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Aziyo Biologics Reports Second Quarter 2021 Financial Results

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SILVER SPRING, Md. – August 9, 2021 – Aziyo Biologics, Inc. (Nasdaq: AZYO), a commercial-stage regenerative medicine company focused on creating the next generation of differentiated products and improving outcomes in patients undergoing surgery, today reported financial results for the three and six months ended June 30, 2021.

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Recent Highlights

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“We were pleased to see strong second quarter results that not only significantly increased over the second quarter of 2020, but importantly, rose well above pre-COVID levels. Strong growth in our core product portfolio demonstrates the increased awareness and further validation of the remodeling benefits of our regenerative medicine products,” said Ron Lloyd, Chief Executive Officer. “We were also delighted to see continued progress in our program to add antibiotics to the CanGaroo Envelope with completion of manufacturing validation, and we believe we remain on track to reach FDA submission in the first quarter of 2022.”

“Regarding the recall of a single lot of our FiberCel product, we have thoroughly reviewed our procedures for screening donors and producing FiberCel and have not identified any deviations from our established protocols, which are based on industry standards and government requirements. The FDA has also completed an inspection of our manufacturing facility and quality control records and made no 483 observations. Nevertheless, we continue to seek enhancements to our processes, and we believe this experience can be a catalyst for further advancing the state of the art for all products in this category,” concluded Lloyd.

Second Quarter 2021 Financial Results

Net sales for the second quarter of 2021 were $12.2 million, an increase of 42%, compared to the second quarter of 2020. The increase was driven primarily by a return to more normal surgical procedure volumes compared to the second quarter of 2020, which was severely impacted by the COVID-19 pandemic.

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Gross profit for the second quarter of 2021 was $5.6 million, and gross margin was 46.2%, as compared to $3.8 million and 44.1% in the corresponding prior-year period. The increase in gross margin was

primarily due to increased efficiency associated with higher production volumes and other operational improvements compared to the year-ago quarter, offset by the impact of costs related to the FiberCel recall and the lower margin contribution of net sales from non-core products. Gross margin, excluding intangible asset amortization (a measure not presented in accordance with U.S. generally accepted accounting principles (“GAAP”)), was 53.1% for the second quarter of 2021, as compared to 54.0% in the second quarter of 2020.

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Total operating expenses were $10.2 million for the second quarter of 2021, as compared to $7.5 million in the corresponding prior-year period, an increase of 35%. The increase in total operating expense was primarily driven by growth in commercial spending associated with higher net sales, expenses associated with operating as a public company and development costs from the Company’s program to develop a CanGaroo Envelope with antibiotics.

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Net loss was $2.4 million in the second quarter of 2021, as compared to $5.2 million in the corresponding prior-year period. Net loss in the second quarter of 2021 included other income related to forgiveness of $3.0 million of indebtedness under the Paycheck Protection Program of the CARES Act, as well as a payment to Aziyo of $550,000 in accordance with the terms of a settlement agreement related to a 2015 corporate transaction.

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Loss per share in the second quarter of 2021 was $0.23, compared to a loss of $7.99 per share in the second quarter of 2020, which was prior to the conversion of the Company’s preferred stock into common stock in connection with the Company’s initial public offering in the fourth quarter of 2020.

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The Company’s cash balance as of June 30, 2021, was $28.4 million, with an additional $5.1 million available for borrowing under the Company’s working capital line of credit, resulting in total liquidity of $33.5 million.

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Guidance

Aziyo expects net sales in the third quarter of 2021 to range from $11 million to $12 million. This represents a year-over-year change ranging from (7)% to 2% and assumes FiberCel sales will not have resumed under the existing distribution agreement by the end of the quarter. Excluding sales of FiberCel from the third quarter of 2020, this guidance range represents growth of 14% to 24%. This outlook also assumes the recent resurgence of COVID-19 cases in the U.S., including impacts from Delta and other variants, does not result in a significant reduction in surgical procedure volumes in August and September.

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Conference Call

Aziyo will host a conference call at 4:30 p.m. Eastern Time / 1:30 p.m. Pacific Time on Monday, August 9, 2021 to discuss its second quarter 2021 financial results and provide a business update. The call may be accessed through an operator by dialing (833) 665-0667 (US/Canada) and (914) 987-7319 (International)

using conference ID number 9977823. A live and archived webcast of the event will be available at https://investors.aziyo.com/.

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About Aziyo Biologics

Aziyo Biologics is a commercial-stage regenerative medicine company focused on creating the next generation of differentiated products and improving outcomes in patients undergoing surgery, concentrating on patients receiving implantable medical devices. Since its founding in 2015, the Company has created a portfolio of commercial-stage products used in cardiovascular, orthopedic, and reconstructive specialties. For more information, visit www.Aziyo.com.

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Forward-Looking Statements

This press release 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 contained in this press release that do not relate to matters of historical fact should be considered forward-looking statements, including statements and information concerning growth of its current products, execution on products in the pipeline, timing of the next-generation CanGaroo platform, expected financial results for the third quarter of 2021 and the effect of COVID-19 cases on surgical procedure volumes. Forward-looking statements are based on management’s current assumptions and expectations of future events and trends, which affect or may affect the Company’s business, strategy, operations or financial performance, and actual results may differ materially from those expressed or implied in such statements due to numerous risks and uncertainties. Forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified, and other important factors that may cause actual results, performance or achievements to differ materially from those contemplated or implied in this press release, including, but not limited to, risks regarding our products and our ability to enhance, expand and develop our products; the impact on our business of the recall of a single lot of our FiberCel product and the suspension of its sales by our distribution partner; our dependence on our commercial partners; the adverse impacts of COVID-19 or adverse changes in economic conditions; physician awareness of the distinctive characteristics, and acceptance by the medical community, of our products; our ability to obtain regulatory approval or other marketing authorizations; and our intellectual property rights, and other important factors discussed under the caption “Risk Factors” in Aziyo’s Annual Report on Form 10-K for the annual period ended December 31, 2020 filed with the Securities and Exchange Commission (“SEC”), as updated by the section titled “Risk Factors” included in our Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2021 to be filed with the SEC, as such risk factors may be updated from time to time in Aziyo’s other filings with the SEC, which are accessible on the SEC’s website at www.sec.gov and the Investor Relations page of Aziyo’s website at www.Aziyo.com. Because forward-looking statements are inherently subject to risks and uncertainties, you should not rely on these forward-looking statements as predictions of future events. Except to the extent required by law, the Company undertakes no obligation to update or review any estimate, projection, or forward-looking statement.

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Investors:

Leigh Salvo

Gilmartin Group

investors@aziyo.com

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Non-GAAP Financial Measures

This press release presents our gross margin, excluding intangible asset amortization. We calculate gross margin, excluding intangible asset amortization, as gross profit, excluding amortization expense relating to intangible assets we acquired in our acquisition of all of the commercial assets of CorMatrix Cardiovascular, Inc. in 2017, divided by net sales. Gross margin, excluding intangible asset amortization, is a supplemental measure of our performance, is not defined by or presented in accordance with GAAP, has limitations as an analytical tool and should not be considered in isolation or as an alternative to our GAAP gross margin, gross profit or any other financial performance measure presented in accordance with GAAP. We present gross margin, excluding intangible asset amortization, because we believe that it provides meaningful supplemental information regarding our operating performance by removing the impact of amortization expense, which is not indicative of our overall operating performance. We believe this provides our management and investors with useful information to facilitate period-to-period comparisons of our operating results. Our management uses this metric in assessing the health of our business and our operating performance, and we believe investors’ understanding of our operating performance is similarly enhanced by our presentation of this metric.

Although we use gross margin, excluding intangible asset amortization, as described above, this metric has limitations as an analytical tool and should not be considered in isolation or as a substitute for financial information presented in accordance with GAAP. In addition, other companies, including companies in our industry, may use other measures to evaluate their performance, which could reduce the usefulness of this non-GAAP financial measure as a tool for comparison.

The following table presents a reconciliation of our gross margin, excluding intangible asset amortization, to the most directly comparable GAAP financial measure, which is our GAAP gross margin (unaudited, in thousands).

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