Trading Up BIOTECH: Companies Make Move From OTC To Big Stock Exchanges By Meghana Keshavan Monday, September 16, 2013 Organovo Inc. has become a poster child for the penny stocks. The San Diego biotech recently traded up from the over-the-counter market and is now listed on the New York Stock Exchange. Taking the over-the-counter route to a larger exchange is challenging and circuitous, but Organovo has pulled it off seamlessly, analysts say. Uplisting is increasingly a move that many small, publicly traded biotechnology companies aspire to make — but it remains difficult to achieve. San Diego-based Sorrento Therapeutics Inc., for instance, is in the midst of filing for a switch to the Nasdaq. And Carlsbad-based International Stem Cell Corp. hopes, ultimately, to make the leap to a national securities exchange as well. Of some 450 San Diego biotech companies, about 20 traded on the OTC market, about 40 on the Nasdaq and about 10 on the NYSE; the rest remain private, funded by individual investors or by venture capital. About 150 biotechnology companies around the country trade on OTC. Organovo (NYSE: ONVO) has earned a high profile nationally with its 3-D bioprinting technology that methodically layers cells to build functional and complex human tissues. It joined the OTC stocks in February 2012 following a reverse merger — acquiring a public shell called Organovo Holdings Inc. — and moved to the NYSE in July. Uplisting was part of Organovo’s plan early on, said CEO Keith Murphy. The company, founded in 2009, didn’t initially fit the requirements to go public with an initial public offering. “If you’re going public on the OTC market because you need financing desperately, maybe you’re not headed in the right direction,” Murphy said. “But if you have a solid grounding and can do it opportunistically, it can work quite well.” Organovo Fared Well Organovo fared well indeed on the OTC market, opening at about $1.65 in 2012 — many of its peers trade for a fraction of that as they enter the penny stock market. Since it has uplisted, the company’s stock has risen to about $5.25 per share. The company, which employs about 35 and holds a market capitalization of about $402 million, raised $15 million when it went public in 2012. It was able to raise an additional $45 million in August, thanks to a new investor base found on the NYSE. OTC companies vary widely in their market capitalizations and stock value. On Sept. 11, International Stem Cell (OTC: ISCO) traded at 15 cents per share, with a market capitalization of about $20 million. Sorrento Therapeutics (OTC: SRNE) traded at $9 per share, with a market capitalization of $149 million. “You’re not going to have every company going at the rate of Organovo, but it’s been a great investment story for the OTC markets,” said Cromwell Coulson, CEO of the New York-based OTC Markets Group. These over-the-counter exchanges serve as a sort of catch-all for companies that need to raise capital but aren’t large enough to trade on a national security exchange. Going public on these smaller markets can be particularly lucrative for biotechnology companies, which require large infusions of capital up front. It can help them gain exposure and investor interest at an early stage, and can be a less costly route to a listing on the NYSE or the Nasdaq, said Nikhil Varaiya, a finance professor specializing in public markets at San Diego State University. Advantages and Disadvantages In terms of liquidity and capitalization, there are virtually no minimal requirements to trade on the OTC market. But such OTC stocks tend to fall under the radar, Varaiya said. Such companies tend to have low valuations and capitalizations, and often quietly go out of business, he said. The OTC markets have held a dubious reputation for several years, but they have attempted to rebrand themselves for the past five. This is thanks, in large part, to the efforts being made by OTC Markets Group to welcome promising companies — like Organovo — to trade OTC as they prepare to uplist to the larger public markets. “We like to see companies graduate to the higher exchanges,” Coulson said. Coulson said that he’s positioning the OTC markets to appeal to smaller companies that could benefit from going public. “Nasdaq used to be a marketplace for small technology and science growth companies — a perfect fit for the biotechnology sector,” Coulson said. “But as they grew to become the Pepsi to the New York Stock Exchange’s Coke, small companies became less of their business — and we’re stepping in.” Rich Vincent, chief financial officer of Sorrento Therapeutics, said that it’s a complicated chess game to get uplisted from an OTC listing. To help catalyze a transition to the Nasdaq, Sorrento Therapeutics recently completed a $28.2 million merger with Fountain Valley, Calif.-based Igdrasol Inc. Need a Certain Profile Biotech companies need to fit a certain profile to appear alluring to investors, Vincent said. Normally, companies uplist when their drugs are in the midst of clinical trials, but Sorrento Therapeutics’ cancer therapies were still in the discovery phase. “We really didn’t have the right story — our assets weren’t advanced far enough — so we took a different direction,” Vincent said. Sorrento Therapeutics acquired Igdrasol because it already sells a cancer drug in South Korea — making it a better fit for the Nasdaq. The company also recently completed a 1-to-25 stock split — a common move OTC companies make to raise their stock price as they ready themselves for a leap to a larger exchange. Before Aug. 1, stock was trading on the OTC markets at about 21 cents per share, and following the July stock split the price was $5.20. International Stem Cell hopes to position itself for a move to one of the Nasdaq exchanges once its Parkinson’s disease therapy progresses further down the drug development pipeline. The prospect of the company’s shares being available to a much larger pool of investors and traded at a higher volume is motivating for the small company, said Simon Craw, executive vice president of business development and investor relations. ‘Lots of Downsides’ But it’s tricky for a small biotech company to trade publicly, Craw said. “There are a lot of downsides, honestly,” Craw said. The company pays about $1 million per year to maintain its public company status. Legal expenses, audits and U.S. Securities and Exchange Commission filing costs add up, Craw said. Though the company’s increasingly able to reach out to a wider pool of investors — it recently worked with investment bank Roth Capital to raise $3 million — it’s still facing challenges to raise capital. On the plus side, Craw said there’s a lack of transparency around private companies and a lack of liquidity in their stock that being publicly traded alleviates. If someone has a stake in a private company and wants to sell it, they can only sell it to those who are part of the company. But with a public stock, even if it’s traded over the counter, the individual can put those shares up for sale, Craw said, which has given peace of mind to the company’s many investors. “There’s a certain transparency associated with the Nasdaq that OTC suffers from a little bit,” Craw said. “But we’re still thankful for some of the flexibility it’s offered us over the years.”