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Renalytix AI plc

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FY2022 Annual Report · Renalytix AI plc
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Renalytix plc  
Annual Report and 
Financial Statements 

FOR  THE  YEAR  ENDED  30  JUNE  2022 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Index 

STRATEGIC  REPORT 

3-21  

Chairman & CEO’s Joint Statement 

Company Overview 

Operational and Financial Highlights 

Product Overview and Strategy 

Financial Review 

Risk Management Approach 

Section 172 Statement 

Corporate Social Responsibility Review 

3 

8 

9 

11 

13 

15 

19 

21 

CORPORATE  GOVERNANCE  

22-52 

Board of Directors 

Directors’ Report 

Corporate Governance Statement 

Directors’ Remuneration Report and Policy 

Independent Auditors’ Report 

22 

25 

29 

32 

48 

FINANCIAL  STATEMENTS 

53-87  

Consolidated Income Statement 

Consolidated Statement of Comprehensive Income 

Consolidated and Company’s Statements of Financial Position 

Consolidated and Company’s Statements of Cashflows 

Consolidated Statement of Changes in Equity 

Company’s Statement of Changes in Equity 

Notes to the Financial Statements 

Additional Financial Information 

53 

54 

55 

57 

59 

61 

63 

85 

|  Renalytix plc Annual Report and Financial Statements 

            2 

 
 
 
 
 
 
 
 
 
STRATEGIC  REPORT 

Chairman & CEO’s Joint Statement 

TO THE MEMBERS OF RENALYTIX PLC 

We are pleased to present our annual report for the twelve months ended 30 June 2022 for Renalytix plc 
(“Renalytix” or the “Company”). 

Our path to success is focused on five major items:  

1.  Achieving “super-majority” insurance coverage in key regional markets including New York, Illinois 

and the Carolinas;  

2.  Continuing to publish on our growing real-world evidence of KidneyIntelX effectiveness;  

3.  FDA De Novo marketing authorization for KidneyIntelX;  

4.  Revenue growth from sequential onboarding of physicians, networks, and hospitals in new locations; 

and  

5.  Continuing to lower net expense to maintain cash availability into the first half of fiscal 2024 

We are making strong progress and expect to meet or exceed each of these items. 

Achieving “super-majority” insurance coverage in key regional markets including New York, Illinois and the 
Carolinas 

We expect to cross the threshold of “super-majority” coverage in different key markets over the next several 
months.  We consider a super-majority as greater than 70% of patients with diabetes and kidney disease 
having insurance coverage for KidneyIntelX testing in a major population region, such as New York City or 
metropolitan Chicago.  Establishing Medicare and Medicaid payment are two crucial pieces as collectively they 
provide insurance for an estimated 60-70 percent of the KidneyIntelX eligible patient population.  We recently 
reported that we have secured payment for KidneyIntelX testing by Medicare through claims submitted to 
National Government Services (NGS), the Medicare Administrative Contractor covering our New York 
laboratory.  This is in addition to KidneyIntelX claims now being paid by Medicare Advantage, Medicaid, Blue 
Cross Blue Shield and other commercial insurance providers.   

The Blue Cross Blue Shield (BCBS) system, covering over 114 million members or 1 in 3 Americans, is also core 
to our 2023 growth strategy. To date, we are pleased to have KidneyIntelX coverage declared by BCBS Illinois 
(8.1 million members), and Wellmark BCBS (South Dakota and Iowa with two million members).  We have 
always viewed insurance reimbursement as the most significant hurdle to KidneyIntelX adoption and consider 
our building success in securing Medicare, Medicaid and BCBS payment to be unusually rapid this early in a 
company’s commercial diagnostic lifecycle. Our expected KidneyIntelX contracted pricing remains at $950, in 
line with our distinct Medicare CLFS pricing.  

Continuing to publish on our growing real-world evidence of KidneyIntelX effectiveness  

Published utility study results showed that primary care physicians using KidneyIntelX are six times more 
likely to prescribe advanced medication to their high-risk patients in early-stage kidney disease where the 
opportunity to prevent significant kidney damage or kidney failure is greatest.  In these studies, the same 
physician using KidneyIntelX was also three times more likely to make a timely referral to a specialist and 
three times more likely to initiate more aggressive anti-hypertensive (blood pressure control) strategies.  

In other words, these real-world results support that KidneyIntelX is driving behavior change at primary care 
for high-risk patients – the key to altering the tide on kidney disease progression and reducing dialysis.  We 
expect additional results from our multi-year real-world evidence programs will be in print during the 2nd 
quarter of fiscal 2023.    

FDA De Novo marketing authorization for KidneyIntelX 

We continue to work closely and constructively with the FDA on our De Novo Breakthrough Device 
authorization submission.  Notably, we have provided additional comprehensive data which further confirms 
the performance of KidneyIntelX in risk discrimination for patients with diabetic kidney disease.  We now 
believe we are approaching the completion of the De Novo regulatory process and while there is no guarantee 

|  Renalytix plc Annual Report and Financial Statements 

            3 

 
 
 
 
 
 
 
 
 
 
of success until the FDA has made its final determination, we are optimistic based on both the quality of 
analytic and clinical evidence provided and the high level of engagement we have had with the FDA. Our 
current expectations are for a decision to be made in calendar Q1 2023 but there can be no guarantee on this 
timescale.   

Revenue growth from sequential onboarding of physicians, networks, and hospitals in new locations   

We expect revenue test volume will continue to increase through the balance of fiscal year 2023 with increased 
contribution from different market channels.  At Mount Sinai Health System alone, we have now generated 
nearly 5,000 KidneyIntelX patient results including 835 in the quarter ended June 2022 (Q4 of FY22), and 
another 974 in the most recent post-period quarter ended September 2022 (Q1 of FY23). 

We issued over 1,200 patient KidneyIntelX test reports in the first quarter of fiscal 2023 (ended September 30), 
which is double the testing rate from a year earlier.  With expanded insurance coverage, a growing number of 
these tests are now billable and revenue recognizable within 30 days.   

Continuing to lower net expense  

We have continued to reduce Company overhead with a keen eye toward advancing our best commercial 
opportunities – primarily regions with super-majority insurance coverage in the short term.  As stated in 
August 2022, we have taken action to lower annual expenditures by over $12 million through program, vendor 
and employee reductions, with additional opportunities to reduce expenditures under review. 

In fiscal 2023, the fundamental goals are clear; 
•  building on diversified testing volume; 
• 
securing broad insurance coverage; 
• 
continued evidence of real-world benefit of KidneyIntelX use in the clinic; and 
•  FDA authorization  

The early-stage kidney health market remains wide open, and we believe Renalytix is in a position to alter the 
cost landscape and maintain better health for some 15 million Americans with diabetes and kidney disease.   

ABOUT RENALYTIX 

At Renalytix, we are introducing more accurate prognosis and effective care management for the estimated 850 
million people worldwide with chronic kidney disease. In the United States alone, chronic kidney disease affects 
about 37 million people and is responsible for one of the largest cost drivers in the national medical system. 
Early identification, prognosis and treatment beginning with primary care is essential if we are to stem the 
growing social cost and suffering associated with kidney disease. 

With our lead product, KidneyIntelX, the goal is to drive the focus from kidney disease treatment to kidney 
health management through a more accurate understanding of a patient’s risk for kidney failure before it 
happens. KidneyIntelX leads development in the new field of bioprognosis, a biology driven approach to risk 
assessment that integrates information from a simple blood draw and a patient’s health record to produce an 
accurate picture of kidney health. A doctor can use KidneyIntelX results to act on patients at high risk of kidney 
disease progression or failure at an early stage where active management and therapeutics have the best 
opportunity to impact outcomes and cost before it is too late. 

KIDNEYINTELX™ 

Our novel platform, KidneyIntelX, uses a machine-learning enabled algorithm to process predictive blood 
biomarkers with key features from a patient’s health record to generate an early and accurate kidney health risk 
score. The score identifies those patients at the most risk for kidney disease progression and/or failure and 
further guides ongoing clinical decisions. 

KidneyIntelX is initially indicated for use with adults who have diagnosed kidney disease and diabetes – diabetic 
kidney disease or DKD.  Future KidneyIntelX products in development intend to expand the indicated uses to 
include broader chronic kidney disease, health equity strategies and kidney health monitoring through treatment. 
Diabetes is the leading cause of chronic kidney disease, representing nearly 40% of its cases, and DKD patients are 
the highest contributors to emergency room dialysis starts. Unfortunately, many DKD patients are unaware that 
their kidney disease has been progressing, often uncontrolled, for many years and now find themselves making 
difficult decisions about late-stage treatments. 

KidneyIntelX was designed as an expandable platform able to add indicated uses and a monitoring capability, all 
within an FDA regulated, insurance reimbursable framework.  

|  Renalytix plc Annual Report and Financial Statements 

            4 

 
 
 
 
 
 
 
 
 
OPERATIONAL PROGRESS 

In the year ended 30 June 2022 (“FY22”) and the immediate post-period, the Company saw KidneyIntelX expand 
within the Mount Sinai Health System and launch at Wake Forest Baptist Health, CDPHP, VA medical centers and 
among independent primary care physicians.  

A full electronic health record (EHR) integrated deployment of KidneyIntelX with population health support in the 
Mount Sinai Health System has now yielded actionable reports on nearly 5,000 patients and growing.  Utility 
results from our first real-world deployment at scale is yielding key evidence of the benefits of KidneyIntelX, 
particularly at the all-important primary care level. Patients and doctors are now clearly seeing benefits in the 
short-term from advanced risk assessment and follow-on action early in the disease cycle.   Our experience with 
our physician-led health insurance partner, Capital District Physicians’ Health Plan (CDPHP), in upstate New York 
has been equally robust.  

Implementing with the veterans’ affairs (VA) medical system has been slower than planned due to the 
complexities in introducing a new test and integrating its use into the VA system.  However, we have now begun to 
overcome implementation hurdles and are beginning to see an increasing number of orders and corresponding 
testing volumes.  We remain convinced that KidneyIntelX will play an important role nationally in the VA system 
which serves an estimated one million veterans with diabetes and kidney disease.  Again, insurance coverage 
remains in place with a nationwide 10-year government insurance contract for KidneyIntelX payment throughout 
the VA system.  

Expert experience is reflected in the design of the KidneyIntelX test report and the newly launched product 
website: www.kidneyintelx.com.  We believe our education and support program will be an important resource to 
help inform and improve care for early-stage DKD patients and support future hospital system deployments of 
KidneyIntelX in the United States and abroad, which we believe could be achieved more rapidly as a result of the 
knowledge we have derived from our hospital system implementations to date. 

Financing 

In July 2019, we raised gross proceeds of $17.3 million in a follow-on financing on the AIM market, and in July 
2020, we raised an additional $85.1 million in gross proceeds through an offering and concurrent dual-listing 
on the Nasdaq Global Market in the U.S. 

In March 2022, we announced the completion of a financing package yielding $26.8 million in gross proceeds 
for the Company.  The financing included an $8.8 million equity subscription plus $21.2 million principal 
amount of convertible bonds (net cash proceeds of $18 million).  We are pleased to have achieved the financing 
in an extremely challenging capital market environment, which we believe illustrates the strength of our 
kidney disease testing, monitoring and informed care advantages. 

Clinical Evidence  

Over the past few years, we have published and presented validation, utility and health economics data 
supporting KidneyIntelX adoption.  Of particular note is the growing body of real-world utility evidence 
building on KidneyIntelX clinical reporting in different institutions through several thousand patients.  
Examples of published evidence includes: 

Initial 
Forum 
ADA 81st 
Scientific 
Sessions  
2020 

NKF Spring 
Clinical 
Meeting 
2020 

ADA 82nd 
Scientific 
Sessions 
2021 

ISN World 
Congress of 
Nephrology 
2021 

Cohort 

Findings 

Mount Sinai & 
UPenn 
(n=1,146) 

Simulation in 
patients with 
DKD stages 1-
3b 
(n=100,000) 

CANVAS 
(n=1,325) 

CANVAS  
(n=1,026) 

KidneyIntelX more accurately predicted 
progressive kidney function decline and 
kidney failure than clinical metrics alone  

Analyses supported payer coverage for early-
stage risk assessment and care management in 
the primary care office; projects significant 
savings from KidneyIntelX testing at primary 
care 
KidneyIntelX algorithm published in 
Diabetologia and currently deployed 
commercially accurately predicted 
progression of DKD in this multinational 
clinical trial cohort 
KidneyIntelX can be effective at monitoring 
therapeutic response and improvements in 
kidney health over time in adults with type 2 
diabetes and DKD 

Publication 

Diabetologia  
2021;64, 1504–
1515  

Journal of Medical 
Economics 
2021;24:972-982 

American Journal of 
Nephrology 
2022;53:21–31 

American Journal of 
Nephrology 
2022;53:21–31 

|  Renalytix plc Annual Report and Financial Statements 

            5 

 
 
 
 
 
 
 
 
 
 
NKF Spring 
Clinical 
Meetings 
2021 

PCPs  
(n=401) 

ASN Kidney 
Week 2021 

Mount Sinai 
RWE Cohort 

ISN World 
Congress of 
Nephrology 
2022 

Sinai/Penn  
(n=1,146) 

ADA 83rd 
Scientific 
Sessions 
2022 

ADA 83rd 
Scientific 
Sessions 
2022 

CANVAS 
(n=1,325) 

Mount Sinai 
RWE Cohort  
(n=1,112) 

ASN Kidney 
Week 2022 

Systematic 
Review and 
Meta-analysis 
(n=129 
studies) 

KidneyIntelX test had greater relative 
importance than albuminuria and eGFR to 
PCPs in making treatment decisions and was 
second only to eGFR for nephrologist referrals. 
KidneyIntelX testing enhanced patient 
understanding about kidney disease and 
revealed 
substantial motivation to take appropriate 
actions and receive further education for their 
kidney health. 
KidneyIntelX provided robust prognostic 
information for future eGFR trajectories and 
adverse kidney outcomes beyond prior 
ascertainment of baseline kidney function, 
injury, or historical kidney function 
trajectories. 
KidneyIntelX provided risk stratification for a 
triple composite end point that included not 
only the kidney-specific outcome of 
progression, but also clinically relevant 
outcomes of hospitalizations for heart failure 
and all-cause mortality, even after adjusting 
for several other risk factors for these 
outcomes. 
KidneyIntelX showed utility in driving 
guideline appropriate use of therapies, 
including SGLT-2 inhibitors and RAAS 
inhibitor use, and timely consultation to 
specialists in high-risk patients.  

Systematic review and meta-analysis to 
summarize the prognostic value of preclinical 
plasma and urine biomarkers for CKD outcomes 
(incident CKD, CKD progression, or incident 
ESKD), including 129 studies in the meta-
analysis. Pooled risk ratios (RRs) and 95% 
confidence intervals (Cis) among some of the 
most studied CKD biomarkers were 2.17 (1.91 
to 2.47) for TNFR1 (31 studies); 2.07 (95% CI, 
1.82 to 2.34) for TNFR2 (23 studies); 1.51 (95% 
CI, 1.38 to 1.66) for KIM-1 (18 studies). 

American Journal of 
Managed Care 
2022;28:In Press 

Journal of the 
American Society of 
Nephrology 
32: 2021 

Kidney 
International 
Reports 
2022; 7, S1–S436 

Kidney360 
2022, 3;1599-1602 

Pending 

Journal of the 
American Society of 
Nephrology  
2022, 33:1657-1672  

ADA – American Diabetes Association; NKF – National Kidney Foundation; ASN – American Society of 
Nephrology; ISN – International Society of Nephrology; RWE – Real world evidence; DKD – diabetic kidney 
disease  

Intellectual Property 

The U.S. Patent and Trademark Office allowed claims extending the use of one of KidneyIntelX’s primary blood 
biomarkers, sTNFR1, to all patients with diabetes to determine an increased risk of developing progressive 
kidney disease or kidney failure. We have also completed rights to additional patent applications for use with 
KidneyIntelX. We continue to build out our intellectual property portfolio and are actively evaluating in-
licensing opportunities that will enhance our competitive product positioning. 

|  Renalytix plc Annual Report and Financial Statements 

            6 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Current trading and Outlook 

Building KidneyIntelX into a standard of care in the United States and a global market with 850 million people 
with chronic kidney disease requires extensive data production, regulatory approvals, physician and patient 
education, and of course, comprehensive reimbursement.  While it sometimes seems this set of milestones 
takes a long time to accomplish, we are reminded that Renalytix is still a young company that received its first 
funding less than four years ago.  To have achieved real insurance coverage for KidneyIntelX testing in the 
complex U.S. market in such a short time we believe is extraordinary.  We believe that since the data is 
comprehensive and showing clear benefit, acceleration of adoption is likely to continue to occur.  The social 
need could not be higher to establish innovative preventative medicine strategies such as KidneyIntelX at the 
front-end of diabetes and kidney disease.  

Operational progress continued into the first quarter of fiscal 2023 with over 1,200 tests performed.  More than 
80% of these were billable, yielding about $1.0 million revenue for the quarter.  These are record amounts for 
us in quarterly testing volumes and revenue. 

We greatly appreciate the patience and continued support of our shareholders through these unusual times.  

Christopher Mills 
Chairman 

James R. McCullough 
Chief Executive Officer 

|  Renalytix plc Annual Report and Financial Statements 

            7 

 
 
 
 
 
  
 
 
Company Overview 

PIONEERING NEXT-GENERATION TECHNOLOGY SOLUTIONS FOR KIDNEY HEALTH 

Renalytix is the global founder and leader in the new field of bioprognosisTM for kidney health. The Company has 
engineered a new solution that enables early-stage chronic kidney disease progression risk assessment.  The 
Company’s lead product, KidneyIntelX, has been granted Breakthrough Designation by the U.S. Food and Drug 
Administration (FDA) and is designed to help make significant improvements in kidney disease prognosis, 
transplant management, clinical care, patient stratification for drug clinical trials, and drug target discovery. 

Renalytix is focused on optimizing clinical management of kidney disease to drive improved patient outcomes 
and lower healthcare costs. KidneyIntelX, our first-in-class in vitro diagnostic platform, employs a proprietary 
algorithm that combines diverse data inputs, including validated blood-based biomarkers, inherited genetics and 
personalized patient data from electronic health record, or EHR, systems, to generate a unique patient risk score. 
This patient risk score enables prediction of rapid progressive kidney function decline in chronic kidney disease, 
or CKD, allowing physicians and healthcare systems to optimize the allocation of treatments and clinical 
resources to patients at highest risk. 

ON A MISSION TO COMBAT A DEVASTATING AND COSTLY DISEASE 

Kidney disease is a public health epidemic affecting over 850 million people globally. Managing a CKD 
population of this scale and the associated healthcare spending presents a unique healthcare system 
challenge, requiring a solution that provides a clearer understanding of clinical risk tied to specific guideline-
driven clinical recommendations. The ability to predict which patients will experience progressive kidney 
function decline, which includes rapid kidney function decline, or RKFD, sustained significant decline in 
kidney function, kidney failure, initiation of long-term dialysis or kidney transplant, is critical to changing 
patient outcomes and health economics. Current methods for risk stratification of patients with CKD lack 
sufficient precision in predicting progressive kidney function decline, especially at earlier stages of the 
disease. This can exacerbate the occurrence of unexpected and expensive clinical events. In fact, up to 38% of 
patients with CKD initiate dialysis with little or no prior clinical specialist consultation, and up to 63% of 
patients with CKD initiate dialysis in an unplanned fashion with a central venous catheter and/or during 
emergency hospitalization, which we refer to as “dialysis crash.”  This highlights the need for an early 
mechanism to identify potential instances of rapidly progressing CKD before it becomes critical to the 
patient’s health and costly to healthcare providers.  

We have now validated KidneyIntelX in multiple distinct studies, involving specimens from thousands of patients 
with DKD.  In all studies, KidneyIntelX has demonstrated the ability to more accurately identify which patients 
would experience rapid progressive kidney function decline over current clinical practice.  We believe early risk 
stratification, using advanced technology implemented in partnership with healthcare systems and insurance 
payors, can help support a fundamental shift towards optimal treatment for the over 850 million people 
suffering from kidney disease worldwide. 

|  Renalytix plc Annual Report and Financial Statements 

            8 

 
 
 
 
 
 
Operational and Financial Highlights 
Including post-period events 

REGULATORY & REIMBURSEMENT  

▪  New commercial coverage in fiscal year 2022; 28 private insurance and network provider contracts now 

executed to date including: 

o  Largest private payer in Illinois with 8.1 million members 
o  Largest independent provider network in the tristate North Carolina, South Carolina and Virginia 

area, with over 100,000 health care providers in-network  

▪  Achieved Medicare payment for KidneyIntelX through the individual claims review (ICR) process based on our 

Medicare clinical lab fee schedule (CLFS) pricing of $950 per test  

▪  33 state Medicaid programs contracted to date 

▪  Continued data generation and analysis reinforcing the benefits of KidneyIntelX as part of collaborative De 

Novo process with the FDA, with anticipation that the agency’s review is nearing completion.  Data supports 
significant breakthrough in risk stratification for patients with diabetic kidney disease 

COMMERCIAL & PARTNERSHIPS  

▪ 

Sales and medical affairs support buildout across core, strategically-focused market channels: 

o  Deployed sales directors and representatives targeting large hospital systems, provider networks and 

independent primary care physicians, and veterans' hospitals 

o  Added VP of Medical Affairs to support KidneyIntelX physician onboarding, education, and test 

ordering 

o  Deployed market access and health systems partnership personnel to drive expansion  
o  Developed comprehensive physician and patient marketing and education material 

▪  Launch of myIntelX provider access portal for simplified, decentralized on-line ordering of KidneyIntelX  

▪  Partnered with Singing River Health System to deploy KidneyIntelX informed care management to improve 

kidney health in individuals across the Mississippi Gulf Coast with type 2 diabetes and early-stage chronic 
kidney disease 

▪  Partnered with St. Joseph's Health, based in Syracuse, NY and part of the Trinity Health System, for 

KidneyIntelX deployment and to advance value-based care 

▪  Progressed through layers of vendor approval at several VA hospitals as part of nationwide 10-year payment 
contract from the U.S. General Services Administration (GSA), with initial test orders and pre-payments 
received 

▪ 

Joint program with American Diabetes Association® to improve overall kidney health in patients with type 2 
diabetes in the United States 

▪  Kidney disease education programs in partnership with the National Kidney Foundation 

▪  Continued KidneyIntelX testing volume growth 

▪  Growth in number of active physicians ordering KidneyIntelX 

CLINICAL & VALIDATION  

▪  Published data in the American Journal of Nephrology in which KidneyIntelX successfully monitored patient 

response to new drug therapy in 1,325 multinational clinical trial cohort patients 

▪  KidneyIntelX showed ability to assess risk of heart failure hospitalization and death in large international 

diabetic kidney disease patient cohort (published in Kidney360) 

|  Renalytix plc Annual Report and Financial Statements 

            9 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
▪  Peer-reviewed publication in Journal of Medical Economics supporting payer coverage for early-stage risk 
assessment and care management in the primary care office; projecting significant five-year savings from 
KidneyIntelX testing at primary care level 

▪  Data results published in American Journal of Managed Care supporting adoption and clinical utility of 

KidneyIntelX; 98% of 401 primary care physicians surveyed confirmed KidneyIntelX has value as a risk 
decision tool 

▪  Multiple data presentations at the American Diabetes Association (ADA) 82nd Scientific Sessions® meeting, 
including one showing KidneyIntelX testing in 1,112 adult diabetic kidney disease (DKD) patients at Mount 
Sinai Health System showed utility in driving guideline appropriate use of therapies, including SGLT-2 
inhibitors and RAAS inhibitor use, and timely consultation to specialists in high-risk patients 

▪  World Congress of Nephrology data showing KidneyIntelX predicted the future rate of decline in kidney 

function compared with current standard diagnostics in patients with early-stage chronic kidney disease and 
type 2 diabetes 

▪  Ongoing clinical studies at Wake Forest / Atrium Health and Mount Sinai Health System substantiating clinical 

utility of KidneyIntelX 

FINANCE & OPERATIONS  

▪  Commercial development progress with annual revenue growth  

▪  Completion of $30.0 million equity and convertible note financing package ($26.8 million gross proceeds) 

▪  Cost rationalization enacted at end of period reducing annualized spend by over $12 million with review of 

other cost-savings opportunities ongoing 

▪ 

Salt Lake and New York laboratories operating to most rigorous audited standards; CLIA, CAP, ISO, and U.S. 
Food and Drug Administration audit compliant 

▪  The Group had cash on hand of $41.3m (FY21: $65.2m). 

CURRENT QUARTER  

▪  Operational progress continued into the first quarter of fiscal 2023 with over a record 1,200 tests performed 

▪  More than 80% of these were billable, yielding approximately $1.0 million revenue for the quarter  

|  Renalytix plc Annual Report and Financial Statements 

            10 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Product Overview and Strategy 

Our novel platform, KidneyIntelX, uses a machine-learning enabled algorithm to process predictive blood 
biomarkers with key features from a patient’s health record to generate an early and accurate kidney health risk 
score. The score identifies those patients at the most risk for kidney disease progression and/or failure and further 
guides ongoing clinical decisions. 

OUR STRATEGY 

Our goal is to lower healthcare costs and improve patient quality of life by transforming the paradigm for kidney 
disease risk assessment and clinical management through our KidneyIntelX platform. To achieve this goal, we plan to: 

•  Continue to Build Integrated Partnerships with Healthcare Systems on a Population Health Basis. We 

are focused on building partnerships with healthcare systems and the engagement and support of their 
clinical leadership teams, which will enable us to efficiently initiate and deploy our solution to patient 
populations with DKD. A key aspect of this is technical integration of the KidneyIntelX software platform 
with healthcare systems’ EHR systems and clinical workflow.  

•  Actively Market KidneyIntelX in Veterans Health Administration. Following our 10-year government-
wide contract provided in April 2021 by the U.S. General Services Administration for KidneyIntelX testing 
services at $950 per reportable result, we are now staffing sales and support teams and establishing enabling 
infrastructure to deploy KidneyIntelX at the Veterans Health Administration.  The Veterans Health 
Administration is America’s largest integrated health care system, providing care at 1,293 health care facilities, 
including 171 medical centers and 1,112 outpatient sites, serving nine million enrolled veterans each year. The 
veteran population has an approximately one-third higher chronic kidney disease and DKD prevalence than 
the general population, which has been attributed to the significant multi-morbidity and higher mean age in 
this group.  

•  Further Expand Insurance Payor Coverage. We believe that the potential of KidneyIntelX to improve 

patient outcomes and promote benefits in health economics for patients, physicians and payors provides a 
strong foundation for our reimbursement strategy. Moreover, early and ongoing engagement with insurance 
payors will continue to be key to supporting the deployment of KidneyIntelX.  

•  Expand Medicare Coverage. Following the receipt of national Medicare pricing at $950 per reportable test 

for KidneyIntelX in January 2020, we are actively pursuing multiple distinct pathways for Medicare 
coverage, which would expedite the claims payment process. We estimate that Medicare currently provides 
insurance coverage for approximately 14 million patients with CKD, an estimated 40% of which have DKD.  
In October 2022, we announced that we achieved Medicare payment for KidneyIntelX through the 
individual claims review (ICR) process.     

•  Obtain FDA Clearance of KidneyIntelX to Further Drive Commercial Adoption in the United States. 

While not required for commercialization as an LDT, we are seeking marketing authorization from the FDA 
through the De Novo pathway as part of our strategy to produce a product capable of becoming the new, 
long-term standard of care for patients with CKD.  

•  Build Substantial Repository of Kidney Disease-Related Data. We are building a repository of kidney 
disease-related data for the development of progressive KidneyIntelX product versions and additional 
artificial intelligence-powered clinical applications. We are designing applications to examine disease 
patterns in large patient populations and to optimize clinical care navigation and management effectiveness. 
These developments are underpinned by the goals of driving patient and physician behavior changes and 
ultimately improving patient outcomes. Access to current and historical patient data, combined with the 
ability to analytically and clinically validate study results in a quality-controlled framework, provides us with 
a powerful product development platform.  

•  Expand Our Product Portfolio. We believe there are significant opportunities to expand our technology platform 
through incremental version releases of KidneyIntelX as well as through extending the KidneyIntelX platform into 
new applications into additional populations of CKD patients beyond those with diabetes, including repeat 
testing to monitor changes in risk and therapeutic response and other CKD subtypes, including patients of 
African ancestry with the APOL1 high-risk genotype.  

|  Renalytix plc Annual Report and Financial Statements 

            11 

 
 
 
 
 
 
 
 
 
 
 
 
•  Real World Evidence Program. Through our growing number of health system partnerships, collaborations 

and payor models, we are creating a comprehensive real-world evidence (RWE) and data generation 
program including the previously announced programs at Mount Sinai, Wake Forest / Atrium Health and 
Utah Health.  The primary objective is to demonstrate the clinical and economic impact of KidneyIntelX 
informed care management in large populations and we expect to expand the scale of this program with 
extensive publication and dissemination of the results. Additionally, through these Institutional Review 
Board (IRB)-approved and patient consented studies we will be amassing a vast biorepository of urine, blood 
and DNA samples linked to comprehensive longitudinal patient data which will help accelerate the 
development of diagnostic products and data solutions for kidney disease and related complications and co-
morbidities. 

|  Renalytix plc Annual Report and Financial Statements 

            12 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Financial Review 

The results presented cover FY22. The presentational currency for Renalytix plc and its subsidiaries (together, 
the “Group”) is the United States Dollar. 

INCOME STATEMENT 

Revenue 

The Group recognized a total of $2.9 million in revenue in the financial year ended 30 June 2022 (“FY22”) which was 
comprised of $2.7m in revenue related to testing services as well as $0.2 million related to pharmaceutical services 
revenue.  

Cost of Sales 

The cost of sales associated with the services performed and commercial testing revenue was $2.1 million for FY22. 

Administrative Costs 

During FY22, administrative expenses totaled $58.3 million (financial year ended 30 June 2021 (“FY21”): $33.3 
million). The major items of expenditure were general and administrative costs of which included $27.6 million in 
employee- related costs (FY21: $13.8 million), $12.9 million in subcontractors, legal, accounting, and other 
professional fees (FY21: $9.1 million), $6.4 million in external R&D Services, lab supplies and lab services(FY21: $1.4 
million), $4.6 million in insurance (FY21: $4.6 million), $2.1 million in depreciation and amortization (FY21: $2.1 
million), $1.9 million in marketing and public relations (FY21: $0.9 million), $1.7 in IT related costs (FY21: $0.6 
million), $0.5 million in office related expenses including rent(FY21: $0.3 million), $0.3 million in stock exchange 
listing and filing fees (FY21: $0.2 million) and $0.3 million in other expenses (FY21: $0.3 million).  

Gain (loss) on financial assets at fair value through profit or loss 

The Company accounts for the investment in VericiDx equity securities at fair value, with changes in fair value 
recognized in the income statement. During the year ended 30 June 30 2022, we recorded a loss of $5.9 million to 
adjust the VericiDx investment to fair value. During the year ended 30 June 30 2021, we recorded a gain of $6.5 
million to adjust the VericiDx investment to fair value. 

Fair value adjustment of convertible debt 

We elected to account for the convertible notes at fair value with qualifying changes in fair value recognized through 
the income statement until the notes are settled. This excludes fair value adjustments related to instrument-specific 
credit risk, which are recognized in OCI. For the year ended 30 June 2022, we recorded a gain of $4.0 million to adjust 
the convertible notes to fair value. There was no fair value adjustment for the year ended 30 June 2021 as we had not 
issued convertible debt at that time. 

Finance Income (Expense) 

Finance income (expense) consists of foreign exchange gains or losses. During the year ended 30 June 2022, we 
recognized a foreign currency gain of $9.6 million due to exchange rate fluctuations on transactions denominated in a 
currency other than our functional currency. During the year ended 30 June 2021, we recognized foreign currency 
losses of $8.8 million.   

BALANCE SHEET 

Inventory 

Inventory consists of consumable materials used by the labs to carry out KidneyIntelX tests. During FY22, inventory 
levels increased due to purchases as the company prepares for increased KidneyIntelX testing volumes. Inventory on 
hand at 30 June 2022 totaled $1.2 million (FY21: $0.4 million). 

Fixed Assets 

Property, plant, and equipment consists of laboratory equipment being used to support testing and product 
development activities. At 30 June 2022, the company held $1.4 million in net property, plant, and equipment (FY21: 
$1.1 million). 

|  Renalytix plc Annual Report and Financial Statements 

            13 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Intangible Assets 

The Group held $14.0 million net book value of intangible assets held at 30 June 2022 (FY20: $18.0 million) includes 
payments made primarily to Mount Sinai for license and patent costs for the intellectual property underlying 
KidneyIntelX, as well as amounts capitalized as development costs. Intangible assets also include the value of the 
biomarker business purchased (in exchange for ordinary shares in the Company) from EKF. Intangible assets 
decreased period over period due to amortisation and the impact of foreign exchange translation at period end. 

Investment in Verici 

At the end of FY22 the group held 9,831,681 shares in Verici Dx, the fair value of the investment in Verici Dx was $2.7 
million at 30 June 2022 (FY21: $9.3 million) 

Convertible Note 

In April 2022, the Company issued amortizing senior convertible bonds with a principal amount of $21.2 million in 
amortizing senior convertible bonds due in April 2027 (the "Bonds"). The Bonds were issued at 85% par value with 
total net proceeds of $18.0 million. The Company elected to account for the Bonds at fair value. At 30 June 2022, the 
Bonds had a fair value of $12.3 million. 

Cash 

The Group had cash on hand of $41.3m (FY21: $65.2m). Cash and equivalents are held in several deposit accounts in 
the US ($12.7m), UK ($28.3m) and IRE ($0.3m). Our expenditure plans remain sufficiently adaptable to align with 
available resources. 

|  Renalytix plc Annual Report and Financial Statements 

            14 

 
 
 
 
 
 
 
 
 
 
Risk Management Approach 

We recognize that effective risk management is essential to the successful delivery of the Group’s strategy. As we 
grow our business, we believe it is important to develop and enhance our risk management processes and control 
environment on an ongoing basis and ensure it is fit for purpose by identifying and managing risks across the Group 
in a consistent and robust manner. 

Below we describe our risk management approach, the principal risks and uncertainties faced by the Group and the 
controls in place to manage them. 

OVERVIEW OF RISK MANAGEMENT APPROACH 

The key principles that guide the Group’s risk management approach are outlined below: 

•  It is the employees’ responsibility to ensure they understand and comply with the Risk Management 

Policy and their defined risk management roles and responsibilities. 

•  There is a defined risk management governance structure with clear accountabilities. 

•  A consistent risk management approach is used throughout the Group to identify and manage risks posed in 

the AI and life sciences industries. 

•  Risk management is embedded in all key processes and decision-making within the Group (including 

strategy setting, budgeting, planning and day-to-day operations and activities). 

A risk register is maintained and updated periodically. The register includes the risk description, risk owner, 
mitigation/control description and risk profile. 

PRINCIPAL RISKS AND UNCERTAINTIES 

Set out below are the principal risks which we believe could materially affect the Group’s ability to achieve its 
financial and operating objectives and control or mitigating activities adopted to manage them. The risks are not 
listed in order of significance. 

THE GROUP IS DEPENDENT UPON ITS STRATEGIC COLLABORATION WITH THIRD 
PARTY PARTNERS 

The Group is working to develop and commercialize its products in close collaboration with strategic partners. The 
Group is dependent upon third parties for resources and revenue. Failure by these strategic partners to meet its key 
contractual obligations or to purchase KidneyIntelX tests, for whatever reason, would likely have a material adverse 
effect on the Group and its ability to achieve its commercial objectives, potentially including the attainment of sales 
volumes leading to profitability, and may ultimately result in the Group becoming unviable. 

REGULATORY RISK 

There can be no guarantee that any of the Group’s products will be able to obtain or maintain the necessary 
regulatory approvals in any or all of the territories in respect of which applications for such approvals are made. 
Where regulatory approvals are obtained, there can be no guarantee that the conditions attached to such approvals 
will not be considered too onerous by the Group or its partners in order to be able to market its products effectively. 

The Group seeks to reduce this risk by seeking advice from regulatory advisers, consultations with regulatory 
approval bodies and by working with experienced partners. 

REIMBURSEMENT LEVELS 

There is no guarantee that the Company will be able to continue to sell its products or services profitably if the 
reimbursement level from third party payers, including government and private health insurers, is limited or 
subsequently withdrawn. Third party payers are increasingly attempting to contain health care costs through 
measures that could impact the Company including challenging the prices charged for health care products and 
services, limiting both coverage and the amount of reimbursement for new diagnostics products and services, and 
denying or limiting coverage for products that are approved by the regulatory agencies but are considered 
experimental by third party payers. 

|  Renalytix plc Annual Report and Financial Statements 

            15 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
The Company understands that due to third party dependency it is extremely difficult to eradicate this risk. However, 
the Company manages this risk with constant dialogue and educating the third-party payers on the Group’s products 
and also developing new technologies in order to seek additional reimbursements. 

KEY EMPLOYEES 

The Company’s future development and prospects depend to a significant degree on the continuing contribution of 
key members of its Board, Senior Management and Scientific Advisory Board. As a small organization, the Company 
relies on a core team of staff and is therefore exposed to any significant departures of key personnel. In particular, the 
Company’s performance depends significantly on the continuing contribution of its CEO, James McCullough, its 
President, Thomas McLain, its CTO, Fergus Fleming, its CFO, O. James Sterling and its CMO, Michael Donovan. 

The Group operates in a highly competitive field and the expertise and skills of key individuals are also applicable in a 
number of other fields and industries. The high level of demand for such expertise and skills means that there is 
increasingly intense competition for talent. The departure of any of the key members to pursue other opportunities 
or because they are no longer able to continue to perform their roles (for whatever reason) could have a negative 
impact on its operations and could affect the Group’s ability to execute the Group’s business strategy. 

To seek to mitigate the potential risk of departures, the Company has adopted a competitive remuneration structure, 
which includes share-based incentives. The Company has also taken out key- man insurance on James McCullough. 
However, there can be no assurance that this insurance will be adequate or continue to be available on appropriate 
terms or at all. 

OBSOLESCENCE OF GROUP’S PRODUCTS 

Demand for the Group’s products could be adversely impacted by the development of alternative technology and 
alternative medicines specifically intended for the identification, stratification and/ or treatment of CKD patients. 
There can be no assurance that the technology and products currently being developed by the Group will not be 
rendered obsolete. New AI technology may continue to emerge and develop. As a result, there is the possibility that 
new technology may be superior to, or render obsolete, the technology that the Group currently is developing. Any 
failure of the Company to ensure that its technology platform and products remain up to date with the latest 
technology may have a material adverse impact on the Company’s competitiveness and financial performance. The 
Group’s success will depend, in part, on its or its partners’ ability to develop and adapt to these technological changes 
and industry trends. 

THE GROUP IS SUBJECT TO INCREASINGLY STRINGENT PRIVACY AND DATA 
SECURITY LEGISLATION 

Regulatory, legislative or self-regulatory/standard developments regarding privacy and data security matters could 
adversely affect the Group’s ability to conduct the Group’s business. The Group is subject to laws, rules, regulations 
and industry standards related to data privacy and cyber security, and restrictions or technological requirements 
regarding the collection, use, storage, protection, retention or transfer of data. 

For the foreseeable future, the Group will only process data relating to patients in the US and will therefore be subject 
to various rules and regulations, including those promulgated under the authority of the US Department of Health 
and Human Services, the Federal Trade Commission, and state cybersecurity and breach notification laws, as well as 
regulator enforcement positions and expectations. 

If the Company begins processing personal data in the context of an establishment in a country that is subject to the 
GDPR or if it offers products or services to residents of an EU country, it will have to comply with various robust 
obligations. 

Globally, governments and agencies have adopted and could in the future adopt, modify, apply or enforce laws, 
policies, regulations, and standards covering user privacy, data security, technologies that are used to collect, store 
and/or process data, marketing online, the use of data to inform marketing, the taxation of products and services, 
unfair and deceptive practices, and the collection (including the collection of information), use, processing, transfer, 
storage and/or disclosure of data associated with unique individual internet users. New regulation or legislative 
actions regarding data privacy and security (together with applicable industry standards) may increase the costs of 
doing business and could have a material adverse impact on the Group’s operations and cash flows. 

Despite the Group’s ongoing efforts to ensure practices are compliant, the Group may not be successful either due to 
various factors within the Group’s control, such as limited financial or human resources, or other factors outside the 
Group’s control. It is also possible that local data protection authorities may have different interpretations of the 
GDPR, leading to potential inconsistencies amongst various EU member states. 

|  Renalytix plc Annual Report and Financial Statements 

            16 

 
 
 
 
 
 
 
 
 
 
 
COMPETITION 

The markets in which the Group operates, which include the markets for laboratory developed tests, clinical 
diagnostic support tools and clinical AI solutions, are potentially highly competitive and rapidly changing. 

Competitors may have access to considerably greater financial, technical and marketing resources. The availability 
and price of the Group’s competitors’ clinical AI development services could limit the demand, and the price the 
Group is able to charge, for its services. New competing products may enter the market and make the Group’s 
discoveries and the products developed from those discoveries obsolete. 

Alternatively, a competitor’s products may be more effective, cheaper or more effectively marketed than the products 
developed by the Group, which could have a material adverse effect on the Group’s profitability and/or financial 
condition. 

Technological competition from medical device companies, life science companies, universities and academic medical 
centres is intense and can be expected to increase. Many competitors and potential competitors of the Group have 
substantially greater product development capabilities and financial, scientific, marketing and human resources than 
the Group. The future success of the Group depends, in part, on its ability to maintain a competitive position, 
including an ability to further progress through the necessary preclinical and clinical trials to support 
commercialization, marketing authorization where necessary, and coverage and reimbursement. Other companies 
may succeed in commercializing products earlier than the Group or in developing products that are more effective 
than those which may be produced by the Group. While the Group will seek to develop its capabilities in order to 
remain competitive, there can be no assurance that research and development by others will not render the Group’s 
products obsolete or uncompetitive. 

RESEARCH AND DEVELOPMENT RISK 

The Group operates in the life sciences sector and will look to exploit opportunities within that sector. The Group is 
involved in complex clinical development processes and industry experience indicates that there may be a very high 
incidence of delay or failure to produce the desired results. The Group may not be able to develop new products or to 
identify specific market needs that can be addressed by technology solutions developed by the Group. The ability of 
the Group to develop new technology relies, in part, on the recruitment of appropriately qualified staff as the Group 
grows. The Group may be unable to find a sufficient number of appropriately highly trained individuals to satisfy its 
growth rate which could affect its ability to develop as planned. 

Product development timelines are at risk of delay, particularly since it is not always possible to predict the rate of 
patient recruitment into clinical trials. There is a risk therefore that product development could take longer than 
presently expected by the Board. If such delays occur, the Group may require further working capital. The Board shall 
seek to minimize the risk of delays by careful management of projects. 

In addition, research and development may be subject to various requirements, such as research subject protection 
for individuals participating in clinical evaluations of new laboratory developed tests and products, institutional 
review board oversight, regulatory authorizations, and design control requirements for FDA and EU-regulated 
products. Failure to comply with requirements could result in penalties, delay, or prevent commercialisation of 
products. 

FINANCIAL REPORTING AND DISCLOSURE 

Due to the nature of the Group there is a requirement to report accurate financial information in compliance with 
accounting standards and applicable legislation. 

This risk is mitigated through the Group’s internal controls over the financial information and reporting, overseen by 
the local financial heads and then reviewed by the central finance team, including the Chief Financial Officer. The 
annual financial statements are also subject to audit by the Group’s external auditors. 

CYBER SECURITY RISK 

The Group uses computers extensively in its operations and has an online presence but does not trade online. It is at 
risk of attack through hacking or other methods. This risk is mitigated by the use of robust security measures, staff 
training, and back-up systems. 

|  Renalytix plc Annual Report and Financial Statements 

            17 

 
 
 
 
 
 
 
 
 
 
 
 
 
INTELLECTUAL PROPERTY RISK 

The commercial success of the Group and its ability to compete effectively with other companies depends, amongst 
other things, on its ability to obtain and maintain patents sufficiently broad in scope to provide protection for the 
Group’s intellectual property rights against third parties and to exploit its products. The absence of any such patents 
may have a material adverse effect on the Group’s ability to develop its business. 

The Group mitigates this risk by developing products where legal advice indicates patent protection would be 
available, seeking patent protection for the Group’s products, maintaining confidentiality agreements regarding 
Group know-how and technology and monitoring technological developments and the registration of patents by 
other parties. The commercial success of the Group also depends upon not infringing patents granted, now or in the 
future, to third parties who may have filed applications or who have obtained, or may obtain, patents relating to 
business processes which might inhibit the Group’s ability to develop and exploit its own products. 

PANDEMIC RISK 

The COVID-19 pandemic has created uncertainty in the market. The eventual severity and length of the economic 
disruption is impossible to forecast. We believe we still have a robust plan in place to mitigate the effect of the 
disruption on the business including taking the following actions (amongst others): 

•  Organizing for as many staff as possible to work from home 

•  Improving our computer networking to facilitate remote working 

•  Gaining designation as a company essential to basic medical care which allows our premises to remain 

open even in a lockdown 

•  Improved social distancing by limiting physical meetings, expanding flexible working, and altering production 

practices 

•  Preparing requests for support for short time working with local authorities in case this becomes necessary 

•  Banning international travel and limiting domestic travel 

•  Increasing supplier and customer contact so as to be able to anticipate issues and react quickly 

We have insurance cover in place in case there is a loss of business, although it cannot be guaranteed that cover will 
be sufficient to protect against all eventualities. 

We have not yet seen any material disruption to our business as a result of COVID-19. While the eventual severity 
and length of the economic disruption stemming from the pandemic is impossible to forecast these models give the 
Directors reasonable confidence that the business has sufficient resources to continue as a going concern for at least 
the next 12 months. 

|  Renalytix plc Annual Report and Financial Statements 

            18 

 
 
 
 
 
 
 
 
Section 172 Statement 

The Directors are required by law to act in good faith to promote the success of the Company for the benefit of the 
shareholders as a whole and are also required to have regard to the following: 

•  the likely long-term consequences of any decision; 

•  the interests of the Company’s employees; 

•  the need to foster the Company’s business relationships with suppliers, customers and others; 

•  the impact of the Company’s operations on the community and the environment; 

•  the desirability of the Company maintaining a reputation for high standards of business conduct; and 

•  the need to act fairly as between shareholders of the Company. 

Please see the Corporate Governance Statement in the Directors’ Report for an overview of the Company’s corporate 
governance arrangements. 

The Chairman and Chief Executive Officer’s joint statement and the section headed “Product Overview and Strategy” 
in this Strategic Report describes the Group’s activities, strategies and future prospects, including the considerations 
for long-term decision making. In particular, the Group has made significant progress towards its operational, 
regulatory and reimbursement goals and is now engaged in commercial roll-out of its lead product, KidneyIntelX in 
the United States. In addition, the Group is seeing an increase in strategic partnering activities which will continue to 
build on the validation and commercial use cases for KidneyIntelX. 

The Board has a good relationship with the Group’s employees. The Board maintains constructive dialogue with 
employees through the Chief Executive Officer and other members of the executive team. Appropriate remuneration 
and incentive schemes are maintained to align employees’ objectives with those of the Group. See further under 
Employees in the section headed “Corporate Social Responsibility” below. 

The Group endeavors to maintain good relationships with its suppliers by contracting on fair business terms, paying 
within agreed timeframes, and responding promptly to inquiries. 

The Group’s operations have minimal environmental impact. Please see Environment in the section headed 
“Corporate Social Responsibility” below for more details. 

The Board recognizes the Group’s duty to be a good corporate citizen. See Social, community and human rights in the 
section headed “Corporate Social Responsibility” below for more details. 

The Board recognizes the importance of maintaining high standards of business conduct. The Group operates a Code 
of Business Conduct and Ethics applicable to its employees, independent contractors, executive officers and directors. 
A current copy of the Code of Business Conduct and Ethics is available on our website, which is located at 
www.renalytix.com. 

The Board endeavors to maintain good relationships with its shareholders and treat them equally. This is described 
in more detail in the Corporate Governance Statement under the heading “Relations with Shareholders.” 

There were a number of initiatives and strategic actions undertaken during FY22 which the Directors believe were in 
the best interests of the Company and all its stakeholders as follows: 

▪  New commercial insurance coverage in fiscal year 2022; 28 private insurance coverage contracts now 

executed to date 

▪  Achieved Medicare payment for KidneyIntelX through the individual claims review (ICR) process based on our 

Medicare clinical lab fee schedule (CLFS) pricing of $950 per test  

▪  Continued data generation and analysis reinforcing the benefits of KidneyIntelX as part of collaborative De 

Novo process with the FDA, with anticipation that the agency’s review is nearing completion.  Data supports 
significant breakthrough in risk stratification for patients with diabetic kidney disease 

▪ 

Sales and medical support buildout across multiple market channels: 

▪  Launch of myIntelX provider access portal for simplified, decentralized on-line ordering of KidneyIntelX  

▪  Partnered with Singing River Health System to deploy KidneyIntelX informed care management to improve 

kidney health in individuals across the Mississippi Gulf Coast with type 2 diabetes and early-stage chronic 
kidney disease 

|  Renalytix plc Annual Report and Financial Statements 

            19 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
▪  Partnered with St. Joseph's Health, based in Syracuse, NY and part of the Trinity Health System, for 

KidneyIntelX deployment and to advance value-based care   

▪ 

Joint program with American Diabetes Association® to improve overall kidney health in patients with type 2 
diabetes in the United States 

▪  Kidney disease education programs in partnership with the National Kidney Foundation 

▪  Continued KidneyIntelX testing volume growth 

▪  Growth in number of active physicians ordering KidneyIntelX 

▪  Commercial development progress with annual revenue growth  

▪  Completion of $30.0 million equity and convertible note financing package ($26.8 million gross proceeds) 

▪ 

Salt Lake and New York laboratories operating to most rigorous audited standards; CLIA, CAP, ISO, and U.S. 
Food and Drug Administration audit compliant   

|  Renalytix plc Annual Report and Financial Statements 

            20 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Corporate Social Responsibility 

ENVIRONMENT 

The Directors consider that the nature of the Group’s activities is not inherently detrimental to the environment. The 
Group is committed to identifying and minimizing any effect on the environment caused by its operations. As a 
minimum standard, we will fully comply with all relevant legislation and, wherever possible, look for opportunities to 
make a positive contribution to the environments in which we operate. 

EMPLOYEES 

The Group places great value on the involvement of its employees and they are regularly briefed on the Group’s 
activities. The Group closely monitors staff attrition rates which it seeks to keep at low levels and aims to structure 
staff compensation levels at competitive rates in order to attract and retain high calibre personnel. 

DISABLED EMPLOYEES 

Applications for employment by disabled persons are always fully considered, bearing in mind the specific aptitudes 
of the applicant involved. It is the policy of the Group that the training, career development and promotion of 
disabled persons, as far as possible, be identical to that of other employees. 

SOCIAL, COMMUNITY AND HUMAN RIGHTS 

The Board recognizes that the Group has a duty to be a good corporate citizen and to respect and comply with laws, 
regulations, and where appropriate the customs and culture of the territories in which it operates. The Group 
encourages employees to take part in charitable activities which are related to our business areas or customers. It 
contributes as far as is practicable to the local communities in which it operates and takes a responsible and positive 
approach to employment practices. 

|  Renalytix plc Annual Report and Financial Statements 

            21 

 
 
 
 
 
 
 
 
 
CORPORATE  GOVERNANCE  

Board of Directors 

Christopher Mills 

Non-Executive Chairman (Aged 69) 

Christopher Mills has served as a member of the Renalytix Board since its 
inception. Christopher founded Harwood Capital Management in 2011, a 
successor to its former parent company, J.O. Hambro Capital Management, 
which he co-founded in 1993. He is Chief Executive and Investment 
Manager of North Atlantic Smaller Companies Investment Trust plc and 
Chief Investment Officer of Harwood Capital LLP. He is a Non-executive 
Director of a number of companies, including EKF Diagnostics. 

James McCullough 

Chief Executive Officer and Director (Aged 54) 

James McCullough has served as Renalytix’s co-founder and Chief Executive 
Officer since its inception. James has leadership experience building 
emerging technology companies in both the public and private sectors with 
specific expertise in the life-sciences industry. James was most recently 
Chief Executive Officer of Exosome Diagnostics, a venture-backed 
personalized medicine company developing non-invasive liquid biopsy 
diagnostics in cancer, which was recently acquired by Bio-Techne 
Corporation. James is also a managing partner of Renwick Capital, LLC, a 
management consulting firm specializing in assisting emerging healthcare 
technology companies with strategic planning and business execution, and 
was a co-founder of PAIGE.AI, a computational pathology spin-out from the 
Memorial Sloan Kettering Cancer Center. James received his B.A. from 
Boston University and an M.B.A. from Columbia Business School. James is 
currently Chairman of BalletNext, a performing arts company in park city 
Utah. 

Fergus Fleming 

Chief Technical Officer and Director (Aged 55) 

Fergus Fleming has served as Renalytix’s Chief Technical Officer since its 
inception. Fergus has over 25 years’ experience in the life sciences sector, 
including leadership positions with Baxter Healthcare, Boston Scientific, 
Trinity Biotech plc, and EKF Diagnostics. Fergus has extensive experience in 
the design and manufacture of interventional medical devices, digital health 
solutions, in vitro diagnostics instruments and reagents, and 
electromechanical devices. He has extensive experience managing global 
projects, including clinical research collaborations, product development, 
acquisitions, and manufacturing site transfers 

|  Renalytix plc Annual Report and Financial Statements 

            22 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Erik Lium Ph.D. 

Non-Executive Director (Aged 54) 

Erik Lium, Ph.D., has served as a member of the Renalytix Board since 
November 2018. Dr. Lium is the executive vice president of Mount Sinai 
Innovation Partners and is responsible for advancing Mount Sinai’s 
research, instruction, and public service missions through strategic 
research partnerships with industry, the management, transfer and 
commercialisation of technologies, and fostering the development of 
start- ups and joint ventures to advance promising early-stage 
technologies. Dr. Lium also serves as a director of Amathus Therapeutics 
and as a member of the Investment Review Committee for the Accelerate 
NY Seed Fund. 

Prior to joining Mount Sinai, Dr. Lium served as the assistant vice chancellor 
of Innovation, Technology & Alliances at the University of California, San 
Francisco (UCSF), and the UCSF Principal Investigator for the Bay area 
National Science Foundation I-Corps node. He held previous positions at 
UCSF, including assistant vice chancellor of Research and director of 
Industry Contracts, and director of Business Development for the Diabetes 
Center & Immune Tolerance Network. Dr. Lium served as president of 
LabVelocity Inc., an Information Services Company focused on accelerating 
research and development in the life sciences prior to its acquisition in 
2004. He pursued post-doctoral research at UCSF, and earned a PhD with 
honours from the Integrated Program in Cellular, Molecular and Biophysical 
Studies at Columbia University. Dr. Lium holds a BS in Biology from 
Gonzaga University. 

Chirag R. Parikh, Ph.D., M.D. 

Non-Executive Director (Aged 49) 

Chirag R. Parikh, Ph.D., M.D., has served as a member of the Board since 
October 2019. Since July 2018, Dr. Parikh has served as a Professor of 
Medicine and the Division Director of Nephrology at Johns Hopkins 
University. Dr. Parikh also served as a faculty member at Yale University 
where he directed the Program of Applied Translational Research. Dr. 
Parikh’s research focuses on the translation and validation of novel 
biomarkers for the diagnosis and prognosis of kidney diseases. He has 
assembled multi-centre longitudinal prospective cohorts for translational 
research studies across several clinical settings of acute kidney injury and 
chronic kidney disease for the efficient translation of novel biomarkers. Dr. 
Parikh received his medical degree from Seth G.S. Medical College and KEM 
Hospital in Mumbai, India, and subsequently completed his Nephrology 
fellowship and a Ph.D. in Clinical Investigation at the University of Colorado 
Health Sciences Center. 

|  Renalytix plc Annual Report and Financial Statements 

            23 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Daniel J. Levangie 

Non-Executive Director (Aged 72) 

Daniel J. Levangie was appointed to the Company’s board of directors in 
August 2021. He is an experienced executive and long-serving board 
director in the diagnostics and medical devices industry. Mr. Levangie is co-
founder and manager of ATON Partners, a private investment firm, and 
president and CEO of CereVasc, LLC, a medical device company. He has also 
served on the board of directors of Exact Sciences Corporation since 2010. 
From 2013 through January 2017, Mr. 
Levangie served as president of Insulet Drug Delivery Systems and served 
as a lead director of Insulet Corporation. From 2011 through 2013, Mr. 
Levangie was chief executive officer of Dune Medical Devices, Inc., and co-
founder and managing partner of Constitution Medical Investors, Inc., a 
Boston-based private investment and product development firm acquired 
by Roche Diagnostics Corporation in 2013. Previously, he held executive 
management positions with Cytyc Corporation including executive vice 
president and chief operating officer, chief executive officer and president 
until the acquisition of Cytyc by Hologic, in 2007. He served on the board of 
Hologic from 2007 to 2009. Mr. Levangie holds a B.S. in Pharmacy from          
Northeastern University. 

Timothy J. Scannell 

Non-Executive Director (Aged 58) 

Timothy J. Scannell was appointed to the Company’s board of directors in 
March 2022. He also serves on the boards of publicly held Insulet Corporation, 
Novocure, and Molekule.  Additionally, Mr. Scannell serves on the boards of 
privately held Collagen Matrix, Synaptive Medical, and Cerebral Therapeutics. 
Mr. Scannell also serves as an Executive Advisor at Stryker, one of the world’s 
leading medical technology companies. His career at Stryker spans 32 years, 
during which he held several leadership roles, including President and Chief 
Operating Officer, Group President of MedSurg & Neurotechnology, President 
of Spine, and Vice President & General Manager of Stryker Biotech. 

Mr. Scannell brings extensive strategic, sales and marketing, and operational 
skills and experience, with a track record for delivering top tier results. He 
holds Bachelor of Business Administration and Master of Business 
Administration degrees from the University of Notre Dame. 

Ann Berman 

Non-Executive Director – resigned 19 September 2022 (Aged 70) 

This report was approved by the Board on 9 November 2022 and signed on behalf of the Board by: 

Christopher Mills 

Chairman 

|  Renalytix plc Annual Report and Financial Statements 

            24 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Directors’ Report 

The Directors present their annual report on the affairs of the Group and Parent Company, together with the 
consolidated financial statements and auditor’s report for the year ended 30 June 2022. The Corporate Governance 
Statement set out on pages 29 to 31 forms part of this report. 

CORPORATE DETAILS 

Renalytix plc is a public limited company incorporated in the under the laws of England & Wales (Registration 
Number 11257655). The address of the registered office is Finsgate, 5-7 Cranwood Street, London EC1V 9EE.  

DIRECTORS 

The Directors, who served in office during the year and as date of signing these financial statements were as follows: 

•  Christopher Mills 

•  James McCullough 

•  Erik Lium 

•  Fergus Fleming 

•  Chirag Parikh 

•  Daniel Levangie (appointed on 31 August 2021) 

•  Timothy Scannell (appointed on 30 March 2022) 

•  Ann Berman (appointed on 28 July 2021 and resigned 19 September 2022) 

Details of the Directors’ membership of committees is shown on page 30. The Company Secretary is Salim Hamir. 

PRINCIPAL ACTIVITIES 

The principal activity of the Group is the development of artificial intelligence-enabled clinical diagnostic solutions 
for kidney disease. 

GOING CONCERN 

The Group and Company meet their day-to-day working capital requirements through the use of cash reserves. 

The Directors have considered the applicability of the going concern basis in the preparation of the financial 
statements. This included the review of internal budgets and financial results which show, taking into account 
reasonably probable changes in financial performance, that the Group and Company should be able to operate within 
the level of its current funding arrangements. 

The Directors believe that the Group and the Company have adequate resources to continue in operation for the 
foreseeable future. For this reason, they have adopted the going concern basis in the preparation of the financial 
statements.  

FUTURE DEVELOPMENTS AND RESEARCH AND DEVELOPMENT ACTIVITIES 

Future developments and research and development activities are discussed in the Strategic Report on pages 3 to 21. 

RESULTS AND DIVIDENDS 

The Group recorded a loss for the year of $56.7 million (FY21: $31.0 million). When it is commercially prudent to do 
so and subject to the availability of distributable reserves, the Board may approve the payment of dividends. 
However, at present, the Directors consider that it is more prudent to retain cash to fund the development of the 
Group and, as a result, feel it is inappropriate to give an indication of the likely level or timing of any future dividend 
payment. The Directors do not recommend payment of a dividend in respect of FY22 (FY21: nil). 

|  Renalytix plc Annual Report and Financial Statements 

            25 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
FINANCIAL RISK MANAGEMENT 

Financial risk management is discussed in Note 4 of the financial statements. 

EMPLOYEE POLICIES 

Employee policies are discussed in the Strategic Report on page 21. 

POLITICAL CONTRIBUTIONS AND CHARITABLE CONTRIBUTIONS 

Neither the Company nor any of its subsidiaries made any political donations or incurred any political expenditure 
during the year ended 30 June 2022 (FY21: nil). 

DIRECTORS’ INTERESTS 

The interests in the share capital of the Company of those Directors serving at 30 June 2022 and as at the date of 
signing of these financial statements, all of which are beneficial, were as follows: 

On 30 June 2022 Ordinary Shares of 
0.25p each 

On 30 June 2021 Ordinary Shares of 
0.25p each 

Christopher Mills 

James McCullough 

Erik Lium 

Fergus Fleming 

Chirag Parikh 

Ann Berman 

Daniel Levangie 

Timothy Scannell 

9,726,125 

2,746,386 

- 

569,481 

- 

39,586 

- 

68,964 

9,197,501 

2,740,110 

- 

569,481 

- 

- 

- 

- 

Christopher Mills’ shareholding includes shares held through North Atlantic Smaller Companies Investment Trust plc 
and Oryx International Growth Fund Limited. Christopher Mills is a partner and Chief Investment Officer of Harwood 
Capital LLP. Harwood Capital LLP is investment manager to North Atlantic Smaller Companies Investment Trust plc 
and investment adviser to Oryx International Growth Fund Limited. 

|  Renalytix plc Annual Report and Financial Statements 

            26 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
SUBSTANTIAL SHAREHOLDINGS 

As at 30 September 2022, the following interests in 3% or more of the issued Ordinary Share capital had been 
notified to the Company: 

Shareholder 

Number of Shares 

Percentage of Issued Share Capital 

Icahn School of Medicine at Mount 
Sinai 

Christopher Mills 

James McCullough 

11,854,374 

9,726,125 

2,746,386 

15.9% 

13.0% 

3.7% 

STATEMENT OF DIRECTORS’ RESPONSIBILITIES IN RESPECT OF THE FINANCIAL 
STATEMENTS 

The Directors are responsible for preparing the Annual Report and the financial statements in accordance with 
applicable law and regulations.  

Company law requires the Directors to prepare financial statements for each financial year. Under that law the 
Directors have elected to prepare the Group and Company financial statements in accordance with UK-adopted 
international accounting standards and the parts of the Companies Act 2006 that applies to companies applying UK-
adopted international accounting standards. Under company law, the Directors must not approve the financial 
statements unless they are satisfied that they give a true and fair view of the state of affairs and profit or loss of the 
Company and Group for that period. In preparing these financial statements, the Directors are required to: 

•  select suitable accounting policies and then apply them consistently;  
•  make judgements and accounting estimates that are reasonable and prudent;  
•  for the Group and Company financial statements, state whether applicable UK-adopted international accounting 
standards and the parts of the Companies Act 2006 that applies to companies applying UK-adopted international 
accounting standards have been followed, subject to any material departures disclosed and explained in the 
financial statements; and  

•  prepare the financial statements on the going concern basis unless it is inappropriate to presume that the 

Company and Group will continue in business. 

The Directors are responsible for keeping adequate accounting records that are sufficient to show and explain the 
Group and Company’s transactions and disclose with reasonable accuracy at any time the financial position of the 
Group and Company and enable them to ensure that the financial statements comply with the Companies Act 2006. 
They are also responsible for safeguarding the assets of the Group and Company and hence for taking reasonable 
steps for the prevention and detection of fraud and other irregularities.  

The Directors confirm that:  

•  so far as each Director is aware, there is no relevant audit information of which the Company’s auditor is 

unaware; and  

•  the Directors have taken all the steps that they ought to have taken as Directors in order to make themselves 

aware of any relevant audit information and to establish that the Company’s auditor is aware of that information; 
and  

•  the Directors are responsible for preparing the Annual Report in accordance with applicable law and regulations. 

The Directors consider the Annual Report and the financial statements, taken as a whole, provides the 
information necessary to assess the Company’s performance, business model and strategy and is fair, balanced 
and understandable.  

The Directors are responsible for the maintenance and integrity of the corporate and financial information included 
on the Company’s website. Legislation in the United Kingdom governing the preparation and dissemination of 
financial statements may differ from legislation in other jurisdictions. 

DIRECTORS’ INDEMNITIES 

The Company has entered into deeds of indemnity for the benefit of each Director of the Company in respect of 
liabilities to which they may become liable in their capacity as Director of the Company and of any Company in the 
Group. Those indemnities are qualifying third party indemnity provisions for the purposes of section 234 of the 
Companies Act 2006 and have been in force during the whole of the financial period and up to the date of approval of 
the financial statements. 

|  Renalytix plc Annual Report and Financial Statements 

            27 

 
 
 
 
 
 
 
 
 
 
 
 
 
INDEPENDENT AUDITORS 

PKF Littlejohn LLP has expressed their willingness to continue in office as auditors and a resolution to reappoint 
them will be proposed at the forthcoming Annual General Meeting. 

CORPORATE GOVERNANCE 

The Company’s statement of corporate governance can be found in the Corporate Governance Statement on pages 29 
to 31 of these financial statements. The Corporate Governance Statement forms part of this Report of the Directors 
and is incorporated into it by cross-reference. 

ANNUAL GENERAL MEETING 

The resolutions to be proposed at the forthcoming Annual General Meeting are set out in a separate notice sent to the 
shareholders. 

RECOMMENDATION 

The Board considers that the resolutions to be proposed at the Annual General Meeting are in the best interests of the 
Company and it is unanimously recommended that shareholders support these proposals as the Board intends to do 
in respect of their own holdings. 

This report was approved by the Board on 9 November 2022 and signed on behalf of the Board by: 

Christopher Mills 

Chairman 

|  Renalytix plc Annual Report and Financial Statements 

            28 

 
 
 
 
 
 
 
 
 
 
 
 
 
Corporate Governance Statement 

COMPLIANCE 

The Company recognizes the value of good corporate governance in every part of its business. The Board has adopted 
the corporate governance principles of the 2018 Quoted Companies Governance Code (the “QCA Code”) and the 
Company has continued to comply with the QCA Code throughout the reporting period. The Board believes that this 
corporate governance framework is appropriate for the Company, having regard to its size and nature. Details of the 
QCA Code can be obtained from the Quoted Companies Alliance’s website (www.theqca.com). 

Details of how the Group seeks to address the principles underlying the QCA Code and how it leverages its principles 
to support the long-term success of the Group can be found on the Company’s website. 

BOARD COMPOSITION AND RESPONSIBILITY 

The Board currently comprises two Executive Directors and five Non-Executive Directors. 

It is the Board’s opinion that the Ann Berman and Dan Levangie are independent and have been independent in 
character and judgement and that there were no relationships or circumstances which could materially affect or 
interfere with the exercise of her independent judgement during the course of FY22.  

All Directors are subject to election by Shareholders at the first Annual General Meeting after their appointment, and 
are subject to re-election at least every three years. Non-Executive Directors are appointed for a specific term of 
office which provides for their removal in certain circumstances, including under section 168 of the Companies Act 
2006. The Board does not automatically re-nominate Non-Executive Directors for election by Shareholders. The 
terms of appointment of the Non- Executive Directors can be obtained by request to the Company Secretary. 

The Board’s primary objective is to generate value for the Group by identifying and assessing business opportunities 
and ensuring that potential risks are identified, monitored and controlled. Matters reserved for Board decisions 
include strategic long-term objectives and the capital structure of major transactions. The implementation of Board 
decisions and day to day operations of the Group are delegated to senior management. 

There is a division of responsibilities between the Non-Executive Chairman, who is responsible for the overall 
strategy of the Group and running the Board, and the Chief Executive Officer, who is responsible for implementing the 
strategy and day to day running of the Group. He is assisted by the Chief Technical Officer, who is a Board member, 
and Chief Financial Officer who is not a Board member. 

BOARD MEETINGS 

Eighteen full Board  meetings were held  during  the year,  as  well  as  four  additional  meetings  with  select  executive 
directors and non-executive directors to approver certain matters. The Directors’ attendance record during their period 
of office is as follows: 

Christopher Mills (Non-Executive Chairman) 

James McCullough (Chief Executive Officer) 

Erik Lium (Non-Executive Director) 

Fergus Fleming (Chief Technology Officer) 

Chirag Parikh (Non-Executive Director) 

Dan Levangie (Non-Executive Director) 

19/19 

22/22 

18/19 

22/22 

19/19 

15/18 

Ann Berman (Non-Executive Chairman) 

18/18 (Resigned on 19 September 2022) 

Timothy Scannell (Non-Executive Director) 

7/7 

|  Renalytix plc Annual Report and Financial Statements 

            29 

 
 
 
 
 
 
 
 
During the year, the Board conducted an evaluation of the performance of the Board and that of the Chairman, as well 
as the effectiveness of the Board Committees. The Board intends to develop further its evaluation of the performance 
of the Board and Committees on an annual basis. The evaluation will include Board composition, experience, 
dynamics and the Board’s role and responsibilities for strategy, risk review and succession planning. The evaluations 
will involve a detailed questionnaire and individual discussions between the Non-Executive Chairman and the 
Directors. 

AUDIT COMMITTEE 

The Audit Committee comprises of Ann Berman, who acted as chair, Daniel Levangie and Erik Lium. The Audit 
Committee, among other things, determines and examines matters relating to the financial affairs of the Company 
including the terms of the engagement of the Company’s auditors and, in consultation with the auditors, the scope of 
the audit. It receives and reviews the reports from management and the Company’s auditors relating to the half 
yearly and annual forward statements and the accounting and the internal control systems in use throughout the 
Company. 

The committee has met formally six times during the year ended 30 June 2022. There have been no significant 
matters communicated to the Committee by the auditors and no interaction with the Financial Reporting Council. 

Since the year end Ann Berman resigned in September 2022 as Non-Executive Director of the Company and Daniel 
Levangie will act as a chair.  

REMUNERATION COMMITTEE 

The Remuneration Committee comprised Daniel Levangie, who acted as chair, and Erik Lim and Ann Berman. The 
Remuneration Committee reviews and makes recommendations in respect of the Executive Directors’ remuneration 
and benefits packages, including share options and the terms of their appointment. The Remuneration Committee 
also make recommendations to the Board concerning the allocation of share options to employees under the 
intended share option schemes. 

The Committee has met twice during the year ended 30 June 2022. 

NOMINATION COMMITTEE 

For the fiscal year ended 30 June 2022, the Nomination Committee comprised Ann Berman, who acted as chair, and 
Chirag Parikh. The Nomination Committee reviews and recommends nominees as new Directors to the Board. Since 
the year end Ann Berman has resigned as Non-Executive Director of the Company and Timothy Scannell will replace 
Ann and act as a chair. 

INTERNAL CONTROL 

The Directors are responsible for ensuring that the Group maintains a system of internal control to provide them 
with reasonable assurance regarding the reliability of financial information used within the business and for 
publication and that the assets are safeguarded. There are inherent limitations in any system of internal control and 
accordingly even the most effective system can provide only reasonable, but not absolute, assurance with respect to 
the preparation of financial reporting and the safeguarding of assets. 

The Group, in administering its business, has put in place strict authorization, approval and control levels within 
which senior management operates. These controls reflect the Group’s organizational structure and business 
objectives. The control system includes clear lines of accountability and covers all areas of the organization. The 
Board operates procedures which include an appropriate control environment through the definition of the above 
organization structure and authority levels and the identification of the major business risks. 

INTERNAL FINANCIAL REPORTING 

The Directors are responsible for establishing and maintaining the Group’s system of internal reporting and as such 
have put in place a framework of controls to ensure that on-going financial performance is measured in a timely and 
correct manner and that risks are identified as early as is practicably possible. There is a comprehensive budgeting 
system and monthly management accounts are prepared which compare actual results against both the budget and 
the previous year. They are reviewed and approved by the Board and revised forecasts are prepared on a regular 
basis. 

|  Renalytix plc Annual Report and Financial Statements 

            30 

 
 
 
 
 
 
 
 
 
 
RELATIONS WITH SHAREHOLDERS 

The Company reports to Shareholders twice a year. The Company dispatches the notice of its Annual General 
Meeting, together with a description of the items of special business, at least 21 clear days before the meeting. Each 
substantially separate issue is the subject of a separate resolution and all Shareholders have the opportunity to put 
questions to the Board at the Annual General Meeting. 

The Chair(s) of the Audit and Remuneration Committees normally attend the Annual General Meeting and will 
answer questions which may be relevant to their work. However, due to the ongoing COVID-19 pandemic, the 
Committee Chairs will not be in attendance at this year’s Annual General Meeting. The Chairman advises the meeting 
of the details of proxy votes cast on each of the individual resolutions after they have been voted on in the meeting. 
The Chairman and the Non- Executive Directors intend to maintain a good and continuing understanding of the 
objectives and views of the Shareholders. 

Shareholders May Contact the Company as Follows: 

Tel: +44 (0)20 7933 8790 (from USA: +1-646-217-4999)  Email: investors@renalytix.com 

CORPORATE SOCIAL RESPONSIBILITY 

The Board recognizes that the Group has a duty to be a good corporate citizen and is conscious that its business 
processes minimize harm to the environment, that it contributes as far as is practicable to the local communities in 
which it operates and takes a responsible and positive approach to employment practices. The Group is subject to the 
requirements of the Modern Slavery Act 2015 and published the required statement on its website. The directors 
consider that the nature of the Group’s activities is not inherently detrimental to the environment. The Group is 
committed to minimizing any effect on the environment caused by its operations. 

The Corporate Governance Statement was approved by the Board on 9 November 2022 and signed on its behalf by: 

Salim Hamir 

Company Secretary 

|  Renalytix plc Annual Report and Financial Statements 

            31 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Director’s Remuneration Report 
and Policy 

For the Year Ended 30 June 2022 

STATEMENT OF COMPLIANCE 

This report does not constitute a Directors’ Remuneration Report in accordance with the Large and Medium-sized 
Companies and Groups (Accounts and Reports) (Amendment) Regulations 2013, the Companies (Miscellaneous 
Reporting) Regulations 2018, and the Companies (Directors’ Remuneration Policy and Directors’ Remuneration 
Report) Regulations 2019 which do not apply to the Company as it was not a quoted company (as defined in the 
Companies Act 2006) as at the end of the financial year. This report sets out the Group policy on Directors’ 
remuneration, including emoluments, benefits and other share-based awards made to each Director. 

REMUNERATION COMMITTEE REPORT  

DANIEL J. LEVANGIE 

CHAIR OF THE REMUNERATION COMMITTEE 

Dear shareholder, 

As the Chair of the Remuneration Committee (the “Committee”), I am pleased to present, on behalf of the board of 
directors (the “Board”) of Renalytix PLC (the “Company” or “Renalytix”), the Directors’ remuneration report for the 
year ended 30 June 2022 (the “Directors’ Remuneration Report”). 

The Company’s Annual Report and Accounts, along with the Directors’ Remuneration Report, will be subject to an 
advisory vote at the forthcoming Annual General Meeting on 19 December 2022 (the “AGM”) and the remuneration 
policy section of the Directors’ Remuneration Report will be subject to a binding vote at the AGM. 

Introduction 

During the period covered by this Directors’ Remuneration Report, we maintained the remuneration programs and 
policies that the Committee established during the financial year 2022 and implemented strategic compensation 
initiatives designed to incentivise and retain key employees in the Company. 

As we move into 2023 and beyond, the Committee’s role will be to ensure that Directors and senior executives at 
Renalytix are appropriately compensated and incentivised to deliver growth to shareholders in a long-term and 
sustainable manner. The Committee seeks to accomplish this by establishing remuneration programs that are 
grounded in market practice, are effective at driving proper management behaviors, clearly link pay and performance 
and are cost efficient overall. 

Corporate Governance Standards 

As a public company, we are subject to corporate governance standards and regulations applicable in the United 
States and the United Kingdom. 

The Global Marketplace for Talent 

Renalytix is a biopharmaceutical company with operations in Europe and the United States. The Company plans to 
expand its operations in both geographic regions in line with the growth of its clinical and manufacturing activities 
and its plans to commercialize its products in these geographies. Given that the market for experienced directors and 
biopharmaceutical executive management talent, particularly in the United States, is very competitive, the Committee 
references the US market as the leading indicator for remuneration levels and practices. This will help attract and 
retain directors and motivate the superior executive management talent needed to successfully manage the 
Company’s complex global operations. Being consistent in this market view of the United States as the primary 
benchmark for remuneration practices for directors and executive directors (CEO and CTO) is key for the Company 
as it builds its global operations in a manner designed to deliver sustainable long-term growth and shareholder value. 

|  Renalytix plc Annual Report and Financial Statements 

            32 

 
 
 
 
 
 
 
 
 
 
 
 
 
Committee decisions have been taken in light of the extensive benchmarking for director and executive director 
compensation conducted in 2022, which included a review of compensation practices of comparable companies to 
Renalytix in the US and Europe. In taking any actions, the Committee is mindful of the general UK compensation 
framework, including investor bodies’ guidance, and the UK Corporate Governance Code, and has incorporated these 
into its remuneration programs, policies and decisions where it believes they best serve the long-term interests of 
shareholders. 

Remuneration Program Highlights 

While I recommend that you carefully read the disclosure on our programs and policies that follows this letter to help 
with the understanding of our approach to director compensation, I want to highlight the following aspects of our 
program below: 

•  Pay for Performance - We believe that a significant portion of remuneration of our directors and our 

executive directors (CEO & CTO) should be based on achieving objectives designed to create inherent value in 
the Company, and ultimately on achieving value creation for our shareholders. In line with this belief, the 
compensation of our CEO includes a significant performance-based cash bonus opportunity and a large 
equity incentive component. Further, our directors receive equity incentives designed to reward long-term 
value creation for our shareholders. 

•  Shareholding requirements for Executive Directors - We believe having these requirements encourages 
executive directors to build meaningful shareholding positions and furthers alignment of their interests with 
those of shareholders. 

•  2022 Remuneration Outcome - As outlined above, a core principle in Renalytix’s remuneration program is 
the linkage between pay and performance. In financial year 2022, the annual bonus of James McCullough our 
CEO and Fergus Fleming our CTO, our executive directors were based on a combination of corporate and 
personal objectives. The Committee of the Board determined that while Management made progress in key 
areas in financial year 2022 growing the business, the Company did not achieve 100% of its annual corporate 
objectives, and therefore no bonuses for company executives will be paid. This outcome was based on 
achievements versus goals in the following key areas: EHR Integration, FDA Submission, 
healthcare/commercial partnerships, coverage agreements, regulatory compliance and attracting and 
retaining top talent.  

•  Major Decisions and Substantial Changes regarding Directors’ Remuneration - During financial year 

2022, there were no major decisions or substantial changes on our directors’ remuneration scheme however 
the company did engage remuneration consultants in financial year 2020 to advise the Committee on all 
aspects of senior executive remuneration. The remuneration consultant’s findings were relied upon when 
approving salary increases for financial year 2022. 

Conclusion 

The Committee believes the proposals put forth in this report will properly motivate our directors and our CEO to 
deliver sustainable growth and shareholder value over the long term and do so in a responsible and cost efficient 
manner. 

I hope that you find the information in this report helpful, and look forward to the AGM, where we hope to have your 
support. 

Daniel J. Levangie 

Chair of the Remuneration Committee 

9 November 2022 

|  Renalytix plc Annual Report and Financial Statements 

            33 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
DIRECTORS’ REMUNERATION POLICY 

This part of the Directors’ remuneration report sets out the Directors’ remuneration policy for the Company’s 
directors and executive directors and has been prepared in accordance with the Large and Medium-sized Companies 
and Groups (Accounts and Reports) (Amendment) Regulations 2013. 

The remuneration policy was approved by shareholders in a binding vote at our AGM on 19 December 2021 and took 
effect from the date of approval. 

The policy applies for a maximum period of three years (or until a revised policy is approved by shareholders) and 
will therefore next need to be approved in a binding vote at the AGM in 2024. 

Renalytix’s remuneration policy has been designed to: 

•  align to the Company’s strategy and business model; 

•  attract, retain and motivate high calibre individuals who have the potential to support the growth of the 

Company; 

•  be competitive against appropriate market benchmarks, focusing particularly on the US bio-technology sector; 

and 

•  take account of good governance and promote the long-term success of the Company. 

EXECUTIVE DIRECTOR REMUNERATION POLICY TABLE 

The table below sets out, for each element of pay, a summary of how remuneration of executive directors is 
structured and how it supports the Company’s strategy. 

Purpose and Link to 
Strategy 

To attract, retain and 
motivate executive directors 
of the highest calibre who 
are capable of delivering the 
Company’s strategic 
objectives, reflecting the 
individual’s experience and 
role within the Company. 
Base salary is designed to 
provide an appropriate level 
of fixed income to avoid an 
over- reliance on variable pay 
elements that could 
encourage excessive risk 
taking. 

Executive Directors 

Operation 

Maximum Opportunity 

Performance Metrics 

No formal metrics, although 
any increases take account 
of Company performance 
and the individual 
performance of the 
Executive Director. 

BASE  SALARY 

Salaries are normally 
reviewed annually, and 
changes are generally 
effective from 1 October. 
The annual salary review 
of the Executive Directors 
takes 
into consideration a 
number of factors, including: 

•  scope of the 
individual’s 
responsibilities; 
•  abilities,  experience 
and performance of 
the individual; 

•  business performance; 
•  salary increases 
awarded to the 
overall employee 
population; 

•  market 

competitiveness and 
US and UK market 
practice; and 

•  the underlying rate 

of inflation. 

Executive Director level 
salaries are determined 
considering industry 
benchmarking data. There is 
no prescribed maximum 
annual salary or salary 
increase. 
Base salary increases are 
awarded at the discretion 
of the Committee; however, 
the Committee is guided by 
the general increase for the 
broader employee 
population but may decide 
to award a lower increase 
for Executive Directors or 
exceed this to recognize, for 
example, an increase in the 
scale, scope or 
responsibility of the role 
and/or take account 
relevant market 
movements. 
Salary increases will 
normally Executive Director 
level salaries are approved 
by the Board in line with 
corporate performance and 
are consistent with positions 
held. 

BENEFITS 

Benefits in kind offered to 
Executive Directors are 
provided on a market- 
competitive basis, to assist 
with their recruitment and 
retention. 

The Company aims to offer 
benefits that are in line with 
the Executive Directors’ 
local market and those 
offered to the wider 
workforce. 

There is no defined 
maximum value for 
benefits, but the Committee 
will consider the aggregate 
value of any such benefits 
when determining what 
should be offered. 

Not performance related. 

|  Renalytix plc Annual Report and Financial Statements 

            34 

 
 
 
 
 
 
 
 
Executive Directors 

Operation 

Maximum Opportunity 

Performance Metrics 

Purpose and Link to 
Strategy 

The Company aims to 
provide a contribution 
towards life in retirement. 

An annual bonus rewards 
the achievement of 
objectives that support 
the Company’s 
corporate goals and 
delivery of the business 
strategy 

PENSION 

Depending on their 
location and comparable 
benefits offered to local 
employees, Executive 
Directors may be eligible 
to receive employer 
contributions to a defined 
contribution pension 
scheme or a cash 
supplement in lieu of 
such contributions, or a 
mixture of both. 

The maximum employer 
pension contribution  or 
cash in lieu amount will 
be a 
percentage of annual base 
salary aligned with that 
provided to other senior 
executives in the Executive 
Director’s location. 

ANNUAL  BONUS 

Executive Director level 
bonuses are approved by the 
Board in line with corporate 
performance and are 
consistent with positions 
held. 

Bonuses are determined 
based on objectives that 
are agreed with the 
Committee, and the 
Board, at the start of each 
financial year although 
the Committee retains the 
discretion to amend 
objectives during the year if 
it considers that objectives 
are no longer appropriate. 
Different performance 
measures and weightings 
may be used each year, as 
agreed with the Committee, 
to take into account changes 
in the business strategy. 
Bonuses are normally paid in 
cash (but may be paid in the 
form of an equity award, at 
the discretion of the 
Committee). 

To attract, motivate, 
retain and reward for 
long-term, sustainable 
performance linked to 
corporate strategy and 
provide alignment with 
shareholders’ interests. 

EQUITY  INCENTIVE  PLAN  (‘EIP’) 

There is no maximum 
opportunity for equity 
incentives. However, the 
Committee will generally 
assess the position at similar 
sized comparator companies 
prior to making any award to 
ensure that any awards are 
aligned to the market. 

Equity awards granted to 
Executive Directors may 
take the form of options, 
restricted shares, 
performance share units, 
restricted share units, or 
other forms of awards 
granted in accordance 
with the discretionary EIP 
that may be in place from 
time to time. 
The Executive Directors 
received a grant under the 
EIP’s predecessor plan upon 
listing on AIM and it is 
intended that top- up awards 
shall be issued under the EIP 
from time to time in the 
discretion of the Committee. 

Not performance related. 

Performance measures are 
determined by the 
Committee each year and 
may vary to ensure that 
they promote the 
Company’s business 
strategy and shareholder 
value. The annual bonus 
will be based on corporate 
measures, including, but not 
limited to, financial 
and/or strategic measures. 
Bonus measures are reviewed 
at least annually and the 
Committee has the discretion 
to change the measures or to 
introduce new measures 
when it deems appropriate. 

Vesting of equity awards is 
generally subject to 
continued employment and 
may also be subject to the 
achievement of performance 
conditions aligned with the 
Company’s strategic plan. 
Measures, their weightings 
and the period over which 
performance is tested will be 
determined by the 
Committee. 
The Committee will select 
the most appropriate form of 
EIP for awards each year 
and/or each individual grant. 
Vesting of equity awards 
may be accelerated in part or 
in full in connection with 
certain corporate events 
such as a change of control. 

ALL  EMPLOYEE  EQUITY  PLANS 

Encourages employee share 
ownership and therefore 
increases alignment of 
interests with 
shareholders. 

The Company may, from 
time to time, operate tax-
advantaged share plans for 
which Executive Directors 
would be eligible on the 
same basis as all other 
eligible employees. 

Within the limits of the 
relevant legislation. 

Not performance related. 

|  Renalytix plc Annual Report and Financial Statements 

            35 

 
 
 
 
 
 
 
Notes to the Executive Director Remuneration Policy Table 

Legacy arrangements 

For the duration of this Remuneration Policy, the Company will honour any commitments made in respect of current 
or former Directors before the date on which either: (i) the Remuneration Policy becomes effective; or (ii) an 
individual becomes a Director, even where not consistent with the Remuneration Policy set out in this report or 
prevailing at the time such commitment is fulfilled. For the avoidance of doubt, all outstanding historic awards that 
were granted in connection with, or prior to, our IPO on NASDAQ remain eligible to vest based on their original or 
modified terms. 

Clawback Provisions 

The Company does not currently have a policy on recoupment and clawback, but the Committee will keep this under 
review. 

Shareholding Requirements 

Executive directors are not currently required to build and retain a shareholding, but the Committee will keep this 
under review. 

NON-EXECUTIVE DIRECTOR REMUNERATION POLICY TABLE 

The table below sets out, for each element of pay, a summary of how remuneration of non-executive directors is 
structured and how it supports the Company’s strategy. 

Purpose and Link to 
Strategy 

Set at a level that is 
sufficient to attract and 
retain high calibre non- 
executives who contribute to 
the business. 

Chair and Non-Executive Directors 

Operation 

Maximum Opportunity 

Performance Metrics 

CASH  FEES  AND  BENEFITS 

Not performance related. 

When reviewing fee levels 
and benefits, account is 
taken of market 
movements in the fees and 
benefits of Non-Executive 
Directors, Board 
Committee responsibilities 
and ongoing time 
commitments. 
Actual fee levels are 
disclosed in the annual 
Directors’ Remuneration 
Report for the relevant 
financial year. 

The Chair and the Non- 
Executive Directors receive 
fees paid in cash. 
Fees are paid and 
reviewed annually. 
Non-Executive Directors 
ordinarily do not 
participate in any 
pension, bonus or 
performance-based 
share incentive plans. 
Travel, accommodation 
and other business-
related expenses 
incurred in carrying out 
the 
role as well as fees for tax 
advice associated with 
completion of international 
tax returns will be paid by 
the Company including, if 
relevant, any gross- up for 
tax and/or social security 
contributions. 
Tax equalization and/or 
relocation benefits may be 
provided to Non-
Executive Directors who 
are required to relocate or 
become tax resident in a 
new jurisdiction. 

|  Renalytix plc Annual Report and Financial Statements 

            36 

 
 
 
 
 
 
 
 
 
 
 
Purpose and Link to 
Strategy 

To facilitate share 
ownership and provide 
alignment with 
shareholders. 

Chair and Non-Executive Directors 

Operation 

Maximum Opportunity 

Performance Metrics 

EQUITY-BASED  AWARDS 

Non-executive directors do 
not participate in 
performance-based         equity 
incentives. 

There is no maximum 
number of equity incentive 
awards that may be awarded 
to individuals each year. 
However, when reviewing 
award levels, account is 
taken of market movements 
in equity incentive awards, 
Board committee 
responsibilities, ongoing time 
commitments 
and the general 
economic environment. 

Non-Executive Directors 
may receive equity awards 
under any equity incentive 
plan operated by the 
Company from time 
to time which permits 
their participation with 
careful consideration 
being given to ensuring 
their independence. 
Non-Executive Directors 
may receive an initial 
equity award upon 
appointment or election. 
Initial equity awards will 
normally vest over a 
specified period of time, 
subject generally to 
continued service. Vesting of 
equity awards may be 
accelerated in part or in 
full in connection with 
certain corporate events 
such as a change of control. 
In addition, Non-Executive 
Directors may be granted an 
equity award each year 
which may vest in full upon 
grant or over time subject to 
continued service. If a new 
Non-Executive Director joins 
the Board following the date 
of grant of this annual grant 
in any calendar year, such 
Non-Executive Director may 
be granted a pro rata portion 
of the next annual grant to 
reflect his or her service 
during the relevant part of 
the relevant year. 

REMUNERATION FOR NEW APPOINTMENTS 

Where it is necessary to appoint or replace an Executive Director, the Committee has determined that the new 
Executive Director will receive a compensation package in accordance with the provisions of the approved 
remuneration policy in force at the time of appointment but focusing on the objective of appointing the most 
appropriate person in the right geography. 

In setting base salaries for new Executive Directors, the Committee will consider the existing salary package of the 
new Director, the individual’s skills, level of experience and the market rate for the role. 

In setting the annual performance bonus, the Committee may wish to set different performance metrics (to those of 
other Executive Directors) in the first year of appointment. Where it is appropriate to offer a below-median salary on 
initial appointment, the Committee will have the discretion to allow phased salary increases over a period of time for 
a newly appointed Director as the Executive gains experience in their new role, even though this may involve 
increases in excess of inflation and the increases awarded to the wider workforce. 

Benefits and pensions will be in line with those offered to other executive directors, taking account of local market 
practice with relocation expenses provided at the discretion of the Committee if necessary. Tax equalization may also 
be considered if an executive is adversely affected by taxation due to their employment with the Group. Legal fees 
and other costs incurred by the individual may also be met by the Company. 

The ongoing incentive opportunity offered to new recruits will be in line with that offered to existing Directors. 
Different measures and targets under the bonus plan or the Company’s equity incentive arrangements may be set 
initially taking 

|  Renalytix plc Annual Report and Financial Statements 

            37 

 
 
 
 
 
 
 
 
account of the responsibilities of the individual and the point in the financial year at which they join. A new employee 
may be granted normal annual equity awards in the first year of employment in addition to any awards made with 
respect to prior employment being forfeited, which shall be excluded from any annual maximum on the size of 
awards. 

To enable the recruitment of exceptional talent, the Committee may determine that the buy-out of remuneration 
forfeit from a prior employer is necessary. Where possible, any replacement remuneration will be offered on a like-
for-like basis with the forfeited awards and may be in the form of cash or shares and depending whether the award 
forgone has similar performance conditions, may or may not be subject to performance conditions. The value of any 
buy-out will be limited to the value of remuneration forfeit. Where appropriate, such awards will be granted under 
existing share plans, however, the Committee will have discretion to make standalone awards where appropriate. 

In respect of internal appointments, any commitments entered into in respect of a prior role, including variable pay 
elements, may be allowed to pay out according to their prior term, adjusted as relevant to take into account the 
appointment. 

The terms of appointment for a new Non-Executive Director would be in accordance with the remuneration policy 
for Non- Executive Directors in force at that time. 

EXECUTIVE DIRECTORS’ SERVICE CONTRACTS 

James McCullough (Chief Executive Officer) is currently employed at-will pursuant to an employment agreement 
entered into with Renalytix AI, Inc, dated 2 November 2018 but effective on 1 November 2018. His employment may 
be terminated by either party at any time for any or no reason, with or without notice. Severance payments no more 
generous than those described in this policy will be payable to him on termination. Upon termination of his 
employment agreement, our Chief Executive Officer is required to resign from all other positions within the 
Company’s group. Following termination of his employment, our Chief Executive Officer will be bound by certain 
post-termination covenants. 

As is customary for US executives, our Chief Executive Officer’s remuneration is subject to a “best-after-tax” cutback 
for excise tax calculations under section 280G of the US Internal Revenue Code of 1986, with no tax gross-up. 

Fergus Fleming (Chief Technology Officer) is currently employed on an indefinite term pursuant to an employment 
agreement entered into with the Company dated 1 November 2018. His employment may be terminated by either 
party on 12 months written notice. 

At its discretion, upon receipt of his written notice, or as an alternative to providing notice, terminate the 
employment with immediate effect and make a payment in lieu of notice, comprising base salary only, for the notice 
period (or remainder thereof, should notice have been given). In the event of a breach of service agreement or other 
summary termination of employment, no such payments will be made. 

A copy of these contracts may be viewed at the Company’s head office or may be requested from the Company 
Secretary at the annual general meeting. 

NON-EXECUTIVE DIRECTORS’ TERMS OF ENGAGEMENT 

All Non-Executive Directors, including the Chair, have specific terms of engagement which may be terminated on not 
less than six months’ notice by either party. 

The remuneration of Non-Executive Directors is determined by the Board within the limits set by the Company’s 
articles of association and based on a review of fees and equity-based remuneration paid to Non-Executive Directors 
of similar companies. 

A Board evaluation has been performed and the results of this exercise confirmed that all Non-Executive Directors 
were independent. 

TERMINATION AND LOSS OF OFFICE PAYMENTS 

Depending on market practice in the jurisdiction in which an Executive Director is employed, exit payments shall 
depend on the circumstances of termination and may be made by reference to a notice period (including a payment 
in lieu of notice) or employment “at-will” together with a severance payment. Where a notice period applies, this will 
not exceed 12 months but may be accompanied by additional severance entitlements where applicable. 

The Company’s policy on remuneration for Executive Directors who leave the Company is set out below. The 
Committee will exercise its discretion when determining amounts that should be paid to leavers, taking into account 
the facts and circumstances of each case. 

|  Renalytix plc Annual Report and Financial Statements 

            38 

 
 
 
 
 
 
 
 
 
 
US-BASED EXECUTIVES 

Termination without 
cause or with Good 
Reason1

Subject to the 
executive executing 
a release: a payment 
of up to 12 months’ 
salary and benefits 
including COBRA or 
other applicable 
healthcare coverage 
payable in equal 
monthly instalments 
or as a lump sum, at 
the discretion of the 
Committee. 

Any earned but 
unpaid bonus, a pro-
rata portion of the 
bonus that would 
have been due for 
any part year 
worked, plus up to 
one year’s target 
bonus, or a higher 
bonus at the 
discretion of the 
Committee, payable 
as a lump sum or on 
a 
monthly basis. 
The Company may 
accelerate the 
vesting of the 
portion of equity 
held on the 
termination date that 
would have vested 
over the following 
one year period. 

Salary and benefits 

Annual bonus 

Equity incentive 
awards 

Termination for cause 

No payment. 

No payment. 

Termination without cause or 
with Good Reason1 in 
connection with change in 
control 

Subject to the executive 
executing a release: a payment 
of up to 18 months’ salary and 
benefits and benefits payable 
in equal monthly instalments 
or as a lump sum, at the 
discretion of the Committee. 

Any earned but unpaid bonus, 
a pro-rata portion of the 
bonus that would have been 
due for any part year worked, 
plus up to 1.5 year’s target 
bonus, or a higher bonus at the 
discretion of the Committee, 
payable as a lump sum or on a 
monthly basis. 

Unvested awards lapse in full. 

Full vesting on termination. 

1: Includes, among others, a material diminution in role, a material reduction in base salary or mandated relocation, as defined 
by contract. 

NON-US BASED EXECUTIVES 

When calculating termination payments for Non-US based Executives, the Committee will consider a variety of 
factors, including individual and Company performance, the length of service of the Executive Directors in question 
and, where appropriate, the obligation for the Executive Directors to mitigate loss. In the event of a change of control 
and ownership, the Committee may exercise its discretion to provide for additional remuneration and/or benefits for 
Executive Directors who leave the Company in connection with such change of control, and will take into account all 
relevant circumstances when making any such determination. 

In the case of a ‘good leaver’ (to be determined at the discretion of the Committee) the following policy will normally 
apply, although the Committee retains the discretion to make payments which are no more generous than those 
applicable to a US based Executive Director (as described above), when viewed in the round with notice / payment in 
lieu of notice entitlements: 

•  notice period of twelve months or payment in lieu of notice; 

•  statutory redundancy payments will be made, as appropriate; 

•  Executive Directors have no entitlement to a bonus payment in the event that they cease to be employed by 

the Company, however, they may be considered for a pro-rated award by the Committee in good leaver 
circumstances; and 

•  any share-based entitlements granted to an Executive Director under the Company’s share and individual 
share contracts or share option plans will be determined based upon the relevant individual share option 
contracts or plan rules, and performance conditions or hurdles and vesting may be accelerated in the 
discretion of the Committee. 

|  Renalytix plc Annual Report and Financial Statements 

            39 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ADDITIONAL PAYMENTS 

The Committee will make payment of any statutory entitlements as necessary. In addition, the Committee will retain 
the discretion to make additional payments in settlement of, or to compromise, an actual or potential claim in 
connection with a termination of any Executive Director as necessary. 

The Committee reserves the right to make reasonable legal, relocation and outplacement costs, if deemed necessary. 

REMUNERATION COMMITTEE (THE “COMMITTEE”) 

Governance 

In its decision-making process, the Committee takes account of information from both internal and independent 
sources and Compensia surveys. Compensia were appointed as remuneration consultants by the Committee based on 
their expertise in the field via a competitive tender process. Compensia advises the Committee on all aspects of 
senior executive remuneration. Compensia has kept the Committee up to date on remuneration trends and corporate 
governance best practice. Compensia does not have any other connection with the Company and is considered to be 
independent and objective by the Committee. During the year ended 30 June 2022, fees charged by Compensia 
amounted to approximately USD 16,000 and this was charged on a time spent basis. 

The current members of the Committee are Daniel J. Levangie (Chair), and Dr. Erik Lium. 

Remuneration Committee report (continued) 

The Company’s Chief Human Resources Officer provides updates to the Committee, as required, to ensure that the 
Committee is fully informed about pay and performance issues throughout the Company. The Committee takes these 
factors into account when determining the remuneration of the Executive Directors and senior executives. 

No Executive Director or employee can participate in any discussion directly relating to their own personal 
conditions of service or remuneration. 

No conflicts of interest have arisen during the year and none of the members of the Committee has any personal 
financial interest in the matters discussed, other than as option holders. The fees of the Non-Executive Directors are 
approved by the Board on the joint recommendation of the Committee and the Chief Executive Officer. 

Director 

Meetings attended 

Daniel J. Levangie 

Dr. Erik Lium 

The Committee met twice in the year to 30 June 2022. 

Discretions retained by the Committee 

2 

2 

The Committee operates under the powers it has been delegated by the Board. In addition, it complies with rules that 
require certain matters to be put to either shareholder or Board approval. These rules provide the Committee with 
certain discretions which serve to ensure that the implementation of the Remuneration Policy is fair, both to the 
individual director and to the shareholders. The Committee operates the Company’s remuneration plans in 
accordance with their rules from time to time. To maintain an efficient administrative process, the Committee retains 
the following discretions to apply its judgement in setting remuneration: 

•  the eligibility to participate in the plans; 

•  the timing of grant of awards and any payments; 

•  the size of awards and payments (subject to any maximum limits set out in the policy table above and the respective 

plan rules); 

•  the determination of whether the performance conditions have been met; 

•  determining a good or bad leaver under the terms of the plan and the treatment of such leaver’s cash and equity 

remuneration; 

•  dealing with a change of control or restructuring of the Group; 

•  adjustments required in certain capital events such as rights issues, corporate restructuring, events and 

special dividends and certain other out-of-the-ordinary events; 

•  the annual review of performance and other vesting conditions for the annual bonus plan and equity awards. 

|  Renalytix plc Annual Report and Financial Statements 

            40 

 
 
 
 
 
 
 
 
 
In certain circumstances, such as a material acquisition/divestment of a Group business, which mean the original 
performance conditions are no longer appropriate, the Committee may adjust the targets, alter weightings or set 
different measures as necessary, to ensure the conditions achieve their original purpose and are not materially less 
difficult to satisfy. 

The Committee may make minor amendments to the Remuneration Policy (for regulatory, exchange control, tax or 
administrative purposes or to take account of a change in legislation) without obtaining shareholder approval for 
that amendment. 

ILLUSTRATION OF APPLICATION OF THE POLICY 

Pay-for-performance scenario analysis 

The charts below have been updated to reflect the intended application of the policy for the 2023 financial year. A 
copy of the shareholder approved policy (including the scenario charts for the 2021 financial year) is in the Annual 
Report for the year ended 30 June 2021, which is available on the Company’s website. The charts below provide an 
estimate of the potential future reward opportunities for the Executive Directors, and the potential split between 
different elements of remuneration under different performance scenarios: 

•  Minimum - fixed pay only. 

•  Target (performance in line with expectations) - fixed pay, plus bonus and equity payouts at 

threshold level (50% of maximum). 

•  Maximum (performance meets or exceeds maximum) - fixed pay, plus the maximum bonus payout and full 
vesting of any equity awards, based on grant-date face value of awards to be granted in financial year 2023. 

Fixed pay comprises: 

•  Salaries - salary effective at 1 July 2021. 

•  Benefits - an estimated value of all benefits receivable in the 2023 financial year. 

•  Pension - 5% of salary for the CEO and CTO. 

Pay-for-Performance Scenarios
(USD 000s)

James McCullough

Fergus Fleming

 1,800
 1,600
 1,400
 1,200
 1,000
 800
 600
 400
 200
 -

Minimum

Target

Maximum

Amounts are shown in thousands (USD). 

Values do not include the impact of any share price appreciation over the vesting period. The reporting regulations 
require the disclosure of maximum total pay including the impact of a 50% increase in share price over the vesting 
period for equity awards subject to multi-year performance measures which is not applicable to any of our current 
equity awards. The equity award amounts shown above relate to share options vesting during the year using the 
Company’s AIM closing price at the end of the quarter in which the award vested less associated exercise price. 

|  Renalytix plc Annual Report and Financial Statements 

            41 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Statement of consideration of employees’ pay and remuneration conditions elsewhere in 
the Group 

The Company does not formally consult with employees on the matters of Executive Director remuneration. 
However, the Committee is made aware of employment conditions in the wider Group. The same broad principles 
apply to the remuneration policy for both Executive Directors and the wider employee population. However, the 
remuneration for Executive Directors has a stronger emphasis on performance-related pay than for other employees. 
Salaries, benefits and pensions are compared to appropriate market rates in the jurisdiction in which the Executive 
Director is employed and is set at an appropriate level with allowance for role, responsibilities and experience. 

Statement of consideration of Shareholders’ views 
The Committee will consider any Shareholder feedback received at the Annual General Meeting and at meetings 
throughout the year, when reviewing the overall remuneration policy each year. The guidance from relevant 
shareholder representative bodies is also considered on an ongoing basis. 

More specifically the Committee will consult with major Shareholders when proposing any significant changes to 
the policy in the future. 

ANNUAL REPORT ON REMUNERATION 
This section of the remuneration report provides details of how our remuneration policy was implemented 
during the financial year ended 30 June 2022, and how it will be implemented during the year ending 30 June 
2023. 
This report splits certain information into that for Executive Directors and that for Non-Executive Directors. 

Directors’ Remuneration – financial year ended 30 June 2022 
The total remuneration of the individual Directors who served during the period is shown below. Total 
remuneration is the sum of emoluments for the period in service as a director plus Company pension 
contributions, and the value of long-term incentive awards vesting by reference to performance in the twelve 
months to 30 June 2022. 

Directors’ Remuneration – financial year ended 30 June 2022 

Year 

Base Salary 
($000s)a

Benefits 
($000s)b

Bonus 
($000s)c

EIPd

Pension 
($000s)e

Total 
Remuneration 
($000s) 

Total Fixed 
Remuneration 
($000s) 

Total Variable 
Remuneration 
($000s) 

Executive 
Directors 

James 
McCullough 

Fergus Fleming 

Non-Executive 
Directors 

Erik Lium 
(Mount Sinai 
representative)1

Christopher Mills 

Chirag Parikh2

Ann Berman3 

Daniel Levangie4

Timothy Scannell5

2022 

601 

2021 

2022 

2021 

586 

378 

366 

2022 

27 

2021 

2022 

2021 

2022 

2021 

2022 

2021 

2022 

2021 

2022 

2021 

27 

27 

27 

88 

87 

20 

- 

27 

- 

7 

- 

20 

62 

16 

17 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

742 

- 

211 

- 

- 

- 

2,379 

27 

15 

75 

24 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

904 

- 

- 

- 

548 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

648 

1,405 

469 

2,997 

27 

931 

27 

27 

88 

635 

20 

- 

27 

- 

7 

- 

648 

663 

469 

407 

27 

27 

27 

27 

88 

87 

20 

- 

27 

- 

7 

- 

- 

742 

- 

2,590 

- 

904 

- 

- 

- 

548 

- 

- 

- 

- 

- 

- 

|  Renalytix plc Annual Report and Financial Statements 

            42 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the remuneration table 

a.  All amounts presented were earned in respect of the financial period. 

b.  This is the taxable value of benefits paid or payable in respect of the financial period. For Non-Executive 
Directors, the taxable benefits comprise travel costs (and the gross-up for associated income tax and 
employees’ National Insurance Contributions which will be settled on behalf of the Non-Executive 
Directors) for attendance at Board meetings. For executive directors, benefits include health, dental, 
vision, life and long-term disability insurance paid for by the Company 

c.  The remuneration committee has concluded that executive bonuses will not be paid out for the fiscal year 

ended 30 June 2022. 

d.  The amount shown relates to the market value of the EIP and other equity awards vesting during the year 
using the Company’s AIM closing price at the end of the quarter in which the award vested less associated 
exercise price. 

e.  The amount shown relates to Company contributions to the defined contribution scheme, plus any cash in 

lieu. 

1.  Dr. Lium sits on our board as a representative of the Icahn School of Medicine at Mount Sinai. This fee is 

invoiced annually by Mt. Sinai. 

2. 

In addition to $26,621 in board fees Chirag Parikh’s remuneration includes consulting services performed 
for Renalytix. Chirag received $500/hr for consulting services in both financial year 2021 and financial 
year 2022. 

3.  Ann Berman joined the board in August 2021 therefore he did not receive remuneration for the 2021 

financial year. Ann Berman resigned from the board in September 2022. 

4.  Daniel Levangie joined the board in August 2021 therefore he did not receive remuneration for the 2021 

financial year. 

5.  Timothy Scannell joined the board in February 2022 therefore he did not receive remuneration for the 

2021 financial year. 

ANNUAL PERFORMANCE BONUS – 2021/2022 FINANCIAL YEAR 
In the 2022 financial year, all employees were eligible for an annual discretionary cash bonus, whereby 
performance objectives were established at the beginning of the financial year by reference to suitably 
challenging corporate goals. 
For the 2022 financial year, the company refined the annual bonus calculation as annual bonuses for all staff 
(including Executive Directors and Non-Executive Directors) were calculated and achieved by reference to both 
corporate and individual  performance. 
The achievement against the scorecard of corporate goals was as follows: 

Corporate goals 

Weighting % 

2022 Achievement % 

Achieve first implementation and associated building 
blocks for future implementations 

FDA Submission for KidneyIntelX 

Announced Events with Healthcare Systems / Payer 
Groups 

Payor coverage agreements 

Pass Regulatory Audits and Certifications 

Attract and Retain Top Talent 

Total 

20% 

20% 

20% 

20% 

10% 

10% 

100% 

0% 

50% 

50% 

25% 

100% 

50% 

40% 

|  Renalytix plc Annual Report and Financial Statements 

            43 

 
 
 
 
 
 
 
 
 
Specific targets associated with each corporate goal are commercially sensitive and have been omitted to protect 
competitive information. However, full details of the targets will be disclosed when they are no longer 
considered commercially sensitive. 
Achievement against objectives is given careful consideration by the Committee prior to finalisation of bonus 
outcomes. The Committee reviewed the formulaic outcome of the scorecard and concluded that 40% of 
corporate goals were met and the scorecard outcome, as shown above, reflected the performance of the 
Executive Directors in the year. As a result of corporate performance, the following bonuses were calculated for 
the Company’s executive directors and will be presented to the Board for approval. 

Bonus scorecard 
Outcome ($000s) 

% of salary 

James McCullough 

Fergus Fleming 

- 

- 

0% 

0% 

Maximum 
opportunity Cash 
amount ($000s) 

1,080 

504 

% of salary 

180% 

133% 

During the year ended 30 June 2022, no Executive Directors or non-executive directors were awarded bonus or 
options under the EIP scheme. There was no change in the exercise price or date of existing options. 

EXECUTIVE DIRECTORS’ SHARE AWARDS 

Directors’ interests in shares at 30 June 2022 

Director 

Total shares 
owned outright 
plus vested 
options 

Shares owned 
outright 

Percentage of  
issued share 
capital 

Vested but not 
exercised 

Unvested but 
subject to 
performance 

Unvested and 
not subjected to 
performance 

Current 
Directors 

James 
McCullough1

Fergus 
Fleming 

Mount Sinai 
(Board Seat) 

Christopher 
Mills2 

Chirag 
Parikh 

2,746,386 

2,746,386 

1,107,642 

569,481 

170,418 

- 

3.7% 

1.5% 

0.3% 

- 

538,161 

204,501 

9,726,125 

9,726,125 

13.0% 

- 

Daniel Levangie 

- 

107,394 

- 

- 

Timothy 
Scannell 

68,967 

68,967 

0.1% 

0.0% 

0.1% 

107,394 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

89,694 

- 

- 

8,330 

40,000 

40,000 

1. James McCullough shareholding includes 2,746,386 shares held through his family trust, The McCullough 

2020 Irrevocable Trust (the “Trust”). 

2. Christopher Mills is partner and Chief Investment Officer of Harwood Capital LLP. Harwood Capital LLP is 
Investment Manager to North Atlantic Smaller Companies Investment Trust plc and investment adviser to 
Oryx International Growth Fund Limited. Christopher’s shareholding is made up of 6,145,001 ordinary 
shares held by North Atlantic Smaller Companies Investment Trust PLC, 2,780,000 ordinary shares are held 
by Oryx International Growth Fund Limited and 801,124 ordinary shares are held by Harwood Capital LLP. 

|  Renalytix plc Annual Report and Financial Statements 

            44 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
REMUNERATION COMMITTEE REPORT (CONTINUED) 

Performance graph and table 
The following graph shows Renalytix’s cumulative Total Shareholder Return (“TSR”) from the Company’s 
November 2018 IPO on AIM relative to the FTSE AIM All Share Index and the Nasdaq Biotech Index. These two 
indices were chosen due to Renalytix’s listing on both exchanges and the sector in which it operates. For the 
period from 6 November 2018 to 30 June 2022  Renalytix Plc data relates to AIM TSR, and from 17 July 2020 the 
data relates to Nasdaq TSR (as show by the separate line). 
TSR is defined as the return on investment obtained from holding a company’s shares over a period. It includes 
dividends paid, the change in capital value of the shares and any other payment made to or by shareholders 
within the period. 

Renalytix Performance

1000%

800%

600%

400%

200%

0%
11/1/2018

-200%

11/1/2019

11/1/2020

11/1/2021

AIM

RENX

RNLX

NBI

ALIGNING PAY WITH PERFORMANCE 

CEO remuneration compared with annual growth in TSR: 
The total 2021/22 remuneration figure for the CEO (James McCullough) is shown in the table below, along with 
the value of bonuses paid in respect of the year, and EIP vesting, as a percentage of the maximum opportunity. As 
this is the first year reported since listing on Nasdaq and therefore the first year for which this disclosure is 
required, it is not possible to provide meaningful comparative data. However, full disclosure of the year on year 
movement will be provided in future remuneration reports. 

James McCullough 

Total remuneration 

Actual bonus as a % of the maximum 

Actual share award vesting as % of the maximum 

2022 
($000s) 

648 

0% 

- 

2021 
($000s) 

1,193 

50% 

- 

|  Renalytix plc Annual Report and Financial Statements 

            45 

 
 
 
 
 
 
 
 
 
 
 
Percentage change in remuneration of the Directors and employees 
Set out below is the change over the prior period in base salary, benefits, pension and annual performance bonus for 
all the directors and the Company’s employees. 

Salary % change 
2020/21 vs 2021/22 

Benefits % change 
2020/21 vs 2021/22 

Bonus % change 
2020/21 vs 2021/22 

James McCullough 

Fergus Fleming 

Mount Sinai 

Christopher Mills 

Chirag Parikh 

Dan Levangie 

Timothy Scannell 

Ann Berman1 

3% 

3% 

- 

- 

- 

- 

- 

- 

(68%) 

(8%) 

- 

- 

- 

- 

- 

- 

(100%) 

(100%) 

- 

- 

- 

- 

- 

- 

1.  Ann Berman joined the board in August 2021 therefore he did not receive remuneration for the 2021 

financial year. Ann Berman resigned from the board in September 2022. 

Relative importance of spend on pay 

Total revenue and administrative expenditures have been selected as comparators for the employee costs as these 
two financial measures are strong indicators of the activity within the Company and of its performance. 

Year 
ended 30 
June 
2022 
26,527 

93 

2,970 

58,290 

- 

Year 
ended 30 
June 
2021 
12,416 

47 

1,491 

33,298 

- 

Change 

($000’s) 

14,111 

46 

1,479 

24,992 

- 

Change  

(%) 

114% 

98% 

99% 

75% 

Total employee remuneration ($000s) 

Average number of employees 

Revenue ($000s) 

Administrative expenditures ($000s) 

No dividends distributions or share 
buyback transactions occurred in 
either 2021 or 2020 

Statement of Implementation of Policy in 2022/23 
Base salary: There was no change in James McCullough’s or Fergus Fleming’s base salary for the 2022/2023 
financial year. The 2022/2023 target base salary increases for other employees are expected to be in line with 
market rates for all of eligible employees, being those that had joined the business prior to 1 July 2022. 
Pension and benefits: In 2022/2023, Executive Directors are eligible for the same benefits as provided to all senior 
employees. The Executive Directors are each entitled to the maximum employer pension contribution of 5% of their 
respective base salary which is paid into a defined contribution pension scheme / paid in cash in lieu of pension 
contributions. 
Annual performance bonus: For 2022/2023, the Executive Directors’ annual cash bonus target payouts are still 
being determined by the Committee as the benchmarking process is ongoing and will be disclosed in next year’s 
report. The Committee considers overall corporate performance and individual performance when determining the 
final bonus amount to be awarded to an Executive Director. Performance will be tested against targets set by the 
Committee at the start of the year and will comprise a combination of corporate goals and individual goals for James 
McCullough and Fergus Fleming. 
Specific targets are commercially sensitive and therefore are not disclosed in advance. However, full details of the 
targets and performance against them will be disclosed when they are no longer considered commercially sensitive. 
The Chairman and non-executive directors will continue to be paid their current level of fees. 

|  Renalytix plc Annual Report and Financial Statements 

46 

 
 
 
 
 
 
 
 
 
 
 
 
Payments for loss of office (audited information) 
There were no loss of office payments in 2021/2022. 

Payments to past Directors (audited information) 
The Company made payments of $20,000 to Ann Berman for her service as a director for the fiscal year ended 30 
June 2022. Ann Berman resigned from the board in September 2022.  

Daniel J. Levangie 

Chair of the Remuneration Committee 

9 November 2022 

|  Renalytix plc Annual Report and Financial Statements 

47 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INDEPENDENT AUDITOR’S REPORT TO THE MEMBERS OF RENALYTIX PLC  

Opinion  

We have audited the financial statements of Renalytix Plc (the ‘parent company’) and its subsidiaries (the 
‘group’)  for  the  year  ended  30  June  2022  which  comprise  the  Consolidated  Income  Statement,  the 
Consolidated  Statement  of  Comprehensive  Income,  the  Consolidated  and  Parent  Company  Statements  of 
Financial Position, the Consolidated and Parent Company Statements of Cash Flows, the Consolidated and 
Parent Company Statements of Changes in Equity and notes to the financial statements, including significant 
accounting  policies.  The  financial  reporting  framework  that  has  been  applied  in  their  preparation  is 
applicable  law  and  UK-adopted  international  accounting  standards  and  as  regards  the  parent  company 
financial statements, as applied in accordance with the provisions of the Companies Act 2006.  

In our opinion:  

• 

• 

• 

• 

the  financial  statements  give  a  true  and  fair  view  of  the  state  of  the  group’s  and  of  the  parent 
company’s affairs as at 30 June 2022 and of the group’s loss for the year then ended;  
the  group  financial  statements  have  been  properly  prepared  in  accordance  with  UK-adopted 
international accounting standards; 
the  parent  company  financial  statements  have  been  properly  prepared  in  accordance  with  UK-
adopted international accounting standards and as applied in accordance with the provisions of the 
Companies Act 2006; and 
the financial statements have been prepared in accordance with the requirements of the Companies 
Act 2006.  

Basis for opinion  

We  conducted  our  audit  in  accordance  with  International  Standards  on  Auditing  (UK)  (ISAs  (UK))  and 
applicable  law.  Our  responsibilities  under  those  standards  are  further  described  in  the  Auditor’s 
responsibilities  for  the  audit  of  the  financial statements section  of  our  report.  We are  independent of  the 
group and parent company in accordance with the ethical requirements that are relevant to our audit of the 
financial statements in the UK, including the FRC’s Ethical Standard as applied to listed entities, and we have 
fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit 
evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.  

Conclusions relating to going concern  

In auditing the financial statements, we have concluded that the directors’ use of the going concern basis of 
accounting  in  the  preparation  of  the  financial  statements  is  appropriate.  Our  evaluation  of  the  directors’ 
assessment  of  the  group’s  and  parent  company’s  ability  to  continue  to  adopt  the  going  concern  basis  of 
accounting included: 

•  a consideration of the inherent risks to the group’s business model and an analysis of how those risks 
might affect the group’s financial resources or ability to continue operations covering a period of at 
least 12 months from the date of approval of financial statements or the date the financial statements 
are authorised for issue. 

• 

Identification of the risks that we considered most likely to affect the group’s financial resources or 
ability  to  continue  operations  over  the  going  concern  period,  which  were  adverse  circumstances 
impacting the forecast growth in revenues, timely conversion of trade receivables to cash, reduction 
in expenses and operating cash outflows, and access to financial resources in the form of equity and 
debt  facilities,  if  required.  We  considered  this  through  a  review  of  the  application  of  reasonably 
foreseeable downside scenarios and challenging the key assumptions by management. 

Based on the work we have performed, we have not identified any material uncertainties relating to events 
or conditions that, individually or collectively, may cast significant doubt on the group's or parent company’s 
ability  to  continue  as  a  going  concern  for  a  period  of  at  least  twelve  months  from  when  the  financial 
statements are authorised for issue. 

|  Renalytix plc Annual Report and Financial Statements 

48 

 
Our responsibilities and the responsibilities of the directors with respect to going concern are described in 
the relevant sections of this report. 

Our application of materiality  

We apply the concept of materiality both in planning and performing our audit, and in evaluating the effect 
of misstatements. At the planning stage, materiality is used to determine the financial statement areas that 
are included within the scope of our audit. 

Materiality for the group financial statements as a whole was $743,000 (2021: $1,005,000) with performance 
materiality set at $445,800 (2021: $603,000), being 60% of group materiality. Materiality for the financial 
statements as a whole was based upon 1% of the group’s gross assets. 

In determining materiality, we considered gross assets a key benchmark for the group as the group holds 
product trademarks and licences and product development costs are capitalised in the group. We consider 
gross  assets  to  be  a  key  metric  used  by  shareholders  owing  to  the  historic  investment  in  the  product 
technology held by the group, and the early stages of commercialisation. We have also set a separate, lower 
materiality,  for  revenue  to  reflect  the  early  stages  of  revenue  generation  which  would  not  be  captured 
sufficiently using group materiality. We have determined materiality for revenue as $59,000 (2021: $32,000) 
and performance materiality as $35,400 (2021: $19,200), calculated at 2% of total revenue.  

The percentages applied to these benchmarks have been selected to bring into scope all significant classes of 
transactions, account balances and disclosures relevant for the shareholders, and also to ensure that matters 
that would have a significant impact on the reported result were appropriately considered. 

In determining performance materiality, significant judgements made were in respect our experience with 
auditing  the  financial  statements  of  the  group  in  previous  years,  based  on  the  number  and  quantum  of 
identified misstatements in prior period audits. 

We agreed with the audit committee that we would report all individual audit differences identified for the 
group  during  the  course of  our audit  in  excess  of $37,150  (2021:  $50,250)  together  with  any  other audit 
misstatements below that threshold that we believe warrant reporting on qualitative grounds. 

Materiality applied to the company’s financial statements was $328,000 (2021: $470,000) with performance 
materiality set at $197,000 (2021: $282,000), being 60% of the company materiality. 

The benchmark for materiality of the parent company was 1% of the company’s gross assets.  The significant 
judgements  used  by  us  in  determining  this  were  that  total  assets  are  the  primary  measure  used  by  the 
shareholders in assessing the performance of the company. The percentage applied to this benchmark has 
been  selected  to  bring  into  scope  all  significant  classes  of  transactions,  account  balances  and  disclosures 
relevant for the shareholders, and also to ensure that matters that would have a significant impact on the 
reported profit were appropriately considered. 

In determining performance materiality, significant judgements made were in respect of our experience with 
auditing the financial statements of the company in previous years. 

We agreed with the audit committee that we would report all individual audit differences identified for the 
company during the course of our audit in excess of $16,000 (2021: $23,500) together with any other audit 
misstatements below that threshold that we believe warrant reporting on qualitative grounds. 

Our approach to the audit 

In  designing  our  audit,  we  determined materiality  and  assessed  the  risks of  material misstatement  in  the 
financial  statements.  In  particular,  we  looked  at  areas  involving  significant  accounting  estimates  and 
judgement by the Directors such as the recoverability of intangible fixed assets and eligibility of capitalised 
development  costs,  as  outlined  in  the  Key  Audit  Matter  section  below,  and  considered  events  that  are 
inherently uncertain.  

We also addressed the risk of management override of controls, including among other matters consideration 
of  whether  there  was  evidence  of  bias  that  represented  a  risk  of  material  misstatement  due  to  fraud.  All 
significant and/or material subsidiary undertakings were audited directly by PKF Littlejohn LLP. 

|  Renalytix plc Annual Report and Financial Statements 

49 

 
Key audit matters  

Key audit matters are those matters that, in our professional judgment, were of most significance in our audit 
of the financial statements of the current period and include the most significant assessed risks of material 
misstatement (whether or not due to fraud) we identified, including those which had the greatest effect on: 
the overall audit strategy, the allocation of resources in the audit; and directing the efforts of the engagement 
team. These matters were addressed in the context of our audit of the financial statements as a whole, and in 
forming our opinion thereon, and we do not provide a separate opinion on these matters.  

Key Audit Matter 

How our scope addressed this matter 

Recoverability  of 
eligibility of capitalised development costs 

intangible 

fixed  assets  and 

Intangible assets comprise the following categories:  

Our work on this matter included: 

•  Trademarks, trade names and licenses  
•  Trade secrets  
•  Product development costs  

Intangible  assets  that  are  subject  to  amortisation  are 
assessed for indicators of impairment. 

Estimated  recoverable  amounts  using  value  in  use 
inherent 
calculations  are  subjective  due  to  the 
uncertainty  involved  in  forecasting    and  discounting 
future  cash  flows.  Judgement  is  also  required  when 
estimating useful economic lives. 

The  eligibility  for  capitalisation  of  expenditure  is 
assessed  in  accordance  with  the  criteria  in  IAS  38 
Intangible Assets. There is a risk that these assets have 
been  capitalised  incorrectly  and  are  not  recoverable. 
Given  the  judgements  and  estimates  involved  these 
were a key focus for our audit. 

•  Confirming  the  group  held  legal  title  to  the 

trademarks, trade names and licenses.  

•  Assessing  whether 

any 

indicators 

(including 

regulatory 

of 
impairment 
issues, 
progress  on  obtaining  milestones  towards 
commercialisation, development of competing 
technology and products entering the market) 
existed  which  required  an  impairment  charge 
to be recognised in profit or loss.  

intangible  asset  categories 

•  Performing substantive testing  of additions in 
all 
including 
agreeing to supporting documentation. We also 
reperformed the amortisation calculations.  
•  Our  testing  on  the  forecasts  and  value  in  use 

calculations included:  

o  Evaluation  and  challenge  of  the  key 
assumptions used by management; 
o  The  performance  of  a  sensitivity 
to 
analysis 
reasonably  possible  changes  in  key 
assumptions.  

the  headroom 

on 

•  We  tested  and  verified  the  eligibility  for 
in 
capitalisation  of  development 
accordance  with  the  criteria  under  IAS  38,  in 
particular  technical  feasibility,  the  ability  to 
commercialise the asset and the availability of 
technical  and  financial  resources  to  complete 
development. 

costs 

Other information  

The  other  information  comprises  the  information  included  in  the  annual  report,  other  than  the  financial 
statements  and  our  auditor’s  report  thereon.  The  directors  are  responsible  for  the  other  information 
contained within the annual report. Our opinion on the group and parent company financial statements does 
not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not 
express any form of assurance conclusion thereon. Our responsibility is to read the other information and, in 
doing so, consider whether the other information is materially inconsistent with the financial statements or 
our knowledge obtained in the course of the audit, or otherwise appears to be materially misstated. If we 
identify  such  material  inconsistencies  or  apparent  material  misstatements,  we  are  required  to  determine 
whether this gives rise to a material misstatement in the financial statements themselves. If, based on the 
work we have performed, we conclude that there is a material misstatement of this other information, we are 
required to report that fact.  

|  Renalytix plc Annual Report and Financial Statements 

50 

 
 
 
 
 
 
We have nothing to report in this regard.  

Opinions on other matters prescribed by the Companies Act 2006  

In our opinion, based on the work undertaken in the course of the audit:  

• 

• 

the information given in the strategic report and the directors’ report for the financial year for which 
the financial statements are prepared is consistent with the financial statements; and  
the strategic report and the directors’ report have been prepared in accordance with applicable legal 
requirements.  

Matters on which we are required to report by exception  

In the light of the knowledge and understanding of the group and the parent company and their environment 
obtained in the course of the audit, we have not identified material misstatements in the strategic report or 
the directors’ report.  

We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 
requires us to report to you if, in our opinion:  

•  adequate accounting records have not been kept by the parent company, or returns adequate for our 

• 

audit have not been received from branches not visited by us; or  
the  parent  company  financial  statements  are  not  in  agreement  with  the  accounting  records  and 
returns; or  
• 
certain disclosures of directors’ remuneration specified by law are not made; or  
•  we have not received all the information and explanations we require for our audit.  

Responsibilities of directors  

As  explained  more  fully  in  the  directors’  responsibilities  statement,  the  directors  are  responsible  for  the 
preparation of the group and parent company financial statements and for being satisfied that they give a 
true  and  fair  view,  and  for  such  internal  control  as  the  directors  determine  is  necessary  to  enable  the 
preparation of financial statements that are free from material misstatement, whether due to fraud or error.  

In preparing the group and parent company financial statements, the directors are responsible for assessing 
the group and the parent company’s ability to continue as a going concern, disclosing, as applicable, matters 
related to going concern and using the going concern basis of accounting unless the directors either intend to 
liquidate the group or the parent company or to cease operations, or have no realistic alternative but to do 
so.  

Auditor’s responsibilities for the audit of the financial statements  

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free 
from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our 
opinion. Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in 
accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise 
from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be 
expected to influence the economic decisions of users taken on the basis of these financial statements.  

Irregularities,  including  fraud,  are  instances  of  non-compliance  with  laws  and  regulations.  We  design 
procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of 
irregularities,  including fraud. The extent  to  which  our  procedures  are  capable  of  detecting irregularities, 
including fraud is detailed below: 

•  We obtained an understanding of the group and parent company and the sector in which they operate 
to  identify  laws  and  regulations  that  could  reasonably  be  expected  to  have  a  direct  effect  on  the 
financial  statements.  We  obtained  our  understanding  in  this  regard  through  discussions  with 
management, and experience of the AI diagnostics sector.   

|  Renalytix plc Annual Report and Financial Statements 

51 

 
 
•  We determined the principal laws and regulations relevant to the group and parent company in this 

regard to be those arising from: 
o  Companies Act 2006 
o  AIM listing rules 
o  General Data Protection Regulation 
o  Quoted Companies Alliance compliance 
o  Food and Drug Administration Agency 
o  Local laws and regulations in UK and the USA where the group operates; and 
o  Local tax and employment law where each member of the group operates 

•  We  designed  our  audit  procedures  to  ensure  the  audit  team  considered  whether  there  were  any 
indications of non-compliance by the group and parent company with those laws and regulations. 
These procedures included, but were not limited to: 

o  Enquires of management  
o  Review of Board minutes 
o  Review of legal expenses 
o  Review of RNS announcements 

•  We also identified the risks of material misstatement of the financial statements due to fraud. We 
considered, in addition to the non-rebuttable presumption of a risk of fraud arising from management 
override of controls, the potential for management bias was identified in relation to the impairment 
of intangible fixed assets and as noted above, we addressed this by challenging the assumptions and 
judgements made by management when auditing that significant accounting estimate. 

•  As in all of our audits, we addressed the risk of fraud arising from management override of controls 
by  performing  audit  procedures  which  included,  but  were  not  limited  to:  the  testing  of  journals; 
reviewing  accounting  estimates  for  evidence  of  bias;  and  evaluating  the  business  rationale  of  any 
significant transactions that are unusual or outside the normal course of business. 

•  All significant components of the group were audited by PKF Littlejohn LLP.  Our work in relation to 

the points noted above considers all aspects of the group. 

Because  of  the  inherent  limitations  of  an  audit,  there  is  a  risk  that  we  will  not  detect  all  irregularities, 
including  those  leading  to  a  material  misstatement  in  the  financial  statements  or  non-compliance  with 
regulation. This risk increases the more that compliance with a law or regulation is removed from the events 
and transactions reflected in the financial statements, as we will be less likely to become aware of instances 
of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather than error, 
as fraud involves intentional concealment, forgery, collusion, omission or misrepresentation. 

A further description of our responsibilities for the audit of the financial statements is located on the Financial 
Reporting  Council’s  website  at:  www.frc.org.uk/auditorsresponsibilities. This  description  forms  part  of  our 
auditor’s report.  

Use of our report 

This report is made solely to the company’s members, as a body, in accordance with Chapter 3 of Part 16 of 
the  Companies  Act  2006.  Our  audit  work  has  been  undertaken  so  that  we  might  state  to  the  company’s 
members those matters we are required to state to them in an auditor’s report and for no other purpose. To 
the  fullest  extent  permitted  by  law,  we  do  not  accept  or  assume  responsibility  to  anyone,  other  than  the 
company and the company's members as a body, for our audit work, for this report, or for the opinions we 
have formed. 

David Thompson (Senior Statutory Auditor)  
For and on behalf of PKF Littlejohn LLP 
Statutory Auditor 

Date: 9 November 2022 

15 Westferry Circus 
Canary Wharf 
London E14 4HD 

|  Renalytix plc Annual Report and Financial Statements 

52 

                                               
 
FINANCIAL   STATEMENTS 

Consolidated Income Statement 

FOR THE YEAR ENDED 30 JUNE 2022 

Note 

Year to 30 June 2022 

Year to 30 June 2021 

Continuing operations 

Revenue 

Cost of Sales 

Gross Profit 

Administrative expenses 

Operating loss 

Share of Net loss in Associate accounted for 
using the equity method 

Impairment of Investment of associate 

Gain (loss) on financial assets at fair value 
through profit or loss 

Gain on distribution of assets classified as 
held for sale 

Fair value adjustment of convertible debt 

Finance (costs) income - net 

Loss before tax 

Taxation 

Loss for the period 

Earnings per Ordinary share from 
continuing operations 

Basic 

Diluted 

8 

9 

34 

23 

30 

14 

15 

16 

16 

$’000 

2,970 

(2,052) 

918 

(58,290) 

(57,372) 

9 

- 

(5,900) 

- 

3,998 

9,637 

(49,628) 

(7,104) 

(56,732) 

$ (0.78) 

$ (0.82) 

$’000 

1,491 

(804) 

687 

(33,298) 

(32,611) 

(199) 

(1,913) 

6,483 

402 

- 

(7,950) 

(35,788) 

4,778 

(31,010) 

$ (0.43) 

$ (0.43) 

|  Renalytix plc Annual Report and Financial Statements 

53 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Consolidated Statement of 
Comprehensive Income 

FOR THE YEAR ENDED 30 JUNE 2022 

Year to 30 June 2022 

Year to 30 June 2021 

Loss for the period – continuing operations 

Other comprehensive income: 

Items that may be subsequently reclassified to 
profit or loss 

Changes in the fair value of the convertible notes 

Currency translation differences 

Other comprehensive (loss)/income for the period 

Total comprehensive loss for the period 

$’000 

(56,732) 

536 

(11,742) 

(11,206) 

(67,938) 

$’000 

(31,010) 

- 

11,616 

11,616 

(19,394) 

Items stated above are disclosed net of tax. The income tax relating to each component of other comprehensive 
income is disclosed in note 15. 

|  Renalytix plc Annual Report and Financial Statements 

54 

 
 
 
 
 
 
Consolidated and Company’s Statements 
of Financial Position 

AS AT 30 JUNE 2022 

Notes 

Group  

Group  

Company 

Company  

As at 30 June 
2022 

As at 30 June 
2021 

As at 30 June 
2022 

As at 30 June 
2021 

$’000 

$’000 

$’000 

$’000 

Assets 

Non-current assets 

Property, plant and equipment 

Right of use asset 

Intangible assets 

Investment in subsidiaries 

Investments accounted for using the 
equity method 

Note receivable 

Deferred tax assets 

Total non-current assets 

Current Assets 

Inventory 

Security deposits 

Financial asset at fair value through profit 
or loss 

Trade and other receivables 

Prepaid and other current assets 

Cash and cash equivalents 

Total current assets 

Total assets 

Equity attributable to owners 
of the parent 

Share capital 

Share premium 

Share-based payment reserve 

Accumulated other comprehensive 
income 

Retained earnings/(deficit) 

Total equity 

17 

18 

19 

20 

34 

24 

15 

22 

23 

23 

24 

25 

26 

27 

27 

28 

1,368 

355 

1,081 

297 

14,020 

18,021 

- 

9 

75 

- 

15,827 

1,160 

141 

2,744 

901 

1,152 

- 

- 

75 

7,097 

26,571 

353 

86 

594 

520 

- 

- 

13,605 

89,112 

- 

- 

- 

- 

- 

17,524 

4,588 

- 

- 

- 

102,717 

22,112 

- 

- 

- 

- 

234 

299 

28,313 

31,590 

84,686 

271 

15,063 

109,315 

9,295 

2,744 

9,295 

41,333 

65,159 

47,431 

76,007 

63,258 

102,578 

134,307 

131,427 

241 

233 

241 

233 

85,444 

76,457 

85,444 

76,457 

11,954 

(1,509) 

4,940 

9,701 

11,840 

(5,119) 

4,940 

9,687 

(52,961) 

3,771 

23,763 

38,917 

43,169 

95,102 

116,169 

130,234 

|  Renalytix plc Annual Report and Financial Statements 

55 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes 

Group 
As at 30 June 
2022 

Group 
As at 30 June 
2021 

Company As 
at 30 June 
2022 

Company As 
at 30 June 
2021 

$’000 

$’000 

$’000 

$’000 

Liabilities 

Current liabilities 

Trade and other payables 

Deferred Revenue 

Current lease liabilities 

Borrowings 

Note payable current 

Current due to affiliated company 

Total current liabilities 

Non-current liabilities 

Note payable non-current 

Non-current lease liabilities 

Total non-current liabilities 

Total liabilities 

Total equity and liabilities 

29 

8 

18 

30 

31 

30 

18 

46 

163 

- 

4,660 

55 

12,205 

7,682 

202 

7,884 

7,281 

6,652 

5,796 

1,193 

122 

86 

53 

- 

350 

7,263 

- 

- 

- 

4,660 

- 

- 

- 

- 

- 

- 

10,456 

1,193 

- 

7,682 

213 

213 

- 

7,682 

18,138 

- 

- 

- 

1,193 

20,089 

7,476 

63,258 

102,578 

134,307 

131,427 

The notes on pages 63 to 84 are an integral part of these financial statements. 

The Company has elected to take the exemption under section 408 of the Companies Act 2006 not to present the 
Parent Company income statement. The loss for the Parent Company for the year was ($15,154,820). (Year ended 30 
June 2021: loss of $7,718,000). 

The financial statements were approved and authorized for issue by the Board on 9 November 2022 and signed on its 
behalf by: 

Christopher Mills 

Chairman 

James R. McCullough 

Chief Executive Officer 

Company number: 11257655 

|  Renalytix plc Annual Report and Financial Statements 

56 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Consolidated and Company’s Statements 
of Cash Flows 

FOR THE YEAR ENDED 30 JUNE 2022 

Note 

Group 

Group 

Company  

Company  

As at 30 June 
2022 
$’000 

As at 30 June 
2021 
$’000 

As at 30 June 
2022 
$’000 

As at 30 June 
2021 
$’000 

Cash flow from operating activities 

Loss before income tax 

Adjustments for 

Depreciation 

Amortization and impairment charges 

Share-based payments 

Share of net (profit)/loss of associate 

Reversal of Kantaro Liability 

Gain on Sale of assets 

Forgiveness of PPP Loan 

Unrealized loss (Gain) on financial asset 
at fair value through profit or loss 

Fair value adjustment of convertible 
debt 

Foreign Exchange Loss (Gain) 

Impairment of Investment in 
Subsidiary 

Changes in working capital 

Trade and other receivables 

Prepaid assets and other current assets 

Inventory 

Security Deposits 

Trade and other payables 

Deferred Revenue 

Payable to affiliated company 

Cash used in operations 

Interest received 

Net cash used in operating activities 

Cash flow from investing activities 

Purchase of property, plant and 
equipment (PPE) 

Lease Payments 

Purchase of intangibles 

Proceeds (purchase) of financial assets 

(49,628) 

(35,788) 

(15,154) 

(7,718) 

304 

2,309 

7,010 

(9) 

(295) 

- 

- 

138 

1,958 

2,180 

2,112 

(495) 

(449) 

(255) 

- 

2,100 

63 

- 

- 

- 

- 

- 

1,806 

75 

- 

- 

- 

- 

5,900 

(6,483) 

5,900 

(6,483) 

(3,998) 

- 

(3,998) 

- 

(7,354) 

8,832 

- 

- 

(307) 

(698) 

(807) 

- 

1,904 

(76) 

- 

(576) 

1,981 

(27) 

(15) 

3,753 

122 

(1,623) 

- 

- 

- 

253 

- 

- 

2,939 

517 

(60,624) 

2,137 

- 

- 

1,417 

943 

- 

- 

- 

- 

(45,745) 

(24,635) 

(9,419) 

(66,408) 

- 

3 

- 

2 

(45,745) 

(24,632) 

(9,419) 

(66,406) 

(591) 

- 

(103) 

- 

(783) 

(93) 

(847) 

982 

- 

- 

(103) 

- 

- 

- 

(358) 

- 

|  Renalytix plc Annual Report and Financial Statements 

57 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Net cash generated by/(used in) 
investing activities 

Cash flow from financing activities 

Proceeds from convertible notes 

Payment of debt issuance costs 

Payments of issuance costs for the 
Securities Purchase Agreement 

Issue of shares (net of issue costs) 

Proceeds from the issuance of ordinary 
shares under employee share purchase 
plan 

Proceeds from exercise of stock options 

Lease payments 

Note 

Group 
Year to 
30 June 2022 

Group 
Year to 
30 June 2021 

Company  
Year to 
30 June 2022 

Company Year 
to 
30 June 2021 

$’000 

(694) 

18,020 

(1,382) 

(218) 

$’000 

(741) 

- 

- 

- 

$’000 

(103) 

18,020 

(1,382) 

(218) 

$’000 

(358) 

- 

- 

- 

8,804 

76,876 

8,804 

79,023 

211 

198 

(118) 

111 

252 

- 

211 

198 

- 

111 

252 

- 

Net cash generated from financing activities 

25,515 

77,239 

25,633 

79,386 

Net increase/(decrease) in cash and  
cash equivalents 

Cash and cash equivalents at beginning 
of period 

Effect of exchange rate changes on 
cash 

Cash and cash equivalents at end of 
period 

(20,924) 

51,866 

16,111 

12,622 

65,159 

13,293 

15,063 

2,441 

(2,902) 

- 

(2,861) 

- 

22 

41,333 

65,159 

28,313 

15,063 

|  Renalytix plc Annual Report and Financial Statements 

58 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Consolidated Statement of Changes 
in Equity 

FOR THE YEAR ENDED 30 JUNE 2022 

Share-based 
payment 
reserve 

Accumulated 
other 
comprehensive 
income 

Retained 
earnings 

Total equity 

$’000 

2,833 

$’000 

(1,915) 

$’000 

$’000 

34,856 

35,966 

- 

(31,010) 

(31,010) 

11,616 

- 

11,616 

- 

11,616 

(31,010) 

(19,394) 

Share Capital 

Share 
Premium 

$’000 

$’000 

192 

- 

- 

- 

- 

- 

- 

- 

40 

85,101 

- 

- 

- 

1 

- 

(9,007) 

- 

111 

252 

- 

- 

- 

- 

- 

2,107 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

(75) 

85,141 

(9,007) 

2,107 

111 

253 

(75) 

(75) 

78,530 

41 

76,457 

2,107 

233 

76,457 

4,940 

9,701 

3,771 

95,102 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

4 

4 

- 

(56,732) 

(56,732) 

536 

(11,746) 

- 

- 

536 

(11,742) 

(11,210) 

(56,732) 

(67,938) 

At 30 June and 1 July 
2020 

Comprehensive income 

Loss for the period 

Other comprehensive 
income 

Currency translation 
differences 

Total comprehensive 
income 

Transactions with 
owners 

Issuance of Ordinary 
Shares in US  

Less issue costs 

Share-based payments 

Shares issued under the 
ESPP 

Exercise of Stock Options 

Verici Ordinary Share 
Repurchase 

Total transactions with 
owners of the parent, 
recognized directly in 
equity 

At 30 June and 1 July 
2021 

Comprehensive income 

Loss for the period 

Other comprehensive 
income 

Changes in fair value of 
convertible notes 

Currency translation 
differences 

Total comprehensive 
income 

|  Renalytix plc Annual Report and Financial Statements 

59 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Share Capital 

Share 
Premium 

Share-based 
payment 
reserve 

Accumulated 
other 
comprehensive 
income 

Retained 
earnings 

Total equity 

$’000 

$’000 

$’000 

$’000 

$’000 

$’000 

Transactions with 
owners 

Issuance of Ordinary 
Shares in US  

Less issue costs 

Share-based payments 

Shares issued under the 
ESPP 

Exercise of Stock 
Options 

Total transactions with 
owners of the parent, 
recognized directly in 
equity 

At 30 June 2022 

8 

- 

- 

- 

- 

8 

8,796 

(218) 

- 

211 

198 

- 

- 

7,010 

- 

- 

8,987 

7,010 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

8,804 

(218) 

7,010 

211 

198 

16,005 

241 

85,444 

11,954 

(1,509) 

(52,961) 

43,169 

|  Renalytix plc Annual Report and Financial Statements 

60 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Company’s Statement of Changes 
in Equity 

FOR THE YEAR ENDED 30 JUNE 2022 

Share Capital 

Share 
Premium 

Share-based 
payment 
reserve 

Accumulated 
other 
comprehensive 
income 

Retained 
earnings 

Total equity 

$’000 

$’000 

$’000 

$’000 

$’000 

$’000 

2,833 

(1,970) 

46,710 

47,765 

At 30 June and 1 July 
2020 

Comprehensive 
income 

Loss for the period 

Other 
comprehensive 
income 

Currency translation 
differences 

Total comprehensive 
income 

Transactions with 
owners 

Issuance of Ordinary 
Shares in US IPO 

Less issue costs 

Share-based payments 

Shares issued under the 
ESPP 

Exercise of Stock Options 

Verici Ordinary Share 
Repurchase 
Total transactions with 
owners of the parent, 
recognized directly in 
equity 

At 30 June 2021 

Comprehensive income 

Loss for the period 

Other comprehensive 
income 

Changes in the fair value 
of the convertible notes 

Currency translation 
differences 

Total comprehensive 
income 

192 

- 

- 

- 

- 

- 

- 

- 

40 

85,101 

- 

- 

- 

1 

- 

(9,007) 

- 

111 

252 

- 

- 

- 

- 

- 

- 

2,107 

- 

- 

- 

- 

(7,718) 

(7,718) 

11,657 

- 

11,657 

11,657 

(7,718) 

3,939 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

(75) 

85,141 

(9,007) 

2,107 

111 

253 

(75) 

(75) 

78,530 

41 

76,457 

2,107 

233 

76,457 

4,940 

9,687 

38,917 

130,234 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

(15,154) 

(15,154) 

536 

(15,342) 

- 

- 

536 

(14,806) 

(14,806) 

(15,154) 

(29,960) 

|  Renalytix plc Annual Report and Financial Statements 

61 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Share Capital 

Share Premium 

Share-based 
payment reserve 

Accumulated 
other 
comprehensive 
income 

Retained 
earnings 

Total equity 

$’000 

$’000 

$’000 

$’000 

$’000 

$’000 

Transactions with 
owners 

Issuance of Ordinary 
Shares in US  

Less issue costs 

Share-based payments 

Shares issued under 
the ESPP 

Exercise of Stock 
Options 

Total transactions with 
owners of the parent, 
recognized directly in 
equity 

At 30 June 2022 

8 

- 

- 

- 

- 

8 

8,796 

(218) 

- 

211 

198 

- 

- 

6,900 

- 

- 

8,987 

6,900 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

8,804 

(218) 

6,900 

211 

198 

15,895 

241 

85,444 

11,840 

(5,119) 

23,763 

116,169 

|  Renalytix plc Annual Report and Financial Statements 

62 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes to the Financial Statements 

1. GENERAL INFORMATION AND BASIS OF PRESENTATION 

Renalytix Plc (the “Company”) is a company incorporated in the United Kingdom. The Company is a public limited 
company, which is listed on the AIM market of the London Stock Exchange and Nasdaq global market. The address of 
the registered office is Finsgate, 5-7 Cranwood Street, London, United Kingdom, EC1V 9EE. The Company was 
incorporated on 15 March 2018 and its registered number is 11257655. 

The principal activity of the Company and its subsidiaries (together “the Group”) is as a developer of artificial 
intelligence- enabled diagnostics for kidney disease. 

The financial statements are presented in United States Dollars (“USD”) because that is the currency of the primary 
economic environment in which the Group operates. 

2. BASIS OF PRESENTATION 

The Group and Company’s financial statements have been prepared in accordance with UK-adopted International 
Accounting Standards and with the requirements of the Companies Act 2006. 

The preparation of financial statements in conformity with IFRS requires the use of certain critical accounting 
estimates. It also requires management to exercise its judgement in the process of applying the Group’s accounting 
policies. 

New Standards, amendments, and interpretations not adopted by the group 

The group did not adopt any new standards, amendments or interpretations in year as they did not have a material 
impact on the financial statements. 

New standards, amendments, and interpretations issued but not effective for the 
period ended  30 June 2022, and not early adopted 

A number of new standards and amendments to standards and interpretations are effective for annual periods 
beginning on or after 1 January 2022 and have not been applied in preparing these financial statements. None of 
these is expected to have a significant effect on the financial statements of the Group or Parent Company. 

•  Amendments to IFRS 3: Business Combination 

•  Amendments to IAS 16: Property, Plant and Equipment 

•  Amendments to IAS 37: Provisions, Contingent Liabilities and Contingent Assets 

•  Amendments to IAS 1: Presentation of Financial Statements, Disclosure of Accounting Policies 

•  Amendments to IAS 8: Definition of Accounting Estimates 

3. SIGNIFICANT ACCOUNTING POLICIES 

The principal accounting policies applied in the preparation of these financial statements are set out below. 

Going concern 

The Group and Company meet their day-to-day working capital requirements through the use of cash reserves. 

The Directors have considered the applicability of the going concern basis in the preparation of these financial 
statements. This included the review of internal budgets and financial results which show, taking into account 
reasonably probable changes in financial performance, that the Group and Company should be able to operate within 
the level of its current funding arrangements. 

We have not yet seen any material disruption to our business as a result of the COVID-19 pandemic and current 
trading suggests that our base case forecasts are still applicable. 

The Directors believe that the Group and the Company have adequate resources to continue in operation for the 
foreseeable future. For this reason, they have adopted the going concern basis in the preparation of the financial 
statements. 

|  Renalytix plc Annual Report and Financial Statements 

63 

 
 
 
 
 
 
 
Basis of consolidation 

The consolidated financial statements incorporate the financial statements of the Company and its subsidiary 
undertakings. The Group controls an entity when the Group is exposed to, or has rights to, variable returns from its 
involvement with the entity and has the ability to affect those returns through its power over the entity. The 
existence and effect of potential voting rights that are currently exercisable or convertible are considered when 
assessing whether the Group controls another entity. 

Subsidiaries are fully consolidated from the date on which control is transferred to the Group. They are de-
consolidated from the date that control ceases. 

The Group uses the acquisition method of accounting to account for business combinations. The consideration 
transferred for the acquisition of a subsidiary is the fair values of the assets transferred, the liabilities incurred and 
the equity interests issued by the Group. The consideration transferred includes the fair value of any asset or liability 
resulting from a contingent consideration agreement. Acquisition related costs are expensed as incurred. Identifiable 
assets acquired and liabilities and contingent liabilities assumed in a business combination are measured initially at 
their fair values at the acquisition date. 

Inter-company transactions, balances and unrealized gains on transactions between Group companies are 
eliminated. Unrealized losses are also eliminated. Accounting policies of subsidiaries have been changed where 
necessary to ensure consistency with the policies adopted by the Group. 

Associates are entities over which the Group has significant influence but not control over the financial and operating 
policies. Investments in associates are accounted for using the equity method of accounting and are initially 
recognized at cost. The Group’s share of its associates’ post-acquisition profits or losses is recognized in profit or loss, 
and its share of post-acquisition movements in reserves is recognized in other comprehensive income. The 
cumulative post-acquisition movements are adjusted against the carrying amount of the investment. 

Foreign currency translation 

(a) Functional and presentational currency 

Items included in the financial statements of each of the Group’s entities are measured using the currency of the 
primary economic environment in which the entity operates (the functional currency). The consolidated financial 
statements are presented in United States Dollars, which is the Group’s presentational currency. The functional 
currency of the Parent Company is GB Pounds. 

(b) Transactions and balances 

Foreign currency transactions are translated into the functional currency using the exchange rates prevailing at the 
dates of the transactions where items are re-measured. Foreign exchange gains and losses resulting from the 
settlement of such transactions and from the translation at year-end exchange rates of monetary assets and liabilities 
denominated in foreign currencies are recognized in the income statement within ‘administrative expenses’. 

(c) Group companies 

The results and financial position of all the Group entities that have a functional currency different from the 
presentational currency are translated into the presentational currency as follows: 

•  assets and liabilities for each balance sheet presented are translated at the closing rate at the date of that balance 

sheet; 

•  income and expenses for each income statement are translated at average exchange rates; and 

•  all resulting exchange differences are recognized in other comprehensive income. 

On consolidation, exchange differences arising from the translation of the net investment in foreign operations are 
taken to other comprehensive income. When a foreign operation is partially disposed of or sold, exchange differences 
that were recorded in equity are recognized in the income statement as part of the gain or loss on sale. 

Segmental reporting 

Operating segments are reported in a manner consistent with the internal reporting provided to the chief operating 
decision- maker. The chief operating decision-maker, who is responsible for allocating resources and assessing 
performance of the operating segments, has been identified as the Executive Directors who make strategic decisions. 
At present the Directors consider the business to operate in a single segment. 

|  Renalytix plc Annual Report and Financial Statements 

64 

 
 
 
Property, plant and equipment 

Property, plant and equipment are stated at historical cost less accumulated depreciation and any provision for 
impairment. Historical cost includes expenditure that is directly attributable to the acquisition of the asset and 
bringing the asset to its working condition for its intended use. 

Subsequent costs are included in the asset’s carrying amount or recognized as a separate asset, as appropriate, only 
where it is probable that future economic benefits associated with the asset will flow to the Group and the cost of the 
asset can be 

measured reliably. The carrying amount of the replaced part is derecognized. All other repairs and maintenance are 
charged to the income statement during the financial period in which they are incurred. 

Depreciation on assets is calculated using the straight-line method to allocate their cost to their residual values over 
their estimated useful lives, as follows: 

Fixtures and fittings 20% 

The assets’ residual values and useful economic lives are reviewed regularly, and adjusted if appropriate, at the end 
of each reporting period. 

An asset’s carrying value is written down immediately to its recoverable amount if the asset’s carrying amount is 
greater than its estimated recoverable amount. 

Gains and losses on the disposal of assets are determined by comparing the proceeds with the carrying amount and 
are recognized in administration expenses in the income statement. 

Intangible assets 

(a) Trademarks, trade names and licenses 

Separately acquired trademarks and licenses are shown at historical cost. Trademarks and licenses acquired in a 
business combination are recognized at fair value at the acquisition date. Trademarks and licenses have a finite 
useful life and are carried at cost less accumulated amortization. Amortization is calculated using the straight-line 
method to allocate the cost of trademarks and licenses over the contractual license period of 10 to 15 years and is 
charged to administrative expenses in the income statement. 

(b) Development costs and trade secrets 

Development costs have a finite useful life and are carried at cost less accumulated amortization. 

Expenditure incurred on the development of new or substantially improved products or processes is capitalized, 
provided that the related project satisfies the criteria for capitalisation, including the project’s technical feasibility 
and likely commercial benefit. All other research and development costs are expensed to profit or loss as incurred. 

Development costs are amortized over the estimated useful life of the products with which they are associated. 
Amortization commences when a new product is in commercial production. The amortization is charged to 
administrative expenses in the income statement. The estimated remaining useful lives of development costs are 
reviewed at least on an annual basis. 

The carrying value of capitalized development costs is reviewed for potential impairment at least annually and if a 
product becomes unviable and an impairment is identified the deferred development costs are immediately charged 
to the income statement. Amortization has not yet commenced. 

Trade secrets, including technical know-how, operating procedures, methods and processes, are recognized at fair 
value at the acquisition date. Trade secrets have a finite useful life and are carried at cost less accumulated 
amortization. Amortization has not yet commenced. 

Impairment of non-financial assets 

Assets that have an indefinite life or where amortization has not yet commenced are tested annually for impairment. 
Assets that are subject to amortization are reviewed for impairment whenever events or changes in circumstances 
indicate that the carrying amount may not be recoverable. An impairment loss is recognized for the amount by which 
the carrying amount exceeds its recoverable amount. 

The recoverable amount is the higher of an asset’s fair value less costs to sell and value in use. In assessing value in 
use, the estimated future cash flows are discounted to their present value using a pre-tax discount rate that reflects 
current market assessments of the time value of money and the risks specific to the asset for which the estimates of 
future cash flows have not been adjusted. 

|  Renalytix plc Annual Report and Financial Statements 

65 

 
 
 
 
For the purposes of assessing impairment, assets are grouped at the lowest levels for which there are separately 
identifiable cash flows. Impairment losses recognized for cash-generating units, to which goodwill has been allocated, 
are credited initially to the carrying amount of goodwill. Any remaining impairment loss is charged pro rata to the 
other assets in the cash-generating unit. 

Where an impairment loss subsequently reverses, the carrying amount of the asset (cash-generating unit) is 
increased to the revised estimate of its recoverable amount, but so that the increased carrying amount does not 
exceed the carrying amount that would have been determined had no impairment loss been recognized for the asset 
(cash-generating unit) in the prior period. A reversal of an impairment loss is recognized in the income statement 
immediately. If goodwill is impaired however, no reversal of the impairment is recognized in the financial statements. 

Financial assets 

Classification 

The Company classifies its financial assets in the following categories: loans and receivables at amortized cost and 
financial assets at fair value through profit or loss. The classification depends on the purpose for which the financial 
assets were acquired and management determines the classification of its financial assets at initial recognition. 

(a) Loans and receivables 

Financial assets are classified as at amortized cost only if both of the following criteria are met: the asset is held 
within a business model whose objective is to collect contractual cash flows, and the contractual terms give rise to 
cash flows that are solely payments of principal and interest. Loans and receivables are non-derivative financial 
assets with fixed or determinable payments that are not quoted on an active market. They are included in current 
assets, except for maturities greater than 12 months after the balance sheet date. These are classified as non-current 
assets. The Company’s loans and receivables comprise ‘trade and other receivables’ and cash and cash equivalents in 
the balance sheet. 

(b) Financial assets at fair value through profit or loss 

The Group classifies the following financial assets at fair value through profit or loss (“FVPL”): 

•  equity investments that are held for trading, and 

•  equity investments for which the entity has not elected to recognize fair value gains and losses 

through Other Comprehensive Income. 

(c) Financial assets at fair value through other comprehensive income 

Financial assets at fair value through other comprehensive income comprise equity securities that are not held for 
trading and which the Group has irrevocably elected at initial recognition to recognize in this category. The Group 
considers this category to be more relevant for assets of this type. 

(d) Financial liabilities at fair value through profit or loss 

The Group classifies the following financial assets at fair value through profit or loss (“FVPL”): 

•  Convertible debt recorded at fair value through profit or loss.  

Cash and cash equivalents 

Cash and short-term deposits in the balance sheet comprise cash at bank and in hand and short- term deposits with 
an original maturity of three months or less. 

For the purposes of the cash flow statements, cash and cash equivalents consist of cash and short-term deposits as 
defined above. 

Share capital and premium 

Ordinary Shares are classified as equity. Proceeds in excess of the nominal value of shares issued are allocated to the 
share premium account and are also classified as equity. Incremental costs directly attributable to the issue of new 
Ordinary Shares or options are deducted from the share premium account. 

Other reserves - equity 

The share-based payment reserve is used to recognize the fair value of equity settled share-based payment 
transactions. 

|  Renalytix plc Annual Report and Financial Statements 

66 

 
 
 
 
 
 
 
 
 
 
Foreign currency reserve is used to record the exchange differences on translation of entities in the Group which 
have a functional currency different to the presentation currency. 

Retained earnings includes all current and prior period results as disclosed in the income statement. 

Trade and other payables 

Trade payables are obligations to pay for goods or services that have been acquired in the ordinary course of 
business from suppliers. Accounts payable are classified as current liabilities if payment is due within one year or less 
(or in the normal operating cycle of the business if longer). If not, they are presented as non-current liabilities. Trade 
payables are recognized initially at fair value and subsequently measured at amortized cost using the effective 
interest method. 

Current and deferred income tax 

Income tax comprises current and deferred tax. Tax is recognized in the income statement, except to the extent that it 
relates to items recognized in other comprehensive income where the associated tax is also recognized in other 
comprehensive income. 

The current income tax charge is calculated on the basis of the tax laws enacted or substantively enacted at the 
balance sheet date in the countries where the Company and its subsidiary operate and generate taxable income. 
Management evaluates positions taken in tax returns with respect to situations in which applicable tax regulation is 
subject to interpretation and establishes provisions where appropriate on the basis of amounts expected to be paid 
to the tax authorities. 

Deferred tax is recognized, using the liability method, on all temporary differences at the balance sheet date between 
the tax bases of assets and liabilities and their carrying amounts for financial reporting purposes. Deferred tax 
liabilities are recognized in respect of all temporary differences except where the deferred tax liability arises from 
the initial recognition of goodwill in business combinations. 

Deferred tax assets are recognized for all deductible temporary differences, carry-forward of unused tax assets and 
tax losses, to the extent that they are regarded as recoverable. They are regarded as recoverable where, on the basis 
of available evidence, there will be sufficient taxable profits against which the future reversal of the underlying 
temporary differences can be deducted. 

The carrying value of the amount of deferred tax assets is reviewed at each balance sheet date and reduced to the 
extent that it is no longer probable that sufficient taxable profit will be available to allow all, or part, of the tax asset 
to be utilized. 

Deferred tax assets and liabilities are measured at the tax rates that are expected to apply to the year when the asset 
is realized or the liability is settled, based on the tax rates (and tax laws) that have been substantively enacted at the 
balance sheet date. 

Deferred income tax assets and liabilities are offset when there is a legally enforceable right to offset current tax 
assets against current tax liabilities and when the deferred income tax assets and liabilities relate to income taxes 
levied by the same taxation authority on either the taxable entity or different taxable entities where there is an 
intention to settle the balances on a net basis. 

Leases 

Leases are recognized as a right-of-use asset and a corresponding lease liability at the date on which the leased asset 
is available for use by the Group. 

Assets and liabilities arising from a lease are initially measured on a present value basis. Lease liabilities include the 
net present value of the following lease payments: 

•  fixed payments (including in-substance fixed payments), less any lease incentives receivable 

•  variable lease payment that are based on an index or a rate, initially measured using the index or 

rate as at the commencement date 

•  amounts expected to be payable by the group under residual value guarantees 

•  the exercise price of a purchase option if the group is reasonably certain to exercise that option, and 

•  payments of penalties for terminating the lease, if the lease term reflects the group exercising that option. 

|  Renalytix plc Annual Report and Financial Statements 

67 

 
 
 
 
 
 
 
 
 
Lease payments to be made under reasonably certain extension options are also included in the measurement of the 
liability. 

The lease payments are discounted using the interest rate implicit within the lease. If that rate cannot be readily 
determined, the Group’s incremental borrowing rate is used, being the rate that the Group would have to pay to 
borrow the funds necessary to obtain an asset of similar value to the right-of-use asset in a similar economic 
environment with similar terms, security, and conditions. 

Where the Group is exposed to potential future increases in variable lease payments based on an index or rate, 
amounts are not included in the lease liability until they take effect. When adjustments to lease payments based on an 
index or rate take effect, the lease liability is reassessed and adjusted against the right-of-use asset. 

Lease payments are allocated between principal and finance cost. The finance cost is charged to the income 
statement over the lease period so as to produce a constant periodic rate of interest on the remaining balance of the 
liability for each period. 

Right-of-use assets are measured at cost comprising the following: 

•  the amount of the initial measurement of lease liability 

•  any lease payments made at or before the commencement date less any lease incentives received 

•  any initial direct costs 

•  restoration costs 

Right-of-use assets are generally depreciated over the shorter of the asset’s useful life and the lease term on straight 
line basis. If the Group is reasonably certain to exercise a purchase option, the right-of-use asset is depreciated over 
the underlying asset’s useful life. 

Revenue Recognition 

The Group recognizes revenue when a customer obtains control of contracted goods or services. The Group records 
the amount of revenue that reflects the consideration that it expects to receive in exchange for those goods or 
services. The Group applies the following five-step model in order to determine this amount: (i) identification of the 
promised goods or services in the contract; (ii) determination of whether the promised goods or services are 
performance obligations, including whether they are distinct in the context of the contract; (iii) measurement of the 
transaction price, including the constraint on variable consideration; (iv) allocation of the transaction price to the 
performance obligations; and (v) recognition of revenue when (or as) the Group satisfies each performance 
obligation. 

The Group only applies the five-step model to contracts when it is probable that it will collect the consideration to 
which it is entitled in exchange for the goods or services that it transfers to the customer. The Group reviews the 
contract to determine which performance obligations it must deliver and which of these performance obligations are 
distinct. Certain contracts have options for the customer to acquire additional services. The Group evaluates these 
options to determine if a material right exists. If, after that evaluation, it determines a material right does exist, it 
assigns value to the material right based upon the renewal option approach. The Group recognizes as revenue the 
amount of the transaction price that is allocated to each performance obligation when that performance obligation is 
satisfied or as it is satisfied. The Group uses present right to payment and customer acceptance as indicators to 
determine the transfer of control to the customer occurs at a point in time. Sales tax and other similar taxes are 
excluded from revenues. 

Cost of revenue 

Cost of revenue consists of costs directly attributable to the services rendered, including labor costs directly related 
to revenue generating activities. 

Employee benefits 

(a) Pension obligations 

The Group makes contributions to defined contribution pension plans. A defined contribution plan is a pension plan 
under which the Group pays fixed contributions into a separate entity with the pension cost charged to the income 
statement as incurred. The Group has no further obligations once the contributions have been paid. 

(b) Share-based compensation 

The Group operates an equity-settled, share-based compensation plan, under which the Group receives services from 
employees and others as consideration for equity instruments of the Group. Equity-settled share-based payments are 
measured at fair value at the date of grant and are expensed over the vesting period based on the number of 
instruments that are expected to vest. For plans where vesting conditions are based on share price targets, the fair 

|  Renalytix plc Annual Report and Financial Statements 

68 

 
 
 
 
 
 
 
value at the date of grant reflects these conditions. Where applicable the Group recognizes the impact of revisions to 
original estimates in the income statement, with a corresponding adjustment to equity for equity-settled schemes. 
Fair values are measured using appropriate valuation models, taking into account the terms and conditions of the 
awards. 

When the share-based payment awards are exercised, the Company issues new shares. The proceeds received net of 
any directly attributable transaction costs are credited to share capital (nominal value) and share premium. 

National insurance on share options 

To the extent that the share price at the balance sheet date is greater than the exercise price on options granted to UK 
citizens under unapproved share-based payment compensation schemes, provision for any National Insurance 
Contributions has been based on the prevailing rate of National Insurance. The provision is accrued over the 
performance period attaching to the award. 

Interest income 

Interest income is accrued on a time basis, by reference to the principal outstanding and at the effective interest rate 
applicable, which is the rate that exactly discounts estimated future cash receipts through the expected life of the 
financial asset to that asset’s net carrying amount. 

Exceptional items 

These are items of an unusual or non-recurring nature incurred by the Group and include transactional costs and 
one-off items relating to business combinations, such as acquisition expenses. 

Assets Classified as Held for Sale 

Assets are classified as held for sale if their carrying amount will be recovered principally through a sale transaction 
rather than through continuing use and a sale is considered highly probable. They are measured at the lower of their 
carrying value and fair value less costs to sell. An impairment loss is recognized for any subsequent write-down of 
the asset to fair value less costs to sell. 

4.  FINANCIAL RISK MANAGEMENT 

Financial Risk Factors 

The Company’s activities expose it to a variety of financial risks. The Company’s Board monitors and manages the 
financial risks relating to the operations of the Company. 

(a) Market Risk 

Foreign Exchange Risk 

The Company operates internationally and is exposed to foreign exchange risk primarily with respect to the US Dollar 
and the Pounds Sterling. Foreign exchange risk arises from future commercial transactions and recognized assets and 
liabilities. 

(b) Credit Risk 

Credit risk relates mainly to cash at bank. The Company only deposits cash with major banks with high quality credit 
standing and limits exposure to any one counterparty. 

(c) Liquidity Risk 

The Company’s continued future operations depend on its ability to raise sufficient working capital through the issue 
of share capital and generate revenue. 

5. CAPITAL RISK MANAGEMENT 

The Company manages its capital to ensure that it will be able to continue as a going concern while maximizing the 
return to stakeholders. The Company’s capital structure primarily consists of equity attributable to the owners, 
comprising issued capital, reserves and retained losses. 

|  Renalytix plc Annual Report and Financial Statements 

69 

 
 
 
 
 
 
 
 
 
6. CRITICAL ACCOUNTING ESTIMATES AND JUDGMENTS 

The Company makes estimates and assumptions regarding the future. Estimates and judgments are continually 
evaluated based on historical experience and other factors, including expectations of future events that are believed 
to be reasonable under the circumstances. In the future, actual results may differ from these estimates and 
assumptions. The estimates and assumptions that have a significant risk of causing a material adjustment to the 
carrying amounts of assets and liabilities within the next financial year relate to: 

•  Capitalisation and recoverability of intangible assets (note 19); 

•  Share based payments (note 28). 

•  Convertible debt recorded at fair value through profit or loss (note 30). 

7. SEGMENTAL REPORTING 

The Group operates as a single segment. 

8.  REVENUE 

Testing services revenue 

Testing services revenue is generated from the KidneyIntelX platform, which provides analytical services to 
customers. Each individual test is a performance obligation that is satisfied at a point in time upon completion of the 
testing process (when results are reported) which is when control passes to the customer and revenue is recognized. 
During the year ended June 30, 2022, the Company recognized $2.7 million of testing services revenue. Sales tax and 
other similar taxes are excluded from revenues. There was $0.4 million of testing services revenue recognized in the 
2021 accounting period. 

Pharmaceutical services revenue 

Pharmaceutical services revenue is generated from the provision of analytical services to customers. Contracts with 
customers generally include an initial upfront payment and additional payments upon achieving performance 
milestones. The Company uses present right to payment and customer acceptance as indicators to determine the 
transfer of control to the customer which may occur at a point in time or over time depending on the individual 
contract terms. Sales tax and other similar taxes are excluded from revenues. During the year ended June 30, 2022, 
the Company recognized $0.2 million of pharmaceutical services revenue. There was $1.1 million of pharmaceutical 
services revenue recognized in the 2021 accounting period 

Deferred revenue 

Deferred revenue represents the allocated transaction price to the material right which will be recognized as revenue 
when the renewal options are exercised which is expected to occur over the next 24 months. 

The following table summarizes the changes in deferred revenue: 

Balance, beginning of period 

Deferral of revenue 

Revenue recognized 

Balance, end of period 

Year ended 30 June 2022 

Year ended 30 June 2021 

$'000 

122 

150 

(227) 

45 

$'000 

- 

250 

(128) 

122 

|  Renalytix plc Annual Report and Financial Statements 

70 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
9. EXPENSES – ANALYSIS BY NATURE 

Year ended 30 June 2022 

Year ended 30 June 2021 

Employee benefit expense 

Contract labor 

Depreciation and amortization 

Professional fees 

Laboratory supplies 

Other expenses 

Total administrative expenses 

$'000 

26,527 

6,245 

2,254 

12,951 

851 

9,462 

58,290 

$'000 

12,416 

3,393 

2,053 

8,374 

326 

6,736 

33,298 

10. AUDITOR’S REMUNERATION 

Year ended 30 June 2022 

Year ended 30 June 2021 

$'000 

$'000 

Fees payable to the Company’s auditor for the audit 
of the parent Company and consolidated financial 
statements 

Total 

71 

71 

53 

53 

11.  DIRECTORS’ REMUNERATION 

Aggregate emoluments 

Share based payments 

Contribution to defined contribution pension 
scheme 

Total 

Year ended 30 June 2022 

Year ended 30 June 2021 

$'000 

1,189 

292 

102 

1,583 

$'000 

1,832 

206 

39 

2,077 

Retirement benefits are accruing to two current executive directors under a defined contribution scheme. See further 
disclosures within the Remuneration Report on pages 32. The highest paid director received aggregate emoluments, 
excluding the effect of the share based payments charge, totaling $648,000 (2021: $1,405,000). 

12. EMPLOYEE BENEFIT EXPENSE 

Group Year 
ended 30 June 
2022 

Group Year 
ended 30 June 
2021 

Company Year 
ended 30 June 
2022 

Company Year 
ended 30 June 
2021 

$'000 

$'000 

$'000 

Wages, salaries and Bonus 

Social security costs and 
Benefits 

Share based 
payment expenses 

Total 

$'000 

15,006 

4,511 

7,010 

8,902 

1,334 

2,180 

26,527 

12,416 

345 

286 

61 

692 

168 

9 

74 

251 

|  Renalytix plc Annual Report and Financial Statements 

71 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
13. MONTHLY AVERAGE NUMBER OF PEOPLE EMPLOYED 

The monthly average number of people (including Executive Directors) employed was: 

Group Year 
ended 30 June 
2022 

Group Year 
ended 30 
June 2021 

Company Year 
ended 30 June 
2022 

Company Year 
ended 30 June 
2021 

Administration 

Research and development 

Total 

68 

25 

93 

27 

20 

47 

6 

- 

6 

6 

6 

12 

The total number of employees (FTEs) in the Group at 30 June 2022 was 110 (2021: 53), and in the Company was 8 
(2021: 2). 

14. FINANCE INCOME AND COSTS 

Year ended 30 June 2022 

Year ended 30 June 2021 

$'000 

$'000 

Finance costs: 

Interest expense 

Royalty Expense 

Finance income: 

Interest income 

Gain on debt forgiveness 

Reduction in contractual liability 

Gain/(Loss) on Foreign Exchange 

Other Income 

Net finance income/(loss) 

15. INCOME TAX 

Group 

Deferred tax 

Total deferred tax 

Income tax (charge)/credit 

(2) 

(169) 

12 

- 

- 

9,677 

119 

9,637 

(3) 

236 

255 

495 

(8,933) 

- 

(7,950) 

Year ended 30 June 2022 

Year ended 30 June 2021 

$'000 

(7,104) 

(7,104) 

(7,104) 

$'000 

4,778 

4,778 

4,778 

No deferred asset is calculated on losses in FY22 as the probability of future utilization is considered too remote. 

Factors affecting the future tax charge 

The standard rate of corporation tax in the UK is 19%. 

Changes to UK Corporation tax rates were enacted as part of The Finance (No.2) Act 2021 which received Royal 
Assent on 10 June 2021. The main rate will remain at 19% before increasing to 25% from 1 April 2023. 

|  Renalytix plc Annual Report and Financial Statements 

72 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Year ended 30 June 2022 

Year ended 30 June 2021 

Loss before Tax 

Tax Calculated at domestic tax rates applicable to 
the UK Standard of tax at 19% 

Tax effects of: 

Expenses not deductible for tax purposes 

Losses on which no deferred tax asset is 
recognized 

Tax Credit for the Year 

        Current year Valuation Allowance 

Prior year Deferred Tax 

Reversal of tax asset at 30 June 

         Tax Expense 

Total Income Tax (Expense)/Credit 

$'000 

49,628 

9,429 

4,490 

(578) 

13,341 

(13,341) 

7,097 

(7,097) 

(7) 

(7,104) 

$'000 

35,788 

6,800 

(487) 

(1,535) 

4,778 

4,778 

2,319 

7,097 

- 

4,778 

Deferred tax assets are recognized based on subsidiary net losses based on the US corporate tax rate of 21%. Net 
losses can be carried forward indefinitely to offset future taxable profits however management has concluded that 
the realization of deferred tax assets to be less than probable and recorded an impaired the deferred tax asset in 
current year. No deferred asset is calculated on losses in the UK totaling $15,155,000 where the probability of future 
utilization is considered too remote. 

16. EARNINGS PER SHARE 

Basic earnings per share is calculated by dividing the loss attributable to equity holders of the parent by the weighted 
average number of ordinary shares in issue during the period. 

Loss attributable to owners of the parent 

Weighted average number of ordinary 
shares in issue 

Basic and diluted loss per share 

Year ended 30 June 2022 

Year ended 30 June 2021 

$'000 

(56,648) 

72,861,251 

$ (0.78) 

$'000 

(31,010) 

71,484,934 

$ (0.43) 

The Company has two categories of dilutive potential ordinary share, being share options and convertible debt. The 
potential shares were not dilutive the period and prior period as the Group made a loss. For the fiscal year ended 
June 30, 2022, the diluted net loss per share calculation included the dilutive effect of convertible debt as well as the 
impact of the $3.9 million fair value gain related to the convertible debt, which further increase net loss used in the 
diluted loss per share calculation. For the year ended June 30, 2022, the basic and diluted loss per share calculation 
excluded shares related to stock options, as the exercise price of these options was greater than their market value. 
For the fiscal years ended June 30, 2021 the basic and diluted loss per share excluded shares related to stock options 
as the inclusion of the stock options had an antidilutive effect.  

The following is a reconciliation of basic net loss per share to diluted net loss per share for the fiscal years ended June 
30, 2022 and 2021. 

|  Renalytix plc Annual Report and Financial Statements 

73 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Year ended 30 June 2022 

Year ended 30 June 2021 

Basic earnings per share 

Average shares outstanding – basic 

Convertible debt shares 

Adjusted average shares outstanding – diluted 

Diluted earnings per share 

$ (0.78) 

72,861,251 

976,048 

73,837,496 

$ (0.82) 

$ (0.43) 

71,484,934 

- 

71,484,934 

$ (0.43) 

The Company was incorporated on 15 March 2018 with 50,000 ordinary shares of £1.00 each, and as a result of 
subdivisions (100:1 on 4 May 2018 and then 4:1 on 24 October 2018), the resulting founding shares became 
20,000,000 at £0.0025 each. 

17. PROPERTY, PLANT AND EQUIPMENT 

Group 

Fixtures and fittings 

$'000 

Cost 

At 1 July 2020 

Additions 

Reclass to computer software 

Foreign translation 

At 30 June 2021 

Depreciation 

At 1 July 2020 

Charge for the period 

Foreign translation 

At 30 June 2021 

Net book value at 30 June 2021 

Cost 

At 1 July 2021 

Additions 

Foreign translation 

At 30 June 2022 

Depreciation 

At 1 July 2021 

Charge for the period 

At 30 June 2022 

Net book value at 30 June 2022 

650 

782 

(146) 

1,286 

70 

138 

(3) 

205 

1,081 

1,286 

591 

- 

1,877 

205 

304 

509 

1,368 

The depreciation charge of $304k related to Property, Plant and Equipment has been charged to administration 
expenses ($272k) and cost of goods sold ($32k). 

|  Renalytix plc Annual Report and Financial Statements 

74 

 
 
 
 
 
 
 
 
 
 
 
18. LEASES 

(i) Amounts recognized in the statement of financial position 
The balance sheet shows the following amounts relating to leases: 

Group 
As at 30 June 2022 

Group 
As at 30 June 2021 

Company 
As at 30 June 2022 

Company 
As at 30 June 2021 

$'000 

$'000 

$'000 

$'000 

Right-of-use assets 

Properties 

Total right-of-use assets 

Lease liabilities 

Current 

Non-current 

Total lease liabilities 

355 

355 

163 

202 

365 

297 

297 

86 

213 

299 

- 

- 

- 

- 

- 

- 

- 

- 

- 

- 

Right-of-use assets have been measured at the amount equal to the lease liability. 

Lease liabilities were measured at the present value of the remaining lease payments, discounted using the 
Group’s incremental borrowing rate. 

(ii) Amounts recognized in the Statement of Comprehensive income 

The statement of profit or loss shows the following amounts relating to leases: 

Group 
As at 30 June 2022 

Group 
As at 30 June 2021 

Company 
As at 30 June 2022 

Company 
As at 30 June 2021 

$'000 

$'000 

$'000 

$'000 

Depreciation charge - 
right-of-use assets 

Properties 

Total right-of-use 

Interest expense (included 
in finance cost) 

126 

126 

2 

155 

155 

3 

- 

- 

- 

- 

- 

- 

The total cash outflow for leases in the year to 30 June 2022 was $119k (2021: $155k) for the Group and $Nil 
(2021: $nil) for the Company. 

(iii) The group’s leasing activities and how these are accounted for 

The group leases various offices. Rental contracts for offices are made for fixed periods of between 1 and 5 
years, but may have extension options as described below. 

Lease payments to be made under reasonably certain extension options are also included in the measurement 
of the liability. 

The lease payments are discounted using the interest rate implicit in the lease. If that rate cannot be readily 
determined, which is generally the case for leases in the group, the lessee’s incremental cash rate is used, being 
the rate that the individual lessee would forego to release the funds necessary to obtain an asset of similar 
value to the right-of-use asset in a similar economic environment with similar terms, security and conditions.

|  Renalytix plc Annual Report and Financial Statements 

75 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
19.  INTANGIBLE FIXED ASSETS 

Trademarks, Trade 
Names & Licenses 

Trade Secrets 

$'000 

$'000 

Development 
Costs 

$'000 

9,466 

- 

1,087 

10,553 

1,973 

1,030 

251 

3,254 

6,402 

- 

734 

7,136 

- 

529 

6 

535 

3,223 

847 

359 

4,429 

- 

305 

3 

308 

Total 

$'000 

19,091 

847 

2,180 

22,118 

1,973 

1,864 

260 

4,097 

7,299 

6,601 

4,121 

18,021 

10,553 

- 

(1,274) 

9,279 

3,254 

1,018 

(483) 

3,789 

7,136 

- 

(861) 

6,275 

535 

688 

(125) 

1,098 

4,429 

103 

(477) 

4,055 

308 

459 

(65) 

702 

22,118 

103 

(2,612) 

19,609 

4,097 

2,165 

(672) 

5,589 

5,490 

5,177 

3,353 

14,020 

Cost 

At 1 July 2020 

Additions 

Foreign translation 

At 30 June 2021 

Amortization 

At July 2020 

Charge for the period 

Foreign translation 

At 30 June 2021 

Net book value 

At 30 June 2021 

Cost 

At 1 July 2021 

Additions 

Foreign translation 

At 30 June 2022 

Amortization 

At 30 June 2021 

Charge for the period 

Foreign translation 

At 30 June 2022 

Net book value 

At 30 June 2022 

Amortization expense of $2,060,485 has been charged to administration costs and $104,294 has been charged 
to cost of goods sold. Amortization expense of $1,864,016 was charged in the prior year ended 30 June 2021. 

Licenses entail agreements with Icahn School of Medicine at Mount Sinai for rights to intellectual property and 
data to support the KidneyIntelX diagnostic assay. Trade secrets refer to the Company’s acquisition of the 
biomarker business from EKF, which includes intellectual property licensed from Joslin Diabetes Centre and 
forms a key component of the KidneyIntelX product. Development costs include proprietary software 
development and diagnostic assay design for KidneyIntelX. 

Assets that are subject to amortization are reviewed for impairment whenever events or changes in 
circumstances indicate that the carrying amount may not be recoverable. An impairment loss is recognized for 
the amount by which the carrying amount exceeds its recoverable amount. 

The recoverable amount is the higher of an asset’s fair value less costs to sell and value in use. In assessing 
value in use, the estimated future cash flows are discounted to their present value using a pre-tax discount rate 
that reflects current market assessments of the time value of money and the risks specific to the asset for which 
the estimates of future cash flows have not been adjusted. 

|  Renalytix plc Annual Report and Financial Statements 

76 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The Group has tested the carrying value for impairment at the balance sheet date. The recoverable amount was 
assessed in the basis of value in use. The assessed value exceeded the carrying value and no impairment loss 
was recognized. The key 

assumptions in the calculation to assess value in use are future revenues and costs and the ability to generate 
future cash flows. Recent working capital projections approved by the Board were used as well as forecasts for 
a further four years, followed by an extrapolation of expected cash flows and the calculation of a terminal value. 
For prudence the expected growth rate used for longer term growth was zero. The projected results were 
discounted at a rate which is a prudent evaluation of the pre-tax rate which reflects current market 
assessments of the value of money and the risks specific to the business, reflecting an assessment of the risk-
adjusted weighted average cost of capital of 20%. The headroom in the value in use calculation is not sensitive 
to changes in key assumptions. 

For the purposes of assessing impairment, assets are grouped at the lowest levels for which there are 
separately identifiable cash flows. Any impairment loss is charged pro rata to the other assets in the cash 
generating unit. 

The remaining average useful lives of the intangible assets is as follows: 

Trademarks trade names & licenses 

Trade secrets 

Development Costs 

10-15 years 

15 years 

15 years 

The Company holds capitalized development costs with a cost of $4,055,060and net value of $3,352,629 these 
projects were placed into service in FY21. 

20. INVESTMENTS IN SUBSIDIARIES 

Company 

At beginning of Period 

Capital Contribution relating to share based 
payment 

Conversion of intercompany loan to equity 
investment 

Shares in Verici Dx Ltd 

At End of Period 

Year ended 30 June 2022 

Year ended 30 June 2021 

$'000 

4,588 

2,824 

81,700 

- 

89,112 

$'000 

2,264 

2,325 

- 

(1) 

4,588 

Investments in Group undertakings are recorded at cost which is the fair value of the consideration paid, less any 

impairment. The Company had the following subsidiaries as of 30 September 2022. 

Name of Company 

Proportion held 

Class of shareholding 

Nature of business 

Renalytix AI Inc.1

100% 

Ordinary 

Renalytix AI Limited2

100% 

Ordinary 

Developer of artificial 
intelligence-enabled 
clinical diagnostic solutions 
for kidney disease 

Developer of artificial 
intelligence-enabled 
clinical diagnostic 
solutions for kidney 
disease 

1.  Renalytix AI Inc. is incorporated in the United States of America and has their principal place of business at 

1460 Broadway, New York, New York 10036. Renalytix AI Inc. is included in the consolidation. The 
proportions of voting shares held by the parent company do not differ from the proportion of Ordinary 
Shares held. 

2.  Renalytix AI Limited is incorporated in the Republic of Ireland and has their principal place of business at 

29 Lower Patrick Street, Kilkenny, Ireland. Renalytix AI Ltd. is included in the consolidation. The 
proportions of voting shares held by the parent company do not differ from the proportion of Ordinary 
Shares held. 

|  Renalytix plc Annual Report and Financial Statements 

77 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
22. INVENTORY 

Finished goods 

Group 
As at 30 June 2022 

Group 
As at 30 June 2021 

Company 
As at 30 June 2022 

Company 
As at 30 June 2021 

$'000 

1,160 

$'000 

353 

$'000 

- 

$'000 

- 

The Directors are of the opinion that the replacement values of inventories are not materially different to the 
carrying values stated above. The carrying values above are stated net of impairment provisions of $Nil (30 June 
2021: $Nil). 

The cost of inventories recognized as expense and included in ‘cost of sales’ amounted to $266k (Year to 30 June 
2021: $60k). The Company held no inventories at 30 June 2022 and 30 June 2021. 

23.  FINANCIAL INSTRUMENTS 

(a) Assets at amortized cost 

Group 
30 June 2022 

$'000 

Group 
30 June 2021 

$'000 

Company 30 

June 2022 

Company 30 

June 2021 

$'000 

$'000 

Assets as per balance sheet 

Security deposits 

Intragroup receivable 

Cash and cash equivalents 

Total 

141 

- 

41,333 

41,474 

86 

- 

65,159 

65,245 

- 

- 

28,313 

28,313 

- 

84,686 

15,063 

99,749 

Receivables in the analysis above are all categorized as “loans and receivables” for the Group and Company. 

(b) Assets at fair value 

Assets as per balance sheet 

Investment in Verici Dx 

Total 

Group 
30 June 2022 

$'000 

Group 
30 June 2021 

$'000 

Company 30 

June 2022 

Company 30 

June 2021 

$'000 

$'000 

2,744 

2,744 

9,295 

9,295 

2,744 

2,744 

9,295 

9,295 

(c) Liabilities at amortized cost 

Group 
30 June 2022 

$'000 

Group 
30 June 2021 

$'000 

Company 30 

June 2022 

Company 30 

June 2021 

$'000 

$'000 

Liabilities as per balance sheet 

Accounts payable 

Accrued expenses 

Lease Liabilities 

Total 

2,460 

4,821 

365 

7,646 

1,765 

4,887 

299 

6,951 

400 

695 

- 

1,095 

622 

571 

- 

1,193 

|  Renalytix plc Annual Report and Financial Statements 

78 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(d)  Liabilities at fair value 

Group 
30 June 2022 

$'000 

Group 
30 June 2021 

$'000 

Company 30 

June 2022 

Company 30 

June 2021 

$'000 

$'000 

Liabilities as per balance sheet 

Note Payable 

Total 

12,342 

12,342 

- 

- 

12,342 

12,342 

- 

- 

(e) Credit Quality of Financial Assets 

The Group is exposed to credit risk from its operating activities and from its financing activities, including 
deposits with banks and financial institutions, foreign exchange transactions and other financial instruments. 

The Group’s maximum exposure to credit risk, due to the failure of counterparties to perform their obligations as 
at 30 June 2022, in relation to each class of recognized financial assets, is the carrying amount of those assets as 
indicated in the accompanying balance sheets. 

Trade Receivables 

The credit quality of trade receivables that are neither past due nor impaired have been assessed based on 
historical information about the counterparty default rate. 

Cash at Bank 

The credit quality of cash has been assessed by reference to external credit ratings, based on reputable credit 
agencies’ long- term issuer ratings: 

AA+ 

Total 

Group 
At 30 June 2022 

Group 
At 30 June 2021 

Company 
At 30 June 2022 

Company 
At 30 June 2021 

$'000 

41,333 

41,333 

$'000 

65,159 

65,159 

$'000 

28,313 

28,313 

$'000 

15,063 

15,063 

24. TRADE AND OTHER RECEIVABLES 

Group 
As at 30 June 2022 
$'000 

Group 
As at 30 June 2021 
$'000 

Company 
As at 30 June 2022 
$'000 

Company 
As at 30 June 2021 
$'000 

Trade Receivables 

Due from subsidiaries 

Due from affiliates 

Total 

901 

- 

75 

976 

594 

- 

- 

594 

- 

- 

- 

- 

- 

84,686 

- 

84,686 

Due to their short term nature, the Directors consider that the carrying amount of trade and other receivables 
approximates to their fair value. 

|  Renalytix plc Annual Report and Financial Statements 

79 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
25.  PREPAIDS AND OTHER CURRENT ASSETS 

Group 

As at 30 June 2022 
$'000 

Group 
As at 30 June 2021 

Company 
As at 30 June 2022 

Company 
As at 30 June 2021 

$'000 

$'000 

$'000 

1,116 

36 

1,152 

520 

- 

520 

284 

16 

300 

271 

- 

271 

Prepaids 

Deferred 
Nasdaq Offering 
Costs 

Prepaids and Other  
Current Assets 

26. CASH AND CASH EQUIVALENTS 

Cash at Bank 

Cash and cash equivalents 

Group 
As at 30 June 2022 

Group 
As at 30 June 2021 

Company 
As at 30 June 2022 

Company 
As at 30 June 2021 

$'000 

41,333 

41,333 

$'000 

65,159 

65,159 

$'000 

28,313 

28,313 

$'000 

15,063 

15,063 

The Directors consider that the carrying value of cash and cash equivalents approximates to their fair value. 

27.  SHARE CAPITAL 

Group and Company 

Movement 

Total Number of 
Shares 

Ordinary 
Shares 
$’000 

Share Premium 
$’000 

Total 
$’000 

15-Mar-18  Formation 

4-May-18 

100:1 subdivision 

24-Oct-18  4:1 subdivision 

24-Oct-18  Biomarker business acquisition 

6-Nov-18  Placing & offer (listing on AIM) 

At 30 June 2019 

29-Jul-19       Placing & Secondary Offering 
(AIM) 

50,000 
- 

- 

50,000 
5,000,000 

20,000,000 

15,427,704 

35,427,704 

18,388,430 

53,816,134 

53,816,134 

5,600,000 

59,416,134 

15-May-20    Cancellation of Share premium                           

- 

59,419,134 

59,416,134 

12,613,500 

72,029,634 

17,652 

150,000 

72,047,286 

72,197,286 

66 
- 

- 

49 

60 

175 

17 

- 

192 

40 

- 

1 

- 
- 

- 

6,547 

27,485 

34,032 

16,597 

(50,629) 

- 

76,094 

111 

252 

66 
- 

- 

6,596 

27,545 

34,207 

17,210 

- 

192 

76,136 

111 

253 

At 30 June 2020 

17-Jul-20      Placing & Offering (Nasdaq) 

4-Mar-21      Shares issued under the ESPP 

25-Jun-21     Exercise of Stock Options 

At 30 June 2021 

7-Jul-21         Exercise of Stock Options 

17-Jul-21        Exercise of Stock Options 

31-Aug-21      Shares issued under the ESPP 

1-Nov-21        Exercise of Stock Options 

31-Mar-22     Shares issued under the ESPP 

6-Apr-22       Private Placement 

At 30 June 2022 

72,197,286 

233 

76,457 

76,500 

27,500 

5,000 

10,920 

68,224 

22,814 

72,224,786 

72,229,786 

72,240,706 

72,308,930 

72,380,014 

2,428,688 

74,760,432 

74,760,432 

- 

- 

- 

- 

- 

8 

241 

46 

40 

121 

112 

90 

46 

40 

121 

112 

90 

8,578 

85,444 

8,586 

85,685 

Ordinary Shares have a par value of £0.0025 each. All issued shares are fully paid. 

|  Renalytix plc Annual Report and Financial Statements 

80 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
28.  SHARE OPTIONS AND SHARE-BASED PAYMENTS 

In November 2018, Company established the Renalytix AI plc Share Option Plan (the “Plan”) and a U.S. Sub-Plan 
and Non-Employee Sub-Plan. The Plan provides for the Company to grant options, restricted share awards and 
other share-based awards to employees, directors and consultants of the Company. As of June 30, 2021, there 
were 2,937,005 shares available for future issuance under the Plan. 

The Plan is administered by the board of directors. The exercise prices, vesting and other restrictions are 
determined at their discretion, except that all options granted have exercise prices equal to the fair value of the 
underlying ordinary shares on the date of the grant and the term of stock option may not be greater than ten 
years from the grant date. 

With respect to the options granted as of June 30, 2022, 2,984,801 vest equally over twelve quarters following 
the grant date, 1,070,100 options which vest 25% on the one year anniversary and equally over twelve quarters 
following the one year anniversary and 500,000 which vest 1/12th immediately and the remainder equally over 
the remaining eleven quarters. If options remain unexercised after the date one day before the tenth anniversary 
of grant, the options expire. On termination of employment, any options that remain unexercised are either 
forfeited immediately or after a delayed expiration period, depending on the circumstances of termination. Upon 
the exercise of awards, new ordinary shares are issued by the Company. 

Details of the share options outstanding during the period are as follows: 

General employee share option plan 

As at 30 June 2021 

Granted during the year 

Exercised during the year 

Forfeited during the year 

Outstanding at 30 June 2022 

Exercisable at 30 June 2022 

Vested and expected to vest at 30 June 2022 

Average exercise 
price per share 
(USD) 

4.73 

10.34 

1.89 

7.34 

5.34 

3.72 

5.34 

Number of 
Options 

4,265,958 

555,000 

(100,724) 

(165,333) 

4,554,901 

3,368,195 

4,554,901 

The fair value of each share option granted has been estimated using a Black-Scholes model and is £1.73 - £6.04 
($2.26 - $8.14). The inputs into the model are a weighted average share price of £7.27 ($9.74), exercise price of 
£7.16 ($9.59), expected volatility of 66.24%, no expected dividend yield, weighted-average term of 6.0 years and 
weighted-average risk-free interest rate of 1.55%. As of 30 June 2022, none of the granted stock options have 
been exercised. 

The aggregate fair value of the outstanding options is $24,336,546. The Group recognized total expenses of 
$6,896,721 ($338,625 within R&D expense and $6,558,096 within G&A expense) relating to equity-settled share-
based payment transactions during the period to 30 June 2022. The weighted average remaining contractual 
term of the options is 8.1 years. 

29. TRADE AND OTHER PAYABLES 

Accounts payable 

Due to subsidiaries 

Payroll taxes payable 

Accrued expenses 

Group 
As at 30 June 2022 

Group 
As at 30 June 2021 

Company 
As at 30 June 2022 

Company 
As at 30 June 2021 

$'000 

2,460 

- 

139 

4,682 

7,281 

$'000 

$'000 

1,765 

- 

638 

4,249 

6,652 

400 

4,701 

- 

695 

5,796 

$'000 

623 

- 

- 

571 

1,194 

The carrying amount of the trade and other payables balances denominated in GBP are £37k for the Group and 
Company (2021 - £4k). 

|  Renalytix plc Annual Report and Financial Statements 

81 

 
 
 
 
 
 
 
 
30. CONVERTIBLE DEBT 

In April 2022, the Company issued amortizing senior convertible bonds with a principal amount $21.2 million 
due in April 2027 (the "Bonds"). The Bonds were issued at 85% par value with total net proceeds of $18.0 
million and accrue interest at an annual rate of 5.5%, payable quarterly in arrears, in cash or ADSs valued at the 
ADS Settlement Price at the option of the Company. The Bonds contain various conversion and redemption 
features. The initial conversion price for the Convertible Bonds of $8.70 has been set at a 20 per cent. premium 
to the Reference ADS Price. The Conversion Price may reset down at 12, 24 and 36 months, depending on share 
price performance and save in limited circumstances, the Bonds have a hard floor in the conversion price of 
$7.25. Between amortization dates, the Convertible Bond Investor retains the right to advance future 
amortization payments, provided that (a) there shall be no amortization advancements during the first 12 
months, (b) no more than 2 amortization advancements may occur in any 12 month period, and (c) no more than 
1 amortization advancement may occur in any 3 month period. 

The Convertible Bond Investor is also permitted to defer up to two amortization payments to a subsequent 
amortization date. The Company retains the option to repay any deferred amortization in cash at 100 per cent. of 
the nominal amount As of June 20, 2022, the entire principal amount was outstanding. The classification of the 
liability between non-current and current reflects management’s expected level of amortization payments 
during the year ended 30 June 2023. 

On issuance, the Company elected to account for the Bonds at fair value with qualifying changes in fair value 
being recognized through the statements of operations until the Bonds are settled. Changes in fair value related 
to instrument-specific credit risk are recognized through comprehensive loss until the Bonds are settled. The fair 
value of the bonds is determined using a scenario-based analysis that estimates the fair value based on the 
probability-weighted present value of expected future investment returns, considering each of the possible 
outcomes available to the noteholders, and therefore falls under level 3 of the fair value hierarchy. Significant 
assumptions used in the fair value analysis include the volatility rate, risk-free rate, dividend yield and risky 
yield. The fair value of the Bonds was determined to be $16.9 million on issuance, which is the principal amount 
of the Bonds. On issuance, total debt issuance costs of $1.2 million were immediately expensed as a component 
of general and administrative expense in consolidated statement of operations during the year end June 30, 
2022. The Company recognized a change in fair value of the Notes related to the instrument-specific credit risk 
of $0.5 million in the comprehensive loss and a change in fair value related to non-instrument specific credit risk 
of $4.0 million in the consolidated statement of operations during the year ended June 30, 2022. 

31. RELATED PARTY TRANSACTIONS 

In May 2018, the Company secured its cornerstone license agreement with ISMMS for research and clinical study 
work and intended commercialization by the Company. As part of the collaboration, ISMMS became a 
shareholder in the Company and has subsequently made equity investments both in the Company’s IPO in 
November 2018 and the subsequent sale of ordinary shares in July 2019.  

In connection with the formation of Kantaro, the Company entered into a five-year Advisory Services Agreement 
(“Advisory Agreement”) pursuant to which the Company has agreed to provide certain advisory services to 
Kantaro. 

Pursuant to the Kantaro Operating Agreement, Kantaro issued 750 Class A Units to Mount Sinai in exchange for 
Mount Sinai granting licenses to Kantaro under certain intellectual property rights of Mount Sinai and 250 Class A 
Units to the Company as the sole consideration for the services to be rendered by the Company under the 
Advisory Agreement. A portion of the Company’s units are subject to forfeiture if, prior to December 31, 2020, 
Kantaro terminates the Advisory Agreement as a result of an uncured material breach of the Advisory Agreement 
or in the event the Company is acquired by a hospital or health system that serves all or any portion of the service 
areas served by Mount Sinai. The Company determined the fair value of the services at June 30, 2022 to be 
provided under the Advisory Agreement was $0.1 million. A gain of $0.01 million was recognized within equity in 
gain (losses) of affiliate the accompanying consolidated statements of operations and comprehensive loss.  

In addition to the equity granted at formation, the Company and Mount Sinai each committed to making a loan to 
Kantaro. Mount Sinai committed to lend an initial amount of $0.3 million and an additional $0.5 million thereafter. 
The Company committed to lend an initial amount of $83,333 and an additional $0.2 million thereafter. Each loan 
bears interest at a per annum rate equal to 0.25%, compounded monthly, until repaid, and is repayable from the 
first amounts that would otherwise constitute cash available for distribution to the members of Kantaro (provided 
that each loan repayment will be made, 75% to Mount Sinai and 25% to the Company). In the year ended 30 June 
2021, the Company loaned Kantaro the full $250,000 however later recorded a reserve of $175,000 based on 
uncertainty regarding collectability and had a remaining $75,000 note receivable at June 30, 2022.  

In June 2020, we and Mount Sinai entered into a registration rights agreement pursuant to which we have 
granted Mount Sinai the following registration rights: 

•  Demand Registration on Form F-3 – Mount Sinai is entitled to demand registrations on Form F-3, if we 
are then eligible to register shares on Form F-3, including up to two underwritten offerings in any 12-
month period. 

•  Demand Registration on Form F-1 or Form S-1 – At any time following one year after the completion of 
the global offering, if we are not eligible to register shares on Form F-3 or S-3, Mount Sinai is entitled to a 
maximum of one demand registration on Form F-1 or Form S-1 during any 12-month period, subject to 
specified exceptions. 

|  Renalytix plc Annual Report and Financial Statements 

82 

 
 
 
•  Piggyback Registration – Mount Sinai is entitled to certain piggyback registration rights, subject to certain 

marketing and other limitations in the context of an underwritten offering. 

•  Expenses – We will pay all registration expenses incident to the performance of our obligations under the 

registration rights agreement. 

Mount Sinai’s registration rights will terminate at such time as Rule 144, or another similar exception under the 
Securities Act, is available for the unlimited public sale of all of Mount Sinai’s registrable securities without any 
volume or manner of sale limitations, subject to specified exceptions. 

Additionally,  Mount  Sinai  participated  in  our  April  2022  equity  offering  and  purchased  551,724  ADSs.  This 
purchase was made through the underwriters at the offering price of $7.25 per ADS. 

32.  CONTINGENT LIABILITIES 

The Group has a contract with Icahn School of Medicine at Mount Sinai which give rise to contingent liabilities: 

Mount Sinai Collaboration Agreement 
The Group is subject to the following one-off milestone payment obligations: 

•  $1.5 million once worldwide sales of Licensed Products reach $50 million; and 

•  $7.5 million once worldwide sales of Licensed Products reach $300 million. 

In  addition,  royalties  of  4-5%  are  payable  to  Mount  Sinai  on  net  sales  of  KidneyIntelX™,  and  15%  or  25% 
(depending on timing) of income from sublicensing. The Group is also subject to an annual data transfer fee of 
$50,000. 

Joslin Diabetes Center Agreement 

The Group has a contract with Joslin Diabetes Center under which the Group is liable for the following costs and 
payments: 

•  5% royalty on net sales of Joslin Licensed Products and Joslin Licensed Processes; 

•  25% of royalties received by the Group from sublicensing; 

•  A one-off milestone payment of $300,000 once total net sales reach $2 million; and 

•  A one-off milestone payment of $1 million once total net sales reach $10 million 

The aforementioned contingencies have not been recognized as of June 30, 2022 as the probability was deemed 
too remote as of the balance sheet date. 

33. ULTIMATE CONTROLLING PARTY 

The Directors believe there to be no ultimate controlling party. 

34. EQUITY METHOD INVESTMENTS 

In May 2020, the Group and Mount Sinai entered into the Kantaro Operating Agreement in order to form Kantaro 
Biosciences  LLC  (“Kantaro”)  for  the  purpose  of  developing  and  commercializing  laboratory  tests  for  the 
detection  of  antibodies  against  SARS-CoV-2  originally  developed  by  Mount  Sinai.  In  connection  with  the 
formation of Kantaro, the Group entered into the Advisory Agreement, pursuant to which the Group has agreed 
to provide certain advisory services to Kantaro. 

Pursuant to the Kantaro Operating Agreement, Kantaro issued 750 Class A Units to Mount Sinai in exchange for 
Mount Sinai granting licenses to Kantaro under certain intellectual property rights of Mount Sinai and 250 Class 
A Units to the Group in respect of the services to be rendered by the Group under the Advisory Agreement. A 
portion of the units are subject to forfeiture if, prior to December 31, 2020, Kantaro terminates the Advisory 
Agreement as a result of the uncured material breach of the Advisory Agreement or in the event we are acquired 
by a hospital or health system that serves all or any portion of the service areas served by Mount Sinai. The 
Group  account  for  the  investment  in  Kantaro  using  the  equity  method  of  accounting  as  the  Group  can  exert 
significant influence over, but do not control, Kantaro. 

In addition to the equity granted at formation, the Group and Mount Sinai each committed to making a loan to 
Kantaro. 

Mount Sinai committed to lend an initial amount of $250,000 and an additional $500,000 thereafter. The Group 
committed to lend an initial amount of $83,333 and an additional $166,667 thereafter. Each loan bears interest 
at a per annum rate equal to 0.25%, compounded monthly, until repaid, and is repayable from the first amounts 
that would otherwise constitute cash available for distribution to the members of Kantaro (provided that each 
loan repayment will be made, 75% to Mount Sinai and 25% to us). All services provided by the Group under the 
Advisory Agreement are subject to the oversight and direction of the board of managers of Kantaro. 

Based on sales forecasts, the Company concluded that its equity method investment in Kantaro was impaired 

|  Renalytix plc Annual Report and Financial Statements 

83 

 
 
 
 
 
 
 
due to a shift in focus from COVID antibody testing to promoting vaccination in the United States and European 
Union. The forecasts indicate there is a prolonged period of time that Kantaro’s fair value is below the carrying 
value of the investment.  

(A) Interest in associates and joint ventures 

Set out below are the associates and joint ventures of the Group as of 30 June 2022 which, in the opinion of the 
directors, are material to the Group. The entities listed below have share capital consisting solely of ordinary 
shares, which are held directly by the Group. The country of incorporation or registration is also their principal 
place of business, and the proportion of ownership interest is the same as the proportion of voting rights held. 

Name of the Entity 

Place of 
Business/ 
Country of 
Incorporation 

% of 
Ownership 
Interest 

Nature of 
Relationship 

Method of 
Measurement 

Quoted Fair 
Value 

Carrying Amount 

2022  2021   

2022 

2021 

2022 

2021 

USA 

25%  25% 

Joint Venture 

Equity 
Method 

(*) 

(*) 

$9.5 

- 

- 

- 

- 

- 

- 

- 

- 

- 

Kantaro 
Biosciences LLC 

Total equity 
accounted 
investments 
(*) - Private Entity 
- No quoted price 
available 

(B) Interest in associates and joint ventures 

As at 
30 June 2022 

As at 
30 June 2021 

Commitments - Joint Ventures 

Commitment to provide additional loan to 
Kantaro 

Total 

- 

- 

- 

- 

- 

- 

|  Renalytix plc Annual Report and Financial Statements 

84 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Additional Financial Information 

RECONCILIATION OF IFRS TO US GAAP 

Since Renalytix’s initial listing on Nasdaq, the Company has followed accounting principles generally accepted in 
the United States of America (‘US GAAP’), both for internal as well as external purposes. The information below 
is unaudited and does not form part of the statutory accounts. 

Renalytix Form 20-F, which is based on US GAAP, contains differences from its Annual Report, which is based on 
IFRS. 

The Form 20-F and Annual Report are available on the Company’s website (www.renalytix.com). In order to help 
readers to understand the difference between the Group’s two sets of financial statements, Renalytix has provided, 
on a voluntary basis, a reconciliation from IFRS to U.S. GAAP as follows: 

BALANCE SHEET 
(in thousands except share and per share amounts) 

Assets  

Cash 
Accounts receivable 

Prepaid expenses and other current 
assets 
Note receivable – Kantaro 

Property, plant and equipment, net 

Intangibles, net 

Investment in Verici 

Investment in Kantaro 

Right of use asset 

Total assets 

Liabilities and stockholders’ equity 

Current Liabilities: 

Note payable – current 

Accounts payable 

Accrued expenses and other current 
liabilities 
Accrued expenses – related party 

Current lease liability 

Payable to Kantaro - current 

Deferred Revenue 

Note payable – noncurrent 

Noncurrent lease liabilities  

Total Liabilities 

GAAP 
As at 
30 June 2022 

IFRS 
As at 
30 June 2022 

$'000 

41,333 

901 

2,445 

75 

2,558 

- 

2,744 

9 

- 

$'000 

41,333 

901 

2,453 

75 

1,368 

14,020 

2,744 

9 

355 

50,065 

63,258 

4,660 

2,459 

3,060 

1,496 

- 

55 

46 

7,682 

- 

19,458 

4,660 

7,281 

- 

- 

163 

55 

46 

7,682 

202 

20,089 

GAAP vs IFRS 
Difference 

$'000 

 - 

- 

(8) 

- 

1,190 

(14,020) 

- 

- 

(355) 

(13,193) 

- 

4,822 

(3,060) 

(1,496) 

163 

- 

- 

- 

202 

631 

(a) 

(b) 

(c) 

(d) 

(e) 

(e) 

(e) 

(d) 

(d) 

|  Renalytix plc Annual Report and Financial Statements 

85 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Stockholders’ (deficit) equity: 

Ordinary shares,  

Additional paid in capital 

Accumulated other comprehensive 
(loss) income 
Accumulated deficit 

Total stockholders' (deficit) equity 

Total liabilities and stockholders’ (deficit) 
equity 

GAAP 
As at  
30 June 2022 

IFRS 
As at  
30 June 2022 

GAAP vs IFRS 
Difference 

$'000 

228 

164,012 

(915) 

(132,718) 

30,607 

50,065 

$'000 

241 

97,398 

(1,509) 

(52,961) 

43,169 

63,258 

(f) 

(g) 

(h) 

(i) 

$'000 

13 

(66,614) 

(594) 

79,757 

12,562 

13,193 

a. Represents other immaterial presentation differences between US GAAP & IFRS 
b. Differences is attributable to capitalized software costs which are recorded as property and equipment under 

U.S. GAAP and Intangibles under IFRS. 

c. Under IFRS, the acquisition of licenses and subsequent development efforts are capitalized and presented as 

intangible assets. Under U.S. GAAP, such costs are expensed as incurred until technological feasibility has been 
achieved or the assets are deemed to have future alternative use. In addition to capitalized software costs which 
are recorded as property and equipment under US GAAP and Intangibles under IFRS. 

d. Represents the adoption of IFRS 16 in connection with the Company’s commercial laboratory in Utah. The 

Company has deferred the adoption of ASC 842 under U.S. GAAP until July 1, 2022. 

e. Accounts payable and other current liabilities are presented in the aggregate within the Annual report while 

broken out separately on the US GAAP 20-F. Difference represents other immaterial presentation differences and 
audit adjustments. 

f.  Represents other immaterial audit adjustments 
g. Represents cancellation of share premium account and reduction in accumulated deficit under IFRS in 

anticipation of a distribution of FractalDx net assets to the shareholders of Verici in prior year. In addition, stock 
based compensation is recognized on a straight line basis under U.S. GAAP and a graded vesting basis under IFRS 
which creates timing differences as to when expenses are recorded. 

h. Represents the difference in weighted average foreign exchange rates and spot rates used for translation of 

financial statements under IFRS and U.S. GAAP. 

i.  Represents cancellation of share premium and reduction in accumulated deficit under IFRS in anticipation of a 
distribution of FractalDx net assets to the shareholders of Verici and differences noted within the Company’s 
consolidated statement of operations and comprehensive loss. 

|  Renalytix plc Annual Report and Financial Statements 

86 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
RECONCILIATION OF NET LOSS 
($ thousands) 

Net loss in accordance with IFRS 

Deferred tax assets 

Stock compensation expense 

Amortization of intangibles 

Other adjustments 

Net loss in accordance with US GAAP 

Year ended June 2022 

(56,732) 

7,104 

2,389 

1,981 

(18) 

(45,276) 

(j) 

(k) 

(l) 

(m) 

j.  Valuation allowances are recorded to reduce deferred tax assets when it is more likely than not that a tax benefit 
will not be realized based on available evidence. Historically, under U.S. GAAP, a full valuation allowance has 
been applied. Historically, under IFRS a partial valuation allowance was applied however a full valuation 
allowance was booked in the current year which resulted in the increased tax expense. 

k. Stock based compensation is recognized on a straight line basis under U.S. GAAP and a graded vesting basis 

under IFRS which creates timing differences as to when expenses are recorded. 

l.  Amortization expense is higher on the IFRS books as a result of the higher intangible asset balance. Under IFRS, 

the acquisition of licenses and subsequent development efforts are capitalized and presented as intangible 
assets. Under U.S. GAAP, such costs are expensed as incurred until technological feasibility has been achieved or 
the assets are deemed to have future alternative use. 

m.  The remaining difference represents the aggregation of other immaterial audit adjustments and small 

accounting standard difference. 

|  Renalytix plc Annual Report and Financial Statements 

87 

 
 
 
 
 
 
 
 
 
Perivan    264681