holders, broker dealers, financial institutions, certain insurance companies, investors liable for
alternative minimum tax, tax exempt organisations, regulated investment companies, non-resident aliens of the U.S. or taxpayers whose
functional currency is not the U.S. Dollar, persons who hold ADSs through partnerships or other pass-through entities, persons who
acquired their ADSs through the exercise or cancellation of employee stock options or otherwise as compensation for services, investors
that actually or constructively own 10% or more of Trinity Biotech’s shares by vote or value, and investors holding ADSs as part
of a straddle or appreciated financial position or as part of a hedging or conversion transaction.
If an entity treated as a partnership for
U.S. federal income tax purposes owns ADSs, the U.S. federal income tax treatment of a partner in such a partnership will generally depend
upon the status of the partner and the activities of the partnership. The partners in a partnership that owns ADSs should consult their
tax advisors about the U.S. federal income tax consequences of holding and disposing of ADSs.
This summary does not address the effect
of any U.S. federal taxation other than U.S. federal income taxation. In addition, this summary does not include any discussion of state,
local or foreign taxation. You are urged to consult your tax advisors regarding the foreign and U.S. federal, state and local tax considerations
of an investment in ADSs.
For U.S. federal income tax purposes, U.S.
Holders of Trinity Biotech ADSs will be treated as owning the underlying Class ‘A’ Ordinary Shares represented by the ADSs
held by them. This discussion assumes such treatment is respected.
Dividends and Other Distributions
on ADSs
The gross amount of any distribution made
by Trinity Biotech to U.S. Holders with respect to the underlying shares represented by the ADSs held by them, including the amount of
any Irish taxes withheld from such distribution, will be treated for U.S. federal income tax purposes as a dividend to the extent of Trinity
Biotech’s current and accumulated earnings and profits, as determined for U.S. federal income tax purposes. The amount of any such
distribution that exceeds Trinity Biotech’s current and accumulated earnings and profits will be applied against and reduce a U.S.
Holder’s tax basis in the U.S. Holder’s ADSs, and any amount of the distribution remaining after the U.S. Holder’s tax
basis has been reduced to zero will constitute capital gain. However, there can be no assurances we will calculate earnings and profits
under U.S. federal income tax principles. Therefore, any distribution we make to you may be reported as a dividend. The capital gain will
be treated as a long-term or short-term capital gain depending on whether or not the U.S. Holder’s ADSs have been held for more
than one year as of the date of the distribution.
Dividends paid by Trinity Biotech generally
will not qualify for the dividends received deduction otherwise available to U.S. corporate shareholders.
Subject to complex limitations, any Irish
withholding tax imposed on dividends will be a foreign income tax eligible for credit against a U.S. Holder’s U.S. federal income
tax liability (or, alternatively, for deduction against income in determining such tax liability) where certain conditions are satisfied.
The limitations set out in the Code include computational rules under which foreign tax credits allowable with respect to specific classes
of income, commonly referred to as “baskets,” cannot exceed the U.S. federal income taxes otherwise payable with respect to
each such class of income. Dividends generally will be treated as foreign-source passive category income or, in the case of certain U.S.
Holders, general category income for U.S. foreign tax credit purposes. Further, there are special rules for computing the foreign tax
credit limitation of a taxpayer who receives dividends subject to a reduced tax, see discussion below.
A U.S. Holder will be denied a foreign tax
credit with respect to Irish income tax withheld from dividends received on the ADSs to the extent such U.S. Holder has not held the ADSs
for at least 16 days of the 31-day period beginning on the date which is 15 days before the ex-dividend date, or to the extent such U.S.
Holder is under an obligation to make related payments with respect to substantially similar or related property. Any days during which
a U.S. Holder has substantially diminished its risk of loss on the ADSs are not counted toward meeting the 16-day holding period required
by the Code. If a refund of the tax withheld is available to you under the laws of Ireland or under the United States and Ireland income
tax treaty (the “Treaty”), the amount of tax withheld that is refundable will not be eligible for such credit against your
U.S. federal income tax liability (and will not be eligible for the deduction against your U.S. federal taxable income). The rules relating
to the determination of the foreign tax credit are complex, and you should consult with your personal tax advisors to determine whether
and to what extent you would be entitled to this credit against your U.S. federal income tax liability.
Subject to certain limitations, including
the PFIC rules discussed below, “qualified dividend income” received by a noncorporate U.S. Holder will be subject to tax
at lower rates. Distributions taxable as dividends paid on the ADSs should qualify as qualified dividend income provided that either:
(i) we are entitled to benefits under the Treaty or (ii) the ADSs are readily tradable on an established securities market in
the U.S. and certain other requirements are met. We believe that we are entitled to benefits under the Treaty and that the ADSs currently
are readily tradable on an established securities market in the U.S. However, no assurance can be given that the ADSs will remain readily
tradable. The rate reduction does not apply unless certain holding period requirements are satisfied. With respect to the ADSs, the U.S.
Holder must have held such ADSs for at least 61 days during the 121-day period beginning 60 days before the ex-dividend date. The rate
reduction also does not apply to dividends received from passive foreign investment companies, see discussion below, or in respect of
certain hedged positions or in certain other situations. The legislation enacting the reduced tax rate contains special rules for computing
the foreign tax credit limitation of a taxpayer who receives dividends subject to the reduced tax rate. U.S. Holders of ADSs should consult
their own tax advisors regarding the effect of these rules in their particular circumstances.
Dispositions of the ADSs
Upon a sale or exchange of ADSs, a U.S.
Holder will recognise a gain or loss for U.S. federal income tax purposes in an amount equal to the difference between the amount realised
on the sale or exchange and the U.S. Holder’s adjusted tax basis in the ADSs sold or exchanged. Such gain or loss generally will
be capital gain or loss and will be long-term or short-term capital gain or loss depending on whether the U.S. Holder has held the ADSs
sold or exchanged for more than one year at the time of the sale or exchange. If you are a non-corporate U.S. Holder, long-term capital
gains may be eligible for reduced tax rates.
Passive Foreign Investment
Company
For U.S. federal income tax purposes, a
foreign corporation is treated as a “passive foreign investment company” (or “PFIC”) in any taxable year in which,
after taking into account the income and assets of the corporation and certain of its subsidiaries pursuant to the applicable “look
through” rules, either (1) at least 75% of the corporation’s gross income is passive income or (2) at least 50%
of the average value of the corporation’s assets is attributable to assets that produce passive income or are held for the production
of passive income. Based on the nature of its present business operations, assets and income, Trinity Biotech believes that for the year
2022, it was not a PFIC. However, no assurance can be given that changes will not occur in Trinity Biotech’s business operations,
assets and income that might cause it to be treated as a PFIC at some future time.
If Trinity Biotech were to become a PFIC,
a U.S. Holder of ADSs would be required to allocate to each day in the holding period for such U.S. Holder’s ADSs a pro rata portion
of any distribution received (or deemed to be received) by the U.S. Holder from Trinity Biotech, to the extent the distribution so received
constitutes an “excess distribution,” as defined under U.S. federal income tax law. Generally, a distribution received during
a taxable year by a U.S. Holder with respect to the underlying shares represented by any of the U.S. Holder’s ADSs would be treated
as an “excess distribution” to the extent that the distribution so received, plus all other distributions received (or deemed
to be received) by the U.S. Holder during the taxable year with respect to such underlying shares, is greater than 125% of the average
annual distributions received by the U.S. Holder with respect to such underlying shares during the three preceding years (or during such
shorter period as the U.S. Holder may have held the ADSs). Any portion of an excess distribution that is treated as allocable to one or
more taxable years prior to the year of distribution during which Trinity Biotech was classified as a PFIC would be subject to U.S. federal
income tax at the highest tax rate applicable to the U.S. Holder in the prior tax year or years to which it is allocated. The U.S. Holder
also would be subject to an interest charge, in the year in which the excess distribution is made, on the amount of taxes deemed under
the PFIC rules to have been deferred with respect to the excess distribution. In addition, any gain recognised on a sale or other disposition
of a U.S. Holder’s ADSs, including any gain recognised on a liquidation of Trinity Biotech, would be treated in the same manner
as an excess distribution. Any such gain would be treated as ordinary income rather than as capital gain.
If Trinity Biotech became a PFIC, a U.S.
Holder may be eligible to make a “qualifying electing fund” (or “QEF”) election in the year Trinity Biotech first
becomes a PFIC or in the year the U.S. Holder acquires the ADSs, whichever is later. This election provides for a current inclusion of
Trinity Biotech’s ordinary income and capital gain income in the U.S. Holder’s U.S. taxable income. In return, any gain on
sale or other disposition of a U.S. Holder’s ADSs in Trinity Biotech, if it were classified as a PFIC, would be treated as capital,
and the interest penalty would not be imposed. This election is not made by Trinity Biotech, but by each U.S. Holder. In order for the
U.S. Holder to maintain the election, Trinity Biotech must make available certain information, which Trinity Biotech may choose not to
provide. U.S. Holders should contact their tax advisor for further information about the election.
Alternatively, if the ADSs are considered
“marketable stock” a U.S. Holder may elect to “mark-to-market” its ADSs, and such U.S. Holder would not be subject
to the PFIC rules described above. Instead, such U.S. Holder would generally include in income any excess of the fair market value of
the ADSs at the close of each tax year over its adjusted basis in the ADSs. If the fair market value of the ADSs had fallen below the
U.S. Holder’s adjusted basis at the close of the tax year, the U.S. Holder may generally deduct the excess of the adjusted basis
of the ADSs over its fair market value at that time. However, such deductions generally would be limited to the net mark-to-market gains,
if any, that the U.S. Holder included in income with respect to such ADSs in prior years. Income recognised and deductions allowed under
the mark-to-market provisions, as well as any gain or loss on the disposition of ADSs with respect to which the mark-to-market election
is made, is treated as ordinary income or loss (except that loss is treated as capital loss to the extent the loss exceeds the net mark-to-market
gains, if any, that a U.S. Holder included in income with respect to such ADSs in prior years). However, gain or loss from the disposition
of ADSs (as to which a “mark-to-market” election was made) in a year in which Trinity Biotech is no longer a PFIC, will be
capital gain or loss. The ADSs should be considered “marketable stock” if they traded at least 15 days during each calendar
quarter of the relevant calendar year in more than de minimis quantities.
If a U.S. Holder owns ADSs during any year
in which we are a PFIC, the U.S. Holder generally must file an IRS Form 8621 with respect to Trinity Biotech, generally with the U.S.
Holder’s federal income tax return for that year.
Information Reporting
and Backup Withholding
Distributions made with respect to underlying
shares represented by ADSs and proceeds from the sale, exchange or other disposition of ADSs may be subject to information reporting to
the IRS and to US backup withholding tax. Backup withholding will not apply, however, if the U.S. Holder (i) is a corporation or
comes within certain exempt categories, and demonstrates its eligibility for exemption when so required, or (ii) furnishes a correct
taxpayer identification number and makes any other required certification.
Backup withholding is not an additional
tax. Amounts withheld under the backup withholding rules may be credited against a U.S. Holder’s U.S. tax liability, and a U.S.
Holder may obtain a refund of any excess amounts withheld under the backup withholding rules by filing the appropriate claim for refund
with the IRS.
Information with Respect
to Foreign Financial Assets
U.S. persons that hold certain specified
foreign financial assets, including stock in a foreign corporation, with values in excess of certain thresholds are required to file with
their U.S. federal income tax return Form 8938, on which information about the assets, including their value, is provided. Taxpayers who
fail to file the form when required are subject to penalties. An exemption from reporting applies to foreign assets held through certain
financial institutions. Investors are encouraged to consult with their own tax advisors regarding the possible application of this disclosure
requirement to their investment in ADSs.
Medicare Contribution
Tax
In addition to the income taxes described
above, U.S. Holders that are individuals, estates or trusts and whose income exceeds certain thresholds will be subject to a 3.8% Medicare
contribution tax on net investment income, which includes dividends and capital gains.
U.S. Holders may be subject
to state or local income and other taxes with respect to their purchase, ownership and disposition of ADSs. U.S. Holders of ADSs should
consult their own tax advisers as to the applicability and effect of any such taxes.
For the purposes of this summary, an “Irish
Holder” means a holder of ordinary shares or ADSs evidenced by ADSs that (i) beneficially owns the ordinary shares or ADSs
registered in its name; (ii) in the case of individual holders, are resident, ordinarily resident and domiciled in Ireland under
Irish taxation laws; (iii) in the case of holders that are companies, are resident in Ireland under Irish taxation laws; and (iv) are
not also resident in any other country under any double taxation agreement entered into by Ireland.
For Irish taxation purposes, Irish Holders
of ADSs will be treated as the owners of the underlying ordinary shares represented by such ADSs.
Solely for the purposes of this summary
of Irish Tax considerations, a “U.S. Holder” means a holder of ordinary shares or ADSs evidenced by ADSs that (i) beneficially
owns the ordinary shares or ADSs registered in its name; (ii) is resident in the United States for the purposes of the Republic of
Ireland/United States Double Taxation Convention (the Treaty); (iii) in the case of an individual holder, is not also resident or ordinarily
resident in Ireland for Irish tax purposes; (iv) in the case of a corporate holder, is not a resident in Ireland for Irish tax purposes
and is not ultimately controlled by persons resident in Ireland; and (v) is not engaged in any trade or business in Ireland and does
not perform independent personal services through a permanent establishment or fixed base in Ireland.
In 2011, the Board decided that it was an
appropriate time to commence a dividend policy for the first time in the Company’s history but the payment of dividends has subsequently
been suspended (see section below on Dividend Policy). Up to 31 December 2019, the payment of a dividend was generally subject to
dividend withholding tax (“DWT”) at the standard rate of income tax in force at the time the dividend was paid (the applicable
rate was 20% in 2019). However, the rate of DWT has increased to 25% in respect of dividends paid on or after 1 January 2020. Irish
Revenue also plan to introduce a new “real time” collection system for DWT based on an individual’s marginal income
tax rate, however the introduction of this proposed system has been postponed at present. Under current legislation, where DWT applies,
Trinity Biotech will be responsible for withholding it at source.
DWT will not be withheld where an exemption
applies and where Trinity Biotech has received all necessary documentation from the recipient prior to payment of the dividend.
Corporate Irish Holders will generally be
entitled to claim an exemption from DWT by delivering a declaration which confirms that the company is resident in Ireland for tax purposes
to Trinity Biotech in the form prescribed by the Irish Revenue Commissioners. Such corporate Irish Holders will generally not otherwise
be subject to Irish tax in respect of dividends received.
Individual Irish Holders will be subject
to income tax on the gross amount of any dividend (that is the amount of the dividend received plus any DWT withheld), at their marginal
rate of income tax, currently either 20% or 40% depending on the individual’s circumstances, excluding Pay Related Social Insurance
(“PRSI”) and the Universal Social Charge (“USC”). Individual Irish Holders will be able to claim a credit against
their resulting income tax liability in respect of DWT withheld. Individual Irish Holders may, depending on their circumstances, also
be subject to the Irish USC of up to 8%, with a further 3% surcharge also arising on certain income in excess of €100,000 and a
PRSI contribution of up to 4% in respect of their dividend income.
Under the Irish Taxes Consolidation Act
1997, dividends paid by Trinity Biotech to non-Irish shareholders will, unless exempted, be subject to DWT. Such non-Irish shareholders
will not suffer DWT on dividends if the shareholder is:
|
• |
an individual resident in the U.S. (or certain other countries with which Ireland has a double taxation treaty) and who is neither
resident nor ordinarily resident in Ireland; or |
|
• |
a U.S. tax resident corporation (or a corporation resident in certain other countries with which Ireland has a double taxation treaty)
not under the control of Irish residents; or |
|
• |
a corporation that is not resident in Ireland and which is ultimately controlled by persons resident in the U.S. (or certain other
countries with which Ireland has a double taxation treaty), with such person or persons not under the control of persons who are not so
resident; or |
|
• |
a corporation that is not resident in Ireland and the principal class of whose shares (or its 75% parent’s principal class
of shares) is substantially or regularly traded on a recognised stock exchange; or |
|
• |
is otherwise entitled to an exemption from DWT. |
In order to avail of the above exemption,
certain declarations must be made in advance to the paying company.
A self-assessment system applies to a company
tax resident in a treaty jurisdiction receiving dividends, under which a non-resident company will provide a declaration and certain information
to the dividend paying company or intermediary to claim the exemption.
Special DWT arrangements are available in
the case of shares in Irish companies held by U.S. resident holders through American depository banks using ADSs where such banks enter
into intermediary agreements with the Irish Revenue Commissioners and are viewed as qualifying intermediaries under Irish Tax legislation.
Under such agreements, American depository banks who receive dividends from Irish companies and pay the dividends on to the U.S. resident
ADS holders are allowed to receive and pass on a dividend from the Irish company on a gross basis (without any withholding) if:
|
• |
the recipient is the direct beneficial owner of the shares and is beneficially entitled to the dividend, and |
|
• |
the depository bank’s ADS register shows that the direct beneficial owner of the dividends has a U.S. address on the register,
and |
|
• |
there is an intermediary between the depository bank and the beneficial shareholder and the depository bank receives confirmation
from the intermediary that the beneficial shareholder’s address in the intermediary’s records is in the U.S. |
Where the above procedures have not been
complied with and DWT is withheld from dividend payments to U.S. Holders of ordinary shares or ADSs evidenced by ADSs, such U.S. Holders
can apply to the Irish Revenue Commissioners claiming a full refund of DWT paid by filing a declaration / claim in the form prescribed
by the Irish Revenue Commissioners. Certain accompanying information should also be included when making such claims.
The DWT rate applicable to U.S. Holders
is reduced to 5% under the terms of the Treaty for corporate U.S. Holders holding 10% or more of voting shares and to 15% for other U.S.
Holders. While this will, subject to the application of Article 23 of the Treaty, generally entitle U.S. Holders to claim a partial refund
of DWT from the Irish Revenue Commissioners, U.S. Holders will, in most circumstances, likely prefer to seek a full refund of DWT under
Irish domestic legislation (see above).
Disposals of Ordinary Shares or ADSs
Irish Holders that acquire ordinary shares or ADSs will generally be considered, for
Irish tax purposes, to have acquired their ordinary shares or ADSs at a base cost equal to the amount paid for the ordinary shares or
ADSs. On subsequent dispositions, ordinary shares or ADSs acquired at an earlier time will generally be deemed, for Irish tax purposes,
to be disposed of on a “first in first out” basis before ordinary shares or ADSs acquired at a later time. Irish Holders that
dispose of their ordinary shares or ADSs will be subject to Irish capital gains tax (“CGT”) to the extent that the proceeds
realised from such disposition exceed the indexed base cost of the ordinary shares or ADSs disposed of and any incidental expenses. The
current rate of CGT is 33% and this applies to disposals made on or after 6 December 2012. Indexation of the base cost of the ordinary
shares or ADSs is available in respect of expenditure incurred on ordinary shares or ADSs prior to 31 December 2002.
Irish Holders that have unutilised capital losses from other sources in the current,
or any previous tax year, can generally apply such losses to reduce gains realised on the disposal of the ordinary shares or ADSs.
An annual exemption allows individuals to realise chargeable gains of up to €1,270
in each tax year without giving rise to CGT. This exemption is specific to the individual and cannot be transferred between spouses. Irish
Holders are required, under Ireland’s self-assessment system, to file tax returns reporting any chargeable gains arising to them
in a particular tax year.
Where disposal proceeds are received in a currency other than Euro, they must be translated
into Euro amounts to calculate the amount of any chargeable gain or loss. Similarly, acquisition costs denominated in a currency other
than Euro must be translated at the date of acquisition into Euro amounts.
Irish Holders that realise a loss on the
disposal of ordinary shares or ADSs will generally be entitled to offset such allowable losses against capital gains realised from other
sources in determining their CGT liability in that year. Allowable losses which remain unrelieved in a year may generally be carried forward
indefinitely for CGT purposes and applied against capital gains in future years.
Transfers between spouses who live together
will not give rise to any chargeable gain or loss for CGT purposes with the acquiring spouse acquiring the same pro rata base cost and
acquisition date as that of the transferring spouse.
U.S. Holders will not be subject to Irish
CGT on the disposal of ordinary shares or ADSs provided that such ordinary shares or ADSs are quoted on a stock exchange at the time of
disposition. The stock exchange for this purpose is the Nasdaq Global Market (“NASDAQ”). While it is our intention to continue
the quotation of ADSs on NASDAQ, no assurances can be given in this regard.
If, for any reason, our ADSs cease to be
quoted on NASDAQ, U.S. Holders will not be subject to CGT on the disposal of their ordinary shares or ADSs provided that the ordinary
shares or ADSs do not, at the time of the disposal, derive the greater part of their value from land, buildings, minerals, or mineral
rights or exploration rights in Ireland.
A gift or inheritance of ordinary shares
will be, or in the case of ADSs may be, within the charge to capital acquisitions tax, regardless of where the disponer or the donee/successor
in relation to the gift/inheritance is domiciled, resident or ordinarily resident. Capital acquisitions tax is levied at a rate of 33%
on the taxable value of the gift or inheritance above certain tax-free thresholds and this rate applies in respect of gifts and inheritances
taken on or after 6 December 2012. The tax-free threshold is determined by the amount of the current benefit and of previous benefits
received within the group threshold since 5 December 1991, which are within the charge to capital acquisitions tax and the relationship
between the former holder and the successor. Gifts and inheritances between spouses are not subject to the capital acquisitions tax. Gifts
of up to €3,000 can be received each year from any given individual without triggering a charge to capital acquisitions tax. Where
a charge to Irish CGT and capital acquisitions tax arises on the same event, capital acquisitions tax payable on the event can be reduced
by the amount of the CGT payable. There should be no clawback of the same event credit of CGT offset against capital acquisitions tax
provided the donee does not dispose of the ordinary shares or ADSs within two years from the date of gift.
The Estate Tax Convention between Ireland
and the United States generally provides for Irish capital acquisitions tax paid on inheritances in Ireland to be credited, in whole or
in part, against tax payable in the United States, in the case where an inheritance of ordinary shares or ADSs is subject to both Irish
capital acquisitions tax and U.S. federal estate tax. The Estate Tax Convention does not apply to Irish capital acquisitions tax paid
on gifts.
Irish stamp duty, which is a tax imposed
on certain documents, is payable on all transfers of ordinary shares of an Irish registered company (other than transfers made between
spouses, transfers made between 90% associated companies, or certain other exempt transfers) regardless of where the document of transfer
is executed. Irish stamp duty is also payable on electronic transfers of ordinary shares. A transfer of ordinary shares made as part of
a sale or gift will generally be stampable at the ad valorem rate of 1% of the value of the consideration received for the transfer, or,
if higher, the market value of the shares transferred. With effect from 9 October 2019, stamp duty at a rate of 7.5% applied in certain
circumstances to the sale or transfer of shares which derive their value, or the greater part of their value, from non-residential property
in Ireland. Any instrument executed on or after 24 December 2008 which transfers stock or marketable securities on sale where
the amount or value of the consideration is €1,000 or less may be exempt from stamp duty. Where the consideration for a sale is
expressed in a currency other than Euro, the duty will be charged on the Euro equivalent calculated at the rate of exchange prevailing
at the date of the transfer.
Transfers of ordinary shares where no beneficial interest passes
(e.g., a transfer of shares from a beneficial owner to a nominee) will generally be exempt from stamp duty.
Transfers of ADSs are exempt from Irish
stamp duty as long as the ADSs are quoted on any recognised stock exchange in the U.S. or Canada.
Transfers of ordinary shares from the Depositary
or the Depositary’s custodian upon surrender of ADSs for the purposes of withdrawing the underlying ordinary shares from the ADS
system, and transfers of ordinary shares to the Depositary or the Depositary’s custodian for the purposes of transferring ordinary
shares onto the ADS system, will be stampable at the ad valorem rate of 1% of the value of the shares transferred if the transfer relates
to a sale or contemplated sale or any other change in the beneficial ownership of ordinary shares. Such transfers will be exempt from
Irish stamp duty if the transfer does not relate to or involve any change in the beneficial ownership in the underlying ordinary shares
and the transfer form contains the appropriate certification. The person accountable for the payment of stamp duty is the transferee or,
in the case of a transfer by way of gift or for consideration less than the market value, both parties to the transfer. Stamp duty is
normally payable within 30 days after the date of execution of the transfer (with a possible 14 day extension for online filings and payments).
Late or inadequate payment of stamp duty may result in liability for interest, penalties, surcharge and fines.
F.
Dividends and Paying Agents
Not applicable.
G. Statement by Experts
Not applicable.
H. Documents on Display
We are subject to the
reporting requirements of the Exchange Act, as applicable to “foreign private issuers” as defined in Rule 3b-4 under the Exchange
Act, and in accordance therewith, we file reports and other information with the SEC, including annual reports on Form 20-F and reports
on Form 6-K.
As a foreign private issuer, we are exempt from certain provisions
of the Exchange Act. Accordingly, our proxy solicitations is not subject to the disclosure and procedural requirements of Regulation 14A
under the Exchange Act and transactions in our equity securities by our officers and directors is exempt from reporting and the “short-swing”
profit recovery provisions contained in Section 16 of the Exchange Act.
In addition, we are
not required under the Exchange Act to file periodic reports and financial statements as frequently or as promptly as U.S. companies whose
securities are registered under the Exchange Act.
The SEC maintains an
internet website that contains reports and other information regarding issuers that file electronically with the SEC. This annual report
and the exhibits thereto and any other document we file pursuant to the Exchange Act may be viewed on the SEC’s website at www.sec.gov
and on our website at www.trinitybiotech.com. The information contained on our website is not incorporated by reference into this Annual
Report.
The documents concerning our Company which are referred to
in this Annual Report may also be inspected at our offices located at IDA Business Park, Bray, County Wicklow, Ireland.
I. Subsidiary Information
Not applicable.
Item 11.
Quantitative
and Qualitative Disclosures about Market Risk
Quantitative information about Market Risk
Interest rate sensitivity
Trinity Biotech monitors its exposure to
changes in interest and exchange rates by estimating the impact of possible changes on reported profit before tax and net worth. The Group
accepts interest rate and currency risk as part of the overall risks of operating in different economies and seeks to manage these risks
by following the policies set above.
Trinity Biotech estimates that the maximum
effect of a rise of one percentage point in one of the principal variable interest rates to which the Group is exposed would be an increase
in the loss before tax for 2022 by approximately 1.1%.
Exchange rate sensitivity
At year-end 2022, the total net liability
denominated in currencies other than the US Dollar, principally the Euro, Brazilian Real, Canadian Dollar, Swedish Krona and Great
British Pound was US$6.8 million.
A strengthening or weakening of the US Dollar
by 10% against all the other currencies in which the Group operates, would have the approximate effect of increasing or reducing the Group’s
2022 year-end net worth by approximately US$0.7 million.
Qualitative information about Market Risk
Trinity
Biotech’s treasury policy is to manage financial risks arising in relation to or as a result of underlying business needs. The activities
of the treasury function, which does not operate as a profit centre, are carried out in accordance with board approved policies and are
subject to regular internal review. These activities include the Group making use of spot and forward foreign exchange markets.
Trinity Biotech uses a range of financial
instruments (including cash, and finance leases) to fund its operations. These instruments are used to manage the liquidity of the Group
in a cost effective, low-risk manner. Working capital management is a key additional element in the effective management of overall liquidity.
Trinity Biotech does not trade in financial instruments or derivatives.
The main risks arising from the utilisation
of these financial instruments are interest rate risk, liquidity risk and foreign exchange risk.
Trinity Biotech’s reported net income
and net assets are all affected by movements in foreign exchange rates.
At December 31, 2022 the Group’s
borrowings were at a mixture of variable and fixed rates of interest. The senior secured term loan accrues interest at an annual rate
equal to 11.25% plus the greater of (a) the Term SOFR Reference Rate and (b) one percent per annum. The exchangeable notes are at
a fixed rate of interest of 4% and the convertible note is at a fixed rate of interest of 1.5%. The Group also has one remaining US Dollar
denominated finance lease which expires in 2023. At December 31, 2022 the carrying value of the Group’s indebtedness totalled
US$73,769,000 (2021: US$99,156,000) (2020: US$102,625,000) at interest rates of 1.5% to 15.4% (2020: 4.00% to 5.51%).
In broad terms, a one-percentage point increase
in interest rates would increase interest expense by US$468,000 (2021: increase in interest income of US$31,000).
The majority of the Group’s activities
are conducted in US Dollars. The primary foreign exchange risk arises from the fluctuating value of the Group’s Euro and Brazilian
Real denominated expenses as a result of the movement in the exchange rate between the US Dollar and those currencies. The Group
did not engage in foreign currency hedging in 2022.
The Group had foreign currency denominated cash balances equivalent
to US$3,722,000 at December 31, 2022 (2021: US$6,434,000).
Item 12.
Description of Securities Other than Equity Securities
A. Debt Securities
Not applicable.
B. Warrants
and Rights
On December 15, 2021, the Company agreed
to issue warrants exercisable for 2,500,000 of the Company’s ADSs to Perceptive. The warrants were issued in January 2022 following
the drawdown of the term loan. The per ADS exercise price of the Warrants was US$1.30, based on the lower of i) the 10-day volume weighted
average price (“VWAP”) for the Company’s ADSs for the 10 business days prior to the Closing Date of the Credit Agreement
for the Term Loan and ii) the 10-day VWAP for the Company’s ADSs for the 10 business days prior to the drawdown date of the funding
under the Term Loan. The Warrants are exercisable, in whole or part, until the seventh anniversary of the date of drawdown of the funding
under the Term Loan.
In February 2023, in connection with an
increased Term Loan facility, the Company agreed to reprice the 2,500,000 warrants originally issued to Perceptive, with the Warrants
now having a per ADS price of US$1.071.
C. Other Securities
Not applicable.
D. American Depositary
Shares
Set forth below is
a summary of certain provisions in relation to charges and other payments under the Deposit Agreement with the Bank of New York
Mellon, as depositary, and the owners and holders from time to time of ADSs issued thereunder.
Fees and Charges Payable by ADS Holders
The table below summarizes the fees and
charges that a holder of our ADSs may have to pay, directly or indirectly, to our depositary, The Bank of New York Mellon, pursuant to
the deposit agreement (filed with the SEC on January 15, 2004 as an exhibit to our Form F-6, registration no. 333-111946) and the
types of services and the amount of the fees or charges paid for such services. The actual fees payable by Trinity Biotech and the holders
of ADSs are negotiated between Trinity Biotech and the depositary. In connection with these arrangements, Trinity Biotech has agreed to
pay various fees and expenses of the depositary.
The fees and charges that an ADS holder may be required to pay
can be changed in the future upon mutual agreement between Trinity Biotech and by the depositary and may include:
|
Service
|
Rate
|
By
whom paid |
|
(1) Issuance of ADSs upon deposit of ordinary shares. |
Up to $10.00 per 100 ADSs (or portion thereof) issued. |
Persons depositing ordinary shares or person receiving ADSs. |
| |
|
|
|
(2) Delivery of deposited securities against surrender of ADSs. |
Up to $10.00 per 100 ADSs (or portion thereof) issued. |
Persons surrendering ADSs for the purpose of withdrawal of deposited securities or persons to whom deposited
securities are delivered. |
| |
|
|
|
(3) Issuance of ADSs in connection with a distribution of shares. |
Up to $10.00 per 100 ADSs (or portion thereof) issued. |
Person to whom distribution is made. |
| |
|
|
|
(4) Distribution of cash dividends or other cash distributions, including distribution of cash proceeds
following the sale of rights, shares or other property in accordance with the deposit agreement |
Up to $0.02 per 1 ADS |
Person to whom distribution is made. |
| |
|
|
|
(5) Transfer of ADSs |
Up to $1.50 per certificate for ADRs or ADRs transferred |
Person to whom Receipt is transferred. |
In addition, ADS holders are responsible
for certain fees and expenses incurred by the depositary and certain taxes and governmental charges such as:
|
• |
transfer and registration fees of securities on Trinity Biotech’s securities register to or from the name of the depositary
or its agent when ADS holders deposit or withdrawal securities; |
|
• |
expenses for cable, telex and fax transmissions and for delivery of securities; |
|
• |
expenses incurred for converting foreign currency into U.S. dollars; and |
|
• |
taxes and duties upon the transfer of securities (i.e., when ordinary shares are deposited or withdrawn from deposit, other than
taxes for which Trinity Biotech is liable). |
Depositary fees payable upon the issuance
and cancellation of ADSs are typically paid to the depositary by the brokers (on behalf of their clients) receiving the newly issued ADSs
from the depositary and by the brokers (on behalf of their clients) delivering the ADSs to the depositary for cancellation. The brokers
in turn charge these fees to their clients. Depositary fees payable in connection with distributions of cash or securities to ADS holders
and the depositary services fee are charged by the depositary to the holders of record of ADSs as of the applicable ADS record date.
The Depositary fees payable for cash distributions
are generally deducted from the cash being distributed. In the case of distributions other than cash (e.g., stock dividend, rights), the
depositary charges the applicable fee to the ADS record date holders concurrent with the distribution. In the case of ADSs registered
in the name of the investor, the depositary sends invoices to the applicable record date ADS holders. In the case of ADSs held in brokerage
and custodian accounts (via DTC), the depositary generally collects its fees through the systems provided by DTC (whose nominee is the
registered holder of the ADSs held in DTC) from the brokers and custodians holding ADSs in their DTC accounts. The brokers and custodians
who hold their clients’ ADSs in DTC accounts in turn charge their clients’ accounts the amount of the fees paid to the depositary.
In the event of refusal to pay taxes or
other governmental charges by the holder of an ADS, the depositary may, under the terms of the deposit agreement, refuse the requested
service until payment is received or may set off the amount of such tax or other governmental charge from any distribution to be made
to the ADS holder, and the ADS holder would remain liable for any deficiency.
The disclosure under this heading “Fees and Charges Payable
by ADS Holders” is subject to and qualified in its entirety by reference to the full text of the Deposit Agreement.
Part II
| Item 13. |
Defaults, Dividend Arrearages and Delinquencies |
Not applicable.
| Item 14. |
Material Modifications to the Rights of Security Holders and Use of Proceeds
|
Not applicable.
| Item 15. |
Controls and Procedures |
Evaluation of Disclosure Controls and Procedures
The Group’s disclosure and control
procedures are designed so that information required to be disclosed in reports filed or submitted under the Securities Exchange Act 1934
is prepared and reported on a timely basis and communicated to management, to allow timely decisions regarding required disclosure.
Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, have evaluated the effectiveness
of the design and operation of our disclosure controls and procedures pursuant to Rule 13a-15(d) of the Securities Exchange Act of 1934
as of the end of the period covered by this Form 20-F. The Chief Executive Officer and Chief Financial Officer have concluded that disclosure
controls and procedures were effective as of December 31, 2022.
In designing and evaluating our disclosure
controls and procedures, our management, with the participation of the Chief Executive Officer and Chief Financial Officer, recognised
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 necessarily was required to apply its judgement in evaluating the cost-benefit relationship of
possible controls and procedures. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute
assurance that all control issues and instances of fraud, if any, within the Group have been detected.
Management’s Annual Report on Internal
Control over Financial Reporting
The management of Trinity Biotech are responsible
for establishing and maintaining adequate internal control over financial reporting. Trinity Biotech’s internal control over financial
reporting is a process designed under the supervision and with the participation of the principal executive and principal financial officers
to provide reasonable assurance regarding the reliability of financial reporting and preparation of Trinity Biotech’s financial
statements for external reporting purposes in accordance with IFRS both as issued by the IASB and as subsequently adopted by the EU.
Trinity Biotech’s internal control
over financial reporting includes policies and procedures that pertain to the maintenance of records that, in reasonable detail, accurately
and fairly reflect transactions and dispositions of assets; provide reasonable assurances that transactions are recorded as necessary
to permit preparation of the financial statements in accordance with IFRS and that receipts and expenditures are being made only in accordance
with the authorisation of management and the directors of Trinity Biotech; and provide reasonable assurance regarding prevention or timely
detection of unauthorised acquisition, use or disposition of Trinity Biotech’s assets that could have a material effect on our financial
statements. Because of its inherent limitations, internal control over financial reporting may not prevent or detect all misstatements.
It is not always possible to conduct an
assessment of an acquired business’s internal control over financial reporting in the period between the purchase date and the date
of management’s assessment. In such cases, management will note that it has excluded the acquired business or businesses from its
report on internal control over financial reporting. Also, projections of any evaluation of the effectiveness of internal control to future
periods are subject to the risk that controls may become inadequate because of changes in conditions, and that the degree of compliance
with the policies or procedures may deteriorate.
Management has assessed the effectiveness
of internal control over financial reporting based on criteria established in the 2013 Internal Control – Integrated Framework issued
by the Committee of Sponsoring Organizations of the Treadway Commission (“COSO”). Based on this assessment, management has
concluded that the Group’s internal control over financial reporting was effective as of December 31, 2022.
Since Trinity Biotech is a non-accelerated
filer, our auditor, Grant Thornton, an independent registered public accounting firm, is not required to issue an attestation report on
the Group’s internal control over financial reporting as of December 31, 2022.
Changes
in Internal Control over Financial Reporting
There were no changes to our internal control
over financial reporting that occurred during the period covered by this Form 20-F that have materially affected, or are reasonably likely
to materially affect, our internal control over financial reporting.
16A.
Audit Committee Financial Expert
Mr James Merselis was an independent director and a member of the Audit Committee until his resignation
as a director in May 2022. Mr Tom Lindsay is an independent director who joined as a member of the Audit Committee in October 2022. Our
board of directors has determined that Mr James Merselis and Mr Tom Lindsay meet the definition of an audit committee financial expert,
as defined in Item 401 of Regulation S-K.
Management notes that due to changes in the composition of the Board of Directors, the Audit Committee
now consists of only one director. However, the Board of Directors are seeking to recruit at least one additional suitably qualified independent
director to join the Audit Committee in order to strengthen the internal control environment including the Committee’s oversight
of its external auditors.
16B.
Code of Ethics
Trinity Biotech has adopted a code of ethics
that applies to the Chief Executive Officer, Chief Financial Officer, Chief Accounting Officer and all organisation employees. Written
copies of the code of ethics are available free of charge upon written request to us at the address on the first page of this annual report.
If we make any substantive amendments to the code of ethics or grant any waivers, including any implicit waiver, from a provision of these
codes to our Chief Executive Officer, Chief Financial Officer or Chief Accounting Officer, we will disclose the nature of such amendment
or waiver on our website.
16C.
Principal Accountant Fees and Services
Fees Billed by Independent Public Accountants
The following table sets forth, for each
of the years indicated, the fees billed by our independent public accountants and the percentage of each of the fees out of the total
amount billed by the accountants.
|
|
|
Year ended December 31,
2022 |
|
|
Year ended December 31,
2021 |
|
|
|
|
US$’000 |
|
|
% |
|
|
US$’000 |
|
|
% |
|
|
Audit |
|
|
1,064 |
|
|
|
92 |
% |
|
|
571 |
|
|
|
86 |
% |
|
Tax |
|
|
89 |
|
|
|
8 |
% |
|
|
89 |
|
|
|
14 |
% |
|
Total |
|
|
1,153 |
|
|
|
|
|
|
|
660 |
|
|
|
|
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Audit services include audit of our consolidated
financial statements including interim financial statements, as well as work only the independent auditors can reasonably be expected
to provide, including statutory audits. Audit related services are for assurance and related services performed by the independent auditor,
including any special procedures required to meet certain regulatory requirements. Tax fees consist of fees for professional services
for tax compliance and tax advice.
Pre-Approval Policies
and Procedures
Our Audit Committee has adopted policies
and procedures for the pre-approval of audit and non-audit services rendered by our independent public accountants, Grant Thornton. The
policy generally pre-approves certain specific services in the categories of audit services, audit-related services, and tax services
up to specified amounts, and sets requirements for specific case-by-case pre-approval of discrete projects, those which may have a material
effect on our operations or services over certain amounts.
Pre-approval may be given as part of the
Audit Committee’s approval of the scope of the engagement of our independent auditor or on an individual basis. The pre-approval
of services may be delegated to one or more of the Audit Committee’s members, but the decision must be presented to the full Audit
Committee at its next scheduled meeting. The policy prohibits retention of the independent public accountants to perform the prohibited
non-audit functions defined in Section 201 of the Sarbanes-Oxley Act or the rules of the SEC, and also considers whether proposed
services are compatible with the independence of the public accountants.
16D.
Exemptions from the Listing Standards for Audit Committees
Not applicable.
16E. Purchases
of Equity Securities by the Issuer and Affiliated Purchasers
None.
Share Buyback
Trinity Biotech did not purchase any of
its own shares during 2022 or 2021.
16 F.
Change in Registrant’s Certifying Accountant
Not applicable.
16 G.
Corporate Governance
NASDAQ Stock Market Rules and Home Country
Practice
Under NASDAQ Stock Market Rule 5615(a)(3),
foreign private issuers, such as our company, are permitted to follow certain home country corporate governance practices instead of certain
provisions of the NASDAQ Stock Market Rules. A foreign private issuer that elects to follow a home country practice instead of any of
such NASDAQ requirements must submit to NASDAQ, in advance, a written statement from an independent counsel in such issuer’s home
country certifying that the issuer’s practices are not prohibited by the home country’s laws. We provided NASDAQ with such
a letter of non-compliance with respect to:
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Rule 5605(b)(1) - The Rule requiring maintaining a majority of independent directors.
Instead, under Irish law and practice, we are not required to appoint a majority of independent directors. |
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Rule 5605(b)(2) -The Rule requiring that our independent directors have regularly
scheduled meetings at which only independent directors are present. Instead, we follow Irish law according to which independent directors
are not required to hold executive sessions. |
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Rule 5605(e) - The Rule regarding independent director oversight of director nominations
process for directors. Instead, we follow Irish law and practice according to which our board of directors recommends directors for election/re-election
by our shareholders. |
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Rule 5635(c) - The requirement to obtain shareholder approval for the establishment
or amendment of certain equity based compensation plans, an issuance that will result in a change of control of the company (Rule 5635(b)),
certain transactions other than a public offering involving issuances of a 20% or more interest in the company (Rule 5635(d)) and certain
acquisitions of the stock or assets of another company (Rule 5635(a)). Instead, we follow Irish law and practice in approving such procedures,
according to which Board approval may suffice in certain circumstances, depending on the extent existing general authorities to issue
shares are in place. |
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Rule 5605(c)(2) - The Rule requiring maintaining an audit committee consisting of
at least three independent directors. Instead, we follow Irish law that requires that an audit committee have at least one independent
director. |
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Rule 5605(d)(2) - The Rule requiring a compensation
committee consisting of at least two independent directors. We have had a compensation committee, which we referred to as the remuneration
committee. We have engaged an international consultancy to advise the Board on Board and executive compensation. |
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Rule 5620(c) - The Rule requiring a quorum
of 33 1/3% at any meeting of shareholders (Rule 5620(c)). Instead, we follow the provisions of our Articles which require a quorum of
40%. If a quorum is not present within 30 minutes (or such longer time not exceeding one hour as the chairperson of the meeting may decide
to wait) after the time appointed for the holding of the meeting a quorum is not present, or if during the meeting a quorum ceases to
be present, the meeting, if convened on the requisition of shareholders, shall be dissolved and in any other case, shall stand adjourned
to the same day in the next week or to such other day and at such other time and place as the chairperson (or, in default, the board of
directors) may, subject to the provisions of the Companies Act 2014, determine. If at such adjourned meeting a quorum is not present within
15 minutes after the time appointed for holding it, the members present in person or by proxy shall be a quorum, but so that not less
than two individuals shall constitute a quorum. |
16 H.
Mine Safety Disclosure
Not applicable.
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16
I. Disclosure Regarding Foreign Jurisdictions That Prevent Inspections |