Financial Exposure and Debt - As of December 31, 2023, the company had $2.3 billion and €2.0 billion of senior interest-bearing debt, with 39.0% of this debt bearing interest at variable rates [124]. - In 2023, €5.3 billion, or 80.3%, of the company's net revenue of €6.6 billion was denominated in U.S. dollars, exposing it to foreign currency exchange rate risks [125]. - The company had approximately $2.8 billion of U.S. dollar-denominated senior debt as of December 31, 2023, increasing its exposure to currency fluctuations [126]. - Fluctuations in the exchange rate between the U.S. dollar and the euro may increase the risk of holding ADSs or shares, affecting their market price [231]. Revenue and Operational Risks - A significant portion of the company's revenue is derived from plasma fractionation, and any disruption at its main facilities could materially affect revenue [126]. - The company relies on third parties for the sale, distribution, and delivery of its products, making it vulnerable to breaches or failures in these contracts [133]. - The company may face significant delays in obtaining regulatory approval for product candidates, impacting commercialization timelines [138]. - The company’s product development costs may increase due to delays in testing or approvals, affecting profitability [139]. - The company’s ability to commercialize products may be hindered by difficulties in obtaining regulatory approval or achieving market acceptance [140]. Data Privacy and Cybersecurity - The company is subject to complex and evolving data privacy regulations, which could increase operational costs and require changes to business practices [146]. - The California Privacy Rights Act (CPRA) was enacted in November 2020, effective January 1, 2023, expanding consumer control over personal information and increasing compliance obligations for businesses [148]. - Noncompliance with GDPR can result in penalties of up to €20 million or 4% of global company revenues [149]. - The implementation of GDPR, CCPA, and other data protection requirements is expected to impose additional costs on the company, with potential material adverse effects on business operations [150]. - Cyber-attacks pose significant risks, potentially leading to the misappropriation of sensitive personal information and operational disruptions, which could materially impact financial condition and results [153]. - The company faces increased exposure to privacy and data breaches as it stores more sensitive personal information, particularly medical records, which are high-value targets for cyber-attacks [154]. - Failure to secure information technology systems could lead to reputational damage, litigation, and significant financial penalties, adversely affecting business operations [155]. Intellectual Property and Regulatory Compliance - The company relies on a combination of patents and trade secrets to protect its intellectual property, but faces risks related to the effectiveness of these protections and potential infringement claims [157][166]. - Patent litigation and other intellectual property proceedings could incur substantial costs and distract management, impacting competitive positioning in the marketplace [168]. - The company may need to obtain additional licenses or renew existing agreements, with uncertainty regarding the terms and availability of such licenses [172]. - The company is subject to extensive government regulations, including the Federal Food, Drug and Cosmetic Act, which can result in significant penalties for non-compliance [195]. - The company previously operated under a consent decree due to FDCA violations, which was vacated in March 2012 [196]. Market and Pricing Pressures - Government pressures on pricing and reimbursement in the healthcare sector may adversely affect the company's financial performance, particularly in the U.S. market [184]. - The 340B Program requires the company to extend discounts to eligible entities, and changes to this program could negatively impact financial performance [185]. - The company anticipates increasing pricing and cost containment pressures in 2024 and beyond, which may affect reimbursement rates for its products [186]. - Proposed state legislation may impose additional pricing pressures on pharmaceutical products, adversely affecting the company's business [208]. - Off-label drug use may be reimbursed by Medicare, but changes in reimbursement policies could negatively impact the company's revenue [209]. Environmental and Operational Risks - Climate change poses risks such as increased water scarcity and severe weather events, which could disrupt operations and supply chains, potentially leading to increased costs and business interruptions [176]. - The company faces risks from environmental, health, and safety regulations, which could lead to substantial liabilities in case of accidents [214]. Shareholder and Market Dynamics - The Grifols Family and Scranton Enterprises B.V. own approximately 36% of Class A shares, exercising 100% voting control, which may lead to conflicts of interest with other shareholders [221]. - The market price of Class B ADSs has fluctuated between a high of $13.28 on May 24, 2022, and a low of $5.95 on September 29, 2022, closing at $6.78 on April 16, 2024 [224]. - Negative publicity from short sellers has previously created downward pressure on the price of the company's securities, potentially impacting business operations [226]. - The company may incur significant expenses defending against lawsuits resulting from negative publicity, which could adversely affect financial condition and results of operations [229]. - The company’s Class A and Class B shares are traded on Spanish Stock Exchanges and NASDAQ, with potential volatility due to exchange rate fluctuations [231]. - Subscription rights may be unavailable to U.S. holders of shares or ADSs during future capital increases, potentially leading to dilution [233]. - The depositary may refuse to deliver or register transfers of ADSs under certain conditions, impacting liquidity for ADS holders [238].
Grifols(GIKLY) - 2023 Q4 - Annual Report