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27183  1 June 2020 4:29 pm  Proof 6FOR YEAR ENDED 31 DECEMBER 2019AND ACCOUNTSANNUAL REPORTTissue Regenix Group plc Annual Report and Financials for year ended 31 December 2019Stock Code: TRX27183-Tissue-Regenix-AR-2019.indd   301-Jun-20   4:31:29 PMWho we are

TISSUE REGENIX GROUP  
(“Tissue Regenix”) is a pioneering, 
international medical technology company, 
focusing on the development of regenerative 
products using our two platform technologies, 
dCELL®, addressing soft tissue needs, and 
BioRinse®, providing inductive bone allografts.

We are currently helping to transform the treatment  
of patients in three key areas: BioSurgery, 
Orthopaedics (sports medicine/spine), and
Dental, with an active development programme  
in the Cardiac field.

Our vision

To establish Tissue 
Regenix as a leader in the 
science and innovation 
of regenerative medicine. 
Transforming patient care 
and delivering favourable 
health economic outcomes.

Our values

Dedication to patients

Passion for innovation

Drive for excellence 

Investment case

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Two novel regenerative medicine 
platforms for the treatment of soft 
tissues and bone

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International manufacturing 
capabilities

Uncompromising integrity

Expansive distribution opportunities

Multiple commercialisation 
opportunities – innovative product 
portfolio and pipeline

Tissue processing science and 
development expertise

Differentiated clinical 
outcomes

Company snapshot

 |  £13.0m revenue FY2019

 | 12% growth year-on-year

 |  £2.4m net cash at 31 Dec 2019

 |  £14.6m gross equity fundraise     

undertaken post year end, subject  
to approval

 |  Specialist sales and distribution 

partners

TISSUE REGENIX GROUP PLC 

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Highlights

Financial

Operational

£m

5.4

0.1
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2 0 1 6 – 1 9   C A G R :

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3.4

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Revenue growth by product
Annual growth (including impact of FX)

+5%
+25%

+31%
+79%

+23% 
+46%

BioRinse
dCELL®
1   Revenue by product on a pro-forma basis. 
BioRinse acquired as part of July 2017 
acquisition of CellRight Technologies, LLC. 2016 
financials relate to 11 months to 31 December 
2016.

£13.0m

Group sales increased  
(2018: £11.6m) +12%, driven by:
 –  DermaPure sales increased by 25% 
to £4.2m (2018: £3.4m), due to 
the increasing demand within the 
urogynaecology market and greater 
penetration into key accounts

 – Orthopaedics and Dental revenue of 

£6.7m (2018: £6.4m) +5%  

 –  Joint venture GBM-v achieved sales of 

£2.1m (2018: £1.8m) +13%

Operations
 – Orthopaedic donor throughput more 

than doubled between Q1 and Q4 2019

 – Second shift commenced in San 

Antonio facility 

 – Sub-contracted a percentage of 

DermaPure production to Community 
Tissue Services (“CTS”)

 – Lease signed on an additional 21,000 

sq ft facility in San Antonio

 – $0.3m grant from Universal City to 

commence utility infrastructure work 

 – Established donor services team and 

enhanced supply chain 

 – Further Group Purchasing Organisation 
approval for DermaPure increasing 
coverage to c.95% of US GPO hospitals 

 – Soft launch of DermaPure non-

oriented, specifically for applications in 
urogynaecology 

Contents

Overview

Who we are  

Directors and officers  

Highlights  

Chairman’s statement  

At a glance  

Product pipeline 

Strategic report

Our markets 

Our divisions  

Business model  

Our strategic growth drivers  

Future milestones: strategy in action  

Key performance indicators  

Our management team 

 – Further approvals in major hospital 

Interim CEO operational review  

institutions

R&D, Clinical 
 – 11 new DermaPure clinical case studies 

undertaken for new applications 

 – Continuation of OrthoPure XT clinical 

data collection 

Management 
 – Daniel Lee appointed President, US 

Operations, January 2019 

 – Tina Trimble appointed VP, Donor 

Services, March 2019 

Financial overview  

Risks 

Sustainability  

s172 statement 

Governance

Profile of the current Directors  

Corporate governance  

Directors’ remuneration report  

£2.4m

Cash balance at 31 December 2019
 – Cash balance is after drawing down £1.0m 

 – Gareth Jones appointed interim CEO, 

Directors’ report  

August 2019 

Statement of directors’ responsibilities  

 – Kirsten Lund appointed Group Finance 

Director, November 2019

Financials

 – Lance Johnson appointed VP, Quality 

Independent Auditor’s Report  

of the Revolving Credit Facility (“RCF”)

and Regulatory, November 2019 

 – Secured debt facility of up to $20m with 

MidCap Financial Trust (“MidCap”) drawing 
down an initial $7.5m and accessing the 
$3m RCF in June 2019

 – Repaid $5.5m of MidCap Term Loan 

following renegotiation in November 2019

 – Completed an equity fundraise via 

placement of ordinary shares raising gross 
proceeds of £14.6m on 22 May 2020, 
conditional on shareholder approval at a 
General Meeting of shareholders and also 
to admission of the fundraising shares to 
trading on AIM

Post balance sheet events 
 – Company subject to cyber attack in 

January 2020, which was resolved with 
no long term impact

 – Q1 2020 revenue increased 18% year-

on-year

 – US Government backed loans of $1m 
secured April 2020 to assist with US 
cost base during COVID-19 pandemic

 – UK manufacturing staff furloughed due 

to COVID-19 pandemic

 – New strategic collaboration with a top 

10 global healthcare company for white 
label manufacturing announced May 
2020

 – CE Mark approval for OrthoPure XT 

received May 2020

Consolidated statement of  
comprehensive income  

Consolidated statement of financial   
position  

Consolidated statement of changes  
in equity  

Consolidated statement of cash flows  

Notes to the financial statements  

Company statement of changes  
in equity  

Company statement of financial  
position  

Company statement of cash flows  

Notes to the Company financial  
statements  

Notice of Annual General Meeting  

IFC

IBC

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Annual Report and Accounts for the year ended 31 December 2019

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27183  1 June 2020 4:29 pm  Proof 6 We remain focused on delivering positive, sustainable growth across key divisions of the business. Our strategic realignment has been successful, and having fully integrated CellRight Technologies into the Group, we have achieved considerable commercial and operational progress. We are well positioned to capitalise on these achievements, as well as to grow our addressable market opportunities through the launch of new products, and partnerships, during 2020 and beyond.INTERIM NON-EXECUTIVECHAIRMANJonathan GlennIntroductionDuring 2019 our focus was on optimising our supply chain and operational processes, which allows us to develop and maintain strong working relationships with our current and potential strategic partners. As previously announced we have experienced capacity constraints at our San Antonio facility however, despite this, we still reported top-line revenue growth of 12%, and saw continued significant demand for our products. As a result of the operational initiatives implemented throughout the year, we believe we are now positioned to achieve continued top-line growth into the future.Financial performanceThe Group recorded top-line revenue of £13.0m (2018: £11.6m) however, the overall performance was impacted by the capacity constraints experienced. This particularly affected our BioRinse orthopaedic portfolio, where we continue to see high levels of demand, from both our current customers and partners such as Arthrex, Inc.and also potential future opportunities that we are not currently positioned to serve until the additional capacity expansion project is completed.Our DermaPure portfolio, under the BioSurgery division, continued to see strong growth, increasing sales by 25% year-on-year, derived primarily from further penetration into key hospital accounts and the urogynaecology market, with strategic partner, ARMS Medical. Our controlled joint venture, GBM-v, has continued to increase revenue from their corneal business and is now financially self-sufficient. The Company renegotiated the terms of the MidCap Financial funding, secured in June 2019, repaying $5.5m of the initial $7.5m term loan and at the year end the Group recorded a cash position of £2.4m after drawing down £1m of the MidCap Revolving Credit Facility. The Board has successfully secured alternative financing, details of which were announced post year end, as discussed further below.   OperationsFollowing the review of our supply chain and operational processes we implemented several initiatives, including commencement of the recruitment and training of a second shift at the facility in San Antonio. However, due to the three-four month lead time for the BioRinse orthopaedic portfolio, the benefits of this increased processing became evident towards the end of the year, with an uptick in sales during Q4 which we expect to continue into 2020.    READ MORE IN THE INTERIM CEO REPORT  ON PAGES 18–21. Our strategyWe made the strategic decision to shift our focus away from R&D and concentrate on the commercialisation of the existing product lines. This still allows for product line extensions, such as DermaPure non-oriented, to be brought to market in a cost efficient and timely manner, but removes the cost and burden of organic product development and pre-clinical trials, as we focus on reaching break even and increasing value for our stakeholders.We have continued to strengthen our relationships with key strategic partners, including Arthrex and ARMS Medical. We have also identified additional opportunities and distribution agreements that target products and therapeutic areas which are complementary to current processing activities and will diversify the Group’s sales portfolio.  READ MORE ABOUT OUR STRATEGY  ON PAGES 10–11. TISSUE REGENIX GROUP PLC OVERVIEW / 02Chairman’s statement27183-Tissue-Regenix-AR-2019.indd   201-Jun-20   4:31:32 PMManagement

Post balance sheet events

Outlook

In January 2020, the Company was subject 
to a cyber attack at our base in San Antonio, 
Texas. There is not expected to be any 
long-term financial implications and, as 
announced on 15 April 2020, Q1 2020 sales 
grew by 18% year-on-year, confirming that 
sales were not materially impacted by this 
event. 

As with all businesses, the COVID-19 
pandemic has been a challenging time. 
However, I am encouraged by the work 
undertaken by the management team to 
ensure the health and wellbeing of our 
employees and stakeholders whilst also 
allowing processing at our San Antonio 
facility to continue in line with all relevant US 
Government protocols. We recently received 
US Government backed loans of $1m to 
assist with the payroll, health insurance and 
utility and rent payments in the US during this 
time. Further details of this can be found in 
the financial overview on page 21. 

In the UK, following UK Government advice, 
our technical and operations staff were 
furloughed and processing halted once we 
ensured there was sufficient levels of finished 
goods to meet near-term demand.  

During March 2020, John Samuel stepped 
down from the position of Executive 
Chairman and as a Director of the Board. 
John had been a Director of the Company 
for 12 years and played an important role in 
building the Company from a start up to its 
current form. On behalf of the Board and all 
stakeholders, I would like to thank John for 
his unwavering commitment to the Company 
throughout this time.

In line with our refocused strategy, in May 
2020 we entered a white label (unbranded) 
manufacturing agreement, launching a new 
product line with a top 10 global healthcare 
company. It is expected that this agreement 
will have a material impact on our top-line 
revenue during the next two years. 

In addition, OrthoPure XT, a decellularised 
xenograft ligament was awarded a CE mark 
in May 2020.

Following a recurrence of his illness, Steve 
Couldwell retired from the position of Chief 
Executive Officer (CEO) in August 2019. 
On behalf of the Board I would like to thank 
Steve for his commitment and exceptional 
leadership as both CEO and, prior to this, 
a Non-Executive Director of the Company. 
Gareth Jones, Chief Operating Officer, 
stepped into the interim CEO position 
where he remains, and Mike Barker joined 
as interim Chief Finance Officer in January 
2019 before being formally appointed in 
August 2019. Due to family circumstances, 
Mike stepped down from this position in 
November; I would like to thank Mike for 
his support and guidance in what was a 
challenging time for the management team. 
Kirsten Lund, Group Financial Controller, 
was promoted to Group Finance Director in 
November 2019.

We strengthened our operational 
management team in the US appointing 
Daniel Lee, President of US Operations, 
in January 2019, and Tina Trimble, VP 
Donor Services, in March 2019. Both bring 
significant experience to the team and have 
been at the forefront of implementing the 
successful operational improvements.

  READ MORE ABOUT OUR MANAGEMENT TEAM 
ON PAGES 16–17. 

S Operations 

Shareholders

In June 2019, Woodford Investment 
Management, the second largest shareholder 
of the Tissue Regenix Group, suspended 
their Equity Income Fund, instigating a 
period of uncertainty. During the year the 
composition and nature of our investor base 
changed with an increase in smaller funds 
and individual shareholders. On behalf of 
the Board I would like to thank all of our 
shareholders for their continued support of 
the business.

Our employees

Our employees remain a key stakeholder 
in the success of our business. We look 
to maintain a collaborative and supportive 
working environment where everyone 
can excel, and I would like to thank all 
employees for their continued hard work 
and commitment. Due to the shift in our 
strategy to focus on the commercial growth 
of our existing product portfolio, and as the 
Group looks to maintain cash reserves, a 
restructuring of our employee base was 
undertaken in Q4 2019, resulting in a number 
of redundancies, primarily from the R&D and 
clinical teams in the UK.

We believe there is strong underlying 
demand for our portfolio of products, 
which is further illustrated by our recent 
announcement regarding a new strategic 
collaboration.

The COVID-19 pandemic has affected most 
businesses during H1 2020. As previously 
communicated, a number of elective surgical 
procedures that utilise our products have 
been postponed and there remains ongoing 
uncertainty around level and duration of the 
disruption from the pandemic and therefore, 
the time it will take to perform any delayed 
surgical procedures thereafter. However, the 
Group has continued to work closely with 
partners and distributors during this time and 
we remain confident that, once appropriate, 
we are well positioned to service the demand 
for our products and address these clinical 
requirements. 

Post-period, on 22 May 2020, we 
announced that gross proceeds of £14.6m 
had been conditionally raised through an 
offer of new ordinary shares in the Company 
to institutional and qualifying retail investors. 

This fundraise is conditional on shareholder 
approval at a General Meeting of 
shareholders to be held on 9 June 2020, and 
also to admission of the fundraising shares 
to trading on AIM. If this does not occur, the 
Directors would consider alternative sources 
of funding, however the Group would only 
have sufficient working capital to trade 
through to the first week of August without 
taking any mitigating measures and the 
Directors may not be in a position to pursue 
further the commercial activities of the Group 
and in such circumstances would need to 
take immediate steps to protect the position 
of its creditors.

The injection of capital from this fundraising 
will allow the Group to accelerate the 
planned capacity expansion of its US 
manufacturing facility and capabilities. 
Additionally, during 2019, we made 
significant progress in optimising processes 
at the current facility, such that donor 
throughput had more than doubled by the 
end of the year. Together this investment and 
the current operational initiatives will enable 
us to meet the anticipated future demand 
for our products, and allow us to realise new 
opportunities that we foresee emerging once 
the impact of the COVID-19 pandemic has 
passed. This, we believe, will translate into 
a step change for the business. Therefore, 
despite the current near-term uncertainty 
resulting from the COVID-19 pandemic, the 
Board remains confident in the Group’s future 
prospects.  

Jonathan Glenn
Interim Chairman

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27183  1 June 2020 4:29 pm  Proof 6Two high growth product lines focused on bone and skin:Healthcare areaBone SkinTechnology platformBioRinse®dCELL®FY19 revenue£6.7m£4.2mProductsConCelltrate®DermaPure®Applications |Foot/ankle |Spine |Dental |Orthopaedics |Urogynaecology |Sports medicine |Open wound |PlasticsDifferentiators +  Induces new bone growth + Faster healing + Superior handling + Reduced flush out + Clinical outcomes + No second graft site required +  Stored at room temperature + Superior handlingProduct portfolioTwo innovative technology platforms - Three key clinical focus areas - Four strategic growth driversInnovative platform technologies  READ MORE ABOUT OUR STRATEGIC  GROWTH DRIVERS PAGES 10–11. –BioRinse™ Technology – Natural bone filler solutions verified to be osteoinductive to stimulate and regenerate native bone growth Differentiated characteristics:  –Maintaining the five key natural bone growth factors and bone morphogenic proteins that promote active regeneration  –Contains 100% allograft bone, proven to produce better clinical outcomes  –Verified to be osteoinductive –Ability to deliver malleable bone collagen scaffolds in various physical forms to meet clinical needs –dCELL® Technology – Gentle soft tissue decellularisation process, removes DNA and cellular material to reduce risk of rejectionDifferentiated characteristics:  –Maintains the natural acellular scaffold of the tissue structure to allow for cellular proliferation  –Supports regeneration of native tissue  –Stored at room temperature –Can be applied to both human or animal tissue sources –Favourable health economic benefits due to reduced operation time, reduction in rehabilitation required, no anticoagulant drugs Addressing clinical needs through complementary bone and soft tissue platformsTISSUE REGENIX GROUP PLC OVERVIEW / 04At a glance Through our platform technologies, Tissue Regenix are focused on the development of regenerative medicine products, in three key clinical areas: BioSurgery, Orthopaedics and Dental, with an active development programme in the Cardiac field.27183-Tissue-Regenix-AR-2019.indd   401-Jun-20   4:31:36 PM27183  1 June 2020 4:29 pm  Proof 6ProductApplication/indicationPhase Primary market DermaPure – Decellularised allograft tissue Orthopaedics, trauma, woundcareHCT/PsUSA DermaPure Non-Oriented – Decellularised allograft tissue with no basement membrane Urogynaecology and surgicalRegistered with the FDA as HCT/Ps USASurgiPure XD – Decellularised xenograft tissue Hernia repair510(K) Clearance USA OrthoPure XT – Decellularised xenograft ligamentAnterior cruciate ligamentCE Mark certifiedUK and EUConCelltrate 100 – Demineralised allograft bone matrix Orthopaedics, spine Registered with the FDA as HCT/Ps USAMatrix OI FlexIt – Demineralised cortical bone strip Maxillofacial, periodontal defects Registered with the FDA as HCT/PsUSAMatrix OI 100 DBM – Demineralised cortical fibres and fillers with mineralised cancellous fibresSpinal, lumbar fusions, non-structural bone-grafting Registered with the FDA as HCT/PsUSA Matrix OI Strips & Blocks – Stem cell containment scaffold that minimises the use of fixations devicesOrthopaedics, spinalRegistered with the FDA as HCT/PsUSAMatrixCellect 100 DBM – Demineralised allograft bone putty Orthopaedics, spinal Registered with the FDA as HCT/PsUSAMartixCellect 100 DBM Crunch – Demineralised allograft bone matrix containing cancellous chips Orthopaedics, spinal Registered with the FDA as HCT/PsUSA Matrix IQ – Decellularised allograft tissue Maxilliofacial and dentalRegistered with the FDA as HCT/PsUSAAmnioWorks – Human Amniotic membrane Surgical graft Registered with the FDA as HCT/PsUSADentalFix – mineralised particulate allografts featuring a unique elongated shapeDental and maxillofacial Registered with the FDA as HCT/PsUSAKey: Tissue types:Allograft – donated human tissues/bone Xenograft – donated porcine (pig) tissue Amniotic membrane – inner most layer of the placenta recovered following delivery of the child  Demineralised Cortical bone – the outer part of the bone, which retains biologic properties including growth factors Demineralised Cancellous bone – porous bone matrix which provides a scaffold to allow growth of the patient’s own bone.1   http://www.aabb.org/advocacy/regulatorygovernment/ct/hctps/Pages/default.aspx2   https://www.fda.gov/medical-devices/premarket-submissions/premarket-notification-510k 3   https://www.gov.uk/guidance/medical-devices-conformity-assessment-and-the-ce-markThe Group has a novel product portfolio of both soft tissue and bone applications to address a number of clinical indications. Phase: Registered with FDA as HCT/Ps – USA regulatory pathway Human cells, tissues, and cellular and tissue-based products (HCT/Ps) consist of human cells or tissues intended for implantation, transplantation, infusion or transfer into a human recipient.1 Products must be:  |Minimally manipulated  |Intended for homologous use only 510(k) clearance – USA regulatory pathway A 510(k) is a premarket submission made to FDA to demonstrate that the device to be marketed is as safe and effective, that is, substantially equivalent, to a legally marketed device.2CE Mark approval – UK & EU regulatory pathway Demonstrate that the medical device meets the requirements in the Medical Devices Directive (MDD) by carrying out a conformity assessment. The assessment route depends on the classification of the device.The CE mark can be placed on the product to show that the medical device has met the requirements when it has passed the conformity assessment.3Annual Report and Accounts for the year ended 31 December 2019OVERVIEW / 05Product pipeline27183-Tissue-Regenix-AR-2019.indd   501-Jun-20   4:31:40 PM27183  1 June 2020 4:29 pm  Proof 6The demand for biologic regenerative treatments is driven by a demographic shift towards a more active, older generation and an increase in lifestyle-related illnesses such as obesity and diabetes.  Health systems need to be transformed so that they can ensure affordable access to evidence-based medical interventions that respond to the needs of older people and can help prevent care dependency later in life1.”Tissue Regenix is helping to transform the treatment of patients in three key areas: BioSurgery, Orthopaedics and Dental, with an active development programme in Cardiac applications. Our products address sports medicine, spine, degenerative diseases, surgical and oral conditions. What is regenerative medicine?Regenerative medicine is an interdisciplinary field that focuses on providing safe and reliable ways to repair, restore, or replace damaged tissues or organs. The two main components of regenerative medicine are stem cell therapy and tissue engineering.Health economicsThe shift in demographics has increased the strain on both private and public healthcare systems, as they look to accommodate an increasing number of patients and procedures within limited budgets. In order to maintain the level of mobility they seek, patients are requiring repeated surgeries and therefore new novel technologies are emerging to combat this. Regenerative medicine has the potential to assist with this growing global dilemma as it has been shown to minimise healing time, hospital stays and rehabilitation spends, reducing the overall end-to-end spend for multiple procedures. Increasing clinical demand Regenerative, biologic solutions are being utilised in an increasing number of clinical applications and one area where Tissue Regenix has seen increasing market demand is urogynaecology. With over 100,0002 women in the US filing personal injury lawsuits following complications from the implantation of transvaginal mesh patches, the FDA acted in April 2019 ordering manufacturers of surgical mesh to stop selling all devices intended for transvaginal repair of pelvic organ prolapse3. As these products were withdrawn from the market there was a clear need for a biologic solution for the approximately 200,0004 women in the US who undergo surgical procedures each year.Regenerative medicineMarket opportunitiesCellRight Technologies  San Antonio, Texas –Human Tissue US –Processing dCELL® and BioRinse productsGBM-v Rostock Germany  –Human Tissue EU –Corneas and working on regulatory approvals for Cardiac productsTissue Regenix  Leeds, UK  –Porcine Tissue –Processing SurgiPure XD and OrthoPure XT Global operations infrastructurePlatform for international expansionRegulatory environment The medical device and biologics industry is highly regulated with specific country and institutional regulations for the approval and use of products. Our human tissue products are regulated under the HCT/P pathway for minimally manipulated tissues in the US, whilst in Europe where we look to commercialise our xenograft tissues, we are subject to the Medicines and Healthcare products Regulatory Agency (MHRA), and  also, the Medical Device Regulations, introduced in 2017. Following Britain’s exit from the European Union, the MHRA has confirmed that during the transition period to the 31 December 2020, CE Certificates will continue to be valid for both EU and UK markets.1  https://www.who.int/ageing/health-systems/en/ 2   https://www.meshmedicaldevicenewsdesk.com/mesh-lawsuit/ 3   https://www.fda.gov/news-events/press-announcements/fda-takes-action-protect-womens-health-orders-manufacturers-surgical-mesh-intended-transvaginal4   https://www.uptodate.com/contents/pelvic-organ-prolapse-in-women-choosing-a-primary-surgical-procedureTISSUE REGENIX GROUP PLC STRATEGIC REPORT / 06Our markets27183-Tissue-Regenix-AR-2019.indd   601-Jun-20   4:31:47 PM27183  1 June 2020 4:29 pm  Proof 6BioSurgeryRepair and replacement of soft tissue – dCELL®Orthopaedics & DentalRepair and augmentation of bone and soft tissue – BioRinse™ & dCELL®GBM-v & CardiacMulti-tissue bank facility, supplying corneas and working on pulmonary and aortic heart valve regulatory approvals2019 achievements  –Soft launch for product line extension  DermaPure non-oriented   –Increased inventory by outsourcing some DermaPure production to CTS  –Secured a number of prestigious marque accounts   –Achieved further GPO approval taking total to c.95% of hospitals covered 2020 milestones –Full roll out of DermaPure non-oriented  –Identify potential distribution opportunities for SurgiPure XD  –Further expansion into the North American market and overseas markets  –Secure a strategic partner for woundcare applications 2019 achievements  –Increased processing throughput for orthopaedic (BioRinse) portfolio  –Increased amniotic product processing and throughtput  –Revamped donor services team and recruited employees with key skills  –Recruited and introduced a second shift at San Antonio facility 2020 milestones –Secure additional strategic partnerships  –Launch additional product lines in collaboration with strategic partners  –Complete phase one of the facility expansion project –Review opportunities for OrthoPure XT following CE Mark approval 2019 achievements  –Increased sales of cornea products by 13% year-on-year –Progressed CardioPure regulatory clearance application2020  milestones –Achieve marketing authorisation in Germany for cryopreserved valves, CardioPure dCELL heart valves and Pulmonary Patch –Start commercial distribution of CardioPure products –Develop proposition to contract manufacture cardiac tissue products for other European tissue banksOur divisionsThe Group comprises of  three key operating divisions allowing each to function independently and appoint the optimal commercial strategy, management and access to relevant Key Opinion Leaders. This also allows us the benefits of operational synergies across the Group while reporting against each division financially. 25% increase year-  on-year salesGBM-VFinancially self sustainableProcessingmore than doubled in the yearThrough demonstrating our product differentiators and clinical outcomes during  2019 we have gained:11 new case studies (8 Orthopaedics, 2 General, 1 Oral/maxillofacial)7 poster presentationsThrough demonstrating our product differentiators and clinical outcomes during 2019 we have gained:2 new case studies5 new KOL/healthcare professionals Surgeon specialtyNumber of new healthcare professionals with agreementsOrthopaedics7Vascular1Plastics2Urology1General1Annual Report and Accounts for the year ended 31 December 2019STRATEGIC REPORT / 07Our divisions27183-Tissue-Regenix-AR-2019.indd   701-Jun-20   4:31:57 PM27183  1 June 2020 4:29 pm  Proof 6Gentle soft tissue decellularisation process, removing DNA and cellular material to reduce risk of rejection.The dCELL® process involves the creation of biological scaffolds, which are essentially inert. By removing DNA and cellular material from biological tissues, the patient’s cells can repopulate and colonise, creating new, like-for-like tissue, which is recognised and accepted by the body, significantly reducing the risk of rejection, and stimulating a natural healing process.PeopleOur employees are key to our continued growth due to their experience, qualifications and commitment.IPProvides protection for the technologies at the heart of our business; a fundamental resource for our growth.Working capital Supports the product development pipeline and enables us to make investments that support our future growth.Manufacturing capabilitiesFundamental in ensuring the production and development of our products on a global scale.Strategic partnershipsAllowing faster market penetration, physician conversion and delivering revenue growth.Licensing and  distribution agreementsEnsuring we can serve the global market potential.Natural bone filler solutions guaranteed to be osteoinductive to stimulate and regenerate native bone growth.This process has the potential to provide better clinical outcomes as it contains 100% allograft bone, maintaining the five key natural bone growth factors, and can deliver these properties through malleable bone collagen in various physical forms.BioRinse™ TechnologydCELL® TechnologyIn order to continue to create value for our stakeholders, we invest in the Group’s key resources. For example, improving our manufacturing capabilities.We aim to implement a business model that ensures our product portfolios have the market reach and penetration to deliver novel, regenerative solutions to patients, and provide returns to our shareholders. Through a combination of strategic partnerships, distributors and direct sales, we believe we have a balanced and robust business model to drive our commercial growth, achieve our key performance indicators and transform patient care. Our offeringOur key resourcesTISSUE REGENIX GROUP PLC STRATEGIC REPORT / 08Business model27183-Tissue-Regenix-AR-2019.indd   801-Jun-20   4:31:58 PMOur key activities

Our competitive 
advantage

We create value for 
our stakeholders

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Commercialisation
Currently we have a portfolio 
of 12 primary product lines on 
the market, with new product 
line extensions in the pipeline. 
It is also our intention to 
expand into new geographic 
territories.

02

Optimisation
Ensuring that we maintain 
product differentiation, 
optimise our margins and 
have a competitive market 
offering.

03

Distribution  
and licensing
Building a network of key 
distributors and evaluating 
licensing opportunities for 
new geographic territories.

Patients
Providing a return to a better quality of 
life, differentiated clinical outcomes and 
optimised healthcare costs.

Partners
Strong strategic partnerships with large 
scale businesses and continued growth 
opportunities in the long term.

Physicians and 
healthcare providers
Products with ease of use that will benefit 
their patients and provide economic 
benefits to the whole healthcare system.

Shareholders
Investment in a Company with growth 
opportunities that is focused on creating 
sustainable value for both shareholders 
and addressing wider socio-economic 
issues.

Employees
We provide training and development 
opportunities, promote a positive 
professional culture, and support a 
healthy work/life balance.

  READ MORE ABOUT OUR  
STAKEHOLDERS ON PAGES 28 AND 29.

Distributor 
network
We can leverage cross-
selling opportunities 
through our distributor 
network and industry 
relationships.

Team
Our experienced 
management team, 
well qualified and 
skilled employees, 
and knowledgeable 
Board ensure we have 
the capabilities to deliver 
future growth.

Innovation
We have an innovative 
product pipeline with 
multiple opportunities 
to develop the 
commercialisation of our 
platform technologies.

Products
Performance of our 
products in the clinical 
environment provides 
us with a competitive 
advantage over 
competitors.

Manufacturing
We have international 
manufacturing capabilities 
and an expanding 
geographic presence.

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Our strategic growth drivers

Strategic objective

Description

2019 performance

Focus and goals for 2020

Link to KPIs

Link to risks

The US is the largest healthcare market in 
the world and where we see the greatest 
opportunity. 

We intend to leverage our platform 
technologies dCELL® and BioRinse to further 
our market penetration though a hybrid 
sales model, a combination of direct sales, 
distribution and OEM agreements. 

 – Second shift commenced in San Antonio facility

 – Achieved further GPO coverage taking total to 

c.95% for DermaPure

 – Secured additional prestigious hospital 

accounts 

 – DermaPure non-oriented soft launch  

 – New dental distributors signed  

 – Further penetration into high volume accounts 

Our current commercialisation efforts are 
focused on the US markets; however, there is 
the opportunity and market demand for us to 
enter new geographic territories.

We have been restricted in our ability to provide 
our BioRinse products for international expansion 
due to our processing capacity constraints. 
However, where opportunities have arisen that 
can be fulfilled without detrimental impact on 
existing business, we have supplied product into 
other territories such as Canada, Central America,  
South America and Saudi Arabia. 

Accelerate 
US market 
penetration

Exploit global 
market potential

 – Continued to strengthen relationships with 

existing strategic partners, particularly Arthrex, 
Inc. and ARMS Medical.

 – Brought DermaPure non-oriented to market 
following consultation with ARMS Medical  

 – Entered discussions with other significant 
parties for IP and product development 
collaborations 

 – Undertaken 11 additional DermaPure case 
studies for different clinical applications

 – Signed 12 new Key Opinion Leaders for 

DermaPure

 – Launched DermaPure non-oriented

 – Undertaken two case studies for BioRinse 

portfolio 

At the beginning of 2018 we revised our 
commercial strategy, which we continue to 
implement, with a focus on establishing and 
building strategic partnerships to further our 
market penetration. 

Broaden strategic 
partnerships

This allows for the potential to increase OEM 
agreements and initiate discussions around 
joint IP collaborations.  

Our success is reliant upon the ability to 
commercialise our current product portfolio 
and the potential for augmenting this with line 
extensions and new innovative products.  

We therefore look to establish a database 
of compelling clinical data to validate our 
technology platforms and further our physician 
conversion rates.  

These clinical data portfolios are also 
imperative when we seek new strategic 
partnership opportunities and when navigating 
regulatory clearance in new territories.

Strengthen  
portfolio

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TISSUE REGENIX GROUP PLC 

 – Commence phase one of capacity expansion programme 

 – Group sales growth 

 – Finance – Insufficient funds 

 – Strengthen relationships with strategic partners 

 – Extended roll out of DermaPure non-oriented product

 – Expand distribution network 

 – Launch new product SKUs 

 – Increase number of 

strategic partnership 

and distribution 

opportunities

to invest in the required 

expansion 

 – Operational – The Group is 

unable to expand in line with 

demand 

 – Commence phase one of the capacity expansion project

 – Group sales growth  

 – Finance – Insufficient funds 

 – Evaluate opportunities for OrthoPure XT in the UK and select European 

 – Increase number of 

markets

distribution network

 – Ramp up European market awareness of BioRinse products through our 

strategic partnerships 

and distribution 

opportunities 

 – Enter distribution arrangements with overseas partners for the supply of 

our dCELL® product range 

 – Investigate potential licencing opportunities in other geographic 

territories

 – Ramp up DermaPure non-oriented opportunity and market penetration 

 – Group sales growth  

 – Operational - The Group is 

in partnership with ARMS Medical 

 – Clinical data collection

 – Launch new product developments with strategic partners  

 – Enter new clinical applications and geographic territories with new and 

existing strategic partners 

 – Identify potential distribution opportunities for SurgiPure XD

 – Evaluate opportunities for OrthoPure XT in the UK and select European 

 – Clinical data collection  

 – Clinical & Regulatory – Loss 

markets

 – Launch new product developments with strategic partners  

 – Improve product 

portfolio and pipeline 

 – Collect additional real work clinical data through case studies 

 – IP collaboration 

 – Commence post marketing clinical studies 

to invest in the required 

expansion

 – Operational – The Group is 

unable to expand in line with 

demand

 – Clinical & Regulatory – Loss 

of license or restriction due to 

regulatory failings

 – Political landscape

unable to expand in line with 

demand

 – Commercial - Competitor 

product could reach the 

market first or outperform the 

Group’s products

of license or restriction due to 

regulatory failings

 – Commercial – Competitor 

product could reach the 

market first or outperform the 

Group’s products 

 – Finance – Insufficient funds to 

commence or complete trials 

 – Operational – The Group is 

unable to expand in line with 

demand

 
 
 
the world and where we see the greatest 

opportunity. 

 – Achieved further GPO coverage taking total to 

c.95% for DermaPure

 – Secured additional prestigious hospital 

We intend to leverage our platform 

technologies dCELL® and BioRinse to further 

accounts 

our market penetration though a hybrid 

 – DermaPure non-oriented soft launch  

sales model, a combination of direct sales, 

distribution and OEM agreements. 

 – New dental distributors signed  

 – Further penetration into high volume accounts 

Our current commercialisation efforts are 

We have been restricted in our ability to provide 

focused on the US markets; however, there is 

our BioRinse products for international expansion 

the opportunity and market demand for us to 

due to our processing capacity constraints. 

enter new geographic territories.

However, where opportunities have arisen that 

can be fulfilled without detrimental impact on 

existing business, we have supplied product into 

other territories such as Canada, Central America,  

South America and Saudi Arabia. 

Accelerate 

US market 

penetration

Exploit global 

market potential

At the beginning of 2018 we revised our 

 – Continued to strengthen relationships with 

commercial strategy, which we continue to 

existing strategic partners, particularly Arthrex, 

implement, with a focus on establishing and 

Inc. and ARMS Medical.

building strategic partnerships to further our 

market penetration. 

 – Brought DermaPure non-oriented to market 

following consultation with ARMS Medical  

 – Entered discussions with other significant 

parties for IP and product development 

collaborations 

Broaden strategic 

partnerships

This allows for the potential to increase OEM 

agreements and initiate discussions around 

joint IP collaborations.  

Strengthen  

portfolio

Our success is reliant upon the ability to 

 – Undertaken 11 additional DermaPure case 

commercialise our current product portfolio 

studies for different clinical applications

and the potential for augmenting this with line 

extensions and new innovative products.  

 – Signed 12 new Key Opinion Leaders for 

DermaPure

We therefore look to establish a database 

 – Launched DermaPure non-oriented

of compelling clinical data to validate our 

 – Undertaken two case studies for BioRinse 

technology platforms and further our physician 

portfolio 

conversion rates.  

These clinical data portfolios are also 

imperative when we seek new strategic 

partnership opportunities and when navigating 

regulatory clearance in new territories.

Strategic objective

Description

2019 performance

Focus and goals for 2020

Link to KPIs

Link to risks

The US is the largest healthcare market in 

 – Second shift commenced in San Antonio facility

 – Commence phase one of capacity expansion programme 

 – Strengthen relationships with strategic partners 

 – Extended roll out of DermaPure non-oriented product

 – Expand distribution network 

 – Launch new product SKUs 

 – Group sales growth 

 – Increase number of 

strategic partnership 
and distribution 
opportunities

 – Finance – Insufficient funds 
to invest in the required 
expansion 

 – Operational – The Group is 

unable to expand in line with 
demand 

 – Commence phase one of the capacity expansion project

 – Group sales growth  

 – Evaluate opportunities for OrthoPure XT in the UK and select European 

 – Increase number of 

markets

 – Ramp up European market awareness of BioRinse products through our 

distribution network

 – Enter distribution arrangements with overseas partners for the supply of 

our dCELL® product range 

 – Investigate potential licencing opportunities in other geographic 

territories

strategic partnerships 
and distribution 
opportunities 

 – Finance – Insufficient funds 
to invest in the required 
expansion

 – Operational – The Group is 

unable to expand in line with 
demand

 – Clinical & Regulatory – Loss 

of license or restriction due to 
regulatory failings

 – Political landscape

 – Ramp up DermaPure non-oriented opportunity and market penetration 

 – Group sales growth  

 – Operational - The Group is 

in partnership with ARMS Medical 

 – Clinical data collection

 – Launch new product developments with strategic partners  

 – Enter new clinical applications and geographic territories with new and 

existing strategic partners 

 – Identify potential distribution opportunities for SurgiPure XD

unable to expand in line with 
demand

 – Commercial - Competitor 
product could reach the 
market first or outperform the 
Group’s products

 – Evaluate opportunities for OrthoPure XT in the UK and select European 

 – Clinical data collection  

 – Clinical & Regulatory – Loss 

markets

 – Launch new product developments with strategic partners  

 – Improve product 

portfolio and pipeline 

 – Collect additional real work clinical data through case studies 

 – IP collaboration 

 – Commence post marketing clinical studies 

of license or restriction due to 
regulatory failings

 – Commercial – Competitor 
product could reach the 
market first or outperform the 
Group’s products 

 – Finance – Insufficient funds to 
commence or complete trials 

 – Operational – The Group is 

unable to expand in line with 
demand

Annual Report and Accounts for the year ended 31 December 2019

  READ MORE ABOUT OUR  
KPIS ON PAGES 14 AND 15.

  READ MORE ABOUT OUR  
RISKS ON PAGES 22 TO 25.

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Future milestones: strategy in action

Strategic objective

Focus

Near 6–12 months

Mid 12–18 months

Long 18+ months

Drive sales growth of current products in the 
US market through current direct and indirect 
distribution channels and increasing GPO 
relationships

 – Launch DermaPure non-oriented for 

urogynaecology applications  

 – Increase operational capacity through 

commencement of phase 1 of the capacity 
expansion programme

 – Collection and publication of real world clinical data

 – Collaboration with strategic partners for future product 

 – Assess capital availability for phase 2 of the capacity expansion 

development 

programme

Continue to build global sales reach through 
expansion of distribution partnerships and 
licensing agreements 

 – Target additional territories for distribution 

and licensing opportunities

 – Continued expansion of UK and EU BioRinse distribution 

 – Focus on business development for geographic expansion

opportunities

 – Pursue licensing and partnership opportunities  

Pursue further, and develop existing 
distribution, licensing or IP collaboration 
partnerships 

 – Sign up additional strategic partnerships for 

OEM and product collaboration opportunities 

 – Increase licensing and strategic partnerships

 – Pursue further joint IP opportunities

Bring new products and product line 
extensions to market from pipeline of products 
currently in development

 – Identify potential distribution opportunities for 

 – CardioPure manufacturing and marketing license

 – Collaboration with strategic partners for future product 

SurgiPure XD

 – Evaluate opportunities for OrthoPure XT in the 

UK and select European markets

development 

Accelerate 
US market 
penetration

Exploit global 
market potential 

Broaden strategic 
partnerships

Strengthen  
portfolio

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TISSUE REGENIX GROUP PLC 

 
 
 
Accelerate 

US market 

penetration

Exploit global 

market potential 

Broaden strategic 

partnerships

Strengthen  

portfolio

Strategic objective

Focus

Near 6–12 months

Mid 12–18 months

Long 18+ months

Drive sales growth of current products in the 

 – Launch DermaPure non-oriented for 

US market through current direct and indirect 

urogynaecology applications  

distribution channels and increasing GPO 

relationships

 – Increase operational capacity through 

commencement of phase 1 of the capacity 

expansion programme

 – Collection and publication of real world clinical data

 – Collaboration with strategic partners for future product 

 – Assess capital availability for phase 2 of the capacity expansion 

development 

programme

Continue to build global sales reach through 

 – Target additional territories for distribution 

expansion of distribution partnerships and 

and licensing opportunities

licensing agreements 

 – Continued expansion of UK and EU BioRinse distribution 

 – Focus on business development for geographic expansion

opportunities

 – Pursue licensing and partnership opportunities  

Pursue further, and develop existing 

 – Sign up additional strategic partnerships for 

distribution, licensing or IP collaboration 

OEM and product collaboration opportunities 

partnerships 

 – Increase licensing and strategic partnerships

 – Pursue further joint IP opportunities

Bring new products and product line 

 – Identify potential distribution opportunities for 

 – CardioPure manufacturing and marketing license

 – Collaboration with strategic partners for future product 

development 

extensions to market from pipeline of products 

SurgiPure XD

currently in development

 – Evaluate opportunities for OrthoPure XT in the 

UK and select European markets

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Key performance indicators

KPI

FINANCIAL

Cash position

Definition

Why this is important?

Commentary

Link to strategy

Maintaining sufficient cash resources to enable the 
business to develop.

Ensuring sufficient cash resources to support the 
investment and working capital requirements of the 
Group for the long-term success of the business.

Following the repayment of $5.5m to MidCap Financial our cash resources were 

A blend of all four strategic growth 

limited and started to hinder the growth of the Group. However, it is believed that the 

drivers 

equity placing announced post year-end will allow for the investment into facilities and 

working capital to drive the future success of the business. 

Group sales  
growth

An increase in top-line revenue delivered across 
key commercial divisions. 

In order to reach sustainable profitability, Group sales 
must increase to allow investment in development and 
make returns to shareholders. 

Despite operational challenges due to manufacturing capacity constraints during 2019 

A blend of all four strategic growth 

we increased the top-line sales by 12% year-on-year. As we see the additional supply 

drivers 

coming online, through the operational initiatives implemented, to meet this growing 

demand, we expect this top-line sales growth to accelerate. 

CLINICAL

Clinical data 
collection

Clinical data is increasing in importance as 
physicians and healthcare providers seek the best 
products for both clinical outcomes and economic 
value.

IP collaboration and 
exploitation

Intellectual property is at the heart of our business 
for both dCELL® and BioRinse portfolios. 
Collaboration allows us to expand the potential of 
these IP platforms as we explore licensing deals 
and future R&D opportunities. 

The regulatory pathways for our porcine products is 
dependent upon the ability to produce, run and monitor 
a successful clinical trial. Clinical data is collected in post 
marketing studies to demonstrate our differentiating 
factors and  reinforce the economic and clinical benefits, 
and drive clinical adoption. 

Our business is built around two platform technologies 
and our ability to successfully protect, commercialise and 
differentiate our products. 
IP collaboration allows us to leverage our R&D capabilities 
while utilising the large marketing and distribution arms of 
our partners. 

We continue to collect clinical data to strengthen our portfolio following the CE mark 

certification for OrthoPure XT to supplement the three years clinical data, to date.   

We have a number of respected Key Opinion Leaders who work with us undertaking 

case studies and presenting at prestigious conferences across the world. During 2019 

we undertook 11 new case studies for DermaPure, and 2 for BioRinse products. We 

look to continue to increase the number of case studies collected moving forward. 

Accelerate market penetration 

Strengthen portfolio

We continuously review our IP portfolio to ensure that we have in place the correct 

Strengthen portfolio  

level of protection for patents and processes in territories and ensure that infringement 

Accelerate market penetration 

does not occur. 

Although the dCELL process is patent protected, we keep the BioRinse process as 

know-how in order to protect this IP.

COMMERCIAL

Improve product 
portfolio and pipeline 

Increase number  
of strategic partners 
and distribution 
opportunities

OPERATIONAL

Increase 
manufacturing 
capacity  

HR

Staff retention and 
development

In order to ensure the business can continue to 
develop there is a need to continually assess, and 
when appropriate, develop and launch products 
where market needs are identified.

In order to improve our competitive advantage, it is 
important that we augment our product portfolio with 
product line extensions, which increase our market 
penetration and augment the existing product portfolio; 
these line extensions generally have an expedited route to 
market and favourable margins.

Strategic partnerships are key to our 
commercialisation strategy, allowing us to access 
partners’ distribution networks, potential licensing 
opportunities and R&D collaboration.

To enable our products to reach the largest possible 
audience, it is important that we continually develop 
our routes to market and expand our network with new 
partners.

During 2019 we launched DermaPure non-oriented specifically for urogynaecological 

applications, which provides increased yields from donors by utilising different layers 

of the dermis and has a favourable margin impact due to the minimal additional work 

required. 

Strengthen portfolio 

Accelerate market penetration 

During 2019 we expanded our GPO approvals to c.95% of the US hospitals under 

Broaden strategic partnerships

these agreements allowing them to access DermaPure. This extensive coverage has 

enabled us to expand our distribution network and customer base which now includes  

several key hospital accounts.

We must ensure that we have enough processing 
capacity to meet the growing demand, with the 
correct technical and operational experts to 
facilitate this. 

As we look to grow our top-line revenue, and further 
market penetration with our strategic partners, we must 
be able to process enough inventory to meet demand. 
Without this, we risk losing potential partners as they 
move their requirements elsewhere.  

During 2019 we initiated a second shift for processing in our San Antonio facility, 

specifically for the BioRinse product portfolio, whilst outsourcing a percentage of our 

DermaPure production to CTS. We also signed a lease on a 21,000 sq ft facility that 

will allow us to expand further once the required funding is secured.  

Accelerate US market penetration

Exploit global market potential 

Broaden strategic partnerships

The retention and development of employees is 
key as we invest in relevant training, qualifications 
and development, while also ensuring that 
succession plans are in place. 

Our industry is highly skilled and reliant upon employees 
with the correct qualifications, training and experience. 
Therefore, staff retention is key and the ability to attract 
and maintain the best talent in the industry provides us 
with a competitive edge. 

In Q4 2019 we undertook a restructuring of our employee base to focus on 

A blend of all four strategic growth 

commercialisation and operational activities. As part of this exercise we increased the 

drivers 

number of processors and key operational hires in the US, allowing us to commence 

a second shift for BioRinse processing. Our succession plan came to the fore with the 

promotion of Kirsten Lund to Group Finance Director.  

ENVIRONMENTAL SUSTAINABILITY 

Responsible energy 
consumption 

With increasing scrutiny on businesses’ 
environmental footprints, it is imperative that we 
take all available measures to reduce our energy 
consumption and operate in a sustainable and 
responsible manner.

Our facilities require specific storage, temperature and 
air quality, all of which can consume a large volume of 
energy, especially when required 24 hours a day. We 
must ensure that we take all available options to reduce 
our energy consumption and increase our environmental 
sustainability.

TISSUE REGENIX GROUP PLC 

During the year we implemented an energy reduction programme at the UK 

A blend of all four strategic growth 

manufacturing facility to allow for more efficient clean room operation and shut down 

drivers 

during periods of inactivity leading to an overall energy saving of 35%. 

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KPI

FINANCIAL

Cash position

Group sales  

growth

CLINICAL

Clinical data 

collection

COMMERCIAL

Increase number  

of strategic partners 

and distribution 

opportunities

OPERATIONAL

Increase 

manufacturing 

capacity  

HR

Staff retention and 

development

Definition

Why this is important?

Commentary

Link to strategy

Maintaining sufficient cash resources to enable the 

Ensuring sufficient cash resources to support the 

business to develop.

investment and working capital requirements of the 

Group for the long-term success of the business.

Following the repayment of $5.5m to MidCap Financial our cash resources were 
limited and started to hinder the growth of the Group. However, it is believed that the 
equity placing announced post year-end will allow for the investment into facilities and 
working capital to drive the future success of the business. 

A blend of all four strategic growth 
drivers 

An increase in top-line revenue delivered across 

In order to reach sustainable profitability, Group sales 

key commercial divisions. 

must increase to allow investment in development and 

make returns to shareholders. 

Despite operational challenges due to manufacturing capacity constraints during 2019 
we increased the top-line sales by 12% year-on-year. As we see the additional supply 
coming online, through the operational initiatives implemented, to meet this growing 
demand, we expect this top-line sales growth to accelerate. 

A blend of all four strategic growth 
drivers 

Clinical data is increasing in importance as 

The regulatory pathways for our porcine products is 

physicians and healthcare providers seek the best 

dependent upon the ability to produce, run and monitor 

products for both clinical outcomes and economic 

a successful clinical trial. Clinical data is collected in post 

value.

marketing studies to demonstrate our differentiating 

factors and  reinforce the economic and clinical benefits, 

and drive clinical adoption. 

IP collaboration and 

exploitation

Intellectual property is at the heart of our business 

Our business is built around two platform technologies 

for both dCELL® and BioRinse portfolios. 

and our ability to successfully protect, commercialise and 

Collaboration allows us to expand the potential of 

differentiate our products. 

these IP platforms as we explore licensing deals 

IP collaboration allows us to leverage our R&D capabilities 

and future R&D opportunities. 

while utilising the large marketing and distribution arms of 

our partners. 

We continue to collect clinical data to strengthen our portfolio following the CE mark 
certification for OrthoPure XT to supplement the three years clinical data, to date.   
We have a number of respected Key Opinion Leaders who work with us undertaking 
case studies and presenting at prestigious conferences across the world. During 2019 
we undertook 11 new case studies for DermaPure, and 2 for BioRinse products. We 
look to continue to increase the number of case studies collected moving forward. 

We continuously review our IP portfolio to ensure that we have in place the correct 
level of protection for patents and processes in territories and ensure that infringement 
does not occur. 
Although the dCELL process is patent protected, we keep the BioRinse process as 
know-how in order to protect this IP.

Accelerate market penetration 
Strengthen portfolio

Strengthen portfolio  
Accelerate market penetration 

Improve product 

portfolio and pipeline 

In order to ensure the business can continue to 

In order to improve our competitive advantage, it is 

develop there is a need to continually assess, and 

important that we augment our product portfolio with 

when appropriate, develop and launch products 

product line extensions, which increase our market 

where market needs are identified.

During 2019 we launched DermaPure non-oriented specifically for urogynaecological 
applications, which provides increased yields from donors by utilising different layers 
of the dermis and has a favourable margin impact due to the minimal additional work 
required. 

Strengthen portfolio 
Accelerate market penetration 

penetration and augment the existing product portfolio; 

these line extensions generally have an expedited route to 

market and favourable margins.

Strategic partnerships are key to our 

To enable our products to reach the largest possible 

commercialisation strategy, allowing us to access 

audience, it is important that we continually develop 

partners’ distribution networks, potential licensing 

our routes to market and expand our network with new 

opportunities and R&D collaboration.

partners.

During 2019 we expanded our GPO approvals to c.95% of the US hospitals under 
these agreements allowing them to access DermaPure. This extensive coverage has 
enabled us to expand our distribution network and customer base which now includes  
several key hospital accounts.

Broaden strategic partnerships

We must ensure that we have enough processing 

As we look to grow our top-line revenue, and further 

capacity to meet the growing demand, with the 

market penetration with our strategic partners, we must 

correct technical and operational experts to 

be able to process enough inventory to meet demand. 

facilitate this. 

Without this, we risk losing potential partners as they 

move their requirements elsewhere.  

During 2019 we initiated a second shift for processing in our San Antonio facility, 
specifically for the BioRinse product portfolio, whilst outsourcing a percentage of our 
DermaPure production to CTS. We also signed a lease on a 21,000 sq ft facility that 
will allow us to expand further once the required funding is secured.  

Accelerate US market penetration
Exploit global market potential 
Broaden strategic partnerships

The retention and development of employees is 

Our industry is highly skilled and reliant upon employees 

key as we invest in relevant training, qualifications 

with the correct qualifications, training and experience. 

and development, while also ensuring that 

Therefore, staff retention is key and the ability to attract 

succession plans are in place. 

and maintain the best talent in the industry provides us 

with a competitive edge. 

In Q4 2019 we undertook a restructuring of our employee base to focus on 
commercialisation and operational activities. As part of this exercise we increased the 
number of processors and key operational hires in the US, allowing us to commence 
a second shift for BioRinse processing. Our succession plan came to the fore with the 
promotion of Kirsten Lund to Group Finance Director.  

A blend of all four strategic growth 
drivers 

ENVIRONMENTAL SUSTAINABILITY 

Responsible energy 

consumption 

With increasing scrutiny on businesses’ 

Our facilities require specific storage, temperature and 

environmental footprints, it is imperative that we 

air quality, all of which can consume a large volume of 

take all available measures to reduce our energy 

energy, especially when required 24 hours a day. We 

consumption and operate in a sustainable and 

must ensure that we take all available options to reduce 

responsible manner.

our energy consumption and increase our environmental 

sustainability.

During the year we implemented an energy reduction programme at the UK 
manufacturing facility to allow for more efficient clean room operation and shut down 
during periods of inactivity leading to an overall energy saving of 35%. 

A blend of all four strategic growth 
drivers 

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Our management team

We have a senior 
management team with 
extensive experience in the 
healthcare industry and the 
capital markets.  They are 
challenged and supported 
by both an experienced 
and well balanced Board 
of Non-Executive Directors, 
together with the teams of 
employees that they lead. 

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KIRSTEN LUND 
Group Finance Director and 
Company Secretary 

Kirsten Lund was promoted to the 
position of Group Finance Director in 
November 2019 after being Group 
Financial Controller for over a year. Kirsten 
leads the finance teams in both the UK 
and US, and advises the Board on all 
financial matters relating to the Group.

After joining Tissue Regenix in 2010 as 
Finance and Administration Assistant, 
Kirsten successfully completed the 
ACCA qualification, achieving chartered 
status in 2015. Kirsten has been a key 
member of the team throughout the last 
10 years. Utilising the knowledge acquired 
over the years in the healthcare sector, 
Kirsten provides invaluable experience 
and understanding around the Company 
structure and routes to market, and works 
closely with the management team to help 
drive forward the strategy of the business. 

GARETH JONES 
Interim CEO  

Gareth has 27 years’ experience in 
finance having qualified as a Chartered 
Accountant in 1993 with PwC. Gareth 
joined Tissue Regenix in November 2018 
as CFO before moving into the COO 
position, then stepping into the interim 
CEO role August 2019. 

In recent years he has worked as Chief 
Financial Officer for LSE listed Applied 
Graphene Materials. Previously, he was 
at Emco Wheaton Division of private 
equity owned Gardner Denver Inc., the 
global provider of industrial equipment, 
technologies and services, where he 
joined as Finance Director in 2013. Prior 
to this he spent seven years as Finance 
Director of private equity backed start-
up, Vireol Bio-Industries plc. Between 
1995 and 2006 Gareth was employed 
by Syltone plc. After its acquisition by 
Gardner Denver Inc. in 2004, Gareth 
became European Finance Director and 
then Divisional Finance Director of the 
Blower Division. In this capacity he was 
responsible for the day-to-day financial 
operations of the Group’s largest division, 
operating across four continents, with 
revenues of c.$480m. He graduated from 
the University of Nottingham in 1989 with 
a BEng.

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TISSUE REGENIX GROUP PLC 

 
 
 
DANIEL LEE 
President US Operations  

JOEL PICKERING 
President, TRX BioSurgery  

MIKE IZON 
R&D Director  

Daniel Lee has nearly 30 years’ 
experience in the medical device and 
biologics industry, ranging from product 
innovation to commercialisation to 
corporate management. He joined 
CellRight Technologies® as President of 
U.S. Operations in January 2019. Prior 
to joining CellRight, Danny was the Chief 
Executive Officer for Scaffold Biologics 
and Aperion Biologics. His previous 
senior management roles include global 
marketing for OsteoBiologics (acquired 
by Smith & Nephew Endoscopy in 1996) 
and marketing activities for Regeneration 
Technologies (now RTI Surgical), a 
leading allograft tissue processor. Danny 
spent the first 10 years of his career in 
R&D with the U.S. Surgical Corporation 
(now Medtronic). Danny received his 
B.E.S. degree in Materials Science and 
Engineering from the Johns Hopkins 
University, and his M.S. in Biomedical 
Engineering from the University of 
Alabama at Birmingham. He has 13 
patents on implants and instruments used 
in orthopaedic and general surgery.

Joel Pickering joined Tissue Regenix 
Wound Care Inc. in October 2015 
to assume the leadership of the US 
marketing organisation. Joel moved into 
the position of President in January 2017 
and now guides the commercial marketing 
strategy for DermaPure® in the United 
States. Joel brings a wealth of wound 
care marketing experience dating back 
to 1996, with companies such as J&J 
Medical, Lifecell, Convatec and KCI. Prior 
to joining Tissue Regenix, Joel served as 
VP of Marketing and Communications for 
Novation, with responsibility for driving 
growth in the US.

Through his time in the wound care 
category, Joel has launched several new 
brands and driven many established 
brands to category-leading shares through 
a combination of vision, communication 
and team leadership.

Mike Izon joined as Head of QA/RA  
and Clinical at Tissue Regenix in 
November 2014. With a background in 
pharmaceutical products and medical 
devices, Mike has worked over the 
last 10 years as a consultant, trainer 
and assessor for the certification and 
registration of medical devices. Having 
worked extensively with early stage 
medical device development companies, 
Mike has also worked with household 
names such as Procter & Gamble, Clairol 
and Sanofi Aventis, to achieve worldwide 
market clearance for a range of products 
and technologies.

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27183  1 June 2020 4:29 pm  Proof 6In 2019 we focused on optimising our operational capabilities to enable  us to deliver the ever-increasing volume of  product demanded by  our customer base.During 2019 we implemented a number of efficiency improvements throughout our supply chain and operations, as we look to increase throughput at our San Antonio facility to service the increasing commercial demand from both existing, and new partners, and extend our reach into additional territories where we see significant opportunities. Divisional performance BioSurgery reported significant underlying growth, with a 25% year-on-year increase. This was largely driven by our strategic partnership with ARMS Medical, specialist distributor for the urogynaecology applications. Demand is growing in the urogynaecology marketplace due to the withdrawal of many synthetic mesh products.In September 2019, we undertook a soft launch for a ‘non-oriented’ DermaPure product to specifically address these applications. This product is processed from the second layer of dermis tissue and therefore has no basement membrane; however, it maintains the same biomechanical properties, extracellular matrix and regenerative activity of DermaPure. Removing the requirement for orientation makes handling and application in surgical settings much simpler, and initial feedback from clinicians has been extremely positive; we therefore see great potential for this product line extension in the future. Outside of the clinical benefits, this product line extension allows for the utilisation of layers of the dermis, which were previously unsuitable for processing, thereby improving donor yields and the number of patients treated.  After outsourcing a percentage of our DermaPure production to Community Tissue Services (CTS), we worked closely with them throughout the year to improve both processing efficiencies and yields. Production transfers can be operationally challenging, however, having devoted the necessary resources to ensuring a smooth transition, we anticipate a significant increase in output from this partner during 2020.The Orthopaedics and Dental division was more significantly impacted due to the capacity constraints experienced throughout the year, resulting in year-on-year growth of 5%. Recognising the need to improve our supply chain, during H1 2019 we created a donor services team, recruiting additional specialist skills. The team worked closely with the production staff and this manifested in donor processing increasing by more than double throughout the year, with a commensurate increase seen in yields in the latter months as supply chain initiatives were pulled through. In order to ensure that we can continue to increase our processing and meet demand, we now have agreements in place with a number of donor recovery agencies resulting in improved access to donors meeting our quality criteria.In conjunction with this, during H1 we commenced the hiring and training of technicians in order to commence a second shift for processing of the BioRinse products. Due to the highly skilled nature of this work, in a regulated environment, the hiring process takes time as technicians need to undergo a rigorous training programme, which coupled with the three to four month lead time for the osteoinductivity testing for this product range, meant that we did not start to see the benefits of this in our revenues until late in Q4. However, it is anticipated that moving forward into 2020 the additional revenue associated with these initiatives will become apparent on a consistent basis. The revamping of the front end of the business has meant that we are in a far stronger position to capitalise on commercial opportunities during 2020 and beyond. In Germany, the Company’s controlled joint venture, GBM-v, has continued to increase sales from their cornea products and has reached a point of becoming financially self-sustainable through the revenues generated. They continue to pursue the required regulatory clearance for the CardioPure portfolio and work closely with the team in the UK in order to decipher the best path forward for this portfolio.  FundingIn June 2019 we announced a credit facility of up to $20m with MidCap, via a term loan split into three tranches and a Revolving Credit Facility (“RCF”). We immediately drew down the initial $7.5m term loan and were granted access to a $3m RCF; the additional tranches were contingent upon agreed revenue targets and a $5m net equity raise. In November, due to operational challenges discussed, we renegotiated this agreement repaying $5.5m of the term loan. This repayment reduced our net cash position at 31 December 2019 to £2.4m. However, the Company implemented several cost saving initiatives to extend the cash runway including the restructuring of the employee base. In Q4 2019, a number of positions were made redundant, largely in the R&D and clinical function in Leeds; a cost saving that INTERIM CEOGareth JonesTISSUE REGENIX GROUP PLC STRATEGIC REPORT / 18Interim CEO operational review27183-Tissue-Regenix-AR-2019.indd   1801-Jun-20   4:32:19 PMis expected to deliver £1m per annum from 
2020. In the trading statement released on 
22 January 2020, the first signs of these 
cost savings were evident. As we move 
towards break even we will continue to 
assess our cost base to ensure funds are 
deployed in the most efficient manner.  

Personnel

Following his appointed in January 2019 as 
President of US Operations, Daniel Lee has 
been a key member of the team working 
to increase our throughput, improve yields, 
and meet customer demand. 

Alongside Daniel, in Q1 2019 Tina Trimble 
joined as VP Donor Services. Tina is 
well respected throughout the industry 
holding a seat on the Board of the 
American Association of Tissue Banks, 
and has become a key member of our 
team, implementing several initiatives in 
order to improve our donor sourcing and 
processing. 

Product pipeline

During 2019 we undertook a soft launch 
of DermaPure non-oriented, specifically for 
use in urogynaecology applications, with 
our strategic partner ARMS Medical, and to 
date have recieved positive feedback from 
clinicians. 

Capacity expansion project

As previously documented we are 
challenged with capacity constraints at our 
San Antonio facility. In the existing facility 
we currently face two limiting factors: 
namely, space for freezers, which limits the 
amount of donor tissue we can hold on 
site, and clean room capacity. We currently 
have five clean rooms, of which four are 
dedicated to BioRinse products, and one 
that processes DermaPure. 

With the support of the MidCap funding we 
were able to take the first steps towards 
increasing our manufacturing footprint, 
securing a ten year lease on a 21,000 sq. 
ft facility adjacent to our existing facility in 
San Antonio, Texas. We believe our plans, 
which are in two phases, will provide a 
significant capacity increase and help 
us fulfil the demand for our products.  
However, these expansion plans are 
subject to completion of the recent funding. 

We signed the lease, with an option to 
buy, on the new facility in August 2019. 
Universal City provided a grant of $0.3m to 
support and permit the upgrades of utilities 
and infrastructure serving the new facility, 
which has now been completed.  

Phase one of the expansion project will 
involve moving the freezer capacity into 
the new facility, allowing for two additional 
clean rooms to be developed, bringing the 
total number of clean rooms to seven, in 

the current facility. This would also increase 
our potential freezer capacity by threefold 
allowing us to hold more donor tissue onsite. 
We would expect this phase to be completed 
in around six months, which given the 
three to four month lead time for BioRinse 
products, would allow for the first revenues to 
become evident roughly nine to ten months 
after commencement of this phase. 

during this time will lead to a notable decline in 
the number of elective procedures undertaken 
at hospitals, which was initially most evident in 
the urogynaecology and dental applications. 
We continue to work closely with our partners 
and distributors to ensure that, once these 
procedures are recommenced in a normalised 
manner, enough inventory of all products will 
be available to meet demand. 

Our current intention is for phase two to 
provide a further ten clean rooms in the new 
facility. The timing of this phase has not yet 
been finalised. Once fully operational, it is 
expected that this completed expansion 
programme will increase the Company’s 
revenue generation potential by up to c.$36m 
per year.

Revenue per additional clean room is 
inherently an estimate and depends on 
several factors including the product mix, the 
number of shifts, the availability of technicians 
and donor tissue and continuing product 
demand. Nonetheless, we are confident that 
enough demand exists to justify the capacity 
expansions outlined above. 

Post balance sheet events

In January 2020 the Group was hit by a cyber 
attack, which temporarily impacted our ability 
to process at the facility in San Antonio. 
We quickly implemented an action plan to 
mitigate the potential impact, and believe 
that there were no indications of any external 
transfer of sensitive or financial data from the 
business. There was a short-term impact 
on our ability to service customer demand 
as we were unable to release batches 
for distribution in line with the necessary 
regulations. 

During the weeks that followed the attack, the 
San Antonio team worked to catch up with 
this demand, and in April 2020 we were able 
to report that, despite this incident, revenue 
increased by 18% year-on-year for Q1 2020. 
Following the incident, the Company reported 
this attack to all relevant authorities as 
required, has reviewed its IT service providers 
and implemented additional data security 
procedures to reduce the risk of a similar 
incident in the future. 

As with most businesses, the Company 
was impacted by the COVID-19 pandemic 
that began in Q1 2020. The priority of the 
Company throughout this time was to protect 
the health and wellbeing of our employees 
and stakeholders, and the Company ensured 
to implement all relevant government-led 
policies in relation to this. By undertaking 
certain initiatives, there was minimal 
disruption to the processing undertaken at 
the facility in San Antonio, which continued to 
show strong production throughput. As the 
impact of COVID-19 becomes more evident, 
we will continue to monitor and adapt our 
approach. During Q2 it is apparent that 
reprioritisation of healthcare professionals 

At the facility in Leeds where processing of the 
porcine products is undertaken, in-line with the 
UK Government guidelines, our technical and 
operations staff were furloughed until at least 
the end of June 2020. However, the Group 
holds sufficient inventory to meet near-term 
demand of these particular products. 

As a result of the uncertainties surrounding 
the level and duration of disruption from 
COVID-19, we are unable to determine how 
long it will take to catch up on postponed 
surgical procedures therefore, while sales 
were not materially impacted during Q1 2020, 
the Board is not able to provide clarity on the 
outlook for 2020 until there is greater visibility 
around the market environment. 

In May 2020 we announced a strategic 
collaboration with a top 10 global healthcare 
company to bring to market a newly 
developed product line. This agreement 
for white label manufacturing follows 
collaboration between the R&D teams of 
both companies using one of the Group’s 
proprietary technology platforms to address 
orthopaedic soft tissue repairs. Agreements 
such as this underscore the differentiation 
of, and increasing market demand for, our 
products, providing further validation of the 
exciting growth potential for the business once 
we have completed the planned expansion 
of our processing capacity, and ensures that 
we continue to drive our commercial strategy 
forward, as illustrated by our strategic growth 
drivers, for the continued success of the 
business.

We were also awarded the CE Mark 
certification for OrthoPure XT in May 2020,  
for use in revision of the Anterior Cruciate 
Ligament following re-rupture and also the 
reconstruction of other knee ligaments, 
including multi-ligament procedures following 
trauma. 

On 22 May 2020 the Group announced 
that it  had completed an equity fundraise, 
by issuance of ordinary shares, to raise 
gross proceeds of £14.6m, which provided 
the resolutions are passed at the General 
Meeting on the 9 June, will allow for the 
commencement of the capacity expansion 
programme and provide sufficient working 
capital until at least December 2021. We 
believe that this investment will move the 
Group into a new sphere of opportunity and 
competitive market positioning. 

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Financial overview

Revenue

In the year ended 31 December 2019 
revenue increase by 12% on an underlying 
basis or 8% constant currency basis to 
£13,033k (2018: £11,619k). As expected, 
the year was second half weighted 
(47%/53%) as throughput in our San 
Antonio facility more than tripled in the year. 
However, due to the lead times involved 
it is expected that a significant proportion 
of this increased processing will become 
available for sale during H1 2020. 

Revenue from the BioSurgery division, 
which utilises the legacy Tissue 
Regenix dCELL® Technology in product 
DermaPure®, reported a year-on-year 
increase in revenues of 25% to £4,233k 
(2018: £3,381k). The withdrawal of many 
synthetic products from the urogynocology 
market meant that there was increasing 
demand for biologic products such as 
DermaPure®. Working closely with our 
strategic partner, ARMS Medical, we saw 
strong demand in this sector, resulting 
in a year-on-year growth of 57%. The 
expectation going into 2020 is that this 
sector will continue to experience high 
levels of growth. 

We continued to expand our GPO 
coverage and now have access to c.95% 
of relevant US hospitals under GPO 
agreements. This coverage enabled the 
business to continue to grow its distribution 
network in the US and secure several 
leading marquee accounts.

The Orthopaedics and Dental division 
reported annual revenues of £6,724k 
(2018: £6,396k), an increase of 5% year-
on-year. The capacity constraints within the 
San Antonio facility meant that output for 
this division was constrained. Despite these 
limitations, demand for products within 
this division remain strong, and following 
several operational changes within the San 
Antonio facility during 2019, we expect 
the orthopaedic portfolio to experience a 
notable increase in output in 2020. 

Our controlled joint venture in Germany, 
GBM-v reported high levels of demand 
for its cornea products, with year-on-year 
growth of 13% to £2,076k (2018: £1,842k). 

Cost of sales and  
gross profit

Gross profit for the year is £6,019k (2018: 
£5,917k). Gross margin percentage 
decreased to 46% (2018: 51%) due to 
product mix with the CellRight BioRinse 
portfolio contributing a lower percentage of 
overall sales due to capacity constraints, 
which have been addressed throughout 
the year, as discussed. As the business 
continues to increase capacity to meet 
demand, the margins are expected to 
recover throughout 2020. 

Included in costs of sales is cost of product 
£5,803k (2018:£4,723k) and third party 
commissions £1,211k (2018: £979k).A p

Administrative expenses

During the year administrative expenses 
decreased by £985k to £13,198k (2018: 
£14,183k), excluding exceptional costs, 
largely due to a reduction in research and 
development and sales and marketing costs  
The increased focus on commercial activities 
meant that the Group was able to reduce 
its research and development expenditure 
by £268k to £1,368k (2018: £1,635k). In 
addition, the Group sought to reduce its 
overhead cost base resulting in 18 positions 
being made redundant in Q4 2019, largely 
from the UK side of the business.

Exceptional items

Net assets were assessed for impairment 
and a expense of £1,311k was posted in 
recognition of SurgiPure development costs 
in BioSurgery segment and fixed assets in the 
Central and Other segment.

Redundancy costs in relation to the 18 
positions made redundant in Q4 2019 are 
accounted for in exceptional items and 
amounted to £164k.

Litigation costs of £69k were charged in 
the year.

A credit of £1,523k was due to the CellRight 
contingent consideration which was not met. 

Finance income/charges

Finance income of £17k (2018: £72k) 
represented interest earned on cash deposits. 
Finance charges for the year were reported at 
£477k (2018: £262k), and related primarily to 
interest charges and associated costs for the 
MidCap loan arrangement.

Taxation

The Group continues to invest in developing 
its product offering, and as, such is eligible to 
submit enhanced research and development 
tax claims, enabling it to exchange tax losses 
for a cash refund. In the year to December 
2019, a refund of £488k was receivable 
(2018: £790k). The year-on-year reduction 
was a result of the business continuing to 
move its resources away from research and 
development to more commercial activities.

Corporation tax payable in the US amounted 
to £29k (2018: £72k). Gross tax losses 
carried forward in the UK were £43,533k 
(2018: £43,254k). The Group does not 
currently pay tax in the UK. A deferred tax 
asset has not been recognised as the timing 
and recoverability of the tax losses remain 
uncertain. 

Loss for the year

The loss for the year was £7,106k (2018: loss 
£8,259k) resulting in a basic loss per share of 
(0.60p) (2018: loss (0.70p)).

Balance sheet

At December 2019, the Group had net assets 
of £24,595k (2018: £32,570k) of which cash 
in hand totalled £2,380k (2018: £7,816k).

Intangible assets decreased through 
amortisation charges in the year. A further 
£213k of development costs were capitalised 
in the year, which were then fully impaired at 
year end.

In addition to testing the CellRight cash 
generating unit (CGU) for impairment, a 
full impairment test was performed on 
the Group’s CGUs as the Group’s market 
capitalisation at 31 December 2019 was 
lower than net assets. This impairment testing 
resulted in an impairment of £1,311k, which 
has been disclosed within exceptional items.

Net working capital decreased in the year, 
which reflects the continued growth of 
the business. The balance sheet included 
corporations tax receivable of £1,035k (2018: 
£1,200k) in respect of UK research and 
development tax credits.

As part of the CellRight Technologies 
acquisition agreement financial milestone 
payments were contingent upon certain 
revenue targets being achieved. The capacity 
constraints experienced at the San Antonio 
facility meant that these goals were not 
met for 2019, as such the costs totalling 
£1,523k were released. This was the last 
financial milestone due for payment under this 
acquisition.

Borrowings

Non-current liabilities represent the £2,286k 
debt facility. This includes £1,525k of the term 
loan and £761k of the revolving credit facility. 
More information on page 64.

Dividend

No dividend has been proposed for the year 
to 31 December 2019 (2018: Nil).

Accounting policies

The Group’s consolidated financial 
information has been prepared in accordance 
with International Financial Reporting 
Standards as adopted in the EU. The Group’s 
significant accounting policies, which have 
been applied consistently throughout the 
year, are set out on pages 50 to 54.

Going concern

These financial statements have been 
prepared on a going concern basis, given 
the current cash flow projections forecast for 
the Group to 31 December 2021. Funding 

TISSUE REGENIX GROUP PLC 

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requirements are reviewed on a regular 
basis by the Group’s Chief Executive 
Officer and Group Finance Director and 
are reported to the Board at each Board 
meeting, as well as on an ad hoc basis, if 
requested. Until sufficient cash is generated 
from its operations, the Group remains 
reliant on external funding including current 
debt facilities provided by MidCap, to meet 
its working capital requirements, capital 
investment programme and other financial 
commitments.

On 22 May, the Group announced that 
gross proceeds of £14.6m had been 
conditionally raised through an offer of 
new ordinary shares in the Company 
to Institutional and other qualifying 
investors. This fundraise is conditional on 
shareholder approval at a General Meeting 
of shareholders to be held on 9 June 2020 
and also to admission of the fundraising 
shares to trading on AIM. In reporting 
the Group’s finances on a going concern 
basis, the Directors have assumed the 
appropriate resolutions at this Meeting 
will be passed. However, if the necessary 
resolution is not passed, the fundraising 
will not proceed and the Company would 
not have funds immediately available to 
continue executing its current business 
plan. In this eventuality, the Directors would 
need to consider alternative sources of 
adequate funding. Should the Company be 
unable to raise enough funds, shareholders 
could be at risk of losing all or a substantial 
amount of their investment. 

The COVID-19 pandemic has affected 
most businesses during H1 2020. As a 
result of the reprioritisation of healthcare 
professionals during this time, there has 
been a decline in elective procedures 
undertaken across a number of medical 
specialities that use our products. Given 
the uncertainty around the level and 
duration of disruption from COVID-19, 

it is difficult to determine how long the 
current situation may last, and the time 
taken to catch-up any postponed surgical 
procedures thereafter. However, the Board, 
in compiling possible cashflow projections 
for the business, has considered a number 
of scenarios regarding the effect of reduced 
and delayed revenues due to COVID-19, and 
has undertaken market soundings regarding 
the likely timeframe for the recommencement 
of procedures. It has concluded that, if 
additional funds are received as expected, 
there will not be a significant long-lasting 
impact on the capability of the business to 
carry out its commercial activities.  

In summary, the Directors have considered 
their obligations in relation to the assessment 
of the going concern basis for preparation 
of the financial statements of the Group, 
and each statutory entity within it, and have 
reviewed the current budget, cash forecasts 
and assumptions, as well as the main risk 
factors facing the Group as set out on 
pages 22 to 25. They have concluded that it 
remains appropriate to prepare the financial 
statements on a going concern basis, noting 
that assumptions relating to the completion 
of the fundraise give rise to a material level of 
uncertainty in respect of the going concern 
assumption.

The financial statements do not include any 
adjustments that would result in the basis 
of preparation as a going concern being 
inappropriate.

Post balance sheet events

The Group was victim to a cyber attack in 
January 2020; no material financial impact 
has been determined and operations are fully 
back up and running. 

Due to the impact of the COVID-19 pandemic 
in Q1 2020, UK operations and technical staff 
were furloughed under the Government job 
retention scheme, and processing at the UK 

facility was temporarily halted. In the US, due 
to initiatives implemented, processing at this 
facility continued without disruption however, 
due to the reprioritisation of healthcare 
professionals during this time, elective 
surgeries such as urogynaecology or dental 
procedures were postponed. The Company 
secured over $1m of US Government backed 
loans to assist with the US overhead costs 
during this time. These loans have a two-year 
term and carry a 1% annual interest rate 
deferred for six months. However, under the 
Loan agreements, the principal will not require 
repayment if the funds are used to support 
employee payroll, healthcare, utilities and rent 
payments within the US during the next two 
months. The Company intends to use the 
funds to support these activities and therefore 
expects the Loan not to require repayment.

Principal risks and 
uncertainties

The principal risks and uncertainties facing 
the Group are set out on pages 22 to 25.

Cautionary statement

The strategic report, containing the strategic 
and financial reports of the Group contain 
forward-looking statements that are subject 
to risk factors associated with, amongst 
other things, economic and business 
circumstances occurring from time to time 
within the markets in which the Group 
operates. The expectations expressed 
within these statements are believed to be 
reasonable but could be affected by a wide 
variety of variables beyond the Group’s 
control. These variables could cause the 
results to differ materially from current 
expectations. The forward-looking statements 
reflect the knowledge and information 
available at the time of preparation.

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Risks

Our risk management framework

Accountability for reviewing and monitoring

The Board

Audit Committee

Operational

The Board is responsible for 
maintaining a sound system of 
internal control. The Board’s measures are 
designed to manage, not eliminate, risk, 
and such a system provides reasonable, 
but not absolute, assurance against 
material misstatement or loss. The Board 
confirms that it has established the 
procedures necessary to implement the 
guidance “Internal Control Guidance for 
Directors on the Combined Code” (The 
Turnbull Report).

In accordance with our governance 
practices, the Audit Committee supports 
the Board of Directors in monitoring the 
Group’s risks.

At an operational level, we monitor 
monthly performance against objectives 
allowing us to track performance 
management, and identify any potential 
improvements to our structure and 
operational efficiencies, as well as 
monitoring and updating any existing 
or potential risks and corresponding 
mitigating actions. 

Responsibility for implementation

The Board reviews and updates risks on a regular basis, maintains a risk register and addresses each 
potential risk in terms of likelihood and impact on the business. 

We have identified six areas of potential risk: product development; operational; clinical and regulatory; 
finance and IT; HR; and commercial. The Board believes the following risks are the most significant for the 
Company, however, they may not necessarily comprise all the associated or potential risks attached to 
the Company. Alongside risks associated with changes in the market or economic conditions, the political 
landscape, legal, regulatory or tax implications, there may also be risks that the Directors are currently 
unaware of but that could have a significant effect on the Group’s ability to carry out its business.  
A list of the principal risks and mitigating factors facing the Group at this time are listed below. 

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Risk

Potential impact

Mitigating factors

Trend

Finance and IT

Risk that there are insufficient 
funds to deliver products to 
the market, invest in required 
expansion or provide the 
working capital required 

We require investment into our infrastructure to 
bring our product portfolios to market and service 
the increasing demand from our current and future 
customers. Without this, the Group will be unable to 
deliver the anticipated future revenue growth.

The Board has oversight of all significant 
cash spends and a well-established control 
environment, which includes internal forecasting, 
monthly reporting and approval limits on all 
purchase orders. 

Risk that the Group will be 
subject to a cyber security 
breach or failure of IT systems

The Company is reliant upon systems to allow 
for, amongst other things, the accurate records 
and reporting of donors. Any potential failure 
of systems could impact the Group’s ability to 
process and distribute products, lead to a data 
security breach, loss of financial information and 
have potential financial implications. 

In order to maintain the cash position, the 
Company reviews business priorities and 
demands to ensure that funds are invested in the 
most appropriate manner to deliver a return on 
investment and grow the business positively. 

The Group was hit by a cyber security attack in 
January 2020. No ongoing material impact to the 
business was experienced, however, processing 
was temporarily halted at the San Antonio facility 
while the restoration and testing of systems was 
completed. The Group has since reviewed its IT 
service providers and security procedures and 
continues to do so on an ongoing basis moving 
forward. 

Operational

Risk that the Group may 
experience an adverse event 
resulting in a loss of license or 
facility shutdown e.g. damage 
due to fire, arson, flood or other 
adverse events, or retraction of 
licence from the FDA, AATB, HTA 
or other regulatory body 

Risk of over dependency on 
single supplier or in-house 
processing

As the Group manufactures most products in-
house the loss of a manufacturing facility would 
have a detrimental effect on the ability to meet 
customer demand. Should an adverse event 
happen there would be a loss of stock and raw 
materials, which would have significant financial 
implications. 

The Group has a track record of positive feedback 
following audits and inspections and has 
established control environments and procedures. 
Facility insurance is in place in case of adverse 
events and second source manufacturing options 
have been identified. 

With the novel technology processes requiring 
specific raw materials, the loss of a supplier could 
have a detrimental effect on the ability to produce 
the media required. As the products are based 
around animal or human tissues, failure to source 
good quality, ethically handled tissues would result 
in the inability to produce products in line with 
specifications and therefore incur reputational 
damage, customer dissatisfaction and potential 
regulatory breaches.  

Business interruption insurance is in place, 
alternative suppliers are identified to ensure that 
there is always a secondary source for raw goods, 
and potential manufacturing capacity. We have 
expanded the number of donor services agencies 
in the US that we work with and have two 
suppliers of porcine tissues in the UK. All suppliers 
undergo a stringent audit to ensure that they 
meet the Company’s internal standards and those 
imposed by third party moderators. 

Risk that the business is unable 
to expand in line with growing 
demand 

Our commercial strategy is built around the 
establishment of successful strategic and 
distribution partnerships, which increase the 
demand on our production and manufacturing 
capabilities. If we are unable to expand in line with 
this demand this could result in a loss of business 
through customer dissatisfaction and reputational 
damage. 

Additional processing for the dCELL® DermaPure 
product was obtained through Community 
Tissue Services, which in turn freed up additional 
capacity for the BioRinse product portfolio in the 
San Antonio facility, and a second shift was also 
commenced in the San Antonio facility.  

Additional capacity was also secured in August 
2019 when the Company took out a lease on a 
21,000 sq ft facility; this capacity is expected to 
become operational once the necessary funding 
is secured. 

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Risks
Risks
continued
continued

Risk

Potential impact

Mitigating factors

Trend

Clinical and regulatory

Risk that products fail and cause 
death or injury on implantation 
into patients 

Should a product fail upon implantation or incur 
an adverse reaction due to the product properties, 
the Group would be at risk of legal action, potential 
loss of earnings through product retraction from 
the market and reputational damage.  

Risk of loss of license or 
restrictions due to regulatory 
failings 

As the Group operates in a highly regulated 
environment the loss of a license to manufacture 
or sell products within a territory would result in 
reputational and financial damage to the Company.

Before commercialisation, a series of clinical and 
safety checks are run dependent on the nature of 
the product. For our porcine products that require 
a full clinical trial, this will initially be within an animal 
model to confirm its safety before progressing to 
the regulated clinical trial to judge the performance 
of the product. An external regulatory body 
review is undertaken and once market clearance 
is gained, comprehensive training is provided 
for sales representatives and surgeons prior to 
utilisation of the product. For our human tissue 
products, the necessary clinical performance trials 
are commenced prior to commercialisation and all 
products are issued with detailed instructions for 
use. 

The Group employs regulatory experts for each 
territory in which manufacturing takes place, or 
where the Group looks to navigate a regulatory 
clearance for a product. The Group also has a track 
record of positive feedback following external audits 
and inspections and operated in established control 
environments. 

Commercial

Risk that a competitor product 
reaches the market first and/
or products outperform Tissue 
Regenix products, and the 
business fails to keep up with 
developments and new products 
coming to the market

Should there be a competitive product that 
outperforms one of the Tissue Regenix products 
we could lose customers and distribution 
opportunities. Should a competitor bring a product 
to market before us they could potentially have an 
advantage in gaining market share. 

We continually monitor the commercial and 
competitive landscape and look to stay ahead of 
the trend with innovative product development and 
line extensions. The Group works with partners 
to identify potential market opportunities as it did 
with ARMS Medical to soft launch the DermaPure 
non-oriented product. The Group also continues to 
collect post marketing clinical data to ensure that 
the product offering remains differentiated. 

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Risk

Potential impact

Mitigating factors

Trend

HR

Risk of potential loss of key 
staff resulting in a loss of key 
information, contacts or know-
how 

The dCELL® process is patent protected, however, 
the BioRinse process is based on know-how 
and the Company has several trade secrets that 
it looks to protect. As our commercial pipeline 
is based upon key strategic and distribution 
partnerships, as well as direct sales, there is the 
potential that customers may feel a loyalty to a 
person rather than the brand. 

The Remuneration Committee is in place to 
ensure that salaries and incentive schemes are 
benchmarked against industry standards.  

Contracts of employment are drafted to include 
the necessary confidentiality and non-compete 
clauses. The addition of key hires in the US 
operations team has decreased the dependence 
on individuals. 

Political and economic landscape 

Risk of significant change in 
political or economic landscape

With both the UK and US undergoing periods 
of political uncertainty there is the potential that 
this could affect our ability to commercialise and 
import/export our products.  

We have applied for and maintain the relevant 
licenses necessary for import/export of our products, 
including HTA and FDA approvals.

With the initial Brexit process now confirmed we 
are working with the notified and regulatory bodies 
to assess the impact and mitigating factors we can 
undertake to minimise the effect of this following the 
expiry of the transition period.  

Social and environmental

Risk of unexpected social or 
environmental event that could 
affect the Group’s ability to 
process or commercialse its 
product portfolio

As seen with the COVID-19 pandemic in H1 2020,  
there may be events that are outside of the control 
of the Group that have social or environmental 
impacts on the ability of the Group to continue to 
process its products due to, amongst other things, 
lack of suitable donor materials, personal protective 
equipment for staff or inability of staff to attend the 
workplace. Such events may also have an impact on 
the level of applicable procedures being undertaken 
by healthcare professionals and therefore impact the 
Group’s revenue expectations.

The Group ensures to maintain sufficient stock of all 
required personal protective equipment and donor 
materials to allow for the continuation of processing 
should supply of these items become temporarily 
compromised. Due to the nature of the processing 
and facilities, hygeine and cleanliness is always of 
the highest priority. During the COVID-19 pandemic, 
processing continued at the facility in San Antonio 
with staggered shift patterns to minimise the number 
of employees on site at once and individual working 
in the clean rooms ensuring that we continue to have 
supply to meet the expected demand. 

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27183  1 June 2020 4:29 pm  Proof 6ENVIRONMENTAL SUSTANABILITYAs with all businesses the emphasis on environmental sustainability is of the utmost importance and is subject to increasing scrutiny and regulation. It is the responsibility of all employees to follow the initiatives implemented to decrease our carbon footprint, energy consumption and environmental sustainability efforts.Throughout 2019 the Group successfully achieved a number of environmental milestones:  –Reduced energy consumption by 35% at the UK manufacturing facility, by implementing an energy reduction programme including improvement of operational procedures to allow more effective clean room operation including shut down during periods of inactivity  –Reduced our paper usage by moving to electronic documentation in our donor services and areas of our quality and regulatory functions in the San Antonio facility –Replaced existing fluorescent lighting with energy efficient LED bulbs reducing our associated electrical consumption by 75% We also ensure to maintain cardboard and plastic recycling units on site to encourage staff to dispose of waste responsibly and ensure where possible that any waste items associated with business functions are disposed of in this manner. We discourage any unnecessary business travel, and aim to undertake meetings via video conferencing or telephone to minimise our carbon emissions. CORPORATE SOCIAL  RESPONSIBILITIES (“CSR”)Operating in a highly regulated environment, with particular sensitivities and responsibilities around the human donor processing, the Group ensures to operate with a high level of CSR across the business every day. Through the gift of donation we have the ability to positively impact hundreds of patients’ lives, therefore, we must treat each donation with the utmost respect and provide the next of kin with information around how many patients the donation has helped, if requested; something that can often help in the grieving process.HEALTH AND SAFETY  We see the development and maintenance of a robust health and safety framework as a necessity in order to protect our employees, customers, suppliers and external stakeholders.  The Board reviews a health and safety report as part of the monthly Board pack, which contains information on any near miss events, accidents, incidents and preventative measures implemented. Over the last 12 months we have identified and replaced disinfectants used in operational cleaning to reduce the use of more hazardous chemicals that have now been classified as suspect carcinogen (having the potential to cause cancer). IMPROVED PATIENT CARE AND HEALTH ECONOMIC OUTCOMES Tissue Regenix dCELL® and BioRinse Technology platforms process products that can enable improvements in patient care, enhancing their standard of living, which can often be transformative for their lives.  On top of this, it allows for economic advantages in the cost of care by reducing the hospital stay length, minimised rehabilitation, in some orthopaedic cases, a reduction in reoccurring operations, and in many circumstances, a reduction in associated pain.  CORPORATETissue Regenix recognises that it holds a corporate responsibility to its employees, customers, partners, suppliers and shareholders. To this end, the Group ensures it sets and maintains the highest employment, ethical and management standards.  The Group employs a strict Corporate Governance Code and relies on its experienced management team and Board of Directors to ensure that all regulatory requirements across all business functions are met. ETHICS AND COMPLIANCE Operating in an industry based upon the processing of donated human or animal tissues demands the highest ethical standards throughout every facet of the Company. The Group aspires to implement and maintain these standards across all business functions and relations. The Company undertakes regular audit checks to ensure that partners, suppliers and employees comply with the ethical standards and operate to meet our expectations. Furthermore, the nature of the industry means that, as a business we are held to the highest standards by regulatory bodies, and regularly receive audits and inspections from external organisations such as the US Food and Drug Administration, Human Tissue Authority and American Association of Tissue Banks. The Group has a track record of passing all regulatory inspections and where recommendations are made to improve the control environment the Group would look to implement where applicable, as soon as practically possible.  Modern Slavery Statement Tissue Regenix Group is committed to respecting human rights across all its operations and aims to work at the highest international standards in addition to local requirements. The Group fully supports the Modern Slavery Act 2015 and seeks to ensure the Group’s activities and those in its supply chains do not infringe on, or encourage, human rights abuses. Anti-corruption and anti-bribery mattersGroup policies are in place for topics such as anti-bribery and anti-corruption. These policies are regularly reviewed by the Executive management team and HR departments, copies of policies are provided to all employees during their induction and changes or updates are communicated to staff accordingly. EMPLOYEESAt the core of our business is our talented employee base, which drives the success of the Group. Through our values and behaviours, we look to develop a working environment in which employees are supported, continue development and can perform to the best of their abilities. We encourage teamwork and openness in the work place, through Company-wide policies and procedures, and by addressing the individual needs of employees to provide a functional working environment that enables a healthy work/life balance.EQUAL OPPORTUNITIESThe Group is committed to ensuring that equal opportunities are provided to all employees and potential employees, and do not discriminate on the basis of age, gender, ethnicity, religion, disability, sexual orientation or marital status. All employees are expected to conduct themselves in an appropriate manner adhering to our non-discrimination policy. In all aspects of our business the Group looks to act in ways that are compliant with the necessary laws and regulations, providing our employees with a work environment that is professional, ethical and fair.  TISSUE REGENIX GROUP PLC STRATEGIC REPORT / 26Sustainability27183-Tissue-Regenix-AR-2019.indd   2601-Jun-20   4:32:39 PM27183  1 June 2020 4:29 pm  Proof 6Dedication to patients Our patients are at the heart of everything we do, and we are committed to delivering life-changing solutionsPassion for innovation We harness creativity across all areas of our business to generate novel and effective solutionsUncompromising integrity We take pride in what we do and are committed to the highest standards of ethics, honesty and fairness to earn the respect of all our stakeholders.Driving for excellenceWe continually seek excellence by delivering against our objectives and holding each other to account to perform to the best of our ability.ENGAGEMENT AND COMMUNICATION  The Group endeavours to undertake engagement and communications with all stakeholder groups whether they are employees, investors, partners, suppliers, customers or key opinion leaders, and considers how the day-to-day activities of the Group, and the principal decisions taken throughout the year, could affect each stakeholder group.  During 2019 the Group finalised an employee engagement programme. This is now engrained into the fabric of the business covering multiple areas from employee engagement to individual development. A key focus of this was establishing the vision, mission, values and behaviours that form an integral part of the Tissue Regenix Group ethos and culture. Our values and behaviour align with our vision and mission, driving a culture that will enable the Group to achieve our strategic objectives and KPIs. Values and behavioursGender diversityAge groupCustomerWe will deliver to our customers via unparalleled service, innovative solutions that challenge the existing market place assumptions on clinical efficacy and value.PhysiciansWe will partner with physicians  to provide trusted solutions that  deliver superior clinical and health economic outcomes utilising our core technology platforms for both allograft and xenograft tissue.ShareholdersWe will deliver market performances that make Tissue Regenix a focus of strategic investment for investors, providing sustained and predictable growth with above category returns.EmployeesWe will foster a vibrant and diverse culture that rewards performance and accountability, nurturing career development.MissionRestoring patient function  and vitaliityPatient64.3%35.7%5940%2560%3718–1920–2525−3030–3535–4045–5040–4550–5555–6060–6565–7070–7512352118–1920–2525–3030–3535–4045–5040–4550–5555–6060–6565–7070–751110109147811ExecutiveSite leadershipManagerTechnical/ administrationMaleExecutiveSite leadershipManagerTechnical/ administrationUK teamLevelGeographical splitUS teamFemaleUK teamUS teamVision and missionAnnual Report and Accounts for the year ended 31 December 2019STRATEGIC REPORT / 2727183-Tissue-Regenix-AR-2019.indd   2701-Jun-20   4:32:41 PMSection 172 statement and  
non-financial information statement 

The Directors of Tissue Regenix Group plc 
consider, both individually and together, that 
they have acted in the way they consider, in 
good faith, would be most likely to promote 
the success of the Company for the benefit 
of its members as a whole (having regard 
to the stakeholders and matters set out in 
s.172(1)(a-f) of the Act) in the decisions taken 
during the year ended 31 December 2019.

Section 172 of the UK’s Companies Act 
describes a company director’s general duty 
to promote the success of the company: 

A director of a company must act in the 
way he considers, in good faith, would be 
most likely to promote the success of the 
company for the benefit of its members as a 
whole, and in doing so have regard (amongst 
other matters) to: the likely consequences of 
any decisions in the long term; 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 members of the company. 

Overview of how the Board 
performed its duty to promote 
the success of the Group 
The following table summarises how 
the Board has met the s172 obligations 
throughout the year for the various 
stakeholder groups. 

Stakeholder 
group

Investors

Why?

How?

We strive to engage with our investor 
base and obtain investor buy-in and 
confidence in our commercial strategy 
and strategic objectives, which is 
discussed in more detail on pages 10 
to 11.

A supportive base of investors interested 
in a long-term holding in the Company 
provides the stability need to allow us to 
execute the agreed strategy and deliver 
improved financial results.  

The Board is fully committed to having 
open and transparent dialogues with 
all shareholders. Throughout the year 
management and Directors look to meet 
with, and update, institutional and retail 
investors through a variety of platforms; 
whether it be by face-to-face meeting, 
telephone conversation, AGM, retail 
investor forum, website or social media, 
or news announcements. 

Employees

The long-term success of the Company 
is built around our highly skilled and 
experienced workforce.  

Our Employee Engagement initiatives 
are discussed further in the sustainability 
report set out on pages 26 to 27.  

Our technicians are highly specialised, 
and we have world class research and 
development expertise at all facilities.  
We continue to expand our network of 
partner and distributor relationships who 
are managed by our experienced sales 
and marketing teams.  

We look to create an environment where 
all employees can excel and value 
both practical experience as well as 
academic qualifications. We believe in 
investing in our workforce to maintain 
a low turn-over rate and build an agile 
and adaptive workforce who can 
successfully navigate the ever-evolving 
industry landscape to maintain our 
competitive positioning. We support 
employees with further education and 
qualifications, in-house support for the 
development of managerial roles and 
provide a remuneration and benefits 
framework that supports a healthy work/
life balance. 

Throughout the year management hold 
a number of town hall meetings where 
employees are fully briefed on Company 
developments and have an open forum 
to ask questions.  

Email updates are also issued as 
Company news is announced to ensure 
that all employees are aware of the latest 
developments.  

Team meetings are encouraged at 
least once a week, with line managers 
then reporting directly into the CEO 
every week to ensure cohesion across 
the business. This also allows any 
concerns from employees to be raised 
with line managers and escalated to 
the Executive team in a timely manner if 
required.  

Employees also have access to the non-
executive directors. During H2 2019, 
Randeep Grewal undertook two trips 
to the US to meet the US management 
team.

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What were the key topics of 
engagement and consideration in 
principal decisions 

Key topics of engagement for investors 
throughout the year was around: 

The MidCap debt instrument and subsequent 
restructuring of this, as well as the overall 
financial position of the Group.  

Full year and interim financial results and 
reports.

The changes to the Executive management 
team.

Consideration in principal decisions: 

The Board considered the implications of 
the MidCap Financial loan facility on existing 
equity investors. As encouraged by significant 
shareholders who were looking to ease the 
requirement of further equity financing, it was 
agreed that this facility would provide the 
necessary capital with favourable non-dilutive 
qualities for existing shareholders. 

The Board consulted with shareholders regarding 
the potential capacity expansion project to 
ensure that this investment would create 
shareholder value. 

Key topics of engagement for employees 
throughout the year was around: 

The change of Executive management as Steve 
Couldwell retired from the position of CEO. 

The financial position of the Group as 
the MidCap financing was secured and 
restructured. 

The commencement of a second shift to 
increase processing capacity at the facility in 
San Antonio. 

The restructuring of the business in Q4 2019, 
which led to a number of redundancies. 

Health and safety protocols and procedures.  

Updates to quality management systems and 
training records.  

Consideration in principal decisions: 

The Remuneration Committee considered and 
approved a new bonus structure, as well as 
the launch of an employee save as you earn 
scheme. 

In reviewing the Group’s strategy and 
restructuring, consideration was given to 
the vision, mission, values and behaviours 
as discussed on pages 26 to 27, which all 
employees had helped to shape. 

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Stakeholder 
group

Why?

How?

Customers and 
Key Opinion 
Leaders

We work with several prestigious key 
opinion leaders across clinical settings in 
order to assist with physician conversion 
and drive the clinical discussion around 
the differentiators of our product 
portfolio.  

Our clinical affairs team work closely 
with our key opinion leaders and engage 
with them for a number of clinical case 
studies, which can be then used as 
evidence when discussing with new 
potential customers.

This type of engagement and clinical 
advocacy is crucial as we work to grow 
our product and brand recognition and 
increase the number of patients who can 
benefit from our market-leading product 
portfolio.

Practical training sessions are 
undertaken to ensure that correct 
application and utilisation of our 
products is achieved, therefore 
improving the occurrence of superior 
clinical outcomes.  

Suppliers 

Suppliers are fundamental to the 
Group’s ability to source high-quality 
raw materials and ethically sourced and 
handled tissues. We look to partner 
with suppliers who can augment our 
internal capabilities and build long-
term beneficial relationships ultimately 
delivering end customer value.   

Society 
(including 
environment)

The Group is committed to operating 
with a high level of corporate social 
responsibility and environmental 
sustainability. Minimising its 
environmental impact to benefit society 
as a whole. 

We aim to attend relevant industry 
conferences throughout the year 
to increase our network of clinical 
professions and grow our brand 
exposure. 

The Group has in place a code of 
conduct and integrity that it expects all 
suppliers to meet. Audits of suppliers 
take place to ensure that donated 
porcine or human tissue is handled 
ethically and in line with the Group’s 
standards. The Executive management 
review supplier payment practices and 
ensure that all suppliers are paid in a 
timely manner, and cost of such supplies 
is in line with industry standards. The 
Board monitors risks associated with 
suppliers and ensures that second 
sourcing options are available to 
minimise any business disruption should 
a supplier relationship fail. 

The Group has implemented a number 
of initiatives with relation to the Group’s 
energy consumption and carbon 
footprints. Details of these can be found 
on page 26. 

The Board have in place a stringent 
code of conduct and ethics and ensures 
to adhere to these in order to protect the 
wider society; this includes the auditing 
of suppliers to ensure that all human 
rights are adhered to and anti-bribery 
and anti-corruption policies.  

What were the key topics of 
engagement and consideration in 
principal decisions 

Key topics of engagement for customers 
and key opinion leaders throughout the 
year was around: 

Product line extensions and product 
improvement.
Capacity constraint management.  
Clinical case study opportunities and outcomes.

Consideration in principal decisions: 

When setting the Group’s budget and 
operational priorities the Board consider the 
needs of customers and how to best meet their 
requirements

The Board review consultation with Key Opinion 
Leaders and customers to drive product 
development and augmentation initiatives in 
order to optimise our product portfolio. This 
led to the development and soft launch of 
DermaPure non-oriented during 2019.  

Key topics of engagement for suppliers 
throughout the year was around: 

Ability to meet increasing demand as we scale 
the business. 

Ethics and code of conduct particularly 
regarding sourcing and handling of materials.

Consideration in principal decisions: 

The Board consider and review suppliers when 
approving the Group strategy and commercial 
expansion plans to ensure that enough high-
quality materials are sourced at reasonable 
prices to allow ramp up of processing.  

Consideration in principle decisions:

A focus throughout the year was to decrease 
the Group’s energy consumption carbon 
footprint and waste management, protecting 
the wider society and local communities in 
which we are based.

Non-financial information statement 
The below table summarises where non-financial information is included in the Annual Report and Accounts: 
Reporting requirements  
Environmental matters 
Employees 
Human rights 
Anti-corruption and anti-bribery matters 
Social matters 
Business model 
Principal risks 
Non-financial KPIs 

Page location
Environmental KPI on page 14 and performance on page 26
As discussed in sustainability pages 26 to 27
Modern slavery statement on page 26 
Ethics and compliance on page 26 
As discussed in sustainability pages 26 to 27
Business model on pages 08 to 09 
Risk management on pages  22 to 25 
Key performance indicators on pages 14 to 15  

The Strategic Report on pages 06 to 29 was approved by the Board on 4 June 2020. 

Gareth Jones
Interim Chief Executive Officer, Tissue Regenix Group

Annual Report and Accounts for the year ended 31 December 2019

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Profile of the current Directors

KEY

Committees

  Audit Committee

  Chair of Audit Committee

  Remuneration Committee

  Chair of Remuneration Committee

Skills

  Industry

  Accounting

  Commercial

  Clinical

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Joined the Group: January 2016 

Joined the Group: October 2018 

JONATHAN GLENN 
Interim Non-Executive Chair 

GARETH JONES 
Interim CEO 

2019 Committees: 

2019 Committees: N/A 

Skills: 

Skills: 

External appointments: N/A

External appointments: N/A

Bio:

Bio:

Jonathan was most recently CEO of Consort 
Medical from December 2007 until its 
acquisition for £505m by Recipharm AB in 
early 2020. Jonathan originally joined Consort 
Medical as Group Finance Director from 
September 2006 to December 2007, and 
prior to this Jonathan was global Head of 
Finance at Celltech Group plc, and later Chief 
Financial Officer of Akubio Ltd, a Cambridge-
based developer of instrumentation for the 
life sciences industry. Jonathan is a member 
of the Institute of Chartered Accountants in 
England and Wales.

Gareth has 27 years’ experience in finance 
having qualified as a Chartered Accountant in 
1993 with PwC. Gareth joined Tissue Regenix 
in October 2018 as CFO before moving into 
the interim CEO role August 2019. 

In recent years he has worked as Chief 
Financial Officer for LSE listed Applied 
Graphene Material. Previously he was at Emco 
Wheaton Division of private equity owned 
Gardner Denver Inc., the global provider 
of industrial equipment, technologies and 
services, where he joined as Finance Director 
in 2013. Prior to this, he spent seven years 
as Finance Director of private equity backed 
start-up, Vireol Bio-Industries plc. Between 
1995 and 2006 Gareth was employed by 
Syltone plc. After its acquisition by Gardner 
Denver Inc. in 2004, Gareth became European 
Finance Director and then Divisional Finance 
Director of the Blower Division. In this capacity 
he was responsible for the day-to-day financial 
operations of the Group’s largest division, 
operating across four continents, with revenues 
of c.$480m. He graduated from the University 
of Nottingham in 1989 with a BEng.

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Joined the Group: March 2008 

Joined the Group: June 2013  

Joined the Group: June 2016 

ALAN MILLER 
Non-Executive Director  

RANDEEP SINGH GREWAL 
Non-Executive Director 

SHERVANTHI  
HOMER-VANNIASINKAM 
Non-Executive Director

2019 Committees: 

2019 Committees: 

2019 Committees: N/A

Skills: 

Skills: 

Skills: 

External appointments: N/A

Bio:

Alan Miller is the Chief Investment Officer 
and a Founding Partner of SCM Direct, an 
online wealth management company. He 
was formerly the Chief Investment Officer 
and founding shareholder of New Star Asset 
Management from early 2001 until 2007. Prior 
to that, Alan was a Director at Jupiter Asset 
Management, in charge of their specialist high 
performance division between 1994 and 2000. 
He is also a qualified accountant and alumni of 
the London Business School.

External appointments:  
Chairman, BB Healthcare

Non-Executive Director, Hox Therapeutics 
Limited

Bio:

Randeep Grewal has over 20 years of 
experience in investing having worked most 
recently at Trium Capital, as well as F&C 
Asset Management, ICAP Equities and Tudor 
Capital, where he spent 10 years covering 
and investing in healthcare companies. He 
also became non-executive director of BB 
Healthcare Investment Trust, listed on the 
London Stock Exchange, in December 2016 
before becoming Chairman in July 2019. 
Randeep has been involved in a number of 
start-up and early stage companies both 
personally and as an investor. He read 
medicine at the University of Cambridge.

External appointments: N/A

Bio:

Shervanthi Homer-Vanniasinkam graduated 
in medicine from Mysore University Medical 
School in India, and is a Fellow of both the 
Royal College of Surgeons of Edinburgh, 
and the Royal College of Surgeons of 
England. She was appointed Consultant 
Vascular Surgeon at Leeds General Infirmary 
in 1995, a post she continues to hold. Her 
concomitant posts include: Founding Co-
director of the novel medical undergraduate 
scholarship programe, EXSEL@Leeds; 
Founding Professor of Surgery, University 
of Warwick Medical School & University 
Hospitals Coventry and Warwickshire; 
Professor of Engineering & Surgery, University 
College London.

Professor Homer-Vanniasinkam has 
published over 100 papers and book 
chapters, delivered over 300 presentations, 
and has a significant research grant portfolio 
(several £m, to date). She has an outstanding 
track record of national (Universities of 
Leeds, London, Warwick) and international 
(Harvard, Yale, Singapore, India) collaborative 
research programmes that encompass basic, 
translational and clinical studies. Professor 
Homer-Vanniasinkam is currently a Visiting 
Scholar at Harvard University and the Yeoh 
Ghim Seng Visiting Professor of Surgery at 
the National University of Singapore.

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Corporate governance

As an AIM listed Company, 
the Board of Tissue 
Regenix Group recognises 
the importance for strong 
corporate governance 
and business ethics. The 
Company adopted the latest 
Quoted Company Alliance 
Corporate Governance 
Code, which came into 
effect in September 2018, 
and has employed these 
guidelines as far as possible. 
The Board is ultimately 
accountable to the 
Company’s shareholders for 
good corporate governance, 
and this report along with 
the audit, remuneration and 
risk reports, highlight the 
steps taken to ensure that 
the Company takes action to 
comply with the standards.

The roles and responsibilities 
of the Board

The Board is responsible for ensuring that a 
successful business strategy is implemented 
across the Group to drive commercial 
success and deliver value for shareholders.

The Board is comprised of two independent 
Non-Executive Directors, one Non-Executive 
Director1, the interim Non-Executive 
Chairman, and one Executive Director, the 
Interim Chief Executive Officer (CEO). The 
Board considers its size, composition and 
balance of skills is currently in line with the 
requirements of the Group, with a mix of 
financial, clinical and commercial expertise to 
advise the Group on its chosen commercial 
strategy. 

There is a clear division of responsibility 
between the Board Chair and CEO position, 
with the Chairman advising and leading the 
Board, as well as making himself available 
to meet with shareholders. The CEO is 
responsible for the day-to-day execution of 
the agreed strategy and ensuring operational 
compliance. Training is made available to 
each Non-Executive Director (NED) to ensure 
that they are completely aware of their 
regulatory responsibilities and requirements. 

The Board aims to meet formally at least 10 
times a year, with provision being made to 
join via telephone if a member of the Board 
is unable to attend in person. Outside of 
the scheduled meetings the Board will meet 
to discuss ad hoc business events where 
necessary, and the CEO keeps the Board 
fully informed of any business developments 
that could positively or negatively impact the 
performance or value of the Company; any 
business decisions that require formal Board 
approval, or any event that could impact the 
Board or individual member carrying out their 
duties and regulatory responsibilities. 

The Board also operates two sub-
committees, the Audit and Renumeration 
Committees, to ensure compliance with 
market regulations. 

The Audit Committee

The Audit Committee’s primary responsibilities 
are to monitor the integrity of the financial 
affairs and statements of the Company, to 
ensure that the financial performance of the 
Company and any subsidiary of the Company 
is properly measured and reported, and to 
review reports from the Company’s external 
auditors relating to the accounting and 
internal controls. The Audit Committee also 
recommends to the Board the appointment 
and reappointment of external auditors. 
The Audit Committee considers the scope 
and results of the external audit and its 
cost effectiveness. It also reviews the fees, 
independence and objectivity of the external 
auditors by discussing with the auditors 
their annual assessment regarding their 
independence, policies and procedures, and 
analysing the audit and non-audit work. 

The Group’s external auditors have 
unrestricted access to the Audit Committee 
and attend the Audit Committee meetings 
throughout the year. The Executive Directors 
attend the Audit Committee meeting by 
invitation only. 

The 2019 Audit Committee comprises of 
Alan Miller, who acts as Chairman of the 
Committee, Jonathan Glenn and Randeep 
Grewal. 

The Remuneration Committee 
Report 

The Remuneration Committee report is 
available on pages 36 to 38. 

The 2019 Remuneration Committee 
comprises of Randeep Grewal, who acts as 
Chairman of the Committee, Jonathan Glenn 
and Alan Miller. 

Since taking up the position of interim 
Non-Executive Chairperson in March 2020, 
Jonathan Glenn has stepped down from the 
Renumeration Committee with Shervanthi 
Homer-Vanniasinkam taking this place. 

Audit Committee

Remuneration Committee

Alan 
Miller

Randeep 
Grewal

Randeep 
Grewal

Jonathan
Glenn

Alan
Miller

Jonathan
Glenn

1   Alan Miller, Non-Executive Director, is no longer considered to be independent due to tenure on the Board.

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The roles of the Board 

Internal control

Jonathan Glenn –  
Interim Non-Executive Chair
 | Ensures the effectiveness of the Board in all 

decision-making

 | Provides guidance to the CEO on key 

business decisions 

 | Facilitates discussions of the Board 

and ensures that all contributions from 
Executive and Non-Executive Directors are 
considered 

 | Makes himself available to all shareholders 

to ensure effective communications 

The Board is responsible for maintaining a 
sound system of internal controls. These 
measures are designed to minimise any 
potential risks identified and such a system 
provides reasonable, but not absolute 
assurance against material misstatement 
or loss. The Board confirms that it has 
established the procedures necessary to 
implement the guidance in the “Internal 
Control Guidance for Directors on the 
Combined Code” (The Turnbull Report). 
Some key features of the internal control 
system are: 

Gareth Jones – Interim CEO 
 | Responsible for the overall operational 

effectiveness of the business 

 | Manages the day-to-day business and 
leads the strategic direction as advised 
by the Board Chair and Non-Executive 
Directors 

 | Ensure effective communication with all 
employees and promotes collaborative 
working and cohesion between all 
members of the global leadership team 

 | Proactively meets with existing and 

potential investors to relay the corporate 
story and investment case 

 | Ensures that the Board Chair and Non-
Executive Directors are provided with a 
comprehensive and accurate business 
update every month via both Board packs 
and, when applicable, Board meetings

Company Secretary –  
Kirsten Lund
 | Responsible to the Board and ensuring 
compliance with all statutory regulations 

 | Responsible for advising the Board on all 

Governance matters 

 | Provides support to Non-Executive 

Directors 

 | Responsible under the direction of the 

CEO, for ensuring that the Board receives 
accurate and timely information

Non – Executive Directors 
 | Help to develop the business strategy and 

bring an independent outlook 

 | Chair and participate in the Audit and 

Remuneration Committees

 | Challenge and support the Executive 

Director on the main issues affecting the 
Group 

 | Bring a range of complementary 

experience to the Board to assist with 
business decision-making 

 | Are available if shareholders want to raise 
concerns that normal channels have failed 
to resolve 

 – well established financial reporting and 

control systems;

 – the Board actively identifies, evaluates and 
monitors the risks inherent in the business 
and ensure that appropriate controls and 
procedures are in place to manage these 
risks;

 – there is a clearly designed organisation and 

reporting structure; and 

 – the Company has operational, accounting 

and employment policies in place.

In addition, the Board regularly assess the 
internal control environment under which the 
business operates and where appropriate 
implements additional measures to ensure 
that adequate controls are maintained.

Quoted Company Alliance 
Corporate Governance Code 

The Board has concluded that the most 
applicable corporate governance framework 
for the Company to follow would be the 
Quoted Company Alliance Corporate 
Governance Code, which the Group 
implemented in September 2018. Below is an 
overview as to how the Company addresses 
the 10 points of the Code. 

1.  “Establish a strategy and 
business model which 
promote long-term value for 
shareholders”

Tissue Regenix Group has established a 
portfolio of regenerative medical products, 
based on two platform technologies, to 
address critical and increasing clinical needs, 
transforming patient care and providing 
favourable health economic outcomes. We 
aim to expand the adoption of our dCELL® 
and BioRinse technologies and become 
a partner of choice for both clinicians and 
strategic partners. We aim to optimise the 
adoption of our products and drive additional 
revenues more rapidly through product 
line extensions, which have a quick route 
to market, and address specific clinical 
requirements where we see significant 
opportunities. Underpinning this, the business 
has adopted four key strategic growth 
drivers that it believes will accelerate market 

Annual Report and Accounts for the year ended 31 December 2019

penetration and revenue growth, namely: 
accelerate US market penetration; exploit 
global market potential; broaden strategic 
partnerships; and strengthen the portfolio. 
More details of these strategic growth drivers 
can be found on pages 10 to 11 of this 
report. 

2.  “Seek to understand and 

meet shareholder needs and 
expectations”

The Group actively engages with its 
shareholders throughout the year 
both through direct meetings, website 
communications and stock exchange 
announcements. Commissioned analyst 
research notes are made available on the 
Company’s website as well as clinical case 
studies and published papers. 

Senior management, typically the CEO and 
Group Finance Director aim to meet with, or 
speak with, significant shareholders at least 
twice in a year usually after the interim and 
annual results announcements, to provide 
an update on strategy and progress of the 
Company and the Group as a whole, and to 
receive shareholder feedback. The Company 
also undertakes several publicly available 
updates to all shareholders, through forums 
such as interviews, trading updates and PR 
announcements. 

The Company holds an Annual General 
Meeting each year at which all shareholders 
are welcome to attend and speak with 
management.

Company contact details are included on 
the Company’s website and on all regulatory 
announcements.

3.  “Take into account wider 
stakeholder and social 
responsibilities and their 
implications for long-term 
success” 

The Board of Directors of the Company 
considers relationships with stakeholders of 
the Tissue Regenix Group as fundamental to 
its success.

During 2018 the Company embarked on an 
employee engagement programme, which is 
now engrained into the fabric of the business, 
covering multiple areas from employee 
engagement to individual development, 
and drives the Company culture, vision and 
mission, and values and behaviours. More 
information can be found in the sustainability 
report on pages 26 to 27.

In relation to our joint venture company 
GBM-v in Rostock, Germany, quarterly Board 
meetings are held involving both joint venture 
parties along with less formal monthly update 
calls.

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Corporate governance
continued

In respect of organ procurement and tissue 
sourcing, Tissue Regenix actively audits 
these suppliers on a regular basis to ensure 
that tissues are from a properly regulated 
source and obtained and handled with the 
highest ethical standards.

The nature of our business means that 
we pay close attention to our corporate 
social responsibilities, tracking each 
donation, and wherever requested, by 
either regulatory bodies or next of kin, 
proving further information around the use 
of donation. 

As a global Company we consider our 
carbon footprint and environmental 
responsibility ensuring that any significant 
international air travel is essential and could 
not be facilitated by alternative means, 
such as a WebEx meeting. During 2019 
we also undertook an energy reduction 
programme at the UK manufacturing facility 
leading to a 35% energy saving. 

Further details of our corporate social 
responsibility strategy are set out at page 
26 of this report.

The Board considers feedback from its 
advisers and stakeholders formally at its 
monthly Board meetings or sooner on a 
more informal basis as required.

4.  “Embed effective risk 

management, considering 
both opportunities and 
threats, throughout the 
organisation”

The Board carefully considers the 
strengths, weaknesses, opportunities 
and risks facing Tissue Regenix Group, 
and endeavours to minimise the impact 
of weaknesses and risks by employing 
the necessary mitigation actions. Tissue 
Regenix Group is a pioneering international 
medical technology company, focusing on 
the development of regenerative products 
utilising two platform technologies. We 
are helping to transform the treatment of 
patients in four key areas: BioSurgery (soft 
tissue replacement and repair in wounds, 
urogynaecology and trauma), Orthopaedics 
and Dental, with an ongoing development 
programme for Cardiac applications. We 
process tissues at our facilities in the UK, 
Europe and North America. Tissue Regenix 
Group has an experienced and dedicated 
management and scientific team, and the 
prominent risks facing the Group are kept 
under review and updated as necessary; 
details are set out on pages 22 to 25 of 
this report.

As noted above, the Group regularly audits 
its suppliers to ensure that the highest ethical 
standards are maintained.

In respect of its intellectual property rights, 
the Group engages a professional patent and 
trademark attorney to monitor its intellectual 
property portfolio.

Tissue Regenix maintains a central finance 
team, currently based in the UK, but with 
two permanent team members in the US. 
The Group seeks to operate consistent 
accounting policies and engages annual 
external audits from professional auditors of 
its financial results and reports, findings from 
which will be presented to the Board and 
made available to all shareholders. The Board 
review monthly financial reports including 
key performance indicators provided by the 
Group Finance Director in respect of the 
management of cash within the business and 
review against budgets and forecasts. 

The Group also has a number of operational 
controls that all employees are expected to 
adhere to including management structure, 
Board reserved matters, financial monitoring, 
internal policies, codes of conduct and 
training, health and safety monitoring and IT 
controls.

5.  “Maintain the Board as a 

well-functioning, balanced 
team led by the Chair”

The Board is comprised of two independent 
Non-Executive Directors, one Non-Executive 
Director, the Non-Executive Chairman, and 
one Executive Director, the Chief Executive 
Officer. The Non-Executive Directors bring 
a mix of financial, clinical and industry 
experience to the Board, and the Board 
believes that its composition is suitable for 
the Company requirements. 

At least 10 formal Board meetings are held 
each year with enough notice for Directors 
to participate. A monthly Board report is 
produced, and meeting agendas and Board 
papers are produced in advance of each 
meeting so that the Board can properly 
consider the matters to be discussed. The 
Company maintains minutes of the Board 
meetings. Directors are also expected to 
make themselves available on an ad hoc 
basis for consultation if the need arises. 

There are two Committees of the Board, 
the Audit Committee and the Remuneration 
Committee, each of which are formed 
of three of the Non-Executive Directors 
of the Company, with each Committee 
having policies to govern how they are 
run. The Directors who form these two 
Committees have financial experience so 
are appropriate persons to advise on these 
matters. The Audit Committee meets at 
least twice per year and is chaired by Alan 
Miller who has relevant financial experience. 
The Remuneration Committee meets no 
fewer than twice per year, and is chaired 
by Randeep Grewal who has financial 
experience and experience of being a fund 
manager and investor. Further details of these 
Committees can be found on page 32 of this 
Annual Report.

A Nomination Committee has been set 
up in order to assess the structure, size 
and composition of the Board as well as 
the appointment of any new Director, as 
and when appropriate. For senior level 
appointments the Board will engage the 
expertise of a relevant recruitment company 
to assist with the search and hiring of a 
relevant individual. 

The Non-Executive Directors are appointed 
through formal non-executive appointment 
letters, which contain a three-month notice 
period. The non-executive appointment 
letters contain an indicative time commitment 
of 20 days per annum; however, these 
indicate that this is an estimate and that all 
Directors are expected to commit sufficient 
time to fully discharge their responsibilities. 
The Company has not had any issues with 
regular non-attendance at meetings.

Executive Directors have formal service 
contracts, which require them to work 
full-time in the business and have no other 
significant outside business commitments. 
These service agreements have a maximum 
of six-months’ notice to terminate.

The Company follows the provisions in its 
Articles of Association in respect of the 
retirement and reappointment of Directors at 
its Annual General Meeting each year.

The Board is satisfied that it has a suitable 
balance between independence and 
knowledge of the business to allow it to 
discharge its duties and responsibilities 
effectively and that effective controls have 
been put in place.

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TISSUE REGENIX GROUP PLC 

 
 
To supplement the Board, the Group 
maintains a team of senior management 
to inform the Board and keep it abreast of 
key developments throughout its business. 
The senior management are detailed on 
the Company’s website and includes 
for example: Daniel Lee, President US 
Operations; Mike Izon, R&D Director; and 
Joel Pickering, President of the BioSurgery 
division, as well as other relevant senior 
managers. As well as the main Board, Tissue 
Regenix participates in the board of its joint 
venture company, GBM-v along with its joint 
venture partner. Having close ties to the 
senior management team and joint venture 
partners in this way allows the Group to 
ensure that all divisions of the business are 
kept up to date and facilitates the Group in 
ensuring that all its divisions are compliant 
with the Group’s codes and practices.

10.  “Communicate how the 

Company is governed and is 
performing by maintaining a 
dialogue with shareholders 
and other relevant 
stakeholders”

Please see responses in respect of principles 
2, 3 and 5 above in relation to shareholder 
communications and meetings, and Board 
communications and meetings. In addition 
to this, the Company communicates 
with its shareholders through regulatory 
announcements and its Annual Report. 
Reports from both the Remuneration 
Committee and the Audit Committee are 
set out in the Annual Report. The Company 
also hold an Annual General Meeting, which 
all shareholders are invited to attend. In the 
event that the Company received a significant 
proportion of votes against a resolution at a 
General Meeting, it would seek to review the 
rationale for this and consider appropriate 
actions.

6.  “Ensure that, between 

8.  “Promote a corporate culture 

them, the Directors have 
the necessary up-to-date 
experience, skills and 
capabilities”

The Board is satisfied that it has an effective 
balance of skills and relevant experience to 
operate effectively.

Each Board member brings a different set 
of capabilities, for example, all the Directors 
other than Shervanthi Homer-Vanniasinkam 
have financial experience, both Shervanthi 
Homer-Vanniasinkam and Randeep Grewal 
have clinical experience, and Gareth Jones 
and Jonathan Glenn both have relevant 
international industry experience.

The Board maintains its skillset through their 
day-to-day roles and uses external advisers 
to enhance its knowledge where necessary. 
If any member of the Board considers that 
additional training is required to fulfil their role, 
the Company would seek to provide such 
training as and when necessary.

The Company keeps in regular contact with 
its nomad, Stifel Nicolaus Europe, typically 
meeting once every two weeks and ad hoc 
as required. The Company also seeks advice 
from its legal advisers and accountants as 
and where necessary including, for example, 
in relation to the acquisition of CellRight 
Technologies LLC. The Company employs 
RSM UK Audit LLP to audit its Annual 
Accounts and Report.

The Company Secretary role is currently held 
by the Group Finance Director, Kirsten Lund.

Given the size of the Company, it has 
not sought to formally appoint a Senior 
Independent Director; however, Alan Miller is 
the longest serving Non-Executive Director. 

7.  “Evaluate Board performance 
based on clear and relevant 
objectives, seeking continuous 
improvement” 

The CEO and Group Finance Director of 
the Company are measured against a 
clearly defined set of personal objectives 
agreed by the Board and monitored by the 
Remuneration Committee. The Board keeps 
under review its composition and the balance 
of skills and experience of Non-Executive 
Directors.

that is based on ethical 
values and behaviours”
As a Company that operates in a highly 
regulated and sensitive environment, the 
Company ensures that it operates with 
a vigorous code of conduct and ethics. 
Tissue Regenix Group strives to maintain 
a sustainable, ethical and responsible 
Company. 

The Group, led by the Interim Chief Executive 
Officer, maintains open and transparent 
channels of communication with all 
employees in order to promote values and 
behaviours which consistently reflect the 
Group’s ethos.

Operating in an industry based upon 
processing of human and animal derived 
tissues demands the highest ethical 
standards, and the Group aspires to 
maintain these across all business functions 
and relations. The Company undertakes 
regular audit checks to ensure that partners, 
suppliers and employees comply with the 
ethical standards and operate to meet our 
expectations. 

9.  “Maintain governance 

structures and processes 
that are fit for purpose and 
support good decision-
making by the Board” 

Please see the details of the Board and its 
Committees set out in respect of principles 
5, 6 and 7 above. Details of the main roles 
of the Audit Committee and Remuneration 
Committee are set out in this Annual Report 
on page 32, and the Company’s website.

A Nomination Committee has been set 
up in order to assess the structure, size 
and composition of the Board as well as 
the appointment of any new Director, as 
and when appropriate. For senior level 
appointments the Board will engage the 
expertise of a relevant recruitment company 
to assist with the search and hiring of a 
relevant individual.

In addition to this, the Group operates a clear 
list of matters which are reserved for the 
Board.

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Directors’ remuneration report

Share incentive schemes
The Group operates a share option plan, 
under which certain Executive Directors 
and senior management have been granted 
options to subscribe for ordinary shares. 
All options are equity settled. The options 
are subject to service and performance 
conditions, have an exercise price of 
between 0.5 pence and 22.5 pence, and 
the vesting period is generally 1–3 years. 
If the options remain unexercised after a 
period of 10 years from the date of grant, 
the options expire. The Group has no legal 
or constructive obligation to repurchase or 
settle the options in cash.

In addition, certain Executive Directors are 
eligible to acquire interests in ordinary shares 
in the Company to be owned jointly with 
the trustee of the Tissue Regenix Group 
Employee Share Trust (EBT) and under 
which, subject to meeting performance 
criteria conditions, most of any future 
increase in the value of the shares will accrue 
to the employees. 

Remuneration policy for  
Non-Executive Directors

Remuneration for Non-Executive Directors 
is set by the Chairman and the Executive 
members of the Board. Non-Executives do 
not participate in bonus schemes.

Remuneration policy

The Group’s remuneration policy is 
to provide Executive Directors with a 
competitive market-based package in order 
to reward individual and Group performance 
and deliver outstanding shareholder returns.

The Remuneration Committee is committed 
to ensuring that the Company’s key 
management team is incentivised to drive 
sustainable earnings growth and returns to 
shareholders, thereby creating a genuinely 
strong alignment of interests between 
management and investors.

It is the Company’s policy that Executive 
Directors should have contracts with an 
indefinite term providing for a maximum 
of six months’ notice. In the event of 
early termination, the Executive Directors’ 
contracts provide for compensation up to 
a maximum of basic salary for the notice 
period.

Non-Executive Directors are employed 
on letters of appointment which may be 
terminated on no less than three months’ 
notice.

Companies with securities listed on AIM do 
not need to comply with the UKLA Listing 
Rules. The Remuneration Committee is, 
however, committed to maintaining high 
standards of corporate governance and 
disclosure and has applied the guidelines 
as far as practical given the current size and 
development of the Company.

Remuneration Committee

The Remuneration Committee’s primary 
responsibilities are to review the performance 
of the Executive Directors of the Company 
and to determine the broad policy and 
framework for their remuneration and the 
terms and conditions of their service and 
that of senior management (including the 
remuneration of and grant of options to such 
persons under any share scheme adopted 
by the Company).

The 2019 Remuneration Committee 
comprises Randeep Grewal as Chair of the 
Committee, Alan Miller and Jonathan Glenn. 
The Committee meets no fewer than twice in 
each financial year.

The main elements of the remuneration 
packages for Executive Directors and senior 
management are:

Basic annual salary
The base salary is reviewed annually at 
the beginning of each year. The review 
process is undertaken by the Remuneration 
Committee taking into account several 
factors, including the current position 
and development of the Group, individual 
contribution and market salaries for 
comparable organisations.

Discretionary annual bonus
All Executive Directors and senior managers 
are eligible for a discretionary annual bonus, 
which is paid in accordance with a bonus 
scheme developed by the Remuneration 
Committee. This takes into account 
individual contribution, business performance 
and commercial progress, in accordance 
with the Group’s strategy along with financial 
results.

On 24 April 2014 the Remuneration 
Committee approved the implementation of 
a deferred annual bonus plan to commence 
from the financial year ended 31 January 
2014 (the “Deferred Annual Bonus Plan”). 
Under the terms of the Deferred Annual 
Bonus Plan, Directors and senior managers 
may waive up to 50% of their annual cash 
bonus and in return receive a share option 
over ordinary shares in the Company (the 
“Deferred Allocation”). The number of 
ordinary shares comprising the Deferred 
Allocation (i.e. subject to the option) will be 
calculated by dividing the amount of the 
cash bonus waived by the closing market 
value of the ordinary shares of the Company 
on the dealing day immediately prior to the 
date of deferral of the bonus. The Deferred 
Allocation option is not capable of exercise 
until the vesting date has been reached, 
which is three years from the date of 
grant of the award. By participating in the 
Deferred Annual Bonus Plan Directors and 
senior managers will be entitled to receive 
a matching award at no additional cost 
(the “Matching Allocation”). The Matching 
Allocation will be an option over ordinary 
shares in the Company.

The number of ordinary shares comprising 
the Matching Allocation will be equivalent 
to three times the number of ordinary 
shares received in the Deferred Allocation. 
Participants will not be entitled to receive the 
Matching Allocation until the vesting date is 
reached, which is three years from the date 
of grant of the award.

Additionally, participants will not be entitled 
to receive the Matching Allocation unless 
share price growth performance targets 
have been achieved and those price targets 
sustained for 30 consecutive days.

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TISSUE REGENIX GROUP PLC 

 
 
Directors’ remuneration

The remuneration of the main Board Directors of Tissue Regenix who served in the year to 31 December 2019 was:

John Samuel 
Steven Couldwell (resigned 30/07/2019)
Gareth Jones* 
Randeep Grewal

Jonathan Glenn
Alan Miller
Shervanthi Homer-Vanniasinkam
Michel Barker (appointed on 28th August and resigned 
18th November 2019)
Paul Devlin (resigned 31 January 2018)
Total

Salary and 
fees
£000
111
141
188
35

30
35
30

38
–
608

Bonus
£000
–
60
50
–

–
–
–

–
–
110

Total up to 
December
2019
£000
111
203
250
35

Total up to 
December
2018
£000
111
356
33
35

30
35
30

40
–
734

30
35
30

–
15
645

Benefits
£000
–
2
12
–

–
–
–

2
–
16

Within 2018 the total bonus payments were £120k and benefits were £13k. 

* Gareth Jones was awarded a bonus of £120k in respect of his performance during 2019. Given the cash position of the Company as at the year 
end, payment of this bonus was deferred pending an improvement in the cash position, for instance following the completion of  a successful 
fundraise. Given this conditionality, the accounting standards require us to recognise this in the year it is paid and therefore it does not show in 
the above table. Gareth has decided to invest the vast majority of the net proceeds of this bonus into the recently announced fundraise.

Directors’ shareholdings

Directors’ interests in the shares of the Company, including family interests at 31 December 2019 were:

John Samuel (Note 1)
Alan Miller
Jonathan Glenn
Shervanthi Homer-Vanniasinkam

31 December
2019
Number

31 December
2019
%

31 December
2018
Number

31 December
2018
%

26,276,928
22,886,988
600,000
250,000

2.22%
1.97%
0.06%
0.02%

26,276,928
22,886,988
600,000
250,000

2.22%
1.97%
0.06%
0.02%

Note 1 includes shares held jointly by the Director and EBT as set out overleaf in Note 3.

Directors’ interests and share options

Directors’ interests in shares owned jointly with the Trustees of the Tissue Regenix Group Employee Benefit Trust (EBT) and in share options to 
acquire ordinary shares of 0.5 pence each in the Company at 31 December 2019 were:

John Samuel 
John Samuel (Note 1)
Unapproved scheme options
John Samuel (Note 2)
Steven Couldwell 
EBT scheme shares (Note 3)
John Samuel

At 1 January
2019

Lapsed 
during year

At 
31 December
2019

Exercise
price

2,400,000
577,777

–
–

2,400,000
577,777

5.00 pence
22.50 pence

88,890
10,000,000

–
10,000,000

88,890
–

22.50 pence
8.00 pence

10,740,000

–

10,740,000

5.00 pence

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Directors’ remuneration report
continued

Subject to meeting the performance criteria 
conditions set out in the JOEs, most of any 
future increase in the value of the shares 
will accrue to the employees provided that 
they have not ceased employment with 
the Group on or before the date that these 
conditions are met. The employees are also 
under certain circumstances able to benefit 
from an increase in the value of the shares 
on a takeover, change of control, scheme 
of arrangement or a voluntary winding-up 
of the Company. Where the performance 
conditions are not met, the Trustee has 
an option to acquire the interests of the 
employees in the shares at a price equal 
to the original purchase cost they paid so 
that none of any increase in the value of the 
shares will accrue to them. The market price 
of the shares at 31 December 2019 was 
1.0 pence per share, the highest and lowest 
prices during the year were 8.25 pence and 
0.6 pence respectively. Further details of all 
share options and jointly owned shares held 
by the Trustee are set out in note 16 to the 
financial statements.

On behalf of the Board
Randeep Grewal 
Chairman of the Remuneration Committee

4 June 2020

Note 1. There were employment period 
and performance conditions in relation to 
the 577,777 options granted on 4 February 
2014, which allowed for vesting in three 
equal proportions on or after the three 
consecutive annual anniversaries from the 
date of grant, subject to the Company’s 
share price reaching 30 pence per share, 
40 pence per share and 50 pence per share 
by the respective three vesting dates. As at 
31 December 2019 none of the performance 
conditions had been met and no options 
were eligible for exercise.

Note 2. There were employment period 
and performance conditions in relation to 
the 88,890 options granted on 4 February 
2014, which allowed for vesting in three 
equal proportions on or after the three 
consecutive annual anniversaries from the 
date of grant, subject to the Company’s 
share price reaching 30 pence per share, 
40 pence per share and 50 pence per share 
by the respective three vesting dates. As at 
31 December 2019 none of the performance 
conditions had been met and no options 
were eligible for exercise.

Note 3. The Tissue Regenix Group Employee 
Benefit Trust (“the EBT”) was established 
with Osiris Management Services Limited 
appointed as trustee (“the Trustee”) to enable 
the Trust to acquire ordinary shares in the 
Company and to make interests in those 
shares available for the benefit of current and 
future employees of the Company and its 
subsidiaries. John Samuel has interests in 
ordinary shares in the Company, which were 
acquired jointly with the Trustee in the market 
on 29 June 2010 at a price of 5 pence 
per share. The shares were all acquired 
pursuant to certain conditions set out in 
Joint Owned Equity agreements (“JOEs”). 

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TISSUE REGENIX GROUP PLC 

 
 
Directors’ report

The Directors present their 
report and consolidated 
financial statements for
the Tissue Regenix Group 
plc, and its subsidiary 
undertakings for the year 
ended 31 December 2019.

Principal activity

The principal activity of the Group is 
the exploitation of innovative platform 
technologies in the field of tissue engineering 
and regenerative medicine. The Company 
is incorporated and domiciled in the UK and 
is listed on the London Stock Exchange 
Alternative Invest Market. The subsidiary 
undertakings principally affecting the Group 
are listed in note C5 of the Company’s 
financial statements.

Business model

A description of the Company’s business 
model is included on pages 08 to 09. 
Explanations of activities and how it seeks 
to add value are included in the Chairman’s 
statement on page 02 to 03 and Interim CEO 
operational review report on pages 18 to 19 
as well as the KPI report on pages 14 to 15 
and future milestones on pages 12 to 13.

Business review and results

A review of the Group’s performance and 
future prospects is included in the Chairman’s 
statement on pages 02 to 03 and Interim 
CEO operational report on pages 18 to 19, 
as well as the future milestones on pages 12 
to 13 and KPIs set out on pages 14 to 15. A 
review of the Group’s financial performance 
is within the financial overview on pages 20 
to 21. The loss for the 12 months attributable 
to equity holders of the parent was (£7,697k) 
(2018: £8,186k). The Directors do not 
recommend the payment of a dividend (2018: 
nil).

Share capital and funding

Full details of the Group and Company’s 
share capital movements during the year are 
given in note 19 to the financial statements.

Directors and their interests

The following Directors held office in the year:

Statement as to disclosure of 
information to the Auditor

John Samuel – resigned 20 March 2020
Steve Couldwell – retired 1 August 2019
Gareth Jones
Mike Barker – appointed 28 August 2019; 
retired 18 November 2019 
Jonathan Glenn
Shervanthi Homer-Vanniasinkam 
Alan Miller
Randeep Singh Grewal

Directors’ interests in the shares of the 
Company, including family interests, are 
included in the remuneration report on pages 
36 to 38.

Directors’ indemnity insurance

The Group has maintained insurance 
throughout the year for its Directors and 
officers against the consequences of actions 
brought against them in relation to their duties 
for the Group.

Corporate governance

The corporate governance report is set out 
on pages 32 to 35.

The Directors who were in office on the date 
of approval of these financial statements have 
confirmed, that as far as they are aware, there 
is no relevant audit information of which the 
Auditor is unaware. Each of the Directors has 
confirmed that they 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 it has been communicated to the Auditor.

Financial instruments

Further details of financial risk management 
objectives and policies are set out on pages 
22 to 25 and in note 14 of the financial 
statements.

Auditor

RSM UK Audit LLP have indicated willingness 
to continue in office, in accordance with the 
recommendation of the Audit Committee 
and section 489 of the Companies Act 
2006. A resolution to reappoint RSM as the 
Company’s Auditor will be proposed at the 
forthcoming Annual General Meeting.

Substantial shareholders

Strategic report

The Group has chosen in accordance with 
Companies Act 206 s414C (11) to set out 
in the Group’s strategic report information 
required by Large and Medium-sized 
Companies and Groups (Accounts and 
Reports) Regulations 2008, Sch 7 to be 
contained in the Directors’ report in relation 
to research and development and future 
developments and important events affecting 
the Group since the end of the year. 

The Directors Report was approved by the 
Board on 4 June 2020. 

On behalf of the Board

Gareth Jones 
Interim Chief Executive Officer

As at 31 December 2019, shareholders 
holding more than 3% of the share capital of 
Tissue Regenix Group plc were:

Name of
shareholder
Link Group*
IP Group
Jupiter Asset 
Management
Director 
and Related 
Holdings(s)

Number of
shares
234,212,642
153,042,837

% of voting 
rights
19.98
13.06

99,740,965

8.51

50,313,916**

4.33

* Link Group were appointed as administrators for 
the Woodford Equity Income Fund 

** Includes 10,740,000 shares held jointly by the 
Director and the Tissue Regenix Employee  
Share Trust.

Employment Policies

The Group is committed to keeping 
employees as fully informed as possible 
regarding the Group’s performance and 
prospects and seeks their views, wherever 
possible, on matters which affect them as 
employees. More information can be found in 
our sustainability report on pages 26 to 27.

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Statement of directors’ responsibilities
In respect of the Annual Report and the financial statements

The directors are responsible for preparing the Strategic Report and the Directors’ Report, and the financial statements in accordance with 
applicable law and regulations.

Company law requires the directors to prepare group and company financial statements for each financial year. They are required by the AIM 
Rules of the London Stock Exchange to prepare group financial statements in accordance with International Financial Reporting Standards 
(“IFRS”) as adopted by the European Union (“EU”) and have elected under Company law to prepare the company financial statements in 
accordance with IFRS as adopted by the EU.

The group financial statements are required by law and IFRS adopted by the EU to present fairly the financial position and performance of the 
group; the Companies Act 2006 provides in relation to such financial statements that references in the relevant part of that Act to financial 
statements giving a true and fair view are references to their achieving a fair presentation.

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 of the group and the company and of the profit or loss of the group for that period.

In preparing each of the group and company financial statements, the directors are required to:

a. select suitable accounting policies and then apply them consistently;

b. make judgements and accounting estimates that are reasonable and prudent;

c. state whether they have been prepared in accordance with IFRS as adopted by the EU;

d. prepare the financial statements on the going concern basis unless it is inappropriate to presume that the group and the company will 

continue in business.

The directors are responsible for keeping adequate accounting records that are sufficient to show and explain the group’s and the company’s 
transactions and disclose with reasonable accuracy at any time the financial position of the group and the 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 the company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

The directors are responsible for the maintenance and integrity of the corporate and financial information included on the Tissue Regenix 
Group website.

Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other 
jurisdictions.

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TISSUE REGENIX GROUP PLC 

 
 
Statement of directors’ responsibilities

In respect of the Annual Report and the financial statements

Independent auditor’s report
To the members of Tissue Regenix Group PLC

Opinion
We have audited the financial statements of Tissue Regenix Group plc (the ‘parent company’) and its subsidiaries (the ‘group’) for the year 
ended 31 December 2019 which comprise the consolidated statement of comprehensive income, the consolidated and parent company 
statements of financial position, the consolidated and parent company statements of changes in equity, the consolidated and parent company 
statements of cash flow and the notes to the financial statements, including a summary of significant accounting policies. The financial reporting 
framework that has been applied in their preparation is applicable law and International Financial Reporting Standards (IFRSs) as adopted by the 
European Union 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 31 December 2019 and 

of the group’s loss for the year then ended;

 | the group financial statements have been properly prepared in accordance with IFRSs as adopted by the European Union;

 | the parent company financial statements have been properly prepared in accordance with IFRSs as adopted by the European Union and as 

applied in accordance with 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 SME 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.

Material uncertainty related to going concern
We draw attention to note 1 in the financial statements, which indicates that the fundraising announced on 22 May 2020 is conditional upon 
shareholder approval in a general meeting. As stated in note 1, these events or conditions, along with the other matters as set forth in note 1, 
indicate that a material uncertainty exists that may cast significant doubt on the group’s and the parent company’s ability to continue as a going 
concern. Our opinion is not modified in respect of this matter.
Summary of our audit approach
Key audit matters

Group
 | Goodwill impairment

Materiality 

Parent Company
 | Impairment of intercompany receivables

Group
 | Overall materiality: £297,000

 | Performance materiality: £222,000

Parent Company
 | Overall materiality: £169,000

 | Performance materiality: £127,000

Scope

Our audit procedures covered 100% of revenue, 100% of total assets and 100% of loss before tax.

Annual Report and Accounts for the year ended 31 December 2019

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Independent auditor’s report continued
To the members of Tissue Regenix Group PLC

Key audit matters
Key audit matters are those matters that, in our professional judgment, were of most significance in our audit of the group and parent company 
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 group and parent company financial 
statements as a whole, and in forming our opinion thereon, and we do not provide a separate opinion on these matters. 

In addition to the matters described in the Material uncertainty related to going concern section, we have determined the matters described 
below to be the key audit matters to be communicated in our report.
Goodwill impairment

Key audit matter description

How the matter was addressed 
in the audit

As disclosed in note 11, the CellRight Technologies LLC (“CellRight”) cash generating unit (CGU) includes 
goodwill of £15.3m. CellRight was acquired in 2017 and the presence of goodwill requires an impairment 
test to be performed at least annually. The CellRight CGU is a legal entity in its own right and forms part of 
the Orthopaedics and Dental operating segment.

Any recorded impairment charge would most likely have a material impact on the financial statements and 
we therefore considered this matter to be one of the matters of most significance in the current year audit.

Impairment testing requires management to compare the carrying amount of the CGU’s attributable 
assets and liabilities with the higher of fair value less costs of disposal and value in use (the “Recoverable 
Amount”). Where the carrying amount is higher than Recoverable Amount then an impairment 
charge arises. Impairment testing involves a significant degree of judgement because management’s 
determination of value in use is based on a number of assumptions including an assessment of future 
performance in a high growth sector and the selection of an appropriate discount rate.

Management provided us with an impairment model for the CellRight CGU as detailed in note 11 that 
showed no impairment was necessary. The value in use calculation is dependent upon cash flows derived 
from expected EBITDA, working capital movements and capital expenditure requirements. We identified 
that the two key assumptions within the model were revenue growth (which was 26% compound annual 
growth over the five-year forecast period, reducing to long term growth of 2% thereafter) and the use of a 
weighted average cost of capital (WACC) of 13.5% for the discount rate.

We performed audit work on this model by:

 | Using a specialist to check the calculations within the model and to obtain an independent estimate of 

the WACC.

 | Challenging management to support the revenue growth rate within the model and comparing forecast 

growth with available market reports.

 | Considering the sensitivity of the headroom within the model to reasonably possible changes in the 

revenue growth rate.

Key observations

As a result of our work we concurred with management’s assessment that there was no impairment and 
we ensured that the disclosure in note 11 made it clear the calculation of value in use is sensitive to a 
reasonably possible change in sales growth rates.

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TISSUE REGENIX GROUP PLC 

 
 
Impairment of intercompany receivables (parent company only) 

Key audit matter description

The parent company has receivable balances from subsidiary undertakings that are currently loss making. 
The receivables are repayable on demand and the subsidiary undertakings do not have sufficient liquid 
assets to make repayment should the parent company call in the receivable balance. 

One of the most significant matters in the current year audit of the parent company is that these 
receivable balances may be impaired and management are required to calculated an expected credit 
loss (“ECL”) provision in accordance with IFRS9 Financial Instruments. The calculation of ECLs involves a 
significant degree of judgement as management have to make assumptions about future cash generation 
and consider multiple scenarios through which the balances may be recovered. 

Given the magnitude of these receivable balances and the potential for impairment we considered this 
matter to be one of the matters of most significance in the current year audit.

At the 31 December 2019, the carrying value of amounts due from group undertakings amounted to 
£20.6m after recording an ECL provision of £49.9m (see note C7).

How the matter was addressed 
in the audit

We obtained management’s calculation of the ECL and the underlying calculations prepared to support 
the carrying value of the balance and performed work as follows:

 | Assessed the reasonableness of the scenarios considered by management and the probabilities 

assigned to each.

 | Ensured that the cash flow forecasts used were consistent with those contained within impairment 

tests performed on CellRight and the group’s net assets (as disclosed at note 11).

 | Recalculated the computation of the ECL.

Key observations

As a result of our work we concurred with management’s calculated ECL and we ensured that the key 
estimates within the calculation were adequately disclosed within the critical estimates at note C2.

Our application of materiality
When establishing our overall audit strategy, we set certain thresholds which help us to determine the nature, timing and extent of our audit 
procedures. When evaluating whether the effects of misstatements, both individually and on the financial statements as a whole, could 
reasonably influence the economic decisions of the users we take into account the qualitative nature and the size of the misstatements. Based 
on our professional judgement, we determined materiality as follows:

Group

Overall materiality

£297,000

Basis for determining 
overall materiality

2.3% of Revenue

Rationale for benchmark 
applied

Revenue selected given shareholder and stakeholder 
focus on revenue growth. The group is still in relatively 
early phase of development and revenue growth is 
critical to reducing significant operating losses.

Parent company

£169,000

0.4% of net assets. The percentage applied to the 
benchmark has been restricted for the purpose of 
calculating an appropriate component materiality.

Net assets selected as the parent company is purely 
a holding company and no income statement is 
presented.

Performance materiality

£222,000

£127,000

Basis for determining 
performance materiality

75% of overall materiality

75% of overall materiality

Reporting of 
misstatements to the  
Audit Committee

Misstatements in excess of £15,000 and misstatements 
below that threshold that, in our view, warranted 
reporting on qualitative grounds. 

Misstatements in excess of £8,000 and misstatements 
below that threshold that, in our view, warranted 
reporting on qualitative grounds. 

Annual Report and Accounts for the year ended 31 December 2019

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Independent auditor’s report continued
To the members of Tissue Regenix Group PLC

An overview of the scope of our audit
The group consists of 11 components, located in the United Kingdom, USA and Germany. The coverage achieved by our audit procedures 
was:

Full scope audit
Specific audit procedures
Total

Number of  
components
9
1
10

Revenue
100%
-%
100%

Total assets
100%
-%
100%

Profit  
before tax
94%
6%
100%

Specific audit procedures were performed on one component as they contained the Borrowings secured by the group during the year and the 
related finance costs. Analytical procedures were performed at group level for the remaining component.  

Of the above, a full scope audit for 1 component was undertaken by a component auditor. Whilst not significant in its own right, this 
component contained material amounts of revenue.

Other information
The directors are responsible for the other information. The other information comprises the information included in the annual report, other 
than the financial statements and our auditor’s report thereon. Our opinion on the 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. 

In connection with our audit of the financial statements, 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 audit or otherwise appears to 
be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether 
there is a material misstatement in the financial statements or a material misstatement of the other information. 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. 

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.

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TISSUE REGENIX GROUP PLC 

 
 
Responsibilities of directors
As explained more fully in the directors’ responsibilities statement, the directors are responsible for the preparation of the 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 financial statements, the directors are responsible for assessing the group’s 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.

A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council’s website at: 
http://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.

Michael Thornton  
(Senior Statutory Auditor)
For and on behalf of RSM UK Audit LLP, Statutory Auditor 

Chartered Accountants 
Central Square 
Fifth Floor 
29 Wellington Street 
Leeds LS1 4DL 
4 June 2020

Annual Report and Accounts for the year ended 31 December 2019

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Consolidated statement of comprehensive income
For the year ended 31 December 2019

REVENUE
Cost of sales
GROSS PROFIT
Administrative expenses before exceptional items
Exceptional items
Total administrative expenses
OPERATING LOSS
Finance income
Finance charges
LOSS BEFORE TAXATION
Tax
LOSS FOR YEAR
ATTRIBUTABLE TO:
Equity holders of the parent
Non-controlling interests

OTHER COMPREHENSIVE INCOME:
Foreign currency translation differences – foreign operations
TOTAL COMPREHENSIVE EXPENSE FOR THE YEAR
ATTRIBUTABLE TO:
Equity holders of the parent
Non-controlling interests

LOSS PER SHARE
Basic and diluted loss attributable to equity holders of parent

The loss for the period arises from the Group’s continuing operations. 

Notes
3

3
4

6
7

8

9

2019
£000
13,033
(7,014)
6,019
(13,198)
(21)
(13,219)
(7,200)
17
(477)
(7,660)
554
(7,106)

(6,973)
(133)
(7,106)

 (724)
(7,830)

(7,697)
(133)
(7,830)

2018
£000
 11,619
(5,702)
5,917
(14,183)
 (423)
(14,606)
 (8,689)
72
 (262)
 (8,879)
 620
(8,259)

(8,186)
(73)
(8,259)

 1,360
 (6,899)

(6,826)
 (73)
 (6,899)

9

(0.60)p

(0.70)p

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TISSUE REGENIX GROUP PLC 

 
 
Consolidated statement of comprehensive income

For the year ended 31 December 2019

Consolidated statement of financial position
At 31 December 2019

ASSETS
Non-current assets
Property, plant and equipment
Intangible assets
TOTAL NON-CURRENT ASSETS
CURRENT ASSETS
Inventory
Trade and other receivables
Corporation tax receivable
Cash and cash equivalents
TOTAL CURRENT ASSETS
TOTAL ASSETS
LIABILITIES
Non-current liabilities
Borrowings
Deferred tax
TOTAL NON-CURRENT LIABILITIES
Current liabilities
Borrowings
Trade and other payables
TOTAL CURRENT LIABILITIES
TOTAL LIABILITIES
NET ASSETS
EQUITY
Share capital
Share premium
Merger reserve
Reverse acquisition reserve
Reserve for own shares
Share based payment reserve
Retained earnings deficit
EQUITY ATTRIBUTABLE TO EQUITY HOLDERS OF PARENT
Non-controlling interests
TOTAL EQUITY

Notes

2019
£000

2018
£000

10
11

12
13

14

16
18

16
15

19

20

21

2,357
17,999
20,356

4,185
2,539
1,035
2,380
10,139
30,495

(2,115)
(670)
 (2,785)

(171)
(2,944)
(3,115)
(5,900)
24,595

5,859
86,399
10,884
(7,148)
 (831)
 983
(70,936)
25,210
(615)
24,595

2,828
19,938
22,766

2,330
3,551
1,200
 7,816
14,897
37,663

–
(791)
 (791)

–
(4,302)
(4,302)
(5,093)
32,570

5,859
86,398
10,884
(7,148)
(831)
1,129
(63,239)
33,052
(482)
32,570

The consolidated financial statements were approved by the Board of Directors on 4 June 2020 and were signed on its behalf by:

Gareth Jones
Interim Chief Executive Officer

Company number: 05969271

Hocri ina, cernum nonsunt abus oculisquiur. Ahabus pro vis est ius patin vitast etem videludam intra imum delissed igil consuam. Ehebusc 
restatatem. Eger in vasdam orisquam movesicis cuperorte is cerriostraes se, norumur nihilis, Ti. Ficiae ficam moenihic rei sis.

Terbit. Unum ignonsuliis intiussa dic tant, que cupioneque autudellabus Ad demere fora Sp. Ti, niu vita, ne nius, sinemus, publinatatum inarit. M. 
Labutum inte con tanum di condact atisquemus, dest nerris viliamque cienirmis huide possimusa que is caus consulture morum hostorum tia 
virmilicies nimenatimuri consi publiquit reis sen haberit. Aximedi umenaticiam que consupe suntrum nendum mortem ad imo et; efec re imanum 
opopoptili caet dii scerfervius. Fur acchum maximus consus, maximure consultis, quamdiemus pro ur lossupi ocultimus in diis elutemus is, 
de consime convens idicaet Catque nosta videmur quam pricatante tem nonit? Ti. Perbite cae consis prae publica temus, no. Catuuspiorum 
aut int, quit, quam Romnic iam. Gra verum. Satemere tabunum tisse vereo manterc eperbistio, conc ressuli caedem, vis faudem horatia 
essensulicae tam vilne te fecon tiuris nius fui popublina, videmo compere, unum plicast ina, pos iame vividep opossim plicae fortides cones 
init? Os in videndi urbis? Am taliurn imandie ntudemp opublis, quem ocusquemod inum propopublist pulicatuus omnoniae ad supiondium ficon 
Etri consultus et; inunu ignotala stio, quasdam entero us loc rehem Romanum incurnunte facrebatis conscre iae dere diem inequas teatraetre 
vidiis atus pulvis comnit, que iam quodi inc renatat, pris C. Qua remum pori faude neque converd icatam tea quamque nihilic amdiend ercere es 
senimum liem tatur. Actursuam iam quem actus hinem nos ad res comnius publicitam tat, noximus nons fica pridit praedientim essenti ssulesc 
eperipse anterorbena, urnum que condi, ut gra neque forterunter hil turnum dica milnequa comnimunihic facrem no. Ac templinum dem. Verussi 
linpro, tem pribus publis cut norum tante inate nove, fue ad nonsulego utus etiam diuris. Nu cononstrum que a omnium, nos elici furenimis? 
Alariortu volto et ommo hilis potam ad conihi, Ti. Valicam. Satam que me re adenimum, que a nihi, nimula imaiora traritaripio iam hocut vessi 
cum terebus, quam iae con sultori tessoltus sena, quem publiam tudempl. et vesseni hinerum enatand ierestr avehemoviu in acerede morbis, 
eliis? At ocupecres aurnunclego catu quium atum de tem omaionsuam cor quam esedest dente ta L. Am propublius viliciem ave, efessed

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Consolidated statement of changes in equity
For the year ended 31 December 2019

Attributable to equity holders of parent

Share 
capital
£000
5,855
–
–

Share 
premium
£000
86,398
–
–

Merger 
reserve
£000
10,884
–
–

Reverse 
acquisition 
reserve
£000
(7,148)
–
–

Reserve 
for own 
shares
£000
(831)
–
–

Share 
based 
payment 
reserve
£000
1,186
–
–

Retained 
earnings 
deficit
£000
(56,413)
(8,186)
 1,360

–
 4
–
5,859
–
–

–
–

5,859

–
 –
–
86,398
–
–

–
1
–
86,399

–
–
–
10,884
–
–

–
–
–
10,884

–
–
–
(7,148)
–
–

–
–
–
(7,148)

–
–
–
(831)
–
–

–
–
–
(831)

–
–
 (57)
1,129
–
–

(6,826)
–
–
(63,239)
(6,973)
(724)

–
–
 (146)
 983

 (7,697)
–
–
(70,936)

Non- 
controlling 
interests
£000
(409)
 (73)
–

 (73)
–
–
(482)
 (133)
–

(133)
–
–
(615)

Total
£000
39,931
(8,186)
 1,360

(6,826)
 4
 (57)
33,052
(6,973)
(724)

 (7,697)
1
 (146)
25,210

Total 
equity
£000
39,522
(8,259)
 1,360

 (6,899)
 4
 (57)
32,570
(7,106)
(724)

(7,830)
1
 (146)
24,595

At 31 December 2017
Loss for the period
Other comprehensive income
Loss and total comprehensive 
expense for the period
Exercise of share options
Share based payment credit
At 31 December 2018
Loss for the period
Other comprehensive expense
Loss and total comprehensive 
expense for the period
Exercise of share options
Share based payment credit
At 31 December 2019

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TISSUE REGENIX GROUP PLC 

 
 
Consolidated statement of cash flows
For the year ended 31 December 2019

OPERATING ACTIVITIES
Loss before taxation
Adjustment for:
Depreciation of property, plant and equipment
Amortisation of intangible assets
Impairment of intangible assets and property, plant and equipment 
Share based payments
Interest receivable
Interest payable
Operating cash outflow before working capital movements
Decrease/(Increase) in inventory
Decrease/(Increase) in trade and other receivables
(Decrease)/Increase in trade and other payables
Cash outflows from operations
Research & Development tax credit received
Net cash outflow from operations
INVESTING ACTIVITIES
Interest received
Purchases of property, plant and equipment
Capitalised development expenditure
Acquisition of subsidiary
Net cash outflow from investing activities
FINANCING ACTIVITIES
Interest paid 
Proceeds from exercise of share options
Proceeds from new loans
Repayment of loans
Net cash inflow from financing activities
Decrease in cash and cash equivalents
Foreign exchange translation movement
Cash and cash equivalents at start of period
CASH AND CASH EQUIVALENTS AT END OF PERIOD

Notes

10
11
10/11
20
6
7

6
10
11

2019
£000

2018
£000

(7,660)

(8,879)

476
570
1,311
(146)
(17)
477
(4,989)
 (1,855)
 1,076
 (1,567)
(7,335)
 653
(6,682)

17
 (438)
(213)
 –
 (634)

(384)
1
6,479
(4,193)
1,903
(5,413)
 (23)
 7,816
2,380

598
575
–
(57)
 (72)
262
 (7,573)
542
 (1,188)
156
 (8,063)
1,225
(6,838)

72
(290)
(116)
 (1,564)
 (1,898)

–
4
–
–
 4
 (8,732)
 125
 16,423
 7,816

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Notes to the financial statements
For the year ended 31 December 2019

1) BASIS OF PREPARATION
The financial statements of Tissue Regenix Group plc are audited consolidated financial statements for the year ended 31 December 2019.

These include audited comparatives for the year ended 31 December 2018.

The Company is incorporated and domiciled in the United Kingdom and its registered number is 05969271. The address of the registered 
office is Unit 1 and 2 Astley Way, Astley Industrial Estate, Swillington LS26 8XT. The Company was incorporated on 17 October 2006. The 
principal activity of Tissue Regenix Group is to develop, manufacture and commercialise biological medical devices.

The Group financial statements consolidate the financial statements of Tissue Regenix Group plc and the entities it controls, being its 
subsidiaries and its joint venture interest.

Going Concern
These financial statements have been prepared on a going concern basis, given the current cash flow projections forecast for the Group to 
31 December 2021. Funding requirements are reviewed on a regular basis by the Group’s Chief Executive Officer and Group Finance Director 
and are reported to the Board at each Board meeting, as well as on an ad hoc basis, if requested. Until sufficient cash is generated from its 
operations, the Group remains reliant on external funding including current debt facilities provided by MidCap, to meet its working capital 
requirements, capital investment programme and other financial commitments.

On 22 May, the Group announced that gross proceeds of £14.6m had been conditionally raised through an offer of new ordinary shares in 
the Company to Institutional and other qualifying investors. This fundraise is conditional on shareholder approval at a General Meeting of 
shareholders to be held on 9 June 2020 and also to admission of the fundraising shares to trading on AIM. In reporting the Group’s finances 
on a going concern basis, the Directors have assumed the appropriate resolutions at this Meeting will be passed. However, if the necessary 
resolution is not passed, the fundraising will not proceed and the Company would not have funds immediately available to continue executing 
its current business plan. In this eventuality, the Directors would need to consider alternative sources of adequate funding. Should the 
Company be unable to raise enough funds, shareholders could be at risk of losing all or a substantial amount of their investment. 

The COVID-19 pandemic has affected most businesses during H1 2020. As a result of the reprioritisation of healthcare professionals during 
this time, there has been a decline in elective procedures undertaken across a number of medical specialities that use our products. Given 
the uncertainty around the level and duration of disruption from COVID-19, it is difficult to determine how long the current situation may last, 
and the time taken to catch-up any postponed surgical procedures thereafter. However, the Board, in compiling possible cashflow projections 
for the business, has considered a number of scenarios regarding the effect of reduced and delayed revenues due to COVID-19 and, has 
undertaken market soundings regarding the likely timeframe for the recommencement of procedures. It has concluded that, if additional 
funds are received as expected, there will not be a significant long-lasting impact on the capability of the business to carry out its commercial 
activities.  

In summary, the Directors have considered their obligations in relation to the assessment of the going concern basis for preparation of the 
financial statements of the Group, and each statutory entity within it, and have reviewed the current budget, cash forecasts and assumptions, 
as well as the main risk factors facing the Group as set out on pages 22 to 25. They have concluded that it remains appropriate to prepare 
the financial statements on a going concern basis, noting that assumptions relating to the completion of the fundraise give rise to a material 
level of uncertainty in respect of the going concern assumption.

The financial statements do not include any adjustments that would result in the basis of preparation as a going concern being inappropriate.

2) SIGNIFICANT ACCOUNTING POLICIES
Basis of Consolidation
Subsidiaries are entities controlled by the Group. The Group controls an entity when it 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. In assessing control, the Group 
takes into consideration potential voting rights. The acquisition date is the date on which control is transferred to the acquirer. The financial 
statements of subsidiaries are included in the consolidated financial statements from the date that control commences until the date that 
control ceases. Losses applicable to the non-controlling interests in a subsidiary are allocated to the non-controlling interests even if doing so 
causes the non-controlling interests to have a deficit balance.

Controlled Joint Venture
Tissue Regenix Group entered a joint venture in January 2016 establishing GBM-V GmbH, a company in Germany.

The results for this entity are consolidated within these financial statements because the Group controls the majority of the voting rights.

Transactions eliminated on consolidation
Intra-group balances and transactions, and any unrealised income and expenses arising from intra-group transactions, are eliminated. 
Unrealised gains arising from transactions with equity-accounted investees are eliminated against the investment to the extent of the Group’s 
interest in the investee. Unrealised losses are eliminated in the same way as unrealised gains, but only to the extent that there is no evidence 
of impairment.

Goodwill
Goodwill arising on the acquisition of a subsidiary undertaking is the difference between the fair value of the consideration payable and the fair 
value of the identifiable assets, liabilities and contingent liabilities acquired. Goodwill is tested annually for impairment as described below.

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TISSUE REGENIX GROUP PLC 

 
 
Revenue
Revenue is measured as the fair value of the consideration received or receivable in the normal course of business, net of discounts, VAT and 
other sales related taxes and is recognised to the extent that it is probable that the economic benefits associated with the transaction will flow in 
to the Company, which usually coincides with the despatch of goods.

Bill and hold sales
The Group has bill-and-hold arrangements with customers, and this revenue is recognised when the company considers that performance 
obligations have been met and they meet the following criteria:

 | The reason for the bill-and-hold arrangement must be substantive (usually the arrangement has been requested by the customer to facilitate 

their shipping arrangements);

 | The product must be identified separately as belonging to the customer (that is, it cannot be used to satisfy other orders);

 | The product must be ready for physical transfer to the customer; and

 | The Group cannot have the ability to use the product, or to direct it to another customer

Foreign Currencies
The individual financial statements of each Group entity are presented in the currency of the primary economic environment in which the entity 
operates (its functional currency). For the purposes of the consolidated financial statements, the results and the financial position of each Group 
entity are expressed in Pounds Sterling, which are the functional currency of the Company and the presentational currency for the consolidated 
financial statements.

Exchange differences arising on transaction and monetary items in the financial statements of individual entities are recorded as a profit or loss 
within the income statement.

The assets and liabilities of foreign operations are translated into sterling using exchange rates at the balance sheet date. The components of 
shareholders’ equity are stated at historical value. An average exchange rate for the period is used to translate the results and cash flows of 
foreign operations.

Exchange differences arising on translating the results and net assets of foreign operation are recorded in other comprehensive income and 
taken to the translation reserve in equity until the disposal of the investment.

Research and Development
Research costs are charged to profit and loss as they are incurred. An intangible asset arising from development expenditure on an individual 
project is recognised only when all of the following criteria can be demonstrated:

 | it is technically feasible to complete the product and the management is satisfied that appropriate regulatory hurdles have been, or will be 

achieved;

 | management intends to complete the product and use or sell it;

 | there is an ability to use or sell the product;

 | it can be demonstrated how the product will generate probable future economic benefits;

 | adequate technical, financial and other resources are available to complete the development, use or sell the product; and

 | expenditure attributable to the product can be reliably measured.

Such intangible assets are amortised on a straight-line basis, from the point at which the assets are ready for use over the period of the 
expected benefit, and are reviewed for an indication of impairment at each reporting date. Other development costs are charged against profit or 
loss as incurred since the criteria for capitalisation are not met.

The costs of an internally generated intangible asset comprise all directly attributable costs necessary to create, produce and prepare the asset 
to be capable of operating in the manner intended by management. Directly attributable costs include employee costs incurred on technical 
development, testing and certification, materials consumed and any relevant third party cost. The costs of internally generated developments 
are recognised as intangible assets and are subsequently measured in the same way as externally acquired intangible assets. However, until 
completion of the development project, the assets are subject to impairment testing only.

Exceptional Items
Items which are significant by virtue of their size or nature and/or which are considered non-recurring are classified as an exceptional operating 
item. Such items are included within the appropriate consolidated income statement category but are highlighted separately. Exceptional 
operating items are excluded from the profit measures used by the Directors to monitor underlying performance.

Inventories
Inventories are recognised at the lower of cost and net realisable value. Cost is determined using the first in, first out method and represents the 
purchase cost, including transport, for raw materials, together with a proportion of manufacturing overheads based on normal levels of activity 
for work in progress and finished goods. Appropriate provisions for estimated irrecoverable amounts are recognised in the income statement 
when there is objective evidence that the assets are impaired.

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Notes to the financial statements continued
For the year ended 31 December 2019

2) SIGNIFICANT ACCOUNTING POLICIES continued
Property, Plant and Equipment
Property, plant and equipment assets are stated at their historical cost of acquisition less any provision for depreciation or impairment.

Depreciation is provided on all property, plant and equipment assets at rates calculated to write each asset down to its estimated residual 
value evenly over its expected useful life, as follows:

over 39 years
over 5–7 years
over 3 years
over 5 years 

Buildings 
Laboratory equipment 
Computer equipment 
Fixtures and fittings 
Land is not depreciated.
Intangible Assets
Intangible assets are stated at fair value at acquisition. They are subsequently held at cost less any provision for impairment or amortisation. 
Intangible assets are amortised through administrative expenses within the income statement over their expected useful life as follows:

Trademarks 
Customer relationships 
Process & IT technology 
Supplier agreements 

over 5 years
over 10 years
over 10 years
over 5 years

Impairment of Property, Plant and Equipment and Intangible Assets
At each reporting date, the Group reviews the carrying amounts of its property, plant and equipment and intangible assets to determine 
whether there is any indication that those assets have suffered an impairment loss. If any such indication exists, the recoverable amount of 
the asset is estimated in order to determine the extent of the impairment loss (if any). For the purposes of assessing impairment, assets are 
grouped at the lowest levels for which there are separately identifiable cash flows (cash generating units).

Discounted cash flow valuation techniques are generally applied for assessing recoverable amounts using Board approved 5-year forward-
looking cash flow projections and terminal value estimates, together with discount rates appropriate to the risk of the related cash generating 
units.

If the recoverable amount of an asset is estimated to be less than its carrying amount, the carrying amount of the asset is reduced to its 
recoverable amount. An impairment loss is recognised as an expense immediately.

Share Based Payments
Share options
Equity settled share-based payment transactions are measured with reference to the fair value at the date of grant, recognised on a straight-
line basis over the vesting period, based on the Company’s estimate of shares that will eventually vest. Fair value is measured using a binomial 
valuation model.

At each reporting date before vesting, the cumulative expense is calculated, representing the extent to which the vesting period has expired 
and management’s best estimate of the achievement or otherwise of non-market conditions and the number of equity instruments that will 
ultimately vest. The movement in cumulative expense since the previous reporting date is recognised in the statement of comprehensive 
income, with a corresponding entry in equity.

Jointly held shares
Where an employee acquires an interest in shares in the Company jointly with the Tissue Regenix Employee Share Trust, the fair value of the 
option at the purchase date is recognised on a straight-line basis over the vesting period. The fair value benefit is measured using a binomial 
valuation model, taking into account the terms and conditions upon which the jointly owned shares were purchased.

Financial Assets and Liabilities
Trade and other receivables
Trade and other receivables do not carry any interest and are initially recognised at fair value. They are subsequently measured at amortised 
cost using the effective interest rate method, less any provision for impairment.

An expected credit loss (‘ECL’) model, as introduced under IFRS 9, broadens the information that an entity is required to consider when 
determining its expectations of impairment. Under this model, expectations of future events must be taken into account and this will result in 
the earlier recognition of larger impairments against trade and other receivables.

In applying the ECL model the company considered the probability of a default occurring over the contractual life of its trade receivables 
balances on initial recognition of those assets. 

Impairment provisions are recognised for the group as follows, representing the expected credit losses over the contracted life of these 
balances. 

Not overdue 
0 to 3 months overdue 
to 4 months overdue 
to 5 months overdue 
Over 5 months overdue 

0% of aged receivables
0% of aged receivables
25% of aged receivables
50% of aged receivables
100% of aged receivables

TISSUE REGENIX GROUP PLC 

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2) SIGNIFICANT ACCOUNTING POLICIES continued
Trade and other payables
Trade and other payables are not interest bearing and are initially recognised at fair value. They are subsequently measured at amortised cost 
using the effective interest method. 

Borrowings
Borrowings are interest bearing and are initially recognised at fair value less the directly attributable costs of issue. They are subsequently 
measured at amortised cost using the effective interest method.

Cash and cash equivalents
Cash and cash equivalents comprise cash at hand and deposits on a term of not greater than 6 months.

Share capital
Ordinary shares are classified as equity. Incremental costs directly attributable to the issue of new shares or options are shown in equity as a 
deduction. 

Leases
On commencement of a contract which gives the Group the right to use assets for a period of time in exchange for consideration, the Group 
recognises a right-of-use asset and a lease liability unless the lease qualifies as a ‘short-term’ lease (term is twelve months or less with no option 
to purchase the lease asset) or a ‘low-value’ lease (where the underlying asset is £4,000 or less when new). 

The lease liability is initially measured at the present value of the lease payments during the lease term discounted using the interest rate implicit 
in the lease, or the incremental borrowing rate if the interest rate implicit in the lease cannot be readily determined. The lease term is the non-
cancellable period of the lease plus extension periods that the Group is reasonably certain to exercise and termination periods that the Group 
is reasonably certain not to exercise. Lease payments include fixed payments, less any lease incentives receivable, variable lease payments 
dependant on an index or a rate and any residual value guarantees. 

The lease liability is subsequently increased for a constant periodic rate of interest on the remaining balance of the lease liability and reduced 
for lease payments. Interest on the lease liability is recognised in profit or loss. Variable lease payments not included in the measurement of the 
lease liability as they are not dependent on an index or rate, are recognised in profit or loss in the period in which the event or condition that 
triggers those payments occurs.

Taxation
Tax on the profit or loss for the year comprises current and deferred tax. Tax is recognised in the profit and loss account except to the extent 
that it relates to items recognised directly in equity or other comprehensive income, in which case it is recognised directly in equity or other 
comprehensive income.

Current tax is the expected tax payable or receivable on the taxable income or loss for the year, using tax rates enacted or substantively enacted 
at the balance sheet date, and any adjustment to tax payable in respect of previous years.

Deferred tax is provided on temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and 
the amounts used for taxation purposes. The following temporary differences are not provided for: the initial recognition of goodwill; the initial 
recognition of assets or liabilities that affect neither accounting nor taxable profit other than in a business combination, and differences relating 
to investments in subsidiaries to the extent that they will probably not reverse in the foreseeable future. The amount of deferred tax provided 
is based on the expected manner of realisation or settlement of the carrying amount of assets and liabilities, using tax rates enacted or 
substantively enacted at the balance sheet date.

Critical Accounting Estimates and Areas of Judgement
Estimates and judgements are continually evaluated and are based on historical experience and other factors, including expectations of 
future events that are believed to be reasonable under the circumstances. Actual results may differ from these estimates. The estimates and 
assumptions that have the most significant effects on the carrying amounts of the assets and liabilities in the financial information are discussed 
below:

Estimates
Deferred tax
Deferred tax assets require management judgement in determining the amounts to be recognised. In particular, judgement is used when 
assessing the extent to which deferred tax assets should be recognised with consideration given to the timing and level of future taxable income. 
In the current year, given that the group is still loss making, the Directors judgement is not to recognise a deferred tax asset in respect of tax 
losses. Deferred tax not recognised for 2019 is £7,451k (2018: £7,353k).

Impairment testing of non-current assets
At each reporting date the directors review the carrying amount of the Group’s non-current assets to determine whether there has been any 
indication that those assets have suffered an impairment loss. In the current year the group market capitalisation at 31 December 2019 was 
lower than net assets and therefore a full impairment test has been performed on the group’s net assets. This resulted in an impairment charge 
of £972k against intangible assets and £339k against property, plant and equipment. Further details are provided in notes 10 and 11. The point 
of whether to impair non-current assets is a key judgement. 

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Notes to the financial statements continued
For the year ended 31 December 2019

2) SIGNIFICANT ACCOUNTING POLICIES continued
New accounting standards and amendments adopted in the year
During the year, the Company adopted the following standards effective from the 1st January 2019. The Company has applied these 
standards in the preparation of the financial statements, and has not adopted any new or amended standards early. 

Initial application of IFRS 16 Leases

The Group has applied IFRS 16 Leases for the first time in the year ended 31 December 2019. IFRS 16 replaces IAS 17 Leases. The Group 
previously split leases between ‘finance leases’ that transferred substantially all the risks and rewards incidental to ownership of the asset to 
the Group, and ‘operating leases’. The main change on application of IFRS 16 is the accounting for ‘operating leases’ where rentals payable 
(as adjusted for lease incentives) were previously expensed under IAS 17 on a straight-line basis over the lease term.

The Group entered into a new agreement in relation to a property located in the USA on 14 August 2019. The landlord is currently in the 
process of performing additional work and hence did not make the property available for use by the Group. Therefore, in accordance with 
IFRS 16, the lease has not commenced as at 31 December 2019. The lease on the UK property at Swillington, Leeds expired during the 
period and is currently rented on a month-to-month basis.

No right-of-use assets and lease liabilities were identified at the transition date due to application of the “short-term” and “low value” 
exemptions. The prior year financial statements disclosed the Swillington lease liability of £61,000 expiring within one year – the “short term” 
exemption was specifically applied to this lease.

Impact of other new International Financial Reporting Standards

The following other new standards and amended standards, none of which have had a material impact on these financial statements, are 
mandatory and relevant to the Group for the first time for the financial period commencing 1 January 2019:

 | IFRIC23: Uncertainty over Income Tax Treatments

 | Amendments to IAS 19: Plan amendment, curtailment or settlement

 | Annual Improvements to IFRS Standards 2015-2017 Cycle

Accounting standards in issue but not yet effective

At the date of authorisation of these financial statements the following standards and interpretations, which have not been applied in these 
financial statements and which are considered potentially relevant, were in issue but not yet effective (and in some cases had not yet been 
adopted by the EU):

 | Amendments to References to the Conceptual Framework in IFRS Standards

 | Amendments to IAS 1 and IAS 8: Definition of Material

 | Amendments to IFRS 3 Business Combinations

The Directors anticipate that the adoption of the amendments to standards in future periods will have no material impact on the recognition 
and measurement of assets, liabilities and the associated performance of the Group or the Company when the relevant standards and 
interpretations come into effect. 

3) SEGMENTAL REPORTING
The following table provides disclosure of the Group’s revenue by geographical market based on location of the customer:

USA
Rest of world

Year to
31 December
2019
£000
10,679
 2,354
 13,033

Year to
31 December
2018
£000
 9,434
2,185
 11,619

Analysis of revenue by customer
During the year ending 31 December 2019 the Group had no customers who individually exceeded 10% of revenue (2018:no customers).

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TISSUE REGENIX GROUP PLC 

 
 
3) SEGMENTAL REPORTING continued
Operating segments
The Group is organised into BioSurgery, Orthopaedics & Dental, Cardiac and GBM-V divisions for internal management, reporting and decision- 
making, based on the nature of the products of the Group’s businesses. Managers have been appointed within these divisions, who report 
to the Chief Executive Officer. These are the reportable operating segments in accordance with IFRS8 “Operating Segments”. The Directors 
recognise that the operations of the Group are dynamic and therefore this position will be monitored as the Group develops.

In accordance with IFRS8, the Group has derived the information for its operating segments using the information used by the Chief Operating 
Decision Maker. The Group has identified the Chief Executive Officer as the Chief Operating Decision Maker as he is responsible for the 
allocation of resources to the operating segments and assessing their performance.

Central overheads, which primarily relate to operations of the Group function, are not allocated to the business unit.

BioSurgery

Orthopaedics & 
Dental

Cardiac

GBM-V

Central

Total

2019
£000
4,233
(2,535)
1,698

2018
£000
3,381
 (1,769)
1,612

2019
£000
6,724
(3,076)
3,648

2018
£000
6,396
 (2,676)
3,720

2019
£000
–
–
–

2018
£000
–
–
–

2019
£000
2,076
(1,403)
673

2018
£000
1,842
(1,257)
585

2019
£000
–
–
–

2018
£000
–
–
–

2019
£000
13,033
(7,014)
6,019

2018
£000
11,619
(5,702)
5,917

(3,729)

(4,169)

(4,553)

(4,992)

(328)

(428)

(663)

(551)

(3,925)

(4,043)

(13,198)

(14,183)

–

(983)

–

–

1,523

–

–

–

–

–

–

–

(72)
(69)
(3,155)

–
(423))
(2,980)

–
–
 (618)

–
–
(1,272)

–
–
(328)

–
–
(428)

–

(152)

–
–
(142)

–

–

–
–
 34

–

(176)

–

–

1,523

(1,311)

–

–

(92)
–
(4,193)

–
–
(4,043)

(164)
(69)
(7,200)

–
(423)
 (8,689)

–

–

–

–

–

–

–

–

(460)

 (190)

(460)

 (190)

(3,155)
159
(2,996)

(2,980)
 73
(2,907)

(618)
 283
(901)

(1,272)
543
 (729)

(328)
 80
(248)

(428)
 102
(326)

(142)
–
(142)

 34
–
 34

(4,653)
 32
(4,621)

(4,233)
(98)
(4,331)

(7,660)
554
(7,106)

 (8,879)
 620
(8,259)

Revenue
Cost of sales
Gross Profit
Administrative
costs
Exceptional 
costs:
Contingent 
consideration 
Impairment of 
assets
Restructuring 
costs
Litigation costs
Operating loss
Finance income/
(expense)
Loss before 
taxation
Taxation
Loss for the year

Revenue from all operating segments derives from the sale of biologic medical devices.

Administrative expenses are broken down as follows:

BioSurgery

Orthopaedics & 
Dental

Cardiac

GBM-V

Central

Total

Staff costs
Sales and marketing 
costs
Research and 
development
Depreciation and 
amortisation
Establishment and 
administration costs
Administrative costs

2019
£000
(2,862)

2018
£000
(2,936)

2019
£000
(2,931)

2018
£000
(2,639)

2019
£000
(134)

2018
£000
(222)

2019
£000
(349)

2018
£000
(297)

2019
£000
 (889)

2018
£000
(1,365)

2019
£000
(7,165)

2018
£000
(7,459)

(395)

 (901)

(136)

 (125)

(5)

 (25)

(15)

(20)

(204)

(256)

(164)

 (530)

 (1,307)

(168)

(164)

(4)

–

(409)

–

–

(755)

 (1,071)

(1,367)

(1,635)

(15)

(20)

(276)

 (279)

–

–

 (17)

(7)

(739)

(867)

(1,047)

 (1,173)

(201)
(3,729)

 (148)
(4,169)

(680)
(4,553)

(642)
(4,992)

(21)
(328)

(17)
(428)

(278)
(663)

(227)
(551)

(1,684)
(3,925)

(1,811)
(4,043)

(2,864)
(13,198)

(2,845)
(14,183)

Annual Report and Accounts for the year ended 31 December 2019

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Notes to the financial statements continued
For the year ended 31 December 2019

3) SEGMENTAL REPORTING continued 
The balance sheet can be analysed segmentally as follows:

BioSurgery

Orthopaedics & 
Dental

Cardiac

GBM-V

Central

Total

2019
£000

2018
£000

2019
£000

2018
£000

2019
£000

2018
£000

2019
£000

2018
£000

2019
£000

2018
£000

2019
£000

2018
£000

–

–

–

759

17,999

19,179

26

2,357

2,356

785

20,356

21,535

345

222

3,661

1,957

–

–

–

–

–

–

–

–

–

–

–

–

156

156

–

–

–

–

17,999

19,938

290

2,357

2,828

290

20,356

22,766

 122

74

57

77

4,185

2,330

 1,078

939

1,666

2,856

155

200

138

121

537

635

3,574

4,751

495
1,918
1,918

170
1,331
2,116

87
5,414

 409
5,222
25,770  26,757

(586)
–

(586)
1,332
6

(553)
–

(553)
1,563
6

(2,163)
(2,115)

(4,278)
21,492
349

(2,474)
–

(2,474)
24,283
204

8
163
163

(42)
–

(42)
121
–

2
202
202

(42)
–

(42)
160
–

33
293
293

(112)
–

(112)
181
–

35
230
386

1,757
2,351
2,351

 7,200
 7,912
8,202

2,380
10,139
30,495

 7,816
14,897
37,663

(102)
–

(102)
284
54

(882)
–

(882)
1,469
83

(1,922)
–

(1,922)
 6,280
26

(3,785)
(2,115)

(5,900)
24,595
438

(5,093)
–

(5,093)
32,570
290

213

116

–

–

–

–

–

–

–

–

213

116

Non-current assets
Intangible assets
Property, Plant & 
Equipment
Total non-current 
assets
Current assets
Inventory
Trade & other 
receivables
Cash & cash 
equivalents
Total current assets
Total assets
Current liabilities
Trade & other 
payables
Borrowings

Total liabilities
Net assets
Capital expenditure
Additions to 
intangible assets

4) LOSS FROM OPERATIONS

Loss from operations is stated after charging/(crediting):
Depreciation of plant and equipment (see note 10)
Amortisation of intangible asset (see note 11)

Rentals subject to “short lease” exemption

Rentals under operating leases– land and buildings
Expensed inventory
Staff costs (see note 5)
Foreign exchange (gains)/losses
Research and development (exclusive of research and development staff costs)
Sales and marketing costs (exclusive of sales and marketing staff costs and commissions)
Exceptional items:
Restructuring costs
Remeasurement of contingent consideration
Impairment of non-current assets
Litigation costs

Auditor remuneration:
– fees payable to Company’s Auditor for the audit of the parent Company and consolidated financial 
statements
– auditing the financial statements of subsidiaries pursuant to legislation
Other services:
– fees in relation to corporation tax
Total auditor’s remuneration

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2019
£000

476
571

213
–
5,803
7,165
(1)
1,368
755

164
(1,523)
1,311
69
21

20
53

43
 116

2018
£000

598
575

–
85
4,723
7,459
 55
1,635
1,071

–
–
–
423
423

20
56

24
100

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5) STAFF COSTS

The average monthly number of persons (including Directors) employed by the Group during the period was:
Directors
Laboratory and administration staff

The aggregate remuneration, including Directors, comprised:
Wages and salaries
Share based payments (see note 21)
Social security, pension & healthcare costs

Directors’ remuneration included above comprised:
Emoluments for qualifying services

2019
Number

2018
Number

7
92
99

7
79
86

£000

£000

6,178
(194)
1,181
7,165

6,405
(57)
 1,111
7,459

734

645

Social security, pension and healthcare costs include pension contributions of £71k (2018: £95k)

Directors’ emoluments disclosed above include £250,000 paid to the highest paid Director (2018: £356,000). The share-based payments 
charge for Directors was nil (2018: £71,000).

6) FINANCE INCOME

Bank interest receivable

7) FINANCE CHARGES

Imputed interest on deferred consideration
Interest on bank loans

8) TAXATION
Tax on loss on ordinary activities

Current tax:
UK corporation tax credit on losses of period
US corporation tax payable

Deferred tax:
Origination and reversal of temporary timing differences
Tax credit on loss on ordinary activities

Factors affecting the current tax charges
The tax assessed for the year varies from the main rate of corporation tax as explained below:

Loss on ordinary activities before tax
Tax at the standard rate of corporation tax 19% (2018:19%)
Effects of:
Research and development tax credits received
Surrender of research and development relief for repayable tax credit including enhancement
Other
Unutilised tax losses
Tax credit for the period

Annual Report and Accounts for the year ended 31 December 2019

2019
£000
17

2019
£000
(93)
(384)
(477)

2019
£000

(488)
29
(459)

(95)
(554)

2019
£000
(7,660)
(1,456)

(468)
305
85
980
(554)

2018
£000
72

2018
£000
 (262)
–
(262)

2018
£000

   (790)
72
(718)

98
   (620)

2018
£000
  (8,879)
(1,687)

(583)
203
170
1,277
(620)

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Notes to the financial statements continued
For the year ended 31 December 2019

8) TAXATION continued
Unrecognised deferred tax

Tax losses
Losses available to carry forward against future trading profits
Deferred tax asset – unrecognised* 17%

2019
£000

43,533
7,404

2018
£000

43,254
7,353

*The Group has not recognised a deferred tax asset relating to these losses as their recoverability is uncertain.

9) LOSS PER SHARE (BASIC AND DILUTED)
Basic loss 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 excluding own shares held jointly by the Tissue Regenix Employee Share Trust and certain employees.

Diluted loss per share is calculated by adjusting the weighted average number of ordinary shares in issue during the year to assume 
conversion of all dilutive potential ordinary shares.

Total loss attributable to the equity holders of the parent

Weighted average number of ordinary shares in issue during the year
Loss per share
Basic and diluted loss for the year

2019
£000
(6,973)

2018
£000
(8,186)

No.
1,171,867,216 1,171,633,442

No.

(0.60)p

(0.70)p

As set out in note 19.The Company has issued options over 19,553,729 (2018: 53,577,615) ordinary shares and there are 16,112,800  
(2018: 16,112,800) jointly owned shares which are potentially dilutive. There is, however, no dilutive effect of these issued options as there  
is a loss for each of the periods concerned.

10) PROPERTY, PLANT AND EQUIPMENT

Cost
At 31 December 2017
Exchange Adjustment
Additions
Transfers
At 31 December 2018
Exchange Adjustment
Additions
Disposals
Transfers
At 31 December 2019
Depreciation
At 31 December 2017
Exchange Adjustment
Charge for the period
Transfers
At 31 December 2018
Exchange Adjustment
Charge for the period
Disposals
Impairment (note 11)
At 31 December 2019
Net book value
At 31 December 2019
At 31 December 2018
At 31 December 2017

Building &
land
£000

Laboratory 
equipment
£000

Fixtures &
fittings
£000

Computer 
equipment
£000

849
93
–
1,059
2,001
(70)
–
–
–
1,931

5
2
60
11
78
(1)
45
–
–
122

1,809
1,923
844

2,547
70
200
(1,091)
1,726
(40)
318
–
–
2,004

879
34
289
(13)
1,189
(24)
248
–
123
1,536

468
537
1,668

603
13
32
32
680
(5)
92
–
–
767

296
5
124
2
427
(1)
124
–
179
729

38
253
307

516
16
58
–
590
(10)
28
(2)
–
606

341
9
125
–
475
(5)
59
(2)
37
564

42
115
175

Total
£000

4,515
192
290
–
4,997
 (125)
438
(2)
–
5,308

1,521
50
598
–
2,169
(31)
476
(2)
339
2,951

2,357
2,828
2,994

Transfers from Laboratory Equipment to Building & Land include nil (2018: £1.1m) for a clean room buildout for which there was no change to 
the depreciation charged up to the point of transfer.

TISSUE REGENIX GROUP PLC 

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11) INTANGIBLE ASSETS

Development 
costs 
£000

Goodwill 
£000

Customer 
relationships 
£000

Trademarks 
£000

Process 
Tech 
£000

Supplier 
agreements 
£000

Cost
At 31 December 2017
Additions*
Exchange adjustment
At 31 December 2018
Additions*
Exchange adjustment
At 31 December 2019
Amortisation
At 31 December 2017
Charge for the period
Exchange Adjustment
At 31 December 2018
Charge for the period
Exchange adjustment
Impairment (see below)
At 31 December 2019
Net book value
At 31 December 2019
At 31 December 2018
At 31 December 2017

643
116
–
759
213
–
972

–
–
–
–
–
–
972
972

–
759
643

14,504
–
829
15,333
–
(71)
15,262

–
–
–
–
–
–
–
–

15,262
15,333
14,504

2,234
–
130
2,364
–
(294)
2,070

92
236
1
329
234
(15)
–
548

1,522
2,035
2,142

592
–
38
630
–
(78)
552

49
126
1
176
125
(8)
–
293

259
454
543

1,112
–
70
1,182
–
(147)
1,035

46
118
1
165
117
(9)
–
273

762
1,017
1,066

 445
–
28
473
–
(59)
414

38
95
–
133
94
(7)
–
220

194
340
407

Total 
£000

19,530
116
1,095
20,741
213
(649)
20,305

225
575
3
803
570
(39)
972
2,306

17,999
19,938
19,305

*Additions in both years arose from internal development. 

Goodwill relates entirely to the acquisition of CellRight Technologies LLC in 2017 and is subject to annual impairment testing as described 
below. The remaining amortisation periods for intangible assets which all arose on the acquisition of CellRight Technologies LLC are: Customer 
relationships: 2.8 years, Trade marks: 7.8 years, Process Tech: 7.8 years, Supplier agreements: 2.8 years.

Impairment of non-current assets
Annual impairment test on CellRight Technologies LLC (“CellRight”)
The Group tests the CellRight cash generating unit (CGU) on an annual basis, or more frequently where impairment indicators exist, by 
comparing the carrying value of the CGU with its value in use. Value in use is estimated based on future cash flow discounted to present value 
using a pre-tax discount rate of 13.5% that reflects current market assessments of the time value of money. An impairment charge arises where 
the carrying value exceeds the value in use. 

The inputs into cash flow forecasts are based on the most recent budgets/forecasts approved and reviewed by the Directors for the following 
year and extended forward for the next four years based on expected growth within that CGU over that period. At the end of year five, a terminal 
value is calculated using a long-term growth assumption of 2%.  

The key inputs to the cash flow forecasts are:

 | forecasted changes in volumes (by consideration of future sales plans and production capacity); 

 | revenues (by management’s growth estimates of revenue to existing and new customers based on an understanding of the needs of those 

customers obtained through working relationships);

 | gross margin and overheads (by assessing efficiency of processes and underlying anticipated purchase prices);

 | future anticipated capital expenditure; and

 | movements in working capital. 

The critical assumption within the cash flow forecasts relates to sales growth which is inherently difficult to forecast in a rapidly growing 
marketplace. Across the five year forecast period, the compound annual growth rate (CAGR) is expected to be 26%. The impairment test 
prepared indicates that there is substantial headroom between the value in use of £51,927k and the carrying value of £23,662k and the 
Directors have therefore concluded that there is no impairment within the CellRight CGU. However, in drawing this conclusion the Directors note 
the importance of achieving the anticipated CAGR and have calculated that an impairment arises in the event that the CAGR falls to 19% across 
the five year period.

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Notes to the financial statements continued
For the year ended 31 December 2019

11) INTANGIBLE ASSETS continued
Group impairment test
Prior to any impairment, the Company’s net assets totalled £25,922k at 31 December 2019. Following a significant decline in the Company’s 
share price over the year, this was above the market capitalisation of the Group at 31 December 2019 (£11,200k).

In accordance with IAS 36, the Directors have considered whether this situation was an indicator of impairment and concluded that an 
impairment review should be performed at 31 December 2019. This was performed for each CGU by comparing the carrying value of the 
CGU with its recoverable amount. The Directors determined that the CGUs of the group were consistent with the operating segments set 
out in note 3 with the exception of the the Orthopeadics and dental segment which was split between CellRight and the other parts of the 
Orthopedic segment.

The inputs into the cashflows for the value in use calculation were taken from the same five year forecast model as for the CellRight test 
described above. Therefore the key assumptions are summarised above.

As a result of the testing, impairment charges totaling £1,311k arose in respect of the following CGUs where the recoverable amount of the 
CGUs non-current assets was determined to be £nil:

 | BioSurgery – carrying amount at 31 December 2019 of £1,792k, of which £809k was working capital and deemed recoverable whilst an 
impairment charge of £983k arose against non-current assets (comprising £972k of development costs and £11k of property, plant and 
equipment).

 | GBM-V – carrying amount at 31 December 2019 of £324k, of which £172,000 was working capital and deemed recoverable whilst an 

impairment charge of £152k arose against property, plant and equipment.

 | Central – carrying amount at 31 December 2019 of £65,000 of which £176,000 related to property, plant and equipment and against which 

a full impairment charge has been recorded.

Having completed this impairment review, the Directors note that substantially all of the group’s net assets are allocated to the CellRight CGU. 
Details of the annual impairment review on CellRight are set out above.

12) INVENTORY

Raw materials and consumables
Work in progress
Finished goods including goods for resale
Total

Inventory is presented net of a provision of £nil (2018:£176,000).

13) TRADE AND OTHER RECEIVABLES

Trade debtors
Other receivables
Prepayments and accrued income

The Directors consider that the carrying amounts of trade and other receivables approximate to their fair values. 

Trade receivables
Less: Allowance for expected credit losses 

2019
£000
1,199
2,271
715
4,185

2019
£000
1,719
341
479
2,539

2019
£000
1,813
 (94)
1,719

2018
£000
871
939
520
2,330

2018
£000
2,465
530
556
3,551

2018
£000
2,710
(245)
2,465

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TISSUE REGENIX GROUP PLC 

 
 
13) TRADE AND OTHER RECEIVABLES continued
Allowance for expected credit losses
The Group has recognised a loss of £94,000 (2018: £245,000) in profit or loss in respect of the expected credit losses for the year ended 
31 December 2019. The aging of the receivables and allowance for expected credit losses provided for above are as follows:

not overdue
0 to 3 months overdue
3 to 4 months overdue
4 to 5 months overdue
over 5 months overdue

Expected 
credit loss
rate
0%
0%
25%
50%
100%

Carrying 
amount
2019
£000
1,565
131
30
1
86
1,813

Allowance 
for expected 
credit losses
2019
£000
–
–
8
–
86
94

Carrying 
amount  
2018  
£000
1,668
678
90
102
172
2,710

Allowance 
for expected 
credit losses
2018
£000
–
–
22
51
172
245

The average Credit terms with customers is 40 days (2018: 31 days) 

Trade receivables, are analysed by the currencies of settlement below:

US Dollars
Euros
Sterling
Trade debtors

At 
31 December
2019
£000
1,601
118
–
1,719

At 
31 December
2018
£000
2,345
119
1
2,465

14) RISK MANAGEMENT OF FINANCIAL ASSETS AND LIABILITIES
The Group’s activities expose it to a variety of financial risks: market risk, specifically interest rate risk, credit risk and liquidity risk. The Group’s 
overall risk management programme focuses on the unpredictability of financial markets and seeks to minimise potential adverse effects on 
the Group’s financial performance. The major change in risk management of financial assets and liabilities during the year was entering into the 
Borrowing facility with Mid Cap as described in note 16. The management of these risks is vested in the Board of Directors. The policies for 
managing each of these risks are summarised below:

Management of market risk
Interest rate risk
The risk in the potential movement in interest received on cash surpluses held is limited. Interest rate risk is managed in accordance with the 
liquidity requirement of the Group, with a minimal amount of its cash surpluses held within short-term accounts, which have variable interest 
rates attributable to them, to ensure that sufficient funds are available to cover the working capital requirements of the Group.

The risk associated with movements in interest on the Groups borrowings is also limited due to low levels of borrowing which were £2,286k at 
31 December 2019 (2018: £nil).

Interest rate sensitivity
The principal impact to the Company is the result of interest-bearing cash and cash equivalent balances held and borrowing held are set out below:

Asset / (liability)
Cash and cash equivalents
Borrowings

Cash and cash equivalents

December 2019

Fixed 
rate 
£000
1,078
–

Floating 
rate 
£000
1,302
(2,286)

December 2018
Floating 
rate 
£000
1,773

Fixed 
rate 
£000
6,043

Total 
£000
2,380
(2,286)

Total 
£000
7,816

Due to the high proportion of funds held on a fixed deposit, the impact of a 5% increase/decrease in interest rates would have an immaterial 
impact on the loss in each period. The impact of a 5% increase/decrease in interest rates on the Group borrowing would have an immaterial 
impact on the loss of the period.

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Notes to the financial statements continued
For the year ended 31 December 2019

14) RISK MANAGEMENT OF FINANCIAL ASSETS AND LIABILITIES continued
Management of credit risk
The Group is exposed to credit risk from its operating activities; it principally arises from short term bank deposits and trade debtors. The 
Group seeks to minimise this risk by only depositing funds with banks with a high credit rating. 

The maximum exposure to credit risk on the Group’s financial assets is represented by their carrying amounts as outlined in the categorisation 
of financial instruments table below.

Trade debtor credit risk is mitigated by carrying out a credit review on all customers and setting a credit allowance that reflects the risk.

Management of liquidity risk
The Group seeks to manage liquidity risk to ensure that sufficient liquidity is available to meet foreseeable needs and to invest cash assets 
safely and profitably. 

The Group had cash and cash equivalents at each reporting date as set out below.

Cash and cash equivalents
AA-
A+
A

2019
£000

–
1,000
1,380
2,380

2018
£000

35
1,404
  6,377
  7,816

The above has been split by the Fitch rating system and gives an analysis of the credit rating of the financial institutions where cash balances  
are held.

With the exception of borrowings detailed in note 16 all of the group’s financial liabilities mature within less than 6 months (2018: all within 6 
months). At 31 December 2019 the group was in compliance with all terms relating to the MidCap facilities and undrawn committed facilities 
of £787k were available to draw down. The maturity of borrowings was as follows:

Less than 6 months
6 months to 1 year
1 year to 2 years
2 years to 5 years

2019
£000
–
171
342
1,773
2,286

2018
£000
–
–
–
–
  –

Capital risk management
The Group manages its capital to ensure that the Group will be able to continue as a going concern while maximising the return to 
stakeholders. The Group’s overall strategy is to minimise costs and liquidity risk.

The capital structure of the Group consists of equity attributable to the owners of the Group, comprising issued capital, reserves and retained 
earnings as disclosed in note 19 and in the Statement of Changes in Equity.

Foreign currency risk management
The group’s exposure to currency exchange rates arises principally from assets and liabilities which are denominated and settled in local 
currency. While the combination of assets and liabilities provides an element of natural hedging, there is an element of residual risk that can 
impact the performance of the results of the Group over the course of each financial reporting period. Foreign currency transactions are 
principally denominated in Dollars and Euros, and the associated foreign currency denominated financial assets and liabilities are set out 
below:

Financial assets
Financial liabilities
Short-term exposure

2019
$000
1,601
(4,118)
 (2,517)

2018
$000
2,345
(1,717)
 628

2019
€000
121
(67)
54

2018
€000
119
(37)
82

The Group has exposure to the movements in the exchange rates in the Dollar and Euro at 31 December 2019. An analysis of the effect of 
a reasonably possible movement in exchange rates shows that a movement of 10% in the exchange rate could result in net foreign currency 
gains of £311k (2018: £80k) against the Dollar and gain £5k (2018: £7k) against the Euro.

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TISSUE REGENIX GROUP PLC 

 
 
14) RISK MANAGEMENT OF FINANCIAL ASSETS AND LIABILITIES continued
Categorisation of financial instrument

Financial assets/(liabilities)
At 31 December 2019
Trade and other receivables
Cash and cash equivalents
Borrowings
Trade and other payables

Financial assets/(liabilities)
At 31 December 2018
Trade and other receivables
Cash and cash equivalents
Trade and other payables

15) TRADE AND OTHER PAYABLES

Current:
Trade payables
Taxes and social security
Accruals
Contingent consideration (see below)

Financial 
assets at 
amortised
cost
£000

Financial 
liabilities at 
amortised
cost
£000

Financial 
liabilities 
held at fair
value
£000

2,060
2,380
–
–
4,440

–
–
(2,286)
(2,868)
(5,154)

–
–
–
       –

Financial 
assets at 
amortised
cost
£000

Financial 
liabilities at 
amortised
cost
£000

Financial 
liabilities 
held at fair
value
£000

2,995
7,816
–
10,811

–
–
(2,751)
(2,751)

–
–
(1,475)
(1,475)

Total
£000

2,060
2,380
(2,286)
(2,868)
(714)

Total
£000

2,995
 7,816
(4,226)
6,585

At 
31 December
2019
£000

At 
31 December
2018
£000

 1,650
 76
1,218
–
2,944

 855
76
1,896
1,475
4,302

Contingent consideration
As part of the acquisition of CellRight Technologies LLC in 2017, the Group agreed to pay a second milestone if gross revenue during the 
second annual period equalled or exceeded $12.5m. The milestone was not achieved and the contingent consideration was therefore released 
to the income statement.

The Directors consider that the carrying amount of trade and other payables and accruals approximates to their fair value. Trade payables are 
analysed by the currencies of settlement below:

Sterling
US Dollars
Euros
Trade payables

At 
31 December
2019
£000
310
 1,273
 67
1,650

At 
31 December
2018
£000
242
576
 37
 855

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Notes to the financial statements continued
For the year ended 31 December 2019

16) BORROWINGS

At 31 December 2019
Term Loan
Revolving Credit
Gross borrowings
Less capitalised debt issue costs
Borrowings

Interest rate
%
US LIBOR+2.25%
US LIBOR+4.5%

Maturity
Jun 2024
Jun 2024

Current
£’000
171
–
171
–
171

Non-current
£’000
1,627
761
2,388
(273)
2,115

The Group had no borrowings at the prior year end.

A dollar denominated new bank facility was signed by the Group in June 2019 with MidCap Financial Trust (“MidCap”). The bank loans 
outstanding at 31 December 2019 are represented by the following:

Term Loan: 5 years to June 2024. $2m current facility. Originally $7.5m was drawn in June and subsequently $5.5m was repaid as reported 
by the Company. Interest maximum 2.25% above US LIBOR. Repayments of £85,500 per quarter from July 2020. Maturity analysis as 
detailed in note 14.

Revolving Credit: Repayable in full on June 2024 at the latest. $3m maximum drawing. Interest maximum 4.5% above US LIBOR.

As part of these facilities, MidCap hold security over the Groups freehold property in San Antonio and IP in respect of the Term Loan. The 
carrying amount of these assets pledged as security was £1.8m and £nil at 31 December 2019 (2018: £nil).

Also as part of these facilities, a warrant equating to 3% of the value of term loan was granted to Mid Cap based equating to an option over 
3,096,798 at an exercise prices of £0.0574. The warrant gave rise to a share based payment charge as detailed in note 20.

Debt issue costs of £303k have been capitalised against the loan and will be amortised to the income statement over the life of the term loan.

17) COMMITMENTS
Operating lease commitments
The Group leases premises under non-cancellable operating lease agreements. The future aggregate minimum lease and service charge 
payments under non-cancellable operating leases are as follows:

2019
£000

–
–
–

Land and buildings:
Amounts due within one year
Amounts due between 1–5 years
Total

18) DEFERRED TAX LIABILITIES

As at December 2018
Release to the income statement
Exchange adjustment
As at December 2019

The deferred tax liability relates wholly to non-current assets recognised on acquisition of CellRight Technologies LLC.

19) SHARE CAPITAL

2018
£000

61
–
61

Totals 
£000
791
(95)
 (26)
670

Share 
capital 
£000
5,855
4
5,859
–
5,859

Total Ordinary shares of 0.5p each as at 31 December 2017
Share options exercised
Total Ordinary shares of 0.5p each as at 31 December 2018
Share options exercised
Total Ordinary shares of 0.5p each as at 31 December 2019

Reserves of the Group represent the following:
Share Premium
Consideration received for shares issued above their nominal value 
net of transaction costs.

Merger Reserve
Consideration and nominal value of the shares issued during a 
merger and the fair value of the assets transferred differ.

Reverse Acquisition
Retained earnings of an acquisition

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Number
1,170,990,924
    739,899
1,171,730,823
240,499
1,171,971,322

Own shares held
The Company’s authority to purchase its own shares is set out in 
its Articles of Association and approved by the shareholders at the 
Annual General Meeting. 

Share-based Payment Reserve (note 20)
The cumulative share-based payment expense.

Retained Earnings
Cumulative profit and loss net of distributions to owners. 

TISSUE REGENIX GROUP PLC 

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As permitted by the provisions of the Companies Act 2006, the Company does not have an upper limit to its authorised share capital. All shares 
are ordinary shares which are fully paid and entitle the holder to full voting rights, to full participation or distribution of dividends.

As described in note 20, there were employee related share options outstanding at 31 December 2019 over 32,569,731 shares (2018: 
69,700,415 shares) and options issued to providers of borrowings over 3,096,798 shares (2018: nil).

20) SHARE BASED PAYMENTS
Share options and shares held in employee benefit trust (“EBT”)
The Company operates a share option plan, under which certain employees have been granted options to subscribe for ordinary shares. 
All options are equity settled. The options have an exercise price of between 0.5p to 22.5p and a vesting period between 1 and 3 years. If 
the options remain unexercised after a period of 10 years from the date of grant, the options expire. The Group has no legal or constructive 
obligation to repurchase or settle the options in cash.

The Group also operates a jointly-owned EBT share scheme for senior management under which the trustee of the Group sponsored EBT has 
acquired shares in the Group jointly with a number of employees. The shares were acquired pursuant to certain conditions, set out in Jointly 
Owned Equity agreements (“JOEs”). Subject to meeting the performance criteria conditions set out in the JOEs, the employees are able to 
benefit from most of any future increase in the value of the jointly owned EBT shares. The fair value benefit is measured using the Binomial 
model, taking into account the terms and conditions upon which the jointly owned shares were purchased.

The number and weighted average exercise prices of share options and EBT shares are as follows:

At 31 December 2017
Exercised in the period
Lapsed during year
Issued in the year
At 31 December 2018
Exercised in the period
Lapsed during year
Issued in the year
At 31 December 2019

Number of share interests

EMI options
11,201,952
–
(5,934,236)
–
5,267,716
–
 –
–
5,267,716

Unapproved
options
39,986,221
(739,899)
(3,631,300)
11,227,008
46,842,030
(240,499)
 (41,842,799)
–
 4,758,732

EBT shares
16,112,800
–
–
–
16,112,800
–
–
–
16,112,800

SAYE
options
1,930,081
–
(928,503)
476,291
1,477,869
–
 (1,749,766)
6,702,380
6,430,483

Total
69,231,054
(739,899)
(10,494,039)
11,703,299
69,700,415
(240,499)
(43,592,565)
 6,702,380
 32,569,731

Weighted 
average 
exercise
price per
share (£)
0.0934
0.005
0.1098
0.0714
0.0882
 0.0050
0.1010
0.0281
0.0596

Excluding the EBT shares, there were 4,361,603 share options outstanding at 31 December 2019 (2018: 4,361,603) eligible to be exercised. 
The remaining options were not eligible to be exercised as these are subject to employment period and market based vesting conditions, some 
of which had not been met at 31 December 2019. The range of exercise prices applicable to share options is between 0.5p and 22.5p.

There were 16,112,800 of the jointly held EBT shares which were eligible to vest as at 31 December 2019.

The performance conditions in relation to these options allows for vesting in three equal proportions on or after the three consecutive annual 
anniversaries from the date of grant subject to the Company’s share price reaching certain hurdle values by the respective vesting dates.

The fair value benefit received on share options granted is measured using the Binomial model taking in to account the effects of the vesting 
and performance conditions, expected exercise price and the payment of the dividends by the Company. The fair value benefits received on 
EBT shares are measured using the Binomial model, taking into account the terms and conditions upon which the jointly owned shares were 
purchased. The following table lists the inputs to the models used:

Dividend yield
Expected volatility (%)
Risk free interest rate (%)
Expected vesting life of EBT shares and options (years)
Weighted average share price (£)

Options 
Granted 
year to 
31 December 
2019
–
47
1.0
3
0.0596

EBT shares 
Granted 
year to 
31 December 
2019
–
–
–
–
–

Options 
Granted 
year to 
31 December 
2018
–
42
1.0
3
0.00822

Share options issued under the Deferred Annual Bonus scheme (which is within the unapproved options) which are not exercised within 4 years 
from the date of grant will expire. Any other share options and employee interests in jointly owned EBT shares which are not exercised within 10 
years from the date of grant will expire. The weighted average remaining contractual life of options outstanding at the end of the financial year 
was 5.8 years (2018: 6.8 years).

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Notes to the financial statements continued
For the year ended 31 December 2019

20) SHARE BASED PAYMENTS continued
Other Share Options
Warrants were issued in the year to Mid Cap as part of the group’s new borrowing facilities. Options over 3,096,798 shares were granted at  
an exercise price of 5.74p . The binomial model was used to value the share based payment charge and that the assumptions adopted are 
consistent with those used in the calculation of 2019 employee share based payments above except the vesting period of nil. The warrants 
were measured using an option pricing model as the Directors have concluded that there is no other reliable way of measuring the service 
received.
A credit/(charge) has been recognised in the statement of comprehensive income for the year as follows:

At 31 December 2017
Credit in the period
At 31 December 2018
Credit in respect of employment related share options
Charge for warrants issued to MidCap
At 31 December 2019

21) NON-CONTROLLING INTEREST

As at 31 December 2018
Attributable loss for the period
As at 31 December 2019

Share based 
payment 
reserves 
£000
1,186
(57)
1,129
(242)
96
983

2019 
£000
(482)
(133)
(615)

2018 
£000
(409)
 (73)
(482)

The non-controlling interest has 50% (2018: 50%) equity holding. GBM-V GmbH contributed revenue of £2,076k (2018: £1,842k) and a loss 
before tax of £(142k) (2018: £34k) for the year. Further financial information relating to GBM-V GmbH can be found in the segmental analysis 
in note 3.

22) RELATED PARTY TRANSACTIONS
Transactions with key management personnel
The Company’s key management personnel comprise of only the Directors of the Group. During the year the Group entered into the following 
transactions in which the Directors had an interest:

Directors’ remuneration:
Remuneration received by the Directors (including Employers NI) from the Group is set out below:

Short-term employment benefits

23) ULTIMATE CONTROLLING PARTY
The Directors believe that there is no ultimate controlling party.

2019 
£000
836

2018 
£000
709

24) POST BALANCE SHEET EVENTS
On 22 May, the Group announced that gross proceeds of £14.6m had been conditionally raised through an offer of new ordinary shares in 
the Company to Institutional and qualifying retail investors. All conditions attached to this fundraise have since been satisfied, save for the 
requirement that the issuance of these new shares be approved at a General Meeting of shareholders to be held on 9 June 2020. 

The COVID-19 pandemic has affected most businesses during H1 2020. As a result of the reprioritisation of healthcare professionals during 
this time, there has been a decline in elective procedures undertaken across a number of medical specialities that use our products. Given 
the uncertainty around the level and duration of disruption from COVID-19, it is difficult to determine how long the current situation may last, 
and the time taken to catch-up any postponed surgical procedures thereafter. However, the Board, in compiling possible cashflow projections 
for the business, has considered a number of scenarios regarding the effect of reduced and delayed revenues due to COVID-19 and, has 
undertaken market soundings regarding the likely timeframe for the recommencement of procedures. It has concluded that, if additional 
funds are received as expected, there will not be a significant long-lasting impact on the capability of the business to carry out its commercial 
activities.  Whilst COVID-19 has had a significant short term impact on the business, the Directors remain confident with the long term 
prospects for the group and they do not therefore believe that the pandemic gives rise to any particular concerns regarding the carrying values 
of assets reported at 31 December 2019.

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TISSUE REGENIX GROUP PLC 

 
 
Company statement of changes in equity
For the year ended 31 December 2019

At 31 December 2017
Total expense and other comprehensive loss for 
the period
Share options exercised
Share based payment credit
At 31 December 2018
Total expense and other comprehensive loss for 
the period
Share options exercised
Share based payment credit
At 31 December 2019

Share 
capital
£000
5,855

Share 
premium
£000
86,398

Merger 
reserve
£000
10,884

Share based
payment 
reserve
£000
1,113

Retained 
earnings 
reserve
£000
(11,123)

–
4
–
5,859

–
–
–
5,859

–
–
–
86,398

–
1
–
86,399

–
–
–
10,884

–
–
–
10,884

–
–
(57)
1,056

–
–
(146)
 910

(2,342)
–
–
(13,465)

(50,001)
–
–
(63,466)

Total
£000
93,127

(2,342)
4
(57)
90,732

(50,001)
1
 (146)
40,586

Annual Report and Accounts for the year ended 31 December 2019

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Company statement of financial position
At 31 December 2019

ASSETS
Non-current assets
Investments
Intercompany loan receivables
Total non-current assets
Current assets
Trade and other receivables
Intercompany loan recievables
Cash and cash equivalents
Total current assets
TOTAL ASSETS
LIABILITIES
Current liabilities
Trade and other payables
TOTAL LIABILITIES
NET ASSETS
EQUITY
Share capital
Share premium
Merger reserve
Share based payment reserve
Retained earnings deficit
TOTAL EQUITY

Notes

C5
C7

C6
C7
C9

C8

19

20

2019
£000

18,594
3,860
22,454

218
16,757
1,669
18,644
41,098

(512)
(512)
40,586

5,859
86,399
10,884
 910
(63,466)
40,586

Restated
2018
£000

18,594
12,954
31,548

253
52,242
7,162
59,657
91,205

(473)
(473)
90,732

5,859
86,398
10,884
1,056
(13,465)
90,732

The Company has elected to take the exemption under section 408 of the Companies Act 2006 not to present the parent Company’s 
statement of comprehensive income. The parent Company’s result for the period ended 31 December 2019 was a loss of £50,001k (2018: 
£2,342k).

The Company financial statements were approved by the Board of Directors and authorised for issue on 4 June 2020 and were signed on its 
behalf by

Gareth Jones 
Interim Chief Executive Officer

Company number: 05969271

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TISSUE REGENIX GROUP PLC 

 
 
Company statement of cash flows
For the year ended 31 December 2019

Operating activities
Loss before interest and tax
Adjustment for non-cash items:
Share based payments
Impairment of intercompany loan receivables
Operating cash outflow
Decrease/(Increase) in trade and other receivables
Increase in trade and other payables
Net cash absorbed by operations
INVESTING ACTIVITIES
Interest received
Loan to subsidiary undertaking
Net cash used in investing activities
FINANCING ACTIVITIES
Proceeds from exercise of share options
Net cash generated from financing activities
DECREASE IN CASH AND CASH EQUIVALENTS
Cash and cash equivalents at start of period
CASH AND CASH EQUIVALENTS AT END OF PERIOD

Notes

20

C10

2019
£000

2018
£000

(50,646)

(3,152)

(146)
48,600
(2,192)
 35
39
(2,118)

 645
(4,021)
(3,376)

1
1
(5,493)
 7,162
1,669

(57)
1,310
(1,899)
(3)
89
(1,813)

810
(7,788)
(6,978)

4 
4
(8,787)
15,949
7,162

Annual Report and Accounts for the year ended 31 December 2019

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Notes to the company financial statements
For the year ended 31 December 2019

C1. PRINCIPAL ACCOUNTING POLICIES
The separate financial statements of the Company are presented as required by the Companies Act 2006 and in accordance with 
International Financial Reporting Standards as adopted by the EU. The principal accounting policies adopted are the same as for those set 
out in the Group’s financial statements.

Adoption of new and revised standards
During the year, the Company adopted the following standards effective from the 1st January 2019. The Company has applied these 
standards in the preparation of the financial statements, and has not adopted any new or amended standards early. 

Initial application of IFRS 16 Leases

The Company has applied IFRS 16 Leases for the first time in the year ended 31 December 2019. IFRS 16 replaces IAS 17 Leases. The 
Group previously split leases between ‘finance leases’ that transferred substantially all the risks and rewards incidental to ownership of the 
asset to the Group, and ‘operating leases’. The main change on application of IFRS 16 is the accounting for ‘operating leases’ where rentals 
payable (as adjusted for lease incentives) were previously expensed under IAS 17 on a straight-line basis over the lease term.

The Company has no right of use assets or leases as at 31 December 2019.

Investments
Fixed asset investments, including investments in subsidiaries, are stated at cost and reviewed for impairment if there are any indications that 
the carrying value may not be recoverable.

C2. CRITICAL ACCOUNTING ESTIMATES
Estimates are continually evaluated and based on historical experience and other factors, including expectations of future events that we 
believe to be reasonable under the circumstances. Actual results may differ from these estimates. The estimates that have the most significant 
effects on the carrying amounts of the assets and liabilities in the parent Company financial statements are described below:

Critical estimates:
Recoverability of receivables from subsidiaries and impairment of financial assets
Amounts owed by subsidiary undertakings represent loans made to the Company’s main subsidiary 
The gross loan advanced by the Company is £70,699,000k (2018: £66,506,000). In accordance with IFRS 9 Financial Instruments, as the 
subsidiary undertakings cannot repay the loan at the reporting date, the Company has made an assessment of expected credit losses. Having 
considered multiple scenarios on the manner, timing, quantum and probability of recovery on the receivables, a cumulative lifetime expected 
credit loss (ECL) of £49,910,000 has been recognised at 31 December 2019 (2018: £1,310,000).

The calculation of the allowance for lifetime expected credit losses requires a significant degree of estimation and judgement, in particular 
in determining the probability weighted likely outcome for each scenario considered. The Directors assessment of ECL included repayment 
through future cash flows over time (which are inherently difficult to forecast for the Company at its current stage of development) and also 
the amount that could be realised through an immediate sale of the subsidiary undertakings. The Directors’ assessment of repayment through 
future cash flows included a scenario where the loan was not recovered in full. The Directors’ allocated a probability weighting of 90% to 
scenarios where recovery would be repayment over time, and 10% to the scenario where immediate sale of the subsidiary undertaking was 
contemplated.

Given the quantum of the provision recorded at 31 December 2019, the outcome is materially sensitive to the key assumptions inherent in the 
calculation. The carrying value of amounts owned by subsidiary undertakings at 31 December 2019 is disclosed in note C10 to the financial 
statements.

C3. COMPANY RESULTS
The Company has elected to take the exemption under section 408 of the Companies Act 2006 not to present the parent Company’s 
statement of comprehensive income. The parent Company’s result for the period ended 31 December 2019 was a loss of £50,001k (2018: 
£2,342k). 

The audit fee for the Company is set out in note 4 of the Group’s financial statements.

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TISSUE REGENIX GROUP PLC 

 
 
C4. STAFF COSTS

The average monthly number of persons (including Directors) employed by the Company during the period was:
Directors
Administration staff

The aggregate remuneration, including Directors, comprised:
Wages and salaries
Social security, pension & healthcare costs

Social security, pension and healthcare casts include pension contributions £20k (2018: £23k).

C5. INVESTMENT IN SUBSIDIARY COMPANIES
All other companies except Tissue Regenix Limited are held through Tissue Regenix Limited

Cost
Additions
Transfer
Impairment
Carrying value at 31 December 2019

2019 
Number

2018 
Number

7
1
8
£000

941
144
1,085

2019
£000
18,594
 –
–
–
18,594

7
1
8
£000

692
114
806

2018
£000
14,707
6,500
(828)
(1,785)
18,594

Additions during the prior year were settled through the conversion of loans historically advanced to subsidiary undertakings into equity. 

At 31 December 2019, the Company held the following investments in subsidiaries:

Undertaking
Tissue Regenix Limited
TRx Wound Care Limited
TRx Orthopaedics Limited
TRx Cardiac Limited
TRx Vascular Limited
Tissue Regenix Wound Care Inc*
Tissue Regenix Orthopedics Inc^
Tissue Regenix Holdings Limited
Tissue Regenix Holdings Inc**
CellRight Technologies LLC†
GBM-V GmbH

Sector
Regenerative medicine
Regenerative medicine
Regenerative medicine
Regenerative medicine
Dormant
Regenerative medicine
Regenerative medicine
Holding company
Holding company
Regenerative medicine
Regenerative medicine

Share of issued capital and 
voting rights
2019
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
50%

2018
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
50%

*  Held through TRX Wound Care Limited ^Held through TRX Orthopaedics Limited **Held through Tissue Regenix Holdings Limited

†  Held through Tissue Regenix Holdings Inc All others are held through Tissue Regenix Limited.

Registered Addresses:
Tissue Regenix Limited, TRX Wound Care Limited, TRX Orthopaedics Limited, TRX Cardiac Limited, TRX Vascular Limited, Tissue Regenix 
Holdings Limited: Unit 1&2, Astley Way, Astley Lane Industrial Estate, Swillington, Leeds LS26 8XT.
Tissue Regenix Wound Care Inc, TRX Orthopedics Inc, CellRight Technologies LLC, Tissue Regenix Holding Inc: 1808 Universal City Boulevard, 
Universal City Texas, 78148.
GBM-V Gmbh: Schillingallee 68, 18057, Rostock, Germany

Annual Report and Accounts for the year ended 31 December 2019

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Notes to the company financial statements continued
For the year ended 31 December 2019

C6. TRADE AND OTHER RECEIVABLES

Prepayments & accrued income
Other debtors

C7. INTERCOMPANY LOAN RECEIVABLES

Gross intercompany loan receivables
Less: Expected credit losses

Comprising:
Non-current assets 
Current assets 

2019
£000
22
196
218

2019
£000
70,527
(49,910)
20,617

3,860
16,757
20,617

2018
£000
38
215
253

Restated      
2018
£000
66,506
(1,301)
65,196

12,954
52,242
65,196

Intercompany loans includes £828,000 gross before provision of £642,889 due from group’s EBT (2018: £828,000) (see note C10). No 
interest was payable on loans to subsidiary undertakings and the loans are repayable on demand except for £13,217,878 unsecured loan to 
Tissue Regenix Limited that is charged 4% above the Bank of England base rate and repayable in 2024.

During the year the Directors identified that intercompany loan receivables due after one year were previously classified incorrectly as current 
assets. The comparative figures have been restated to reclassify £12,954,000 of intercompany loan receivables from current assets to non-
current assets. This restatement has no impact on reported profits for the year ended 31 December 2018 or reported net assets at that date.

C8. TRADE AND OTHER PAYABLES

Trade creditors
Taxes & social security
Accruals

 2019
£000
124
30
358
512

 2018
£000
82
34
357
473

C9. RISK MANAGEMENT OF FINANCIAL ASSETS AND LIABILITIES
The Company activities expose it to a variety of financial risks: market risk, interest rate risk, credit risk and liquidity risk. The Company overall 
risk management programme focuses on the unpredictability of financial markets and seeks to minimise potential adverse effects on the 
Company financial performance.

The management of these risks is vested in the Board of Directors. The policies for managing each of these risks are summarised below:

Management of market risk
Interest rate risk
As the Company has no significant borrowings the risk is limited to the potential reduction in interest received on cash surpluses held. Interest 
rate risk is managed in accordance with the liquidity requirement of the Company, with a minimal amount of its cash surpluses held within 
short- term accounts, which have variable interest rates attributable to them, to ensure that sufficient funds are available to cover the working 
capital requirements of the Company.

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TISSUE REGENIX GROUP PLC 

 
 
C9. RISK MANAGEMENT OF FINANCIAL ASSETS AND LIABILITIES Continued
The principal impact to the Company is the result of interest-bearing cash and cash equivalent balances held as set out below:

Cash and cash equivalents

Cash and cash equivalents

December 2019

Fixed 
rate 
£000
1,092

Floating 
rate 
£000
 577

December 2018
Floating 
rate 
£000
1,105

Fixed 
rate 
£000
6,057

Total 
£000
1,669

Total 
£000
7,162

Due to the high proportion of funds held on a fixed deposit, the impact of a 5% increase/decrease in interest rates would have an immaterial 
impact on the loss in each period.

Management of credit risk
The Company is exposed to credit risk from its operating activities; it principally arises from short term bank deposits and loans advanced to 
subsidiary undertakings. The Company seeks to minimise this risk by only depositing funds with banks with a high credit rating and through 
careful monitoring of the operations of subsidiaries.

The maximum exposure to credit risk on the Company financial assets is represented by their carrying amounts as outlined in the categorisation 
of financial instruments table below.

Management of liquidity risk
The Company seeks to manage liquidity risk to ensure that sufficient funding is available to meet foreseeable needs and to invest cash assets 
safely and profitably.

No maturity analysis for financial liabilities is presented, as the Directors consider that liquidity risk is not material. 

The Company had cash and cash equivalents at each reporting date is set out below.

Cash and cash equivalents
A+
A
BBB+

2019 
£000

1,000
   669
–

2018 
£000

1,000
6,162
–

The above has been split by the Fitch rating system and gives an analysis of the credit rating of the financial institutions where cash balances are 
held.

Capital risk management
The Company manages its capital to ensure that the Company will be able to continue as a going concern while maximising the return to 
stakeholders. The Company’s overall strategy is to minimise costs and liquidity risk.

The capital structure of the Company consists of equity attributable to the owners of the Company, comprising issued capital, reserves and 
retained earnings as disclosed in note 19 and in the Statement of Changes in Equity.

Annual Report and Accounts for the year ended 31 December 2019

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Notes to the company financial statements continued
For the year ended 31 December 2019

C9. RISK MANAGEMENT OF FINANCIAL ASSETS AND LIABILITIES Continued
Categorisation of financial instrument
Financial assets/(liabilities)

Financial assets/(liabilities)
At 31 December 2019
Trade and other receivables
Cash and cash equivalents
Intercompany loans
Trade and other payables

At 31 December 2018
Trade and other receivables
Cash and cash equivalents
Intercompany loans
Trade and other payables

Financial 
assets at 
amortised
cost
£000

Financial 
liabilities at 
amortised
cost
£000

196
1,669
20,617
–
22,482

–
–
–
(482)
(482)

Financial 
assets at 
amortised
cost
£000

Financial 
liabilities at 
amortised
cost
£000

215
7,162
65,196
–
72,573

–
–
–
(439)
(439)

Total
£000

196
1,669
20,617
(482)
22,000

Total
£000

215
7,162
65,196
(439)
72,134

C10. RELATED PARTY TRANSACTIONS
Transactions with key management personnel
The Company’s key management personnel comprise only the Directors of the Group. During the year the Group entered into the following 
transactions in which the Directors had an interest:

Directors’ remuneration:
Remuneration received by the Directors (including Employers NI) from the Group is set out below:

Short-term employment benefits

2019
£000
836

2018
£000
709

Intercompany loans during and at the end of the year (before provisions for expected credit losses of £49,910k (2018: £1,310k) were as 
follows:

At 31 December 2018
(Repayment)/Advance in the year
Equity conversion
At 31 December 2019

Impairment provision:
At 31 December 2018
At 31 December 2019

Tissue 
Regenix 
Limited
43,880
3,579
–
47,459

(1,310)
(39,267)

TRx Cardiac 
Limited
147
27
–
174

TRx 
Orthopedics
Limited
3,745
(309)
–
3,436

TRx Wound 
Care
Limited
17,906
 724
–
 18,630

Total
65,678
4,021
–
69,699

–
–

–
–

–
(10,000)

(1,310)
(49,267)

The Company has entered into a number of unsecured related party transactions with its subsidiary undertakings. The most significant 
transactions carried out between the Company and its subsidiary undertakings are mainly for short and long-term financing. The company 
also has a loan with the Employee Benefit Trust of (2018: £828,000) against which an impairment provision of £643,000 has been recorded 
(2018: £nil). This is included as a debtor as there is a contractual loan agreement between the Company and the Trust.

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TISSUE REGENIX GROUP PLC 

 
 
Notice of annual general meeting

Notice is given that the 2020 Annual General Meeting of Tissue Regenix Group plc (“Company”) will be held at the offices of Squire 
Patton Boggs (UK) LLP at 6 Wellington Place, Leeds LS1 4AP on 30 June 2020 at 10.00 a.m. for the following purposes:

To consider and, if thought fit, to pass the following resolutions as ordinary resolutions:
1. To receive the Company’s annual accounts, strategic report and directors’ and auditors’ reports for the year ended 31 December 2019.

2. To reappoint Alan Miller who retires by rotation, as a director of the Company.

3. To reappoint Jonathan Glenn who retires by rotation, as a director of the Company. 

4. To reappoint Shervanthi Homer-Vanniasinkam who retires by rotation, as a director of the Company.

5. To reappoint RSM UK Audit LLP as auditors of the Company. 

6. To authorise the directors to determine the remuneration of the auditors.

7. That, pursuant to section 551 of the Companies Act 2006 (“Act”), the directors be generally and unconditionally authorised to allot Relevant 
Securities, as set out in either resolution 7.1 or 7.2 below (being alternative resolutions depending on the outcome of the general meeting of 
the Company to be held on 9 June 2020 (“2020 General Meeting”))

7.1.  in the event that the resolutions set out in the notice of general meeting of the Company dated 22 May 2020 are duly passed at the 2020 

General Meeting:

7.1.1 up to an aggregate nominal amount of £2,339,999; or 

7.1.2  comprising equity securities (as defined in section 560(1) of the Act) up to a further aggregate nominal amount of £2,339,999 in 

connection with an offer by way of a rights issue:

7.1.2.1.  to holders of ordinary shares in the capital of the Company in proportion (as nearly as practicable) to the respective 

numbers of ordinary shares held by them; and

7.1.2.2.  to holders of other equity securities in the capital of the Company, as required by the rights of those securities or, subject to 

such rights, as the directors otherwise consider necessary,

but subject to such exclusions or other arrangements as the directors may deem necessary or expedient in relation to treasury shares, 
fractional entitlements, record dates or any legal or practical problems under the laws of any territory or the requirements of any regulatory 
body or stock exchange, provided that these authorities shall expire at the conclusion of the next annual general meeting of the Company 
after the passing of this resolution or on 30 September 2021 (whichever is the earlier), save that, in each case, the Company may make an 
offer or agreement before the authority expires which would or might require Relevant Securities to be allotted after the authority expires and 
the directors may allot Relevant Securities pursuant to any such offer or agreement as if the authority had not expired; or 

7.2  in the event that the resolutions set out in the notice of general meeting of the Company dated 22 May 2020 are not duly passed at the 

2020 General Meeting:

7.2.1  up to an aggregate nominal amount of £1,953,285; or 

7.2.2  comprising equity securities (as defined in section 560(1) of the Act) up to a further aggregate nominal amount of £1,953,285 in 

connection with an offer by way of a rights issue:

7.2.2.1  to holders of ordinary shares in the capital of the Company in proportion (as nearly as practicable) to the respective 

numbers of ordinary shares held by them; and

7.2.2.2  to holders of other equity securities in the capital of the Company, as required by the rights of those securities or, subject to 

such rights, as the directors otherwise consider necessary,

but subject to such exclusions or other arrangements as the directors may deem necessary or expedient in relation to treasury shares, fractional 
entitlements, record dates or any legal or practical problems under the laws of any territory or the requirements of any regulatory body or stock 
exchange, provided that these authorities shall expire at the conclusion of the next annual general meeting of the Company after the passing 
of this resolution or on 30 September 2021 (whichever is the earlier), save that, in each case, the Company may make an offer or agreement 
before the authority expires which would or might require Relevant Securities to be allotted after the authority expires and the directors may allot 
Relevant Securities pursuant to any such offer or agreement as if the authority had not expired; or

In this resolution 7, “Relevant Securities” means shares in the Company or rights to subscribe for or to convert any security into shares in the 
Company; a reference to the allotment of Relevant Securities includes the grant of such a right; and a reference to the nominal amount of a 
Relevant Security which is a right to subscribe for or to convert any security into shares in the Company is to the nominal amount of the shares 
which may be allotted pursuant to that right.

These authorities are in substitution for all existing authorities under section 551 of the Act (which, to the extent unused at the date of this 
resolution, are revoked with immediate effect).

To consider and, if thought fit, to pass the following resolutions as special resolutions:
8. That, subject to the passing of resolution 7 and pursuant to section 570 of the Act, the directors be and are generally empowered to allot 

equity securities (within the meaning of section 560 of the Act) for cash pursuant to the authority granted by resolution 7 as if section 561(1) of 
the Act did not apply to any such allotment, provided that this power shall be limited to the allotment of equity securities:

8.1. in connection with an offer of equity securities (whether by way of a rights issue, open offer or otherwise):

8.1.1.  to holders of ordinary shares in the capital of the Company in proportion (as nearly as practicable) to the respective numbers of 

ordinary shares held by them; and

8.1.2.  to holders of other equity securities in the capital of the Company, as required by the rights of those securities or, subject to such 

rights, as the directors otherwise consider necessary,

but subject to such exclusions or other arrangements as the directors may deem necessary or expedient in relation to treasury shares, 
fractional entitlements, record dates or any legal or practical problems under the laws of any territory or the requirements of any 
regulatory body or stock exchange; and

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Notice of annual general meeting

8.2   otherwise than pursuant to paragraph 8.1 of this resolution, up to an aggregate nominal value as set out in either resolution 8.2.1 or 

8.2.2. below (being alternative resolutions depending on the outcome of the 2020 General Meeting):

8.2.1.  in the event that the resolutions set out in the notice of general meeting of the Company dated 22 May 2020 are duly passed at 

the 2020 General Meeting, up to an aggregate nominal amount of £701,999; or 

8.2.2.  in the event that the resolutions set out in the notice of general meeting of the Company dated 22 May 2020 are not duly 

passed at the 2020 General Meeting, up to an aggregate nominal amount of £585,985, 

and this power shall expire at the conclusion of the next annual general meeting of the Company after the passing of this resolution 
or on 30 September 2021 (whichever is the earlier), save that the Company may make an offer or agreement before this power 
expires which would or might require equity securities to be allotted for cash after this power expires and the directors may allot equity 
securities for cash pursuant to any such offer or agreement as if this power had not expired.

This power is in substitution for all existing powers under section 570 of the Act (which, to the extent unused at the date of this 
resolution, are revoked with immediate effect).

9. That, pursuant to section 701 of the Act, the Company be and is generally and unconditionally authorised to make market purchases 

(within the meaning of section 693(4) of the Act) of ordinary shares in the capital of the Company (“Shares”), provided that:

9.1.   in the event that the resolutions set out in the notice of general meeting of the Company dated 22 May 2020 are duly passed at the 

2020 General Meeting: 

9.1.1.   the maximum aggregate number of Shares which may be purchased is 701,999,753; and

9.1.2.   the minimum price (excluding expenses) which may be paid for a Share is 0.1p; or

9.2.   in the event that the resolutions set out in the notice of general meeting of the Company dated 22 May 2020 are not duly passed at 

the 2020 General Meeting: 

9.2.1.   the maximum aggregate number of Shares which may be purchased is 117,197,132; and

9.2.2.   the minimum price (excluding expenses) which may be paid for a Share is 0.5p; and 

9.3   the maximum price (excluding expenses) which may be paid for a Share is an amount equal to 105 per cent of the average of the 
middle market quotations for a Share as derived from the Daily Official List of the London Stock Exchange plc for the five business 
days immediately preceding the day on which the purchase is made; 

and (unless previously revoked, varied or renewed) this authority shall expire at the conclusion of the next annual general meeting of the 
Company after the passing of this resolution or on 30 September 2021 (whichever is the earlier), save that the Company may enter into 
a contract to purchase Shares before this authority expires under which such purchase will or may be completed or executed wholly or 
partly after this authority expires and may make a purchase of Shares pursuant to any such contract as if this authority had not expired.

By order of the board

Kirsten Lund
Secretary 

4 June 2020

Registered office

Units 1 & 2, Astley Way 
Astley Lane Industrial Estate 
Swillington
Leeds 
LS26 8XT

Registered in England and Wales No. 05969271

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TISSUE REGENIX GROUP PLC 

 
 
Notes
Entitlement to attend and vote
1. The right to vote at the meeting is determined by reference to the register of members.  Only those shareholders registered in the register of 
members of the Company as at the close of business on 28 June 2020 (or, if the meeting is adjourned, close of business on the date which 
is two working days before the date of the adjourned meeting) shall be entitled to attend and vote at the meeting in respect of the number of 
shares registered in their name at that time.  Changes to entries in the register of members after that time shall be disregarded in determining 
the rights of any person to attend or vote (and the number of votes they may cast) at the meeting.

2. In light of the spread of COVID-19 in the UK and associated measures put in place by the UK Government, the Company 

encourages shareholders not to attend the meeting in person. Instead, shareholders who wish to vote are encouraged to complete 
a form of proxy, appointing the chairman of the meeting as their proxy, in accordance with the instructions in notes 3-5 below. 
Shareholders are advised that, if they attempt to attend the meeting in person, they may be denied entry to the venue. 

Proxies
3. A shareholder is entitled to appoint another person as his or her proxy to exercise all or any of his or her rights to attend and to speak and 

vote at the meeting.  A proxy need not be a shareholder of the Company.

A shareholder may appoint more than one proxy in relation to the meeting, provided that each proxy is appointed to exercise the rights 
attached to a different share or shares held by that shareholder.  Failure to specify the number of shares each proxy appointment relates to 
or specifying a number which when taken together with the numbers of shares set out in the other proxy appointments is in excess of the 
number of shares held by the shareholder may result in the proxy appointment being invalid.

A proxy may only be appointed in accordance with the procedures set out in notes 4 and 5 below and the notes to the proxy form.

The appointment of a proxy will not preclude a shareholder from attending and voting in person at the meeting.

4. A form of proxy is enclosed.  When appointing more than one proxy, complete a separate proxy form in relation to each appointment.  

Additional proxy forms may be obtained by contacting the Company’s registrar on +44 (0) 371 664 0300 (Calls are charged at the standard 
geographic rate and will vary by provider. Calls outside the United Kingdom will be charged at the applicable international rate. We are open 
between 09:00 - 17:30, Monday to Friday excluding public holidays in England and Wales).or the proxy form may be photocopied.  State 
clearly on each proxy form the number of shares in relation to which the proxy is appointed.

To be valid, a proxy form must be received by post or (during normal business hours only) by hand at the offices of the Company’s registrar, 
Link Asset Services PXS 1, 34 Beckenham Road, Beckenham BR3 4TU, no later than 10.00 a.m. on 28 June 2020 (or, if the meeting is 
adjourned, no later than 48 hours before the time of any adjourned meeting).

5. CREST members who wish to appoint a proxy or proxies for the meeting (or any adjournment of it) through the CREST electronic proxy 
appointment service may do so by using the procedures described in the CREST Manual.  CREST personal members or other CREST 
sponsored members, and those CREST members who have appointed a voting service provider(s), should refer to their CREST sponsor or 
voting service provider(s), who will be able to take the appropriate action on their behalf.

In order for a proxy appointment or instruction made using the CREST service to be valid, the appropriate CREST message (a “CREST 
Proxy Instruction”) must be properly authenticated in accordance with Euroclear UK & Ireland Limited’s specifications and must contain 
the information required for such instructions, as described in the CREST Manual.  The message, regardless of whether it constitutes the 
appointment of a proxy or is an amendment to the instruction given to a previously appointed proxy, must, in order to be valid, be transmitted 
so as to be received by Link Asset Services (ID RA10) no later than 10.00 a.m. on 28 June 2020 (or, if the meeting is adjourned, no later 
than 48 hours before the time of any adjourned meeting).  For this purpose, the time of receipt will be taken to be the time (as determined 
by the timestamp applied to the message by the CREST Applications Host) from which Link Asset Services is able to retrieve the message 
by enquiry to CREST in the manner prescribed by CREST.  After this time, any change of instructions to proxies appointed through CREST 
should be communicated to the appointee through other means.

CREST members and, where applicable, their CREST sponsors or voting service providers should note that Euroclear UK & Ireland Limited 
does not make available special procedures in CREST for any particular messages.  Normal system timings and limitations will therefore apply 
in relation to the input of CREST Proxy Instructions.  It is the responsibility of the CREST member concerned to take (or, if the CREST member 
is a CREST personal member or sponsored member or has appointed a voting service provider(s), to procure that his or her CREST sponsor 
or voting service provider(s) take(s)) such action as shall be necessary to ensure that a message is transmitted by means of the CREST 
system by any particular time.  In this connection, CREST members and, where applicable, their CREST sponsors or voting service providers 
are referred, in particular, to those sections of the CREST Manual concerning practical limitations of the CREST system and timings.

The Company may treat a CREST Proxy Instruction as invalid in the circumstances set out in Regulation 35(5)(a) of the Uncertificated 
Securities Regulations 2001.

Corporate representatives
6. A shareholder which is a corporation may authorise one or more persons to act as its representative(s) at the meeting.  Each such 

representative may exercise (on behalf of the corporation) the same powers as the corporation could exercise if it were an individual 
shareholder, provided that (where there is more than one representative and the vote is otherwise than on a show of hands) they do not do so 
in relation to the same shares.

Documents available for inspection
7. Subject to the restrictions imposed as a result of the spread of COVID-19 in the UK, the following documents will be available for inspection 

during normal business hours at the registered office of the Company from the date of this notice until the time of the meeting.  They will also 
be available for inspection at the place of the meeting from at least 15 minutes before the meeting until it ends:

7.1 Copies of the service contracts of the executive directors.

7.2 Copies of the letters of appointment of the non-executive directors.

Annual Report and Accounts for the year ended 31 December 2019

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Notice of annual general meeting

Biographical details of directors
8. Biographical details of all those directors who are offering themselves for reappointment at the meeting are set out on pages 30 and 31 of 

the enclosed annual report and accounts.

Share capital
9. As at 4 June 2020 (the last practicable business day prior to the date of this notice), the Company’s issued share capital comprised 

1,171,971,322 ordinary shares of 0.5 pence each. Each ordinary share carries the right to vote at a general meeting of the Company and, 
therefore, the total number of voting rights in the Company as at the date of this document is 1,171,971,322.

10. In the event that the resolutions set out in the notice of general meeting of the Company dated 22 May 2020 are duly passed at the 2020 
General Meeting and the 5,848,026,212 ordinary shares of 0.1 pence each are issued by the board of directors of the Company pursuant 
to the Fundraising (as such term is defined in the circular of the Company dated 22 May 2020), the Company’s total number of voting 
rights in the Company as at the date of the annual general meeting will be 7,019,997,534.

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TISSUE REGENIX GROUP PLC 

 
 
Directors and Officers

DIRECTORS
Gareth Jones 

Jonathan Glenn 

Alan Miller 

(Interim Chief Executive Officer)

(Interim Non-Executive Chariman)

(Non-Executive Director)

Randeep Singh Grewal 

(Non-Executive Director) 

Shervanthi Homer-Vanniasinkam 

(Non-Executive Director)

COMPANY SECRETARY
Kirsten Lund 

COMPANY WEBSITE
www.tissueregenix.com

COMPANY NUMBER
05969271 (England & Wales)

REGISTERED OFFICE 
Unit 1 & 2 
Astley Way 
Astley Lane Industrial Estate 
Leeds 
West Yorkshire 
LS26 8XT 

AUDITOR 
RSM UK Audit LLP 
Central Square 
29 Wellington Street 
Leeds 
LS1 4DL 

REGISTRAR
Link Asset Services
The Registry
34 Beckenham Road
Beckenham
Kent
BR3 4TU

LEGAL ADVISERS
DLA Piper UK LLP   
Princes Exchange 
Princes Square 
Leeds 
LS1 4BY

Squire Patton Boggs UK LLP
6 Wellington Place  
Leeds
LS1 4AP

NOMINATED ADVISER AND BROKER
Stifel Nicolaus Europe Ltd
150 Cheapside 
London
EC2V 6ET

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27183  1 June 2020 4:29 pm  Proof 6Tissue Regenix Group plc Annual Report and Financials for year ended 31 December 2019Tissue Regenix Group plc Unit 1 and 2  Astley Way  Astley Lane Industrial Estate Swillington  Leeds  LS26 8XTwww.tissueregenix.com27183-Tissue-Regenix-AR-2019.indd   301-Jun-20   4:31:09 PM