You should read the following discussion in conjunction with our financial
statements and related notes appearing elsewhere in this report and our audited
consolidated financial statements and related notes contained in our Annual
Report on Form 10-K for the year ended December 31, 2021, or our 2021 Form 10-K.
In addition to historical information, this report contains "forward-looking
statements" within the meaning of Section 27A of the Securities Act of 1933 and
Section 21E of the Securities Exchange Act of 1934 concerning our business,
consolidated financial condition, and results of operations. The Securities and
Exchange Commission, or the SEC, encourages companies to disclose
forward-looking statements so that investors can better understand a company's
prospects and make informed investment decisions. Forward-looking statements are
subject to risks and uncertainties, many of which are outside our control, which
could cause actual results to differ materially from these statements.
Therefore, you should not rely on any of these forward-looking statements.
Forward-looking statements can be identified by such words as "will," "likely,"
"may," "believe," "expect," "anticipate," "intend," "seek," "designed,"
"develop," "would," "future," "can," "could," "estimate," "potential," and other
expressions that are predictions of or indicate future events and trends and
that do not relate to historical matters. All statements other than statements
of historical facts included in this report regarding our strategies, prospects,
financial condition, operations, costs, plans, and objectives are
forward-looking statements. Examples of forward-looking statements include,
among others, statements regarding the effect of COVID-19 and related impacts on
our business, operations, and financial results, expected future operating
results, expectations regarding the timing and receipt of regulatory results,
anticipated levels of capital expenditures, and expectations of the effect on
our financial condition of claims, litigation, and governmental and regulatory
proceedings.



Please also refer to those factors described in "Part I, Item 1A. Risk Factors"
of our 2021 Form 10-K for important factors that we believe could cause actual
results to differ materially from those in our forward-looking statements. Any
forward-looking statement made by us in this report is based only on information
currently available to us and speaks only as of the date on which it is made. We
undertake no obligation to publicly update any forward-looking statement,
whether written or oral, that may be made from time to time, whether as a result
of new information, future developments or otherwise.



Management Overview



We are a global joint preservation company that creates and delivers meaningful
advancements in early intervention orthopedic care. Based on our collaborations
with clinicians to understand what they need most to treat their patients, we
develop minimally invasive products that restore active living for people around
the world. We are committed to leading in high opportunity spaces within
orthopedics, including osteoarthritis, or OA, pain management, regenerative
solutions, sports medicine soft tissue repair and bone preserving joint
technologies.



We have thirty years of global expertise developing, manufacturing and
commercializing products based on and/or enhanced with our hyaluronic acid, or
HA, technology platform. HA is a naturally occurring polymer found throughout
the body that is vital for proper joint health and tissue function. Our
proprietary technologies for modifying the HA molecule allow product properties
to be tailored specifically to multiple uses, including enabling longer
residence time to support OA pain management and creating a solid form of HA
called Hyaff, which is a platform utilized in our regenerative solutions
portfolio.



In early 2020, we expanded our overall technology platform, product portfolio,
and significantly enhanced and accelerated our commercial infrastructure,
especially in the United States, through our strategic acquisitions of Parcus
Medical, a sports medicine and instrumentation solutions provider focused on
soft tissue repair, and Arthrosurface, a company specializing in bone preserving
partial and total joint replacement solutions. Through these acquisitions, we
have transformed our company. We expanded our addressable market from the over
$1 billion global OA pain management market to the over $8 billion global joint
preservation market (which includes the faster growing sports medicine soft
tissue repair and extremities segments), advanced our commercial capabilities,
instituted systems and processes to support our transformation, and expanded our
product pipeline and research and development expertise in our target markets.



                                       18

--------------------------------------------------------------------------------

As we look towards the future, our business is positioned to capture value within our target market of joint preservation. We believe our success will be driven by our:





   ?  Decades of experience in HA-based regenerative solutions and early
      intervention orthopedics combined under new seasoned leadership with a

strong financial foundation for future investment in meaningful solutions


      for our customers and their patients;



? Robust network of stakeholders in our target markets to identify evolving


      unmet patient treatment needs;




   ?  Prioritized investment in differentiated pipeline of regenerative

solutions, bone preserving implants and sports medicine soft tissue repair


      products;




   ?  Leveraging our global commercial expertise to drive growth across the
      portfolio, with an intentional and increased focus on the ambulatory
      surgery centers site of care in the United States;



? Opportunity to pursue strategic inorganic growth opportunities, including

potential partnerships and smaller acquisitions, technology licensing, and

leveraging our strong financial foundation and operational capabilities;


      and



? Energized and experienced team focused on strong values, talent, and culture.






COVID-19 Pandemic



In March 2020, the World Health Organization declared the spread of the COVID-19
virus a pandemic. This pandemic has caused an economic downturn on a global
scale, as well as significant volatility in the financial markets. There has
been significant volatility in our results on a quarterly basis due to the
worldwide cancellation or delay of elective procedures, staffing shortages and
supply chain disruptions, as well as the impact on timelines associated with
certain clinical studies. Resurgence of COVID-19 as a result of emerging
variants or other factors could result in additional staffing shortages or
supply chain disruptions that could impact our business and operations. We have
had some disruption in our ability to supply products to our customers due to
supply chain disruptions and staffing shortages which has caused back orders or
delays in certain shipments to our customers. Our commercial day-to-day
operations have been impacted due to the worldwide cancellations and/or delays
of elective procedures and restrictions on travel for both our employees and our
clinician customers, and timelines associated with certain clinical studies and
research and development programs have been delayed. While the impact has been
limited to these items to date, we caution that there continues to be a
possibility for potential future implementation of certain additional
restrictions or other challenges associated with infections, staffing shortages,
volatility in elective surgical procedures or supply chain disruptions due to
COVID-19 and its current or new variants in certain jurisdictions. The impact of
these challenges are currently unknown, but could be significant.



Products



OA Pain Management


Our OA Pain Management product family consists of:

? Monovisc and Orthovisc, our single- and multi-injection, HA-based

viscosupplement product offerings indicated to provide pain relief from OA

conditions solely for use in the knee. Our OA Pain Management products are

generally administered to patients in an office setting. In the United

States, Monovisc and Orthovisc are marketed exclusively by DePuy Synthes

Mitek Sports Medicine, part of the Johnson & Johnson Medical Companies. The

Monovisc and Orthovisc products have been the market leaders, based on

combined overall revenue in the viscosupplement market, since 2018.

Internationally, we market our OA Pain Management products directly through


     a worldwide network of commercial distributors.




                                       19

--------------------------------------------------------------------------------

? Cingal, our novel, third-generation, single-injection OA Pain Management

product consisting of our proprietary cross-linked HA material combined with

a fast-acting steroid. Cingal is designed to provide both short- and

long-term pain relief. Cingal is CE Mark approved and for several years has

been sold outside the United States directly in over 30 countries through

our network of distributors. In the United States, Cingal is a pipeline

product currently under clinical trial studies and is not available for


     commercial sale.



? Hyvisc, our high molecular weight injectable HA veterinary product approved


     for the treatment of joint dysfunction in horses due to non-infectious
     synovitis associated with equine OA.



Joint Preservation and Restoration

Our Joint Preservation and Restoration product family consists of:

? Bone Preserving Joint Technologies. Our portfolio of more than 150 bone

preserving joint technologies, including partial joint replacement, joint

resurfacing, and minimally invasive and bone sparing implants, is designed

to treat upper and lower extremity orthopedic conditions as well as knee and

hip conditions caused by arthritic disease, acute trauma and injury. These

products span multiple joints including the shoulder, foot/ankle, wrist,

knee and hip and are generally intended to restore a patient's natural

anatomy and movement. These products are often used to treat patients with

OA progression beyond where our OA Pain Management products can allow the

patients to retain an active lifestyle when early surgical intervention


     becomes preferable.



? Soft Tissue Repair. Our line of soft tissue repair solutions is used by

surgeons to repair and reconstruct damaged ligaments and tendons resulting

from sports injuries, acute trauma and disease. These more traditional

sports medicine solutions include screws, sutures, suture anchors, grafts

and other surgical systems that facilitate surgical procedures on the

shoulder, knee, hip, upper and lower extremities, and other soft tissues.

? Regenerative Solutions. Our portfolio of orthopedic regenerative solutions

leveraging our proprietary technologies based on HA and Hyaff, which is a

solid form of HA. These products include Tactoset Injectable Bone

Substitute, an HA-enhanced injectable bone repair therapy designed to treat

insufficiency fractures and for augmenting hardware fixation, such as suture

anchors and Hyalofast, a biodegradable support for human bone marrow

mesenchymal stem cells used for cartilage regeneration and as an adjunct for

microfracture surgery. Tactoset cleared and commercialized principally in

the United States, whereas Hyalofast is CE Mark approved and currently

available outside the United States in over 30 countries within Europe,

South America, Asia, and certain other international markets. In the United


     States, Hyalofast is a product under clinical trial studies and is not
     available for commercial sale.




We currently commercialize Bone Preserving Joint Technologies, Soft Tissue
Repair products, and Tactoset (from our Regenerative Solutions portfolio) in the
United States by selling to hospitals and ambulatory surgery centers, through an
independent network of sales representatives and distributors, and utilize our
distributor network for sales in certain international markets.



Non-Orthopedic



Our Non-Orthopedic product family consists of legacy HA-based products that are
marketed principally for non-orthopedic applications. These products include
Hyalobarrier, an anti-adhesion barrier indicated for use after abdomino-pelvic
surgeries, Hyalomatrix, used for the treatment of complex wounds such as burns
and ulcers, as well as products used in connection with the treatment of ears,
nose and throat disorders, and ophthalmic products, including injectable, high
molecular weight HA products such as Anikavisc and Nuvisc, used as viscoelastic
agents in ophthalmic surgical procedures such as cataract extraction and
intraocular lens implantation. These Non-Orthopedic products are sold through
commercial sales and marketing partners around the world.



                                       20
--------------------------------------------------------------------------------





Results of Operations



Three Months Ended March 31, 2022 Compared to Three Months Ended March 31, 2021



                                                       Three Months Ended March 31,
                                             2022          2021         $ Change       % Change
                                                    (in thousands, except percentages)
Revenue                                    $  36,693     $  34,292     $    2,401              7 %
Cost of revenue                               14,889        13,318          1,571             12 %
Gross profit                                  21,804        20,974            830              4 %
Gross margin                                      59 %          61 %
Operating expenses:
Research and development                       6,157         6,361           (204 )           (3 %)
Selling, general and administrative           19,201        18,175          1,026              6 %
Change in fair value of contingent
consideration                                      -        (4,820 )        4,820           (100 %)
Total operating expenses                      25,358        19,716          5,642             29 %
(Loss) income from operations                 (3,554 )       1,258         (4,812 )         (383 %)
Interest and other income (expense), net        (154 )         (43 )         (111 )          258 %
(Loss) income before income taxes             (3,708 )       1,215         (4,923 )         (405 %)
Benefit from for income taxes                   (775 )      (1,623 )          848            (52 %)
Net (loss) income                          $  (2,933 )   $   2,838     $   (5,771 )         (203 %)




Revenue



Revenue for the three-month period ended March 31, 2022 was $36.7 million, an
increase of $2.4 million as compared to $34.3 million for the three-month period
ended March 31, 2021. The increase in revenue was primarily driven by continued
recovery from the impact of the COVID-19 pandemic on sales volumes and ordering
patterns.



                                                Three Months Ended March 31,
                                       2022         2021        $ Change      % Change
                                             (in thousands, except percentages)
OA Pain Management                   $ 22,733     $ 19,316     $    3,417            18 %
Joint Preservation and Restoration     12,139       12,219            (80 )          (1 %)
Non-Orthopedic                          1,821        2,757           (936 )         (34 %)
                                     $ 36,693     $ 34,292     $    2,401             7 %




Revenue from our OA Pain Management product family increased 18% for the
three-month period ended March 31, 2022, as compared to the same period in 2021,
due primarily to continued recovery from the impact of the COVID-19 pandemic on
global sales volumes and strategic partner and distributor ordering patterns
which can vary significantly on a quarterly basis.



Revenue from our Joint Preservation and Restoration product family decreased 1%
for the three-month period ended March 31, 2022, as compared to the same period
in 2021, due primarily to the impact of limitations on access to customers
during the early part of the quarter due to a surge in COVID-19 cases caused by
a new variant.



Revenue from our Non-Orthopedic product family decreased 34% for the three-month
ended March 31, 2022, as compared to the same period in 2021, primarily due to
timing of distributor sales as well as due to higher revenues from certain
legacy products related to end-of-life purchases during the first quarter of
2021.



                                       21

--------------------------------------------------------------------------------





Gross Profit and Margin



Gross profit for the three-month period ended March 31, 2022 increased $0.8
million to $21.8 million, representing a 59% gross margin for the period as
compared to 61% in the prior year. The increase in gross profit for the
three-month period ended March 31, 2022, as compared to the same period in 2021,
was primarily resulted from increased revenue. Gross margin for the three-month
period ended March 31, 2022, decreased compared to the same period of prior year
due primarily to unfavorable production volumes caused partially by supply chain
and staffing challenges, due largely to the impact of the COVID-19 pandemic, and
increased inventory reserves. The gross margin included the impact of inventory
step-up associated with the Arthrosurface and Parcus Medical acquisitions, as
well as acquisition-related amortization expenses, which together increased cost
of revenue by $1.6 million, or 5 points of gross margin, for the three-month
period ended March 31, 2022, as compared to increased cost of revenue of $4.1
million, or 12 points of gross margin, for the same period in 2021.



Research and Development


Research and development expenses for the three-month period ended March 31, 2022 were $6.2 million, a decrease of $0.2 million as compared to the same period in 2021. This decrease was primarily due to lower clinical trial activity.

Selling, General and Administrative





Selling, general and administrative expenses for the three-month period ended
March 31, 2022 were $19.2 million, an increase of $1.0 million, as compared to
the same period in 2021. This increase for the three-month period ended March
31, 2022 was due to expansion of our commercial capabilities in the United
States and expanded marketing activities and other operational capabilities to
support the growing business needs. Certain marketing and medical education
activities also were more limited in 2021 due to the COVID-19 pandemic.



Contingent Consideration Fair Value Change





The fair value of contingent consideration as of March 31, 2022 did not change
compared to December 31, 2021. In the three-month period ended March 31, 2021,
the fair value of our contingent consideration liabilities decreased by $4.8
million resulting in a non-cash benefit to net income recorded in that period.



Income Taxes



The benefit from income taxes was $0.8 million for the three-month period ended
March 31, 2022, resulting in an effective tax rate of 20.9%. The benefit from
income taxes was $1.6 million for the three-month period ended March 31, 2021,
resulting in an effective tax rate of (133.6%). The net change in the effective
tax rate for the three-month period ended March 31, 2022, as compared to the
same period in 2021, was primarily due to the discrete tax benefit on the
decrease in the fair value of contingent consideration that occurred in the
first quarter of 2021. Our effective tax rate for the first quarter of 2022
primarily reflects statutory rates, offset partially by a reduction of stock
compensation related tax deductions.



Net (Loss) Income



For the three-month period ended March 31, 2022, net loss was $2.9 million, or
$0.20 per diluted share, compared to net income of $2.8 million, or $0.20 per
diluted share, for the same period in prior year. The decrease in net income and
diluted earnings per share was primarily due to the nonrecurring gain recorded
in the first quarter of 2021 related to the change in fair value of contingent
consideration, as well as increased spending to expand our commercial capability
in the United States, partially offset by increased revenue.



Non-GAAP Financial Measures



We present certain information with respect to adjusted gross profit and
adjusted gross margin, adjusted Earnings Before Interest, Tax, Depreciation and
Amortization, or EBITDA, adjusted net income, adjusted diluted earnings per
share or adjusted EPS, which are financial measures not based on any
standardized methodology prescribed by accounting principles generally accepted
in the United States, or GAAP, and is not necessarily comparable to similarly
titled measures presented by other companies.



                                       22
--------------------------------------------------------------------------------




We have presented adjusted gross profit and adjusted gross margin, adjusted
EBITDA, adjusted net income, adjusted EPS, because they are key measures used by
our management and board of directors to understand and evaluate our operating
performance and to develop operational goals for managing our business. We
believe these financial measures help identify underlying trends in our business
that could otherwise be masked by the effect of the expenses that we exclude. In
particular, we believe that the exclusion of these items in calculating these
measures can provide a useful tool for period-to-period comparisons of our core
operating performance. Accordingly, we believe that these measures provide
useful information to investors and others in understanding and evaluating our
operating results, enhancing the overall understanding of our past performance
and future prospects and allowing for greater transparency with respect to key
financial metrics used by our management in their financial and operational
decision-making.



Adjusted Gross Profit and Adjusted Gross Margin





We define adjusted gross profit as our gross profit excluding amortization of
certain acquired intangible assets, the impact of inventory fair-value step up
associated with our recent acquisitions and certain product rationalization
charges. The amortized assets contribute to revenue generation, and the
amortization of such assets will likely continue in future periods until such
assets are fully amortized. These assets include the fair value of certain
identified assets acquired in acquisitions, including developed technology and
acquired tradenames. We define adjusted gross margin as adjusted gross profit
divided by total revenue.


The following is a reconciliation of adjusted gross profit to gross profit for the three-month periods ended March 31, 2022 and 2021, respectively:





                                                                Three-Month Periods Ended March 31,
                                                                  2022                       2021
Gross profit                                               $           21,804         $           20,974
Acquisition related intangible asset amortization                       1,562                      1,562
Acquisition related inventory step up                                       -                      2,578
Adjusted gross profit                                      $           23,366         $           25,114
Adjusted gross margin                                                      64 %                       73 %




Adjusted gross profit for the three-month period ended March 31, 2022 decreased
$1.8 million to $23.4 million representing adjusted gross margin of 64%.
Adjusted gross profit for the three-month period ended March 31, 2021 was $25.1
million, or adjusted gross margin of 73%. This decrease in adjusted gross profit
and adjusted gross margin for the three-month period ended March 31, 2022 as
compared to 2021, is due primarily to unfavorable production volumes and
increased inventory reserves caused in part by supply chain and staffing
challenges, due largely to the impact of the COVID-19 pandemic.



Adjusted EBITDA



We present information below with respect to adjusted EBITDA, which we define as
our net income (loss) excluding interest and other expense, net, income tax
benefit, depreciation and amortization, stock-based compensation, and
acquisition-related expenses. We have also excluded the impact of changes in the
fair value of contingent consideration associated with our acquisition
transactions in early 2020.



Adjusted EBITDA is not prepared in accordance with US GAAP, and should not be
considered in isolation of, or as an alternative to, measures prepared in
accordance with US GAAP. There are a number of limitations related to the use of
adjusted EBITDA rather than net (loss) income, which is the nearest US GAAP
equivalent. Some of these limitations are:



? adjusted EBITDA excludes depreciation and amortization, and, although these

are non-cash expenses, the assets being depreciated or amortized may have to

be replaced in the future, the cash requirements for which are not reflected


     in adjusted EBITDA?



? we exclude stock-based compensation expense from adjusted EBITDA although

(a) it has been, and will continue to be for the foreseeable future, a

significant recurring expense for our business and an important part of our

compensation strategy and (b) if we did not pay out a portion of our

compensation in the form of stock-based compensation, the cash salary

expense included in operating expenses would be higher, which would affect


     our cash position?




                                       23

--------------------------------------------------------------------------------





   ? we exclude acquisition related expenses, including, amortization and

depreciation of acquired assets in recent acquisitions, and the impact of


     inventory fair-value step up on cost of revenue?



? the expenses and other items that we exclude in our calculation of adjusted

EBITDA may differ from the expenses and other items, if any, that other

companies may exclude from adjusted EBITDA when they report their operating


     results?



The following is a reconciliation of adjusted EBITDA to net (loss) income for the three-month periods ended March 31, 2022 and 2021, respectively:





                                                        Three Months Ended March 31,
                                                         2022                  2021
                                                               (in thousands)
Net (loss) income                                   $        (2,933 )     $         2,838
Interest and other expense, net                                 154                    43
Benefit from income taxes                                      (775 )              (1,623 )
Depreciation and amortization                                 1,830         

1,721


Share-based compensation                                      2,545         

2,259


Acquisition related intangible asset amortization             1,787         

1,787


Acquisition related inventory step up                             -         

2,578


Change in fair value of contingent consideration                  -                (4,820 )
Adjusted EBITDA                                     $         2,608       $         4,783




Adjusted EBITDA in the three-month period ended March 31, 2022 decreased $2.2
million as compared with the same period in 2021. The decrease in adjusted
EBITDA for the period was primarily due to lower adjusted gross profit, from
unfavorable production volumes and increased inventory reserves caused in part
by supply chain and staffing challenges due largely to the impact of the
COVID-19 pandemic, as well as increased commercial spending to support future
growth as certain marketing and medical education activities were more limited
in 2021.


Adjusted Net (Loss) Income and Adjusted EPS





We present information below with respect to adjusted net (loss) income and
adjusted EPS. We define adjusted net (loss) income as our net (loss) income
excluding amortization and depreciation of acquired assets, the impact of
inventory fair-value step up on cost of revenue and changes in the fair value of
contingent consideration, on a tax effected basis. The amortized assets
contribute to revenue generation, and the amortization of such assets will recur
in future periods until such assets are fully amortized. These assets include
the estimated fair value of certain identified assets acquired in acquisitions,
including in-process research and development, developed technology, customer
relationships and acquired tradenames. We define adjusted EPS as GAAP diluted
earnings per share excluding the above adjustments to net (loss) income used in
calculating adjusted net (loss) income, each on a per share and tax effected
basis.



 The following is a reconciliation of adjusted net (loss) income to net (loss)
income for the three-month periods ended March 31, 2022 and 2021, respectively:



                                                              Three Months Ended March 31,
                                                                2022                 2021
                                                                     (in thousands)
Net (loss) income                                          $       (2,933 )

$ 2,838 Acquisition related intangible asset amortization, tax effected

                                                            1,345                1,396
Acquisition related inventory step up, tax effected                     -                2,016
Change in fair value contingent consideration, tax
effected                                                                -               (5,498 )
Adjusted net (loss) income                                 $       (1,588 )     $          752




                                       24

--------------------------------------------------------------------------------

The following is a reconciliation of adjusted diluted EPS to diluted EPS for the three-month periods ended March 31, 2022 and 2021, respectively:





                                                             Three Months Ended March 31,
                                                               2022                2021
Diluted (loss) earnings per share                          $       (0.20 )

$ 0.20 Acquisition related intangible asset amortization, tax effected

                                                            0.09                0.10
Acquisition related inventory step up, tax effected                    -                0.14

Change in fair value contingent consideration, tax effected

                                                               -               (0.38 )
Adjusted diluted (loss) earnings per share                 $       (0.11 )     $        0.06




Adjusted net (loss) income and adjusted diluted (loss) earnings per share in the
three-month period ended March 31, 2022 decreased $2.3 million and $0.17,
respectively, as compared with the same period in 2021. The decrease for the
period was primarily due to a lower adjusted gross profit, from unfavorable
production volumes and increased inventory reserves caused in part by supply
chain and staffing challenges due largely to the impact of the COVID-19
pandemic, as well as increased commercial spending to support future growth as
certain marketing and medical education activities were more limited in 2021.



Liquidity and Capital Resources





We require cash to fund our operating activities and to make capital
expenditures and other investments in the business. We expect that our
requirements for cash to fund these uses will increase as our operations expand.
We continue to generate cash from operating activities and believe that our
operating cash flows, cash currently on our condensed consolidated balance sheet
and availability under our credit facility will be sufficient to allow us to
continue to invest in our existing business, to manage our capital structure on
a short and long-term basis, and to meet our anticipated operating cash needs.
Cash, cash equivalents, and investments aggregated $90.3 million and $94.4
million, and working capital totaled $138.3 million and $138.7 million, at March
31, 2022 and December 31, 2021, respectively. We are closely monitoring our
liquidity and capital resources for any potential impact that the COVID-19
pandemic may have on our operations.



On November 12, 2021, we entered into a Third Amendment to Credit Agreement with
Bank of America N.A. as administrative agent, amended and restated our existing
revolving line of credit agreement dated October 24, 2017 which provides up to
$75.0 million in the form of a senior revolving line of credit. Subject to
certain conditions, we may request up to an additional $75.0 million for a
maximum aggregate commitment of $150.0 million. As of March 31, 2022, and
December 31, 2021, there were no outstanding borrowings, and we are in
compliance with the terms of the credit facility.



Summary of Cash Flows (in thousands):





                                                 Three Months Ended March 31,
                                                   2022                 2021
Cash provided by (used in)
Operating activities                          $       (1,869 )     $       (2,431 )
Investing activities                                  (1,326 )              1,734
Financing activities                                    (862 )               (451 )
Effect of exchange rate changes on cash                   (4 )              

(70 ) Net (decrease) in cash and cash equivalents $ (4,061 ) $ (1,218 )






The following changes contributed to the net change in cash and cash equivalents
in the three-month period ended March 31, 2022 as compared to the same period in
2021.



Operating Activities



Cash used in operating activities was $1.9 million for the three-month period
ended March 31, 2022, as compared to cash used in operating activities of $2.4
million for the same period in 2021. The decrease in cash used in operating
activities in 2021 was primarily due to an improvement in working capital
attributable to timing of collections, decrease in inventories and lower income
tax payments.



For the foreseeable future, we expect to continue to invest substantial
resources in research and development for new products and clinical trials as
well as continued investment in our commercial infrastructure to support our
growth strategy. These costs will be funded with a combination of cash on hand
and cash expected to be generated from future operations.



                                       25
--------------------------------------------------------------------------------





Investing Activities



Cash used in investing activities was $1.3 million for the three-month period
ended March 31, 2022, as compared to cash provided by investing activities of
$1.7 million for the same period in 2021. The change was primarily due to an
increase in capital expenditures to support commercial growth of the business in
the three-month period ended March 31, 2022 and proceeds from maturities of
investments that occurred in 2021.



Financing Activities



Cash used in financing activities was $0.9 million for the three-month period
ended March 31, 2022, as compared to cash used in financing activities of $0.5
million for the same period in 2021. In both periods, the cash used in financing
activities was primarily attributable to utilization of cash for employee tax
withholding in exchange for shares surrendered by equity award holders.



Critical Accounting Policies and Estimates





The preparation of our condensed consolidated financial statements in conformity
with GAAP requires management to use judgment in making estimates and
assumptions that affect the reported amounts of assets, liabilities, revenue and
expenses, and related disclosure of contingent assets and liabilities. We
believe that our accounting policies for revenue recognition, accounts
receivable and allowance for credit losses, goodwill, acquired in-process
research and development, inventory and contingencies are based on, among other
things, judgments and assumptions made by management that include inherent risks
and uncertainties. There have been no significant changes to the above critical
accounting policies or in the underlying accounting assumptions and estimates
used in such policies from those disclosed in our annual consolidated financial
statements and accompanying notes included in our 2021 Form 10-K for the year
ended December 31, 2021. We monitor our estimates on an ongoing basis for
changes in facts and circumstances, and material changes in these estimates
could occur in the future. Changes in estimates are recorded in the period in
which they become known. We base our estimates on historical experience and
other assumptions that we believe to be reasonable under the circumstances.
Actual results may differ from our estimates if past experience or other
assumptions do not turn out to be substantially accurate.



Recent Accounting Pronouncements





A discussion of Recent Accounting Pronouncements is included in our 2021 Form
10-K for the fiscal year ended December 31, 2021 and is updated in the Notes to
the condensed consolidated financial statements included in this report.



Contractual Obligations and Other Commercial Commitments





Our contractual obligations and other commercial commitments are summarized in
the section captioned "Part II, Item 7. Management's Discussion and Analysis of
Financial Condition and Results of Operations-Liquidity and Capital
Resources-Contractual Obligations and Other Commercial Commitments" in our 2021
Form 10-K for the year ended December 31, 2021. There were no material changes
to our contractual obligations reported in our 2021 Form 10-K during the three
months ended March 31, 2022. For additional discussion, see Note 9 to the
condensed consolidated financial statements included in this report.



To the extent that funds generated from our operations, together with our
existing capital resources, are insufficient to meet future requirements, we
will be required to obtain additional funds through equity or debt financings,
strategic alliances with corporate partners and others, or through other
sources. No assurance can be given that any additional financing will be made
available to us or will be available on acceptable terms should such a need
arise.



Off-balance Sheet Arrangements





We do not use special purpose entities or other off-balance sheet financing
techniques that we believe have, or are reasonably likely to have, a current or
future material effect on our financial condition, changes in financial
condition, revenues or expenses, results of operations, liquidity, or capital
resources.



                                       26

--------------------------------------------------------------------------------

© Edgar Online, source Glimpses