The following Management's Discussion and Analysis of Financial Condition and
Results of Operations, as well as other sections in this Quarterly Report on
Form 10-Q for the quarter ended March 31, 2022 (the "Quarterly Report"), should
be read in conjunction with our unaudited interim consolidated financial
statements and related notes thereto included elsewhere herein and the
consolidated financial statements and notes thereto for the year ended December
31, 2021 and the related Management's Discussion and Analysis of Financial
Condition and Results of Operation, both of which are contained in our Annual
Report on Form 10-K for the year ended December 31, 2021 (the "Annual Report")
filed with the Securities and Exchange Commission ("SEC") on March 23, 2022. In
addition to historical financial information, some of the information contained
in the following discussion and analysis contains forward-looking statements
within the meaning of Section 27A of the Securities Act of 1933, as amended, and
Section 21E of the Securities Exchange Act of 1934, as amended. All statements
other than statements of historical facts, including statements regarding our
future results of operations and financial position, business strategy, current
and prospective products, product approvals, research and development costs,
current and prospective collaborations, timing and likelihood of success, plans
and objectives of management for future operations and future results of current
and anticipated products, are forward-looking statements. These statements
involve known and unknown risks, uncertainties, assumptions and other important
factors that may cause our actual results, performance or achievements to be
materially different from any future results, performance or achievements
expressed or implied by the forward-looking statements.

Overview



We are a commercial-stage medical technology company focused on providing
innovative soft-tissue reconstruction solutions that optimize clinical outcomes
by prioritizing the preservation and restoration of the patient's own anatomy.
Our growing product portfolio is purposefully designed to leverage the patient's
natural healing response while minimizing long-term exposure to permanent
synthetic materials. We are committed to delivering our advanced technologies
with a strong economic value proposition to assist surgeons and institutions in
providing next-generation soft-tissue repair solutions to more patients
worldwide.

Our first portfolio of products, the OviTex Reinforced Tissue Matrix ("OviTex"),
addresses unmet needs in hernia repair and abdominal wall reconstruction by
combining the benefits of biologic matrices and polymer materials while
minimizing their shortcomings, at a cost-effective price. Our OviTex products
have received 510(k) clearance from the U.S. Food and Drug Administration
("FDA"), which clearance was obtained and is currently held by Aroa Biosurgery
Ltd. ("Aroa"), our exclusive manufacturer and supplier. Interim results of our
single arm, multicenter post-market clinical study, which we refer to as our
BRAVO study, were recently published in the Journal of Clinical Medicine. The
interim analysis of patients reaching 12-month follow-up suggests that OviTex is
safe and clinically effective for treatment of ventral hernias. The recurrence
rate was 2.7% at 12 months. Twenty-four month follow-up has been completed for
all possible patients in our BRAVO study, and the recurrence rate remains below
5%. Final analysis is underway and full results will be presented in a future
peer-reviewed publication. Our second portfolio of products, the OviTex PRS
Reinforced Tissue Matrix ("OviTex PRS"), addresses unmet needs in plastic and
reconstructive surgery. In April 2019, our OviTex PRS products received 510(k)
clearance from the FDA, which clearance was obtained by Aroa and is currently
held by us.

We began commercialization of our OviTex products in the United States in
July 2016. Our OviTex portfolio consists of multiple products for hernia repair
and abdominal wall reconstruction, inguinal hernia repair and hiatal hernia
repair. In addition, to address the significant increase in the number of
robotic-assisted hernia repairs over the last several years, we have designed an
OviTex product line for use in laparoscopic and robotic-assisted surgery
("OviTex LPR"), which we began commercializing in November 2018.

OviTex PRS is indicated for use in implantation to reinforce soft tissue where
weakness exists in patients requiring soft tissue repair or reinforcement in
plastic and reconstructive surgery. We commenced a limited launch in May 2019
and have gathered clinical feedback from our initial surgeon users. Based on
this feedback, we expanded our commercial launch in June 2020 and expect to
continue to expand our surgeon network. We have also engaged in discussions

with

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the FDA regarding an Investigational Device Exemption protocol to study the
safety and effectiveness of our OviTex PRS product for an indication in breast
reconstruction surgery. The FDA has stated that a premarket approval, rather
than a 510(k) clearance, will be required for such an indication.

We market our products through a single direct sales force, predominantly in the
United States augmented by distributors in certain European countries. We have
invested in our direct sales and marketing infrastructure to expand our presence
and to promote awareness and adoption of our products. As of March 31, 2022, we
had 53 sales territories in the United States. As part of our commercial
strategy, we plan to continue to invest in our commercial organization by hiring
additional account managers, clinical development specialists and administrative
support staff to support and service new accounts for soft tissue reconstruction
procedures. Additionally, we believe we can enhance the productivity of our
sales force by improving customer segmentation and targeting, leveraging digital
channels to engage customers and utilizing engagement analytics to support
development.

We announced, in November 2021, that we entered into a distribution agreement
with Next Science Technologies Pty Limited ("Next Science"), a medical
technology company, granting us the exclusive rights to sell and market Next
Science's proprietary antimicrobial surgical wash with XBIO® technology across
the U.S. plastic reconstructive market. We commenced private label marketing of
the solution for plastic surgery in early 2022. Next Science's XBIO Technology
delivers an advanced option for surgical infection control by addressing the
biofilms that make bacteria more resistant to traditional antimicrobial agents,
disinfectants and host immune defenses. We believe the infection control
solution will expand our service offerings and diversify our supplier base as we
continue to create a soft-tissue restoration portfolio.

We are currently devoting research and development resources to develop
additional versions of our OviTex hernia product lines, including self-adhering
technology to further enhance product compatibility in robotic procedures, as
well as additional versions of our OviTex PRS product lines. We are also working
to develop new product features and designs for both our existing OviTex and
OviTex PRS products. Additionally, we are exploring new packaging technology to
increase the shelf life of our OviTex and OviTex PRS products. We intend to
continue to make investments in research and development efforts to develop
improvements and enhancements. We are also assessing strategic partnerships with
medical device companies whereby we may enter into distribution, product
development and/or licensing agreements for products complimentary to, or
related to, existing and future products in our distribution channel, which
could result in the payment of low single digit royalties or other product
acquisition costs.

Our products are manufactured by Aroa at their FDA registered and ISO 13485
compliant facility in Auckland, New Zealand. We maintain our Aroa License for
the exclusive supply of ovine rumen and manufacture of our reinforced tissue
matrices under which we purchase product from Aroa at a fixed cost equal to 27%
of our net sales of licensed products. This revenue sharing arrangement allows
us to competitively price our products and pass along cost savings to our
customers.

The vast majority of our revenue to date has been generated by the sale of our
OviTex products. Our revenue increased by $2.4 million, or 40%, from $5.9
million for the three months ended March 31, 2021 to $8.2 million for the three
months ended March 31, 2022. Our net loss increased by $2.7 million, or 34%,
from $8.1 million for the three months ended March 31, 2021 to $10.9 million for
the three months ended March 31, 2022. We have not been profitable since
inception and as of March 31, 2022, we had an accumulated deficit of $240.8
million. We expect to incur losses for the foreseeable future.

Business Update Regarding COVID-19



Our business, results of operations and commercial operations have been impacted
by the ongoing COVID-19 pandemic and the emergence of variants of COVID-19. We
continue to closely monitor developments related to the ongoing COVID-19
pandemic and our decisions will continue to be driven by the health and
well-being of our employees, our customers, and their patients while maintaining
operations to support our customers and their patients in the near-term. These
developments include:

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Surgery Deferrals: We believe our revenue was impacted during the first quarter

of 2022, mostly in January and February 2022, due to the impact of COVID-19

resurgences and lower surgical procedural volumes. The extent of future

elective surgery deferrals and the timing and extent of the economic impact of

the pandemic on us, and the pace at which the economy recovers therefrom,

? cannot be determined at this time, particularly in light of recent surges and

the continued emergence of new variants. Further, the reallocation of hospital

resources to treat COVID-19 may continue to cause a financial strain on

healthcare systems and reduce procedural volumes. We continue to work closely

with our hospital and physician customers and suppliers to navigate through

this unforeseen event while maintaining flexible operations to respond to the

changing environment.

Operations: Our sales, marketing and research and development efforts have

continued since the outbreak of the pandemic. As access to hospitals continues

to evolve throughout this pandemic and vary from hospital to hospital and state

to state, our sales team has continued to adapt to changing conditions within

their regions. Most of our sales professionals have used a virtual selling

program, which includes virtual sales calls with physicians, peer-to-peer

discussions with key opinion leaders, physician webinars and sales professional

? training to supplement our in-person sales and marketing programs. We expect to

continue to adapt our sales and marketing strategies as we continue to gain

better visibility into the effects of the ongoing COVID-19 pandemic on our

business. As Aroa is located and headquartered in Auckland, New Zealand, where

COVID-19 mitigation efforts have to date been effective, our manufacturing and

supply chain has largely been uninterrupted. However, it could be disrupted in

the future because of the pandemic due to staffing shortages, production

slowdowns or stoppages, travel and shipping restrictions or disruptions in

delivery systems.

Product Development: We continue to evaluate the timing and scope of planned

? next generation product development and commercialization initiatives in light

of the ongoing COVID-19 pandemic, and we plan to continue to prioritize and


   invest in our critical R&D and clinical programs.


   Q1 2022 Results. During January and February, we experienced increased

volatility in demand for our products as COVID-19 cases and hospitalizations

increased. We saw improvement in our business during March. The timing, extent

? and continuation of any increase in procedures, any corresponding increase in

sales of our products, and whether there could be a future decrease in the

current level of procedures being performed, remain uncertain and are subject

to a variety of factors, including:

A material increase in COVID-19 cases in one or more locations, including as a

o result of the emergence of new variants of COVID-19, may result in an increase


   in COVID-19 hospitalizations and a corresponding decrease in elective
   procedures in such impacted locations.

The perceived safety of COVID-19 vaccines and boosters, the speed of COVID-19

o vaccine distribution and administration, the timing and extent to which the

vaccination process will affect the progression of the virus, and the efficacy

of such vaccines against the new variants of the virus.

o Government vaccine mandates could affect our ability to retain or hire

employees.

Government restrictions on elective procedures may change over time and may

o vary in different geographic locations due to localized increases or decreases

in the number of COVID-19 cases.

Patients electing to defer or avoid treatment for elective procedures due to

o concerns about being exposed to COVID-19, loss of employer-sponsored health

insurance related to unemployment or other reasons.

Hospitals may reserve increased space, personal protective equipment and staff

for potential COVID-19 patients, especially if the number of COVID-19 cases in

o a particular region spike or a new variant of COVID-19 emerges in such region,


   limiting the space and resources allocated to inpatient and outpatient elective
   procedures.


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Hospitals may experience staffing shortages due to normal turnover and due to

o COVID-19, which could reduce the number of elective procedures that can be

performed at hospitals with staffing shortages.

Hospitals may continue to preserve cash and may not immediately replenish their

o inventories of our products, which would impact our future sales and revenues

and make it difficult to accurately predict our inventory requirements.




We continue to closely monitor local, regional and global COVID-19 surges as
well as new variants of the virus for an impact on procedures during the second
quarter of 2022 and beyond.

Outlook. There remains uncertainty and lack of visibility regarding our

near-term revenue growth prospects and product development plans due to the

rapidly evolving environment and continued uncertainties resulting from the

ongoing COVID-19 pandemic. While certain regions are experiencing a reduction

? in COVID-19 cases and a relaxing of governmental restrictions, at this time,

the full extent of the impact of the ongoing COVID-19 pandemic on our business,

financial condition and results of operations is uncertain and cannot be

predicted with reasonable accuracy and will depend on future developments that

are also uncertain, such as the potential development of new variants of

COVID-19, and the future geographic scope of COVID-19.

Components of Our Results of Operations

Revenue



Substantially all of our revenue consists of direct sales of our products to
hospital accounts in the United States. Depending on the terms of our agreements
with our customers, we recognize revenue related to product sales either when
control transfers, which generally occurs when the product is shipped to the
customer, or when the product is utilized in a surgical procedure in the case of
consignment agreements. Fees charged to customers for shipping are recognized as
revenue. Recent revenue growth has been driven by increasing revenue from
product sales due to our expanding customer base, although it is unclear at this
point what long-term effect the ongoing COVID-19 pandemic will have on our
ability to continue to generate revenue and expand our customer base.

Cost of Revenue (excluding amortization of intangible assets)



Cost of revenue primarily consists of the costs of licensed products, charges
related to excess and obsolete inventory adjustments, current royalties and
costs related to shipping. We purchase product from Aroa at a fixed cost equal
to 27% of our net sales of licensed products. The initial term of our Aroa
License terminates on the later of (i) August 3, 2022, or (ii) the expiration of
the last patent covering bovine and ovine products, with an option to extend for
an additional ten-year period. We expect our cost of revenue to increase in
absolute dollars as, and to the extent, our sales volume grows, although it is
unclear at this point what long-term effect, if any, the ongoing COVID-19
pandemic will have on product demand which could lead to additional charges to
excess and obsolete inventory.

Amortization of Intangible Assets



Amortization of intangible assets relates to the amortization of capitalized
milestone amounts paid or probable to be paid to Aroa related to license fees or
commercialization rights after future economic benefit has been established for
a product. These capitalized milestone amounts relate to regulatory clearances,
the receipt of certain supply quantities of product, and amounts based upon
aggregate net sales thresholds within a specified territory and are amortized
over the remaining useful life of the intellectual property.

Gross Profit and Gross Margin

Our gross profit is calculated by subtracting our cost of revenue and amortization of intangible assets from our revenue. We calculate our gross margin percentage as our gross profit divided by our revenue. Our gross profit has been, and we



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expect it will continue to be, affected by a variety of factors, including sales
volume, current and potential royalties and excess and inventory obsolescence
costs. Our gross profit may increase to the extent our revenue grows.

Sales and Marketing Expenses



Sales and marketing expenses consist of market research and commercial
activities related to the sale of OviTex and OviTex PRS, salaries and related
benefits, sales commissions and stock-based compensation for employees focused
on these efforts. Other significant sales and marketing expenses include costs
incurred with post-market clinical studies, conferences and trade shows,
promotional and marketing activities, as well as travel and training expenses.

Over time we expect our sales and marketing expenses to increase in absolute
dollars as we continue to expand our commercial organization to both drive and
support our planned growth in revenue. It is unclear at this point, however,
what long-term effect, if any, the ongoing COVID-19 pandemic will have on these
expansion plans. We expect our sales and marketing expenses to decrease as a
percentage of revenue primarily as, and to the extent, our revenue grows.

General and Administrative Expenses

General and administrative expenses consist primarily of salaries and related benefits, including stock-based compensation for personnel in executive, finance, information technology and administrative functions. General and administrative expenses also include professional service fees for legal, accounting, consulting, investor and public relations, insurance costs and direct and allocated facility-related costs.



We expect that our general and administrative expenses will increase in absolute
dollars as we execute our growth initiatives and expand our business and
headcount to support these initiatives. It is unclear at this point, however,
what long-term effect, if any, the ongoing COVID-19 pandemic will have on these
expansion plans. We expect our general and administrative expenses to decrease
as a percentage of revenue primarily as, and to the extent, our revenue grows.

Research and Development Expenses



Research and development expenses consist primarily of product research,
engineering, product development, regulatory compliance and clinical
development. These expenses include salaries and related benefits, including
stock-based compensation for employees focused on these efforts, consulting
services, costs associated with our preclinical studies, costs incurred with our
manufacturing partner under development agreements related to technology
transfer, laboratory materials and supplies and an allocation of related
facilities costs. We expense research and development costs as they are
incurred.

We expect that our research and development expenses in absolute dollars will
increase in the future as we develop new products and enhance existing products
although it is unclear at this point what long-term effect, if any, the ongoing
COVID-19 pandemic will have on these development plans. We expect research and
development expenses as a percentage of revenue to vary over time depending on
the level and timing of new product development initiatives.

Interest Expense



Interest expense consists of cash interest related to our credit facilities,
non-cash interest attributable to the amortization of final payment fees and the
amortization of deferred financing costs related to our indebtedness.

Other (Expense) Income

Other (expense) income consists primarily of miscellaneous tax expenses and foreign currency exchange gains and losses offset by income earned on our cash and cash equivalents.



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Results of Operations

Comparison of the Three Months Ended March 31, 2022 and 2021



                                                  Three Months Ended March 31,                Change
                                                     2022                 2021         Dollar      Percentage

                                                             (in thousands, except percentages)
Revenue                                        $          8,231      $        5,877   $   2,354            40 %
Cost of revenue (excluding amortization of
intangible assets)                                        3,156               2,336         820            35
Amortization of intangible assets                            76            

     76           -             -
Gross profit                                              4,999               3,465       1,534            44
Gross margin                                                 61 %                59 %
Operating expenses:
Sales and marketing                                       9,378               6,299       3,079            49
General and administrative                                3,458               2,756         702            25
Research and development                                  2,007               1,679         328            20
Total operating expenses                                 14,843              10,734       4,109            38
Loss from operations                                    (9,844)             (7,269)     (2,575)            35
Other (expense) income:
Interest expense                                          (911)               (889)        (22)             2
Other (expense) income                                    (107)                  22       (129)         (586)
Total other expense                                     (1,018)               (867)       (151)            17
Net loss                                       $       (10,862)      $      (8,136)   $ (2,726)            34 %


Revenue

Revenue increased by $2.4 million, or 40%, to $8.2 million for the three months
ended March 31, 2022 from $5.9 million for the three months ended March 31,
2021. The increase in revenue was primarily driven by an increase in unit sales
of our products due to the expansion of our commercial organization, an increase
in the average selling price for OviTex PRS, increased penetration within
existing customer accounts and stronger international sales. During the three
months ended March 31, 2022, we sold 2,042 units of OviTex as compared to 1,486
units of OviTex during the three months ended March 31, 2021, a 37% increase in
unit sales volume. Additionally, we sold 471 units of OviTex PRS during the
three months ended March 30, 2022 as compared to 270 units during the three
months ended March 31, 2021, a 74% increase in unit sales volume.

Cost of Revenue


Cost of revenue (excluding amortization of intangible assets) increased by $0.8
million, or 35%, to $3.2 million for the three months ended March 31, 2022 from
$2.3 million for the three months ended March 31, 2021. The increase in cost of
revenue for the three months ended March 31, 2022 was primarily the result of an
increase in products purchased to support our higher unit sales and an increase
in our excess and obsolete inventory adjustments.

Amortization of Intangible Assets

Amortization of intangible assets was $76,000 for both the three months ended March 31, 2022 and 2021.



Gross Margin

Gross margin increased to 61% for the three months ended March 31, 2022 from 59%
for the three months ended March 31, 2021. The increase was primarily due to the
decrease in the charge recognized for excess and obsolete inventory adjustments
as a percentage of revenue for the three months ended March 31, 2022 as compared
to the prior year period.

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Sales and Marketing

Sales and marketing expenses increased by $3.1 million, or 49%, to $9.4 million
for the three months ended March 31, 2022 from $6.3 million for the three months
ended March 31, 2021. The increase was primarily due to higher salaries,
benefits and commission costs as a result of an expansion of our
commercialization activities, higher travel and consulting expenses and
additional employee-related costs due to the increase in headcount.

General and Administrative

General and administrative expenses increased by $0.7 million, or 25%, to $3.5 million for the three months ended March 31, 2022 from $2.8 million for the three months ended March 31, 2021. The increase was primarily due to higher salaries and benefits and increased professional, consulting and legal expenses.

Research and Development

Research and development expenses increased by $0.3 million, or 20%, to $2.0 million for the three months ended March 31, 2022 from $1.7 million for the three months ended March 31, 2021. The increase was primarily due to higher salaries and benefits.

Interest Expense

Interest expense remained relatively flat and was $0.9 million for both the three months ended March 31, 2022 and 2021.

Other (Expense) Income



Other expense increased $0.1 million, or 586%, to expense of $0.1 million for
the three months ended March 31, 2022 from $22,000 of income for the three
months ended March 31, 2021. The increase was primarily due to an increase in
miscellaneous taxes and lower interest income.

Liquidity and Capital Resources

Overview



As of March 31, 2022, we had cash and cash equivalents of $33.0 million, working
capital of $38.0 million and an accumulated deficit of $240.8 million. As of
December 31, 2021, we had cash and cash equivalents of $43.9 million, working
capital of $48.5 million and an accumulated deficit of $229.9 million.

We have incurred operating losses since our inception, and we anticipate that
our operating losses will continue in the near term as we seek to invest in our
sales and marketing initiatives to support our growth in existing and new
markets and in additional research and development activities. As of March 31,
2022, we had $30.0 million of borrowings outstanding under our credit facility
(the "OrbiMed Credit Facility") with OrbiMed Royalty Opportunities IP, LP
("OrbiMed"). The OrbiMed Credit Facility matures in November 2023 and requires
that we maintain a minimum cash balance of $2.0 million.

Based on our current business plan, we believe that our existing cash resources
will be sufficient to meet our capital requirements and fund our operations for
at least the next 12 months from the issuance of this Quarterly Report. If these
sources are insufficient to satisfy our liquidity requirements, we may seek to
sell common or preferred equity or debt securities or enter into a new credit
facility. In December 2020, we entered into an Equity Distribution Agreement
(the "Equity Agreement") with Piper Sandler & Co (the "Agent") in connection
with the establishment of an at-the-market offering program under which it may
sell up to an aggregate of $50.0 million of shares of our common stock, from
time to time through the Agent as sales agent. No sales were made under the
Equity Agreement during the three months ended March 31, 2022. If we raise
additional funds by issuing equity or equity-linked securities, our stockholders
would experience dilution and any new equity securities could have rights,
preferences and privileges superior to those of holders of our common stock.
Debt financing, if available, may involve covenants restricting our operations
or our

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ability to incur additional debt. We cannot be assured that additional equity,
equity-linked or debt financing will be available on terms favorable to us or
our stockholders, or at all, including as a result of market volatility
following the COVID-19 pandemic or other factors. If we are unable to obtain
adequate financing, we may be required to delay the development,
commercialization and marketing of our products.

Cash Flows



The following table summarizes our sources and uses of cash for each of the
periods presented:

                                                           Three Months Ended March 31,
(in thousands)                                                2022                 2021

Cash used in operating activities                       $       (10,430)      $      (8,585)
Cash used in investing activities                                  (336)                (22)
Cash (used in) provided by financing activities                    (146)                  36
Effect of exchange rate on cash                                      (3)                   6
Net decrease in cash and cash equivalents               $       (10,915)
  $      (8,565)


Operating Activities

During the three months ended March 31, 2022, we used $10.4 million of cash in
operating activities, resulting from our net loss of $10.9 million and the
change in operating assets and liabilities of $1.6 million, offset by non-cash
charges of $2.1 million. Our non-cash charges were comprised of stock-based
compensation expense of $0.9 million, our excess and obsolete inventory charge
of $0.8 million, noncash interest expense of $0.2 million and depreciation and
amortization expense of $0.2 million. The change in our operating assets and
liabilities was primarily related to an increase in our inventory and a decrease
in accrued expenses and other current and long-term liabilities partially offset
by an increase in accounts payable.

During the three months ended March 31, 2021, we used $8.6 million of cash in
operating activities, resulting from our net loss of $8.1 million and the change
in operating assets and liabilities of $2.0 million, offset by non-cash charges
of $1.6 million. Our non-cash charges were comprised of stock-based compensation
expense of $0.7 million, our excess and obsolete inventory charge of $0.6
million, noncash interest expense of $0.2 million and depreciation and
amortization expense of $0.1 million. The change in our operating assets was
primarily related to an increase in our inventory and a decrease in accrued
expenses and other current liabilities.

Investing Activities

During the three months ended March 31, 2022, cash used in investing activities was $0.3 million consisting of purchases of property and equipment.

During the three months ended March 31, 2021, cash provided by investing activities was $22,000, consisting of purchases of property and equipment.

Financing Activities

During the three months ended March 31, 2022, cash used in financing activities was $0.1 million, consisting primarily of the payment of withholding taxes related to stock-based compensation to employees.

During the three months ended March 31, 2021, cash provided by financing activities was $36,000, consisting of proceeds received from the exercise of stock options.



Indebtedness

In November 2018, we entered into the OrbiMed Credit Facility, which consists of
up to $35.0 million in term loans (the "OrbiMed Term Loans"). The OrbiMed Term
Loans consist of two tranches, a $30.0 million Tranche 1 ("Tranche 1")

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and a $5.0 million Tranche 2 ("Tranche 2"). Upon closing, we borrowed $30.0 million of Tranche 1. We elected not to borrow Tranche 2 prior to its expiration on December 31, 2019.



Pursuant to the OrbiMed Credit Facility, we provided a first priority security
interest in all existing and future acquired assets, excluding intellectual
property and certain other assets, owned by us. The OrbiMed Credit Facility
contains a negative pledge on intellectual property owned by us. The OrbiMed
Credit Facility also contains customary indemnification obligations and
customary events of default, including, among other things, (i) non-payment,
(ii) breach of warranty, (iii) non-performance of covenants and obligations,
(iv) default on other indebtedness, (v) judgments, (vi) change of control,
(vii) bankruptcy and insolvency, (viii) impairment of security, (ix) key permit
events, (x) key person events, (xi) regulatory matters, and (xii) key contracts.
In addition, we must maintain a minimum cash balance of $2.0 million. If an
event of default occurs under the OrbiMed Credit Facility, we may become
obligated to immediately pay all outstanding principal and interest and all
other due and unpaid obligations at the current rate in effect plus 3%.

The OrbiMed Term Loans mature on November 16, 2023 and bear interest at a rate
equal to 7.75% plus the greater of one-month LIBOR or 2.0%. We are required to
make 60 monthly interest payments beginning on November 30, 2018 with the entire
principal payment due at maturity. The OrbiMed Term Loans have a prepayment
penalty equal to 10.0% of the prepaid principal amount prior to the second
anniversary of the OrbiMed Term Loans, 5.0% of the prepaid principal amount
after the second anniversary but prior to the third anniversary and 2.5% of the
prepaid principal amount after the third anniversary. We are also required to
pay an exit fee at the time of maturity or prepayment event equal to 10% of all
principal borrowings and an administration fee equal to $10,000 on the last day
of each quarter until all obligations have been paid in full.

Contractual Obligations and Commitments

As of March 31, 2022, there were no significant changes to our commitments and future minimum contractual obligations as set forth in our Annual Report.

Critical Accounting Policies and Significant Judgments and Estimates

The Critical Accounting Policies and Significant Judgements and Estimates included in our Annual Report have not materially changed.

Off-Balance Sheet Arrangements


We did not have during the periods presented, and we do not currently have, any
off-balance sheet arrangements, as defined in the rules and regulations of the
SEC.

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