Cumberland Pharmaceuticals Reports 14% Revenue Growth In The Second Quarter

NASHVILLE, Tenn., Aug. 14, 2019 /PRNewswire/ -- Cumberland Pharmaceuticals Inc. (NASDAQ: CPIX), a specialty pharmaceutical company focused on hospital acute care and gastroenterology today announced second quarter 2019 financial results with net revenues of $11.6 million, up 14% over the prior year quarter. Year-to-date net revenues were $23.5 million, up 25% from the prior year period. While the GAAP net loss for the second quarter was $(0.5) million, or $(0.04) per share, the Adjusted Earnings for the quarter were $1.6 million or $0.10 per diluted share. As of June 30, 2019, Cumberland had $108 million in total assets, including approximately $30 million in cash and marketable securities.

QUARTER HIGHLIGHTS:

    --  Continued a company-wide strategic review of products, partners, and
        organization
    --  Increased sales team and national territories to improve support for
        acute-care key brands Caldolor(®), Vibativ(®) and Vaprisol(®)
    --  Finalized Vibativ agreements with Hikma Pharmaceuticals LLC for the
        Middle East, R. Pharma LLC for Russia and the CIS, and Dr. Reddy's
        Laboratories Ltd for India
    --  Provided the U.S. Food and Drug Administration (FDA) with additional
        data in support of approval submission for a new line of methotrexate
        products designed for the treatment of patients with arthritis and
        psoriasis
    --  Completed a submission to the FDA in support of an update to our
        Caldolor approval that included new geriatric, shortened infusion,
        pediatric, and safety data

"We continued to make progress in the second quarter towards our goal of building a company that offers long-term, sustainable growth," said A.J. Kazimi, Chief Executive Officer of Cumberland Pharmaceuticals. "We remain in a strong financial position with a solid balance sheet and positive cash flow from operations. The momentum we've generated during the first half of this year has put us on a path for a very strong second half, and we remain optimistic that 2019 will be a standout year for Cumberland."

KEY DEVELOPMENTS:

Methotrexate

In January 2019, the Company received notification from the FDA that the new drug application (NDA) for our new line of methotrexate products is complete and acceptable for filing. Furthermore, the FDA has set September 2019 as the Prescription Drug User Fee (PDUFA) action date for an approval decision.

In November 2018, we submitted the NDA for approval from the FDA. These products are designed to treat adult and pediatric patients with rheumatoid arthritis, as well as adults with psoriasis. During 2019, we provided additional data to the FDA to address a number of requests arising from their review of our NDA.

Caldolor

In January 2019, the FDA approved the application for Cumberland's next generation Caldolor product, featuring a new, patented formulation in a more convenient to use package. In April 2019, the Company began initial shipments of the product to select customers. A full launch of this next generation product is planned for late 2019.

In addition, we completed a submission to the FDA in support of an update to our Caldolor approval that included new geriatric, shortened infusion, pediatric, and safety data. Aiming to further expand the product's label, we provided important data generated from our clinical studies regarding an optimal infusion time, additional safety information, as well as geriatric and pediatric administration. The revised label will also include a class label update on the use of NSAIDs with aspirin.

Meanwhile, we completed enrollment in our study of Caldolor in newborns with ages ranging from birth to six months of age. Once the gathering and evaluation of the study data is complete, we will provide top line results from this trial.

Cumberland Strategic Review

On March 29, 2019, we announced that we had initiated a strategic review of our brands, capabilities and international partners. This review followed our accelerated business development initiative, which delivered a series of transactions. Because of that progress, we felt that it was prudent to take a fresh look at our portfolio, partners, and organization to ensure we have the proper focus and capabilities. As a result:

    --  We executed a License and Distribution agreement with Hong Kong
        WinHealth Pharma Group Co. Limited (WinHealth) for our Caldolor and
        Acetadote brands in China and Hong Kong. We anticipate WinHealth will
        provide $2 million in milestone payments and up to an estimated $290
        million in revenue contribution over a ten - year period for supplies of
        the products following their registration in China.
    --  We also entered into a Strategic Alliance agreement with WinHealth to
        explore future business opportunities that will further the mission and
        goals of each organization. Founded in Hangzhou, China and currently
        headquartered in Hong Kong, WinHealth has developed a wide breadth of
        capabilities including drug licensing, product development and
        registration, and has established a strong network of distribution and
        sales promotional capabilities for the Chinese market. Further,
        WinHealth has established partnerships with international companies that
        include Boehringer-Ingelheim, Janssen, Novartis, Pfizer, and Roche,
        generating approximately $330 million in annual sales in 2018.
    --  In addition, WinHealth entered into an agreement with Cumberland
        Emerging Technologies (CET) to make a $1 million investment through the
        purchase of shares of CET stock. As part of that agreement, WinHealth
        obtained a Board position at CET and the first opportunity to license
        CET products for the Chinese market.
    --  We completed the assignment and amendment of a Commercialization
        Agreement with Hikma Pharmaceuticals LLC (Hikma) to register and
        distribute Vibativ in a number of countries throughout the Middle East.
        Hikma is a multinational pharmaceutical company currently headquartered
        in London, United Kingdom. Originally founded in Amman, Jordan the
        company now has market representation throughout the world, with a
        particular focus in the Middle East and North African regions. Hikma
        develops, manufactures, and markets a broad range of branded and
        non-branded generic medicines, generating over $2 billion in gross sales
        during 2018.
    --  We also completed the assignment and amendment of a Commercialization
        Agreement with R-Pharma JSC (R Pharma) associated with ongoing
        distribution of Vibativ in Russia and a number of adjacent countries in
        Eastern Europe. R-Pharma is one of the leading multinational
        pharmaceutical organizations based in Russia. Headquartered in Moscow
        and focusing in a wide breadth of therapeutic areas in the specialty and
        hospital care markets, R-Pharma generated over $1.6 billion in revenues
        in 2018.
    --  Cumberland also completed the assignment and amendment of a
        Commercialization Agreement with Dr. Reddy's Laboratories Limited (Dr.
        Reddy's) for the registration and distribution of Vibativ in India. Dr.
        Reddy's is a multinational pharmaceutical company based in Hyderabad,
        India. The company currently markets over 190 medications through their
        commercial operations in over 35 countries. Combined with their
        extensive network of manufacturing capabilities, Dr. Reddy's generated
        over $2.2B in sales during their 2018 - 2019 fiscal year.
    --  In addition, we also signed a new License and Distribution agreement
        with DB Pharm Korea Co., Ltd. (DB Pharm) for Vibativ in South Korea. DB
        Pharm is also currently distributing our Caldolor product in that
        market.
    --  Our hospital product efforts will now be focused on our three key acute
        care products - Caldolor, Vibativ and Vaprisol. In order to support this
        acute care business, we have completed the expansion of our hospital
        sales division, as well as our field-based medical science team.
    --  Lastly, we also concluded the License and Distribution agreement with
        Teligent Inc. for Caldolor in Canada.

FINANCIAL RESULTS:

Net Revenue: For the three months ended June 30, 2019, net revenues were $11.6 million, up 14% from $10.2 million the prior year period.

Net revenue by product for the three months ended June 30, 2019, included $3.5 million for Kristalose(®) and $2.6 million for Vibativ(®). Net revenue for the Company's other brands included $2.0 million for Ethyol(®), $1.1 million for Caldolor(®), $1.0 million for Acetadote(®) (including the brand and Company's Authorized Generic), and $0.8 million for our other brands.

For the six months ended June 30, 2019, net revenues were $23.5 million, up 25% from $18.8 million for the six months ended June 30, 2018.

Operating Expenses: Total operating expenses for the three months ended June 30, 2019 were $12.2 million, compared to $11.0 million during the prior year period. The primary drivers of this increase were the increase in sales, new cost of goods, and amortization expenses associated with the addition of Vibativ.

Total operating expenses for the first six months of 2019 were $24.3 million compared to $22.1 million for 2018.

Earnings: Net income (loss) for the second quarter 2019 was $(0.5) million or $(0.04) a share, compared to $(0.7) million or $(0.05) a share for the prior year period.

Adjusted Earnings for the second quarter were $1.6 million or $0.10 per diluted share, up from $0.2 million or $0.01 per diluted share for the prior year period. The definition and reconciliation of Adjusted Earnings to net income (loss) is provided in this release.

Balance Sheet: At June 30, 2019, Cumberland had $30.4 million in cash and marketable securities, including approximately $21.0 million in cash and equivalents. Total assets at June 30, 2019 were $107.5 million. Total liabilities were $53.9 million, including $20.0 million outstanding on the Company's revolving line of credit, resulting in Total shareholder's equity of $53.9 million.

Cumberland also has approximately $44 million in tax net operating loss carryforwards, resulting from the prior exercise of stock options.

Conference Call and Webcast

A conference call and live Internet webcast will be held on Wednesday, August 14, 2019 at 4:30 p.m. Eastern Time to discuss the Company's second quarter 2019 financial results. To participate in the call, please dial 877-303-1298 (for U.S. callers) or 253-237-1032 (for international callers). A rebroadcast of the teleconference will be available for one week and can be accessed by dialing 855-859-2056 (for U.S. callers) or 404-537-3406 (for international callers). The Conference ID for the rebroadcast is 3198706. The live webcast and rebroadcast can be accessed via Cumberland's website at
http://investor.shareholder.com/cpix/events.cfm.

About Cumberland Pharmaceuticals

Cumberland Pharmaceuticals Inc. is a specialty pharmaceutical company focused on the delivery of high-quality prescription brands to improve patient care. The Company develops, acquires and commercializes brands for the hospital acute care and gastroenterology market segments. These medical specialties are categorized by relatively concentrated prescriber bases that the Company believes can be penetrated effectively by small, targeted sales forces.

The Company's portfolio of FDA approved brands includes:

    --  Acetadote(®) (acetylcysteine) Injection, for the treatment of
        acetaminophen poisoning;
    --  Caldolor(®) (ibuprofen) Injection, for the treatment of pain and fever;
    --  Kristalose(®) (lactulose) for Oral Solution, a prescription laxative,
        for the treatment of chronic and acute constipation;
    --  Omeclamox(®)-Pak, (omeprazole, clarithromycin, amoxicillin) for the
        treatment of Helicobacter pylori (H. pylori) infection and related
        duodenal ulcer disease;
    --  Vaprisol(®) (conivaptan) Injection, to raise serum sodium levels in
        hospitalized patients with euvolemic and hypervolemic hyponatremia;
    --  Ethyol(®) (amifostine) Injection, for the reduction of xerostomia (dry
        mouth) in patients undergoing post-operative radiation treatment for
        head and neck cancer and the renal toxicity associated with the
        administration of cisplatin in patients with advanced ovarian cancer;
    --  Totect(®) (dexrazoxane hydrochloride) Injection, for emergency oncology
        intervention, to treat the toxic effects of anthracycline chemotherapy
        in case of extravasation (drug leakage from the bloodstream into the
        tissues); and
    --  Vibativ(®) (telavancin) Injection, for the treatment of certain serious
        bacterial infections including hospital-acquired and
        ventilator-associated bacterial pneumonia, as well as complicated skin
        and skin structure infections.

Cumberland's pipeline of product candidates includes:

    --  Hepatoren(®) (ifetroban) Injection, a Phase II candidate for the
        treatment of critically ill patients suffering from liver and kidney
        failure associated with hepatorenal syndrome ("HRS");
    --  Boxaban(®) (ifetroban) Oral Capsules, a Phase II candidate for the
        treatment of asthma patients with aspirin-exacerbated respiratory
        disease ("AERD");
    --  Vasculan(®) (ifetroban) Oral Capsules, a Phase II candidate for the
        treatment of patients with the systemic sclerosis (SSc) form of
        autoimmune disease;
    --  Portaban(®) (ifetroban) Injection and Oral Capsules, a Phase II
        candidate for the treatment of patients with portal hypertension
        associated with liver disease; and
    --  RediTrex(TM) (methotrexate) Injection, an approval submission candidate
        for the treatment of active rheumatoid, juvenile idiopathic and severe
        psoriatic arthritis, as well as severe disabling psoriasis.

For more information on Cumberland's approved products, including full prescribing and safety information, please visit the individual product websites, links to which can be found on the Company's website www.cumberlandpharma.com.

About Acetadote(®) (acetylcysteine) Injection

Acetadote, administered intravenously within 8 to 10 hours after ingestion of a potentially hepatotoxic quantity of acetaminophen, is indicated to prevent or lessen hepatic injury. Used in the emergency department, Acetadote is approved in the United States to treat overdose of acetaminophen, a common ingredient in many over-the-counter medications. Acetadote is contraindicated in patients with hypersensitivity or previous anaphylactoid reactions to acetylcysteine or any components of the preparation. For full prescribing and safety information, visit www.acetadote.com.

About Caldolor(®) (ibuprofen) Injection

Caldolor is indicated in adults and pediatric patients for the management of mild to moderate pain and management of moderate to severe pain as an adjunct to opioid analgesics, as well as the reduction of fever. It was the first FDA-approved intravenous therapy for fever. Caldolor is contraindicated in patients with known hypersensitivity to ibuprofen or other NSAIDs, patients with a history of asthma or other allergic type reactions after taking aspirin or other NSAIDs.

Caldolor is contraindicated for use during the peri-operative period in the setting of coronary artery bypass graft (CABG) surgery. For full prescribing and safety information, including boxed warning, visit www.caldolor.com.

About Kristalose(®) (lactulose) Oral Solution

Kristalose is indicated for the treatment of acute and chronic constipation. It is a unique, proprietary, crystalline form of lactulose, with no restrictions on length of therapy or patient age. Kristalose is contraindicated in patients who require a low-galactose diet. Elderly, debilitated patients who receive lactulose for more than six months should have serum electrolytes (potassium, chloride, carbon dioxide) measured periodically. For full prescribing and safety information, visit www.kristalose.com.

About Omeclamox(®)-Pak (omeprazole, clarithromycin, amoxicillin)

Omeprazole is an antisecretory drug, which works by decreasing the amount of acid the stomach produces. Clarithromycin and amoxicillin are antibacterial drugs, which inhibit the growth of bacteria allowing the stomach lining to heal. Omeclamox-Pak is contraindicated in patients with a history of hypersensitivity to omeprazole, any macrolide antibiotic or penicillin. For full prescribing and safety information, visit www.omeclamox.com.

About Vaprisol(®) (conivaptan hydrochloride) Injection

Vaprisol is an intravenous treatment for hyponatremia used in the critical care setting. Hyponatremia is an electrolyte disturbance in which sodium ion concentration in blood plasma is lower than normal. This can be associated with a variety of critical care conditions including congestive heart failure, liver failure, kidney failure and pneumonia. The product is a vasopressin receptor antagonist that raises serum sodium levels and promotes free water secretion. Vaprisol is contraindicated in patients with hypovolemic hyponatremia. The coadministration of Vaprisol with potent CYP3A inhibitors, such as ketoconazole, itraconazole, clarithromycin, ritonavir, and indinavir, is contraindicated. For full prescribing and safety information, including boxed warning, visit www.vaprisol.com.

About Ethyol(®) (amifostine) Injection

Ethyol is indicated to reduce the cumulative renal toxicity associated with repeated administration of cisplatin in patients with advanced ovarian cancer. It is indicated to reduce the incidence of moderate to severe xerostomia in patients undergoing post-operative radiation treatment for head and neck cancer, where the radiation port includes a substantial portion of the parotid glands. Ethyol is contraindicated in patients with known hypersensitivity to aminothiol compounds. For more information please visit www.ethyol.com.

About Totect(®) (dexrazoxane) Injection

Totect is an anthracycline extravasation agent approved by the FDA. Anthracyclines are used to treat many types of cancer and are among the most common cancer therapies.

Anthracycline extravasation occurs when there is accidental leaking of the intravenously-administered medication into the surrounding tissues. Anthracycline extravasation can result in serious complications for cancer patients including tissue necrosis with skin ulceration. In addition to tissue damage, an anthracycline extravasation may cause damage to the nerves, tendons, muscle, and joints. For more information please visit www.totect.com.

About Vibativ(®) (telavancin) for Injection

Vibativ is a patented, FDA approved injectable anti-infective for the treatment of certain serious bacterial infections including hospital-acquired and ventilator-associated bacterial pneumonia and complicated skin and skin structure infections. It addresses a range of Gram-positive bacterial pathogens, including those that are considered difficult-to-treat and multidrug-resistant. Intravenous unfractionated heparin sodium is contraindicated with Vibativ administration due to artificially prolonged activated partial thromboplastin time (aPTT) test results for up to 18 hours after Vibativ administration.Vibativ is contraindicated in patients with a known hypersensitivity to telavancin. For more information please visit www.vibativ.com.

About Cumberland Emerging Technologies (CET)

Cumberland Emerging Technologies, Inc. (www.cet-fund.com) is a joint initiative between Cumberland Pharmaceuticals Inc., Vanderbilt University, LaunchTN, and WinHealth. The mission of CET is to advance biomedical technologies and products conceived at Vanderbilt University and other regional research centers towards the marketplace.

CET helps manage the development and commercialization process for select projects, and provides expertise on intellectual property, regulatory, manufacturing and marketing issues that are critical to successful new biomedical products. CET's Life Sciences Center provides laboratory space, equipment and infrastructure for CET's activities and other early-stage life sciences ventures.

Forward-Looking Statements

This release contains forward-looking statements within the meaning of the federal securities laws, which are subject to certain risks and reflect Cumberland's current views on future events based on what it believes are reasonable assumptions. These forward-looking statements involve certain risks and uncertainties, and actual results may differ materially from them. Some important factors which may cause results to differ from expectations include: market conditions, competition, an inability of manufacturers to supply Cumberland's products on a timely basis or failure of manufacturers to comply with regulations applicable to pharmaceutical manufacturers including quality control obligations, maintaining an effective sales and marketing infrastructure, availability of additional debt and equity capital required to finance the business, market conditions at the time additional capital is required, our ability to continue to acquire brands, product sales, management of our growth and integration of our acquisitions, as well as other risks discussed in the "Risk Factors" section of the Company's most recent Annual Report on Form 10-K, and other filings with the SEC. There can be no assurance that results anticipated by the Company will be realized or that they will have the expected effects. Readers are cautioned not to place undue reliance on forward-looking statements, which speak only as of the date hereof. The Company does not undertake any obligation to publicly revise these statements to reflect events after the date hereof.


                                                                                  
       
         CUMBERLAND PHARMACEUTICALS INC. AND SUBSIDIARIES


                                                                                    
       
            Condensed Consolidated Balance Sheets


                                                                                          
            
              (Unaudited)




                                                                                                                                               June 30,                         December 31,
                                                                                                                                                   2019                      2018

                                                                                                                                                                             ---


            
              ASSETS



            Current assets:



            Cash and cash equivalents                                                                                                                   $
       20,951,180                      $
      27,938,960



            Marketable securities                                                                                                            9,479,686                   8,290,679



            Accounts receivable, net                                                                                                         8,427,278                   7,844,249



            Inventories, net                                                                                                                10,648,859                  12,078,343



            Prepaid and other current assets                                                                                                 2,425,354                   2,963,806




            Total current assets                                                                                                            51,932,357                  59,116,037



            Non-current inventories                                                                                                         15,840,962                  15,749,000



            Property and equipment, net                                                                                                        737,238                     771,213



            Intangible assets, net                                                                                                          32,044,234                  33,655,099



            Goodwill                                                                                                                           882,000                     784,000



            Deferred tax assets, net                                                                                                            43,605                      87,210



            Other assets                                                                                                                     6,065,828                   2,531,309




            Total assets                                                                                                                               $
       107,546,224                     $
      112,693,868




            
              LIABILITIES AND EQUITY



            Current liabilities:



            Accounts payable                                                                                                                             $
       9,539,981                      $
      11,093,297



            Other current liabilities                                                                                                       12,777,148                  16,710,927




            Total current liabilities                                                                                                       22,317,129                  27,804,224



            Revolving line of credit                                                                                                        20,000,000                  20,000,000



            Other long-term liabilities                                                                                                     11,540,378                   9,319,143




            Total liabilities                                                                                                               53,857,507                  57,123,367




            Commitments and contingencies



            Equity:



            Shareholders' equity:



            Common stock-no par value; 100,000,000 shares authorized; 15,471,070                                                            49,938,254                  51,098,613
    and 15,481,497 shares issued and outstanding as of June 30, 2019 and
    December 31, 2018, respectively



            Retained earnings                                                                                                                4,122,769                   4,746,154




            Total shareholders' equity                                                                                                      54,061,023                  55,844,767



            Noncontrolling interests                                                                                                         (372,306)                  (274,266)




            Total equity                                                                                                                    53,688,717                  55,570,501




            Total liabilities and equity                                                                                                               $
       107,546,224                     $
      112,693,868


                                                                                  
       
                CUMBERLAND PHARMACEUTICALS INC. AND SUBSIDIARIES


                                                                              
     
       Condensed Consolidated Statements of Operations and Comprehensive Income (loss)


                                                                                              
              
                (Unaudited)




                                                                                                                Three months ended June 30,                                      Six months ended June 30,


                                                                                            2019                                             2018                             2019                           2018

                                                                                                                                                                                                           ---


             Net revenues                                                                         $
              11,580,600                                          $
        10,163,724                                $
          23,483,347     $
          18,751,329



             Costs and expenses:



             Cost of products sold                                                    2,012,196                                          1,523,319                                     4,011,932                            3,051,280



             Selling and marketing                                                    5,153,129                                          5,076,250                                    10,273,634                            9,746,761



             Research and development                                                 1,458,366                                          1,450,390                                     2,725,967                            3,325,329



             General and administrative                                               2,528,916                                          2,334,223                                     5,198,972                            4,664,504



             Amortization                                                             1,029,708                                            648,520                                     2,051,353                            1,284,655




             Total costs and expenses                                                12,182,315                                         11,032,702                                    24,261,858                           22,072,529




             Operating income (loss)                                                  (601,715)                                         (868,978)                                    (778,511)                         (3,321,200)



             Interest income                                                            130,565                                            149,706                                       246,426                              232,200



             Interest expense                                                          (91,200)                                          (22,019)                                    (152,111)                            (40,321)




             Income (loss) before income taxes                                        (562,350)                                         (741,291)                                    (684,196)                         (3,129,321)



             Income tax (expense) benefit                                               (4,462)                                           (4,159)                                       76,966                              (8,318)




             Net income (loss)                                                        (566,812)                                         (745,450)                                    (607,230)                         (3,137,639)



             Net (income) loss at subsidiary attributable to noncontrolling              17,305                                             24,762                                      (16,155)                              37,712
    interests




             Net income (loss) attributable to common shareholders                                 $
              (549,507)                                          $
        (720,688)                                $
          (623,385)    $
         (3,099,927)




             Earnings (loss) per share attributable to common shareholders



             - basic                                                                                  $
              (0.04)                                             $
        (0.05)                                   $
          (0.04)        $
          (0.20)



             - diluted                                                                                $
              (0.04)                                             $
        (0.05)                                   $
          (0.04)        $
          (0.20)



             Weighted-average shares outstanding



             - basic                                                                 15,523,628                                         15,674,954                                    15,497,989                           15,682,348



             - diluted                                                               15,523,628                                         15,674,954                                    15,497,989                           15,682,348





             Comprehensive income (loss) attributable to common shareholders          (549,507)                                         (720,688)                                    (623,385)                         (3,099,927)



             Net (income) loss at subsidiary attributable to noncontrolling              17,305                                             24,762                                      (16,155)                              37,712
    interests



             Total Comprehensive income (loss)                                                     $
              (566,812)                                          $
        (745,450)                                $
          (607,230)    $
         (3,137,639)


                                                                                            
      
        CUMBERLAND PHARMACEUTICALS INC. AND SUBSIDIARIES


                                                                                             
      
        Condensed Consolidated Statements of Cash Flows


                                                                                                  
           
                (Unaudited)




                                                                                                                                                                        Six months ended June 30,


                                                                                                                                                             2019                                     2018

                                                                                                                                                                                                      ---


              Cash flows from operating activities:



              Net income (loss)                                                                                                                                   $
      (607,230)                             $
       (3,137,639)



              Adjustments to reconcile net income (loss) to net cash provided by operating
    activities:



              Depreciation and amortization expense                                                                                                    2,174,397                                  1,394,728



              Deferred tax expense                                                                                                                        43,605



              Share-based compensation                                                                                                                   760,982                                    665,309



              (Decrease) increase in non-cash contingent consideration                                                                                 (321,894)



              Noncash interest expense                                                                                                                    28,111                                     33,730



              Noncash investment gains                                                                                                                 (125,804)                                 (118,188)



              Net changes in assets and liabilities affecting operating activities:



              Accounts receivable                                                                                                                      (583,029)                                 2,589,017



              Inventories                                                                                                                              1,429,484                                  (607,653)



              Other current assets and other assets                                                                                                      141,577                                    804,729



              Accounts payable and other current liabilities                                                                                         (1,132,333)                                 (730,760)



              Other long-term liabilities                                                                                                              (342,940)                                   136,402




              Net cash provided by operating activities                                                                                                1,464,926                                  1,029,675




              Cash flows from investing activities:



              Additions to property and equipment                                                                                                       (89,070)                                 (131,684)



              Purchases of marketable securities                                                                                                     (9,627,191)                              (16,916,890)



              Proceeds from sale of marketable securities                                                                                              8,563,988                                  6,904,205



              Cash paid for acquisitions                                                                                                             (5,000,000)



              Additions to intangibles                                                                                                                 (395,005)                                 (593,121)




              Net cash used in investing activities                                                                                                  (6,547,278)                              (10,737,490)




              Cash flows from financing activities:



              Borrowings on line of credit                                                                                                            36,000,000                                 24,000,000



              Repayments on line of credit                                                                                                          (36,000,000)                               (21,800,000)



              Sales of shares of common stock, net of offering costs                                                                                           -                                   200,909



              Payments of deferred offering costs                                                                                                              -                                 (248,108)



              Cash payment of contingent consideration                                                                                                 (684,738)



              Repurchase of common shares                                                                                                            (1,220,690)                               (1,951,199)




              Net cash provided by (used in) financing activities                                                                                    (1,905,428)                                   201,602




              Net decrease in cash and cash equivalents                                                                                              (6,987,780)                               (9,506,213)



              Cash and cash equivalents at beginning of period                                                                                        27,938,960                                 45,412,868




              Cash and cash equivalents at end of period                                                                                                         $
      20,951,180                               $
       35,906,655


                                                                                                                   
              
                CUMBERLAND PHARMACEUTICALS INC. AND SUBSIDIARIES


                                                                                  
     Reconciliation of Net Income (loss) Attributable to Common Shareholders to Adjusted Earnings (loss) and Adjusted Diluted Earnings (loss) Per Share


                                                                                                                                            
              (Unaudited)




                                                                                                                                      Three months ended June 30,                                                                 Three months ended June 30,
                                                                                                                                                                         2019                                                                                              2018


                                                                                                                         2019                                                2019                                      2018                                             2018





                                                                                                              Earnings impact                                      Earnings per                           Earnings impact                                   Earnings per
                                                                                                                                                                    share impact                                                                             share impact



              
                Net income (loss) attributable to common shareholders                                               $
              (549,507)                                                                       $
              (0.03)                                             $
        (720,688)    $
        (0.04)



              Less: Net (income) loss at subsidiary attributable to                                                   17,305                                                                                                                                       24,762
    noncontrolling interests




              Net income (loss)                                                                                    (566,812)                                                         (0.04)                                                                    (745,450)                           (0.05)



              Adjustments to net income (loss)



              Income tax expense (benefit)                                                                             4,462                                                                                                                                        4,159



              Depreciation and amortization                                                                        1,098,151                                                            0.07                                                                       701,737                              0.04



              Share-based compensation (a)                                                                           396,548                                                            0.03                                                                       326,100                              0.02



              Impact of Vibativ cost of product sold (b)                                                             684,601                                                            0.04



              Interest income                                                                                      (130,565)                                                         (0.01)                                                                    (149,706)                           (0.01)



              Interest expense                                                                                        91,200                                                            0.01                                                                        22,019




              
                Adjusted Earnings (loss) and Adjusted Diluted                                                       $
              1,577,585                                                                          $
              0.10                                               $
         158,859     $
          0.01
    Earnings (loss) Per Share






              Diluted weighted-average common shares outstanding:                                                                                                    15,860,561                                                                                                16,026,088


                                                                                                    Six months ended June 30,                                        Six months ended June 30,
                                                                                                                                  2019                                                              2018


                                                                                            2019                                      2019                          2018                                   2018





                                                                                  
         Earnings                            Earnings per           
         Earnings                              Earnings per
                                                                                                                             share impact                                                         share impact
                                                                                    impact                                                           impact



              
                Net income (loss) attributable to common shareholders                $
      (623,385)                                        $
              (0.04)                                                   $
       (3,099,927)    $
       (0.19)



              Less: Net (income) loss at subsidiary attributable to                    (16,155)                                                                                37,712
    noncontrolling interests




              Net income (loss)                                                       (607,230)                                           (0.04)                          (3,137,639)                                                (0.20)



              Adjustments to net income (loss)



              Income tax expense (benefit)                                             (76,966)                                                                                 8,318



              Depreciation and amortization                                           2,174,397                                              0.14                             1,394,728                                                  0.09



              Share-based compensation (a)                                              760,982                                              0.05                               665,309                                                  0.04



              Impact of Vibativ cost of product sold (b)                              1,236,095                                              0.08



              Interest income                                                         (246,426)                                           (0.02)                            (232,200)                                               (0.01)



              Interest expense                                                          152,111                                              0.01                                40,321




              
                Adjusted Earnings (loss) and Adjusted Diluted                        $
      3,392,963                                           $
              0.22                                                    $
       (1,261,163)    $
       (0.08)
    Earnings (loss) Per Share






              Diluted weighted-average common shares outstanding:                                                             15,875,765                                                                       15,682,348

The Company provided the above adjusted supplemental financial performance measures, which are considered "non-GAAP" financial measures under applicable SEC rules and regulations. These financial measures should be considered supplemental to, and not as a substitute for, financial information prepared in accordance with Generally Accepted Accounting Principles ("GAAP"). The definition of these supplemental measures may differ from similarly titled measures used by others.

Because these supplemental financial measures exclude the effect of items that will increase or decrease the Company's reported results of operations, management encourages investors to review the Company's consolidated financial statements and publicly filed reports in their entirety. A reconciliation of the supplemental financial measures to the most directly comparable GAAP financial measures is included in the tables accompanying this release.

Cumberland's management believes these supplemental financial performance measures are important as they are used by management, along with financial measures in accordance with GAAP, to evaluate the Company's operating performance. In addition, Cumberland believes that they will be used by certain investors to measure the Company's operating results. Management believes that presenting these supplemental measures provides useful information about the Company's underlying performance across reporting periods on a consistent basis by excluding items that Cumberland does not believe are indicative of its core business performance or reflect long-term strategic activities. Certain of these items are not settled through cash payments and include: depreciation, amortization, share-based compensation expense and income taxes. Cumberland utilizes its net operating loss carryforwards to pay minimal income taxes. In addition, the use of these financial measures provides greater transparency to investors of supplemental information used by management in its financial and operational decision-making, including the evaluation of the Company's operating performance.

The Company defines these supplemental financial measures as follows:

    --  Adjusted Earnings (loss): net income (loss) adjusted for the impact of
        income taxes, depreciation and amortization expense, share-based
        compensation, Vibativ cost of product sold and interest income and
        interest expense.

(a) Represents the share-based compensation of Cumberland.

(b) Represents the non-cash impact of the Vibativ cost of products sold. Cumberland has elected to add these costs back in the calculation of adjusted earnings as all the Vibativ inventory was transferred to Cumberland as part of the transaction with Theravance at no additional cost to the consideration agreed for the product acquisition.

    --  Adjusted Diluted Earnings (loss) Per Share: Adjusted Earnings (loss)
        divided by diluted weighted-average common shares outstanding.

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SOURCE Cumberland Pharmaceuticals Inc.