- All Four Business Segments Achieved Growth Led by Strong SimpliDerm and CanGaroo Sales -

SILVER SPRING, Md., May 10, 2023 (GLOBE NEWSWIRE) -- Aziyo Biologics, Inc. (NASDAQ:AZYO) ("Aziyo"), a company that develops and commercializes biologic products to improve compatibility between medical devices and the patients who need them, today provided a business update and reported financial results for the first quarter ended March 31, 2023.

Business Highlights:

Net sales rose 14% compared to the prior-year period, to a record $13.1 million for first quarter 2023.
Gross margin increased 11 percentage points year-over-year to 49%.
Signed a partnership with LeMaitre Vascular to distribute Aziyo's cardiovascular repair portfolio within the U.S., increasing sales representative coverage 5-fold.
Launched a U.S. distribution partnership with Sientra to drive availability and utilization of SimpliDerm.
Held a productive meeting with the U.S. Food and Drug Administration (FDA) confirming the path to resubmit CanGaroo® RM 510(k) for pre-market clearance.

"Aziyo's record first quarter performance is a testament to our products, people and plan," said Dr. Randy Mills, President and Chief Executive Officer of Aziyo Biologics. "The company charged forward with strong results on all fronts, highlighted by the highest quarterly net sales and gross profit in company history. We also made great progress in the strategic evolution of Aziyo, closing two key partnerships with LeMaitre Vascular and Sientra, thereby significantly boosting the sales coverage of our cardiovascular and SimpliDerm product lines. Lastly, we met with the FDA and are executing a plan to deliver the Agency the information it requested in connection with the clearance of CanGaroo RM. Thank you to the entire Aziyo team for your grit and determination in delivering a great performance."

First Quarter 2023 Financial Results

Net sales for the first quarter of 2023 were $13.1 million, an increase of 14% compared to the first quarter of 2022. Growth was achieved in all four of the Company's major product categories, led by SimpliDerm and CanGaroo, for which net sales grew 40% and 14%, respectively, versus the first quarter of 2022.

Gross profit for the first quarter of 2023 was $6.3 million and gross margin was 49%, as compared to $4.3 million and 37%, respectively, in the corresponding prior-year period. Gross margin, excluding intangible asset amortization (a measure not presented in accordance with U.S. generally accepted accounting principles ("GAAP")) was 55% for the first quarter of 2023, as compared to 45% in the first quarter of 2022. The increase in gross margin was primarily due to efficiency and yield improvements in the Company's Orthobiologics and Women's Health business units.

Total operating expenses were $12.7 million for the first quarter of 2023, as compared to $11.2 million in the corresponding prior-year period.

Net loss was $8.0 million in the first quarter of 2023, as compared to $8.1 million in the corresponding prior year period. Net loss per share in the first quarter of 2023 was $0.49 per share, as compared to a loss of $0.60 per share in the first quarter of 2022.

Aziyo's cash balance as of March 31, 2023, was $11.8 million.

Conference Call

Aziyo will host a conference call today at 4:30 p.m. Eastern Time / 1:30 p.m. Pacific Time to discuss its first quarter 2023 financial results and performance.

Individuals interested in listening to the conference call are required to register online. Participants are recommended to register at least 15 minutes before the start of the call. A live and archived webcast of the event and the accompanying presentation materials will be available on the "Investors" section of the Aziyo website at https://investors.aziyo.com/.

About Aziyo Biologics

Aziyo develops and commercializes biologic products to improve compatibility between medical devices and the patients who need them. With a growing population in need of implantable technologies, Aziyo's mission is to humanize medical devices to improve patient outcomes. For more information, visit www.Aziyo.com.

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. Forward-looking statements can be identified by words such as "projects," "may," "will," "could," "would," "should," "believes," "expects," "anticipates," "estimates," "intends," "plans," "potential," "promise" or similar references to future periods. 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 the effectiveness of our products, the ability to expand availability of our products as a result of our distribution arrangements with LeMaitre Vascular and Sientra, the potential success of our distribution arrangements with LeMaitre Vascular and Sientra, and our expectations relating to the FDA regulatory process for the CanGaroo RM Antibacterial Envelope. Forward-looking statements are based on management's current assumptions and expectations of future events and trends, which affect or may affect our 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 the ability to successfully execute or realize the anticipated benefits under our distribution arrangements with LeMaitre Vascular and Sientra; our inability to generate sufficient revenue to achieve or sustain profitability; adverse changes in economic conditions and instability and disruption of credit markets; our ability to continue as a going concern; our products and our ability to enhance, expand, develop and commercialize our product offerings; the impact on our business of the recall of a single lot of our FiberCel product and the discontinuation of its sales by our distribution partner; our dependence on our commercial partners; physician awareness of the distinctive characteristics, and acceptance by the medical community, of our products; the ability to obtain regulatory approval or other marketing authorizations; and our intellectual property rights, and other important factors which can be found in the "Risk Factors" section of Aziyo's public filings with the Securities and Exchange Commission ("SEC"), including Aziyo's Annual Report on Form 10-K for the year ended December 31, 2022, as such factors may be updated from time to time in Aziyo's other filings with the SEC, including, Aziyo's Quarterly Reports on Form 10-Q, accessible on the SEC's website at www.sec.gov and the Investor Relations page of Aziyo's website at https://investors.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. Any forward-looking statement made by Aziyo in this press release is based only on information currently available and speaks only as of the date on which it is made. Except as required by applicable law, Aziyo expressly disclaims any obligations to publicly update any forward-looking statements, whether written or oral, that may be made from time to time, whether as a result of new information, future developments or otherwise.

Investors:

Matt Steinberg

FINN Partners

matt.steinberg@finnpartners.com

Media:

Courtney Guyer

Aziyo Biologics, Inc.

PR@aziyo.com


AZIYO BIOLOGICS, INC.
CONSOLIDATED BALANCE SHEET DATA
(Unaudited, in thousands)

Assets	March 31, 2023			December 31, 2022
Current assets:
Cash	$	11,789		$	16,989
Accounts receivable, net		7,334			6,830
Inventory		11,055			10,052
Receivables of FiberCel litigation costs		10,921			13,813
Prepaid expense and other assets		2,367			3,015
Total current assets		43,466			50,699

Property and equipment, net		1,488			1,403
Intangible assets, net		14,220			15,069
Operating lease right-of-use assets, and other		1,456			1,670
Total assets	$	60,630		$	68,841


Liabilities and Stockholders' Deficit
Current liabilities:
Accounts payable and accrued expenses	$	15,527		$	15,583
Current portion of long-term debt and revenue interest obligation		9,678			8,990
Revolving line of credit		-			-
Contingent liability for FiberCel litigation		15,631			17,360
Current operating lease liabilities and other		588			682
Total current liabilities		41,424			42,615

Long-term debt		24,589			24,260
Long-term revenue interest obligation		5,750			5,916
Long-term operating lease liabilities		835			956
Other long-term liabilities		207			127
Total liabilities		72,805			73,874

Stockholders' equity (deficit):
Common stock		16			16
Additional paid-in capital		133,771			132,939
Accumulated deficit		(145,962	)		(137,988	)
Total stockholders' equity (deficit)		(12,175	)		(5,033	)
Total liabilities and stockholders' equity	$	60,630		$	68,841


AZIYO BIOLOGICS, INC.
CONSOLIDATED STATEMENT OF OPERATIONS
(Unaudited, in thousands, except share and per share data)

	Three months ended March 31,
		2023			2022

Net sales	$	13,050		$	11,495
Cost of goods sold		6,719			7,214
Gross profit		6,331			4,281

Operating expenses:
Sales and marketing		5,356			4,818
General and administrative		3,679			4,025
Research and development		1,803			2,272
FiberCel litigation costs		1,911			88
Total operating expenses		12,749			11,203
Loss from operations		(6,418	)		(6,922	)

Interest expense		1,544			1,215
Loss before provision of income taxes		(7,962	)		(8,137	)

Provision for income taxes		12			12
Net loss		(7,974	)		(8,149	)

Net loss per share -
basic and diluted	$	(0.49	)	$	(0.60	)

Weighted average common shares outstanding -
basic and diluted		16,149,567			13,574,058

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.

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.

Gross margin, excluding intangible asset amortization, is a supplemental measure of our performance, is not defined by or presented in accordance 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. 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 (in thousands).

	Three months ended March 31,
		2023			2022

Net sales	$	13,050		$	11,495
Gross profit		6,331			4,281
Intangible asset amortization expense		849			849
Gross profit, excluding intangible asset amortization	$	7,180		$	5,130
Gross margin		48.5	%		37.2	%
Gross margin percentage, excluding intangible asset
amortization		55.0	%		44.6	%

Aziyo Biologics Reports Highest Sales and Gross Profit in Company History