Regulatory Compliance - The company is subject to scrutiny by regulatory authorities regarding compliance with healthcare laws, which could lead to significant civil, criminal, and administrative penalties [97]. - Violations of the federal Anti-Kickback Statute can result in civil monetary penalties for each violation, plus up to three times the remuneration involved [100]. - The federal False Claims Act allows for treble damages and penalties for each false claim submitted, impacting pharmaceutical and healthcare companies significantly [101]. - The company may face substantial costs to ensure compliance with healthcare laws and regulations, which could adversely affect its operations [107]. - The company is subject to the U.S. Foreign Corrupt Practices Act, which prohibits improper payments to officials for business purposes, potentially affecting operations in regions with governmental corruption [108]. - Compliance with evolving data protection laws, such as GDPR, may impose additional costs and liabilities on the company, with fines for noncompliance reaching up to €20 million or 4% of annual global revenues [114]. - The company must navigate complex compliance issues related to state and federal privacy laws, which may conflict and complicate operations [111]. - The company is required to report payments and transfers of value to healthcare professionals, with significant penalties for failure to comply [104]. - The company expects ongoing scrutiny regarding international personal data transfers, particularly under the new EU-US Data Privacy Framework [114]. - The company may face additional costs and regulatory investigations due to guidance on personal data export mechanisms, potentially affecting service provision and financial results [116]. - The UK GDPR allows for fines up to £17.5 million or 4% of global turnover, which could impact the company's operations as it expands internationally [117]. - Non-compliance with the PPL and its regulations could lead to significant administrative fines and civil claims, with potential sanctions reaching millions of NIS after Amendment 13 takes effect in August 2025 [118]. Intellectual Property - As of December 31, 2024, the company had been granted a total of 88 patents, with 50 currently in force and 17 pending patent applications [133]. - The patent family covering NexoBrid includes 13 granted patents that are in force worldwide, while EscharEx is covered by 13 patents in force [133]. - Eleven of the currently issued NexoBrid patents are set to expire in November 2025, with one U.S. patent expected to receive a 5-year extension, expiring in 2030 [140]. - The international PCT patent applications for EscharEx were filed on January 30, 2017, with the 13 patents issued set to expire on January 30, 2037 [140]. - The company may face challenges in protecting its intellectual property rights in jurisdictions with limited legal protections, potentially allowing competitors to develop similar products [139]. - The company relies on a combination of patents, trademarks, and trade secrets to protect its intellectual property, but may face difficulties in enforcement and protection [132]. - The biotechnology patent landscape is highly uncertain, and changes in patent laws could diminish the value of the company's intellectual property [135]. - The company may incur significant costs and management distraction from potential lawsuits to enforce its intellectual property rights [136]. - Unauthorized use of the company's intellectual property could adversely affect its business and reputation, leading to reduced demand for its products [141]. - The company may be subject to claims of infringement from third parties, which could result in substantial litigation costs and potential damages [146]. Financial Performance and Market Conditions - The company anticipates that sales in the Asia Pacific region will be denominated in dollars, which may affect competitiveness if the dollar strengthens against other currencies [96]. - Changes in tax legislation, such as the Inflation Reduction Act of 2022, could adversely affect the company's effective income tax rate and overall financial condition [129]. - The OECD's BEPS initiative may lead to significant changes in international tax obligations, impacting the company's plans for international expansion and financial results [130]. - The company's ordinary shares were first offered publicly in March 2014 at a price of 98.00pershare,withatradingrangebetween7.10 and 127.12throughDecember31,2024[153].−Themarketpriceofthecompany′sordinarysharesmayfluctuateduetovariousfactors,includingoperationalresults,marketacceptanceofproducts,andregulatorydevelopments[155].OperationalRisks−Thecompanyisincreasinglydependentoninformationtechnologysystems,andfailuresorcyberattackscoulddisruptoperationsandleadtomaterialfinanciallosses[119].−Cybersecurityrisksareheightenedduetogeopoliticaltensions,withincreasedfrequencyandsophisticationofattackstargetingIsraelicompanies[120].−Compliancewithenvironmental,health,andsafetyregulationsmayincursubstantialcosts,includingpotentialliabilitiesfromchemicaluseandaccidents[128].−Thecompanyfacesrisksrelatedtoclimatechange,whichcoulddisruptoperationsandleadtoincreasedoperationalexpenses,adverselyimpactingprofitability[172].−Increasedscrutinyregardingenvironmental,social,andgovernance(ESG)factorsmayresultinhighercostsandrisksoflitigation,affectingthecompany′sfinancialcondition[173].−TheongoingconflictinIsraelhasnotmateriallyimpactedthecompany′soperationsasofthereportdate,butescalationcouldnegativelyaffectbusinessandfinancialresults[178].−Thecompany’sworkforceavailabilityhasbeenaffectedbythewar,whichmayimpactproductdevelopmentandsalesifthesituationescalates[179].−RecentdowngradesofIsrael′screditratingbyFitchandMoody′scouldnegativelyaffectthecompany′soperationsandabilitytoconductbusiness[180].−ThecompanymayfacechallengesinmergersoracquisitionsduetoIsraelicorporatelaw,whichimposesstrictrequirementsforsuchtransactions[184].−Israelitaxconsiderationsmaydeterpotentialtransactions,astaxlawsdiffersignificantlyfromthoseintheU.S.,affectingshareholderappeal[185].ShareholderandEmployeeRelations−AsofMarch15,2025,therewere1,428,691ordinarysharessubjecttooutstandingoptionandRSUawardsundershareincentiveplans,including700,189sharesissuableundercurrentlyexercisableoptionsandRSUs[158].−Thecompanyhasmadesignificantofferingsofordinaryshares,includingashelfregistrationstatementonFormF−3for1,605,732shareseffectiveApril22,2019,andadditionalregistrationsfor1,819,780sharesonJune3,2022,and1,453,488sharesonSeptember9,2024[157].−The2024ShareIncentivePlanwasadoptedwith280,375ordinarysharesinitiallyavailableforissuance,rolledoverfromthe2014Plan[160].−Thecompanymayfaceclaimsforremunerationorroyaltiesforassignedserviceinventionrightsbyemployees,whichcouldresultinlitigationandadverselyaffectitsbusiness[151].−ProposedU.S.federalrestrictionsonnon−competeagreementscouldadverselyimpactthecompany′sabilitytoprotectitsinvestmentinkeyemployees[150].−Thecompanyhasenteredintoassignment−of−inventionagreementswithemployees,butmaystillfaceclaimsforadditionalremunerationforserviceinventions[151].−ShareholderrightsandresponsibilitiesaregovernedbyIsraelilaw,whichdiffersfromU.S.corporategovernancestandards[191].GrantsandFinancialObligations−ThetotalgrossamountofgrantsreceivedfromtheIsraeliInnovationAuthority(IIA)isapproximately14.1 million as of December 31, 2024 [186]. - The amortized cost of the liability related to IIA grants as of December 31, 2024, is approximately 8.3million[186].−NetroyaltiespaidtotheIIAasofDecember31,2024,amountto2.2 million [186]. - Since 2020, the company has not submitted applications for IIA grants and does not plan to submit in 2025 [186]. - The obligation to pay royalties is contingent on actual sales of products developed with IIA grants, with no payment required in the absence of such sales [187]. - Increased royalties may be required if products are manufactured outside of Israel, depending on the manufacturing volume [188]. - The transfer of IIA-supported technology outside of Israel may involve significant penalties and conditions imposed by the IIA [188]. - The company determined in 2018 that it will no longer be supported by the IIA [186]. - The company must comply with the Innovation Law even after full repayment of IIA grants [187].