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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended June 30, 2021March 31, 2022
OR
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from ____________ to______________
Commission file number: 001-36046
Axogen, Inc.
(Exact Name of Registrant as Specified in Its Charter)

Minnesota
(State or other jurisdiction of
incorporation or organization)

13631 Progress Blvd., Suite 400 Alachua, FL
(Address of principal executive offices)
41-1301878
(I.R.S. Employer
Identification No.)

32615
(Zip Code)

386-462-6800
(Registrant’s Telephone Number, Including Area Code)
Not Applicable
(Former Name, Former Address and Former Fiscal Year, if Changed Since Last Report)
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading SymbolName of each exchange on which registered
Common Stock, $0.01 par valueAXGNThe Nasdaq Stock Market
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes    No 
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes   No  
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filerAccelerated filer
Non-accelerated filerSmaller reporting company
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). YESYes   NONo 
As of July 30, 2021,May 2, 2022, the registrant had 41,397,05341,980,607 shares of common stock outstanding.



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Forward-Looking Statements

From time to time, in reports filed with the U.S. Securities and Exchange Commission (the “SEC”) (including this Quarterly Report on Form 10-Q), in press releases, and in other communications to shareholders or the investment community, Axogen, Inc. (including Axogen, Inc.’s wholly owned subsidiaries, Axogen Corporation, Axogen Processing Corporation and Axogen Europe GmbH, the “Company,” “Axogen,” “we,” “our,” or “us”) may provide forward-looking statements, as defined in the Private Securities Litigation Reform Act of 1995, concerning possible or anticipated future results of operations or business developments. These statements are based on management's current expectations or predictions of future conditions, events, or results based on various assumptions and management's estimates of trends and economic factors in the markets in which the Company is active, as well as its business plans. Words such as “expects,” “anticipates,” “intends,” “plans,” “believes,” “seeks,” “estimates,” “projects,” “forecasts,” “continue,” “may,” “should,” “will,” “goals,” and variations of such words and similar expressions are intended to identify such forward-looking statements. The forward-looking statements may include, without limitation, statements regarding our assessment of our internal controls over financial reporting, our growth,reporting; statements related to the impact of COVID-19,the 2019 novel coronavirus and any and all variants thereof ("COVID-19") on our business, including but not limited to global supply chain issues; hospital staffing challenges and its impact on our business; statements regarding our growth, our financial guidance and performance; product development,development; product potential, regulatory process and approvals, APCpotential; Axogen Processing Center renovation timing and expense, financial performance,expense; sales growth,growth; product adoption,adoption; market awareness of our products,products; anticipated capital requirements, including the potential of future financings; data validation,validation; expected clinical study enrollment, timing and outcomes; our visibility at and sponsorship of conferences and our educational events.events; regulatory process and approvals; and other factors, including legislative, regulatory, political, geopolitical and economic developments, including global business disruption caused by Russia’s invasion of Ukraine and related sanctions, not within our control. The forward-looking statements are and will be subject to risks and uncertainties, which may cause actual results to differ materially from those expressed or implied in such forward-looking statements. Forward-looking statements contained in this Quarterly Report on Form 10-Q should be evaluated together with the many uncertainties that affect the ourCompany’s business and ourits market, particularly those discussed in the risk factors and cautionary statements set forth in the ourCompany’s filings with the SEC, including as described in “Risk Factors” included in Item 1A and “Risk"Risk Factor Summary”Summary" included in our 2020the Company's Annual Report on Form 10-K.10-K for the year ended December 31, 2021. Forward-looking statements are not guarantees of future performance, and actual results may differ materially from those projected. Forward-lookingThe forward-looking statements are representative only as of the date they are made and, except as required by applicable law, we assumethe Company assumes no responsibility to publicly update or revise any forward-looking statements, whether as a result of new information, future events, changed circumstances or otherwise.


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PART 1 — FINANCIAL INFORMATION
ITEM 1 — FINANCIAL STATEMENTS
Axogen, Inc.
Condensed Consolidated Balance Sheets
(unaudited)
(In Thousands, Except Share and Per Share Amounts)
June 30,
2021
December 31,
2020
March 31,
2022
December 31,
2021
AssetsAssetsAssets
Current assets:Current assets:Current assets:
Cash and cash equivalentsCash and cash equivalents$53,078 $48,767 Cash and cash equivalents$14,559 $32,756 
Restricted cashRestricted cash6,333 6,842 Restricted cash6,251 6,251 
InvestmentsInvestments46,839 55,199 Investments52,859 51,330 
Accounts receivable, net of allowance for doubtful accounts of $258 and $416, respectively18,182 17,618 
Accounts receivable, net of allowance for doubtful accounts of $366 and $276, respectivelyAccounts receivable, net of allowance for doubtful accounts of $366 and $276, respectively18,590 18,158 
InventoryInventory13,415 12,529 Inventory17,400 16,693 
Prepaid expenses and otherPrepaid expenses and other3,948 4,296 Prepaid expenses and other2,816 1,861 
Total current assetsTotal current assets141,795 145,251 Total current assets112,475 127,049 
Property and equipment, netProperty and equipment, net50,952 38,398 Property and equipment, net66,954 62,923 
Operating lease right-of-use assetsOperating lease right-of-use assets15,272 15,614 Operating lease right-of-use assets15,406 15,193 
Finance lease right-of-use assets53 64 
Intangible assets2,460 2,054 
Intangible assets, netIntangible assets, net3,190 2,859 
Total assetsTotal assets$210,532 $201,381 Total assets$198,025 $208,024 
Liabilities and Shareholders’ Equity
Liabilities and shareholders’ equityLiabilities and shareholders’ equity
Current liabilities:Current liabilities:Current liabilities:
Accounts payable and accrued expensesAccounts payable and accrued expenses$19,839 $21,968 Accounts payable and accrued expenses$20,872 $22,459 
Current maturities of long-term lease obligationsCurrent maturities of long-term lease obligations1,789 863 Current maturities of long-term lease obligations2,073 1,834 
Total current liabilitiesTotal current liabilities21,628 22,831 Total current liabilities22,945 24,293 
Long-term debt, net of financing fees46,081 32,027 
Long-term debt, net of debt discount and financing feesLong-term debt, net of debt discount and financing fees45,041 44,821 
Long-term lease obligationsLong-term lease obligations20,344 20,874 Long-term lease obligations20,878 20,798 
Debt derivative liability3,776 2,497 
Other long-term liabilities
Debt derivative liabilitiesDebt derivative liabilities5,310 5,562 
Total liabilitiesTotal liabilities91,829 78,232 Total liabilities94,174 95,474 
Commitments and contingencies - see Note 1300
Commitments and contingencies - see Note 12Commitments and contingencies - see Note 1200
Shareholders’ equity:Shareholders’ equity:Shareholders’ equity:
Common stock, $0.01 par value per share; 100,000,000 shares authorized; 41,337,108 and 40,618,766 shares issued and outstanding413 406 
Common stock, $0.01 par value per share; 100,000,000 shares authorized; 41,972,987 and 41,736,950 shares issued and outstandingCommon stock, $0.01 par value per share; 100,000,000 shares authorized; 41,972,987 and 41,736,950 shares issued and outstanding420 417 
Additional paid-in capitalAdditional paid-in capital336,495 326,390 Additional paid-in capital345,538 342,765 
Accumulated deficitAccumulated deficit(218,205)(203,647)Accumulated deficit(242,107)(230,632)
Total shareholders’ equityTotal shareholders’ equity118,703 123,149 Total shareholders’ equity103,851 112,550 
Total liabilities and shareholders’ equityTotal liabilities and shareholders’ equity$210,532 $201,381 Total liabilities and shareholders’ equity$198,025 $208,024 
See notes to condensed consolidated financial statements.
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Axogen, Inc.
Condensed Consolidated Statements of Operations
(unaudited)
(In Thousands, Except Share and Per Share Amounts)
Three Months EndedSix Months EndedThree Months Ended
June 30,
2021
June 30,
2020
June 30,
2021
June 30,
2020
March 31,
2022
March 31,
2021
RevenuesRevenues$33,580 $22,116 $64,617 $46,377 Revenues$31,007 $31,037 
Cost of goods soldCost of goods sold7,092 5,605 12,264 10,421 Cost of goods sold5,546 5,172 
Gross profitGross profit26,488 16,511 52,353 35,956 Gross profit25,461 25,865 
Costs and expenses:Costs and expenses:Costs and expenses:
Sales and marketingSales and marketing19,250 14,290 37,224 32,128 Sales and marketing20,888 17,973 
Research and developmentResearch and development5,723 4,071 11,471 8,685 Research and development6,275 5,748 
General and administrativeGeneral and administrative8,669 6,404 17,032 11,906 General and administrative9,618 8,364 
Total costs and expensesTotal costs and expenses33,642 24,765 65,727 52,719 Total costs and expenses36,781 32,085 
Loss from operationsLoss from operations(7,154)(8,254)(13,374)(16,763)Loss from operations(11,320)(6,220)
Other (expense) income:Other (expense) income:Other (expense) income:
Investment incomeInvestment income29 237 63 548 Investment income(46)34 
Interest expenseInterest expense(565)(31)(1,010)(62)Interest expense(354)(444)
Change in fair value of derivativesChange in fair value of derivatives(84)(105)Change in fair value of derivatives252 (22)
Other expenseOther expense(124)(57)(132)(20)Other expense(7)(8)
Total other (expense) income, net(744)149 (1,184)466 
Net Loss$(7,898)$(8,105)$(14,558)$(16,297)
Total other expense, netTotal other expense, net(155)(440)
Net lossNet loss$(11,475)$(6,660)
Weighted average common shares outstanding — basic and dilutedWeighted average common shares outstanding — basic and diluted41,080,898 39,823,414 40,894,405 39,760,602 Weighted average common shares outstanding — basic and diluted41,804,330 40,705,840 
Loss per common share — basic and dilutedLoss per common share — basic and diluted$(0.19)$(0.20)$(0.36)$(0.41)Loss per common share — basic and diluted$(0.27)$(0.16)
See notes to condensed consolidated financial statements.
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Axogen, Inc.
Condensed Consolidated Statements of Cash Flows
(unaudited)
(In Thousands)
Six Months EndedThree Months Ended
June 30,
2021
June 30,
2020
March 31,
2022
March 31,
2021
Cash flows from operating activities:Cash flows from operating activities:Cash flows from operating activities:
Net lossNet loss$(14,558)$(16,297)Net loss$(11,475)$(6,660)
Adjustments to reconcile net loss to net cash used in operating activities:Adjustments to reconcile net loss to net cash used in operating activities:Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation1,405 618 
Depreciation and amortizationDepreciation and amortization704 772 
Amortization of right-of-use assetsAmortization of right-of-use assets960 802 Amortization of right-of-use assets427 500 
Amortization of intangible assetsAmortization of intangible assets96 72 Amortization of intangible assets69 47 
Amortization of deferred financing fees227 
Amortization of debt discount and deferred financing feesAmortization of debt discount and deferred financing fees220 112 
Provision for bad debtProvision for bad debt(65)(115)Provision for bad debt267 (26)
Provision for inventory write-downProvision for inventory write-down2,455 1,624 Provision for inventory write-down459 783 
Changes in fair value of derivatives105 
Changes in investment gains and losses31 (141)
Share-based compensation6,499 2,778 
Change in fair value of derivativesChange in fair value of derivatives(252)22 
Investment lossesInvestment losses96 15 
Stock-based compensationStock-based compensation2,678 2,694 
Change in operating assets and liabilities:Change in operating assets and liabilities:Change in operating assets and liabilities:
Accounts receivableAccounts receivable(498)3,010 Accounts receivable(624)(2,181)
InventoryInventory(3,341)(600)Inventory(1,166)(1,642)
Prepaid expenses and otherPrepaid expenses and other199 (1,699)Prepaid expenses and other(1,030)(313)
Accounts payable and accrued expensesAccounts payable and accrued expenses(5,061)(4,212)Accounts payable and accrued expenses(1,104)(5,061)
Operating lease obligationsOperating lease obligations35 (915)Operating lease obligations(320)119 
Cash paid for interest portion of finance leases(1)
Contract and other liabilitiesContract and other liabilities(3)(6)Contract and other liabilities— (1)
Net cash used in operating activitiesNet cash used in operating activities(11,515)(15,081)Net cash used in operating activities(11,051)(10,820)
Cash flows from investing activities:Cash flows from investing activities:Cash flows from investing activities:
Purchase of property and equipmentPurchase of property and equipment(10,924)(13,183)Purchase of property and equipment(5,037)(3,095)
Purchase of investmentsPurchase of investments(23,966)(22,965)Purchase of investments(6,024)(15,279)
Proceeds from sale of investmentsProceeds from sale of investments32,295 59,883 Proceeds from sale of investments4,400 19,400 
Cash payments for intangible assetsCash payments for intangible assets(692)(216)Cash payments for intangible assets(580)(156)
Net cash (used in) provided by investing activitiesNet cash (used in) provided by investing activities(3,287)23,519 Net cash (used in) provided by investing activities(7,241)870 
Cash flows from financing activities:Cash flows from financing activities:Cash flows from financing activities:
Proceeds from the issuance of long-term debt15,000 35,000 
Proceeds from the paycheck protection program7,820 
Repayment of paycheck protection program(7,820)
Payments for debt issuance costs(350)
Payments of employee tax withholding in exchange of common stock awards(658)
Cash paid for debt portion of finance leasesCash paid for debt portion of finance leases(8)(8)Cash paid for debt portion of finance leases(2)(4)
Proceeds from exercise of stock options3,612 1,784 
Proceeds from exercise of stock options and ESPP stock purchasesProceeds from exercise of stock options and ESPP stock purchases97 521 
Net cash provided by financing activitiesNet cash provided by financing activities18,604 35,768 Net cash provided by financing activities95 517 
Net increase in cash, cash equivalents, and restricted cash3,802 44,206 
Net decrease in cash, cash equivalents, and restricted cashNet decrease in cash, cash equivalents, and restricted cash(18,197)(9,433)
Cash, cash equivalents, and restricted cash, beginning of periodCash, cash equivalents, and restricted cash, beginning of period55,609 41,724 Cash, cash equivalents, and restricted cash, beginning of period39,007 55,609 
Cash, cash equivalents and restricted cash, end of period$59,411 $85,930 
Cash, cash equivalents, and restricted cash, end of periodCash, cash equivalents, and restricted cash, end of period$20,810 $46,176 
Supplemental disclosures of cash flow activity:Supplemental disclosures of cash flow activity:Supplemental disclosures of cash flow activity:
Cash paid for interest$739 $23 
Cash paid for interest, net of capitalized interestCash paid for interest, net of capitalized interest$— $312 
Supplemental disclosure of non-cash investing and financing activities:Supplemental disclosure of non-cash investing and financing activities:Supplemental disclosure of non-cash investing and financing activities:
Acquisition of fixed assets in accounts payable and accrued expensesAcquisition of fixed assets in accounts payable and accrued expenses$3,035 $617 Acquisition of fixed assets in accounts payable and accrued expenses$1,119 $4,836 
Obtaining a right-of-use asset in exchange for a lease liabilityObtaining a right-of-use asset in exchange for a lease liability$371 $796 Obtaining a right-of-use asset in exchange for a lease liability$641 $321 
Embedded derivative associated with the long-term debt$1,173 $2,563 
Acquisition of intangible assets in accounts payable and accrued expensesAcquisition of intangible assets in accounts payable and accrued expenses$190 $Acquisition of intangible assets in accounts payable and accrued expenses$239 $166 
See notes to condensed consolidated financial statements.

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Axogen, Inc.
Condensed Consolidated Statements of Changes in Shareholders’ Equity
(unaudited)
(In Thousands, Except Share Amounts)
Common StockPaid-in
Capital
Accumulated
Deficit
Shareholders'
Equity/(Deficit)
SharesAmount
Three Months Ended June 30, 2021
Balance at March 31, 202140,842,717 $408 $329,603 $(210,307)$119,704 
Net Loss— — — (7,898)(7,898)
Stock-based compensation— — 3,804 — 3,804 
Issuance of restricted and performance stock units44,411 — 
Exercise of stock options and employee stock purchase plan449,980 3,088 — 3,093 
Balance at June 30, 202141,337,108 $413 $336,495 $(218,205)$118,703 
Six Months Ended June 30, 2021
Balance at December 31, 202040,618,766 $406 $326,390 $(203,647)$123,149 
Net Loss— — — (14,558)(14,558)
Stock-based compensation— — 6,499 — 6,499 
Issuance of restricted and performance stock units138,944 (1)— 
Shares surrendered by employees to pay tax withholdings— — 
Exercise of stock options and employee stock purchase plan579,398 3,607 — 3,613 
Balance at June 30, 202141,337,108 $413 $336,495 $(218,205)$118,703 
Three Months Ended June 30, 2020
Balance at March 31, 202039,738,767 $397 $311,850 $(188,053)$124,194 
Net Loss— — — (8,105)(8,105)
Stock-based compensation— — 2,222 — 2,222 
Issuance of restricted and performance stock units10,021 — 
Shares surrendered by employees to pay tax withholdings(1,766)— (17)— (17)
Exercise of stock options and employee stock purchase plan273,758 1,463 — 1,466 
Balance at June 30, 202040,020,780 $400 $315,518 $(196,158)$119,760 
Six Months Ended June 30, 2020
Balance at December 31, 201939,589,755 $396 $311,618 $(179,861)$132,153 
Net Loss— — — (16,297)(16,297)
Stock-based compensation— — 2,778 — 2,778 
Issuance of restricted and performance stock units145,943 (1)— 
Shares surrendered by employees to pay tax withholdings(38,736)(1)(657)— (658)
Exercise of stock options and employee stock purchase plan323,818 1,780 — 1,784 
Balance at June 30, 202040,020,780 $400 $315,518 $(196,158)$119,760 
Common StockAdditional Paid-in
Capital
Accumulated
Deficit
Total Shareholders'
Equity
SharesAmount
Three Months Ended March 31, 2022
Balance at December 31, 202141,736,950 $417 $342,765 $(230,632)$112,550 
Net loss— — — (11,475)(11,475)
Stock-based compensation— — 2,678 — 2,678 
Issuance of restricted and performance stock units215,287 (2)— — 
Exercise of stock options and employee stock purchase plan20,750 97 — 98 
Balance at March 31, 202241,972,987 $420 $345,538 $(242,107)$103,851 
Three Months Ended March 31, 2021
Balance at December 31, 202040,618,766 $406 $326,390 $(203,647)$123,149 
Net loss— — — (6,660)(6,660)
Stock-based compensation— — 2,694 — 2,694 
Issuance of restricted and performance stock units94,533 (1)— — 
Exercise of stock options and employee stock purchase plan129,418 520 — 521 
Balance at March 31, 202140,842,717 $408 $329,603 $(210,307)$119,704 
See notes to condensed consolidated financial statements.
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Axogen, Inc.
Notes to Condensed Consolidated Financial Statements
(unaudited)
(In Thousands, Except Per Share Amounts)

1.Basis of Presentation
General
Unless the context otherwise requires, all references in these Notes to “Axogen,” the “Company”,“Company," “we,” “us” and “our” refer to Axogen, Inc. and its wholly owned subsidiaries Axogen Corporation (“AC”), Axogen Processing Corporation, and Axogen Europe GmbH.
1.Basis of Presentation
The accompanying unaudited condensed consolidated financial statements include the accounts of the Company as of June 30, 2021March 31, 2022, and December 31, 20202021 and for the three months ended March 31, 2022 and six-month periods ended June 30, 2021 and 2020.2021. The Company’s condensed consolidated financial statements have been prepared in accordance with the instructions to Form 10-Q and Rule 10-01 of Regulation S-X, and therefore, do not include all information and footnotes necessary for a fair presentation of consolidated financial position, results of operations, and cash flows in conformity with accounting principles generally accepted in the United States of America (“US GAAP”) and should be read in conjunction with the audited financial statements of the Company for the year ended December 31, 2020,2021, which are included in the Company’s Annual Report on Form 10-K as of and for the year ended December 31, 2020. 2021.
The interim condensed consolidated financial statements are unaudited and in the opinion of management, reflect all adjustments, consisting only of normal recurring adjustments, necessary for a fair presentation of results for the periods presented. Results for interim periods are not necessarily indicative of results for the full year. All intercompany accounts and transactions have been eliminated in consolidation.
The results of operations for the three and six-monthsmonths ended June 30, 2021March 31, 2022, are not necessarily indicative of the results to be expected for the full fiscal year due primarily to the impact of the continued uncertainty of general economic conditions that may impact our markets for the remainder of fiscal year 2021.2022. Specifically, there can be no assurances that resurgences of coronavirus (“COVID-19”)COVID-19 will not affect future results.

Certain prior year amounts have been reclassified for consistency with the current year presentation. These reclassifications had no effect on the reporting results of operations.
2.Summary of Significant Accounting Policies
The changes below were made to the Company's significant accounting policies previously disclosed in Note 3, Summary of Significant Accounting Policies, in its Annual Report on Form 10-K, filed on February 25, 2022, for the year ended December 31, 2021.
Cash and Cash Equivalents and Concentration
The Company considers highly liquid investments with maturities of three months or less at the date of acquisition as cash equivalents in the accompanying condensed consolidated financial statements. The Company has not experienced any losses related to these balances; however, as of June 30, 2021, $52,578March 31, 2022, $14,059 of the cash and cash equivalents balance was in excess of Federal Deposit Insurance Corporation limits. As of June 30, 2021March 31, 2022, and December 31, 2020,2021, the Company had restricted cash balances of $6,333$6,251 and $6,842,$6,251, respectively. The June 30, 2021March 31, 2022, and December 31, 20202021 balances both include $6,000 and $250, which representsrepresent collateral for antwo irrevocable standby letterletters of credit. The June 30, 2021See "Note 8 - Long-Term Debt, Net of Debt Discount and December 31, 2020 balances include $83 and $842, respectively, which is the balance of the Heights Union Escrow Account (see Note 13 - Commitments and Contingencies). Additionally, the June 30, 2021 balance includes an additional irrevocable standby letter of credit in the amount of $250 (See Note 10 - Long Term Debt).Financing Fees."
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The following table provides a reconciliation of cash, cash equivalents, and restricted cash reported within the condensed consolidated balance sheetsheets that sum to the total of the same amounts shown in the statementcondensed consolidated statements of cash flows:
June 30,
2021
December 31,
2020
(In thousands)(In thousands)March 31,
2022
December 31,
2021
Cash and cash equivalentsCash and cash equivalents$53,078 $48,767 Cash and cash equivalents$14,559 $32,756 
Restricted cashRestricted cash6,333 6,842 Restricted cash6,251 6,251 
Total cash, cash equivalents, and restricted cash shown in the statement of cash flowsTotal cash, cash equivalents, and restricted cash shown in the statement of cash flows$59,411 $55,609 Total cash, cash equivalents, and restricted cash shown in the statement of cash flows$20,810 $39,007 

Revenue RecognitionStock-Based Compensation
The Company enters into contractsmeasures stock options granted to sellemployees and distribute products and services to hospitals and surgical facilities for use in caring for patients with peripheral nerve damage or transection. Revenue is recognized whendirectors at a premium price based on market conditions, such as the Company has met its performance obligations pursuant to its contracts with its customers in an amount that the Company expects to be entitled to in exchange for the transfer of controltrading price of the products and servicesCompany’s common stock, using a Monte Carlo Simulation in estimating the fair value at grant date. The determination of the fair value is affected by the Company's stock price, as well as assumptions regarding several subjective variables. These variables include, but are not limited to, the Company’s customers.
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In the case of products or services sold to a customer under a distribution or purchase agreement, the customers are granted exclusive distribution rights to sell the implants internationally in a territory defined by the contract. These international distributor agreements contain provisions that allow the Company to terminate the distribution agreement with the distributor, and upon termination, the right to repurchase inventory from the distributor at the distributor’s cost. The Company has determined that its contractual rights to repurchase distributor inventory upon termination of the distributor agreement are not substantive and do not impact the timing of when control transfers; and, therefore, the Company has determined it is appropriate to recognize revenue when: i) the product is shipped via common carrier; or ii) the product is delivered to the customer or distributor, depending on the terms of the agreement. Determining the timing of revenue recognition for such contracts is subject to judgment, because an evaluation must be made regarding the distributor’s ability to direct the use of, and obtain substantially all of the remaining benefits from, the implants received from the Company. Changes in these assessments could have an impact on the timing of revenue recognition from sales to distributors.
A portion of the Company’s product revenue is generated from consigned inventory maintained at hospitals and independent sales agencies, and also from inventory physically held by field sales representatives. For these types of products sales, the Company retains control until the product has been used or implanted, at which time revenue is recognized.
The Company accounts for shipping and handling activities as a fulfillment cost rather than a separate performance obligation. Amounts billed to customers for shipping and handling are included as part of the transactionexpected stock price and recognized as revenue when control of the underlying products is transferred to the customer. The related shipping and freight charges incurred by the Company are included in cost of sales.
The Company operates in a single reportable segment of peripheral nerve repair, offers similar products to its customers, and enters into consistently structured arrangements with similar types of customers. As such, the Company does not disaggregate revenue from contracts with customers as the nature, amount, timing and uncertainty of revenue and cash flows does not materially differ within and among the contracts with customers.
The contract with the customer states the final terms of the sale, including the description, quantity, and price of each implant distributed. The payment terms and conditions in the Company’s contracts vary; however, as a common business practice, payment terms are typically due in full within thirty to sixty days of delivery. Since the customer agrees to a stated price in the contract that does not vary over the contract term, the contracts do not contain any material types of variable consideration, and contractual rights of return are not material. The Company has several contracts with distributors in international markets which include consideration paid to the customer in exchange for distinct marketing and other services. The Company records such consideration paid to the customer as a reduction to revenue from the contracts with those distributor customers.
In connection with the Acroval Neurosensory and Motor Testing System, the Company sold extended warranty and service packages to some of its customers who purchased this evaluation and measurement tool, and the prepayment of these extended warranties represent contract liabilities until the performance obligations are satisfied ratablyvolatility over the term of the contract.awards. The saleCompany determines the expected life of each award giving consideration to the contractual terms, vesting schedules, and post-vesting forfeitures. The Company uses the risk-free interest rate on the implied yield currently available on U.S. Treasury issues with an equivalent remaining term approximately equal to the expected life of the aforementioned extended warranty represents the only performance obligation the Company satisfies over time and creates the contract liability disclosed below.award. The opening and closing balancesvalue of the portion of the award that is ultimately expected to vest is recognized as expense over the requisite service periods in the Company’s contract receivables and liabilities areconsolidated statements of operations. The expense has been reduced for forfeitures as follows:
Contract Balances
Net ReceivablesContract Liabilities, CurrentContract Liabilities, Long-Term
Opening, January 1, 2020$16,944 $14 $15 
Closing, June 30, 202014,049 14 
Increase (decrease)(2,895)(6)
Opening, January 1, 2021$17,618 $14 $
Closing, June 30, 202118,182 14 
Increase (decrease)564 (3)


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Allowance for Doubtful Accounts Receivable and Concentration of Credit Riskthey occur.
The Company evaluates the collectability of accounts receivable to determine the appropriate allowancerecognizes expense for doubtful accounts. In determining the amount of the allowance, the Company considers aging of account balances, historical credit losses, customer-specific information, the current economic environment, supportable forecasts and other relevant factors. An increase to the allowance for doubtful accounts results in a corresponding increase in general and administrative expense. The Company reviews accounts receivable and adjusts the allowance based on current circumstances and charges off uncollectible receivables against the allowance when all attempts to collect the receivable have failed. The Company’s history of write-offs has not been significant. The allowance for doubtful accounts balance was approximately $258 and $416 at June 30, 2021 and December 31, 2020, respectively.
Concentrations of credit risk with respect to accounts receivable are limited because a large number of geographically diverse customers make up the Company’s customer base, thus spreading the credit risk. The Company also controls credit risk through credit approvals and monitoring procedures.

Derivative Instruments
The Company analyzes all financial instruments with features under Accounting Standards Codification ("ASC") 480, “Distinguishing Liabilities from Equity” and ASC 815, “Derivatives and Hedging”. The Company also reviews debt agreements for embedded features. If these features are not clearly and closely related to the debt host, they meet the definition of a derivative and require bifurcation from the host. All derivative instruments are recorded on the balance sheet at their respective fair values. The Company will adjust the carrying value of the derivative liability to fair value at each subsequent reporting date. The changes in the value of the derivatives are recorded in the consolidated statement of operations in the period in which they occur.

Net Loss Per Share
Basic net loss per share is computed by dividing reported net loss by the weighted average number of common shares outstanding for the reported period. Diluted net loss per share reflects the potential dilution that could occur if securities or other contracts to issue common stock were exercised or converted into common stock of the Company during the reporting period. Diluted net loss per share is computed by dividing net loss by the sum of the weighted average number of common shares and the number of potential dilutive common share equivalents outstanding during the period. Potential dilutive common share equivalents consist of the incremental common shares issuable upon the exercise of vested share options and the incremental shares issuable upon conversion of the convertible notes. Potential dilutive common share equivalents consist ofstock-based compensation awards, including stock options, restricted stock units (“RSUs”("RSUs"), and performance stock units (“PSUs”("PSUs"). granted to employees eligible for retirement, as defined within the award notice and allowing for continued vesting post-retirement, over the retirement notice period and continuously updates its estimate of expense over the notice period each reporting period if a retirement notice has not been provided.
Due to net losses for the three and six months ended June 30, 2021 and 2020, basic and diluted net loss per share were the same as the effect of potentially dilutive securities and would have been anti-dilutive.

3.Recently Issued Standards to be AdoptedRecent Accounting Pronouncements
The Company’s management has reviewed and considered all other recent accounting pronouncements and believe there are none that could potentially have a material impact on the Company’s condensed consolidated financial condition, results of operations, or disclosures.

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4.3.     Inventory
Inventory is comprised ofincludes unprocessed tissue, work-in-process, Avance® Nerve Graft, Axoguard Nerve Connector®, Axoguard Nerve Connector, AxoguardProtector®, Axoguard Nerve Protector, AxoguardCap®Nerve Cap, Acroval®Neurosensory, and Motor Testing System, Axotouch® Two-Point Discriminator finished goods and supplies andsupplies. Inventory is valued at the lower of cost (first-in, first-out) or net realizable value and consistconsists of the following:
June 30,
2021
December 31,
2020
Finished goods$9,288 $8,876 
Work in process482 751 
Raw materials3,645 2,902 
Inventory$13,415 $12,529 
(In thousands)March 31,
2022
December 31,
2021
Finished goods$11,856 $11,011 
Work in process851 813 
Raw materials4,693 4,869 
Inventory$17,400 $16,693 
Included within Inventory is Avive® Soft Tissue Membrane ("Avive"). On May 17, 2021 the Company announced that it would suspend market availability of Avive effective June 1, 2021 pending ongoing discussions with the U.S. Food and Drug Administration (FDA) regarding the regulatory classification of Avive. The Company recorded a write-down of Avive inventory for an amount of $1,251 recorded in cost of goods sold in the condensed consolidated statement of operations related to this announcement.
The Company monitors the shelf life of its products and historical expiration and spoilage trends and writes-down inventory based on the estimated amount of inventory that may not be distributed before expiration or spoilage. For the six months ended June 30, 2021 and 2020, the Company had adjustments to the provision for inventory write downswrite-downs was $459 and $783 for the three months ended March 31, 2022, and 2021, respectively.
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4.     Property and Equipment, Net
Property and equipment consist of $2,455 (including the reservefollowing:
(In thousands)March 31,
2022
December 31,
2021
Furniture and equipment$5,107 $5,100 
Leasehold improvements14,952 14,952 
Processing equipment4,058 3,984 
Land731 731 
Projects in process50,314 45,660 
Finance lease right-of-use assets110 110 
Property and equipment, at cost75,272 70,537 
Less: accumulated depreciation and amortization(8,318)(7,614)
Property and equipment, net$66,954 $62,923 
Depreciation expense for Avivethe three months ended March 31, 2022 and 2021 was $704 and $772, respectively. The Company further added to its projects in process total which is related to our Axogen Processing Center (“APC Facility”). See "Note 12 - Commitments and Contingencies."
5.     Intangible Assets, Net
The Company’s intangible assets consist of $1,251),the following:
March 31, 2022December 31, 2021
(In thousands)Gross Carrying AmountAccumulated AmortizationNet Carrying AmountGross Carrying AmountAccumulated AmortizationNet Carrying Amount
Amortizable intangible assets:
Patents$2,861 $(267)$2,594 $2,469 $(234)$2,235 
License agreements1,101 (889)212 1,101 (852)249 
Total amortizable intangible assets3,962 (1,156)2,806 3,570 (1,086)2,484 
Unamortized intangible assets
Trademarks384 — 384 375 — 375 
Total intangible assets$4,346 $(1,156)$3,190 $3,945 $(1,086)$2,859 
License agreements are being amortized over periods ranging from 17-20 years. Patent costs are being amortized over periods of up to 20 years. Amortization expense was $69 and $1,624$47 for the three months ended March 31, 2022 and 2021, respectively.

Year Ending December 31,(In thousands)
2022 (excluding the three months ended March 31, 2022)$189 
2023218 
2024149 
2025149 
2026148 
Thereafter1,953 
Total$2,806 
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5.
License Agreements
Royalty fees under our License Agreements with the University of Florida Research Foundation and the University of Texas at Austin were $673 and $641 during the three months ended March 31, 2022 and 2021, respectively, and are included in sales and marketing expense in the accompanying condensed consolidated statements of operations.
6.     Fair Value ConsiderationsMeasurement
The Company uses fair value measurements to record fair value adjustments to certain assets and liabilities and to determine fair value disclosures. Cash equivalents, investments and derivative instruments are recorded at fair value on a recurring basis. Fair value is defined as the price that would be received upon the sale of an asset or paid to transfer a liability in an orderly transaction between market participants on the measurement date. Valuation techniques used to measure fair value maximize the use of observable inputs and minimize the use of unobservable inputs. The fair value hierarchy defines a three-level valuation hierarchy for classification and disclosure of fair value measurements as follows:
Level 1 – Quoted prices in active markets for identical assets or liabilities.
Level 2 – Inputs other than Level 1 that are observable, either directly or indirectly, such as quoted prices for similar assets or liabilities; quoted prices in markets that are not active; or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.
Level 3 – Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.
The Company classifies cash equivalentsThere has been no movement between Level 1 and investments according to the hierarchy of techniques used to determine fair value based on the types of inputs.  The Company has elected the Fair Value Option for all investments in debt securities.
On June 30, 2020, the Company entered into the Oberland Facility (See Note - 10 Long-Term Debt),Level 2 or between Level 2 and concluded that the term debt instrument included certain embedded features that required separate accounting (the “Debt Derivative Liability”) and that the equity contract entered into concurrently was required to be classified as a liability and recorded at its fair value. These instruments were determined to be financial liabilities requiring Level 3 fair value measurements.
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The following table represents the Company’s fair value hierarchy for its financial assetsfrom December 31, 2021 to March 31, 2022. Assets and liabilities measured at fair value are classified in their entirety based on a recurring basis asthe lowest level of June 30, 2021:
(Level 1)(Level 2)(Level 3)Total
June 30, 2021
Assets:
Money market funds$31,496 $$$31,496 
U.S. government securities12,059 12,059 
Commercial paper34,780 34,780 
Total assets$43,555 $34,780 $$78,335 
Liabilities
Oberland facility$0$50,663 $50,663 
Debt derivative liabilities03,776 3,776 
Total liabilities$$$54,439 $54,439 
(Level 1)(Level 2)(Level 3)Total
December 31, 2020
Assets:
Money market funds$23,044 $$$23,044 
U.S. government securities12,123 12,123 
Corporate bonds6,408 6,408 
Commercial paper36,668 36,668 
Total assets$35,167 $43,076 $$78,243 
Liabilities
Oberland facility036,855 36,855 
Debt derivative liabilities02,4972,497
Total liabilities$$$39,352 $39,352 
Oberland Facility

The Company estimatesinput that is significant to the fair value of long-term debt under the Oberland Facility using a discounted cash flow analysis and rates being offered for similar loans to borrowers with similar credit ratings. The discounted cash flow model uses unobservable inputs, including estimates of discount rates and loan prepayments. Both tranches of the Oberland Facility are classified as Level 3. The estimated fair value of the Company’s long-term debt under the Oberland Facility was $50,663 and $36,855, at June 30, 2021 and December 31, 2020, respectively (See Note 10 - Long-Term Debt).
Debt Derivative Liabilitiesmeasurement.
The Debt Derivative Liabilities are measured using a ‘with and without’ valuation model to compare the fair value of the Company's financing agreement with Oberland FacilityCapital including the identified embedded derivative features and the fair value of a plain vanilla note with the same terms. The fair value of the Oberland Facility including the embedded derivative features was determined using a probability-weighted expected return model based on four4 potential settlement scenarios for the Oberland Facility due to (a) a 5% probability of a mandatory prepayment event between January 1, 2024 andof the respective maturity datesOberland Facility on December 31, 2023; (b) a 15% probability of June 30, 2027 and June 30, 2028 fora mandatory prepayment event of the first and second tranche, respectively; (a)Oberland Facility on March 31, 2026; (c) a 5% probability of the prepayment of the Oberland Facility at the Company’s option;option on December 31, 2025; and (b) the repayment of(d) a 75% probability that the Oberland Facility atwill be held to its scheduled maturity dates in accordance with the terms of the debt agreement. The estimated settlement value of each scenario, which would include any required make-whole payment, (See Note 10 - Long-Term Debt) is then discounted to present value using a discount rate that is derived based on the initial terms of the Oberland Facility at issuance and corroborated utilizing a synthetic credit rating analysis.
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The significant inputs that are included in the valuation of the Debt Derivative Liability - first tranche include:
June 30, 2021December 31, 2020
Input
Remaining term (years)66.50
Maturity dateJune 30, 2027June 30, 2027
Coupon rate9.50 %9.50 %
Revenue participation paymentsMaximum each yearMaximum each year
Discount rate8.65 %(1)8.70 %(1)
Probability of mandatory prepayment before 20245.0 %(1)5.0 %(1)
Estimated timing of mandatory prepayment event before 2024December 31, 2023(1)December 31, 2023(1)
Probability of mandatory prepayment 2024 or after15.0 %(1)15.0 %(1)
Estimated timing of mandatory prepayment event 2024 or afterMarch 31, 2026(1)March 31, 2026(1)
Probability of optional prepayment event5.0 %(1)5.0 %(1)
Estimated timing of optional prepayment eventDecember 31, 2025(1)December 31, 2025(1)
March 31, 2022December 31, 2021
Input
Remaining term (years)5.255.5
Maturity dateJune 30, 2027June 30, 2027
Coupon rate9.50 %9.50 %
Revenue participation paymentsMaximum each yearMaximum each year
Discount rate11.2% (1)10.72% (1)
Probability of mandatory prepayment before 20245.0 %(1)5.0 %(1)
Estimated timing of mandatory prepayment event before 2024December 31, 2023(1)December 31, 2023(1)
Probability of mandatory prepayment 2024 or after15.0 %(1)15.0 %(1)
Estimated timing of mandatory prepayment event 2024 or afterMarch 31, 2026(1)March 31, 2026(1)
Probability of optional prepayment event5.0 %(1)5.0 %(1)
Estimated timing of optional prepayment eventDecember 31, 2025(1)December 31, 2025(1)
(1)Represents a significant unobservable input
The significant inputs that are included in the valuation of the Debt Derivative Liability - second tranche include:
June 30, 2021March 31, 2022December 31, 2021
InputInputInput
Remaining term (years)Remaining term (years)7Remaining term (years)6.256.5
Maturity dateMaturity dateJune 30, 2028Maturity dateJune 30, 2028June 30, 2028
Coupon rateCoupon rate9.50 %Coupon rate9.5% 9.5% 
Revenue participation paymentsRevenue participation paymentsMaximum each yearRevenue participation paymentsMaximum each yearMaximum each year
Discount rateDiscount rate11.21 %(1)Discount rate14.4 %(1)13.21 %(1)
Probability of mandatory prepayment before 2024Probability of mandatory prepayment before 20245.0 %(1)Probability of mandatory prepayment before 20245.0% (1)5.0% (1)
Estimated timing of mandatory prepayment event before 2024Estimated timing of mandatory prepayment event before 2024December 31, 2023(1)Estimated timing of mandatory prepayment event before 2024December 31, 2023(1)December 31, 2023(1)
Probability of mandatory prepayment 2024 or afterProbability of mandatory prepayment 2024 or after15.0 %(1)Probability of mandatory prepayment 2024 or after15.0% (1)15.0% (1)
Estimated timing of mandatory prepayment event 2024 or afterEstimated timing of mandatory prepayment event 2024 or afterMarch 31, 2026(1)Estimated timing of mandatory prepayment event 2024 or afterMarch 31, 2026(1)March 31, 2026(1)
Probability of optional prepayment eventProbability of optional prepayment event5.0 %(1)Probability of optional prepayment event5.0% (1)5.0% (1)
Estimated timing of optional prepayment eventEstimated timing of optional prepayment eventDecember 31, 2025(1)Estimated timing of optional prepayment eventDecember 31, 2025(1)December 31, 2025(1)
(1)Represents a significant unobservable input
There were no changes inThe following table represents the levels or methodology of the measurement ofCompany’s fair value hierarchy for its financial assets orand liabilities during the threemeasured at fair value on a recurring basis as of March 31, 2022 and six months ended June 30, 2021.  The maturity dates of the Company’s investments are less than one year.December 31, 2021 (in thousands):
March 31, 2022(Level 1)(Level 2)(Level 3)Total
Assets:
Money market funds$7,358 $— $— $7,358 
U.S. government securities17,988 — — 17,988 
Commercial paper— 34,870 — 34,870 
Total assets$25,346 $34,870 $— $60,216 
Liabilities
Debt derivative liabilities— — 5,310 5,310 
Total liabilities$— $— $5,310 $5,310 
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December 31, 2021(Level 1)(Level 2)(Level 3)Total
Assets:
Money market funds$22,012 $— $— $22,012 
U.S. government securities12,081 — — 12,081 
Commercial paper— 39,249 — 39,249 
Total assets$34,093 $39,249 $— $73,342 
Liabilities
Debt derivative liabilities$— $5,562 $5,562 
Total liabilities$— $— $5,562 $5,562 
The following represents the rollforward of thechanges in Level 3 liabilities measured at fair value of instruments classifiedon a recurring basis were as Level 3 measurements for the three and six months ended June 30, 2021:follows (in thousands):
Three Months Ended March 31, 2022
Balance at December 31, 2021$5,562 
Change in fair value included in net loss(252)
Balance at March 31, 2022$5,310 
Quarter Ending June 30,Three Months Ended March 31, 2021
Beginning Balance April 1, 2021at December 31, 2020$39,2052,497 
Addition of Oberland Facility - second tranche13,827 
Addition of debt derivative - second tranche1,173 
Change in fair value of Oberland Facilityincluded in net loss15022 
Change in fair value of debt derivative84 
Ending Balance June 30,at March 31, 2021$54,439 
Six Months Ending June 30, 2021
Beginning Balance, January 1, 2021$39,352 
Addition of Oberland Facility - second tranche13,827 
Addition of debt derivative - second tranche1,173 
Change in fair value of Oberland Facility(18)
Change in fair value of debt derivative105 
Ending Balance, June 30, 2021$54,4392,519 
The fair value of cash, restricted cash, accounts receivable, accounts payable and accrued expenses approximates the carrying values because of the short-term nature of these instruments. The Oberland Facility is classified as Level 3 within the fair value hierarchy. The carrying value and estimated fair value of the Oberland Facility were $45,041 and $52,234 at March 31, 2022, and $45,325 and $52,605 at December 31, 2021, respectively. See "Note 8 - Long-Term Debt, Net of Debt Discount and Financing Fees ."

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6.Prepaid Expense and Other

Prepaid and other assets consist of the following:
June 30,
2021
December 31,
2020
Prepaid insurance$1,389 $2,596 
Stock option receivable421 
Litigation receivable23 23 
Prepaid events318 203 
Prepaid marketing270 587 
Prepaid software license312 220 
Prepaid professional fees380 251 
Other prepaid items835 414 
Prepaid and Other Assets$3,948 $4,296 
Our policy year for our insurance runs on a calendar year and as such a significant portion of the policy payment is made on or about the beginning of the new year and amortized to expense throughout the remaining year.

7.     Leases
The Company leases administrative, manufacturing, research and distribution facilities through operating leases. Several of leases include fixed payments including rent and non-lease components such as common-area or other maintenance costs.
On January 27, 2022, AC entered into a Commercial Lease Amendment ("Amendment") with JA-Cole L.P., with an effective date of February 1, 2022, pursuant to the original Commercial Lease dated April 21, 2015, as amended (the "Lease"). The lease is for the office and warehouse facility located in Burleson, Texas. The Amendment revised the commencement date to May 1, 2022 and the expiration date to April 30, 2027. The Company accounted for the Lease revisions as a lease modification in accordance with Accounting Standard Codification ("ASC") 842, Leases, as the modification effectively terminated the existing lease and created a new lease which commenced on February 1, 2022. The Lease and related modification entries are included in the operating lease line items on the condensed consolidated balance sheet.
Total operating lease expense for the three months ended March 31, 2022 and 2021 was $1,408 and $1,225 respectively.
Supplemental balance sheet information related to the operating and financing leases is as follows:
(In thousands, except lease term and discount rate )March 31, 2022December 31, 2021
Operating Leases
Right-of-use operating assets$15,406 $15,193 
Current maturities of long-term lease obligations$2,065 $1,825 
Long-term lease obligations$20,875 $20,794 
Financing Leases
Right-of-use financing leases (1)
$36 $42 
Current maturities of long-term lease obligations$$
Long-term lease obligations$$
Weighted average operating lease term (in years):11.212.1
Weighted average operating financing term (in years):1.42.2
Weighted average discount rate operating lease10.26 %10.32% 
Weighted average discount rate financing lease7.09% 7.23% 
(1) Financing leases are included within property and equipment, net on the condensed consolidated balance sheets.
Future minimum lease payments under operating and financing leases at March 31, 2022 were as follows:
(In thousands) 
2022 (excluding the three months ended March 31, 2022)$3,213 
20233,415 
20243,186 
20253,268 
20263,276 
Thereafter24,056 
Total$40,414 
Less: Imputed interest(17,463)
Total lease liability$22,951 
Less: Current lease liability$(2,073)
Long-term lease liability$20,878 
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Table8.     Long-Term Debt, Net of Contents
Debt Discount and Financing Fees
7.PropertyLong-term debt, net of debt discount and Equipment
Property and equipment consist of the following:
June 30,
2021
December 31,
2020
Furniture and equipment$4,166 $2,334 
Leasehold improvements14,469 12,983 
Processing equipment3,580 2,634 
Land731 731 
Projects in process34,236 24,540 
Property and equipment, at cost57,182 43,223 
Less: accumulated depreciation and amortization(6,230)(4,825)
Property and equipment, net$50,952 $38,398 
Depreciation expense for the three months ended June 30, 2021 and 2020 was $633 and $311, respectively. Depreciation expense for the six months ended June 30, 2021 and 2020 was $1,405 and $618, respectively. The significant increase in projects in process is related to our Axogen Processing Center (“APC”) facility (See Note 13 - Commitments and Contingencies).
On September 20, 2018, the Company entered into an agreement (the “Heights Agreement”) with Heights Union, LLC, a Florida limited liability company (“Heights Union”), for the lease of NaN square feet of office space in Tampa, Florida (See Note 13 - Commitments and Contingencies). In May 2020, the Company entered into a construction escrow agreement with Heights Union and Commonwealth Land Title Insurance Company (“Escrow Agent”), which provided for the establishment of a federally insured escrow bank account (the “Escrow Account”) to hold Company funds to be used for tenant improvements in excess of the tenant allowance as provided in the Heights Agreement. The Company deposited $6,289 into the Escrow Account for use in completing construction of the tenant improvements. The Escrow Agent will disburse the funds upon joint written instructions from Heights Union and the Company. During both the three month and six months ended June 30, 2021, $759 was disbursed from the Escrow Account and recorded in property and equipment account on the balance sheet. As of June 30, 2021, $83 remained in the Escrow Account and is recorded as restricted cash in the condensed consolidated balance sheet.

8.Intangible Assets
The Company’s intangible assets consist of the following:
June 30, 2021December 31, 2020
Gross Carrying AmountAccumulated AmortizationNet Carrying AmountGross Carrying AmountAccumulated AmortizationNet Carrying Amount
Amortized intangible assets
Patents$1,987 $(180)$1,807 $1,496 $(139)$1,357 
License agreements1,101 (800)301 1,093 (745)348 
Total amortizable intangible assets$3,088 $(980)$2,108 $2,589 $(884)$1,705 
Unamortized intangible assets
Trademarks$352 $— $352 $349 $— $349 
Total intangible asset, net$3,440 $(980)$2,460 $2,938 $(884)$2,054 

License agreements are being amortized over periods ranging from 17-20 years. Patent costs are being amortized over periods of up to 20 years. Amortization expense was approximately $49 and $36 for the three months ended June 30, 2021 and
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2020, respectively. Amortization expense was approximately $96 and $72 for the six months ended June 30, 2021 and 2020, respectively. As of June 30, 2021, future amortization of license agreements and patents is as follows:
Year Ending December 31,
2021 (excluding the six months ended June 30, 2021)$104 
2022208 
2023183 
2024106 
2025106 
Thereafter1,401 
Total$2,108 
License Agreements
The Company has entered into multiple license agreements (together, the “License Agreements”) with the University of Florida Research Foundation and the University of Texas at Austin. Under the terms of the License Agreements, the Company acquired exclusive worldwide licenses for underlying technology used in repairing and regenerating nerves. The licensed technologies include the rights to issued patents and patents pending in the United States and international markets. The effective term of the License Agreements extends through the term of the related patents and the agreements may be terminated by the Company with 60 days’ prior written notice. Additionally, in the event of default, licensors may terminate an agreement if the Company fails to cure a breach after written notice. The License Agreements contain the key terms listed below:
The Company pays royaltyfinancing fees ranging from 1% to 3% under the License Agreements based on net sales of licensed products. One of the agreements also contains a minimum royalty of $13 per quarter, which may include a credit in future quarters in the same calendar year for the amount the minimum royalty exceeds the royalty fees. Also, when the Company pays royalties to more than one licensor for sales of the same product, a royalty stack cap applies, capping total royalties at 3.75%;
If the Company sublicenses technologies covered by the License Agreements to third parties, the Company would pay a percentage of sublicense fees received from the third party to the licensor. Currently, the Company does not sublicense any technologies covered by License Agreements. The Company is not considered a sub-licensee under the License Agreements and does not owe any sub-licensee fees for its own use of the technologies;
The Company reimburses the licensors for certain legal expenses incurred for patent prosecution and defense of the technologies covered by the License Agreements; and
Currently, under the University of Texas at Austin’s agreement, the Company would owe a milestone fee of $15 upon receiving a Phase II Small Business Innovation Research or Phase II Small Business Technology Transfer grant involving the licensed technology. The Company has not received either grant and does not owe such a milestone fee.  A milestone fee to the University of Florida Research Foundation of $2 is due if the Company receives FDA approval of its Avance Nerve Graft, a milestone fee of $25 is due upon the first commercial use of certain licensed technology to provide services to manufacture products for third parties and a milestone fee of $10 is due upon the first use to manufacture products that utilize certain technology that is not currently incorporated into the Company's products.
Royalty fees were approximately $709 and $436 during the three months ended June 30, 2021 and 2020, respectively, and approximately $1,350 and $929 during the six months ended June 30, 2021 and 2020, respectively, and are included in sales and marketing expense on the accompanying condensed consolidated statements of operations.

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9.Accounts Payable and Accrued Expenses
Accounts payable and accrued expenses consist of the following:
June 30,
2021
December 31,
2020
Accounts payable$6,721 $4,597 
Accrued expenses5,480 3,778 
Accrued compensation7,638 13,593 
Accounts Payable and Accrued Expenses$19,839 $21,968 

10.Long-Term Debt
The carrying value of the Company’s outstanding debt consists of the following:
June 30, 2021December 31, 2020
(In thousands)(In thousands)March 31,
2022
December 31, 2021
Oberland Facility - first trancheOberland Facility - first tranche$35,000 $35,000 Oberland Facility - first tranche$35,000 $35,000 
Oberland Facility - second trancheOberland Facility - second tranche15,000 Oberland Facility - second tranche15,000 15,000 
Less - unamortized debt discount and deferred financing feesLess - unamortized debt discount and deferred financing fees(3,919)(2,973)Less - unamortized debt discount and deferred financing fees(4,959)(5,179)
Total long-term debt$46,081 $32,027 
Long-term debt, net of debt discount and financing feesLong-term debt, net of debt discount and financing fees$45,041 $44,821 
Oberland Facility
On June 30, 2020, the Company entered into a seven-year financing agreement with Oberland Capital (the “Oberland Facility”"Oberland Facility") and obtained the first tranche of $35,000 at closing. The Oberland Facility provides for a total of $75,000 through two additional tranches that can be drawn by December 31, 2021 and requires interest-only payments for the duration of the term.  A second tranche of $15,000 may be drawn at the Company’s option upon achieving 2 consecutive quarters with revenue of at least $20,000. Such second tranche may also be put to the Company at any time by Oberland Capital. A third tranche of $25,000 may be drawn at the Company’s option upon achieving 2 consecutive quarters with revenue of $28,000.  The financing costs for this facility are approximately $642 and were recorded as a contra liability to the debt facility. As of June 30, 2021, the Company has paid all of the financing costs. On June 30, 2021, the second tranche of $15,000 was drawn down by the Company. The second tranche of the Oberland Facility matures on June 30, 2028.

The Oberland Facility requires quarterly interest payments for seven years. Interest is calculated as 7.5% plus the greater of LIBOR or 2.0% (9.5% as of June 30, 2021)March 31, 2022). Each tranche of the Oberland Facility if and when issued, will havehas a term of seven years from the date of issuance (with the first tranche issued on June 30, 2020, maturing on June 30, 2027)2027 and the second tranche issued on June 30, 2021, maturing on June 30, 2028).  In connection with the Oberland Facility, the Company entered into a revenue participation agreement with Oberland Capital, which provides that, among other things, a quarterly royalty payment as a percentage of the Company’s net revenues, up to $70 million in any given fiscal year, subject to certain limitations set forth therein, during the period commencing on the later of (i) April 1, 2021 and (ii) the date of funding of a tranche of the loan, and ending on the date upon which all amounts owed under the Oberland Facility have been paid in full (the “Revenue Participation Agreement”). Payments will commenceunder the Revenue Participant Agreement commenced on September 30, 2021. ThisThe royalty structure resultsof the Revenue Participant Agreement results in approximately 1.0% per year of additional interest payments on the outstanding loan amount. The Company recorded $260$335 as interest expense for this revenue participation agreementRevenue Participation Agreement for both the three and six months periods ended June 30, 2021.March 31, 2022. The Company pays the quarterly debt interest on the last day of the quarter and for the three and six months ended June 30,March 31, 2022 and 2021 paid $840$1,187 and $1,672,$831, respectively, to Oberland Capital. The Company capitalized approximately $1,187interest of $1,445 and $520 for the interestthree months ended March 31, 2022 and 2021, respectively, towards the costs to construct and retrofit its Axogen Processing Centerthe APC Facility in Vandalia, OH (See Note 13 -OH. See "Note 12- Commitments and Contingencies).Contingencies." To date, the Company has capitalized interest of $6,719 related to this project. The capitalized interest is recorded as part of property and equipment, net in the condensed consolidated balance sheet.
Additionally, Oberland Capital had the right to purchase up to $3,500 worth of the Company's common stock from the Company in one transaction at any time after closing of the Oberland Facility until the later of (i) the date all amounts due under the Oberland Facility are repaid and (ii) June 30, 2027 (the “Oberland Option”). The purchase price of the common stock will
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be calculated based on the 45-day moving average of the closing stock price on the day prior to the purchase. On December 10, 2020, Oberland Capital exercised in full its option under the Option Agreement. The exercise price was determined to be $14.13, resulting in gross proceeds to the Company of approximately $3,500 and the issuance of 247,699 shares to TPC Investments II LP, a wholly owned subsidiary of Oberland Capital. In conjunction with the issuance, Oberland Capital received certain protective rights (including protection from down-round stock issuances) for a period of one year subsequent to the issuance.
The amounts outstanding under the Oberland Facility may be accelerated upon certain events, including: (a) required mandatory prepayments upon an asset sale; (b) in the event the Company is subject to (i) any litigation brought by a Governmental Authority (as defined in the Oberland Facility) including intervention after litigation is commenced by a Person (as defined in the Oberland Facility ), or (ii) any final administrative action by a Governmental Authority, in each case arising out of or in connection with any of the Company’s registry studies, payments made to doctors or training activities with respect to healthcare professionals (excluding certain final administrative action that have been fully and finally resolved by the parties pursuant to a settlement agreement) or (c) upon the occurrence of an event of default (either automatically or at the option of Oberland Capital depending on the nature of the event). In addition, the Company has the right to prepay any amounts outstanding under the Oberland Facility. Upon maturity or upon such earlier repayment of the Oberland Facility, the Company will repay the principal balance and provide a make-whole payment calculated to generate an internal rate of return to Oberland Capital of at least 11.5%, less the total of all quarterly interest and royalty payments previously paid to Oberland Capital.
Upon the occurrence of an event of default, the interest rate incurred on amounts outstanding under the Oberland Facility will be increased by 4%. The Oberland Facility includes a financial covenant requiring the Company to achieve revenue targets of $8,750 for the third and four quarters of 2020, $17,500 for the first and second quarter of 2021 and $20,000 for each quarter thereafter. In the event of a failure to meet such covenant the Company may avoid a default by electing to be subject to a liquidity covenant and meeting all of the obligations required by such covenant. Specifically, the liquidity covenant provides that the Company must maintain on deposit in a cash collateral account an amount not less than 1.1 times the aggregate outstanding principal balance of all outstanding loan amounts. The borrowings under the Oberland Facility are secured by substantially all of the assets of the Company.sheets. As of June 30, 2021,March 31, 2022, the Company was in compliance with all covenants. See "Note 12 - Commitments and Contingencies."
Accounting ConsiderationsEmbedded Derivatives
The Company assessedDebt Derivative Liabilities are recorded at fair value, with the accounting impactchange in fair value reported in the condensed consolidated statements of operations at each reporting date. The fair values of the Debt Derivative Liabilities were $5,310 and $5,562 at March 31, 2022 and December 31, 2021, respectively. See "Note 6 - Fair Value Measurement."
Unamortized Debt Discount and Financing Fees
The unamortized debt discount consists of the remaining unamortized initial fair values of the embedded derivatives related to the first and second tranches of the Oberland Facility andFacility. The debt discount is amortized over the respective life of the related agreements entered into with Oberland Capital. tranche and recorded in interest expense using the effective yield method.
The Company concluded thatfinancing fees for the Oberland Facility were $642 and the Revenue Participation Agreement should be assessed on a combined unit of account basis (with the Revenue Participation Agreement being considered as an embedded feature with the Oberland Facility), and that the Oberland Option should be consideredwere recorded as a separate freestanding instrument for analysis purposes.
In relation to the Oberland Facility and Revenue Participation Agreement, the Company assessed the identified embedded features to determine if they would require separate accounting. In performing this assessment, the Company concluded the following embedded features met the definition of a derivative and would not be considered clearly and closely relatedcontra liability to the debt instrument, requiring separate accounting as bifurcated derivatives:
Mandatory prepayments upon an asset sale or litigation involvingfacility. The financing fees are amortized over the government, including the make-whole payment (put rights)
Optional or automatic prepayment upon an event of default (put rights)
Payments under the Revenue Participation Agreement (contingent interest feature)
Additional interest upon events of default (contingent interest feature)

The Company considered these separable embedded features on a combined basis as a single derivative feature. The Company estimated the fair value of these features as $2,387 aslife of the date of issuancefirst tranche of the Oberland Facility and recorded this value as a deduction toin interest expense.
Amortization of debt discount and deferred financing fees for the carrying value of the Oberland Facility. As a result of the second tranche draw, the Company recorded an additional derivativethree months ended March 31, 2022 and estimated the fair value to be $1,173.2021 was $219 and $112, respectively.
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Other credit facilities
The Company maintains restricted cash of $6,333$6,251 and $6,842$6,251 at June 30, 2021March 31, 2022 and December 31, 2020,2021, respectively. InThe March 31, 2022 and December 31, 2021 balances both years, the balance includesinclude $6,000 and $250, which representsrepresent collateral for antwo irrevocable standby letterletters of credit. In March 2021, the Company entered in an agreement which required an additional irrevocable standby letter of credit in the amount of $250.
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The remaining activity in the account relates to the Heights Union Escrow Account (see Note 13 - Commitments and Contingencies).

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11.Stock9.     Stock-Based Incentive Plans
The Company maintains 2 share-based incentive plans: the Axogen, 2017 StockInc. Amended and Restated 2019 Long-Term Incentive Plan, as amended (“20172019 Plan”), and the Axogen 2017 Employee Stock Purchase Plan (“2017 ESPP”).
Overview of Equity Incentive Plans
At the 2019 Annual Meeting of Shareholders held on August 14, 2019, the shareholders approved the Axogen 2019 Long-Term Incentive Plan (the “New Axogen Plan”), which allows for issuance of incentive stock options, non-qualified stock options, PSUs and RSUs to employees, directors and consultants at exercise prices not less than the fair market value at the date of grant. The number of shares of common stock authorized for issuance under the New Axogen Plan is (A) 3,385,482 shares, comprised of (i) 3,000,000 new authorized shares and (ii) 385,482 unallocated shares of common stock available for issuance as of August 14, 2019 pursuant to the Company’s 2010 Stock Incentive Plan, as amended and restated (the “Prior Axogen Plan”), that were not then subject to outstanding awards; plus (B) shares under the Prior Axogen Plan and the New Axogen Plan that are cancelled, forfeited, expired, unearned or settled in cash, in any such case that does not result in the issuance of common stock. Following shareholder approval of the New Axogen Plan, no future awards will be made under the Prior Axogen Plan. At the 2021 Annual Meeting of Shareholders held May 10, 2021, the shareholders approved an additional 2,500,000 shares to be allocated for issuance under the New Axogen Plan. As of June 30, 2021, 2,832,712March 31, 2022, 749,538 shares of common stock were available for issuance under the New Axogen Plan.
The2019 Plan.The Company recognized stock-based compensation expense, which consisted of compensation expense related to employee stock options, PSUs RSUs and the 2017 ESPPRSUs based on the value of share-based payment awards that are ultimately expected to vest during the period and stock-based compensation expense of approximately $3,805$2,678 and $2,222$2,694 for the three months ended June 30,March 31, 2022 and 2021, and 2020, respectively and approximately $6,499 and $2,778 for the six months ended June 30, 2021 and 2020, respectively.
Stock Options
The options granted to employees prior to July 1, 2017 typically vest 25% 1 year after the grant date and 12.5% every six months thereafter for the remaining three-year period until fully vested after four years. The options granted to employees after July 1, 2017 typically vest 50% two years after the grant date and 12.5% every six months thereafter for the remaining two-year period until fully vested after four years. The options granted to directors and certain options granted from time to time to certain executive officers have vested ratably over three years, 25% per quarter over one year or had no vesting period. Options typically have terms ranging from seven to ten years.
The Company estimates the fair value of each option award issued under such plans on the date of grant using a Multiple Point Black-Scholes option-pricing model which uses a weighted average of historical volatility and peer company volatility. The Company determines the expected life of each award giving consideration to the contractual terms, vesting schedules and post-vesting forfeitures. The Company uses the risk-free interest rate on the implied yield currently available on U.S. Treasury issues with an equivalent remaining term approximately equal to the expected life of the award.

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A summary of the stock option activity is as follows:
OptionsWeighted Average Exercise PriceWeighted Average Remaining Contractual LifeAggregate Intrinsic Value (in thousands)
Outstanding, December 31, 20203,516,484 $12.79 5.93$25,718 
Granted556,160 $20.23 
Exercised(545,912)$5.86 
Cancelled(126,171)$16.81 
Outstanding, June 30, 20213,400,561 $14.97 6.59$27,868 
Exercisable, June 30, 20211,978,225 $13.57 4.97$19,749 

OptionsWeighted Average Exercise PriceWeighted Average Remaining Contractual LifeAggregate Intrinsic Value (in thousands)
Outstanding, December 31, 20213,194,738 $15.65 6.45$2,236 
Granted999,877 $9.22 
Exercised(20,750)$4.69 
Cancelled(56,889)$16.61 
Outstanding, March 31, 20224,116,976 $14.13 6.99$1,144 
Exercisable, March 31, 20222,085,998 $14.78 4.87$1,144 
The Company used the following weighted-average assumptions for options granted during the periods indicated:three months ended March 31, 2022:
June 30, 2021
Expected term (in years)5.936.12
Expected volatility58.9160.74  %
Risk free rate1.032.15  %
Expected dividends0  %
As of March 31, 2022, there was approximately $11,152 of total unrecognized compensation costs related to unvested stock options. These costs are expected to be recognized over a weighted-average period of 2.88 years.
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Restricted and Performance Stock Units
RSUs granted to employees have a requisite service period of four years. The RSUs granted to directors and certain RSUs granted from time to time to certain executive officers have vested ratably over three years, over one year or had no vesting period. The Company expenses the fair value of restricted stock awards on a straight-line basis over the requisite service period. PSUs generally have a requisite service period of three years and are subject to graded vesting conditions based on revenue goals of the Company. The Company expenses their fair value over the requisite service period.
A summary of the status of non-vested RSUs/PSUsrestricted and performance stock unit activity is as of June 30, 2021 and the changes during the six months then ended are presented below:follows:
Outstanding Stock UnitsOutstanding Stock Units
Stock UnitsWeighted-Average Fair Value at Date of Grant per ShareWeighted Average Remaining Vesting LifeAggregate Intrinsic Value (in thousands)Stock UnitsWeighted-Average Fair Value at Date of Grant per ShareWeighted Average Remaining Vesting LifeAggregate Intrinsic Value (in thousands)
Unvested December 31, 20201,782,905 $15.23 1.83$31,825 
Unvested, December 31, 2021Unvested, December 31, 20211,730,765 $18.45 1.51$19,633 
GrantedGranted810,316 $20.68 Granted1,766,609 $8.27 
ReleasedReleased(139,145)$17.81 Released(215,287)$13.63 
ForfeitedForfeited(181,673)$16.33 Forfeited(102,153)$17.35 
Unvested June 30, 20212,272,403 $16.92 1.87$49,107 
Unvested, March 31, 2022Unvested, March 31, 20223,179,934 $13.15 2.23$25,249 


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Performance Stock Units
The Company estimates the fair value of the PSUs based on its closing stock price at the time of grant and its estimate of achieving such performance target and records compensation expense as the milestones are achieved. Over the performance period, the number of shares of common stock that will ultimately vest and be issued and the related compensation expense will be adjusted based upon the Company’s estimate of achieving such performance target. The number of shares delivered to recipients and the related compensation cost recognized as an expense will be based on the actual performance metrics as set forth in the applicable PSU award agreement. The amount actually awarded will be based upon achievement of the performance measures.
At June 30, 2021,March 31, 2022, the total future stock compensation expense related to non-vested performance awards at maximum target payout is expected to be approximately $7,721.$6,623. As of March 31, 2022, there was approximately$23,818 of total unrecognized compensation costs related to both the PSU and RSU unvested awards. The Company expects to recognize these costs over a weighted-average period of 3.17 years.

On March 8, 2021,16, 2022, the Compensation Committee of the Board of Directors approved PSUs that were tied to 2022, 2023 and 2024 revenue the “2021(the “2022 PSU award.”) The 20212022 PSU award consists of a targeted award of 332,200526,467 shares with a payout ranging from 0% to 200%150% upon achievement of specific revenue goals.
On July 17, 2020, the Compensation Committee of the Board of Directors approved PSU awards of 144,300 tied to the 2020 revenue. These awards were granted in mid-year with certain revenue targets adjusted for the impact of COVID-19. The 2020 PSUs granted in July reached 110% achievement of revenue targets.
On February 21, 2020, the Compensation Committee of the Board of Directors approved PSUs that were tied to 2021 revenue, the "2020 PSU award". The 2020 PSU award consists of a targeted award of 348,000 shares. In June 2020, the Company concluded that the performance metrics relating to the 2020 PSU grant with performance metrics tied to 2021 revenue were no longer probable and therefore stock compensation related to these grants of $340 was also reversed. Subsequently, in the fourth quarter of 2020, it became probable that the Company would achieve 50% of these performance metrics and therefore adjusted stock compensation.
In February 2020, the Company issued PSUs relating to a 2017 grant with performance metrics tied to 2019 revenue.  The award was issued at 72.3% of achievement and therefore, 27.7% of the stock compensation, or $536 relating to this grant was forfeited or reversed in the first quarter 2020. Previously, the Compensation Committee of the Board of Director granted PSUs that were tied to 2020 revenue in 2018. As a result of COVID-19, it was determined these PSU grants would not be awarded and therefore stock compensation related to these grants of $1,161 was forfeited in the prior year.
Employee Stock Purchase Plan
The Company also maintains the Axogen 2017 Employee Stock Purchase Plan,ESPP, which allows eligible employees to acquire shares of the Company’s common stock through payroll deductions at a discount to market price. A total of 600,000 shares of the Company’s common stock are authorized for issuance under the 2017 ESPP, and as of June 30, 2021, 272,489March 31, 2022, 223,678 shares remainedremain available for issuance.

10.     Net Loss Per Common Share
The following reflects the net loss attributable to common shareholders and share data used in the basic and diluted earnings per share computations using the two class method:
Three Months Ended March 31,
(In thousands, except per share amounts)20222021
Numerator:
Net loss$(11,475)$(6,660)
Denominator:
Weighted-average common shares outstanding (Basic)41,804,330 40,705,840 
Weighted-average common shares outstanding (Diluted)41,804,330 40,705,840 
Net loss per common share (Basic and Diluted)$(0.27)$(0.16)
Anti-dilutive shares excluded from the calculation of diluted earnings per share (1)
Stock options2,983,351 1,055,804 
Restricted stock units581,171 163,281 
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(1) These common equivalent shares are not included in the diluted per share calculations as they would be anti-dilutive, if the Company was in a net income position.
12.11.     Income Taxes
The Company has not recorded current income tax expense due to the generation of net operating losses. Deferred income taxes are accounted for using the balance sheet approach, which requires recognition of deferred tax assets and liabilities for the expected future consequences of temporary differences between the financial reporting basis and the tax basis of assets and liabilities. A valuation allowance is provided when it is more-likely-than-notmore likely than not that a deferred tax asset will not be realized. A full valuation allowance has been established on the deferred tax asset as it is more-likely-than-notmore likely than not that a future tax benefit will not be realized. In addition, future utilization of the available net operating loss carryforward may be limited under Internal Revenue Code Section 382 as a result of changes in ownership.
The Company identifies and evaluates uncertain tax positions, if any, and recognizes the impact of uncertain tax positions for which there is a less than more-likely-than-notmore likely than not probability of the position being upheld when reviewed by the relevant taxing authority. Such positions are deemed to be unrecognized tax benefits and a corresponding liability is established on the condensed consolidated balance sheet. The Company has not recognized a liability for uncertain tax positions. If there were an unrecognized tax benefit, the Company would recognize interest accrued related to unrecognized tax benefits in interest expense and penalties in operating expenses. The Company’s remaining open tax years subject to examination by the Internal Revenue Servicefederal tax authorities include the years ended December 31, 20182019 through 2020.
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13.12.     Commitments and Contingencies
Leases
The Company determines whether or not a contract contains a lease at the inception date and determines the lease classification, recognition and measurement at commencement date. The Company classifies a lease based on whether the arrangement is effectively a purchase of the underlying asset. Leases that transfer the control of the underlying asset are classified as finance leases and all others are classified as operating leases. Interest and amortization expense are recognized for operating leases on a straight-line basis. If a change to the lease term leads to a reassessment of the lease classification and remeasurement, assumptions such as the discount rate and variable rents based on a rate or index will be updated as of the remeasurement date. If an arrangement is modified, the Company will reassess whether the arrangement contains a lease. Any subsequent changes in lease payments are recognized when incurred, unless the change requires a remeasurement of the lease liability.
The Company made an accounting policy election to not recognize right-of-use assets and lease liabilities that arise from short term leases, which are defined as leases with a lease term of 12 months or less at the lease commencement date.
We lease office space, medical lab and research space, a distribution center, a tissue processing center and equipment. We recognize lease expense for these leases on a straight-line basis over the lease term.
Certain of the Company’s leases include options for the Company to extend the lease term. None of the options were reasonably certain of exercise and therefore are not included in the measure of lease obligations and right-to-use assets.
Certain of the Company’s lease agreements include provisions for the Company to reimburse the lessor for common area maintenance, real estate taxes, and insurance, which the Company accounts for as variable lease costs. The Company’s lease agreements do not contain any material residual value guarantees or material restrictive covenants.
The Company and Heights Union are parties to the Heights Agreement for the lease of NaN square feet of office space in Tampa, Florida. Pursuant to the Heights Agreement, the Company will use the leased premises for general office, medical laboratory, training and meeting purposes. In September 2020, the Company began occupying the space. The lease includes a $5,250 lessor allowance to be used towards the hard and soft costs of the tenant improvements. The Company will bear the cost of any tenant improvement in excess of this allowance. The Company concluded that it is the accounting owner of the tenant improvements. The lessor’s allowance of $5,250 for the construction of tenant improvements will be treated as an incentive. Because the Company is the accounting owner of the improvements, the lease incentive is accounted for as a reduction of the right-of-use asset and the total cost of the improvements of $12,149 is recognized on the balance sheet separate from the right-of-use asset as leasehold improvements. The improvements will be amortized over the life of the lease, which was determined to be the shorter of the useful life of the improvements or the lease term. The Company determined the commencement date of the lease was August 28, 2020 and valued the lease using a 10.6% incremental borrowing rate. The Company recorded a right-of-use asset of $13,323 and lease liability of $18,573 for the new office lease as of the commencement date.

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The components of total lease expense for the three and six months ended June 30, 2021 were as follows:
20212020
For the Three Months Ended June 30,
Finance lease costs
Amortization of right-of-use assets$$
Interest on lease liabilities
Operating lease costs1,034 491 
Short term lease costs10 
Variable lease costs169 51 
Total lease cost$1,211 $559 
For the Six Months Ended June 30,
Finance lease costs
Amortization of right-to-use assets$$11 
Interest on lease liabilities
Operating lease costs2,081 976 
Short term lease costs11 10 
Variable lease costs337 61 
Total lease cost$2,437 $1,060 
The short-term lease costs shown above reasonably reflects the Company’s ongoing short-term lease commitment. The increase in variable lease costs is due to the common area maintenance expenses associated with the Tampa office space.
Supplemental balance sheet information related to leases as of June 30, 2021 and December 31, 2020 was as follows:
June 30, 2021December 31, 2020
Finance Leases
Finance lease right-of-use assets$53 $64 
Current maturities of long-term obligations$14 $17 
Long-term obligations$$13 
Operating Leases
Operating lease right-of-use assets$15,272 $15,614 
Current maturities of long-term obligations$1,775 $846 
Long-term obligations$20,337 $20,864 
Other information related to leases was as follows:
For the Six Months Ended June 30,20212020
Cash paid for amounts included in the measurement of operating lease liabilities$822$915
Right-of-use assets obtained in exchange for new finance lease liabilities$371$0
Weighted-average remaining lease term - finance leases1.82.5
Weighted-average remaining lease term - operating leases12.01.1
Weighted-average discount rate - finance leases7.28 %7.28 %
Weighted-average discount rate - operating leases10.17 %6.00 %
The weighted-average discount rate for the majority of the Company’s leases is based on the Company’s estimated incremental borrowing rate since the rates implicit in the leases were not determinable. The Company’s incremental borrowing
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rate is based on Management’s estimate of the rate of interest the Company would have to pay to borrow on a fully collateralized basis over a similar term an amount equal to the lease payments.
Service Agreements
On August 6, 2015, the Company entered into a License and ServicesService Agreement (the “CTS Agreement”("CTS Agreement") with Community Blood Center, (d/b/a Community Tissue Services) (“CTS”Service) ("CTS"), in Dayton, Ohio, an FDA registered tissue establishment. Processing of the Avance Nerve Graft pursuant to the CTS Agreement began in February 2016.  The CTS Agreement initially had a five-year term ending August 31, 2020. After three previous term extensions, on February 22, 2021, the CTS Agreement was further amended to extend the term of the agreement to until which has been extended through December 31, 2023. Under2023 . In accordance with the CTS Agreement, the Company pays CTS a facility fee for use of clean room/manufacturing, storage and office space, which the Company accounts for as an embedded lease in accordance with ASC 842, “Leases.” The Company also pays CTS for servicesservice in support of its manufacturing process includingsuch as for routine sterilization of daily supplies, providing disposable supplies, microbial services and office support. During the three months ended June 30,March 31, 2022 and 2021, and 2020, the Company paid fees to CTS of approximately $628$622 and $279, respectively. During the six months ended June 30, 2021 and 2020, the Company paid fees to CTS of approximately $1,271 and $739,$643, respectively, and are included are included in cost of goods sold on the accompanying condensed consolidated statements of operations.
In August 2008, the Company entered into an agreement with Cook Biotech to distribute the Axoguardproducts worldwide and the parties subsequently amended the agreement on February 26, 2018. Pursuant to the February 2018 amendment, the agreement expires on June 30, 2027. The Cook Biotech agreement establishes a formula for the transfer cost of the Axoguard products and requires certain minimum purchases, although, through mutual agreement, the parties have not established such minimums; and, to date, have not enforced such provision. Under the Cook Biotech agreement, the Company provides purchase orders to Cook Biotech, and Cook Biotech fulfills the purchase orders.
In December 2011, the Company also entered into a Master Services Agreement for Clinical Research and Related Services. The Company was required to pay $151 upon execution of this agreement and the remainder monthly based on activities associated with the execution of the Company’sAxogen’s phase 3 pivotal clinical trial to support a biologics license application (“BLA”)the BLA for Avance Nerve Graft. In March 2020, the Company entered into an amendment to this agreement. The amendment extends the end of the study timeline from December 2020 to December 2021. It also increases the total number of subjects enrolled and the number of sites used in the studies. Payments made under this agreement were $154$327 and $107$278 for the three months ended June 30,March 31, 2022 and 2021, and 2020, respectively. Payments made under this agreement were $432 and $623 for the six months ended June 30, 2021 and 2020, respectively.
In June 2017, the Company entered into the Nerve End Cap Supply Agreement (the “Supply Agreement”) with Cook Biotech whereby Cook Biotech is the exclusive contract manufacturer of the Axoguard Nerve Cap and both parties have provided the other party the necessary licenses to their technologies for operation of the Supply Agreement. The Supply Agreement has a term through August 27, 2027. Under the Supply Agreement the Company provides purchase orders to Cook Biotech, and Cook Biotech fulfills the purchase orders.
Certain executive officers of the Company are parties to employment contracts. Such contracts have severance payments for certain conditions including change in control.
Concentrations
Vendor
Substantially all of the Company’s revenue is currently derived from 4five products, Avance Nerve Graft, Avive Soft Tissue Membrane (currently, market availability is suspended), Axoguard Nerve Protector, Axoguard Nerve Connector, and Axoguard Nerve Cap for the treatment of peripheral nerve damage. Of these fourfive products, Avance Nerve Graft represents approximately half of the Company’s total revenue. The Company has an exclusive distribution agreement with Cook Biotech for the purchase of Axoguard which expires June 30, 2027. The agreement with Cook Biotech establishes a formula for the transfer cost of the Axoguard products and requires certain minimum purchases by the Company, although, through mutual agreement, the parties have not established such minimums and to date have not enforced such provision.
The agreement allows for termination provisions for both parties. The loss of the ability to sell the Axoguard products could have a material adverse effect on the Company’s business until other replacement products would be available.

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ProcessorAxogen Processing Center Facility
The Company is highly dependent on the continued availability of its processing facilities at CTSthe Community Blood Center facility (“CTS”) in Dayton, Ohio and could be harmed if the physical infrastructure of this facility is unavailable for any prolonged period of time. In addition, disruptions could lead to significant costs and reductions in revenues, as well as a potential harm to the Company’s business reputation and financial results. In the event of disruption, the Company believes it can find and make operational a new leased facility in less than six months, but the regulatory process for approval of facilities is time-consuming and unpredictable. The Company’s ability to rebuild or find acceptable lease facilities could take a considerable amount of time and expense and could cause a significant disruption in service to its customers. Although the Company has business interruption insurance, which would cover certain costs, it may not cover all costs nor help to regain the Company’s standing in the market.
In
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On July 31, 2018, the Company purchased a facility, the APC Facility in Vandalia, Ohio, located near the CTS processing facility where Avance Nerve Graft and Avive Soft Tissue Membrane areis currently processed. The APC Facility, when and if operational, will be the new processing facility for Avance Nerve Graft and Avive Soft Tissue Membrane to provide continued capacity for growth and to support the transition of Avance Nerve Graft from a 361 HCT/P tissue product to a biologic product. The APC Facility is comprised of a 70,000107,000 square foot building on approximately 8.6 acres of land. The Company paid $731 for the land, and thiswhich is recorded as Land within ourland in property and equipment account on ourthe condensed consolidated balance sheet. The Company paid $4,300 for the building and thiswhich is recorded asin projects in process as part of thein property and equipment on the condensed consolidated balance sheet.
On July 9, 2019, the Company entered into a Standard Form of Agreement Between Owner and Design-Builder (the “Design-Build Agreement”) with CRB Builders, L.L.C., a Missouri limited liability company (“CRB”), pursuant toin which CRB will renovate and retrofit the APC. The Design-Build Agreement contains several design phase milestones that began in July 2019 and sets the date for Substantial Completion (as defined in the Design-Build Agreement) by late 2022, subject to adjustment in accordance with the terms of the Design-Build Agreement. The estimated cost pursuant to the Design-Build Agreement is $29,300. Additional costs associated with the renovation, purchasing of furniture and equipment, validation and certification of the APC are estimated to be $13,600. The Company temporarily deferred the construction as part of the cost containment initiatives implemented in the second quarter of 2020, and subsequently determined to resume construction in early January of 2021.Facility. For the three and six months ended June 30, 2021,March 31, 2022, and inception-to-date the Company has recorded $5,900$2,589 and $11,152,$38,005, respectively, of expenditures related to renovations and design and build in constructionprojects in progress. TheIn addition to these project costs, the Company has recorded $27,390capitalized interest of $1,426 for the three months ended March 31, 2022 and $6,719 inception-to-date to date related to thisthe project. These items are recorded as projects in process as part of thein property and equipment, in itsnet on the condensed consolidated balance sheet.
LitigationFair Value of the Debt Derivative Liabilities
The fair value of the Debt Derivative Liabilities was determined using a probability-weighted expected return model based upon four potential settlement scenarios for the Oberland Facility discounted to present value, and compared to fair value of a plain vanilla note. The Company estimated the make-whole payments required under the Oberland Facility to generate an internal rate of return equal to 11.5% through the scheduled maturity dates, less the total of all quarterly interest and royalty payments previously paid to Oberland Capital. The calculation utilized the XIRR function in Microsoft Excel as required by the Oberland Facility. If the debt is not prepaid but instead is held to its scheduled maturities, the Company’s estimate of the make-whole payment for the first tranche and second tranches due on June 30, 2027 and June 30 2029, respectively, is approximately zero. The Company has consistently applied this approach since the inception of the debt agreement on June 30, 2020.
In the first quarter of 2022, the Company became aware that Oberland Capital may have an alternative interpretation of the calculation of the make-whole payments that the Company believes does not properly utilize the same methodology utilized by the XIRR function in Microsoft Excel as described in the Oberland Facility. The Company estimates the top end of the range of the make-whole payments if the debt is held to scheduled maturity under an alternative interpretation to be approximately $13,000 for the first tranche of the Oberland Facility on June 30, 2027 and approximately $5,000 for the second tranche of the Oberland Facility on June 30, 2028. Further, if the debt is prepaid prior to the scheduled maturity dates and subject to the alternative interpretation, the make-whole payment would be larger than the amounts herein. There has been no updates since reported in the Company's Annual Report on Form 10-K as of and for the year ended December 31, 2021.
Legal Proceedings
The Company is and may be subject to various claims, lawsuits, and proceedings in the ordinary course of the Company's business, somebusiness. Such matters are subject to many uncertainties and outcomes are not predictable with assurance. While there can be no assurances as to the ultimate outcome of which have been dismissed byany legal proceeding or other loss contingency involving the Company. In the opinion of management, such claims are either adequately covered by insurance or otherwise indemnified, or are not expected, individually or in the aggregate, to result in a material, adverse effect on the Company's financial condition.condition, results of operations or cash flows. However, it is possible that the Company's results of operations, financial position and cash flows in a particular period could be materially affected by these contingencies.

On January 9, 2019, Plaintiff Neil Einhorn, on behalf of himself and others similarly situated, filed a putative class action complaint in the United StatedStates District Court for the Middle District of Florida alleging violations of the federal securities laws against Axogen, Inc., certain of its directors and officers (“Individual Defendants”), and Axogen’s 2017 Offering Underwriters and 2018 Offering Underwriters (collectively, with the Individual Defendants, the “Defendants”), captioned Einhorn v. Axogen, Inc., et al., No. 8:19-cv-00069 (M.D. Fla.). Plaintiff asserts that Defendants made false or misleading statements in connection with the Company’s November 2017 registration statement issued regarding its secondary public offering in November 2017 and May 2018 registration statement issued regarding its secondary public offering in May 2018, and during a class period of August 7, 2017 to December 18, 2018. In particular, Plaintiff asserts that Defendants issued false and misleading statements and failed to disclose to investors: (1) that the Company aggressively increased prices to mask lower sales; (2) that the Company’s pricing alienated customers and threatened the Company’s future growth; (3) that ambulatory surgery centers form a significant part of the market for the Company’s products; (4) that such centers were especially sensitive to price increases; (5) that the Company was dependent on a small number of surgeons whom the Company paid to generate sales; (6) that the Company’s consignment model for inventory was reasonably likely to lead to channel stuffing; (7) that the Company offered purchase incentives to sales representatives to encourage channel stuffing; (8) that the Company’s sales representatives
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were encouraged to backdate revenue to artificially inflate metrics; (9) that the Company lacked adequate internal controls to prevent such channel stuffing and backdating of revenue; (10) that the Company’s key operating metrics, such as the number of active accounts, were overstated; and (11) that, as a result of the foregoing, Defendants’ positive statements about the Company’s business, operations, and prospects, were materially misleading and/or lacked a reasonable basis. Axogen was served on January 15, 2019. On February 4, 2019, the courtCourt granted the parties’ stipulated motion which provided that Axogen is not required to file a response to the complaint until thirty days after Plaintiff files a consolidated amended complaint. On
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June 19, 2019, Plaintiff filed an Amended Class Action Complaint, and on July 22, 2019, Defendants filed a motion to dismiss. Plaintiff filed opposing papers on August 12, 2019. The Court held a status hearing on September 11, 2019 and stayed all deadlines regarding the parties’ obligations to file a case management report. On December 4, 2019, the parties’parties presented oral arguments. On April 21, 2020, the Court dismissed the complaint without prejudice, finding the Plaintiff failed to state a claim upon which relief could be granted.The Plaintiff filed a Second Amended Class Action Complaint on June 22, 2020.Axogen filed a motion to dismiss on August 6, 2020.The Plaintiff filed an opposition on September 20, 2020.The Court held oral argument on February 25, 2021. On March 19, 2021, the Court dismissed the Second Amended Complaint with prejudice, finding again that the Plaintiff failed to state a claim upon which relief could be granted. On April 14, 2021, Plaintiff filed a notice of appeal. Plaintiff filed its opening brief on June 28, 2021. The Company’sCompany filed its appellee brief is dueon August 11, 2021. The Company and Individual Defendants dispute the allegations and intend to vigorously defend against the Complaint.Plaintiff filed a reply brief on September 14, 2021. The Eleventh Circuit heard oral argument for March 8, 2022. The amount of loss, if any, cannot be reasonably estimated at this time.
Jackson v. Zaderej, et al., No. 8:19-cv-01976 U.S. District Court (M.D. FL). On August 12, 2019, Plaintiff Harvey Jackson, derivatively on behalf of Axogen, filed a verified shareholder derivative complaint for violations of securities laws, breach of fiduciary duty, waste of corporate assets and unjust enrichment against Quentin S. Blackford, Gregory G. Freitag, Mark Gold, Jamie M. Grooms, Alan M. Levine, Peter J. Mariani, Guido Neels, Robert J. Rudelius, Amy Wendell, and Karen Zaderej (the “Individual Defendants”) and Nominal Defendant Axogen, Inc. (“Axogen”) (collectively, “Defendants”). Plaintiff asserts that the Individual Defendants, who are current or former Axogen officers or directors, issued a false proxy statement for the election of directors in violation of Section 14(a) of the Securities Exchange Act of 1934, breached their fiduciary duties, wasted corporate assets and were unjustly enriched by allowing Axogen to make false public statements to investors based on the same claims in the report issued December 18, 2018 by Seligman Investments (the same allegations that form the basis for the Einhorn This matter and the Bussey shareholder demand). Plaintiff demands judgment in the Company’s favor against all Individual Defendants as follows: (A) declaring that Plaintiff may maintain this action on behalf of Axogen, and that Plaintiff is an adequate representative of Company; (B) declaring that the Individual Defendants have breached and/or aided and abetted the breach of their fiduciary duties to Axogen; (C) determining and awarding to Axogen the damages sustained by it because of the violations set forth above from each of the Individual Defendants, jointly and severally, together with pre- and post-judgment interest thereon; (D) directing Axogen and the Individual Defendants to take all necessary actions to reform and improve its corporate governance and internal procedures to comply with applicable laws and protect Axogen and its shareholders from a repeat of the damaging events described therein, including, but not limited to, putting forward for shareholder vote the following resolutions for amendments to the Company’s Bylaws or Articles of Incorporation and the following actions as may be necessary to ensure proper corporate governance policies: (i) a proposal to strengthen the Board’s supervision of operations and develop and implement procedures for greater shareholder input into the policies and guidelines of the Board, (ii) a provision to permit the shareholders of Axogen to nominate at least 6 candidates for election to the Board; and (iii) a proposal to ensure the establishment of effective oversight of compliance with applicable laws, rules, and regulations; (E) awarding Axogen restitution from Individual Defendants, and each of them; (F) awarding Plaintiff the costs and disbursements of this action, including reasonable attorneys’ and experts’ fees, costs, and expenses; and (G) granting such other and further relief as the Court may deem just and proper. The Defendants filed a motion to dismiss on October 22, 2019. In response, Plaintiffs voluntarily withdrew their complaint and the matter was dismissed without prejudice by the court on November 5, 2019.
Novitzki v. Zaderej, et al, 19-CA-11745 DIV L (13th Judicial Circuit, Hillsborough Cnty., Fl.). On November 11, 2019, Plaintiff Joseph Novitzki, derivatively on behalf of Axogen, filed a verified stockholder derivative complaint for breach of fiduciary duty, waste of corporate assets and unjust enrichment against Karen Zaderej, Gregory G. Freitag, Peter J. Mariani, Amy Wendell, Robert J. Rudelius, Mark Gold, Guido Neels, and Jamie M. Grooms (the “Individual Defendants”) and Nominal Defendant Axogen, Inc. (“Axogen”) (collectively, “Defendants”). Plaintiff asserts that the Individual Defendants, who are current or former Axogen officers or directors, breached their fiduciary duties, wasted corporate assets and were unjustly enriched by allowing Axogen to make false public statements to investors based on the same claims in the report issued December 18, 2018 by Seligman Investments (the same allegations that form the basis for the Einhorn matter and the Bussey shareholder demand). Plaintiff demands judgment in the Company’s favor against all Individual Defendants as follows: (a) against all of the defendants and in favor of the Company for the amount of damages sustained by the Company as a result of the defendants' breaches of fiduciary duties, waste of corporate assets, and unjust enrichment; (B) directing Axogen to take all necessary actions to reform and improve its corporate governance and internal procedures to comply with applicable laws and to protect Axogen and its stockholders from a repeat of the damaging events described herein, including, but not limited to, putting forward for stockholder vote, resolutions for amendments to the Company’s Bylaws or Articles of Incorporation and taking such other action as may be necessary to place before stockholders for a vote of the following corporate governance policies: (1) directing Axogen to employ an independent, third-party expert to calculate the Company's market size (including the dollar values of Axogen's total addressable market and portion of the market relating to extremity trauma and OMF); (2) a provision to control insider selling; (3) a proposal to strengthen Axogen’s oversight of its disclosure procedures; (4) a proposal to strengthen the Company's controls over financial reporting; (5) a proposal to strengthen the Board's supervision of operations and develop and implement procedures for greater stockholder input into the policies and guidelines of the Board; and (6) a
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provision to permit the stockholders of Axogen to nominate at least 3 candidates for election to the Board; (C) extraordinary equitable and/or injunctive relief as permitted by law, equity, and state statutory provisions sued hereunder, including attaching, impounding, imposing a constructive trust on, or otherwise restricting the proceeds of defendants' trading activities or their other assets so as to assure that plaintiff on behalf of Axogen has an effective remedy; (D) Awarding to Axogen restitution from defendants, and each of them, and ordering disgorgement of all profits, benefits, and other compensation obtained by the defendants, including all ill-gotten gains from insider selling by defendants; (E) awarding to plaintiff the costs and disbursements of the action, including reasonable attorneys' fees, accountants' and experts' fees, costs, and expenses; and (F) granting such other and further relief as the Court deems just and proper. After Defendants’ counsel had multiple discussions with Plaintiff’s counsel pointing out that it’s complaint was deficient for the same reasons argued in Jackson, the Plaintiff agreed to voluntarily dismiss the complaint without prejudice, which the court so-ordered on January 24, 2020.

Bach v. Zaderej, et al., 27-cv-20-5997 (Hennepin Cnty., Minn.).On April 21, 2020, Plaintiff Michael Bach, derivatively on behalf of Axogen, filed a verified stockholder derivative complaint for breach of fiduciary duty, insider selling, corporate waste and unjust enrichment against Karen Zaderej, Gregory G. Freitag, Peter J. Mariani, Amy Wendell, Robert J. Rudelius, Mark Gold, Guido Neels, Jamie M. Grooms, Quentin S. Blackford, and Alan M. Levine (the “Individual Defendants”) and Nominal Defendant Axogen, Inc. (“Axogen”) (collectively, “Defendants”).The Bach Complaint has not yet been served on Defendants and therefore no response is necessary at this time.
These matters are subject to various uncertainties and it is possible that it may be resolved unfavorably to the Company. However, while it inis not possible to predict with certainty the outcome of the matter, the Company and the Individual Defendants dispute the allegations and intend to vigorously defend themselves.

14.Retirement Plan
Axogen 401(k) Plan
The Company sponsors the Axogen 401(k) plan (the “401(k) Plan”), a defined contribution plan covering substantially all employees of the Company. All full-time employees who have attained the age of 18 are eligible to participate in the 401(k) Plan. Eligibility is immediate upon employment and enrollment is available any time during employment. Participating employees may make annual pretax contributions to their accounts up to a maximum amount as limited by law. The 401(k) Plan requires the Company to make matching contributions of 3% on the first 3% of the employee’s annual salary and 1% of the next 2% of the employee’s annual salary as long as the employee participates in the 401(k) Plan. Both employee contributions and Company contributions vest immediately. Employer contributions to the 401(k) Plan for the three months ended June 30, 2021 and 2020 were approximately $285 and $288, respectively and for the six months ended June 30, 2021 and 2020 were approximately $615 and $583, respectively.

15. Subsequent Events
First Amendment to Heights Union Lease

One July 12, 2021, the Company entered the First Amendment to the Office Lease (the "First Amendment") to the Heights Agreement. The First Amendment revises the commencement date of the Office Lease to mean October 30, 2020 and revises the termination date of the Office Lease to be October 31, 2034. Pursuant to the First Amendment, the Company is entitled to an additional 1 ½ months of free rent periods.

Sixth Amendment to Headquarters Lease

On July 13, 2021, the Company entered into the Sixth Amendment to Lease (the “Sixth Amendment”) with Ology Bioservices Holdings, LLC (“Ology”) as successor in interest to SNH Medical Office Properties Trust. Ology is the landlord of the Company's currently leased, approximately 19,000 square foot corporate headquarters facility in Alachua, Florida. The Sixth Amendment amends the term of the lease to expire on October 21, 2026 (the “Expiration Date”). The portion of the term beginning on November 1, 2021 and ending on the Expiration Date is referred to as the “Extension Period”.

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ITEM 2 – MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The following discussion and analysis of the Company's financial condition and results of operations should be read in conjunction with our condensed consolidated financial statements and the related notes thereto appearing elsewhere in this report and our consolidated financial statements for the year ended December 31, 2021 included in our Annual Report on Form 10-K.
Unless the context otherwise requires, all references in this report to “Axogen,” the “Company,” “we,” “us” and “our” refer to Axogen, Inc., and its wholly owned subsidiaries Axogen Corporation (“AC”), Axogen Processing Corporation, and Axogen Europe GmbH.
OVERVIEW
We are the leading company focused specifically on the science, development and commercialization of technologies for peripheral nerve regeneration and repair. We are passionate about helping to restore peripheral nerve function and quality of life to patients with physical damage or transection to peripheral nerves providing innovative, clinically proven and economically effective repair solutions for surgeons and health care providers. Peripheral nerves provide the pathways for both motor and sensory signals throughout the body. Every day people suffer traumatic injuries or undergo surgical procedures that impact the function of their peripheral nerves. Physical damage to a peripheral nerve, or the inability to properly reconnect peripheral nerves, can result in the loss of muscle or organ function, the loss of sensory feeling or the initiation of pain.
Our platform for peripheral nerve repair features a comprehensive portfolio of products, including Avance® Nerve Graft, a biologically active off-the-shelf processed human nerve allograft for bridging severed peripheral nerves without the comorbidities associated with a second surgical site,site; Axoguard® Nerve Connector, a porcine (pig) submucosa extracellular matrix (“ECM”)ECM coaptation aid for tensionless repair of severed peripheral nerves,nerves; Axoguard Nerve Protector, a porcine submucosa ECMextracellular matrix ("ECM") product used to wrap and protect injureddamaged peripheral nerves and reinforce the nerve reconstruction while preventing soft tissue attachments, and attachments;Axoguard Nerve Cap,®, a porcine submucosa ECM product used to protect a peripheral nerve end and separate the nerve from the surrounding environment to reduce the development of symptomatic or painful neuroma. Along with these coreneuroma; Avive Soft Tissue Membrane, a processed human umbilical cord intended for surgical products, we also offer theuse as a resorbable soft tissue conduit; and Axotouch® Two-Point Discriminator, used to measure the innervation density of any surface area of the skin. Our portfolio of products is available in the United States,U.S., Canada, Germany, the United Kingdom, several European countries,UK, Spain, South Korea, and several other international countries.
As previously announced, we suspended the market availability of Avive Soft Tissue Membrane ("Avive") effective June 1, 2021, and we continue discussions with the FDA to determine the appropriate regulatory classification and requirements for Avive.The suspension was not based on any safety or product issues or concerns with Avive. We seek to return Avive to the market, although we are unable to estimate the timeframe or provide any assurances that a return to the market will be achievable. Avive has historically represented approximately 5% of our revenues through the second quarter of 2021 and no Avive revenue was recorded in the first quarter of 2022..
Revenue from the distribution of our nerve repair products, Avance Nerve Graft, Axoguard Nerve Connector, Axoguard Nerve Protector, and Axoguard Nerve Cap in the United States is the main contributor to our total reported sales and has been the key component of our growth to date.
We have experienced that surgeons initially are cautious adopters for nerve repair products. Surgeons typically start with a few cases and then wait and review the results of these initial cases. Active accounts are usually past this wait period and have developed some level of product reorder. These active accounts have typically gone through the committeeValue Analysis Committee approval process, have at least one surgeon who has converted a portion of his or her treatment algorithms of peripheral nerve repair to our portfolio and have ordered our products at least 6six times in the last 12twelve months. In the first quarter,As of March 31, 2022, we had 959926 active accounts, an increase of 22%1% from 789915 one year ago. Active accounts are approximately 85% of our revenue. The top 10% of these active accounts continue to represent approximately 35% of our revenue. As our business continues to grow, we will transitionhave transitioned to reporting a new account metric that we believe demonstrates the strength of adoption and potential revenue growth in accounts that have developed a more consistent use of Axogenour products in their nerve repair algorithm. We refer to these as “Core Accounts”core accounts which we define as accounts that have purchased at least $100,000 in the past 12twelve months. In the second quarter,As of March 31, 2021, we had 306 Core Accounts,288 core accounts, an increase of 34%4% from 227277 one year ago. These Core Accountscore accounts represented approximately 60% of our revenue in the quarter, which has remained consistent over the past two years.
There have been no significant changes to our critical accounting policies from those disclosed in our 2020 Annual Report on Form 10-K.
Avive
As previously announced, we suspended the market availability of Avive® Soft Tissue Membrane effective June 1, 2021 and we continue discussions with the FDA to determine the appropriate regulatory classification and requirements for Avive. The suspension was not based on any safety or product issues or concerns with Avive. We seek to return Avive to the market, although we are unable to estimate the timeframe or provide any assurances that a return to the market will be achievable. Avive has historically represented approximately 5% of our revenues.
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Results of Operations
Comparison of the Three Months Ended June 30,March 31, 2022 and 2021
The following table sets forth, for the periods indicated, our results of operations expressed as dollar amounts and 2020percentage of total revenue:
Three Months Ended June 30,
20212020
Amount% of
Revenue
Amount% of
Revenue
(dollars in thousands)
Revenues$33,580 100.0 %$22,116 100.0 %
Cost of goods sold7,092 21.1 5,605 25.3 
Gross Profit26,488 78.9 16,511 74.7 
Cost and expenses
Sales and marketing19,250 57.3 14,290 64.6 
Research and development5,723 17.0 4,071 18.4 
General and administrative8,669 25.8 6,404 29.0 
Total costs and expenses33,642 100.2 24,765 112.0 
Loss from operations(7,154)(21.3)(8,254)(37.3)
Other (expense) income:
Investment income29 0.1 237 1.1 
Interest expense(565)(1.7)(31)(0.1)
Change in fair value of derivatives(84)(0.3)— 0.0 
Other expense(124)(0.4)(57)(0.3)
Total other (expense) income, net(744)(2.2)149 0.7 
Net Loss$(7,898)(23.5)%$(8,105)(36.6)%

Three Months Ended March 31,
20222021
Amount% of
Revenue
Amount% of
Revenue
(dollars in thousands)
Revenues$31,007 100.0 %$31,037 100.0 %
Cost of goods sold5,546 17.9 5,172 16.7 
Gross profit25,461 82.1 25,865 83.3 
Costs and expenses
Sales and marketing20,888 67.4 17,973 57.9 
Research and development6,275 20.2 5,748 18.5 
General and administrative9,618 31.0 8,364 26.9 
Total costs and expenses36,781 118.6 32,085 103.4 
Loss from operations(11,320)(36.5)(6,220)(20.1)
Other (expense) income:
Investment income(46)(0.1)34 0.1 
Interest expense(354)(1.1)(444)(1.4)
Change in fair value of derivatives252 0.8 (22)(0.1)
Other expense(7)— (8)— 
Total other expense, net(155)(0.5)(440)(1.4)
Net Loss$(11,475)(37.0)%$(6,660)(21.5)%
Revenues
Revenues for the three months ended June 30, 2021 increased 52% to $33,580March 31, 2022 of $31,007 were relatively unchanged as compared to $22,116$31,037 for the three months ended June 30, 2020.  RevenueMarch 31, 2021. Revenues were negatively impacted by lower procedure volumes due to the impact of COVID-19 variants particularly earlier in the quarter and to related hospital staffing challenges. Specifically, revenue growth was drivenimpacted by an increasea decrease in unit volume of approximately 40%4%, changesoffset by the net change in prices and product mix of 8%, as well asapproximately 4%. Excluding the impact of changes in prices of 4%. The growth in unit volume and mix was attributed to unit growth in our core and active accounts, and also reflects the initial negative impact of the COVID-19 pandemic, which negatively impacted procedure volumesAvive revenue in the second quarterprior year of 2020.$1,747, revenue would have increased approximately 6%.
Gross Profit

Gross profit for the three months ended June 30, 2021 increased 60%March 31, 2022 decreased by $404 or 2% to $26,488$25,461 as compared to $16,511$25,865 for the three months ended June 30, 2020.March 31, 2021. Gross margin decreased to 82.1% from 83.3% due primarily to increased to 79%production costs in the three months ended June 30, 2021 compared to 75% for the three months ended June 30, 2020.We recorded a $1,429 charge in the second quarter of 2021, reflecting the write-down of inventory and related production costs due to the suspension of market availability of Avive. Prior year gross margin was negatively impacted by lower revenue and a $1,633 charge related to the suspension of production and an increased provision for inventory write-down as a result of COVID-19.quarter.
Costs and Expenses

Total costs and expenses increased 36%15% to $33,642$36,781 for the three months ended June 30, 2021,March 31, 2022, as compared to $24,765$32,085 for the three months ended June 30, 2020. Total operating expenses in the second quarter included $3,804 in non-cash stock compensation, compared to $2,222 in the prior year.March 31, 2021. The increase in total operating expenses including non-cash stockwas a result of an increase in net compensation over prior year reflects a returnof $1,450, due primarily to more normalized spending levels over the past few quarters following the steep reduction in spend in the quarterincreased head count, marketing programs of 2020$1,087 as a result of ourthe return of in-person sales team and physician education events and programs, travel cost mitigation initiatives enacted at the beginning of the COVID-19 pandemic. As a percentage$815, as well as increased professional services of total revenues, total costs and expenses decreased to 100% for the three months ended June 30, 2021, as compared to 112% for the three months ended June 30, 2020.$857.
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Sales and marketing expenses increased 35%16% to $19,250$20,888 for the three months ended June 30, 2021,March 31, 2022, as compared to $14,290$17,973 for the three months ended June 30, 2020.March 31, 2021. This increase was primarily dueattributable to higherthe following: (i) marketing development programs of $1,087; (ii) compensation related expenses including sales commissions as well as an increase inof $992; and (iii) travel related expenses of $638, as hospitals begin to lift COVID-19 restrictions. As a percentage of total revenues, sales and marketing expenses decreased to 57% for the three months ended June 30, 2021 as compared to 65% for the three months ended June 30, 2020.hospital access restrictions improved.
Research and development expenses increased 41%9% to $5,723$6,275 for the three months ended June 30, 2021,March 31, 2022, as compared to $4,071$5,748 for the three months ended June 30, 2020.  Research andMarch 31, 2021.  The increase was primarily due to compensation related project expenses of $347. Product development costs include our product development efforts, including expensesspending in supporta number of our BLA for Avance Nerve Graft and clinical trials. Product development expenses represented approximately 64% of total research and development expense in the three months ended June 30, 2021 as compared to 50% in the prior year period. Clinical trial expenses represented approximately 36% of research and development expense in the three months June 30, 2021 as compared to 50% in the prior year period. The increase in product development expenses reflect increased spending in specific programs including our effortsthe non-clinical expenses related to the BLA for Avance Nerve Graft and a next generation Avance product. Additionally, pandemic related restrictions lowered spending on certainProduct development expenses represented approximately 66% of our clinical study programs which have restarted over the past few quarters and spend on these and other clinical activities continue to increase during the second quarter. As a percentage of total revenues, research and development expense in the three months ended March 31, 2022 and 2021. Clinical trial expenses decreased to 17%represented approximately 34% of total research and development expense for the quarterthree months ended JuneMarch 31, 2021 from 18% for the quarter ended June 30, 2020.

2022 and 2021.
General and administrative expenses increased 35%15% to $8,669$9,618 for the three months ended June 30, 2021,March 31, 2022, as compared to $6,404$8,364 for the three months ended June 30, 2020.March 31, 2021. The increase was primarily due to increased compensation,higher professional services in the quarter, including stock compensationlegal and increased rentconsulting services of $605 and utilities from our new Tampa facility. As a percentageoccupancy-related costs of total revenues, general$330.
Other Expense and administrative expensesIncome
Interest expense decreased to 26%$354,000 for the three months ended June 30, 2021,March 31, 2022 as compared to 29%$444 for the three months ended June 30, 2020.  
Other Income and Expenses
March 31, 2021. We recognized total other expenseinterest charges of $744 for$1,742 and $944 in connection with the Oberland Facility in the three months ended June 30,March 31, 2022, and 2021, compared to other incomerespectively, however, $1,445 and $520 of $149 for the three months ended June 30, 2020. The change is primarily due tothis interest expense recognized from our current financing agreement with Oberland Capital (the "Oberland Facility") that began June 30, 2020, including the recording of interest from the royalty agreement relatedwas capitalized to the Oberlandconstruction costs of the APC Facility in first quarter of 2022 and lower investment income from our asset management program as interest rates remain lower and we lowered our investment balances and increased cash reserves.2021, respectively.
Income Taxes
We had no income tax expense or benefit for each of the three months ended June 30,March 31, 2022 and 2021 and 2020, due to the incurrence of net operating losses in each of these periods, the benefits of which have been fully reserved. We do not believe that there are any additional tax expenses or benefits currently available.

Critical Accounting Policies
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TableIn preparing financial statements, we follow accounting principles generally accepted in the United States, which require us to make certain estimates and apply judgments that affect its financial position and results of Contents
Comparisonoperations. Management regularly reviews our accounting policies and financial information disclosures. A summary of significant accounting policies that require the Six Months Ended June 30, 2021use of estimates and 2020
Six Months Ended June 30,
20212020
Amount% of
Revenue
Amount% of
Revenue
(dollars in thousands)
Revenues$64,617 100.0 %$46,377 100.0 %
Cost of goods sold12,264 19.0 10,421 22.5 
Gross Profit52,353 81.0 35,956 77.5 
Cost and expenses
Sales and marketing37,224 57.6 32,128 69.3 
Research and development11,485 17.8 8,685 18.7 
General and administrative17,018 26.3 11,906 25.7 
Total costs and expenses65,727 101.7 52,719 113.7 
Loss from operations(13,374)(20.7)(16,763)(36.2)
Other (expense) income:
Investment income63 0.1 548 1.2 
Interest expense(1,010)(1.6)(62)(0.1)
Change in fair value of derivatives(82)(0.1)0.0 0.0 
Other expense(155)(0.2)(20)0.0 
Total other (expense) income, net(1,184)(1.8)466 1.0 
Net Loss$(14,558)(22.5)%$(16,297)(35.1)%
Revenues
Revenues forjudgments in preparing the six months ended June 30, 2021 increased 39% to $64,617 as compared to $46,377 for the six months ended June 30, 2020. Revenue growthfinancial statements was driven by an increase in unit volume of approximately 31%, as well as the net impact of changes in prices and product mix of approximately 8%. The unit volume increase was attributed to growthprovided in our core and active accounts, and also reflects2021 Annual Report on Form 10-K. During the initial negative impact of the COVID-19 pandemic, which began to negatively impact procedure volumes and revenue in March of 2020.
Gross Profit

Gross profit for the six months ended June 30, 2021 increased 46% to $52,353 as compared to 35,956 for the six months ended June 30, 2020. Gross margin increased to 81% in the six months ended June 30, 2021 compared to 78% for the six months ended June 30, 2020. We recorded a $1,429 charge in the second quarter reflecting the write-down of inventory and related production costs duecovered by this report, there were no material changes to the suspensionaccounting policies and assumptions previously disclosed, except as disclosed in Note 2. Summary of market availability of Avive. Prior year gross margin was negatively impacted by lower revenue and a $1,713 charge relatedSignificant Accounting Policies to the suspension of production and an increased provision for inventory write-downs as a result of the COVID-19 pandemic.
Costs and Expenses

Total costs and expenses increased 25% to $65,727 for the six months ended June 30, 2021, as compared to $52,719 for the six months ended June 30, 2020. Total operating expenses in the second quarter included $6,499 in non-cash stock compensation, compared to $2,778 in the prior year.Prior year stock compensation included a credit of $1,697 on stock compensation primarily reflecting lower estimates of performance stock awards that would be earned resulting from the impact of COVID-19 on performance metrics for these awards. The increase in total operating expenses, including non-cash stock compensation, over prior year reflects a return to more normalized spending levels over the past few quarters following the steep reduction in spend in the prior year as a result of our cost mitigation initiatives enacted at the beginning of the COVID-19 pandemic. As a percentage of total revenues, total costs and expenses decreased from 114% in the six months ended June 30, 2020 as compared to 102% for the six months ended June 30, 2021.

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Sales and marketing expenses increased 16% to $37,224 for the six months ended June 30, 2021, as compared to $32,128 for the six months ended June 30, 2020. This increase was primarily due to higher compensation related expenses including sales commissions, increased spend in marketing development programs as well as increased expenses for our new Tampa facility.These increases were slightly offset by decreased spend in travel and symposium expense due to pandemic-related restrictions. As a percentage of total revenues, sales and marketing expenses decreased to 58% for the six months ended June 30, 2021 as compared to 69% for the six months ended June 30, 2020.

Research and development expenses increased 32% to $11,471 for the six months ended June 30, 2021, as compared to $8,685 for the six months ended June 30, 2020. Product development expenses represented approximately 67% of total research and development expense in the six months ended June 30, 2021 as compared to 50% in the prior year period. Clinical trial expenses represented approximately 33% of research and development expense in the three months ended June 30, 2021 as compared to 50% in the prior year period. The increase in product development expenses reflect increased spending in specific programs, including our efforts related to the BLA for Avance Nerve Graft and a next generation Avance product. Additionally, pandemic related restrictions lowered spending on certain of our clinical study programs which have restarted over the past few quarters and spend on these and other clinical activities continue to increase during 2021. As a percentage of total revenues, research and development expenses decreased to 18% for the six months ended June 30, 2021 from 19% for the same period in the previous fiscal year.

General and administrative expenses increased 43% to $17,032 for the six months ended June 30, 2021, as compared to $11,906 for the six months ended June 30, 2020. This increase was primarily due to higher compensation, including stock compensation, increased rent and utilities from our new Tampa facility and increased legal fees.As a percentage of total revenues, general and administrative expenses were 26% for both six months ended June 30, 2021, and 2020.  
Other Income and Expenses
We recognized total other expense of $1,184 for the six months ended June 30, 2021, compared to other income of $466 for the six months ended June 30, 2020. The change is primarily due to interest expense recognized in the current period on our financing agreement with Oberland Capital (the "Oberland Facility") that began June 30, 2020, and lower investment income from our asset management program as we lowered our investment balances and increased cash reserves.
Income Taxes
We had no income tax expense or benefit for each of the six months ended June 30, 2021 and 2020, due to the incurrence of net operating losses in each of these periods, the benefits of which have been fully reserved. We do not believe that there are any additional tax expenses or benefits currently available.

unaudited condensed consolidated financial statements contained herein.
Liquidity and Capital Resources
Cash Flow Information
As of June 30, 2021, we hadMarch 31, 2022, our principal sources of liquidity were our cash and cash equivalents and restrictedinvestments totaling $73,669. Our cash equivalents are comprised of $59,411, an increasea money market mutual fund and our investments are comprised of $3,802short-term commercial paper and U.S. Treasuries. Our cash and cash equivalents and investments decreased $16,668 from $55,609$90,337 at December 31, 2020,2021, primarily as a result of operating activities and renovating the proceeds from long term debt and cash flow from employee option exercises, offset by the use of cash in operating activities.APC Facility.
We had working capital of $120,167$89,530 and a current ratio of 6.6x4.9x at June 30, 2021,March 31, 2022, compared to working capital of $122,420$102,756 and a current ratio of 6.4x5.2x at December 31, 2020.2021. The increasedecrease in the current ratio at June 30, 2021,March 31, 2022, as compared to December 31, 2020,2021, was primarily due to the drawdown of the second tranche of the Oberland Facility, cash payments in the quarter offset by a decrease in investments year over year.cash used to renovate the APC Facility, which is a non-current asset and used in operations. We believe we have sufficient cash resources to meet our liquidity requirements for at least the next 12 months based on our expected level of operations.
As of March 31, 2022, total current liabilities were $22,945. Based on current estimates, we believe that our existing cash and cash equivalents and investments, as well as cash provided by sales of our products will allow us to fund our operations through at least the next 12 months. Our future capital requirements depend on a number of factors including, without limitation, revenue increases consistent with our business plan, costgrowth rate, the timing and extent of productsspending to support development efforts, the expansion of sales and
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marketing activities, the acquisition and/or development of new products and the cost of products. We could face increasing capital needs. Such capital needs could be substantial depending on the extent to which we are unable to increase revenue.


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If we need additional capital in the future, we could draw additional debt proceeds of up to an additional $25,000 from our current financing agreement with Oberland Capital subject to certain restrictions as set forth in the agreement and described in Note 10 – Long Term Debt in the Notes to Condensed Consolidated Financial Statements. If necessary, we may raise additional funds through public or private equity offerings, debt financings or from other sources. The sale of additional equity would result in dilution to our shareholders. There is no assurance that we will be able to secure funding on terms acceptable to us, or at all. The increasing need for capital could also make it more difficult to obtain funding through either equity or debt. Should additional capital not become available to us as needed, we may be required to take certain action,actions, such as slowing sales and marketing expansion, delaying regulatory approvals, or reducing headcount.
Cash Flow Information
The following table presents a summary of cash flows from operating, investing and financing activities:
Three Months Ended March 31,
(In thousands)20222021
Net cash (used in) provided by:
Operating activities$(11,051)$(10,820)
Investing activities(7,241)870 
Financing activities95 517 
Net decrease in cash, cash equivalents, and restricted cash$(18,197)$(9,433)

Net Cash Used in Operating Activities
Six Months Ended June 30,
20212020
Net cash (used in) provided by:
Operating activities$(11,515)$(15,081)
Investing activities(3,287)23,519 
Financing activities18,604 35,768 
Net increase (decrease) in cash and cash equivalents$3,802 $44,206 
CashNet cash used in operating activities was $11,051 and $10,820 during the three months ended March 31, 2022 and March 31, 2021, respectively. The slightly unfavorable change in net cash used in operating activities of $231 or 2.1% is due to the following: (i) the net favorable change of $4,835 in operating liabilities and assets and the increase in the net loss of $4,815 .
OperatingNet Cash (Used in) Provided by Investing Activities
Net cash used in investing activities for the sixthree months ended June 30, 2021 used $11,515 ofMarch 31, 2022 was $7,241 cash as compared to using $15,081 for the six months ended June 30, 2020. The decrease in operating cash outflows primarily relates to higher collections of accounts receivable from increased sales activity year over year, resulting in a reduction in net loss as compared to the prior year period.
Cash used in / provided by investing activities
Investing activities for the six months ended June 30, 2021 used $3,287 of cash as compared to providing $23,519 for the six months ended June 30, 2020. This decrease in cash provided by investments of $870 for the three months ended March 31, 2021, an increase of $8,111 in net cash used in investing. The increase in net cash used in investing activities wasis principally attributabledue to the salenet sales of investments inof $5,745 during the prior yearquarter ended March 31, 2022, as part of our asset management program.program, the purchase of property and equipment of $1,942 and the acquisition of intangible assets of $424.
Net Cash providedProvided by financing activitiesFinancing Activities
Financing activities for the six months ended June 30, 2021 provided $18,604 of cash as compared to used $35,768 of cash for the six months ended June 30, 2020. The decrease inNet cash provided by financing activities iswas $95 and $517 for the three months ended March 31, 2022 and 2021, respectively, a decrease of $424 or 272%. The unfavorable change in net cash provided by financing activities was primarily due to the drawdown of $15,000 second tranche of the Oberland Facilitya decrease in the second quarter of fiscal 2021 as compared to a $35,000 drawdown of the first tranche in the same period of the previous fiscal year. This decrease is slightly offset by the increase in cash receivedproceeds from the exercise of employee stock options.
Operating Cash Requirements
APC Facility Commitment
On July 9, 2019, we entered into the Standard Form of Agreement Between Owner and Design-Builder with CRB (the "Design Build Agreement"). The estimated cost pursuant to the Design-Build Agreement is $29,300. Additional costs associated with CRB, pursuant to which CRB will renovatethe renovation, purchasing of furniture and retrofitequipment, validation and certification of the APC (See Note 13 - Commitments and Contingencies in the NotesFacility are estimated to Condensed Consolidated Financial Statements).be $20,900, plus projected capitalized interest of $11,300. We have recorded $46,013 to date related to this project, including capitalized interest of $6,719. We anticipate spending up to approximately $20,400 for renovations, equipment$15,290, including projected capitalized interest of $4,581, of which $1,700 is anticipated in 2023. Construction of the facility is now substantially complete. We anticipate completion of validation and furniture overcertification of the next twelve months and up to $21,800 overfacility by early 2023, followed by commencement of tissue processing in the next 18 months.
Tampa Commitmentfacility.

Pursuant to the Heights Agreement, we will use the leased premises in Tampa, Florida for general office, research laboratory, training and meeting purposes. We began occupying the premises in September of 2020. The lease term includes several months of free rent, and these free periods will cease in the second half of fiscal 2021. We recorded a right of use asset and lease liability at the commencement of the lease term as discussed in Note 13 - Commitments and Contingencies in the Notes to the Consolidated Financial Statements.

On July 12, 2021, we entered into the First Amendment to the Office Lease (the "First Amendment") to the Heights Agreement. The First Amendment revises the commencement date of the Office Lease to mean October 30, 2020 and revises
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the termination date of the Office Lease to be October 31, 2034. Pursuant to the First Amendment, we are entitled to an additional 1 ½ months of free rent periods.

Credit Facilities

On June 30, 2020, we entered into the Oberland Facility and obtained the first tranche of $35,000 at closing. The Oberland Facility provides for a total of $75,000 through two additional tranches that can be drawn by December 31,On June 30, 2021, and requires interest-only payments for the duration of the term. A second tranche of $15,000 may bewas drawn at our option upon achieving two consecutive quarters with revenue of at least $20,000. On June 30, 2021, we drewdown by the $15,000 second tranche of the Oberland Facility. A third tranche of $25,000 may be drawn at our option upon achieving two consecutive quarters with revenue of $28,000.Company. The financing costs for this facility are approximatelywere $642 and were recorded as a contra liability to the debt facility.

The Oberland Facility requires quarterly interest payments for seven years. Interest is calculated as 7.5% plus the greater of LIBOR or 2.0% (9.5% as of June 30, 2021)March 31, 2022). Each tranche of the Oberland Facility if and when issued, will havehas a term of seven years from the date of issuance with(with the first tranche issued on June 30, 2020, and maturing on June 30, 2027 and the second tranche issued on June 30, 2021, and maturing on June 30, 2028.2028). In connection with the Oberland Facility, we entered into a revenue participation agreement with Oberland Capital, which provides that, among other things, an additionala quarterly royalty payment as a percentage of our net revenue,revenues, up to $70,000$70 million in any given fiscal year, subject to certain limitations set forth therein, during the period commencing on the later of (i) April 1, 2021 and (ii) the date of funding of a tranche of the loan, and ending on the date upon which all amounts owed under the Oberland Facility have been paid in full (the “Revenue Participation Agreement”). Payments will commenceRoyalty payments commenced on September 30, 2021. This royalty structure results in approximately 1.0% per year of additional interest payments on the outstanding loan amount.
Material Commitments
As previously disclosed in Note 13 – Commitments and Contingencies, in July 2018, we purchased a 70,000 square foot facility, the APC, on approximately 8.6 acres of land in Vandalia, Ohio.
On July 9, 2019, we entered into the Design-Build Agreement with CRB (which was subsequently amended on October 6, 2020), pursuant to which CRB will renovate and retrofit the APC. The Design-Build Agreement contains several design phase milestones that began in July 2019 and sets the date for Substantial Completion (as defined in the Design-Build Agreement) in the third quarter of 2021, subject to adjustment in accordance with the terms Upon maturity or upon such earlier repayment of the Design-Build Agreement. The estimated cost pursuantOberland Facility, we will repay the principal balance and provide a make-whole payment calculated to the Design-Build Agreement is $28,846. Additional costs associated with the renovation, purchasinggenerate an internal rate of furniture and equipment, validation and certification of the APC are estimatedreturn to be $13,600. These capital expenditure costs will be incurred as they arise until material processing is transitionedOberland Capital equal to APC, expected to begin in late 2022. As of June 30, 2021, we have recorded $11,152 in the current year and $27,390 to date related to renovations and design build in construction in progress. These renovations included providing a second floor over a portion of the facility which increases11.5%, less the total usable spaceof all quarterly interest and royalty payments previously paid to 107,000 square feet. These items are recorded as projects in process as part of the property and equipment in our consolidated balance sheet. In addition, we will capitalize interest expense from our debt facility based on the amount of accumulated expenditures of this asset during the period that is required to get the asset ready for its intended use. During the second quarter and first half of the fiscal year, we capitalized interest of $668 and $1,188 to construction in progress.
We expect to receive certain economic development grants from state and local authorities totaling up to $2,685 including $1,250 of cash grants to offset costs to acquire and develop the APC. The economic development grants are subject to certain job creation milestones by 2023 and related contingencies. We have received approximately $238 from these grants. These grants have claw back clauses if we do not meet these job creation milestones by 2023.  Oberland Capital.

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ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
For a discussion of our market risks, refer to Item 7A, “Quantitative and Qualitative Disclosures about Market Risk,” included in our 20202021 Annual Report on Form 10-K. There have been no material changes to any of these risks since December 31, 2020.

2021.
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ITEM 4.  CONTROLS AND PROCEDURES
Evaluation of Disclosure Controls and Procedures
We maintain “disclosure controls and procedures” as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), that are designed to ensure that information required to be disclosed by us in reports we file or submit under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to our management, including our principal executive officer and principal financial officer, and Board of Directors, as appropriate, to allow timely decisions regarding required disclosure. In designing and evaluating our disclosure controls and procedures, management recognizes that disclosure controls and procedures, no matter how well conceived and operated, can provide only reasonable assurance of achieving the desired objectives, and we necessarily are required to apply our judgment in evaluating the cost-benefit relationship of possible disclosure controls and procedures.
Our management, including our principal executive officer and principal financial officer, evaluated the effectiveness of our disclosure controls and procedures as of June 30, 2021March 31, 2022 and concluded that our disclosure controls and procedures were effective.  
Changes in Internal Controls Over Financial Reporting
There were no changes in our internal control over financial reporting during the three months ended June 30, 2021March 31, 2022 that materially affected, or are reasonably likely to materially affect, our internal control over financial reporting (as defined in Rules 13a-15(d) or 15d-15(f) of the Exchange Act).




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PART II –OTHER INFORMATION
ITEM 1 – LEGAL PROCEEDINGS
As disclosed in Note 13"Note 12 - Commitments and Contingencies" in the Notes to the condensed consolidated financial statementsCondensed Consolidated Financial Statements included in this Quarterly Report on Form 10-Q, we are engaged in certain legal proceedings, and the disclosure set forth in Note 1312 relating to legal proceedings is incorporated herein by reference.

ITEM 1A - RISK FACTORS

There have been no material changes to the risk factors disclosed in our 20202021 Annual Report on Form 10-K. However, any10-K, except as set forth below. Any investment in our business involves a high degree of risk. Before making an investment decision, you should carefully consider the information we include in this Quarterly Report on Form 10-Q, including our unaudited interim condensed consolidated financial statements and accompanying notes, our Annual Report on Form 10-K for the year ended December 31, 2020,2021, including our financial statements and related notes contained therein, and the additional information in the other reports we file with the Securities and Exchange Commission. These risks may result in material harm to our business and our financial condition and results of operations. In this event, the market price of our common stock may decline and you could lose part or all of your investment. Additional risks that we currently believe are immaterial may also impair our business operations. Our business, financial conditions and future prospects and the trading price of our common stock could be harmed as a result of any of these risks.
Our operations and business, financial condition, and prospects may be adversely affected by the current
military conflict between Russia and Ukraine and other future social and geopolitical instability.

We are exposed to the risk of changes in social, geopolitical, legal, and economic conditions. The global economy has been, and may continue to be, negatively impacted by Russia’s invasion of Ukraine. As a result of Russia's invasion of Ukraine, the United States, the European Union, the United Kingdom, and other G7 countries, among other countries, have imposed substantial financial and economic sanctions on certain industry sectors and parties in Russia. Broad restrictions on exports to Russia have also been imposed. These measures include: (i) comprehensive financial sanctions against major Russian banks; (ii) additional designations of Russian individuals with significant business interests and government connections; (iii) designations of individuals and entities involved in Russian military activities; and (iv) enhanced export controls and trade sanctions limiting Russia's ability to import various goods. The negative impacts arising from the conflict and these sanctions and export restrictions may include reduced consumer demand, supply chain disruptions and increased costs for transportation, energy, and raw materials. Although none of our operations are in Russia or Ukraine, further escalation of geopolitical tensions could have a broader impact that expands into other markets where we do business, which may adversely affect our business and financial condition, results of operations and prospects.
ITEM 2 - UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
None.
ITEM 3 - DEFAULTS UPON SENIOR SECURITIES
None.
ITEM 4 - MINE SAFETY DISCLOSURES
Not Applicable.
ITEM 5 - OTHER INFORMATION
None.
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ITEM 6 - EXHIBITS
Exhibit
Number
Description
10.110.1**
10.210.2**
10.3**
10.4**
10.5
31.1†
31.2†
32††
101.INS†XBRL Instance Document – The instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
101.SCH†XBRL Taxonomy Extension Schema Document.
101.CAL†XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF†XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB†XBRL Extension Labels Linkbase.
101.PRE†XBRL Taxonomy Extension Presentation Linkbase Document.
104†104Cover Page Interactive Data File – The cover pages does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document
†     Filed herewith.
††   Furnished herewith.
** Management contract or compensatory plan or arrangement.
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
AXOGEN, INC.
Dated: August 5, 2021May 6, 2022/s/ Karen Zaderej
Karen Zaderej
Chief Executive Officer and President
(Principal Executive Officer)
Dated: August 5, 2021May 6, 2022/s/ Peter J. Mariani
Peter J. Mariani
Executive Vice President and Chief Financial Officer
(Principal Financial and Accounting Officer)

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