bvs-20220310
0001665988FALSE00016659882021-08-102021-08-10

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
FORM 8-K
 

CURRENT REPORT
Pursuant to Section 13 or 15(d)
of the Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): March 10, 2022
 
Bioventus Inc.
(Exact name of registrant as specified in charter)
 
Delaware 001-37844 81-0980861
(State or other jurisdiction
of incorporation)
 
(Commission
File Number)
 
(IRS Employer
Identification Number)
4721 Emperor Boulevard, Suite 100
Durham, North Carolina 27703
(Address of principal executive offices) (Zip Code)
Registrant’s telephone number, including area code: (919474-6700
N/A
(Former Name or Former Address, if Changed Since Last Report)
 
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
    Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
    Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
    Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17     CFR 240.14d-2(b))
    Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
Title of each class 
Trading
Symbol
 
Name of each exchange
on which registered
Class A common Stock, $0.001 par value per share BVS The Nasdaq Global Select Market
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter). 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.  



Item 2.02. Results of Operations and Financial Condition.
On March 10, 2022, Bioventus Inc. (the Company) issued a press release announcing its financial results for the quarter and year ended December 31, 2021. A copy of the press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K.
The information contained in this Item 2.02, including Exhibit 99.1 hereto, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the Exchange Act), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing made by the Company under the Securities Act of 1933, as amended (the Securities Act), or the Exchange Act, regardless of any general incorporation language in such filings, unless expressly incorporated by specific reference in such filing.
Item 9.01 Financial Statements and Exhibits.
(d)Exhibits.
The following exhibit relating to Items 2.02 shall be deemed to be furnished, and not filed:
Exhibit No.  Description
99.1  
104Cover Page Interactive Data File (embedded within the Inline XBRL document)
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 hereunto duly authorized.
 
BIOVENTUS INC.
Date: March 10, 2022By:/s/ Anthony D’Adamio
Anthony D’Adamio
Senior Vice President and General Counsel

Document



Exhibit 99.1

https://cdn.kscope.io/3ac886116ccf5a139fc212e0eaa410bc-image_0a.jpg

Bioventus Reports Fourth Quarter and
Full Year 2021 Financial Results;
Introduces Full Year 2022 Financial Guidance
DURHAM, NC – March 10, 2022 – Bioventus Inc. (Nasdaq: BVS) ("Bioventus" or "the Company"), a global leader in innovations for active healing, today reported financial results for the fourth quarter and full-year ended December 31, 2021.
Fourth Quarter Financial Summary & Recent Highlights:
Net Sales of $130.4 million, up $31.8 million, or 32.3%, year over year as reported and 5.1% organically*
Net Loss of ($1.9) million, compared to Net Income of $2.3 million in the prior year
Adjusted EBITDA* of $28.5 million, compared to $28.2 million in the prior year
FY 2021 Financial Summary:
Net Sales of $430.9 million, up $109.7 million, or 34.2%, year over year as reported and 18.8% organically*
Net Income of $9.6 million, decreased ($5.1) million, or (34.9%) year over year
Adjusted EBITDA* of $80.8 million, up $8.3 million, or 11.5% year over year

2021 Highlights of a Transformational Year
Successful Initial Public Offering – February
Acquisition of Bioness – March
Decision to Proceed with Option Structure to Acquire CartiHeal – August
Acquisition of Misonix – October
Acquisition of Curavisc – November
Completed New Board of Directors Appointments Improving Board Diversity to 33%

“The Bioventus team exhibited strong execution and resilience through a transformational year in 2021. We were able to significantly strengthen our business through M&A while also driving above-market growth in Pain Treatments and Surgical Solutions,” commented Ken Reali, Bioventus’ chief executive officer. “With the last significant milestone in the integration of Bioness complete and the Misonix integration underway, we enter 2022 keenly focused on achieving double-digit organic revenue growth, delivering on our cost-synergy commitments, and completing our anticipated acquisition of CartiHeal, which we believe is a transformational technology in the treatment of knee osteoarthritis. I am confident that our enhanced portfolio will enable us to expand our customer relationships, further penetrate the markets we compete in and strengthen our growth levers as we create value for all our stakeholders over 2022 and beyond.”







*See below under “Use of Non-GAAP Financial Measures” for a definition and reconciliation of this measure.


Fourth Quarter 2021 Financial Results:
The following table represents net sales by geographic region, and by vertical, for the three months ended December 31, 2021 and December 31, 2020, respectively:
Three Months Ended2
Change
($ thousands, except for percentage)December 31, 2021December 31, 2020$%
By Geographic Region:
U.S.$115,171 $89,675 $25,496 28.4 %
International15,243 8,916 6,327 71.0 %
Net Sales$130,414 $98,591 $31,823 32.3 %
By Vertical:1
Pain Treatments and Joint Preservation$62,738 $52,246 $10,492 20.1 %
Restorative Therapies36,765 27,191 9,574 35.2 %
Surgical Solutions30,911 19,154 11,757 61.4 %
Net Sales$130,414 $98,591 $31,823 32.3 %
Net sales were $130.4 million compared to $98.6 million for the fourth quarter of 2020, an increase of $31.8 million, or 32.3%, year over year, primarily due to recent acquisitions. International net sales for the fourth quarter of 2021 increased 71.0% year over year, on both an actual and constant currency* basis.
Gross profit was $87.8 million, or 67.3% of net sales, compared to $73.5 million, or 74.5% of net sales, for the fourth quarter of 2020, an increase of $14.3 million, or 19.5%, year over year. Non-GAAP gross profit* was $99.6 million, or 76.3% of net sales, compared to $78.6 million, or 79.7% of net sales, for the fourth quarter of 2020, an increase of $21.0 million, or 26.7%, year over year.
Operating loss was ($3.2) million, compared to operating income of $5.9 million for the fourth quarter of 2020, a decrease of ($9.1) million, or (153.3%), year over year. Operating margin was (2.4%) of net sales, compared to 6.0% of net sales for the fourth quarter of 2020.
Non-GAAP operating income* was $22.3 million, compared to $17.5 million for the fourth quarter of 2020, an increase of $4.8 million, or 27.5%, year over year. Non-GAAP operating margin* was 17.1% of net sales, compared to 17.7% of net sales for the fourth quarter of 2020.
Net loss was ($1.9) million compared to net income of $2.3 million for the fourth quarter of 2020, a decrease of ($4.1) million.
Non-GAAP net income* was $17.6 million, compared to $12.7 million, for the fourth quarter of 2020, an increase of $4.9 million, or 38.8%, year over year.
Adjusted EBITDA* was $28.5 million, compared to $28.2 million for the fourth quarter of 2020, an increase of $0.3 million, or 1.2%, year over year.





1 As a result of the Misonix, Inc. (Misonix) acquisition the Company has updated and renamed its verticals as follows:
Surgical Solutions is comprised of the legacy bone graft substitutes, as well as Misonix surgical products.
Restorative Therapies now includes the legacy Ultrasonic bone healing system, Advanced Rehabilitation Products, as well as Misonix wound products.
Pain Treatments remain unchanged.
2 The three months ended December 31, 2021 and 2020 covered the periods beginning October 3, 2021 and September 27, 2020, respectively.
*See below under “Use of Non-GAAP Financial Measures” for a definition and reconciliation of this measure.


Full Year 2021 Financial Results:
The following table represents net sales by geographic region, and by vertical, for the years ended December 31, 2021 and December 31, 2020, respectively:
Years EndedChange
($ thousands, except for percentage)December 31, 2021December 31, 2020$%
By Geographic Region:
U.S.$387,553 $293,697 $93,856 32.0 %
International43,345 27,464 15,881 57.8 %
Net Sales$430,898 $321,161 $109,737 34.2 %
By Vertical:1
Pain Treatments and Joint Preservation$221,607 $171,178 $50,429 29.5 %
Restorative Therapies121,572 88,624 32,948 37.2 %
Surgical Solutions87,719 61,359 26,360 43.0 %
Net Sales$430,898 $321,161 $109,737 34.2 %
Net sales were $430.9 million compared to $321.2 million for the year ended December 31, 2020, an increase of $109.7 million, or 34.2%, year over year, primarily due recent acquisitions. International net sales for the year ended December 31, 2021 increased 57.8% year over year and 52.5% on a constant currency* basis.
Gross profit was $302.7 million, or 70.3% of net sales, compared to $233.5 million, or 72.7% of net sales, for the year ended December 31, 2020, an increase of $69.2 million, or 29.6%, year over year. Non-GAAP gross profit* was $334.1 million, or 77.5% of net sales, compared to $254.7 million, or 79.3% of net sales, for the year ended December 31, 2020, an increase of $79.4 million, or 31.2%, year over year.
Operating income was $12.1 million, compared to operating income of $21.2 million for the year ended December 31, 2020, a decrease of ($9.2) million, or (43.2%), year over year. Operating margin was 2.8% of net sales, compared to 6.6% of net sales for the year ended December 31, 2020. 
Non-GAAP operating income* was $85.4 million, compared to $60.2 million for the year ended December 31, 2020, an increase of $25.1 million, or 41.7%, year over year. Non-GAAP operating margin* was 19.8% of net sales, compared to 18.8% of net sales for the year ended December 31, 2020.
Net income was $9.6 million compared to net income of $14.7 million for the year ended December 31, 2020, a decrease of ($5.1) million.
Non-GAAP net income* was $67.1 million, compared to $46.4 million, for the year ended December 31, 2020, an increase of $20.7 million, or 44.5%, year over year.
Adjusted EBITDA* was $80.8 million, compared to $72.4 million for the year ended December 31, 2020, an increase of $8.3 million, or 11.5%, year over year.
Balance Sheet:
As of December 31, 2021, the Company had $43.9 million in cash and cash equivalents and $357.7 million in debt obligations, compared to $86.8 million in cash and cash equivalents and $188.4 million in debt obligations as of December 31, 2020.
1 As a result of the Misonix, Inc. (Misonix) acquisition the Company has updated and renamed its verticals as follows:
Surgical Solutions is comprised of the legacy bone graft substitutes, as well as Misonix surgical products.
Restorative Therapies now includes the legacy Ultrasonic bone healing system, Advanced Rehabilitation Products, as well as Misonix wound products.
Pain Treatments remain unchanged.
*See below under “Use of Non-GAAP Financial Measures” for a definition and reconciliation of this measure.


Full-Year 2022 Financial Guidance:
For the twelve months ending December 31, 2022, the Company expects:
Net sales of $545 million to $565 million, representing year over year growth of approximately 26% to 31%.
Adjusted EBITDA* of $94 million to $107 million, compared to $80.8 million for the year ended December 31, 2021.
The company is not providing guidance for adjusted diluted earnings per share due to the uncertainty of the timing for its potential CartiHeal acquisition, but will provide guidance after completion of any acquisition.
The Company does not provide U.S. GAAP financial measures, other than net sales, on a forward-looking basis because the Company is unable to predict with reasonable certainty the impact and timing of acquisition related expenses, accounting fair-value adjustments, and other reconciling items without unreasonable efforts. These items are uncertain, depend on various factors, and could be material to the Company’s results computed in accordance with U.S. GAAP.
The Company's guidance reflects its current expectations regarding the impact of COVID-19 on its business. The severity and duration of the COVID-19 pandemic are outside of the Company’s control and, given the uncertain nature of the pandemic, could cause the Company’s future operating results to be different from its current expectations, particularly if the impact of the pandemic worsens.
Presentation:
This press release presents historical results, for the periods presented, of Bioventus Inc., including Bioventus LLC, the predecessor of Bioventus Inc. for financial reporting purposes.
Fourth Quarter and Fiscal 2021 Earnings Conference Call:
Management will host a conference call to discuss the Company’s financial results and provide a business update, with a question and answer session, at 8:30 a.m. Eastern Time on March 10, 2022. Those who would like to participate may dial 844-945-2085 (442-268-1266 for international callers) and provide access code 7388064.
A live webcast of the call and any accompanying materials will also be provided on the investor relations section of the Company's website at https://ir.bioventus.com/.
The webcast will be archived on the Company’s website at https://ir.bioventus.com/ and available for replay until March 9, 2023.
About Bioventus
Bioventus delivers clinically proven, cost-effective products that help people heal quickly and safely. Its mission is to make a difference by helping patients resume and enjoy active lives. The Innovations for Active Healing from Bioventus include offerings for pain treatment & joint preservation, restorative therapies and bone graft substitutes. Built on a commitment to high quality standards, evidence-based medicine and strong ethical behavior, Bioventus is a trusted partner for physicians worldwide. For more information, visit www.bioventus.com, and follow the Company on LinkedIn and Twitter. Bioventus and the Bioventus logo are registered trademarks of Bioventus LLC.
*See below under “Use of Non-GAAP Financial Measures” for a definition and reconciliation of this measure.


Legal Notice Regarding Forward-Looking Statements
This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. All statements contained in this press release that do not relate to matters of historical fact should be considered forward-looking statements, including, without limitation, statements concerning our business strategy, position and operations; expected sales trends, opportunities and growth; the ongoing COVID-19 pandemic; the expected benefits and impact of Bioventus’ products, including in certain regions, and biologic drug candidates; the anticipated acquisition of CartiHeal; expected completion of integration efforts for Bioness and Misonix; and the Company’s financial guidance and expected financial performance. In some cases, you can identify forward-looking statements by terminology such as “aim,” “anticipate,” “assume,” “believe,” “contemplate,” “continue,” “could,” “due,” “estimate,” “expect,” “goal,” “intend,” “may,” “objective,” “plan,” “predict,” “potential,” “positioned,” “seek,” “should,” “target,” “will,” “would” and other similar expressions that are predictions of or indicate future events and future trends, or the negative of these terms or other comparable terminology, although not all forward-looking statements contain these words. Forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified. Factors that could cause actual results to differ materially from those contemplated in this press release include, but are not limited to, statements about the adverse impacts on our business as a result of the COVID-19 pandemic; our dependence on a limited number of products; our ability to develop, acquire and commercialize new products, line extensions or expanded indications; the continued and future acceptance of our existing portfolio of products and any new products, line extensions or expanded indications by physicians, patients, third-party payers and others in the medical community; our ability to differentiate the hyaluronic acid (“HA”) viscosupplementation therapies we own or distribute from alternative therapies for the treatment of osteoarthritic; the proposed down-classification of non-invasive bone growth stimulators, including our Exogen system, by the U.S. Food and Drug Administration ("FDA"); our ability to achieve and maintain adequate levels of coverage and/or reimbursement for our products, the procedures using our products, or any future products we may seek to commercialize, including any potential changes by Centers for Medicare and Medicaid Services in the manner in which our HA viscosupplementation products are reimbursed, our ability to complete acquisitions or successfully integrate new businesses, products or technologies in a cost-effective and non-disruptive manner; competition against other companies; the negative impact on our ability to market our HA products due to the reclassification of HA products from medical devices to drugs in the United States by the FDA; our ability to attract, retain and motivate our senior management and qualified personnel; our ability to continue to research, develop and manufacture our products if our facilities are damaged or become inoperable; failure to comply with the extensive government regulations related to our products and operations; enforcement actions if we engage in improper claims submission practices or in improper marketing or promotion of our products; the FDA regulatory process and our ability to obtain and maintain required regulatory clearances and approvals; failure to comply with the government regulations that apply to our human cells, tissues and cellular or tissue-based products; the clinical studies of any of our future products that do not produce results necessary to support regulatory clearance or approval in the United States or elsewhere; and the other risks identified in the Risk Factors section of the Company’s public filings with the Securities and Exchange Commission (“SEC”), including Bioventus’ Annual Report on Form 10-K for the year ended December 31, 2020, and subsequent Forms 10-Q, as such factors may be updated from time to time in Bioventus’ other filings with the SEC, which are accessible on the SEC’s website at www.sec.gov and the Investor Relations page of Bioventus’ website at https://ir.bioventus.com. Except to the extent required by law, the Company undertakes no obligation to update or review any estimate, projection, or forward-looking statement. Actual results may differ materially from those set forth in the forward-looking statements.




BIOVENTUS INC.
Consolidated balance sheets
As of December 31, 2021 and December 31, 2020
(Amounts in thousands, except share and per share data) (unaudited)
 December 31, 2021 December 31, 2020
Assets 
Current assets: 
Cash and cash equivalents$43,933  $86,839 
Restricted cash5,280 — 
Accounts receivable, net124,963  88,283 
Inventory61,688  29,120 
Prepaid and other current assets27,239  7,552 
Total current assets263,103  211,794 
Restricted cash, less current portion50,000 — 
Property and equipment, net22,985  6,879 
Goodwill147,623  49,800 
Intangible assets, net695,193  191,650 
Operating lease assets17,186  14,961 
Deferred tax assets481 — 
Investment and other assets29,291  19,382 
Total assets$1,225,862  $494,466 
Liabilities and Stockholders' and Members’ Equity 
Current liabilities: 
Accounts payable$16,915 $4,422 
Accrued liabilities131,473 88,187 
Accrued equity-based compensation10,875 11,054 
Current portion of long-term debt18,038 15,000 
Other current liabilities3,558 3,926 
Total current liabilities180,859  122,589 
Long-term debt, less current portion339,644 173,378 
Accrued equity-based compensation, less current portion— 29,249 
Deferred income taxes133,518 3,362 
Contingent consideration16,329 — 
Other long-term liabilities21,723 21,728 
Total liabilities692,073  350,306 
Stockholders’ and Members’ Equity: 
Members' equity— 144,160 
Preferred stock, $0.001 par value, 10,000,000 shares authorized, 0 shares issued
Class A common stock, $0.001 par value, 250,000,000 shares authorized, 59,548,504 shares issued and outstanding59 — 
Class B common stock, $0.001 par value, 50,000,000 shares authorized, 15,786,737 shares issued and outstanding16 — 
Additional paid-in capital465,272 — 
Accumulated deficit(6,602)— 
Accumulated other comprehensive income179 — 
Total stockholders’ equity attributable to Bioventus Inc. and members’ equity458,924  144,160 
Noncontrolling interest74,865 — 
Total stockholders’ and members’ equity533,789  144,160 
Total liabilities and stockholders’ and members’ equity$1,225,862 $494,466 



BIOVENTUS INC.
Consolidated statements of operations and comprehensive income
(Amounts in thousands, except share and per share data, unaudited)
 
Three Months Ended2
 Years Ended
 December 31, 2021December 31, 2020December 31, 2021December 31, 2020
Net sales$130,414 $98,591 $430,898 $321,161 
Cost of sales (including depreciation and amortization of $8,980 and $5,093, $26,471 and $21,169 respectively)
42,646 25,121 128,192 87,642 
Gross profit87,768 73,470 302,706 233,519 
Selling, general and administrative expense80,881 61,974 254,253 193,078 
Research and development expense7,103 2,891 19,039 11,202 
Restructuring costs689 563 2,487 563 
Change in fair value of contingent consideration(463)— 829 — 
Depreciation and amortization2,708 2,134 8,363 7,439 
Impairment of variable interest entity assets— — 5,674 — 
Operating (loss) income(3,150)5,908 12,061 21,237 
Interest expense960 2,656 1,112 9,751 
Other expense (income)508 111 3,329 (4,428)
Other expense1,468 2,767 4,441 5,323 
(Loss) income before income taxes(4,618)3,141 7,620 15,914 
Income tax (benefit) expense(2,725)890 (1,966)1,192 
Net (loss) income(1,893)2,251 9,586 14,722 
Loss attributable to noncontrolling interest1,529 525 9,789 1,689 
Net (loss) income attributable to Bioventus Inc.$(364)$2,776 $19,375 $16,411 
Net (loss) income$(1,893)$2,251 $9,586 $14,722 
Other comprehensive income (loss), net of tax
Change in prior service cost and unrecognized (loss) gain
    for defined benefit plan adjustment
60 (54)60 (54)
Change in foreign currency translation adjustments(399)1,439 (1,318)2,126 
Comprehensive (loss) income(2,232)3,636 8,328 16,794 
Comprehensive loss attributable to noncontrolling interest1,639 525 9,789 1,689 
Comprehensive (loss) income attributable to Bioventus Inc.$(593)$4,161 $18,117 $18,483 
Loss per share of Class A common stock(1):
Basic and diluted$(0.01)$(0.15)
Weighted-average shares of Class A common stock outstanding(1):
Basic and diluted54,733,783 45,472,483
(1) Per share information for the year ended December 31, 2021 represents loss per share of Class A common stock and weighted-average shares of Class A common stock outstanding from February 16, 2021 through December 31, 2021, the period following Bioventus Inc.'s initial public offering and related transactions described in Note 1. Organization and Note 9. Earnings per share within the Notes to the Condensed Consolidated Financial Statements in the Company's Annual Report on Form 10-K for the year ended December 31, 2021.
2 The three months ended December 31, 2021 and 2020 covered the periods beginning October 3, 2021 and September 27, 2020, respectively.


BIOVENTUS INC.
Consolidated statements of cash flows
(Amounts in thousands, unaudited)
Three Months Ended2
Year Ended
 December 31, 2021December 31, 2020December 31, 2021 December 31, 2020
Operating activities: 
Net income$(1,893)$2,251 $9,586 $14,722 
Adjustments to reconcile net income to net cash provided by operating activities from continuing operations:
Depreciation and amortization11,690 6,854 34,875 28,643 
Equity-based compensation6,109 9,484 (4,512)10,103 
Change in fair value of contingent consideration(463)— 829 — 
Change in fair value of Equity Participation Rights unit— 1,432 (2,774)644 
Change in fair value of interest rate swap(1,339)(381)(2,730)1,599 
Impairments related to variable interest entity— — 7,043 — 
Loss on debt retirement and modification2,162 — 2,162 — 
Deferred income taxes(8,053)(74)(9,756)(511)
Other, net52 430 1,545 1,691 
Changes in working capital4,852 5,450 (13,277)15,308 
Net cash from operating activities - continuing operations13,117 25,446 22,991  72,199 
Net cash from operating activities - discontinued operations— — — (400)
Net cash from operating activities13,117 25,446 22,991 71,799 
Investing activities: 
Acquisitions, net of cash acquired(216,080)— (262,870)— 
Investments(2,396)51 (13,520)(16,579)
Purchase of property and equipment(2,802)(1,762)(7,370)(4,093)
Other— — — — 
Net cash from investing activities - continuing operations(221,278)(1,711)(283,760) (20,672)
Net cash from investing activities - discontinued operations— — — 172 
Net cash from investing activities(221,278)(1,711)(283,760)(20,500)
Financing activities: 
Proceeds from issuance of Class A common stock sold in initial public offering, net of underwriting discounts and offering costs— — 107,777 — 
Proceeds from issuance of Class A and B common stock 886 — 1,633 — 
Registration fees for the Class A common stock to purchase Misonix(1,838)— (1,838)— 
Borrowing on revolver20,000 — 20,000 49,000 
Payment on revolver(20,000)— (20,000)(49,000)
Proceeds from the issuance of long-term debt, net of issuance costs257,453 — 257,453 — 
Payments on long-term debt(80,000)(5,000)(91,250)(10,000)
Distributions to members(184)(5,195)(367)(19,886)
Other, net(9)317 (37)317 
Net cash from financing activities176,308 (9,878)273,371  (29,569)
Effect of exchange rate changes on cash149 503 (228)589 
Net change in cash, cash equivalents and restricted cash(31,704)14,360 12,374  22,319 
Cash, cash equivalents and restricted cash at the beginning of the period130,917 72,479 86,839 64,520 
Cash, cash equivalents and restricted cash at the end of the period$99,213 $86,839 $99,213  $86,839 
2 The three months ended December 31, 2021 and 2020 covered the periods beginning October 3, 2021 and September 27, 2020, respectively.



Use of Non-GAAP Financial Measures
Net Sales and International Net Sales Growth on a Constant Currency Basis
Net Sales and International Net Sales Growth on a Constant Currency Basis is a non-GAAP measure, which is calculated by translating current and prior year results at the same foreign currency exchange rate. Constant currency can be presented for numerous GAAP measures, but is most commonly used by management to facilitate the comparison sales in foreign currencies to prior periods and analyze net sales performance without the impact of changes in foreign currency exchange rates.
Organic Revenue Growth
The Company defines the term “organic revenue” as revenue in the stated period excluding the impact from business acquisitions and divestitures. The Company uses the related term “organic revenue growth” to refer to the financial performance metric of comparing the stated period organic revenue with the reported revenue of the corresponding period in the prior year. The Company believes that these non-GAAP financial measures, when taken together with our GAAP financial measures, allows the Company and its investors to better measure the Company’s performance and evaluate long-term performance trends. Organic revenue growth also facilitates easier comparisons of the Company’s performance with prior and future periods and relative comparisons to its peers. The Company excludes the effect of acquisitions and divestitures because these activities can have a significant impact on the Company's reported results, which the Company believes makes comparisons of long-term performance trends difficult for management and investors.
Adjusted EBITDA, Non-GAAP Gross Profit, Non-GAAP Gross Margin, Non-GAAP Operating Income, Non-GAAP Operating Expense, Non-GAAP Operating Margin, Non-GAAP Net Income, and Non-GAAP Earnings per share of Class A Common Stock.
We present Adjusted EBITDA, Non-GAAP Gross Profit, Non-GAAP Gross Margin, Non-GAAP Operating Income, Non-GAAP Operating Expense, Non-GAAP Operating Margin, Non-GAAP Net Income, and Non-GAAP Earnings per share of Class A Common Stock, all non-GAAP financial measures, to supplement our financial reporting, because we believe these measures are useful indicators of our operating performance. We revised our current year presentation of our non-GAAP measures to condense the adjustments in order to simplify the presentation. Prior periods have been recast to conform to the current period.
We define Adjusted EBITDA as net income (loss) from continuing operations before depreciation and amortization, provision of income taxes and interest expense (income), adjusted for the impact of certain cash, non-cash and other items that we do not consider in our evaluation of ongoing operating performance. These items include acquisition and related costs, restructuring and succession charges, impairments related to variable interest entity, equity compensation, COVID-19 expense (benefit), equity loss in unconsolidated investments, foreign currency impact, and other items. See the table below for a reconciliation of net income to Adjusted EBITDA. Our management uses Adjusted EBITDA principally as a measure of our operating performance and believes that Adjusted EBITDA is useful to our investors because it is frequently used by securities analysts, investors and other interested parties often use it in their evaluation of the operating performance of companies in industries similar to ours. Our management also uses Adjusted EBITDA for planning purposes, including the preparation of our annual operating budget and financial projections.
Our management uses Non-GAAP Gross Profit, Non-GAAP Gross Margin, Non-GAAP Operating Income, Non-GAAP Operating Expense, Non-GAAP Operating Margin and Non-GAAP Net Income principally as measures of our operating performance and believe that these non-GAAP financial measures are useful to better understand the long term performance of our core business and to facilitate comparison of our results to those of peer companies. Our management also uses these non-GAAP financial measures for planning purposes, including the preparation of our annual operating budget and financial projections.
We define Non-GAAP Gross Profit as gross profit, adjusted for the impact of certain cash, non-cash and other items that we do not consider in our evaluation of ongoing operating performance. These items include depreciation and amortization included in the cost of goods sold and acquisition and related costs in the cost of goods sold. We define Non-GAAP Gross Margin as the calculated ratio of Non-GAAP Gross Profit to net sales. See the table below for a reconciliation of gross profit and gross margin to Non-GAAP Gross Profit and Gross Margin.



We define Non-GAAP Operating Income as operating income, adjusted for the impact of certain cash, non-cash and other items that we do not consider in our evaluation of ongoing operating performance. These items include depreciation and amortization, acquisition and related costs, restructuring and succession charges, COVID-19 expense (benefit), impairments to variable interest entity, and other items. Non-GAAP Operating Margin is defined as Non-GAAP Operating Income divided by net sales. See the table below for a reconciliation of Operating Income and operating margin to Non-GAAP Operating Income and Non-GAAP Operating Margin.
We define Non-GAAP Operating Expense as operating expenses, adjusted to exclude certain cash, non-cash and other items that we do not consider in our evaluation of ongoing operating performance. These items include depreciation and amortization, acquisition and related costs, restructuring and succession charges, COVID-19 expense, impairments to variable interest entity, and other items. See the table below for a reconciliation of Operating Expenses to Non-GAAP Operating Expenses.
We define Non-GAAP Net Income as Net Income, adjusted for the impact of certain cash, non-cash and other items that we do not consider in our evaluation of ongoing operating performance. These items include depreciation and amortization, acquisition and related costs, restructuring and succession charges, COVID-19 expense, impairments to variable interest entity, other items, and the tax effect of adjusting items. Starting in the fourth quarter, we revised our presentation of Non-GAAP Net Income to include the income tax effect of adjusting items. The income tax effect was calculated by applying management's expectation of a long-term normalized effective tax rate to the adjusting items. Prior period presentation has been recast to conform to current period presentation. See the table below for a reconciliation of Net Income to Non-GAAP Net Income.
We define Non-GAAP Earnings per Class A share as Earnings per Class A share, adjusted for the impact of certain cash, non-cash and other items that we do not consider in our evaluation of ongoing operating performance. These items include depreciation and amortization, acquisition and related costs, restructuring and succession charges, impairments to variable interest entity, other items, and the tax effect of adjusting items divided by weighted average number of shares of Class A common stock outstanding during the period. Starting in the fourth quarter, we revised our presentation of Non-GAAP Earnings per Class A share to include the income tax effect of adjusting items. The income tax effect was calculated by applying management's expectation of a long-term normalized effective tax rate to the adjusting items. Prior period presentation has been recast to conform to current period presentation. See the table below for a reconciliation of loss per Class A share to Non-GAAP Earnings per Class A share.
Reconciliation of Net (Loss) Income to Adjusted EBITDA (unaudited)
Three Months Ended2
Years Ended
($, thousands)December 31, 2021December 31, 2020December 31, 2021December 31, 2020
Net (loss) income$(1,893)$2,251$9,586$14,722
Interest expense9602,6561,1129,751
Income tax (benefit) expense(2,725)890(1,966)1,192
Depreciation and amortization(a)
11,6906,85434,87528,643
Acquisition and related costs(b)
8,80921,978
Restructuring and succession charges(c)
1,5758273,7176,172
Impairments related to variable interest entity(d)
7,043
Equity compensation(e)
6,1099,484(4,512)10,103
COVID-19 expense (benefit), net(f)
35(4,123)
Equity loss in unconsolidated investments(g)
5484671,868467
Foreign currency impact(h)
179(59)132(117)
Other items(i)
3,2354,7496,9265,633
Adjusted EBITDA$28,487 $28,154 $80,759 $72,443 
(a)Includes for the three months ended December 31, 2021 and December 31, 2020 and the year ended December 31, 2021 and December 31, 2020, respectively, depreciation and amortization of $8,980, $5,093, $26,471 and $21,169 in cost of sales and $2,708, $2,134, and $8,363 and $7,439 in operating expenses, with the balance in research and development, presented in the consolidated statements of operations and comprehensive income.
(b)Includes acquisition and integration costs related to completed acquisitions, amortization of inventory step-up associated with acquired entities, and changes in fair value of contingent consideration.
2 The three months ended December 31, 2021 and 2020 covered the periods beginning October 3, 2021 and September 27, 2020, respectively.


(c)Costs incurred during 2021 were the result of adopting acquisition related restructuring plans to reduce headcount, reorganize management structure, consolidate certain facilities, and costs related to executive transitions. Costs incurred during 2020 related to a shift from direct to an indirect distribution model in our International business to improve performance. Various international subsidiaries were dissolved and/or merged into other BV LLC entities.
(d)Represents loss on impairment of Harbor’s long-lived assets and the Company’s investment in Harbor.
(e)The year ended December 31, 2021 includes compensation expense resulting from awards granted under the Company’s equity based compensation plans in effect after its IPO. These expenses were entirely offset and resulted in income due to the change in fair market value of the BV LLC Phantom Profits Interest Plan (Phantom Plan) accrued liability due to expected pricing with our IPO. The year ended December 31, 2020 includes compensation expense resulting from the BV LLC’s management incentive plan and Phantom Plan as well as the change in fair market value of the associated liability due to the impact of the COVID-19 pandemic on our business.
(f)Includes income resulting from the CARES Act offset by additional cleaning and disinfecting expenses and contract termination fees for canceled events.
(g)Includes CartiHeal equity investment losses.
(h)Includes realized and unrealized gains and losses from fluctuations in foreign currency.
(i)Other items primarily includes charges associated with strategic transactions, such as potential acquisitions, debt retirement and modification costs and public company preparation costs, which primarily includes accounting and legal fees.

Reconciliation of Other Reported GAAP Measures to Non-GAAP Measures
Three Months Ended December 31, 20212
Gross ProfitOperating ExpensesOperating LossNet Loss
EPS(f)
Reported GAAP measure$87,768 $90,918 $(3,150)$(1,893)$(0.01)
Reported GAAP margin67.3 %(2.4)%
Depreciation and amortization(a)
8,980 2,710 11,690 11,690 0.16 
Acquisition and related costs(b)
2,804 6,005 8,809 8,809 0.12 
Restructuring and succession charges(c)
— 1,575 1,575 1,575 0.02 
Other items(d)
— 3,363 3,363 3,235 0.05 
Tax effect of adjusting items(e)
— — — (5,778)(0.08)
Non-GAAP measure$99,552 $77,265 $22,287 $17,638 $0.26 
Non-GAAP margin76.3 %17.1 %
Non-GAAP Gross MarginNon-GAAP Operating ExpensesNon-GAAP Operating IncomeNon-GAAP Net IncomeAdjusted EPS

Three Months Ended December 31, 20202
Gross ProfitOperating ExpensesOperating IncomeNet Income
Reported GAAP measure$73,470 $67,562 $5,908 $2,251 
Reported GAAP margin74.5 %6.0 %
Depreciation and amortization(a)
5,093 1,761 6,854 6,854 
Acquisition and related costs(b)
— — — — 
Restructuring and succession charges(c)
— 827 827 827 
COVID-19 expense(g)
— 299 299 35 
Other items(d)
— 3,590 3,590 3,590 
Tax effect of adjusting items(e)
— — — (848)
Non-GAAP measure$78,563 $61,085 $17,478 $12,709 
Non-GAAP margin79.7 %17.7 %
Non-GAAP Gross MarginNon-GAAP Operating ExpensesNon-GAAP Operating IncomeNon-GAAP Net Income

2 The three months ended December 31, 2021 and 2020 covered the periods beginning October 3, 2021 and September 27, 2020, respectively.


(a)Includes for the three months ended December 31, 2021 and December 31, 2020 respectively, depreciation and amortization of $8,980 and $5,093, in cost of sales and $2,708 and $2,134, in operating expenses, with the balance in research and development, presented in the consolidated statements of operations and comprehensive income
(b)Consists of acquisition related items such as integration costs, amortization of inventory step-up, and changes in fair value of contingent consideration.
(c)Consists of restructuring plans to reduce headcount, reorganize management structure and consolidate certain facilities, as well as executive leadership transition costs.
(d)Other items primarily consists of charges associated with strategic transactions, such as potential acquisitions, and debt retirement and modification costs.
(e)Calculated by applying a normalized statutory rate of 22.8% to the adjustments to Non-GAAP Net Income. The tax effect on adjustments to EPS is normalized to exclude the effect of the non-controlling ownership interest. The tax effect on adjustments to Non-GAAP net income for the three months ended December 31, 2020 was calculated using the prior year effective tax rate of 7.5%.
(f)Adjustments are pro-rated to exclude the weighted average non-controlling interest ownership of 23.6% for the three months ended December 31, 2021.
(g)Additional cleaning and disinfection expenses and contract termination fees for cancelled events.

Year Ended December 31, 2021Gross ProfitOperating ExpensesOperating IncomeNet Income
EPS(g)
Reported GAAP measure$302,706 $290,645 $12,061 $9,586 $(0.15)
Reported GAAP margin70.3 %2.8 %
Depreciation and amortization(a)
26,471 8,404 34,875 34,875 0.59 
Acquisition and related costs(b)
4,910 17,068 21,978 21,978 0.37 
Restructuring and succession charges(c)
— 3,717 3,717 3,717 0.06 
Impairments related to variable interest entity(d)
— 5,674 5,674 7,043 0.02 
Other items(e)
— 7,054 7,054 6,926 0.12 
Tax effect of adjusting items(f)
— — — (17,017)(0.26)
Non-GAAP measure$334,087 $248,728 $85,359 $67,108 $0.75 
Non-GAAP margin77.5 %19.8 %
Non-GAAP Gross MarginNon-GAAP Operating ExpensesNon-GAAP Operating IncomeNon-GAAP Net IncomeAdjusted EPS

Year Ended December 31, 2020Gross ProfitOperating ExpensesOperating IncomeNet Income
Reported GAAP measure$233,519 $212,282 $21,237 $14,722 
Reported GAAP margin72.7 %6.6 %
Depreciation and amortization(a)
21,169 7,474 28,643 28,643 
Acquisition and related costs(b)
— — — — 
Restructuring and succession charges(c)
— 6,172 6,172 6,172 
COVID-19 expense (benefit)(h)
— 576 576 (4,123)
Other items(e)
— 3,590 3,590 3,590 
Tax effect of adjusting items(f)
— (2,571)
Non-GAAP measure$254,688 $194,470 $60,218 $46,433 
Non-GAAP margin79.3 %18.8 %
Non-GAAP Gross MarginNon-GAAP Operating ExpensesNon-GAAP Operating IncomeNon-GAAP Net Income
(a)Includes for the year ended December 31, 2021 and December 31, 2020, respectively, depreciation and amortization of $26,471 and $21,169 in cost of sales and $8,363 and $7,439 in operating expenses, with the balance in research and development, presented in the consolidated statements of operations and comprehensive income
(b)Consists of acquisition related items such as integration costs, amortization of inventory step-up, and changes in fair value of contingent consideration.
2 The three months ended December 31, 2021 and 2020 covered the periods beginning October 3, 2021 and September 27, 2020, respectively.


(c)Consists of restructuring plans to reduce headcount, reorganize management structure and consolidate certain facilities, as well as executive leadership transition costs.
(d)Represents loss on impairment of Harbor’s long-lived assets and the Company’s investment in Harbor.
(e)Other items primarily consists of charges associated with strategic transactions, such as potential acquisitions, and debt retirement and modification costs.
(f)Calculated by applying a normalized statutory rate of 22.8% to the adjustments to Non-GAAP Net Income. The tax effect on adjustments to EPS is normalized to exclude the effect of the non-controlling ownership interest. The tax effect on adjustments to Non-GAAP net income for the year ended December 31, 2020 was calculated using the prior year effective tax rate of 7.5%.
(g)Adjustments are pro-rated to exclude the weighted average non-controlling interest ownership of 23.5% for the year ended December 31, 2021.
(h)Includes income resulting from the CARES Act offset by additional cleaning and disinfecting expenses and contract termination fees for canceled events.

Investor Inquiries:
Dave Crawford
Bioventus
investor.relations@bioventus.com

Press and Media Inquiries:
Jamica Whitaker
Bioventus
jamica.whitaker@bioventus.com