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TRX Gold Corporation

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FY2021 Annual Report · TRX Gold Corporation
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Annual Report and Financials 
for year ended 31 December 2021

Contents 

Business overview
Strategic report
 Chairman’s Statement
 Chief Executive Officer’s Statement
 Financial Review
 Market Overview
 Principal Risk and Uncertainties
 Section 172 Statement
Governance
 Management Team
 Board of Directors
 Corporate Governance Statement
 Directors’ Remuneration Report
 Directors’ Report
 Directors’ Responsibilities Statement
Financial Statements
 Independent Auditor’s Report
 Consolidated Statement of Income
 Consolidated Statement of Comprehensive Income
 Consolidated Statement of Financial Position
 Consolidated Statement of Changes in Equity
 Consolidated Statement of Cash Flows
 Notes to the Consolidated Financial Statements
 Company Statement of Changes in Equity
 Company Statement of Financial Position
 Notes to the Company Financial Statements
Other
 Notice of Annual General Meeting
 Company and Adviser Information

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Annual Report and Accounts 2021 1

 
Business Overview 

Tissue Regenix Group plc (AIM: TRX) is an international, pioneering medical technology company in the field of 
regenerative  medicine,  focusing  on  the  development  of  tissue  engineering  products  using  our  two  platform 
technologies, dCELL®, addressing soft tissue needs, and BioRinse®, providing sterile bone allografts. 

We  are  currently  helping  to  transform  the  treatment  of  patients  in  key  surgical  applications:  BioSurgery, 
Orthopaedics (sports medicine/spine), Dental, General, Plastic Surgery, Urology/Gynaecology, and Ophthalmology. 

More details on our platform technologies are contained below: 

dCELL® 
Our patented decellularisation (dCELL®) technology removes DNA and other cellular material from animal and 
human soft tissue leaving an acellular tissue scaffold which is not rejected by the patient's body and can then be 
used to repair diseased or damaged body parts. Current applications address many critical clinical needs, such 
as foot and ankle surgery, orthopedics, sports medicine, urological-gynaecological and wound care. This business 
segment operates primarily under the TRX BioSurgery brand. 

BioRinse® 
Our BioRinse® technology is primarily utilised to provide a natural bone filler solution, tested for osteoinductivity 
which can stimulate and regenerate native bone growth. This process has the potential to provide superior clinical 
outcomes as it contains 100% allograft bone, tested to demonstrate the presence of the key natural bone growth 
factors, and available in various physical forms. This business segment operates primarily under the CellRight 
Technologies brand. 

The Group’s main facility is in San Antonio, Texas, and is used for human tissue and processing dCELL® and 
BioRinse® products. As part of the Phase 1 expansion, completed in 2021, we relocated facilities designated for 
distribution and frozen tissue storage as well as adding two clean rooms at the existing San Antonio facility, 
bringing the total number of clean rooms to seven. We also have facilities in Leeds, UK, for processing porcine 
tissue and OrthoPure® XT, as well as our controlled joint venture GBM-v in Rostock Germany for our human tissue 
in the EU.  

2 Tissue Regenix Group plc

Chairman’s Statement 

Introduction 
Despite the ongoing challenges posed by the COVID-19 pandemic, in 2021 we saw continued positive momentum 
in creating long-term sustainable shareholder value. The Group returned to double digit revenue growth, thanks 
largely to an exceptionally strong performance in the US. 

I would like to extend my thanks to the Executive team and all our employees for what has been achieved over the 
last year. The Group has delivered robust financial and operational performances and ended the period in a strong 
financial position that supports the current business growth plan. 

Clear strategy  
Our ambition is to create a commercially focused global regenerative medicine company addressing soft tissues 
and bone, operating in a high-growth sector with a multi-billion-dollar addressable market. Through its platform 
technologies, the Group can commercialise its regenerative medicine products, helping to transform the treatment 
of patients in key surgical applications. The main focus of the Group’s strategy is the commercialisation of its 
product portfolio.  

2021 has seen significant delivery of our strategy within our four key areas of focus (Supply, Sales Revenue, 
Sustainability and Scale), providing clear strategic direction of the Group’s ambitions and delivering shareholder 
value – The following are notable achievements in the period: 

Accelerated market penetration in the US, the largest healthcare market in the world: 

l
        l    The BioRinse® division performed strongly in 2021, aided by the completion of the first phase of the 

manufacturing expansion  

        l    The Group saw a strong comparative sales performance due to its diverse surgical specialties  

New partnership agreements:  

l
        l    During the year we identified and signed additional opportunities and distribution agreements that target 
products and therapeutic areas which are complementary to our current processing activities to diversify 
the Group’s sales portfolio further 

        l    The Group was successful in signing new strategic partners and expanded its customer base following 
the acquisition of three of the Group’s existing strategic partners by larger organisations, where we 
benefit from greater market penetration 

        l    The Group also secured additional donor sourcing agreements in the US 

Phase 1 manufacturing facility expansion in San Antonio, Texas: 

l
        l    Completed on time and on budget  

        l    The completion of the manufacturing expansion increases the Group’s revenue generation potential and 

processing efficiency as well as providing additional donor storage capacity  

Reorganisation of US dCELL® divisional operations: 

l
        l    The Group completed restructuring of the operational and commercial activities for the dCELL® division 
which will provide an opportunity to increase new customer wins as well as increased penetration and 
upsell of existing accounts  

Expansion of product portfolio and additional product line extensions:  

l
        l    During  the  year,  the  Group  successfully  launched  product  line  extensions  in  its  dCELL®  division; 

DermaPure® Meshed, VNEW™ and MatrixND™  

Annual Report and Accounts 2021 3

Chairman’s Statement 

continued

Board  
With confirmation of my appointment as Non-Executive Chairman in February 2021 and other Board appointments 
announced  in  the  first  quarter  of  2021,  we  now  have  a  strong,  commercially  focused  Board  and  executive 
leadership in Danny Lee and David Cocke, collectively committed to creating long-term sustainable value and 
growth of the Group through an increased portfolio offering and market penetration.  

In January 2021, Trevor Phillips and Brian Phillips (no relation) were appointed to the Board as Non-Executive 
Directors.  Brian  and  Trevor  bring  a  wealth  of  experience  particularly  regarding  operations  and  corporate 
development in the life sciences industry and financial management, which have been key in driving the Group’s 
success during 2021. Brian Phillips is Chair of the Audit Committee and Trevor Phillips is Chair of the Remuneration 
Committee.  

Shortly following these appointments in January, David Cocke was appointed CFO of the Group alongside Danny 
Lee, CEO, based in San Antonio, Texas. David has 30 years’ experience in senior finance and operations roles 
having previously been CFO at Aperion Biologics, Inc. and founding NuPak Medical Ltd. in 1997 which was later 
acquired by Katena Products, Inc. in 2017. 

Financial overview 
Trading  in  the  year  was  robust  with  a  return  to  double  digit  revenue  growth  and  in  line  with  management 
expectations despite the challenges of the COVID-19 pandemic. A particularly strong growth performance was 
seen by the BioRinse® division aided by the completion of the Phase 1 of the manufacturing expansion project. 
The Group’s cash position at year end supports our current business growth plan.  

2022 Outlook  
Despite  another  year  with  continuing  challenges  posed  by  the  pandemic  and  the  postponement  of  elective 
surgeries across all specialties, we continue to make encouraging progress on our strategy, deliver revenue growth, 
expand our product portfolio and deliver operational efficiency. Importantly, while we recognise the ongoing 
challenges of COVID-19, we continue to see strong demand for our products and the Board is optimistic as we 
see a return to pre-pandemic conditions, this demand will drive sales revenue growth as the Group moves towards 
profitability.  

On behalf of the Board, I would like to thank Danny and David for their excellent leadership along with the rest of 
our management team and employees for their hard work to achieve a strong recovery despite the external 
challenges over the year. We would also like to thank our shareholders, our business partners and suppliers for 
their continued support throughout 2021, and we look forward with optimism for the year ahead.  

Jonathan Glenn 
Chairman 

14 March 2022 

4 Tissue Regenix Group plc

Chief Executive Officer’s Statement 

In my first full year as CEO of the Group, we have established a clear strategy, accelerated market penetration in 
the US and expanded our customer base and product portfolio whilst increasing our processing efficiency and 
donor storage capacity. These full year results reflect the progress we have made as we drive towards profitability.  

I am pleased to report that the Group performed admirably during 2021 despite the ongoing global challenges 
posed by the pandemic when hospitals, governments and healthcare providers postponed elective surgeries 
across all specialties. Despite these challenges we continued to make progress and reinvigorate commercial 
growth. As our products experienced broader adoption, this growth was supported by the Group’s dedicated and 
resilient employees.  

Strategy 
The tissue engineering market is anticipated to grow significantly and is projected to reach $6.8bn by 2027, growing 
at a 14% Compound Annual Growth Rate (CAGR) from 2020 owing to increases in the prevalence of chronic 
diseases and trauma emergencies, increased awareness of tissue engineering, and potential pipeline products. 
More detail on our markets and opportunities is contained in the Market Overview on page 12. 

In 2021, we announced our 4S strategy as the foundation of how we operate and drive our growth: 

l       Supply – highlighted by the fundamental ability to source donor tissue and having the capacity to produce 

various graft products 

l       Sales Revenue – to distribute the finished grafts to the clinicians and institutions that need these products 

to treat patients 

l       Sustainability – to manage sales revenue along with expenses to be a profitable entity that does not need 

additional external capital to operate 

l       Scale – to utilise the first three S’s to continue to invest and grow the business, license or acquire new 

products, technologies and companies 

Our focus on the 4Ss across all divisions and departments provides a 360-degree approach and strategic direction 
for our future success. We believe this focus will allow the Group to achieve above-market growth rates, as we 
have demonstrated in 2021 with a 20% growth rate over 2020. 

BioRinse® (Bone) 
Orthopaedics and dental markets in the US reported a strong performance in 2021 and our 33% year-on-year 
growth we experienced in 2021 surpassed many others in this space. This is indicative of the continued confidence 
in our products, strong performance of our distributors and strategic partners, our participation in diverse surgical 
specialties and the addition of new distributors. 

dCELL® (Soft Tissue) 
A strategic review was performed on the dCELL® division with the objective of driving increased sales revenue 
momentum. This  review  indicated  that  a  flatter,  more  customer-facing  commercial  organisation  could  yield 
enhanced customer penetration. As a result, we compressed three layers of management into one, pushing our 
commercial management closer to the end users and sales channel partners. In addition, in January 2021 we 
restructured the operations of this segment to become more efficient and reduce the overhead cost base by c. 
$700k on an annualised basis. 

As the pandemic continued into 2021, distributors faced numerous challenges with the dCELL® product line due 
to the postponement of elective surgical procedures. As a result, sales in this division were flat year-on-year. 
However, the demand for our DermaPure® products increased in the urological/gynaecological sector driven by 
orders from ARMS Medical, which were up 24% from the previous year.  

Annual Report and Accounts 2021 5

Chief Executive Officer’s Statement 

continued

The  EU  and  its  member  countries  experienced  volatility  throughout  2021,  especially  in  elective  surgeries. 
OrthoPure® XT, the first non-human biologic graft available to the market, is used in the reconstruction of the 
Anterior Cruciate Ligament (ACL) and can be used following re-rupture, the reconstruction of other knee ligaments 
in multi-ligament procedures following trauma, and primary ACL procedures where the autograft is unavailable or 
inadequate.  

In mid-2020 we received the CE Mark for OrthoPure® XT and in November 2020 launched the product into a limited 
number of European markets. However, the pandemic caused postponement of many elective ACL procedures, 
so we plan to relaunch in 2022 when more normal conditions resume. We expect to gain market traction in the 
UK and EU and remain confident that OrthoPure® XT will begin to add revenues in 2022.  

The pandemic delayed our plans to expand the geographic outreach of our dCELL® and BioRinse® portfolios into 
new territories and we anticipate demand for our dCELL® products will resume as surgical procedures return to 
pre-pandemic levels. In 2022 we plan to establish a logistical partner and distributors in select European markets 
for our human tissue products which will be made possible by our increased processing capacity.  

dCELL® product line extensions  
We continued to pursue the commercialisation of products which utilise our core technology platforms, provide 
product line extensions that are fast to market and address a specific clinical or commercial need.  

In 2021 we introduced three new products which utilise our dCELL® technology platform:  

l       DermaPure® Meshed; used to treat wounds where additional surface area coverage and wound drainage is 
needed (approximately 70,000 procedures in the US per annum) and eliminates time consuming manual 
meshing in the operating room. Targeted for use by general, plastic and trauma surgeons who treat patients 
with  conditions  that  result  in  loss  of  integumental  tissue  (skin),  requiring  replacement,  repair,  or 
reconstruction 

l       VNEW™; a pre-cut dermal allograft that can be used in pelvic organ prolapse procedures (approximately 
300,000 procedures in the US per annum) which are frequently performed in women post childbirth. ARMS 
Medical, our exclusive distributor for this product, placed their initial stocking order in August and re-ordered 
in December 

l       Matrix ND™; a dermal allograft designed for use in dental or oral and maxillofacial procedures for soft tissue 
repair  coverage  and  augmentation  which  was  developed  to  meet  the  need  of  our  dental  partners 
(approximately  400,000  procedures  in  the  US  per  annum).  A  dental  membrane  is  frequently  used  in 
conjunction with dental bone grafting procedures 

Additional product line extensions and product improvements are anticipated during 2022 which will contribute 
to our organic growth and support the commercial efforts of our organisation and strategic partners. 

GBM-v 
Our controlled joint venture in Germany, GBM-v, grew 6% in 2021 despite continued impacts from the pandemic 
on elective procedures, specifically for corneal transplants in Germany. The demand for corneal tissue continues 
to outpace supply, but the market has been suppressed due to the postponement of elective surgeries with many 
patients  electing  to  defer  to  avoid  entering  healthcare  institutions.  We  expect  this  growth  to  continue  and 
accelerate as more normalised conditions return. 

New strategic partners and distributors 
Despite the challenges of the pandemic, we continued to be successful in securing new strategic partners and 
distributors and saw a 36% increase in the units shipped in 2021. One partial explanation for this increase in 
shipments was the consolidation of several of our strategic partners. Three of these were acquired by larger 
entities that have a more significant presence in the marketplace and importantly more distribution outlets. As an 
example, one of our BioRinse® customers was acquired in 2021, and orders increased by 142% year-on-year under 

6 Tissue Regenix Group plc

Chief Executive Officer’s Statement 

continued

the new ownership. We also signed new agreements with four strategic partners and distributors who target 
specialty markets such as spinal and dental. 

Manufacturing facilities 
In February 2021, San Antonio experienced an unprecedented snowstorm and freeze which impacted electrical 
and water services throughout the state of Texas. This temporarily affected our ability to process at the facility in 
San Antonio, but the power loss did not impact materials in storage in the ultra-low temperature freezers. We were 
unable to service customer demand the following week as delivery services had also been impacted and had 
limited capacity. During the weeks that followed, the team worked to catch up with demand and service all our 
customers. In the future, any impact to the Group due to a power grid failure will be partially addressed through a 
battery back-up system to be implemented in 2022.  

The relocation in October 2020 of our operations in the UK to Garforth, Leeds and reinitiating the processing of 
the OrthoPure® XT product, required the product to be recertified for the CE Mark. The recommendation for 
certification of the facility to ISO 13485 was received in February 2021. 

In mid-2021 we completed our Phase 1 capacity expansion programme in San Antonio on time and on budget. 
The Phase 1 expansion comprised of fitting out approximately half of a 21,000 sq. ft. building that is adjacent to 
our existing facility in San Antonio to provide improvements in key areas: donor storage, processing, production, 
and distribution.  

We moved the bulk of our storage freezer space to the new facility in mid-March and added capacity through 
the purchase of new, more efficient ultra-low temperature freezers to triple our donor tissue storage capabilities 
which will meet demand over the next 3-5 years. The expansion also included a new distribution facility which 
consolidated  this  function  and  its  personnel  to  one  location.  The  anticipated  labour  and  time  savings  in 
processing orders was realised in 2021 as we increased unit shipments by 36% with only one additional member 
of staff.  

The move of freezer storage and personnel into the new building freed up space for processing and production in 
the existing facility. Two sterile packaging rooms were added in the existing facility, which brought the total number 
of clean rooms to seven. The new sterile packaging rooms and installation of additional processing equipment 
increased our BioRinse® portfolio processing capacity by c.50%. Space created by the move to the new building 
was also utilised to set up additional workspace for downstream production activities such as final product boxing 
and labelling. 

When the Phase 1 expansion is up and running at full capacity, the Group’s revenue generation potential will be 
c.$30m per year within the existing facility footprint. For Phase 2, it is our intention to build an additional ten clean 
rooms in the new facility, which will meet our capacity needs for the next 5–7 years as we grow our portfolio, 
markets, customer base and global presence.  

The impact of COVID-19  
The pandemic continued to stunt the surgical marketplace when hospitals, governments and health care providers 
halted elective procedures across all specialties. A partial return to normality occurred in the second quarter of 
2021 before the Delta variant affected elective procedures in the third and early fourth quarter of 2021. These 
disruptions led to unpredictable demand for our products, however a healthy inventory meant we could respond 
as needed to changes in the marketplace.  

We remained diligent at all our facilities and implemented the initiatives and guidelines necessary to minimise 
disruption. We had already expanded our donor sourcing efforts in 2020 and in 2021 these efforts were further 
expanded to other tissue processors for the procurement or disbursement of donor tissue. Tissue processors 
have the responsibility to be the stewards of the gift of tissue donation, so we need to consider all avenues for 
donor tissue to be utilised in meeting the donor families’ wishes.

Annual Report and Accounts 2021 7

Chief Executive Officer’s Statement 

continued

Outlook 
Our positive financial performance during such uncertain circumstances has set our trajectory to be even greater 
in 2022 as the Group and our partners expect to emerge from the pandemic. In 2021 we saw particularly strong 
growth in BioRinse® and with the completion of the manufacturing expansion we expect this solid performance 
to continue. As markets start to return to pre-pandemic levels the Group is well positioned to meet the demand 
now that we have the capacity and inventory in place to do so.  

The implementation of a new commercialisation strategy for the dCELL® products is expected to enable greater 
market penetration and we look forward to increasing sales revenue momentum from this segment as well as 
our additional product line extensions in 2022.  

I am confident in our growth strategy, our products and their potential to benefit patients in what will hopefully be 
a less unsettled year ahead. With the changes we have made in 2021 the business is well positioned to service 
our customers and drive shareholder value. I look forward to the continuing success of the Group in the coming 
year and as we move towards profitability. 

Daniel Lee 
Chief Executive Officer 

14 March 2022 

8 Tissue Regenix Group plc

Financial Review 

With effect from 1 January 2021, the Group’s presentation currency changed from pounds sterling (“£”) to United 
States dollar (“$”) as the Directors considered the USD to be more representative of the geography in which the 
Group primarily operates. 

Revenue 
In the year ended 31 December 2021 revenue increased by 20% to $19,746k (2020: $16,473k).  

The financial performance for the year was impacted at times by the ongoing coronavirus pandemic, as Q1 saw 
ongoing effects of the initial wave of the pandemic before widespread vaccine rollouts took place in the US, and 
the Q3 and early Q4 sales were affected by the Delta variant, before rebounding positively in November and 
December 2021. 

The BioRinse® segment performed strongly in 2021, aided by the completion of the first phase of the expansion 
of the Group’s manufacturing capacity in San Antonio, TX. This unit successfully grew top line sales by 33%, to 
$12,711k (2020: $9,562k) as the BioRinse® division used its strong relationships with strategic partners to take 
market share in the US.  

Revenue from DermaPure®, under the DCell® division, was slower to respond to the easing of the pandemic and 
associated restrictions with 2021 sales flat at $4,246k (2020: $4,247k).  

The Group’s joint venture, GBM-v, based in Rostock, increased revenues 5% to $2,789k (2020: $2,664k) despite 
continued market disruptions from the pandemic that continued throughout 2021.  

Cost of sales and gross profit 
Gross profit for the year was $8,476k (2020: $7,570k). Gross margin percentage decreased to 43% (2020: 46%). 
In 2021 the Group transferred certain excess tissues at a reduced margin in order to honour the gift of tissue 
donation and prudently manage the statement of financial position by reducing slow moving inventory. Those 
transfers will not recur in future periods. In addition, the Group experienced supply chain driven price increases in 
the period. A price increase was put in place in the BioRinse® division to address the cost pressures. 

Included  in  costs  of  sales  is  cost  of  product  $10,348k  (2020:  $7,699k)  and  third-party  commissions  $922k 
(2020: $ 1,204k). 

Administrative expenses 
During 2021 administrative expenses before exceptional items decreased by $351k to $12,574k (2020: $12,925k). 

Exceptional items 
Exceptional  items  decreased  by  $7,969k  to  $355k  primarily  driven  by  the  impairment  charge  in  2020 
(2020: $8,324k). Restructuring costs of $52k related to a redundancy in the Central segment were charged in 
the year. 

Restructuring costs of $183k were charged to the DCell® division as a result of a restructuring of that division in 
January 2021. 

The February 2021 winter storm event in Texas resulted in a charge of $120k at the BioRinse® division relating to 
non-productive time and spoilage. 

Finance income/charges 
Finance income of $3k (2020: $3k) represented interest earned on cash deposits. Finance charges for the year 
were reported at $692k (2020: $571k) and related primarily to interest charges and associated costs for the 
MidCap loan arrangement. 

Annual Report and Accounts 2021 9

 
Financial Review 

continued

Loss for the year 
The loss for the year was $4,985k (2020 loss: $12,465k) resulting in a basic loss per share of (0.07 cents) (2020 
loss: 0.28 cents).  

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 
2021, a refund of $534k was receivable (2020: $1,120k). 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 $0k (2020: $0k). A corporation tax credit of $157k (2020: $684k) 
was recognized in the period. Gross tax losses carried forward in the UK were $73,643k (2020: $69,399k). 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. 

Statement of Financial Position 
At December 2021, the Group had net assets of $33,392k (2020: $37,817k) of which cash in hand totalled $7,709k 
(2020: $12,968k). 

Inventory remained stable at $9,719k (2020: $9,604k) as the BioRinse® and DCell® segments managed stock levels 
closely to increase inventory turnover while also keeping adequate stock levels to meet customer demand. 

Intangible assets increased slightly to $15,064k (2020: $14,845k) in the year. A further $497k of development 
costs were capitalised in the year. The balance of movements in this account relate to amortisation. 

A full impairment test was performed on each of the Group’s CGUs to determine whether the property, plant and 
equipment, right-of-use, or intangible assets have suffered an impairment loss. This assessment resulted in no 
indication of impairment and no charges were recognized for the year. 

Working capital increased slightly in the year to $9,700k (2020: $9,992k), driven by an increase to inventory from 
continued  growth  in  manufacturing  activities.  The  statement  of  financial  position  included  corporation  tax 
receivable of $534k (2020: $1,120k) in respect of UK research and development tax credits. 

Borrowings/Lease liability 
Non-current liabilities include the $4,465k debt facility through MidCap and the $3,072k lease liability related to 
the Group’s leasehold in San Antonio, TX (2020: $3,788k and $3,084k respectively). The MidCap debt facility 
includes $2,000k of the term loan and $2,465k of the revolving credit facility, net of $184k of capitalised debt issue 
costs. More information on these obligations is provided on page 63. 

Dividend 
No dividend has been proposed for the year to 31 December 2021 (2020: Nil). 

Accounting policies 
Following  the  departure  from  the  EU,  the  Group’s  consolidated  financial  information  has  been  prepared  in 
accordance  with  UK  adopted  international  accounting  standards  (UK  adopted  IAS).  The  Group’s  significant 
accounting policies, which have been applied consistently throughout the year, are set out on pages 43 to 50. 

Going concern 
The Group financial statements have been prepared on a going concern basis based on cash flow projections 
approved by the Board for the Group for the period to 31 December 2023 (the “Cash Flow Projections”). Funding 
requirements are reviewed on a regular basis by the Group’s Chief Executive Officer and Chief Financial Officer 

10 Tissue Regenix Group plc

Financial Review 

continued

and are reported to the Board at each Board meeting, as well as on an ad hoc basis, if requested. The Cash Flow 
Projections show that the Group will continue to consume cash over the forecast period. Until sufficient cash is 
generated from its operations, the Group remains reliant on cash reserves of $7.7m at 31 December 2021 and 
the ongoing support of MidCap Financial Trust (“MidCap”) (borrowings of $4.5m at 31 December 2021) to meet 
its working capital requirements, capital investment programme and other financial commitments. Repayment 
on the MidCap borrowings is scheduled to begin in July 2023. 

The COVID-19 pandemic continued to affect most healthcare businesses in 2021, as the emergence of the Delta 
and Omicron variants extended the timeline for a return to normal healthcare procedure volumes. 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 the Cash Flow Projections, has considered a downside scenario 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 there will not be a significant 
long-lasting impact on the ability of the business to carry out its commercial activities. The Cash Flow Projections 
prepared by the Board, including the downside scenario, indicate that the Group will still have cash reserves at the 
end of the forecast period. The Group’s Cash Flow Projections also assume that the MidCap facilities are available 
throughout the forecast period as the repayment is not due to start until H2 2023. The availability of these facilities 
is dependent upon compliance with a rolling twelve-month revenue covenant which is measured on a monthly 
basis. The Cash Flow Projections indicate compliance with this covenant throughout the forecast period. 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 have reviewed the Cash Flow Projections. On the 
basis of their assessment, they have concluded that the going concern basis remains appropriate for use in these 
financial statements. 

Subsequent development 
In January 2022 the Group elected to exercise its option to increase its current revolving credit facility from $3.0m 
to $5.0m. Although this financing is not dictated by the current business plan, which is fully funded by the Group’s 
year end cash position, the additional liquidity is a prudent measure to provide additional cash resources in the 
face of future risks posed by COVID-19. 

Future development 
The emergence of the Omicron variant in late 2021 has caused disruptions in the US healthcare system and supply 
chains worldwide. Although Omicron appears to have milder complications than prior variants, it remains difficult 
to predict at what pace a return to pre-pandemic procedural levels will occur. 

Principal risks and uncertainties 
The principal risks and uncertainties facing the Group are set out on page 12. 

Cautionary statement 
The  strategic  report,  containing  the  strategic  and  financial  reports  of  the  Group  contains  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. 

David Cocke 
Chief Financial Officer 

14 March 2022

Annual Report and Accounts 2021 11

Market Overview  

Regenerative Medicine 
Regenerative medicine is an interdisciplinary field which focuses on providing safe and reliable ways to repair, 
restore, or replace damaged tissues or organs. Tissue engineering is one of the main components of regenerative 
medicine. Tissue engineering applies principles of engineering and life sciences towards development of biological 
substitutes  that  restore,  maintain,  or  improve  tissue  function.  For  this  process,  cells  and  biomolecules  are 
combined with scaffolds. Scaffolds are artificial or natural structures that provide the foundation for the cells and 
biomolecules. Our products and technologies enable the Group to participate in the key areas of tissue engineering: 
scaffolds and biomolecules. 

Global tissue engineering market 
The tissue engineering market is anticipated to grow significantly and is projected to reach $6.8billion by 2027, 
growing at a 14% CAGR from 2020 owing to increases in prevalence of chronic diseases and trauma emergencies, 
(source: 
rise 
https://reports.valuates.com/market-reports/ALLI-Auto-1B403/tissue-engineering). Furthermore, growth in the 
number of R&D activities coupled with the rise in awareness of tissue engineering in emerging economies are 
expected to support the market growth.  

tissue  engineering,  and  potential  pipeline  products 

in  awareness 

related 

to 

Principal risk and uncertainties 
The Directors continually identify, monitor, and manage the risks and uncertainties of the Group. The Group maintains 
a  comprehensive  risk  register  that  is  regularly  reviewed  by  the  Board  as  part  of  these  risk  management 
responsibilities. Risk is inherent in all businesses and the Group acts to manage these risks. Set out below are certain 
risk factors which could have an impact on the Group’s long-term performance and mitigating factors adopted to 
alleviate these risks. This list does not purport to be an exhaustive summary of the risks affecting the Group. 

Commercial 

Competition risk 
Should there be a competitive product that outperforms one of the Group 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. The Group also collects post-marketing clinical data to ensure that the 
product offering remains differentiated. 

Customer Concentration 
The Group has a number of key customers, however, should the Group be overdependent on a single customer 
and not maintain a diversified customer base, it could become exposed if that customer reduced their ordering 
pattern or move their business elsewhere. In this case, the Group could be subject to material sales revenue losses 
and also experience an excess of inventory that had been processed in line with expectations. The Group continues 
to augment its product portfolio with line extensions and new product launches providing diversified clinical 
applications. During 2021, the Group introduced three new products as line extensions for the dCELL® segment. 
The Group is able to reduce this risk with distribution of its products into multiple disciplines and in some cases 
with multiple customers in the same discipline and with a hybrid of strategic partners, distributors as well as direct 
sales. 

Operational 

Human resources 
The Group has a high level of reliance on the skills and knowledge of its management and employees, many 
of  whom  have  considerable  sector  experience  or  other  specialist  expertise,  making  them  attractive  to 
competitors and not always easy to replace. As the business continues to scale and to expand its market 
presence, our requirements for high-calibre people continue to increase. The loss of key staff could potentially 
weaken the Group’s operational/management capabilities, potentially impeding its ability to grow or maintain 

12 Tissue Regenix Group plc

 
Market Overview  

continued

efficient operations. To mitigate this risk, the Group maintains competitive incentive and reward structures 
which are benchmarked against industry standards. The compensation levels are designed to be attractive to 
existing employees and enable us to continue to attract high quality applicants for new roles. As a regulated 
business,  we  have  clearly  defined  roles  and  responsibilities,  supported  by  documented  systems  and 
procedures, to provide a level of continuity in the event an employee leaves the Group. Finally, suitable legal 
agreements  are  in  place  with  management  and  employees  to  include  necessary  confidentiality  and 
non-compete clauses. 

Tissue supply 
As our products are based around human and animal tissues, failure to source good quality, ethically handled 
tissues could result in the inability to produce products in line with specifications and therefore incur lost sales 
revenue, reputational damage, customer dissatisfaction and potential regulatory breaches. To address this risk, 
we have an experienced donor services department in the US who has expanded the number of donor agencies 
that we work with in the US, whilst in the UK we have two suppliers for the required porcine tissues. All suppliers 
are comprehensively qualified to meet the Group’s internal standards and those imposed by third party moderators. 

Manufacturing capacity 
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. 
To address this potential constraint, the Group completed a capacity expansion in H1 2021 which provides a c.50% 
increase in processing capacity. In addition, the group has a outsource agreement in place covering a portion of 
the dCELL® segment’s production requirements. 

Finance and IT  

Finance 
We require investment into our working capital and infrastructure to bring our product portfolio 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 equity fundraise in June 2020 provided both investment and 
working capital, which is expected to fund the Group to profitability, however, the ongoing impact of COVID-19 on 
elective surgeries has, and may continue to, alter the timeline to profitability. The Group has elected to increase 
its revolving credit facility from $3.0m to $5.0m, which can provide non-dilutive financing. To the extent that 
additional funds are required, there are no assurances that these funds could be raised, and if they could, if those 
terms  would  be  non-dilutive  to  current  shareholders. To  address  these  risks,  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. 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. 

Information technology 
The Company is reliant upon information systems in all aspects of its operations. Any 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. The Group was subject to a cyber security incident in January 
2020. No ongoing material impact to the business was experienced, however, processing and production was 
temporarily halted at the San Antonio facility while the restoration and testing of systems was completed. The 
Group  has  since  upgraded  its  IT  service  providers  and  implemented  additional  security  procedures.  These 
procedures are continually reviewed and updated as required. The Group has an established disaster recovery 
plan and ensures that secure backups are held off-site in case of a breach. Finally, a global cybersecurity insurance 
policy has been put in place to help offset the financial impact of a future breach. 

Annual Report and Accounts 2021 13

Market Overview  

continued

Clinical/Regulatory 

Product liability risk 
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 sales revenue through product retraction from the market and 
reputational damage. To address these risks, before commercialisation, a series of quality assurance, clinical and 
safety checks are run dependent on the nature of the product and comprehensive training is provided. In addition, 
the Group maintains quality management systems which are compliant with the local markets in which we 
operate. Product liability insurance is in place in case of adverse events. 

Licensure/Accreditation 
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. The Group employs regulatory 
experts and consultants for each territory in which manufacturing takes place, or where the Group looks to navigate 
a regulatory clearance for a product. The Group maintains quality management systems and has a track record 
of positive feedback following external audits and operates in established controlled environments to minimize 
potential process variations. 

Impact of regulatory changes 
In line with licensure and accreditation, the Group operates in a highly regulated environment. Biologics is an 
area of high growth and additional regulatory standards and requirements are subject to change in any market 
in which we participate. Internally and with the help of regulatory experts, we seek to understand and review 
our  compliance  with  any  pending  regulatory  changes.  As  an  example,  May  2021  marked  the  end  of  the 
discretionary compliance and enforcement Policy for Certain Human Cells, Tissues, or Cellular or Tissue-based 
Products (HCT/Ps) by the U.S. Food and Drug Administration. This did not require any changes for our Group 
at this time. 

Political and economic risk 
Group performance could be adversely impacted by factors beyond our control such as the economic conditions 
in key markets and political uncertainty. The macroeconomic climate and continued uncertainty surrounding the 
impact of Brexit on the UK economy and the US political and economic landscape could negatively affect the 
Group’s ability to commercialize its products. An economic downturn,  fiscal or monetary policy changes, or 
unexpected developments linked to worsening economic conditions may have a negative impact on sales revenue 
and  profit.  The  Group  monitors  macroeconomic  developments  to  ensure  that  it  responds  swiftly  as  they 
materialise. 

COVID-19 
The global economy continues to face uncertainty due to the COVID-19 pandemic, which has, and may continue 
to have, a significant impact on global healthcare procedures, supply chains, capital markets and commodity 
prices as well as effects at the Group level with respect to staffing shortages and supply shortages. In 2021 the 
Group remained flexible and proactive in responding to and addressing its needs by enacting enhanced virus 
safety protocols and expanding its supply chain while still growing the sales line.  

Financial risk management 
The Group has instigated certain risk management policies covering financial assets and liabilities which are set 
out in note 17 to the financial statements. 

14 Tissue Regenix Group plc

Market Overview  

continued

Key performance indicators 
The Group’s KPIs include a range of financial and non-financial measures. The Board considers the main financial 
KPIs for the Group to be sales revenue growth and cash resources (see Chief Executive Officer’s operational review 
on page 5). The Board also considers non-financial KPIs such as new distribution agreements signed, measuring 
clinical  data  collection,  new  account  wins,  improving  the  product  development  portfolio,  and  increasing 
manufacturing capacity and supply. 

Annual Report and Accounts 2021 15

Section 172 statement

The Directors acknowledge their duty under S.172 of the Companies Act 2006 and consider that they have, both 
individually and together, acted in the way that, in good faith, would be most likely to promote the success of the 
Company for the benefit of its members as a whole. In doing so, they have had regard (amongst other matters) to: 

the likely consequences of any decision in the long term. The Group's long-term strategy is outlined on page 1 
of this report. The principal risks and uncertainties are discussed on page 12 of this report. 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, annual general meeting, retail investor 
forum, website, social media, or news announcements. Key topics of engagement for investors throughout the 
year were around: The changes to the Executive management team, changes to the Non-Executive Directors, 
completion of the Phase 1 expansion in the BioRinse® segment, the response and implications of the ongoing 
COVID-19 pandemic, and full year and interim financial results and reports. 

the interests of the Group’s employees. The long-term success of the Group is built around our highly skilled and 
experienced workforce. Our technicians are highly specialised, and we have world class processing and development 
expertise at all facilities. 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 turnover 
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 and provide 
a remuneration and benefits framework that supports a healthy work/life balance and is competitive with industry 
standards. Key topics of engagement for employees throughout the year were around: the response to the ongoing 
COVID-19 pandemic and the completion of the capacity expansion project in San Antonio. 

the need to foster the Group's business relationships with suppliers, customers and others. 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 relationships. 
Key  topics  of  engagement  for  suppliers  throughout  the  year  were  around: The  implication  of  the  COVID-19 
pandemic, availability of supplies, and any variances to payment practices. In addition, relationships with donor 
sources were expanded to include tissue types not commercially distributed by the Group, thereby maximizing 
the gift of tissue donation. With respect to customers, they include prestigious key opinion leaders whose expertise 
assists with driving the clinical discussion around the differentiating properties of our product portfolio. This type 
of engagement and clinical advocacy is crucial as we work to grow our clinical data portfolio, improve product 
and brand recognition and increase the number of patients who can benefit from our portfolio. The needs of 
customers of the dCELL® division were considered in its reorganisation strategy, as the new approach puts 
commercial management closer and therefore more responsive to customer needs. Key topics of engagement 
for  customers  and  opinion  leaders  throughout  the  year  were  around:  changing  practices  and  expectations 
regarding performance of our clinical solutions and new product development opportunities. 

the impact of the Group's operations on the community and the environment. The Board is mindful of the 
potential social and environmental impacts of the Group’s activities. The Board is committed to minimising the 
environmental effect of the Group’s activities wherever possible and seeks rigorous compliance with relevant 
legislation. More discussion on the Group’s environmental initiatives is contained in the Corporate Governance 
Statement on page 21. The Group also looks to engage with the local communities and support relevant charities 
wherever possible. 

the desirability of the Group maintaining a reputation for high standards of business conduct. Our intention is 
to behave in a responsible manner, operating within the high standard of business conduct and good corporate 
governance, as highlighted in the Corporate Governance Statement on page 21.  

the need to act fairly as between members of the Group. The Group’s intention is to behave responsibly towards 
all its shareholders and treat them fairly and equally, so that they too may benefit from the successful delivery of 
the Group’s strategic objectives. The Group’s website https://www.tissueregenix.com. has a section dedicated to 
investor matters that details, amongst other things, all financial reports, press releases and other regulatory filings. 

The Strategic Report on pages 3 to 16 was approved by the Board on 14 March 2022 

On behalf of the Board 

Daniel Lee 
Chief Executive Officer 

14 March 2022

16 Tissue Regenix Group plc

Governance 

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

Daniel Lee 
Chief Executive Officer (CEO) 

Daniel Lee has 30 years’ experience in the medical device and biologics industry, ranging from product innovation 
to commercialisation to corporate management. Daniel was appointed CEO in November 2020 after initially joining 
the Group as President of U.S. Operations in January 2019. Prior to this, 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. 

Danny is also a Certified Tissue Bank Specialist (CTBS) from the American Association of Tissue Banks (AATB). 

David Cocke 
Chief Financial Officer (CFO) 

David Cocke has 30 years of experience in the medical device industry holding senior finance and operations 
positions. In 1997, David was a founding partner of NuPak Medical, Ltd., an ISO-certified contract manufacturer 
of sterile disposable medical devices. NuPak Medical, Ltd. was acquired by Katena Products, Inc. in 2017 and 
David remained with the business post-acquisition until joining the Group in January 2021. David was also Chief 
Financial Officer at Aperion Biologics from 2008-2017. Prior to this, David was Senior Director for Finance and 
Operations at Kinetic Concepts from 1993-1996. 

David began his career in the corporate finance sector, working at GE Capital in its Corporate Finance Group and 
at Salomon Brothers Inc in its Investment Banking Group. 

David received his B.B.A in Business Honors (magna cum laude) from the University of Texas at Austin and his 
M.B.A from the University of Virginia’s Darden Graduate School of Business Administration. He has two patents 
covering medical devices. 

Gerald Sharpe 
Vice President – Strategic Partnerships 

Gerald Sharpe has over 11 years’ experience in the orthobiologics industry, working for two differentiated allograft 
tissue processors. His focus is commercialisation and business development. He joined CellRight Technologies 
as Regional Sales Manager in September 2014, before being appointed as Vice President - Strategic Partnerships 
in January 2019. Gerald is proficient in the spine, sports medicine, foot and ankle, dental, and ocular markets of 
the business. 

Prior to joining CellRight, Gerald was Regional Sales Manager and Director of Client Services for TissueNet. His 
previous sales roles include Vice President of Business Development for SolomonFX. 

Gerald received his Bachelor of Science degree in Marketing from the University of Central Florida. 

Christine Rowley 
Technical and Operations Director, UK 

Annual Report and Accounts 2021 17

 
Governance 

continued

Christine has over 17 years’ experience in the medical device biologics industry, joining Tissue Regenix in 2010. 
She has worked in all areas of product development and commercialisation, and has led the development of the 
OrthoPure® XT device from product feasibility through to market approval and launch. Christine’s experience covers 
a wide range of activities, including new product development, process optimisation and design transfer, design 
verification and validation, clinical trial design and execution, regulatory submissions, and quality control, almost 
exclusively working with class III xenograft implants. 

Christine has held leadership roles within the product development, regulatory, clinical and quality sectors, and 
has achieved market clearance of xenograft medical devices in multiple countries worldwide. Christine has several 
patents associated with the decellularisation and manipulation of collagenous tissues for potential health care 
benefits. Christine has a Bachelor of Science degree in Biological Sciences from the University of Exeter (UK). 

Tina Trimble 
VP, Donor Services, US 

Tina Trimble has over 30 years of tissue banking industry experience and joined CellRight Technologies as VP, 
Donor Services in March 2019. Tina has worked with other tissue banks in leadership roles such as Community 
Tissue Services, Regeneration Technologies, Tutogen Medical and most recently, Bone Bank Allografts. 

Tina is a Certified Tissue Bank Specialist, and currently serves on the American Association of Tissue Banks (AATB) 
Exam Committee, American Board of Accredited Tissue Banks, Birth Tissue Council and most recently on the 
AATB Board of Governors from 2018-2020 and Chair of the Processing and Distribution Council. Prior to that, Tina 
served on the AATB Accreditation Committee, VC Processing and Distribution Council, Education and Program 
committees and is currently a member of AORN and ASQ. 

Lance Johnson 
VP, Quality and Regulatory, US 

Lance Johnson has over 30 years’ experience in FDA Requirements and Quality Systems. His experience includes 
over 10 years at the executive level for primarily class III medical device implant companies. Prior to joining 
CellRight Technologies as VP, QA/RA, Lance was the Vice President of Quality for EndoStim Inc, an active implant 
device manufacturer located in Austin, TX. Lance also worked in the xenograft device industry as VP of Quality for 
Aperion Biologics, and in the orthopedic spine industry as Quality Manager for Zimmer Spine and Abbott Spine. 

In addition to his industry experience, he spent 16 years as an active investigator with the FDA. Lance specialised 
in medical device compliance and worked in both the San Francisco and Dallas districts. 

He  spent  12  years  as  the  resident  in  charge  of  the  Austin, Texas  field  office  and  as  contributor  to  the  FDA 
international cadre. 

Lance received his Bachelor of Science degree in Biotechnology from Oklahoma State University. 

Kirsten Lund 
Group Finance Director and Company Secretary 

Kirsten Lund brings over 11 years of finance experience to the company and was promoted to the position of 
Group Finance Director in November 2019 after three years as Group Financial Controller. Kirsten has supported 
the CFO, led the finance teams in both the UK and US, and advised the Board on all financial matters relating to 
the Group. Starting January 2022 Kirsten has transitioned into the position of EMEA Director and works closely 
with the management team to help drive forward the strategy of the business into new markets. 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.  

Kirsten received her Bachelor of Science degree from the University of Derby and successfully completed the 
ACCA qualification after joining Tissue Regenix in 2010, qualifying in 2015.  

18 Tissue Regenix Group plc

Governance 

continued

Patti Gary 
VP, Clinical Affairs 

Patti J. Gary has nearly 30 years of experience in the medical device and tissue industry. Her experience provides 
a unique combination of sales and clinical roles. She joined Tissue Regenix as Senior Director of Clinical Affairs 
in July 2013, before being appointed to VP of Clinical Affairs in March 2015. 

Prior to joining Tissue Regenix, Patti was Sales Director for PolyRemedy. Her previous roles include Professional 
Education Manager, Corporate Healthcare Director and Director of Clinical Services for Systagenix (acquired by 
Acelity). Prior to Systagenix, Patti was Post-Acute National Accounts Director and District Sales Manager for 
Acelity. Her journey in industry began at Hill-Rom as an Account Manager. Patti was also the owner and President 
of  Positive  Outcomes,  Inc.  where  she  developed  clinical  and  financial  tools  (HealQuest,  HealPROtocols  and 
Healware) to drive standardized processes for wound management. HealPROtocols was acquired by Acelity. Her 
depth of knowledge spans clinical, regulatory, reimbursement and sales, all of which have contributed to her 
success. Patti is a Registered Nurse and a Certified Wound Care Nurse. She graduated from Louisiana State 
University Health Sciences Center School of Nursing. 

Annual Report and Accounts 2021 19

Board of Directors 

Jonathan Glenn 
Non-Executive Chair 

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. Jonathan joined the group 
in January 2016. He serves on the Audit Committee. 

Daniel Lee 
Chief Executive Officer 
(see details in Management Team above) 

David Cocke 
Chief Financial Officer  
(see details in Management Team above) 

Shervanthi Homer-Vanniasinkam 
Non-Executive Director 

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 programme, 
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 joined the group in June 2016. She serves on the Remuneration Committee. 

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. 

Trevor Phillips 
Non-Executive Director 

Trevor Phillips is the current Chairman of the Board at NEPeSMO and has extensive experience in the UK and US 
in  corporate  development,  M&A  and  operations  in  the  pharmaceutical  and  life  science  industries,  including 
previously held positions as Executive Chairman of hVIVO (2017-2020), Chief Operating Officer for Vectura Group 
plc  (2011-2017)  and  former  CEO  and  COO  of  Critical  Therapeutics,  Inc.  (2002-2008).  Trevor  holds  a  BSc, 
Microbiology from the University of Reading, a PhD, Microbial Biochemistry from Swansea University and an MBA 
from Henley Business School. Trevor joined the group in January 2021. He is Chair of the Remuneration Committee 
and also serves on the Audit Committee.  

Brian Phillips 
Non-Executive Director 

Brian Phillips is an entrepreneurial investment professional with over 25 years’ experience. Brian is the current 
Principal of Ethos partners which he co-founded in 2018 to assist individuals in establishing a portfolio of assets 
under private equity investments. Prior to this, Brian was Chief Investment Officer at Greenhill Capital Partners 
Europe LLP where he was responsible for setting up their UK business (2006-2010) and Managing Director of LGV 
Capital (2000-2006). Brian holds a B.Acc from Glasgow University and qualified as a Chartered Accountant with 
KMPG.  Brian  joined  the  group  in  January  2021.  He  is  Chair  of  the  Audit  committee  and  also  serves  on  the 
Remuneration Committee.

20 Tissue Regenix Group plc

 
Corporate Governance Statement 

The Board believes in the importance of good corporate governance and is aware of its responsibility for overall 
corporate governance, and for supervising the general affairs and business of the Company and its subsidiaries. 

The Group is listed on the Alternative Investment Market ("AIM") of the London Stock Exchange and is subject to 
the continuing requirements of the AIM Rules. AIM-listed companies are required to apply a recognised corporate 
governance code. The Group applies the Quoted Companies Alliance Corporate Governance Code (the “QCA 
Code”). The Board considers that it has complied with the QCA Code throughout the year. This section provides 
general information on the Group’s adoption of the QCA Code.  

Our strategy and business model and approach to risk 
Through our platform technologies, we commercialise regenerative medicine products, helping to transform the 
treatment of patients in key surgical applications. We aim to implement a business model that ensures our product 
portfolios have the market reach to deliver novel tissue engineering solutions to patients. 

In 2021, we announced our 4S strategy as the foundation of how we operate and drive our growth: 

l        Supply – highlighted by the fundamental ability to source donor tissue and having the capacity to produce 

various graft products 

l        Sales Revenue – to distribute the finished grafts to the various patients, clinicians and institutions that need 

these products to treat patients 

l        Sustainability – to manage sales revenue along with expenses to be a profitable entity that does not need 

additional external capital to operate  

l        Scale – to utilise the first three S’s to continue to invest and grow the business, license or acquire new 

products, technologies and companies 

Our focus on the 4S’s across all divisions and departments provides a 360-degree approach and strategic direction 
for our future success. We believe this focus will allow the Group to achieve above-market growth rates.  

The  Board  carefully  considers  the  strengths,  weaknesses,  opportunities  and  risks  facing  the  Group,  and 
endeavours to minimise the impact of weaknesses and risks by employing the necessary mitigating actions. We 
process tissues at our facilities in the UK, Europe and North America. The 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; the Board ensures to review a detailed risk matrix on a rolling basis as part of the formal Board 
meetings. Details of risks identified are set out on pages 12 to 14 of this report.  

The Group maintains a central finance team, with three team members based in the UK and three 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 are presented to the Board. The Board review 
monthly financial reports including key performance indicators provided by the CFO 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. 
The regulatory and quality teams at each facility maintain a comprehensive quality management system with 
each employee having a personal training record. 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. 

Board of Directors 
The Board is responsible for leading and controlling the activities of the Group, with overall authority for the 
management and conduct of the Group's businesses, together with its strategy and development. Annual strategy 
meetings are held wherein management and the Board interact to review performance and set strategic and 
operational plans for the coming year. For more information on our Board of Directors, see page 20. 

Annual Report and Accounts 2021 21

 
Corporate Governance Statement 

continued

Composition of the Board 
The Board is comprised of three independent Non-Executive Directors, the Non-Executive Chairman, and two 
Executive Directors, the Chief Executive Officer and the Chief Financial Officer; reflecting a blend of different 
experiences and backgrounds. The function of the Chairman is to supervise and manage the Board and to ensure 
its effective control of the business. The Board believes that the composition of the Board brings a desirable range 
of skills and experience in light of the Group’s challenges and opportunities as a public company, while at the 
same time ensuring that no individual (or a small group of individuals) can dominate the Board’s decision-making. 
There is a clear division of responsibility between the Chairman 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 
implementing the strategy of the Group and managing day-to-day business activities of the Group. Training is 
made available to each Non-Executive Director (NED) to ensure that they are completely aware of their regulatory 
responsibilities  and  requirements.  A  formal  Board  appraisal  is  conducted  annually  to  ensure  that  the  Board 
continues to function effectively. 

The Board aims to meet formally at least 8 times a year, with provision being made to join via telephone or video 
conference if a member of the Board is unable to attend in person. A monthly Board report is produced, and 
meeting agendas and Board papers are circulated in advance of each meeting so that the Board can properly 
consider the matters to be discussed. 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 Company maintains minutes of formal and ad hoc Board meetings. 

The Board added three members in 2021: Trevor Phillips (joined 05 January 2021), Brian Phillips (joined 05 January 
2021) and David Cocke (joined 21 January 2021.) No members left the Board in 2021. 

In 2021, there were 11 Board meetings. All Directors were present for all meetings. In addition, there were 2 Audit 
Committee meetings, with no absences, and 2 Remuneration Committee meetings, again with no absences. 

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. 

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

The Audit Committee’s primary responsibilities are to monitor the integrity of the financial affairs and statements 
of the Group, to ensure that the financial performance of the Group and any subsidiary is properly measured and 
reported, and to review reports from the Group’s external auditor relating to the accounting and internal controls. 
The Audit Committee also recommends to the Board the appointment and reappointment of the external auditor. 
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 auditor by discussing with the auditor their annual 
assessment regarding their independence, policies and procedures, and analysing the audit and non-audit work. 
The  Audit  Committee  also  plays  a  key  role  in  supporting  the  Board  with  the  ongoing  risk  assessment  and 
management framework for the Group.  

22 Tissue Regenix Group plc

Corporate Governance Statement 

continued

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

The Audit Committee comprises of Brian Phillips, Trevor Phillips and Jonathan Glenn. The Audit Committee meets 
at least twice per year and is chaired by Brian Phillips who is a Chartered Accountant and has relevant financial 
experience.  

The Remuneration Committee comprises of Trevor Phillips, Brian Phillips and Shervanthi Homer-Vanniasinkam. 
The Remuneration Committee meets no fewer than twice per year and is chaired by Trevor Phillips who has many 
years of relevant operational and commercial industry experience.  

Risk management and internal control 
The Board is responsible for maintaining a sound system of internal controls. These measures are designed to 
minimise any potential risks identified and provide reasonable, but not absolute assurance against material 
misstatement or loss. The Board confirms that it has established a sound system of internal controls. Some key 
features of the internal control system are: 

l        well established financial reporting and control systems 

l        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 

l        there is a clearly designed organisation and reporting structure 

l        the Group 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. 

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

Equal opportunities 
The  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 applicable laws and regulations, providing our employees with a work environment that is professional, ethical 
and fair. 

Environment 
As with all businesses the emphasis on environmental sustainability is important and subject to increasing scrutiny 
and regulation. All employees are involved in the initiatives implemented to decrease the Group’s carbon footprint, 
energy consumption and environmental sustainability efforts. During 2021, the Group implemented environmental 
sustainability initiatives as noted below: 

l        Continued to upgrade to LED lighting alternatives in our offices, clean rooms and sterile packaging areas, 

including the use of occupancy sensors in the Group’s Phase 1 facility expansion 

l        Substituted 100% recycled corrugated boxes in certain high volume packaging applications 

l        Substituted envelopes for boxes in selected finished good packaging applications, which reduced the amount 

of paper products used to process these orders 

Annual Report and Accounts 2021 23

Corporate Governance Statement 

continued

l        In its facility expansion, installed high efficiency ultra-low temperature freezers which use natural refrigerants 

l        Installed an advanced environmental control system in its facility expansion, which has occupant sensitive 

thermostats and high efficiency cooling units to minimise electricity usage 

Social, community, and human rights 
The Board recognises that the Group has a duty to be a good corporate citizen and to respect the laws in the 
markets in which it operates. It contributes as far as is practicable to the local communities in which it operates 
and takes a responsible and positive approach to employment practices. 

The Group, led by the 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, and to 
ensure that employees are aware of Company developments and successes. Operating in an industry based upon 
the 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. 

The Group employs a vigorous code of conduct and ethics to ensure it operates with a level of social responsibility 
across the business every day. Through the gift of tissue donation, the Group has the ability to positively impact 
hundreds of patients’ lives, therefore, we must treat each gift 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. 

Relations with shareholders 
The Board believes that maintaining regular and transparent dialogue with shareholders is important in order to 
ensure that there is a clear understanding of strategic objectives, financial and operational performance and 
governance of the Group. 

The Group actively engages with its shareholders throughout the year both through direct meetings, website and 
social media 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 CFO aim to meet with, or speak with, significant shareholders at least twice 
in a year usually after the interim and preliminary results announcements, to provide an update on strategy and 
progress of the Group as a whole, and to receive shareholder feedback. The Group also undertakes several publicly 
available updates to all shareholders, through forums such as interviews, trading updates and PR announcements. 
In 2021, the Group undertook two ‘Investor Meet Company’ retail investor presentations as part of the full year 
and interim results investor roadshows, with 94 individuals attending the preliminary results presentation in April 
2021 and 108 individuals attending the interim results presentation in September 2021. 

In accordance with AIM Rule 26, there is an Investors section on the Group’s website, which is kept up to date. 
Information is provided regarding our business, results and financial performance, investor news and copies of 
our Annual Reports and Accounts.  

The Group holds an Annual General Meeting (AGM) each year at which all shareholders are welcome to attend 
and speak with management. At the AGM, separate resolutions will be proposed for each substantially different 
issue. The outcome of the voting on AGM resolutions is disclosed by means of an announcement on the 
London Stock Exchange.  

24 Tissue Regenix Group plc

Directors’ Remuneration Report 

Remuneration policy 
The Group’s remuneration policy is designed 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 Group’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 Group’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 Group. 

Further details on risk in the remuneration policy is available below. 

Remuneration Committee 
The Remuneration Committee’s primary responsibilities are to review the performance of the Executive Directors 
of the Group 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 or shares to 
such persons under any share scheme adopted by the Group). 

The 2021 Remuneration Committee comprises Trevor Phillips as Chair of the Committee, Brian Phillips and 
Shervanthi Homer-Vanniasinkam. 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. 

The Committee also approves the level of the pool for salary reviews for all staff. 

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, against Corporate and individual goals set at the 
beginning of the year, in accordance with the Group’s strategy along with financial results. 

Long term incentive plan 
The Group has replaced the existing deferred annual bonus (DAB) plan, with a new Long Term Incentive Plan (LTIP) 
for Executive Directors and senior management.  

The LTIP awards are made annually, with the initial awards made in 2021, to the Executive Directors and those 
senior management members recommended to participate by the Executive Directors and approved by the Board. 
Awards are based upon a predetermined percentage of an individual’s annual salary and will vest over a period of 
three years. 

Annual Report and Accounts 2021 25

 
Directors’ Remuneration Report 

continued

The final vesting of the awards is determined by performance against vesting criteria, set by the Remuneration 
Committee at the time of grant, and adjudged by the Remuneration Committee in the period prior to the nominated 
vesting date.  

The goals are set against key aspects of Group performance, defined to be Total Shareholder Return (TSR), 
Revenue Growth, Profitability and individual performance against personal performance goals. Weighting is set 
at 80% of the vesting directed at Group performance over the period against the three corporate goals and 20% 
against personal performance goals. As part of the LTIP rules the Executive Directors are required to use vested 
LTIPs to build a shareholding in the Group to a level of 100% of base salary over a period of six years.  

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. 

Directors’ remuneration 
The remuneration of the main Board Directors of Tissue Regenix who served in the year to 31 December 2021 
was: 

                                                                                           Salary and                          
                                                                                                     fees               Bonus
                                                                                                   $'000                $'000

       Total December     Total December  
Benefits                          2021                        2020 
$'000                          $'000                        $'000 

John Samuel (resigned 20/03/20)                                     –                     –
Gareth Jones ~ (resigned 17/11/2020)                            –                     –
Randeep Grewal (resigned 4/12/2020)                             –                     –
Jonathan Glenn                                                                 100                     –
Alan Miller (resigned 4/12/2020)                                       –                     –
Shervanthi Homer- Vanniasinkam                                   41                     –
Daniel Lee (appointed 16/11/20)                                   290                 197
David Cocke (appointed 21/01/21                                 206                 101
Brian Phillips (appointed 05/01/21)                                 48                     –
Trevor Phillips (appointed 05/01/21)                               48                     –

–                              –                          31 
–                              –                        629 
–                              –                          65 
–                         100                          39 
–                              –                          74 
–                            41                          39 
16                         503                          36 
11                         318                            – 
–                            48                            – 
–                            48                            – 

                                                                                             733                 298

27                      1,058                        913 

Within 2020 the total bonus payments were $154k and benefits were $30k. 

~ Included within the salary is $63k for loss of office and $108k in lieu of notice. 

Directors’ shareholdings 
Directors’ interests in the shares of the Company, including family interests at 31 December 2021 were: 

                                                                                                                    31-Dec-21
                                                                                                                         Number

31-Dec-21                31-Dec-20              31-Dec-20 
%                     Number                               % 

Jonathan Glenn                                                                            40,600,000
Shervanthi Homer-Vanniasinkam                                               1,628,222
Trevor Phillips                                                                                 2,777,770
Brian Phillips                                                                                 15,322,756
Daniel Lee                                                                                        3,477,200
David Cocke                                                                                    3,907,000

0.58            40,600,000                       0.58 
0.02               1,628,222                       0.02 
0.04                              –                            – 
0.22                              –                            – 
0.05                              –                            – 
0.06                              –                            – 

26 Tissue Regenix Group plc

Directors’ Remuneration Report 

continued

Directors’ Interest in LTIPS 
                                                              At 1 January         Exercised                 Lapsed 
                                                                           2020       during year          during year

LTIP scheme options 
Daniel Lee (Note 1)                                         –                      –                         –
David Cocke (Note 1)                                     –                      –                         –

Granted          December              Exercise 
during year                   2021                    price 

28,321,603      28,321,603       0.01 pence 
14,649,105      14,649,105       0.01 pence 

Note 1. There were employment period and performance conditions in relation to the options granted on 28 April 
2021  which  are  subject  to  continued  service  over  a  period  of  three  years  and  satisfaction  of  customary 
performance conditions relating to growth in total shareholder return, annual revenue targets, annual profitability 
targets and personal performance targets. 

On behalf of the Board 

Trevor Phillips 
Chairman of the Remuneration Committee 

14 March 2022 

Annual Report and Accounts 2021 27

Directors’ Report 

The Directors present their report and consolidated financial statements for Tissue Regenix Group plc, and its 
subsidiary undertakings for the year ended 31 December 2021. 

Principal activity  
The principal activity of the Group is the exploitation of innovative platform technologies in the field of regenerative 
medicine and tissue engineering. The Company is principally a holding company incorporated and domiciled in 
--the  UK  and  is  listed  on  the  London  Stock  Exchange’s  Alternative  Investment  Market  (AIM). The  subsidiary 
undertakings of the Group are listed in note C10 of the Company’s financial statements. 

Business model  
A description of the Group’s business model is included on page 2. Explanations of activities and how it seeks to 
add value are included in the Chairman’s statement on page 3 to 4 and the Chief Executive Officer’s statement on 
pages 5 to 8. 

Business review and results 
A review of the Group’s performance and future prospects is included in the Chairman’s statement on pages 3 
to 4 and Chief Executive Officer’s statement on pages 5 to 8. A review of the Group’s financial performance is 
within the Financial overview on pages 9 to 11. The loss for the 12 months attributable to equity holders of the 
parent was ($4,792k) (2020: $12,466k). The Directors do not recommend the payment of a dividend (2020: nil). 

Share capital and funding 
Full details of the Group and Company’s share capital movements during the year are given in note 22 to the 
financial statements. 

Directors and their interests 
The following Directors held office in the year: 

Jonathan Glenn 

Shervanthi Homer-Vanniasinkam 

Daniel Lee  

Trevor Phillips-Appointed 5 January 2021 

Brian Phillips-Appointed 5 January 2021 

David Cocke-Appointed 21 January 2021 

Directors’ interests in the shares of the Group, including family interests, are included in the remuneration report 
on beginning on 25. 

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. 

28 Tissue Regenix Group plc

Directors’ Report 

continued

Corporate governance 
The corporate governance report is set out beginning on page 21. 

Substantial shareholders 
As at 31 December 2021, shareholders holding more than 3% of the share capital of Tissue Regenix Group plc 
were: 

Name of shareholder

Lombard Odier
Harwood Capital (London)
Mr Richard Griffiths (UK)
IP Group (London)
Premier Miton Investments (London)

Number
of shares

% of 
 voting rights 

944,244,619
778,500,000
764,250,000
660,837,567
523,553,784

13.43 
11.32 
10.87 
9.40 
7.45 

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.  

Statement as to disclosure of information to the Auditor 
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  in  note  17  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. 

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. 

The Directors' Report was approved by the Board on 14 March 2022. 

On behalf of the Board 

Daniel Lee 
Chief Executive Officer

Annual Report and Accounts 2021 29

Directors’ Responsibilities Statement 

The directors are responsible for preparing the Strategic Report, 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. 
The directors have elected under company law and are required by the AIM Rules of the London Stock Exchange 
to prepare group financial statements in accordance with UK-adopted International Accounting Standards and 
have elected under company law to prepare the company financial statements in accordance with United Kingdom 
Generally Accepted Accounting Practice (United Kingdom Accounting Standards and applicable law). 

The group financial statements are required by law and UK-adopted International Accounting Standards 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.

d.

e.

for the group financial statements, state whether they have been prepared in accordance with UK-adopted 
International Accounting Standards; 

for the company financial statements state whether applicable UK accounting standards have been followed, 
subject to any material departures disclosed and explained in the company financial statements; 

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 
requirements of 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 plc website.  

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

30 Tissue Regenix Group plc

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 2021 which comprise the Consolidated Statement of Income, the 
Consolidated Statement of Comprehensive Income, the Consolidated and Company Statements of Financial 
Position, the Consolidated and Company Statements of Changes in Equity, the Consolidated Statement of Cash 
Flows and notes to the financial statements, including significant accounting policies. The financial reporting 
framework that has been applied in the preparation of the group  financial statements is applicable law and 
UK-adopted International Accounting Standards. The financial reporting framework that has been applied in the 
preparation  of  the  parent  company  financial  statements  is  applicable  law  and  United  Kingdom  Accounting 
Standards,  including  Financial  Reporting  Standard  101  “Reduced  Disclosure  Framework”  (United  Kingdom 
Generally Accepted Accounting Practice). 

In our opinion:  

l

l

l

l

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 2021 and of the group’s loss for the year then ended; 

the group financial statements have been properly prepared in accordance with UK-adopted International 
Accounting Standards; 

the parent company financial statements have been properly prepared in accordance with United Kingdom 
Generally Accepted Accounting Practice; 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 the parent company in 
accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, 
including  the  FRC’s  Ethical  Standard  as  applied  to  listed  entities  and  we  have  fulfilled  our  other  ethical 
responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is 
sufficient and appropriate to provide a basis for our opinion. 

Summary of our audit approach 

Key audit matters

Group 

l  Goodwill impairment 

Parent Company 

l   Impairment of intercompany receivables 

Materiality

Group 

l   Overall materiality: US$345,000 (2020: £290,000) 

l Performance materiality: US$258,000 (2020: £217,000) 

Parent Company 

l   Overall materiality: £222,000 (2020: £222,000) 

l   Performance materiality: £166,000 (2020: £166,000) 

Scope

Our audit procedures covered 100% of revenue, 99% of total assets and 93% of 
loss before taxation.

Annual Report and Accounts 2021 31

Independent Auditor’s Report to the Members of Tissue 
Regenix Group PLC 

continued
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.  

Goodwill impairment 

Key audit matter description

The non-current assets of the CellRight Technologies LLC (“CellRight”) cash 
generating  unit  (CGU)  includes  goodwill  of  US$11.6m  (after  a  cumulative 
impairment charge of US$7.9m) and this CGU is subject to annual impairment 
testing. The CellRight CGU is a legal entity in its own right and forms part of the 
BioRinse operating segment. Management have disclosed details relating to their 
impairment test in notes 4 and 14. 

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.  

Significant impairment charges have arisen in previous periods and the Group 
overall continues to be loss making. 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.  

How the matter was addressed 
in the audit

Management provided us with an impairment model for the CellRight CGU. We 
performed audit work on this model, which included: 

l   Checking the calculations contained within the model, including reperforming 
the comparison of the Recoverable Amount with the carrying amount and 
agreeing the carrying amount to the accounting records. 

l   Using  a  specialist  to  check  the  appropriateness  of  the  method  and  the 
mathematical calculation of value in use within the model and to obtain an 
independent estimate of an appropriate discount rate. 

l   Challenging  management  to  support  key  assumptions  within  the  model, 

particularly forecast revenue growth. 

l   Reviewing the disclosures made in the financial statements to ensure that 
they were in accordance with the applicable financial reporting framework. 

32 Tissue Regenix Group plc

Independent Auditor’s Report to the Members of Tissue 
Regenix Group PLC 

continued

Impairment of intercompany receivables 

Key audit matter description

At  the  31  December  2021,  the  carrying  value  of  amounts  due  from  group 
undertakings amounted to £15.7m after recording an ECL provision of £63.9m 
(see notes C2 and C6). A reversal of £0.3m of the existing provision arose in the 
current year. 

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

One  of  the  most  significant  matters  in  the  current  year  audit  of  the  parent 
company is that management are required to calculate an expected credit loss 
(“ECL”) provision in accordance with IFRS9 Financial Instruments. 

The  calculation  of  ECLs  involves  a  significant  degree  of  judgement  and 
estimation  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 the loan balances we considered this matter to be one 
of the matters of most significance in the current year audit. 

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: 

l   Assessed the reasonableness of the scenarios considered by management 

and the probabilities assigned to each. 

l   Ensured that the cash flow forecasts used were consistent with the latest 

Board approved forecasts. 

l   Recalculated the computation of the ECL 

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: 

Overall materiality

US$345,000 (2020: £290,000)

£222,000 (2020: £222,000)

Group

Parent company 

Basis for determining overall 
materiality

1.75% of total revenue

0.5% of net assets. The percentage 
applied to the benchmark has been 
the  purpose  of 
restricted 
calculating 
appropriate 
an 
component materiality.

for 

Annual Report and Accounts 2021 33

 
Independent Auditor’s Report to the Members of Tissue 
Regenix Group PLC 

continued

Rationale 
applied

for  benchmark 

Group

Parent company 

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

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

Performance materiality

US$258,000 (2020: £217,000)

£166,000 (2020: £166,000)

Basis for determining 
performance materiality

Reporting of misstatements 
to the Audit Committee

75% of overall materiality

75% of overall materiality

in  excess  of 
Misstatements 
US$17,000  and  misstatements 
below  that  threshold  that,  in  our 
view,  warranted 
reporting  on 
qualitative grounds.

Misstatements in excess of £11,000 
and  misstatements  below 
that 
threshold that, in our view, warranted 
reporting on qualitative grounds.

Materiality levels in respect of the disclosure requirements for the group and parent company in relation to 
directors’ emoluments including share-based payment transactions were set at a reduced level of US$25,000. 
This  reduced  level  has  been  set  on  the  basis  these  transactions  and  balances  have  specific  disclosure 
requirements under UK Company Law and would be of specific interest to shareholders. 

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: 

                                                                                           Number of
                                                                                       components

Full scope audit                                                                      4
Specific audit procedures                                                     5

Revenue                   Total assets           Loss before tax 

88%                              94%                            53% 
12%                                5%                            40% 

Total                                                                                       9

100%                             99%                           93% 

Analytical procedures at group level were performed for the remaining 2 components.  

Of the above, specific audit procedures for 1 component were undertaken by component auditors. 

Specific audit procedures were undertaken on 1 component as it contained significant revenue and in respect of 
the remaining 3 components included above on the basis of incurring significant expenditure. 

Conclusions relating to going concern 
In auditing the financial statements, we have concluded that the directors’ use of the going concern basis of 
accounting in the preparation of the financial statements is appropriate. Our evaluation of the directors’ assessment 
of the group’s and parent company’s ability to continue to adopt the going concern basis of accounting included 
reviewing and evaluating management’s latest forecasts and plans, considering the appropriateness and sensitivity 
of the key assumptions, and reviewing the key terms of debt facilities. These forecasts are prepared in respect of 
the period to 31 December 2023. The Group has significant cash reserves at 31 December 2021 of US$7.7m 
following the fundraising in June 2020 and even in downside scenarios which take account of slower than forecast 
sales growth, management’s forecasts indicate significant cash at the end of the forecast period. 

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

34 Tissue Regenix Group plc

 
 
 
 
                                                                                
Independent Auditor’s Report to the Members of Tissue 
Regenix Group PLC 

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

Other information 
The other information comprises the information included in the annual report, other than the financial statements 
and our auditor’s report thereon. The directors are responsible for the other information contained within the 
annual report. Our opinion on the financial statements does not cover the other information and, except to the 
extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.  

Our responsibility is to read the other information and, in doing so, consider whether the other information is 
materially inconsistent with the financial statements, or our knowledge obtained in the course of the audit or 
otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material 
misstatements, we are required to determine whether this gives rise to a material misstatement in the financial 
statements  themselves.  If,  based  on  the  work  we  have  performed,  we  conclude  that  there  is  a  material 
misstatement of this other information, we are required to report that fact.  

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: 

l

l

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: 

l

l

l

l

adequate accounting records have not been kept by the parent company, or returns adequate for our audit 
have not been received from branches not visited by us; or 

the parent company financial statements are not in agreement with the accounting records and returns; or 

certain disclosures of directors’ remuneration specified by law are not made; or 

we have not received all the information and explanations we require for our audit. 

Responsibilities of directors 
As explained more fully in the directors’ responsibilities statement set out on page 30, 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. 

Annual Report and Accounts 2021 35

Independent Auditor’s Report to the Members of Tissue 
Regenix Group PLC 

continued
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. 

The extent to which the audit was considered capable of detecting irregularities, including fraud  
Irregularities are instances of non-compliance with laws and regulations. The objectives of our audit are to obtain 
sufficient appropriate audit evidence regarding compliance with laws and regulations that have a direct effect on 
the determination of material amounts and disclosures in the financial statements, to perform audit procedures 
to help identify instances of non-compliance with other laws and regulations that may have a material effect on 
the financial statements, and to respond appropriately to identified or suspected non-compliance with laws and 
regulations identified during the audit.  

In relation to fraud, the objectives of our audit are to identify and assess the risk of material misstatement of the 
financial statements due to fraud, to obtain sufficient appropriate audit evidence regarding the assessed risks of 
material misstatement due to fraud through designing and implementing appropriate responses and to respond 
appropriately to fraud or suspected fraud identified during the audit.  

However, it is the primary responsibility of management, with the oversight of those charged with governance, to 
ensure that the entity's operations are conducted in accordance with the provisions of laws and regulations and 
for the prevention and detection of fraud. 

In identifying and assessing risks of material misstatement in respect of irregularities, including fraud, the group 
audit engagement team:  

l

l

l

obtained  an  understanding  of  the  nature  of  the  industry  and  sector,  including  the  legal  and  regulatory 
frameworks that the group and parent company operate in and how the group and parent company are 
complying with the legal and regulatory frameworks; 

inquired of management, and those charged with governance, about their own identification and assessment 
of the risks of irregularities, including any known actual, suspected or alleged instances of fraud; 

discussed matters about non-compliance with laws and regulations and how fraud might occur including 
assessment of how and where the financial statements may be susceptible to fraud. 

The most significant laws and regulations were determined as follows: 

Legislation / Regulation

Additional audit procedures performed by the Group audit engagement team 
     included:  

UK-adopted IAS, FRS101 
and Companies Act 2006

Review  of  the  financial  statement  disclosures  and  testing  to  supporting 
documentation; 

Completion of disclosure checklists to identify areas of non-compliance. 

Tax compliance regulations

Inspection of advice received from external tax advisors; 

Input from a tax specialist was obtained regarding the calculation of Research 
and Development tax credit claims made in the UK during the year. 

FDA Medical Device 
Regulations in the USA

Inquiry of management and those charged with governance as to whether the 
Group  is  in  compliance  with  these  laws  and  regulations  and  whether  any   
correspondence existed with the Regulatory Authorities. 

36 Tissue Regenix Group plc

 
Independent Auditor’s Report to the Members of Tissue 
Regenix Group PLC 

continued
The areas that we identified as being susceptible to material misstatement due to fraud were: 

Risk

Audit procedures performed by the audit engagement team: 

Revenue recognition

Management override of 
controls 

Testing a sample of revenue transactions either side of the balance sheet date 
to determine whether the transaction has been appropriately recognized in the 
correct financial reporting period; 

Testing a sample of revenue transactions and tracing through to appropriate 
inventory movements and cash receipt to ensure that the revenue transaction 
exists; 

Testing of a sample of transactions completed under the Group’s Bill and Hold 
arrangements with its customers to ensure that they have been recognized in 
accordance with the Group’s accounting policy, substantiating the transactions 
to underlying inventory movements and cash receipts and ensuring that they 
have been recorded in the appropriate financial period.  

Testing the appropriateness of journal entries and other adjustments;  

Assessing whether the judgements made in making accounting estimates are 
indicative of a potential bias; and 

Evaluating the business rationale of any significant transactions that are unusual 
or outside the normal course of business. 

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. 

ANDREW ALLCHIN FCA (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 

Date 

Annual Report and Accounts 2021 37

Consolidated Statement of Income 

For the year ended 31 December 2021

Revenue
Cost of sales

Gross profit
Administrative expenses before exceptional items
Exceptional items

Total administrative expenses

Grant Income

Operating loss
Finance income
Finance charges

Loss on ordinary activities before taxation
Taxation

Loss for the year

Loss for the year attributable to: 
Equity holders of the parent company
Non-controlling interest

Loss per ordinary share attributable to equity holders of  
the parent company 
Basic and diluted, cents per share

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

Notes

5

6

8
9

6
10

25

11

2021
USD
'000

19,746
(11,270)

8,476
(12,574)
(355)

(12,929)

–

(4,453)
3
(692)

(5,142)
157

(4,985)

(4,792)
(193)

(4,985)

2020 
USD 
'000 

16,473 
(8,903) 

7,570 
(12,925) 
(8,324) 

(21,249) 

1,098 

(12,581) 
3 
(571) 

(13,149) 
684 

(12,465) 

(12,466) 
1 

(12,465) 

(0.07)

(0.28) 

38 Tissue Regenix Group plc

 
 
 
Consolidated Statement of Comprehensive Income  

For the year ended 31 December 2021

Loss for the year 

Other comprehensive income
Items that may be subsequently reclassified to profit or loss:
Foreign currency translation differences

Total comprehensive loss for the year

Total comprehensive loss for the year attributable to: 
Equity holders of the parent company
Non-controlling interest

2021
USD
'000

2020 
USD 
'000 

(4,985)

(12,465) 

(4)

(4,989)

(4,796)
(193)

(4,989)

970 

(11,495) 

(11,496) 
1 

(11,495) 

25

Annual Report and Accounts 2021 39

 
 
 
 
 
Consolidated Statement of Financial Position 

As at 31 December 2021

Assets 
Non-current assets 
Property, plant and equipment
Right-of-use assets
Intangible assets

Current assets 
Inventory
Trade and other receivables
Corporation tax receivable
Cash and cash equivalents

Total assets

Liabilities 
Non-current liabilities 
Loans and borrowings
Deferred tax
Lease liability

Current liabilities 
Trade and other payables
Lease liability

Total liabilities

Net assets

Equity 
Share capital
Share premium
Merger reserve
Reverse acquisition reserve
Reserve for own shares
Share-based payment reserve
Cumulative translation reserve
Retained deficit

Equity attributable to equity holders of the parent company
Non-controlling interest

Total equity

Notes

12
13
14

15
16

17

19
20
21

18
21

22
23
23
23
23
23
23
23

24

2021
USD
'000

5,708
3,388
15,064

24,160

9,719
4,101
534
7,709

22,063

46,223

(4,465)
(640)
(3,364)

(8,469)

(4,244)
(118)

(4,362)

(12,831)

33,392

15,947
134,173
16,441
(10,798)
(1,257)
1,573
(1,305)
(120,432)

34,342
(950)

33,392

2020 
USD 
'000 

4,417 
3,337 
15,299 

23,053 

9,604 
3,589 
1,120 
12,968 

27,281 

50,334 

(3,788) 
(760) 
(3,084) 

(7,632) 

(4,084) 
(347) 

(4,431) 

(12,063) 

38,271 

15,947 
134,173 
16,441 
(10,798) 
(1,257) 
1,463 
(1,301) 
(115,640) 

39,028 

(757)  

38,271 

The consolidated financial statements were approved by the Board of Directors and authorised for issue on 
14 March 2022 and were signed on its behalf by: 

Daniel Lee 
Chief Executive Officer 

Company number: 05969271

40 Tissue Regenix Group plc

 
 
 
 
 
Consolidated Statement of Changes in Equity 

For the year ended 31 December 2021

                                                                                                                 Attributable to equity holders of parent 

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At 31 December 2019                       8,478      124,118        16,441       (10,798)        (1,257)         1,500         (2,271)   (103,174)       33,037            (758)       32,279 

Transactions with owners in 
their capacity as owners: 
Issue of equity shares                      7,467        11,200                 –                 –                 –                 –                 –                 –        18,667                 –        18,667 
Expenses of issue of equity 
shares                                                         –         (1,145)                –                 –                 –                 –                 –                 –         (1,145)                –         (1,145) 
Exercise of share options                        2                 –                 –                 –                 –                 –                 –                 –                  2                 –                  2 
Share-based payments                            –                 –                 –                 –                 –              (37)                –                 –              (37)                –              (37) 

Total transactions with owners 
in their capacity as owners              7,469        10,055                 –                 –                                  (37)                –                 –        17,487                 –        17,487 

Loss for the year                                       –                 –                 –                 –                 –                 –                           (12,466)     (12,466)                1       (12,465) 

Other comprehensive income: 
Currency translation differences            –                 –                 –                 –                 –                 –             970                 –             970                 –             970 

Total other comprehensive 
income for the year                                  –                 –                 –                 –                 –                 –             970                 –             970                 –             970 

Total comprehensive income 
for the year                                                 –                 –                 –                 –                 –                 –             970       (12,466)     (11,496)                1       (11,495) 

At 31 December 2020                    15,947      134,173        16,441       (10,798)        (1,257)         1,463         (1,301)   (115,640)       39,028            (757)       38,271 

Transactions with owners in 
their capacity as owners: 
Share-based payments                            –                 –                 –                 –                 –             110                 –                 –             110                 –             110 

Total transactions with owners 
in their capacity as owners                     –                 –                 –                 –                 –             110                 –                 –             110                 –             110 

Loss for the year                                       –                 –                 –                 –                 –                 –                 –         (4,792)        (4,792)           (193)        (4,985) 

Other comprehensive income: 
Currency translation differences            –                 –                 –                 –                 –                 –                (4)                –                (4)                –                (4) 

Total other comprehensive 
income for the year                                  –                 –                 –                 –                 –                 –                (4)                –                (4)                –                (4) 

Total comprehensive income 
for the year                                                 –                 –                 –                 –                 –                 –                (4)        (4,792)        (4,796)           (193)        (4,989) 

At 31 December 2021                    15,947      134,173        16,441       (10,798)        (1,257)         1,573         (1,305)   (120,432)       34,342            (950)       33,392

Annual Report and Accounts 2021 41

                                                            
 
                                                                                                                                                                                                                                                                                                                       
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Consolidated Statement of Cash Flows 

For the year ended 31 December 2021

Operating activities
Loss before taxation
Adjustments for:
Finance income
Finance charges
Depreciation of property, plant and equipment
Depreciation of right-of-use assets
Amortisation of intangible assets
Impairment of intangible assets
Share-based payments
Amortisation of debt cost
Unrealised foreign exchange loss

Operating outflow before working capital movements

Increase in inventory
Increase in trade and other receivables
Increase in trade and other payables

Cash used in operations

Research & development tax credits received

Net cash used in operating activities

Investing activities
Interest received
Purchase of property, plant and equipment
Capitalised development expenditure

Net cash used in investing activities

Financing activities
Proceeds from issue of shares
Expenses of issue of shares
Proceeds from exercise of share options
Proceeds from new borrowings
Interest paid on loans and borrowings
Lease liability payments
Lease interest payments

Net cash (used in)/generated from financing activities

Net (decrease)/increase in cash and cash equivalents
Cash and cash equivalents at beginning of year
Effects of movement in exchange rates on cash held

Cash and cash equivalents at end of year

42 Tissue Regenix Group plc

2021
USD
'000

2020 
USD 
'000 

(5,142)

(13,149) 

(3)
692
258
103
730
–
110
75
55

(3,122)

(115)
(512)
159

(3,590)

615

(2,975)

3
(1,550)
(497)

(2,044)

–
–
–
602
(391)
(102)
(301)

(192)

(5,211)
12,968
(48)

7,709

(3) 
571 
245 
78 
730 
7,871 
(37) 
75 
834 

(2,785) 

(4,115) 
(259) 
223 

(6,936) 

881 

(6,055) 

3 
(1,573) 
(293) 

(1,863) 

18,667 
(1,146) 
2 
715 
(317) 
– 
(237) 

17,684 

9,766 
3,121 
81 

12,968 

 
 
 
 
 
 
 
 
 
Notes to the Consolidated Financial Statements 

For the year ended 31 December 2021

1) Corporate information 
Tissue  Regenix  Group  plc  (the  “Company”  and,  together  with  its  subsidiaries,  the  “Group”)  is  domiciled  and 
incorporated in the United Kingdom under the Companies Act 2006 and is limited by shares. Its registered number 
is 05969271.  

The address of the registered office is Unit 3 Phoenix Court, Lotherton Way, Garforth LS25 2GY. 

The nature of the Group’s operations and its principal activity is to develop, manufacture and commercialise 
biological medical devices. 

2) Adoption of new and revised standards 

Standards adopted during the year 
The Group has adopted all of the new or amended Accounting Standards and interpretations issued by the 
International Accounting Standards Board (“IASB”) that are mandatory and relevant to the Group’s activities for 
the current reporting period. 

The following new and revised standards have been adopted but have not had any material impact on the amounts 
reported in these financial statements: 

Amendments to IFRS 16 – Covid-19 related rent concessions beyond 30 June 2021 

Amendments to IFRS 9, IAS 39, IFRS 7, IFS 4 and IFRS 16 – Interest rate benchmark reform phase 2 

New and revised IFRS Standards in issue but not yet effective  
At the date of authorisation of these financial statements, the Group has not applied the following new and revised 
IFRS Standards that have been issued but are not yet effective:  

They are as follows: 

Amendments to IAS1 – Classification of liabilities as current or non-current 

Amendments to IFRS 3 – Reference to the conceptual framework 

Amendments to IFRS 17 – Insurance contracts 

Amendments to IFRS 17 – Initial application of IFRS 17 and IFRS 9 – comparative information 

Amendments to IAS 8 – Definition of accounting estimates 

Amendments to IAS 12 – Deferred tax related to assets and liabilities arising from a single transaction 

Amendments to IAS 16 – Property, plant and equipment – proceeds before intended use 

Amendments to IAS 37 – Onerous contracts – cost of fulfilling a contract 

Amendments to IAS 1 and IFRS practice statement 2 – Disclosure of accounting policies 

Annual improvements to IFRS standards 2018-2020 

The Directors do not expect that the adoption of these standards or interpretations in future periods will have a 
material impact on the financial statements of the Company or the Group. 

3) Significant accounting policies  

Basis of preparation 
These financial statements have been prepared and approved by the directors in accordance with UK- adopted 
International Accounting Standards (IAS).  

Annual Report and Accounts 2021 43

Notes to the Consolidated Financial Statements 

continued

The financial statements have been prepared on the historical basis, other than certain financial assets and 
liabilities which are stated at their fair value. Historical cost is generally based on the fair value of the considerations 
given in exchange for assets. 

As described below, the Directors continue to adopt the going concern basis in preparing the consolidated financial 
statements. 

The accounting policies set out below have, unless otherwise stated, been applied consistently to all periods 
presented in these financial statements. 

Judgements made by the Directors in the application of these accounting policies that have significant impact on 
the financial statements and estimates with a significant risk of material adjustment in the next year, are discussed 
in note 4. 

Restatement 
With effect from 1 January 2021, the Group’s presentation currency changed from pounds sterling (“£”) to United 
States dollar (“USD”) as the Directors considered the USD to be more representative of the sector in which the 
Group primarily operates. The functional currency of the Group is pound sterling (“£”).  

In  accordance  with  International  Accounting  Standards,  this  change  has  been  applied  retrospectively  and 
comparatives for the year ended 31 December 2020 were translated, for all statement of financial position items 
except equity, using USD:£ exchange spot rate at that date, being USD 1.358, for the income statement using the 
average USD:£ exchange rate during the year, being USD 1.284, and for the opening balances as at 1 January 
2020, except equity, using the USD spot rate on that date, being USD 1.3116. Share capital, share premium and 
other reserves were translated at the historic rates prevailing at the dates of transactions.  

Historical differences arising from the retranslation to USD up to 1 January 2020 have been taken directly to the 
foreign currency translation reserve. 

The Directors have not presented a third statement of financial position and associated notes to reflect the change 
in presentation currency as they do not believe this additional disclosure is material. The rate used to confirm the 
net assets has been included above and the Statement of Changes in Equity represents the equity elements of 
the statement of financial position on a converted basis. Notes 12, 13, and 14 disclose the impact on the non-
current assets. 

All amounts have been rounded to the nearest thousand, unless otherwise indicated. 

Going concern 
The Group financial statements have been prepared on a going concern basis based on cash flow projections, 
approved by the Board for the Group, for the period to 31 December 2023 (the “Cash Flow Projections”). Funding 
requirements are reviewed on a regular basis by the Group’s Chief Executive Officer and Chief Financial Officer 
and are reported to the Board at each Board meeting, as well as on an ad hoc basis, if requested. The Cash Flow 
Projections show that the Group will continue to consume cash over the forecast period. Until sufficient cash is 
generated from its operations, the Group remains reliant on cash reserves of USD 7.7 million at 31 December 
2021 and the ongoing support of MidCap Financial Trust (“MidCap”) (borrowings of USD 4.5 million at 31 December 
2021) to meet its working capital requirements, capital investment programme and other financial commitments. 

The COVID-19 pandemic continued to affect most healthcare businesses in 2021, as the emergence of the Delta 
and Omicron variants extended the timeline for a return to normal healthcare procedure volumes. 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 the Cash Flow Projections, has considered a downside scenario 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 there will not be a significant long-
lasting impact on the ability of the business to carry out its commercial activities. The Cash Flow Projections 
prepared by the board, including the downside scenario, indicate that the Group will still have cash reserves at the 

44 Tissue Regenix Group plc

Notes to the Consolidated Financial Statements 

continued

end of the forecast period. The Group’s Cash Flow Projections also assume that the MidCap facilities are available 
throughout the forecast period as repayment is not due to start until July 2023. The availability of these facilities 
is dependent upon compliance with a rolling twelve-month revenue covenant which is measured on a monthly 
basis. The Cash Flow Projections indicate compliance with this covenant throughout the forecast period.  

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 have reviewed the Cash Flow Projections. On 
the basis of their assessment, they have concluded that the going concern basis remains appropriate for use in 
these financial statements. 

Basis of consolidation 
The consolidated financial statements incorporate the financial statements of the Company and its subsidiary 
undertakings (together “the Group”) made up to 31 December each year. 

Subsidiary undertakings are those entities controlled directly or indirectly by the Company. Control is achieved 
when the Company 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 results 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. 

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. 

Non-controlling interest 
Non-controlling interests are measured at their proportionate share of the acquiree’s identifiable net assets at the 
date of acquisition. Changes in the Group’s interest in a subsidiary that do not result in a loss of control are 
accounted for as equity transactions. Losses applicable to the non-controlling interests are allocated to the 
non-controlling interests even if doing so causes the non-controlling interests to have a deficit balance. 

Controlled Joint Venture 
In  January  2016,  the  Group  entered  a  joint  venture  establishing  GBM-V  GmbH,  a  company  incorporated  in 
Germany. The Group controls the majority of the voting rights and consequently the results for this entity are 
consolidated in full within these financial statements with the recognition of a non-controlling interest within equity. 

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. 

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 into 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: 

Annual Report and Accounts 2021 45

Notes to the Consolidated Financial Statements 

continued

l 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) 

l The product must be identified separately as belonging to the customer (that is, it cannot be used to satisfy 

other orders)  

l

l

The product must be ready for physical transfer to the customer 

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

Grant Income 
Grant income is recognised as earned based on contractual conditions and is presented as Grant income on the  
face of the Consolidated Statement of Income. 

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 United States dollar, which 
is the presentation currency for the consolidated financial statements. 

In  preparing  the  financial  statements  of  the  individual  companies,  transactions  in  currencies  other  than  the 
functional currency of each group company (“foreign currencies”) are translated into the functional currency at 
the rates of exchange prevailing on the dates of the transactions. At each reporting date, monetary assets and 
liabilities that are denominated in foreign currencies are retranslated into the functional currency at the rates 
prevailing on the reporting date. Non-monetary assets and liabilities carried at fair value that are denominated in 
foreign  currencies  are  translated  at  the  rates  prevailing  at  the  date  when  the  fair  value  was  determined. 
Non-monetary items that are measured in terms of historical cost in a foreign currency are not retranslated. 

Foreign exchange differences are recognised in the profit or loss in the period in which they arise, except for foreign 
exchange differences on monetary items receivable from or payable to a foreign operation for which settlement 
is neither planned nor likely to occur and which, therefore, form part of the net investment in the foreign operation. 
Foreign exchange differences arising on the translation of the Group’s net investment in foreign operations are 
recognised as a separate component of Shareholders’ equity via the statement of other comprehensive income. 
On disposal of foreign operations and foreign entities, the cumulative translation differences are recognised in 
the income statement as part of the gain or loss on disposal.  

For the purpose of presenting company and consolidated financial statements, the assets and liabilities of the 
Company,  and  the  Group’s  operations  which  have  a  functional  currency  other  than  United  States  dollar,  are 
translated using exchange rates prevailing at the end of each reporting period. Income and expense items are 
translated at the average exchange rates for the period, unless exchange rates fluctuate significantly during that 
period, in which case the exchange rates at the date of transactions are used. Foreign exchange differences arising, 
if any, are recognised in other comprehensive income and accumulated in equity. Equity items are translated at 
the exchange rates at the date of transactions and foreign exchange differences arising, if any, are accumulated 
directly in equity. 

On the disposal of a foreign operation (i.e. a disposal of the Group’s entire interest in a foreign operation, a disposal 
involving loss of control over a subsidiary that includes a foreign operation or loss of joint control over a jointly 
controlled entity that includes a foreign operation), all of the accumulated exchange differences in respect of that 
operation attributable to the Group are reclassified to profit or loss. Where there is no change in the proportionate 
percentage interest in an entity then there has been no disposal or partial disposal and accumulated exchange 
differences attributable to the Group are not reclassified to profit or loss. 

Fair value adjustments arising on the acquisition of a foreign operation are treated as assets and liabilities of the 
foreign operation and translated at the rate of exchange prevailing at the end of each reporting period. Exchange 
differences arising are recognised in equity. 

46 Tissue Regenix Group plc

Notes to the Consolidated Financial Statements 

continued

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: 

l

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

l Management intends to complete the product and use or sell it 

l

l

l

l

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 

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. 

Property, Plant, Equipment and Right-of-use assets 
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: 

Buildings

over 39 years 

Laboratory equipment

over 5–7 years 

Computer equipment

over 3 years 

Fixtures and fittings

over 5 years  

Land is not depreciated. 

Annual Report and Accounts 2021 47

Notes to the Consolidated Financial Statements 

continued

A Right-of-use asset is recognised at commencement of the lease and initially measured at the amount of the 
lease liability, plus any incremental costs of obtaining the lease and any lease payments made at or before the 
leased asset is available for use by the Group. The Right-of-use asset is subsequently measured at cost less 
accumulated depreciation and any accumulated impairment losses. Right-of-use assets are depreciated on a 
straight-line basis over the lease term (39 years). 

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

over 5 years 

Customer relationships

over 10 years 

Process & IT technology

over 10 years 

Supplier agreements

over 5 years 

Impairment of Property, Plant and Equipment, Right-of-use 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 five-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. Historically, the fair value of the options granted have been measured using the Binomial model, 
however, the fair value of the options issued in the current year have been measured using the Monte Carlo model. 
The performance conditions of previous grants were generally market based whereas current grants are now 
issued with multiple performance conditions and therefore the Monte Carlo model is considered to be a more 
appropriate 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 consolidated statement of comprehensive income, with a 
corresponding entry in equity. 

The grant by the Company of options and share-based compensation plans over its equity instruments to the 
employees of subsidiary undertakings in the Group is treated as a capital contribution. The fair value of employee 
services received, measured by reference to the grant date fair value, is recognised over the vesting period as an 
increase to investment in subsidiary undertakings, with a corresponding credit to equity in the parent entity 
accounts. 

48 Tissue Regenix Group plc

Notes to the Consolidated Financial Statements 

continued

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% of aged receivables 

0 to 3 months overdue

0% of aged receivables 

to 4 months overdue

25% of aged receivables 

to 5 months overdue

50% of aged receivables 

Over 5 months

100% of aged receivables overdue 

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 six months. 

Share capital 
An equity instrument is any contract that evidences a residual interest in the assets of the Group after deducting 
all of its liabilities. Equity instruments issued by the Group are recognised at the proceeds received, net of direct 
issue costs. 

The costs of an equity transaction are accounted for as a deduction from equity to the extent they are incremental 
costs directly attributable to the equity transaction that would otherwise have been avoided. 

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 12 months or less with no option to purchase the lease asset) or a ‘low-value’ lease 
(where the underlying asset is USD 5,000 or less when new). 

Annual Report and Accounts 2021 49

Notes to the Consolidated Financial Statements 

continued

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 
dependent 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 statement of financial position 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 statement of financial position date. 

Segmental reporting 
Operating segments are reported in a manner consistent with the internal reporting provided to the chief operating 
decision maker. The chief operating decision maker, who is responsible for allocating resources and assessing 
performance of the operating segments and making strategic decisions, has been identified as the Board of 
Directors. 

4) Critical Accounting Judgements and Key Sources of Estimation Uncertainty 
In the application of the Group’s accounting policies, which are described in note 3, the Directors are required to 
make judgements, estimates and assumptions about the carrying value of the assets and liabilities that are not 
readily  apparent  from  other  sources.  The  estimates  and  associated  assumptions  are  based  on  historical 
experience and other factors that are considered to be relevant. Actual results may differ from these estimates. 

The estimates and underlying assumptions are reviewed on an on-going basis. Revisions to accounting estimates 
are recognized in the period in which the estimate is revised if the revision affects only that period, or in the period 
of the revision and future periods if the revision affects both the current and future periods. 

The following are the critical judgements and estimations that the Directors have made in the process of applying 
the Group’s accounting policies and that have the most significant effect on the amounts recognised in the 
financial statements. 

Recoverability of non-current assets 
Determining  whether  an  asset  is  impaired  requires  an  assessment  of  whether  there  are  any  indicators  of 
impairment.  If  there  is  any  indication  of  potential  impairment,  an  impairment  test  is  required  based  on  the 
recoverable amount of the asset. 

50 Tissue Regenix Group plc

Notes to the Consolidated Financial Statements 

continued

At 31 December 2021, the Directors determined that there were indicators of impairment in respect of the Group’s 
non-current assets and that there was a requirement to perform an impairment test. The assets were assessed for 
impairment based on value in use which requires the Group to estimate the future cash flows expected to arise from 
the cash-generating unit using a suitable discount rate in order to calculate present value. The future cash flows 
expected to arise was calculated using a discount rate of 14.6% based on the weighted average cost of capital. The 
impairment test indicated that the recoverable amount was at least equal to the carrying amount of the assets and 
no provision for impairment was required (2020: USD 7.9 million impairment of Goodwill). See note 14. 

The carrying amount of non-current assets at the 31 December 2021 was USD 24.2 million (2020: USD 23.1 million) 
and the Directors did not consider that it was appropriate to make a provision for impairment in respect of these 
assets. 

5) 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

2021
USD
‘000

16,883
2,863

19,746

2020 
USD 
‘000 

13,733 
2,740 

16,473 

Analysis of revenue by customer 
During the year ending 31 December 2021, the Group had one customer who individually exceeded 10% of revenue. 
This customer generated 14% of revenue (2020: one customer who generated 13% of revenue). 

Operating segments 
At 31 December 2020, the Group was organised into 3 operating divisions for internal management, reporting and 
decision-making purposes. These divisions were, BioSurgery, Orthopaedics & Dental, and GBM-V & Cardiac and 
were the operating segments reported in accordance with IFRS 8 “Operating Segments”.  

The Directors have now determined that it would be more appropriate to the Group’s operations to disclose its 
divisions  as,  dCELL  (formerly  BioSurgery  and  now  including  Cardiac  and  the  UK  side  of  the  Ortho  &  Dental 
segment), BioRinse (formerly the US side of the Ortho & Dental segment), and GBM-V.  

In accordance with IFRS 8, the Group has derived the information for its operating segments using the information 
used by the Chief Operating Decision Maker who has been identified as the Board of Directors.  

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

Segmental information about these divisions is presented below. We have not restated the prior year with the 
changes as the information was not readily available and the value added was considered to be minimal.  

Annual Report and Accounts 2021 51

 
 
Notes to the Consolidated Financial Statements 

continued

Income Statement

Revenue

Gross Profit
Exceptional items
Depreciation
Amortisation

Operating loss
Net Finance charges

Loss before taxation
Taxation

Loss for the year

Income Statement

Revenue
Cost of sales

Gross Profit
Administrative expenses
Exceptional items: 
Impairment of intangible assets
Restructuring costs
Grant Income

Operating loss
Net Finance charges

Loss before taxation
Taxation

Loss for the year

dCELL
2021
USD
‘000

4,246

1,720
(183)
(18)
–

(1,236)
1

(1,235)
37

(1,198)

Biosurgery
2020
USD
‘000

4,247
(2,374)

1,873
(3,415)

–
–
417

(1,125)
–

(1,125)
(28)

(1,153)

BioRinse
2021
USD
‘000

12,711

5,852
(120)
(305)
(730)

(1,118)
(682)

(1,800)
120

(1,680)

Ortho &
 dental
2020
USD
‘000

9,562
(4,942)

4,620
(6,390)

(7,871)
(18)
629

(9,030)
(568)

(9,598)
546

(9,052)

GBM-V
2021
USD
‘000

2,789

904
–
(3)
–

(154)
–

(154)
–

(154)

GBM-V &  
Cardiac
2020
USD
‘000

2,664
(1,587)

1,077
(1,418)

–
(129)
–

(470)
–

(470)
166

(304)

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

dCELL
2021
USD
‘000

808
3,326

4,134

–
(428)

(428)

3,706

2

–

BioRinse
2021
USD
‘000

23,005
11,310

34,315

(8,056)
(3,421)

(11,477)

22,838

1,594

497

GBM-V
2021
USD
‘000

5
706

711

–
(249)

(249)

462

–

–

Statement of Financial Position 

Non-current assets
Current assets

Total assets

Non-current liabilities
Current liabilities

Total liabilities

Net assets

Capital expenditure

Additions to intangible assets

52 Tissue Regenix Group plc

Central
2021
USD
‘000

–

–
(52)
(35)
–

(1,945)
(8)

(1,953)
–

(1,953)

Central
2020
USD
‘000

–
–

–
(1,702)

–
(306)
52

(1,956)
–

(1,956)
–

(1,956)

Central
2021
USD
‘000

342
6,721

7,063

(121)
(556)

(677)

6,386

105

–

Total 
2021 
USD 
‘000 

19,746 

8,476 
(355) 
(361) 
(730) 

(4,453) 
(689) 

(5,142) 
157 

(4,985) 

Total 
2020 
USD 
‘000 

16,473 
(8,903) 

7,570 
(12,925) 

(7,871) 
(453) 
1,098 

(12,581) 
(568) 

(13,149) 
684 

(12,465) 

Total 
2021 
USD 
‘000 

24,160 
22,063 

46,223 

(8,177) 
(4,654) 

(12,831) 

33,392 

1,704 

497 

 
 
 
 
 
Notes to the Consolidated Financial Statements 

continued

Statement of Financial Position 

Non-current assets
Current assets

Total assets

Non-current liabilities
Current liabilities

Total liabilities

Net assets

Capital expenditure

Additions to intangible assets

Biosurgery
2020
USD
‘000

Ortho & dental
2020
USD
‘000

–
2,807

2,807

–
(390)

(390)

2,417

–

–

22,322
10,613

32,935

(7,415)
(3,073)

(10,488)

22,447

4,692

293

GBM-V 
2020
USD
‘000

5
1,079

1,084

–
(236)

(236)

848

–

–

Central
2020
USD
‘000

272
12,782

13,054

(217)
(732)

(949)

12,105

Total 
2020 
USD 
‘000 

22,599 
27,281 

49,880 

(7,632) 
(4,431) 

(12,063) 

37,817 

278

–

4,970 

293 

6) Loss on ordinary activities before taxation  

Loss before taxations for the year is stated after charging/(crediting): 
Depreciation of plant and equipment 
Depreciation of right-of-use asset
Amortisation of intangible asset 
Amortisation of debt cost
Rentals subject to “short lease” exemption
Expensed inventory
Staff costs 
Foreign exchange (gains)/losses
Exceptional items*: 
Restructuring costs
Business interruption
Impairment of intangible assets

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 cyber attack

Total auditor’s remuneration

2021
USD
‘000

258
103
730
75
208
7,804
7,153
(4)

235
120
–

27

103

–

130

2020 
USD 
‘000 

245 
78 
730 
75 
149 
7,691 
7,271 
68 

453 
– 
7,871 

26 

90 

139 

255 

* Exceptional items include restructuring costs of USD $52k related to a redundancy in the Central segment, and USD $183k was charged 
to the DCell® division as a result of a restructuring of that division. The February 2021 winter storm event in Texas resulted in a charge of 
USD $120k to the BioRinse® division relating to non-productive time and spoilage. 

Annual Report and Accounts 2021 53

 
 
 
 
Notes to the Consolidated Financial Statements 

continued

Grant Income 

USA
Rest of world

2021
USD
‘000

–
–

–

2020 
USD 
‘000 

1,047 
51 

1,098 

During the year ended 31 December 2020, the Group’s US subsidiaries received two US Government PPP loans. 
The Loans had a two-year term and carried a 1% annual interest rate deferred for 6 months. Under the terms of 
the loan agreement, the Loan would not require repayment if the funds were used to support employee payroll, 
healthcare, utilities and rent payments within the US, during the six months following inception. The Group met 
these conditions and presented the loans as grant income in the consolidated statement of income. No further 
such loans have been received during the year ended 31 December 2021. 

7) Staff costs  

The average monthly number of employees (including Directors) was: 

Directors
Laboratory and administration staff

Their aggregate remuneration comprised: 
Wages and salaries
Share-based payments (see note 24)
Social security, pension & healthcare costs

Directors’ remuneration included above comprised:  
Emoluments for qualifying services

2021
No.

6
73

79

2021
USD
‘000

5,867
110
1,176

7,153

1,058

2020 
No. 

5 
73 

78 

2020 
USD 
‘000 

6,056 
(77) 
1,292 

7,271 

913 

Social security, pension and healthcare costs include pension contributions of USD 41K (2020: USD 126K). No 
funding was received from the UK government furlough scheme during the year (2020: USD 5K). 

Directors’ emoluments disclosed above include USD 503K paid to the highest paid Director (2020: USD 629K). 
The share-based payment charge for Directors was USD 79K (2020: USD nil). 

8) Finance income 

Bank interest receivable

54 Tissue Regenix Group plc

2021
USD
‘000

3

2020 
USD 
‘000 

3 

 
 
 
 
 
 
 
 
Notes to the Consolidated Financial Statements 

continued

9) Finance Charges 

Interest on bank loans
Interest on lease liabilities

10) Taxation 
Tax on loss on ordinary activities 

Current tax: 
UK R&D tax credit

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

The credit for the year can be reconciled to the loss per the income statement as follows: 

2021
USD
‘000

(391)
(301)

(692)

2021
USD
‘000

(37)

(37)

(120)
(157)

Loss on ordinary activities before tax
Tax at the standard rate of corporation tax 19% (2020: 19%)
Effects of: 
Research and development tax credits received
Surrender of research and development relief for repayable tax  
credit including enhancement
Unutilised tax losses

Tax credit for the period

2021
USD
‘000

(5,142)
(977)

(124)

74
870

(157)

2020 
USD 
‘000 

(317) 
(254) 

(571) 

2020 
USD 
‘000 

(564) 

(564) 

(120) 
(684) 

2020 
USD 
‘000 

(13,149) 
(2,499) 

(403) 

555 
1,663 

(684) 

Unrelieved tax losses carried forward have not been recognised as a deferred tax asset as there is currently 
insufficient evidence that the asset will be recoverable in the foreseeable future. The losses must be utilised in 
relation to the same operations. 

Tax losses 
Losses available to carry forward against future trading profits

Unrecognised deferred tax asset – at 25% (2020: 19%)

2021
USD
‘000

73,643

18,411

2020 
USD 
‘000 

69,399 

13,186 

The enacted UK corporation tax rate of 25% forms the basis for the UK element of the deferred tax calculation, 
following the UK budget in 2021 when the chancellor announced an increase to the main rate of corporation tax 
in the UK to 25% from April 2023.  

Annual Report and Accounts 2021 55

 
 
 
 
 
 
 
 
Notes to the Consolidated Financial Statements 

continued

11) Loss per ordinary share 
Basic loss per ordinary share is calculated by dividing the net loss attributable to equity holders of the parent 
company by the weighted average number of ordinary shares in issue during the year, 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. 

The calculation of the basic and diluted loss per ordinary share is based on the following data: 

2021
USD
‘000

2020 
USD 
‘000 

Total loss attributable to the equity holders of the parent

(4,792)

(12,466) 

Weighted average number of ordinary shares in issue during the year

7,033,077,499

4,447,666,932 

Loss per ordinary share 
Basic and diluted, cents per share

(0.07)

(0.28) 

No.

No. 

The Company has options issued over 106,832,872 (2020: 50,803,039) ordinary shares and there are 16,112,800 
(2020: 16,112,800) jointly owned shares which are potentially dilutive. See note 23.  

Due to the losses incurred from continuing operations in the years reported, there is no dilutive effect from the 
existing share options and jointly owned shares. 

12) Property, plant and equipment 

Land &
buildings
USD
‘000

Laboratory 
equipment
USD
‘000

Fixtures &
fittings
USD
‘000

Computer 
equipment
USD
‘000

Cost 
At 31 December 2019 
Additions
Exchange adjustment

At 31 December 2020 
Additions
Exchange adjustment

At 31 December 2021

Depreciation 
At 31 December 2019 
Charge for the period
Exchange adjustment

At 31 December 2020 
Charge for the period
Exchange adjustment

At 31 December 2021

Net book value 
At 31 December 2021

At 31 December 2020 

At 31 December 2019 

56 Tissue Regenix Group plc

2,533
1,439
45

4,017
1,085
(84)

5,018

161
63
3

227
65
(46)

246

4,772

3,790

23,722

2,628
112
49

2,789
308
(30)

3,067

2,015
153
79

2,247
152
(84)

2,315

752

542

613

1,006
–
19

1,025
39
(10)

1,054

956
16
29

1,001
17
(29)

989

65

24

50

795
20
25

840
118
(19)

939

740
13
26

779
24
17

820

119

61

55

Total 
USD 
‘000 

6,962 
1,571 
138 

8,671 
1,550 
(143) 

10,078 

3,872 
245 
137 

4,254 
258 
(142) 

4,370 

5,708 

4,417 

3,090 

 
 
 
 
 
 
 
Notes to the Consolidated Financial Statements 

continued

13) Right-of-use assets 

Cost 
At 31 December 2019 
Additions
Exchange adjustment

At 31 December 2020 
Additions

At 31 December 2021

Depreciation 
At 31 December 2019
Charge for the period

At 31 December 2020 
Charge for the period

At 31 December 2021

Net Book Value 

At 31 December 2021

At 31 December 2020 

Land and Buildings 
USD 
‘000 

– 
3,416 
(1) 

3,415 
154 

3,569 

– 
78 

78 
103 

181 

3,388 

3,337 

14) Intangible assets 

Development 
costs
USD ‘000

Goodwill
USD ‘000

Customer 
relationships
USD ‘000

Trademarks
USD ‘000

Process 
Tech
USD ‘000

Supplier  
agreements

TOTAL 
USD ‘000 USD ‘000 

Cost 
At 31 December 2019 

Additions*
Exchange Adjustment 

1,275

19,458

3,000

799

1,500

600

26,632 

293
45

–
–

–
–

–
–

–
–

–
–

293 
45 

At 31 December 2020 

1,613

19,458

3,000

799

1,500

600

26,970 

Additions*
Exchange adjustment

497
(11)

–
–

–
–

–
–

–
–

–
–

497 
(11) 

At 31 December 2021

2,099

19,458

3,000

799

1,500

600

27,456 

Amortisation 
At 31 December 2019 
Charge for the period
Exchange adjustment
Impairment 

At 31 December 2020 
Charge for the period
Exchange adjustment

At 31 December 2021

Net book value 

At 31 December 2021

At 31 December 2020 

At 31 December 2019 

1,275
–
45
–

1,320
–
(9)

1,311

788

293

–

–
–
–
7,871

7,871
–
–

7,871

11,587

11,587

19,458

719
300
–
–

1,019
300
–

1,319

1,681

1,981

2,281

383
160
–
–

543
160
–

703

96

256

416

360
150
–
–

510
150
–

660

840

990

1,140

288
120
–
–

408
120
–

528

72

192

312

3,025 
730 
45 
7,871 

11,671 
730 
(9) 

12,392 

15,064 

15,299 

23,607 

* Additions in both years arose from internal development. 

Annual Report and Accounts 2021 57

 
 
 
 
 
Notes to the Consolidated Financial Statements 

continued

Goodwill,  customer  relationships,  trademarks,  process  technology  and  supplier  agreements  relate  to  the 
acquisition of CellRight Technologies LLC in 2017 and are subject to annual impairment testing as described 
below. The remaining amortisation periods for these assets are: Customer relationships: 5.8 years, Trademarks: 
0.8 years, Process Tech: 5.8 years, Supplier agreements: 0.8 years. 

Impairment of non-current assets 
Annual impairment test on CellRight Technologies LLC (“CellRight”) 

The Group considers the assets arising on the acquisition of CellRight Technologies LLC to be a single cash 
generating unit (“CGU”) and tests for impairment on an annual basis, or more frequently where there are any 
indicators of impairment. The aggregate carrying value is compared against the expected recoverable amount of 
the unit, generally by reference to the present value of the future net cash flow expected to be derived from the 
asset, 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 
14.6% (2020: 14.6%) which 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, extended forward for the next four years based on expected growth within the 
CGU over that period. At the end of year five, a terminal value is calculated using a long-term growth assumption 
of 2% (2020: 2%). Due to the uncertainty created by the Covid-19 pandemic the Directors have taken a cautious 
approach to the forecasts used in the calculation of value in use and in particular the assumption disclosed below 
in respect of future revenue growth. 

The key inputs to the cash flow forecasts are: 

l

l

l

revenues  (based  on  estimates  of  revenue  growth  with  both  new  and  existing  customers  based  on  an 
understanding of the needs of those customers and having regard to independent market assessments of 
market growth); 

gross margin and overheads (based on existing gross margins and adapted for appropriate increases base 
on the anticipated growth of the business); 

future anticipated capital expenditure (adjusted based on expected future growth); and 

l movements in working capital. 

The key assumption within the cash flow forecasts relates to sales growth which is inherently difficult to forecast 
in light of the continued pandemic. Across the five-year forecast period the compound annual growth rate (“CAGR”) 
is 24.7% (2020: 18%) reflecting the uncertainty still present in the group’s markets at 31 December 2021. 

At 31 December 2021, the impairment test prepared by the Directors indicates a recoverable amount based on 
value in use of USD 62 million (2020: USD 30 million) compared to a CGU carrying amount of USD 31 million (2020: 
USD 38 million). The Directors therefore do not consider that an impairment charge is appropriate for the year 
ended 31 December 2021 (2020: USD 7.9 million). 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 16% across the five-year period.  

The Directors consider the impairment charged at 31 December 2020 was due to the uncertainty created by the 
Covid-19 pandemic. 

58 Tissue Regenix Group plc

Notes to the Consolidated Financial Statements 

continued

15) Inventory 

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

Total

2021
USD
‘000

2,681
5,628
1,410

9,719

2020 
USD 
‘000 

2,704 
4,783 
2,117 

9,604 

Inventory  of  finished  goods  including  goods  for  resale  is  presented  net  of  a  provision  of  USD  307k  (2020: 
USD 368k). 

16) Trade and other receivables 

Trade debtors
Other receivables
Prepayments and accrued income

2021
USD
‘000

2,946
118
1,037

4,101

2020 
USD 
‘000 

2,424 
129 
1,036 

3,589 

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

Trade receivables
Less: Allowance for expected credit losses

Allowance for expected credit losses 

USD
‘000

3,024
(78)

2,946

USD 
‘000 

2,467 
(43) 

2,424 

The ageing 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
2021
USD
‘000

Allowance for
expected credit 
losses 2021
USD
‘000

Allowance for  
Carrying expected credit  
losses 2020  
USD 
‘000 

amount 2020
USD
‘000

2,745
127
69
45
38

3,024

–
–
17
23
38

78

1,324
1,114
19
27
(17)

2,467

– 
– 
13 
18 
12 

43 

Annual Report and Accounts 2021 59

 
 
 
 
 
 
 
 
 
 
Notes to the Consolidated Financial Statements 

continued

The average Credit terms with customers is 40 days (2020: 40 days). Trade receivables are analysed by the 
currencies of settlement below: 

US Dollars
Euros
Sterling

Trade debtors

Movements in the impairment allowance for trade receivables are as follows: 

Opening provision for impairment of trade receivables
Increase during the year
Receivables written off during the year as uncollectable
Unused amounts reversed

At 31 December 2021

17) Financial instruments 

2021
USD
‘000

2,687
188
71

2,946

2021
USD
‘000

43
135
3
(103)

78

2020 
USD 
‘000 

2,123 
287 
14 

2,424 

2020 
USD 
‘000 

128 
37 
– 
(122) 

43 

Financial risk management objectives 
Management provides services to the business, co-ordinates access to domestic and international financial 
markets and monitors and manages the financial risks relating to the operations of the Group. These risks include 
cash flow interest risk, credit risk, liquidity risk, capital risk and foreign currency risk. 

The policies for managing these risks are regularly reviewed and agreed by the Board. 

The  Group  does  not  enter  into  or  trade  financial  instruments,  including  derivative  financial  instruments,  for 
speculative purposes. 

Capital risk management 
The Group manages its capital to ensure that entities in the Group will be able to continue as going concerns, 
while maximising the return to shareholders through the optimisation of the debt and equity balance. The Group’s 
overall strategy is to minimize costs and liquidity risk.  

The capital structure of the Group consists of cash and cash equivalents, interest bearing loans and borrowings, 
and equity attributable to equity holders of the parent, comprising issued share capital, reserves and retained 
earnings.  

The Group plans its capital requirements on a regular basis and as part of this review the Directors consider the 
cost of capital and the risks associated with each class of capital. 

Categories of financial instruments 

Financial assets measured at amortised cost

Cash and cash equivalents
Trade receivables
Other receivables

60 Tissue Regenix Group plc

2021
USD
‘000

7,709
2,946
80

10,735

2020 
USD 
‘000 

12,968 
2,424 
114 

15,506 

 
 
 
 
 
 
Notes to the Consolidated Financial Statements 

continued

Financial liabilities measured at amortised cost

Trade payables
Accruals
Borrowings
Lease liabilities

2021
USD
‘000

2,574
1,619
4,465
3,482

2020 
USD 
‘000 

1,324 
2,570 
3,788 
3,431 

12,140

11,113 

Fair value of financial instruments 
The Directors consider that the carrying amount of its financial instruments approximates to their fair value. 

Interest rate risk management  
The Group’s policy on interest rate management is agreed at Board level and is reviewed on an on-going basis. 

The risk in the potential movement in interest received on cash surpluses held is limited due to little movement 
on deposit interest rates.  

The Groups interest bearing loans incur interest charges at a fixed rate above LIBOR and therefore, the Group is 
not exposed to significant interest rate fluctuations. 

Accordingly, no sensitivity analysis has been presented. 

Credit risk management 
Credit risk refers to the risk that a counterparty will default on its contractual obligations resulting in financial loss 
to the Group. 

The maximum exposure to credit risk at the reporting date to recognized financial assets is the carrying amount, 
net of any provisions for impairment of those assets. The Group does not hold any collateral. 

Credit risk arising from trade debtors is mitigated by a robust procedure including credit reviews on all customers 
and establishing a credit allowance that reflect any known risk. 

Generally, financial assets are written off when there is no reasonable expectation of recovery. 

The  credit  risk  on  liquid  funds  (cash)  is  considered  to  be  limited  because  the  counterparties  are  financial 
institutions with high and good credit ratings assigned by international credit rating agencies. The majority of 
funds are held by institutions with an A rating or higher. 

Liquidity risk management 
Ultimate  responsibility  for  liquidity  risk  management  rests  with  the  Board  of  Directors,  which  has  built  an 
appropriate liquidity risk management framework for the management of the Group’s short, medium and long-
term funding and liquidity management requirements. The Group manages liquidity risk by maintaining adequate 
cash reserves and by continuously monitoring forecast and actual cash flow. 

With the exception of borrowings and leases, outlined in notes 18 and 20 respectively, the Group’s financial 
liabilities mature within less than six months.  

At 31 December 2021, the Group was compliant with all the terms relating to the MidCap facilities. Since the year 
end, the Group has been able to increase the funds available to it under the terms of the facility from USD 3 million 
to USD 5 million. 

Annual Report and Accounts 2021 61

 
 
Notes to the Consolidated Financial Statements 

continued

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

2021
USD
‘000

–
–
1,000
3,465

4,465

2020 
USD 
‘000 

– 
– 
– 
3,788 

3,788 

Foreign currency risk management 
The Group undertakes certain transactions denominated in foreign currencies, with the result that exposure to 
exchange rate fluctuations arise. However, there is currently limited currency risk within the Group at the current 
time as all its financial assets and the majority of its liabilities are denominated in the functional currency of the 
relevant entity. The Group does not hold cash balances in currencies other than the functional currency of the 
relevant entity and therefore there is little exposure to fluctuations in exchange rates which would impact the 
income statement of the Group. 

The carrying amounts of the Group’s foreign currency denominated monetary liabilities at the reporting date are 
immaterial and as a result the Group has not undertaken foreign currency sensitivity analysis. 

The Group does not normally hedge against the effects of movements in exchange rates. 

18) Trade and other payables 

Current:
Trade payables
Taxes and social security
Accruals

2021
USD
‘000

2,574
51
1,619
4,244

2020 
USD 
‘000 

1,324 
190 
2,570 
4,084 

The Directors consider that the carrying amount of trade and other payables approximates to their fair value.  

Trade payables and accruals principally comprise amounts outstanding for trade purchases and on-going costs. 

The Group has financial risk management policies to ensure that all payables are paid within the credit time frame 
and no interest is generally charged on balances outstanding. 

62 Tissue Regenix Group plc

 
 
 
 
 
 
Notes to the Consolidated Financial Statements 

continued

19) Loans and borrowings  

At 31 December 2021

Term loan
Revolving credit
Gross borrowings
Less: capitalised debt issue costs
Borrowings

At 31 December 2020

Term loan
Revolving credit
Gross borrowings
Less: capitalised debt issue costs
Borrowings

Interest rate %

Maturity

Current USD

Non-current 

‘000

USD’000 

LIBOR RATE +6.75%
LIBOR RATE +4.5%

Jun 2024
Jun 2024

–
–
–
–

2,000 
2,649 
4,649 
(184) 
4,465 

Interest rate %

Maturity

Current USD

Non-current 

‘000

USD’000 

LIBOR RATE +6.75%
LIBOR RATE +4.5%

Jun 2024
Jun 2024

–
–
–
–

2,000 
2,047 
4,047 
(259) 
3,788 

In June 2019, the Group signed a revised bank facility with MidCap Financial Trust (“MidCap”) in the US.  

Under the terms of the agreement, repayment of the term loan will commence in July 2023 by the payment of 
12 monthly instalments. The revolving credit is repayable in full by June 2024 and, at 31 December 2021, had a 
maximum drawdown facility of USD 3 million. Since the year end, the Group has been able to increase the funds 
available to it under the terms of the facility from USD 3 million to USD 5 million. 

In respect of the term loan, MidCap holds security over the Group’s freehold property in San Antonio and certain 
IP. The carrying amount of these assets at 31 December 2021 is USD 4.8 million (2020: USD 3.8 million) and nil 
(2020: nil) respectively. 

The revolving credit facility is subject to revenue covenants. 

Debt issue costs of USD 377k were capitalised against the loan and is being amortised over the life of the term 
loan. 

Please refer to note 17 for maturity analysis. 

The movement in total borrowings during the year was as follows: 

                                                                                                                                                             Non-cash                              

                                                                                                                                                               changes                              

                                                                                                                                Non-cash                foreign           Non-cash 

                                                                                                                                  changes            exchange              changes                              

                                                                               2020          Cashflows           Additions          movement                   other                   2021 

                                                                         USD’000             USD’000             USD’000             USD’000             USD’000             USD’000 

Borrowings                                                  3,788                    602                      75                        –                        –                4,465 
Lease Liabilities                                          3,431                 (102)                   154                      (1)                        –                3,482 
Total Liabilities  
from Financing Activities                          7,219                    500                   229                      (1)                        –                7,947  

Annual Report and Accounts 2021 63

 
 
 
 
 
 
Notes to the Consolidated Financial Statements 

continued

                                                                                                                                                             Non-cash                              

                                                                                                                                                               changes                              

                                                                                                                                                                 foreign           Non-cash 

                                                                                                                                Non-cash            exchange              changes                              

                                                                               2019          Cashflows            additions          movement                   other                   2020 
                                                                         USD’000             USD’000             USD’000             USD’000             USD’000             USD’000 
Borrowings                                                  2,998                    715                      75                        –                        –                3,788  
Lease Liabilities                                                 –                        –                3,413                        –                      18                3,431  
Total Liabilities  
from Financing Activities                          2,998                    715                3,488                        –                      18                7,219  

20) Deferred tax liabilities 

As at December 2019 
Release to the income statement
As at December 2020 
Release to the income statement

As at December 2021

USD 

‘000 
880 
(120) 
760 
(120) 

640 

The deferred tax liability relates to intangible assets recognised on the acquisition of CellRight Technologies LLC. 
See note 14 

21) Lease liabilities 

Current Lease liabilities
Non–current liabilities

2021

USD

‘000

118
3,364
3,482

2020 

USD 
‘000 

347 
3,084 
3,431 

Maturity analysis of lease liabilities 
The maturity of the gross contractual undiscounted cashflows due on the Group’s lease liabilities is set out below 
based on the period between 31 December 2021 and the contractual maturity date. 

Land and buildings

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

2021
USD

‘000

202
208
420
3,518
–
4,348

2020 
USD 

‘000 

181 
181 
390 
4,002 
– 
4,754 

Disclosure of additions to and carrying amounts of right-of-use assets by class has been provided in note 13. 

64 Tissue Regenix Group plc

 
 
 
 
 
Notes to the Consolidated Financial Statements 

continued

Effect of leases on financial performance 

Depreciation on right-of-use assets
Interest expense
Total effect of leases on financial performance

2021

USD

‘000

103
301
404

2020 

USD 
‘000 

78 
254 
332 

The Group leases properties used for its operations in the United Kingdom (“UK”) and United States (“US”).  

UK Property: 5-year fixed lease which includes a break clause in 2023. 

US property: 5-year fixed which includes an option to purchase up to 2025. 

The Group average effective borrowing rate for leases at 31 December 2021 was 9% (2020: 9%). 

22) Share capital 

Allotted, issued and fully paid 

Ordinary shares of 0.1 pence
Deferred shares of 0.4 pence

2021

USD

‘000

9,164
6,783
15,947

Movements on share capital during the period were as follows: 

At 31 December 2019
Sub-division of shares
Issued on exercise of share options
Issue of shares
At 31 December 2020 and 2021

Ordinary shares

Number
1,171,971,322

1,479,965
5,859,626,212
7,033,077,499

USD

Deferred shares 

‘000
8,478
(6,783)
2
7,467
9,164

Number
–
1,171,971,322
–
–
1,171,971,322

2020 

USD 

‘000 

9,164 
6,783 
15,947 

USD 

‘000 
– 
6,783 
– 
– 
6,783 

As permitted by the provisions of the Companies Act 2006, the Company does not have an upper limit to its 
authorised share capital. 

On 9 June 2020, a special resolution was passed at the general meeting for the subdivision of 1,171,971,322 
ordinary shares of 0.5 pence each into 1,171,971,322 ordinary shares of 0.1 pence each and 1,171,971,322 deferred 
shares of 0.4 pence.  

The Ordinary shares are fully paid and entitle the holder to full voting rights, to full participation and to distribution 
of dividends. 

The Deferred shares are not listed on AIM, do not give the holders any right to receive notice of, or to attend or 
vote at any general meetings, have no entitlement to receive a dividend or other distribution other than to a return 
of capital in the event of a winding up (and only after the holders of the ordinary shares have received the sum of 
£1 million per share). 

On 9 June 2020, the Company issued 5,859,626,212 ordinary shares of 0.1 pence each raising gross proceeds of 
USD 18.7 million (£14.6 million). 

Annual Report and Accounts 2021 65

 
 
 
 
Notes to the Consolidated Financial Statements 

continued

23) Reserves 
Reserves of the Group represent the following: 

Share premium 
Consideration paid in excess of the nominal value of shares allotted, net of the costs of issue. 

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 a reverse acquisition.

Own shares held 
Shares held on trust for the benefit of employees – Employee Benefit Trust. 

Share-based payment reserve  
Accumulated charges/(credits) made under IFRS 2 in respect of share-based payments. 

Cumulative translation reserve 
Foreign exchange differences arising on the translation of foreign operations and any net gain/(loss) on the hedge 
of net investment in foreign subsidiaries. The cumulative translation reserve also represents the net effect of the 
fact that the functional currency of the parent undertaking is GBP, whilst its reporting currency is USD, resulting in 
exchange differences on translation of the parent undertakings equity.  

Retained deficit 
All current and prior period retained losses. 

24) 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 0.1p 
to 22.5p and a vesting period between one and three 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. 

66 Tissue Regenix Group plc

 
Notes to the Consolidated Financial Statements 

continued

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

At 31 December 2019

Exercised in the period
Lapsed during year
Issued in the year

EMI

Unapproved

EBT

SAYE

options
5,267,716

options
4,758,732

shares
16,112,800

options
6,430,483

LTIP

options
–

–
(4,047,279)
–

(1,479,965)
(1,435,293)
–

–
–
(6,430,483)
–
– 47,739,128

At 31 December 2020

1,220,437

1,843,474

16,112,800

47,739,128

Weighted 

average 

exercise  

price per 

Total share (£) 
32,569,731 0.0596 

(1,479,965) 0.0008 
(11,913,055) 0.0615 
47,739,128 0.0028 

66,915,839 0.0180 

–
–
–

–

Lapsed during year
Issued in the year

(464,902)
–

(1,346,603)
–

– (24,275,360)
–

–
– 82,116,698

(26,086,865) 0.0081 
82,166,698 0.0010 

At 31 December 2021

755,535

496,871

16,112,800 23,463,768 82,116,698 122,945,672  0.0091 

Excluding the EBT shares, there were 573,381 share options outstanding at 31 December 2021 (2020: 573,381) 
which were 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 
2021.  

The range of exercise prices applicable to share options is between 0.1p and 22.5p with the majority of the 
remaining shares at the lower price. The options eligible to be exercised are at a price of 12p per share. 

There were 16,112,800 of the jointly held EBT shares which were eligible to vest as at 31 December 2021. 

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 6.7 years (2020: 5.2 years). 

The fair value of the options issued in the current year have been measured using the Monte Carlo model. The 
performance conditions of previous grants were generally market based whereas current grants are now issued 
with multiple performance conditions and therefore the Monte Carlo model is considered to be a more appropriate 
model. 

The significant inputs into the model for the IFRS2 valuation were as follows:  

Dividend yield
Exercise price (£)
Expected volatility (%)
Risk free interest rate (%)
Expected vesting life of EBT shares and options (years)
Weighted average fair value (£)
Weighted average share price (£)
Expected volatility is based on historic share prices as published on the LSE website. 

The fair value of the options granted during the year was USD 447k. 

Options  

Granted  
2021 

– 
0.001 
80 
0.11 
3 
0.0040 
0.0055 

Annual Report and Accounts 2021 67

 
 
 
Notes to the Consolidated Financial Statements 

continued

Share based payments continued 
The Company recognised a total expense of USD 110k (2020: credit USD 36k) in respect of employment related 
securities. 

Other Share Options 
In 2019, Warrants were issued to MidCap as part of the Group’s new borrowing facilities. Options over 3,096,798 
shares were granted at an exercise price of 5.74p. These options are equity-settled and still remain exercisable. 
The weighted average contractual life is 7.5 years. (2020: 8.5). The binomial model was used to value the share-
based payment charge and the assumptions adopted are consistent with those used in the calculation of 2019 
employee share-based payments above except the vesting period of nil. 

25) Non-controlling interest 

As at 1 January
Attributable loss for the year
As at 31 December 

2021

USD

‘000

(757)
(193)
(950)

2020 

USD 

‘000 

(758) 
1 
(757) 

The non-controlling interest has 50% (2020: 50%) equity holding. GBM-V GmbH contributed revenue of USD 2,789k  
(2020: USD 2,666k) and a loss before tax of USD 154k after elimination of intercompany trading (2020: Profit 
USD 277k) for the year. Further financial information relating to GBM-V GmbH can be found in note 5. 

26) Related party transactions 

Amounts due from subsidiaries 
Balances  and  transactions  between  the  Company  and  its  subsidiaries  which  are  related  parties,  have  been 
eliminated on consolidation and are not disclosed in this note. 

Transactions with key management personnel 
The remuneration of the Board of Directors of the Group is set out below in aggregate for each of the categories 
specified in IAS 24 Related party disclosures. 

Short-term employment benefits

2021
$000

1,058

2020 
$000 

1,247 

For more information on the salary and fees, bonus, and benefits included above see Director’s Remuneration Report. 

27) Ultimate controlling party 
The Directors believe that there is no ultimate controlling party. 

68 Tissue Regenix Group plc

 
 
 
 
Company Statement of Changes in Equity 

For the year ended 31 December 2021

At 31 December 2019
Transactions with owners in  
their capacity as owners:
Issue of shares
Costs of issue of new equity
Share options exercised
Share-based payment credit

Total transactions with owners  
in their capacity as owners

Loss for the year

At 31 December 2020
Transactions with owners in  
their capacity as owners:
Share-based payments 

Total transactions with owners  
in their capacity as owners
Loss for the year

Share-

based

Share 

Merger 

payment

Retained 

premium

£’000
86,399

reserve

£’000
10,884

reserve

£’000
910

deficit

£’000
(63,466)

Total 

£’000 
40,586 

8,790
(899)
–
–

7,891

–

–
–
–
–

–

–

–
–
–
(3)

(3)

–

–
–
–
–

–

14,650 
(899) 
1 
(3) 

13,749 

(15,048)

(15,048) 

94,290

10,884

907

(78,514)

39,287 

–

–
–

–

–
–

80

80
–

–

80 

–
(244)

80 
(244) 

Share 

capital

£’000
5,859

5,860
–
1
–

5,861

–

11,720

–

–
–

At 31 December 2021

11,720

94,290

10,884

987

(78,758)

39,123 

Annual Report and Accounts 2021 69

 
 
 
 
 
 
 
Company Statement of Financial Position  

As at 31 December 2021

Assets
Non-current assets
Investments
Intercompany loans 

Current assets
Trade and other receivables
Cash and cash equivalents

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 deficit

Notes

2021

£000

2020 

£000 

C4
C6

C5

 C7

C8
C9
C9
C9
C9

18,836
15,722
34,558

117
4,679
4,796
39,354

(231)
(231)
39,123

11,720
94,290
10,884
987
(78,758)
39,123

18,813 
11,754 
30,567 

35 
9,039 
9,074 
39,641 

(354) 
(354) 
39,287 

11,720 
94,290 
10,884 
907 
(78,514) 
39,287 

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 income or statement of comprehensive income.  

The parent company’s loss for the year ended 31 December 2021 was £244k (2020: loss £15,048k). 

The Company financial statements were approved by the Board of Directors and authorised for issue on 14 March 
2022 and were signed on its behalf by 

Daniel Lee 
Chief Executive Officer 
Company number: 05969271 

70 Tissue Regenix Group plc

 
 
 
 
 
 
 
 
Notes to the Company Financial Statements  

For the year ended 31 December 2021

C1. Principal accounting policies 
Tissue Regenix Group plc (the “Company”) is a company limited by shares, domiciled and incorporated in the 
United Kingdom under the Companies Act 2006.  

The address of the registered office is Unit 3, Phoenix Court, Lotherton Way, Garforth LS25 2GY. The Company’s 
shares are admitted to trading on the Alternative Investment Market (AIM) of the London Stock Exchange.  

The presentation currency of these financial statement is pound sterling “£”, which is the currency in which the 
Company raises funds. The functional currency is pound sterling. 

These  financial  statements  were  prepared  in  accordance  with  Financial  Reporting  Standard  101:  Reduced 
Disclosure  Framework  (“FRS  101”).  The  Company  has  adopted  FRS  101  for  the  first  time.  Therefore,  the 
requirements of paragraphs 6-33 of IFRS 1 apply (except for the requirements of paragraphs 6 and 21 to present 
an opening statement of financial position at the date of transition). There were no material adjustments arising 
from the adoption of FRS 101, and therefore no reconciliations of equity at 1 January 2021 or 31 December 2020, 
or of profit for the year ended 31 December 2021, have been presented. 

In preparing these financial statements, the Company applies the recognition and measurement requirements of 
UK adopted International accounting standards, amended where necessary to comply with the Companies Act 
2006. 

Under section 408 of the Companies Act 2006, the Company is exempt from the requirement to present its own 
profit and loss account. 

In these financial statements, the Company has applied the exemptions available under FRS 101 in respect of the 
following disclosures: 

l

l

l

l

l

Cash flow statement and related notes; 

Disclosure in respect of transactions with wholly-owned subsidiaries; 

Disclosure in respect of capital management; 

The effects of new but not yet effective IFRSs; and 

Disclosures in respect of the compensation of key management personnel. 

As the consolidated financial statements include the equivalent disclosures, the Company has also taken the 
exemptions under FRS 101 available in respect of the following disclosures: 

l

l

IFRS 2 Share-based payments in respect of group settled share-based payments; 

Certain disclosures required by IFRS 13 Fair value measurement and the disclosures required by IFRS 7 
Financial instrument disclosures. 

The principal accounting policies adopted are the same as those set out in the Group’s consolidated financial 
statements and have, unless otherwise stated, been applied consistently to all years presented in these financial 
statements. 

The financial statements have been prepared on the historical basis. Historical cost is generally based on the fair 
value of the consideration given in exchange for assets. 

Judgements made by the Directors in the application of these accounting policies that have significant effect on 
the financial statement and estimates with a significant risk of material adjustment in the next year are discussed 
in C2. 

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. 

Annual Report and Accounts 2021 71

Notes to the Company Financial Statements  

continued

C2. Critical accounting estimates and judgements 
In the application of the Company’s accounting policies, the Directors are required to make judgements, estimates 
and assumptions about the carrying value of the assets and liabilities that are not readily apparent from other 
sources. The estimates and associated assumptions are based on historical experience and other factors that 
are considered to be relevant. Actual results may differ from these estimates.  

The estimates and underlying assumptions are reviewed on an on-going basis. Revisions to accounting estimates 
are recognized in the period in which the estimate is revised if the revision affects only that period, or in the period 
of the revision and future periods if the revision affects both the current and future periods.  

The following are the critical judgements and estimations that the Directors have made in the process of applying 
the Company’s accounting policies and that have the most significant effect on the amounts recognised in the 
financial statements. 

Recoverability of investments and loans to subsidiary undertakings 
The Company has investments and outstanding loans from its subsidiaries. However, there is a risk that the that 
the carrying amount of the Company’s investments and loans will exceed the recoverable amount.  

At 31 December 2021, the Company had outstanding loans due from its subsidiaries of £79.6 million (2020: 
£75.9 million). 

In accordance with IFRS 9 Financial Instruments, as the subsidiary undertakings cannot repay the loans 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 £63,871,000 has been recognised at 31 December 2021 (2020: £64,132,000) resulting 
in a reversal credit of £261,000. 

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 scenarios 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 2021, 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 2021 is disclosed in note C6 to the financial statements. 

C3. 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

2021

no.

6
2
8

£000

467
68
535

2020 

no. 

5 
2 
7 

£000 

631 
141 
772 

Social security, pension and healthcare costs include pension contributions £13,000 (2020: £33,000). 

72 Tissue Regenix Group plc

 
 
 
 
Notes to the Company Financial Statements  

continued

C4. Investment in subsidiary companies 

Cost at 1 January
Push down of Share-based payment charges
Carrying value at 31 December 

2021

£000

18,813
23
18,836

2020 

£000 

18,594 
219 
18,813 

At 31 December 2021, the Company held the following investments in subsidiaries: 

                                                                                                                                                                    Share of issued capital 
                                                                                                                                                                         and voting rights 

Undertaking

Sector

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

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

* Held through TRX Wound Care Limited 

^ Held through TRX Orthopaedics Limited 

** Held through Tissue Regenix Holdings Limited 

2021

100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
50%

2020 

100% 
100% 
100% 
100% 
100% 
100% 
100% 
100% 
100% 
100% 
50% 

† 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 3, Phoenix Court, Lotherton Way, Garforth, Leeds 
LS25 2GY. 

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. 

C5. Trade and other receivables 

Prepayments & accrued income
Other debtors

2021

£000

108
9
117

2020 

£000 

31 
4 
35 

Annual Report and Accounts 2021 73

 
 
 
 
 
 
Notes to the Company Financial Statements  

continued

C6. Intercompany loans  

Intercompany loans
Less: Expected credit losses
Comprising:
Non-current assets

2021

£000

79,593
(63,871)
15,722
15,722

2020 

£000 

75,866 
(64,132) 
11,754 
11,754 

The Company has entered into a number of unsecured related party transactions with its subsidiary undertakings.  

Intercompany  loans  include  £0.8  million  gross  (2020:  £0.8  million)  before  a  provision  of  £0.7  million  (2020: 
£0.7 million) due from the Group’s EBT. No interest was receivable on loans to subsidiary undertakings and the 
loans  are  repayable  on  demand  except  for  a  £13.2  million  (2020:  £13.2  million)  unsecured  loan  to 
Tissue Regenix Limited that is charged at 4% above the Bank of England base rate and which is repayable in 2024. 
Intercompany loans are classified as non-current as the timing of repayment is uncertain and unlikely to be within 
one year. 

C7. Trade and other payables 

Taxes & social security
Accruals

C8. Share Capital 

Allotted, issued and fully paid
Ordinary shares of 0.1 pence
Deferred shares of 0.4 pence

2021

£000

23
208
231

2021

£000

7,033
4,687
11,720

Movements on share capital during the period were as follows: 

At 31 December 2019
Sub-division of shares
Issued on exercise of share options
Issue of shares

At 31 December 2020 and 2021

Ordinary shares
Number
1,171,971,322

1,479,965
5,859,626,212

7,033,077,499

£000
5,859
(4,687)
1
5,860

Deferred shares 
Number
–
1,171,971,322
–
–

7,033

1,171,971,322

2020 

£000 

110 
244 
354 

2020 

£000 

7,033 
4,687 
11,720 

2020 
£000 
– 
4,687 
– 
5,860 

4,687 

As permitted by the provisions of the Companies Act 2006, the Company does not have an upper limit to its 
authorised share capital. 

On 9 June 2020, a special resolution was passed at the general meeting for the subdivision of 1,171,971,322 
ordinary shares of 0.5 pence each into 1,171,971,322 ordinary shares of 0.1 pence each and 1,171,971,322 deferred 
shares of 0.4 pence.  

74 Tissue Regenix Group plc

 
 
 
 
 
 
 
 
Notes to the Company Financial Statements  

continued

The Deferred shares are not listed on AIM, do not give the holders any right to receive notice of, or to attend or 
vote at any general meetings, have no entitlement to receive a dividend or other distribution other than to a return 
of capital in the event of a winding up (and only after the holders of the ordinary shares have received the sum of 
£1million per share). 

On 9 June 2020, the Company issued 5,859,626,212 ordinary shares of 0.1 pence each raising gross proceeds of 
£14.6 million. 

C9. Reserves 
Reserves of the Group represent the following: 

Share premium 
Consideration paid in excess of the nominal value of shares allotted, net of the costs of issue. 

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

Share-based payment reserve  
Accumulated charges/(credits) made under IFRS 2 in respect of share-based payments. 

Retained deficit 
All current and prior period losses. 

C10. Related party transactions 

Subsidiary undertakings 
The Company has taken advantage of the exemption under FRS 101 in regard to the disclosure of transactions 
and balances with wholly-owned group companies. 

Annual Report and Accounts 2021 75

Other 

Notice of Annual General Meeting 
Notice is given that the 2022 Annual General Meeting of Tissue Regenix Group plc (“Company”) will be held at 
DLA Piper, 160 Aldersgate St, Barbican, London EC1A 4HT on 26th April 2022 at 13.00 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 2021 

2.

3.

4.

5.

6.

7.

8.

9.

To reappoint Jonathan Glenn who retires by rotation, as a director of the Company 

To reappoint Daniel Lee who retires by rotation, as a director of the Company 

To reappoint David Cocke who retires by rotation, as a director of the Company 

To reappoint Brian Phillips who retires by rotation, as a director of the Company 

To reappoint Shervanthi Homer-Vanniasinkam who retires by rotation, as a director of the Company 

To reappoint Trevor Phillips who retires by rotation, as a director of the Company 

To reappoint RSM UK Audit LLP as auditors of the Company 

To authorise the directors to determine the remuneration of the auditors 

10. That,  pursuant  to  section  551  of  the  Companies  Act  2006  (“Act”),  the  directors  be  generally  and 

unconditionally authorised to allot Relevant Securities: 

10.1 up to an aggregate nominal amount of £2,344,359; and 

10.2 comprising equity securities (as defined in section 560(1) of the Act) up to a further aggregate nominal 

amount of £2,344,359 in connection with an offer by way of a rights issue: 

10.2.1 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 

10.2.2 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 26 July 2023  
(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. 

In this resolution, “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: 
11. That, subject to the passing of resolution 10 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 10 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: 

76 Tissue Regenix Group plc

Other 

continued

11.1 in  connection  with  an  offer  of  equity  securities  (whether  by  way  of  a  rights  issue,  open  offer  or 
otherwise, but, in the case of an allotment pursuant to the authority granted by paragraph 10.2 of 
resolution 10, such power shall be limited to the allotment of equity securities in connection with an 
offer by way of a rights issue): 

11.1.1 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 

11.1.2 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 

11.2 otherwise than pursuant to paragraph 11.1 of this resolution up to an aggregate nominal amount of 

£703,307, 

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 26 July 2023 (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). 

12. 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 of 0.1p each in 
the capital of the Company (“Shares”), provided that: 

12.1 the maximum aggregate number of Shares which may be purchased is 703,307,749; 

12.2 the minimum price (excluding expenses) which may be paid for a Share is 0.1p; 

13.

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 26 July 2023 (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. 

Unit 3, Phoenix Court  
Lotherton Way 
Garforth 
Leeds 
England 
LS25 2GY 
Registered in England and Wales No. 05969271 

By order of the board 
Kirsten Lund 
Secretary 
14 March 2022 
Registered office 

Annual Report and Accounts 2021 77

Other 

continued

Notes 

Entitlement to attend and vote 
14. 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 
Sunday 24 April (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. 

Proxies 
15. 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 3 and 4 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. 

You can vote either: 

l

l

l

by logging on to www.signalshares.com and following the instructions; 

You may request a hard copy form of proxy directly from the registrars, Link Group (previously called 
Capita), on Tel: 0371 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. Lines 
are open between 09:00 - 17:30, Monday to Friday excluding public holidays in England and Wales); 

in  the  case  of  CREST  members,  by  utilising  the  CREST  electronic  proxy  appointment  service  in 
accordance with the procedures set out below. 

In order for a proxy appointment to be valid a form of proxy must be completed. In each case the form of 
proxy must be received by PXS 1, Link Group, Central Square, 29 Wellington Street, Leeds, LS1 4DL, no later 
than 13.00 p.m. on Sunday 24 April (or, if the meeting is adjourned, no later than 48 hours before the time of 
any adjourned meeting). 

16. 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  13.00  p.m.  on 
Sunday 24 April (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 

78 Tissue Regenix Group plc

Other 

continued

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 
17. 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 
18. 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: 

18.1 Copies of the service contracts of the executive directors. 

18.2 Copies of the letters of appointment of the non - executive directors. 

Biographical details of directors 
19. Biographical details of all those directors who are offering themselves for reappointment at the meeting are 

set out on pages 20 and 20 of the enclosed annual report and accounts. 

Share capital 
20. As at 14 March (the last practicable business day prior to the date of this notice), the Company’s issued 
share capital comprised 7,033,077,499 ordinary shares of 0.1 pence each and 1,171,971,322 deferred shares 
of 0.4 pence each. Each ordinary share carries the right to vote at a general meeting of the Company. The 
deferred shares carry no voting rights. Therefore, the total number of voting rights as at the date of this 
document is 7,033,077,499.  

Annual Report and Accounts 2021 79

Company and Adviser Information  

Non-Executive Chairman 
Chief Executive Officer 
Chief Financial Officer 
Non-Executive Director 
Non-Executive Director 
Non-Executive Director 

REGISTRAR 
Link Group 
PXS 1 
Link Group 
Central Square 
29 Wellington Street 
Leeds 
LS1 4DL 

LEGAL ADVISERS 
DLA Piper UK LLP
Princes Exchange
Princes Square
Leeds
LS1 4BY 

DIRECTORS 
Jonathan Glenn
Daniel Lee
David Cocke
Shervanthi Homer-Vanniasinkam
Trevor Phillips
Brian Phillips

COMPANY SECRETARY 
Kirsten Lund 

COMPANY WEBSITE 
www.tissueregenix.com 

COMPANY NUMBER 
05969271 (England & Wales) 

REGISTERED OFFICE
Unit 3
Phoenix Court
Lotherton Way
Garforth
LS25 2GY

AUDITOR 
RSM UK Audit LLP
Central Square
29 Wellington Street
Leeds
LS1 4DL

NOMINATED ADVISER  
AND BROKER 
Stifel Nicolaus Europe Ltd 
150 Cheapside 
London  
EC2V 6ET 

Squire Patton Boggs UK LLP 
6 Wellington Place 
Leeds 
LS1 4AP 

80 Tissue Regenix Group plc

 
 
Tissue Regenix Group plc

Unit 3 
Phoenix Court    
Lotherton Way 
Garforth LS25 2GY

www.tissueregenix.com