Xtant Medical Holdings
Annual Report 2010

Plain-text annual report

UNITED STATESSECURITIES AND EXCHANGE COMMISSIONWASHINGTON, DC 20549FORM 10-K (Mark One) xANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended December 31, 2010 or ¨TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission file number: 001-34951 Bacterin International Holdings, Inc.(Exact Name of Registrant as Specified in Its Charter) Delaware20-5313323(State or other jurisdiction ofincorporation or organization)(IRS Employer Identification No.) 600 Cruiser LaneBelgrade, Montana59714(Address of Principal Executive Offices)(Zip Code) (406) 388-0480(Registrant’s Telephone Number, Including Area Code)Securities registered pursuant to Section 12(b) of the Act:Title of each className of each exchange on which registeredCommon stock, par value $.000001 per shareNYSE Amex LLCSecurities registered pursuant to Section 12(g) of the Act: NoneIndicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ¨ No  Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Exchange Act. Yes ¨ No Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 duringthe preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirementsfor the past 90 days. Yes  No ¨Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required tobe submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required tosubmit and post such files). Yes  No ¨Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the bestof registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form10-K. xIndicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See thedefinitions of “large accelerated filer,” “accelerated filer,” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one): Large accelerated filer¨Accelerated filer¨Non-accelerated filer¨Smaller reporting company(Do not check if a smaller reporting company)Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ¨ No  The aggregate market value of the common stock held by non-affiliates as of June 30, 2010, the last day of the registrants most recently completed secondfiscal quarter, was $50,010,997 (based on the closing price of the Company’s common stock on that date, as reported on the OTC.BB). The number of shares of the Company’s common stock, $0.000001 par value, outstanding as of March 17, 2011 was 37,659,410. DOCUMENTS INCORPORATED BY REFERENCE None  Forward-Looking Statements 1 PART I 3 Item 1. Business 3 Item 1A. Risk Factors 17 Item 1B. Unresolved Staff Comments 28 Item 2. Properties 28 Item 3. Legal Proceedings 28 Item 4. (Removed and Reserved). 29 PART II 29 Item 5. Market for the Registrant’s Common Equity, Related Shareholder Matters and Issuer Purchases of Equity Securities 29 Item 6. Selected Financial Data 31 Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations 31 Item 7A. Quantitative and Qualitative Disclosures About Market Risk 35 Item 8. Financial Statements and Supplementary Data 36 Item 9. Changes in and Disagreements With Accountants on Accounting and Financial Disclosure 58 Item 9A. Controls and Procedures 59 Item 9B. Other Information 59 PART III 59 Item 10. Directors, Executive Officers and Corporate Governance 59 Item 11. Executive Compensation 64 Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Shareholder Matters 69 Item 13. Certain Relationships and Related Transactions, and Director Independence 70 Item 14. Principal Accountant Fees and Services 71 PART IV 72 Item 15. Exhibits and Financial Statement Schedules 72 SIGNATURES 73  CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS The statements contained in this Form 10-K that are not purely historical are forward-looking statements within the meaning of applicable securitieslaws. Our forward-looking statements include, but are not limited to, statements regarding our “expectations,” “hopes,” “beliefs,” “intentions,” or “strategies”regarding the future. In addition, any statements that refer to projections, forecasts, or other characterizations of future events or circumstances, including anyunderlying assumptions, are forward-looking statements. The words “anticipate,” “believe,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,”“might,” “plan,” “possible,” “potential,” “predict,” “project,” “should” and “would,” as well as similar expressions, may identify forward-lookingstatements, but the absence of these words does not mean that a statement is not forward looking. Forward-looking statements in this Form 10-K may include,for example, statements about: ¨the future performance and market acceptance of our products; ¨our ability to maintain our competitive position; ¨negative media publicity; ¨our ability to obtain donor cadavers for our products; ¨our efforts to innovate and develop new products; ¨our ability to engage and retain qualified technical personnel and members of our management team; ¨our reliance on our current facilities; ¨our ability to generate funds or raise capital to finance our growth; ¨our efforts to expand our sales force; ¨government regulations; ¨fluctuations in our operating results; ¨government and third-party coverage and reimbursement for our products; ¨our ability to manage our growth; ¨our ability to successfully integrate future business combinations or acquisitions; ¨product liability claims and other litigation to which we may be subjected; ¨product recalls and defects; ¨timing and results of clinical trials; ¨our ability to obtain and protect our intellectual property and proprietary rights; ¨infringement and ownership of intellectual property; ¨our ability to attract broker coverage; 1 ¨the trading market, market prices, dilution, and dividends of our common stock; ¨influence by our management; and ¨our ability to issue preferred stock. The forward-looking statements contained in this Form 10-K are based on our current expectations and beliefs concerning future developments andtheir potential effects on us. There can be no assurance that future developments affecting us will be those that we have anticipated. These forward-lookingstatements involve a number of risks, uncertainties, or assumptions, many of which are beyond our control, which may cause actual results or performanceto be materially different from those expressed or implied by these forward-looking statements. These risks and uncertainties include, but are not limited to,those factors described in the “Risk Factors” section of our Form 10-K. Should one or more of these risks or uncertainties materialize, or should any of ourassumptions prove incorrect, actual results may vary in material respects from those projected in these forward-looking statements. We undertake noobligation to update or revise any forward-looking statements, whether as a result of new information, future events, or otherwise, except as may be requiredunder applicable securities laws. 2 PART IItem 1.BusinessUnless the context otherwise requires, “we,” “our,” “us” and similar expressions used in this Business section refer to BacterinInternational, Inc. (“Bacterin”) prior to the closing of the Reverse Merger on June 30, 2010, and Bacterin International Holdings, Inc., f/k/a K-Kitz,Inc. (the “Company”), as successor to the business of Bacterin, following the closing of the Reverse Merger transaction. Overview of Our Business We develop, manufacture and market biologics products to domestic and international markets through our biologics division. Our products areused in a variety of applications including enhancing fusion in spine surgery, relief of back pain with a facet joint stabilization, promotion of bone growth infoot and ankle surgery, promotion of skull healing following neurosurgery and subcondral bone defect repair in knee and other joint surgeries. Our medical devices division develops medical devices intended for use in several diverse clinical areas including orthopedic, plastic, andcardiovascular surgery. Our background and expertise is in the research, testing, and development of coatings for medical devices, particularly antimicrobial-based coatings. In addition to the manufacture and sales of coated medical devices, the medical devices division works with our biologics division to produce anddistribute OsteoSelect® DBM putty, an osteoinductive product used by surgeons as a bone void filler in the extremities and pelvis. DBM putty is considereda combination product by regulatory agencies - both a tissue and a medical device. The medical devices division also develops custom surgical instrument kits for use with allografts processed by our biologics division. These kitsoffer state-of-the-art instrumentation that is designed based upon the needs and inputs of surgeons who desire to use the most minimally invasive techniques.The instrumentation is intended to be an optimal delivery system for the proper placement of our proprietary allografts. Objectives of allograft use include painrelief, aid in the regeneration of tissue, and to provide a scaffold for bone fusion in spinal and sports medicine procedures. The medical devices division actively develops intellectual property associated with our devices and coating platforms, for the purposes of protectingour Bacterin-branded devices and for use in alliance projects. The manufacturing and operations of the biologics and medical devices divisions are organized separately while products from both are marketedthrough several channels including independent distributors, joint development projects and our direct sales network. Our Offices Our headquarters, laboratory and manufacturing facilities are located at 600 Cruiser Lane, Belgrade, Montana 59714. Our telephone number is(406) 388-0480 and our fax number is (406) 388-0422. We also own a facility located at 664 Cruiser Lane, Belgrade, Montana 59714, and we maintain anoffice at 8310 S. Valley Highway, No. 300, Englewood, Colorado 80112 and have sales employees located across the United States. 3 Our History We began operations in 1998 as a sole proprietorship founded by Guy Cook, our President and Chief Executive Officer, as a spinout of the Centerfor Biofilm Engineering at Montana State University, or the CBE. Mr. Cook is an expert in microbial testing methods and has been recognized by the U.S.Food and Drug Administration, or the FDA, industry, and academia for his contributions to the development of bioactive coatings. This sole proprietorshipwas eventually incorporated as “Bacterin, Inc.” in the state of Montana in January 2000 to further Mr. Cook’s work. In March 2004, Bacterin, Inc.’sstockholders completed the terms of a share exchange agreement with a company called Oil & Gas Seekers, Inc., a Nevada corporation, or OGS, whichsubsequently changed its name to “Bacterin International, Inc.”, to effectively become a publicly-traded corporation. As a result of this transaction, thestockholders of Bacterin, Inc., the Montana corporation, became stockholders of Bacterin International, Inc., the Nevada corporation, and Bacterin, Inc., theMontana corporation, became a wholly owned subsidiary of Bacterin International, Inc., the Nevada corporation. At the end of 2004, management concludedthat this transaction was problematic and did not deliver the expected result. Based on this determination, we entered into an agreement in 2005 to amend theterms of the exchange transaction with the former majority stockholder of OGS. In May 2005, we merged Bacterin, Inc., the Montana corporation, up and intoBacterin International Holdings, Inc., the Nevada corporation. Leveraging off the “state of the art” research and development activities ongoing at the CBE in biofilm technology, we began as a biomaterials testinglaboratory and have systematically expanded our strategic vision towards the development of Bacterin-labeled medical devices. Our revenues were historicallyderived from testing services and milestone payments from collaborative product development agreements with various “blue chip” medical manufacturers. Today, however, we generate revenue from a number of revenue sources including the following: sales from products developed and manufactured by us underour own label; and contract revenue from analytical testing and development services provided to medical device manufacturer clients, which tailor our coatingprocess to the client’s specific product/medical application. During 2008, we reached an important transition point in our history. Most of our business endeavors prior to that time had been devoted todeveloping our products with revenue generated from a variety of limited sources, including testing, government grants and unsubstantial product sales. In2008, however, revenue from product sales either under our name or “private label” became our primary source of revenue though we no longer generaterevenue from any private label arrangements. Recent Developments On June 30, 2010, we completed a reverse merger transaction, or the Reverse Merger, in which we caused Bacterin International, Inc. to be mergedwith and into a wholly-owned Nevada subsidiary of Bacterin International Holdings, Inc. f/k/a K-Kitz Incorporated, a Delaware corporation, created forpurposes of effecting the Reverse Merger, and the stockholders of Bacterin International, Inc. obtained control of Bacterin International Holdings, Inc., f/k/a K-Kitz Incorporated, a Delaware corporation. The Reverse Merger was consummated under Nevada corporate law pursuant to an Agreement and Plan of Merger,dated as of June 30, 2010. As a result of the Reverse Merger, Bacterin International, Inc. became our wholly owned subsidiary and we are now engaged,through Bacterin International, Inc., in the business of biomaterials research, development, and commercialization. Pursuant to the terms of the Reverse Merger, the stockholders of Bacterin International, Inc. immediately preceding the Reverse Merger received oneshare of the Company’s common stock for each two shares of Bacterin International, Inc. common stock such stockholder held prior to the Reverse Mergerwith the aggregate number of the Company’s shares of common stock so issued to the Bacterin International, Inc. stockholders, being 28,257,133 shares(after rounding down fractional shares), representing approximately 96% of our outstanding common stock as of the closing of the Reverse Merger on June 30,2010, prior to taking into account the issuance of any shares of our common stock pursuant to the private placement described below. The remaining 4% ofour common stock, or 1,180,596 shares, remained with the predecessor company’s shareholders. 4 Before the Reverse Merger, our corporate name was K-Kitz, Incorporated, and our trading symbol was KKTZ.OB. On June 29, 2010, we changedour corporate name to “Bacterin International Holdings, Inc.” which name change became effective for trading purposes on July 1, 2010. Effective July 21,2010, our trading symbol was changed from KKTZ.OB to BIHI.OB. Concurrently with the closing of the Reverse Merger, we completed an initial closing of a private placement to selected qualified investors of shares ofour common stock at a purchase price of $1.60 per share and detachable warrants to purchase one-quarter share of our common stock for each share of ourcommon stock purchased in the private placement (at an exercise price of $2.50 per share). In total, we sold 4,934,533 shares of our common stock andwarrants to purchase 1,233,646 shares of common stock as part of this initial closing. We received gross proceeds of $7,508,329 in consideration for thesale of the shares of common stock and warrants, which consisted of (i) $4,026,000 in cash from investors in the private placement and (ii) $3,482,329 fromnote holders in two earlier Bacterin bridge financings (conducted to fund working capital and capital expenditures during the months prior to the ReverseMerger) who converted their outstanding principal and interest into the private placement at a 10% discount to the purchase price, being $1.44 per share, andreceived identical warrant coverage as the cash investors except that the exercise price of the converting note holders’ warrants is $2.25 per share, a 10%discount to the exercise price of the warrants received by the cash investors. The note holders in the bridge financings also received warrants to purchase1,482,256 shares of our common stock and our placement agent received warrants to purchase 328,125 shares of our common stock as part of our bridgefinancing. In the second and final closing of this private placement on July 30, 2010, we sold a total of 1,102,500 additional shares of our common stocktogether with additional warrants to purchase an aggregate of 275,625 shares of our common stock for total gross cash proceeds of $1,764,000. Our placement agents received an aggregate of $463,200 in cash fees in connection with the private placement ($322,080 from the initial closing and$141,120 from the second and final closing) and were reimbursed for their out-of-pocket-expenses. In addition, the placement agents received an aggregate of106,217 shares of our common stock (84,167 shares from the initial closing and 22,050 shares from the second and final closing) and warrants to purchase361,875 shares of our common stock (251,625 shares from the initial closing and 110,250 shares from the second and final closing) at an exercise price of$1.60 per share. Following the private placement transaction, the Company has permitted an additional $450,000 in principal amount outstanding from the Bacterinbridge financings to convert into 316,823 shares of the Company’s common stock and warrants to purchase 88,309 shares of the Company’s common stockon the same terms as if such debt had actually converted in the private placement transaction. All other outstanding debt from those bridge financings that didnot convert has been repaid. In connection with the closing of the Reverse Merger, the Company repurchased 4,319,404 shares of its common stock from one of its stockholdersfor aggregate consideration of $100, as well as certain other good and valuable consideration, and Bacterin repurchased 77,029 shares of its common stockfrom certain of its stockholders for aggregate consideration of $123,245. Immediately after these repurchases, all of these shares were cancelled. 5 On August 6, 2010, we paid certain of Bacterin’s former stockholders, who held approximately 743,940 shares of Bacterin common stock in theaggregate (or the equivalent of 371,970 shares of our common stock post-Reverse Merger), the fair value for such shares in connection with the exercise of theirdissenters’ rights. As a result, and pursuant to the terms of the agreement governing the Reverse Merger, the former Bacterin stockholders (excluding thedissenting shareholders) were issued 371,970 shares of our common stock ( i.e. , the same number of shares that the dissenting stockholders would havereceived had they not exercised their dissenters rights) in proportion to such stockholders’ pre-Reverse Merger share holding percentages in Bacterin. On November 19, 2010, the Company entered into financing arrangement with two subsidiaries of Western Technology Investment (“WTI”),whereby WTI, through its subsidiaries, agreed to provide a credit facility which allows the Company to draw down $2.5 million initially, and gives theCompany the ability to draw down an additional $2.5 million through April 30, 2011 provided the Company has achieved 90% of performance basedmilestones for the next two quarters. In addition, upon the mutual agreement of Bacterin and WTI, WTI has agreed to an additional commitment throughDecember 31, 2011 of up to 25% of the next new round of equity financing or up to $3.0 million. The credit facility is secured by the Company’s personalproperty and carries an all-in interest rate of 12.5%. Repayment of the initial $2.5 million will be interest only for the first six months, with principal andinterest for the subsequent 30 months. The WTI facility also allows the company to obtain separate accounts receivable financing. In connection with thefinancing, WTI also received warrants to purchase up to 375,000 shares of the Company’s common stock. The warrants have an exercise price of the lowerof $4.00 per share or the price at which shares of the Company’s stock are sold in the next qualified financing, if applicable prior to the date of exercise. TheWTI warrants expire on April 30, 2018. WTI also has the right to receive additional warrants to purchase 125,000 shares of the Company’s common stock atthe same exercise price if the Company draws down the second $2.5 million tranche of the facility. In January 2011, Middlebury Securities LLC also receivedwarrants to purchase 25,000 shares of our common stock for placement agent services in connection with the WTI transaction. The Company also issued warrants to purchase a total of 489,710 shares of the Company’s common stock to a limited group of existing investorswho exercised existing warrants. The new warrants have an exercise price of $4.00 per share and expire on November 19, 2015. The Company received atotal of $1,172,696 from the cash payments of the exercise price of the existing warrants. The Company also issued 30,000 shares to a former executive in connection with a settlement agreement and converted the former executive’s 100,000stock options to an equivalent number of warrants. Effective January 14, 2011, the Company entered into a Loan and Security Agreement with Bridge Bank, National Association (“Bridge Bank”)whereby Bridge Bank agreed to provide a two year revolving credit facility which allows the Company to borrow up to the lesser of (i) 80% of the Company’saccounts receivable, or (ii) $3 million, increasing to $5 million if the Company achieves two consecutive quarters of profitability of at least $4 million in theaggregate. Amounts advanced will carry interest at the Bridge Bank prime rate plus 2.25% (subject to a minimum prime rate of 4%) and will be secured by theCompany’s accounts receivable and other personal property. Beginning March 7, 2011, the Company’s common stock began trading on the NYSE Amex under the ticker symbol “BONE.” 6 Industry and Market Overview The orthopedic biomaterials market consists of materials that are organic, inorganic or synthetic in nature. These materials are implanted or appliedin or near the indicated bone to facilitate healing, encourage bone tissue augmentation, compensate in areas where bone tissue is depleted and restore structure toallow for repair. Orthopedic biomaterials are capable of producing specific biological action or regenerative responses that are beyond what is observed innormal healing. These materials are often used as substitutes to autograft materials, which are taken from a harvest site in the patient to patch or repair thewounded or unhealthy site. Bone is a biologically active tissue and may or may not regenerate depending on the condition of the patient. The damage may be significant enoughthat a scaffold to help regenerate the surgical site may be necessary. In 2009, the orthopedic biomaterials market was valued at almost $3.5 billion. Thismarket is expected to grow at a CAGR of 8.9% by 2016. (Idata Research Inc. 2010, U.S. Market for Orthopedic Biomaterials). Products and Services We have developed and currently manufacture and sell several human tissue-based products, primarily allografts, into the medical marketplacethrough our biologics division. In addition, we also manufacture and sell, directly under our own name and indirectly through distributors, various coatingand surgical drain products through our medical devices division. Biologics Division Our biologics products include OsteoSponge®, OsteoSponge®SC, OsteoWrap®, OsteoLock® and BacFast®, as well as certain other allograftproducts which are briefly described below: ¨OsteoSponge® is a form of demineralized bone matrix made from 100% human bone. Derived from trabecular (cancellous) bone, OsteoSponge®provides a natural scaffold for cellular in-growth and exposes bone-forming proteins to the healing environment. The malleable properties ofOsteoSponge® enable it to conform to, and fill, most defects. Upon compressing the allograft, OsteoSponge® springs back to completely fillthe void. Its unique mechanical and biological properties make OsteoSponge® an ideal bone graft for use in various orthopedic practicesincluding spine, neurology, cranial/maxillofacial, trauma, plastic/reconstruction and general procedures where new bone growth is needed. ¨OsteoSponge®SC is a form of OsteoSponge® designed to be used in joint surgery. Bacterin has shown, in goat studies, the ability to re-generatecartilage in joint repair and believes that this product has the potential to significantly change the standard of care in human joint surgery. Wehave received permission from the FDA to market this product as a subchondral bone void filler and are currently marketing it as such. Inorder to market OsteoSponge®SC as a cartilage re-generation scaffold, we will need to obtain FDA approval to begin marketing for thatindication. Surgeons are using the product and we are beginning trials to establish the ability to market it as a cartilage re-generation scaffold. These trials are likely to take two years and we will likely publish preliminary results of the study at six months and one year. There can be noassurance that these trials will be successful or lead to any FDA action. We have allocated approximately $750,000 to fund this clinical trial. ¨OsteoWrap® is 100% human cortical bone demineralized through a proprietary process to make the graft flexible while maintaining allograftintegrity. This product has various applications in orthopedic, neurological, trauma, oral/maxillofacial and reconstructive procedures. OsteoWrap® can wrap around non-union fractures to assist with fusion, can act as a biologic plate or can be used in conjunction with ahardware plate system. Additionally, this product provides the surgeon with superior handling characteristics as the allograft can be easily sizedusing surgical scissors or a scalpel, and will withhold sutures or staples for fixation. 7 ¨OsteoLock® and BacFast® are facet stabilization dowels made from human bone. The shape of our facet stabilization dowel is engineered tomaximize osteoconductivity and surface area contact, as well as provide stability to prevent migration from the surgical site. BacFast® HD,having the same design as OsteoLock®, is optimized through our proprietary demineralization technology. This technology increases thesurface area of the outer collagen matrix of the graft while exposing native bone morphogenic proteins (BMPs) and growth factors. Because ofthe hyper-demineralization technology, BacFast® HD has osteoinductive properties, as well as being osteoconductive. OsteoLock® andBacFast® can be used to augment spinal procedures, or as a stand-alone procedure for mild spinal conditions. While this product is currentlyin production and use, Bacterin is initiating clinical studies to further support its effectiveness and we have allocated approximately $100,000 tofund these clinical trials. There can be no assurance of the success of these trials. ¨hMatrix™ dermal scaffold is an extension of Bacterin's core biologics technology and our third human acellular biological scaffold. hMatrix™ is an acellular matrix made from donated human dermal tissue that is used to replace a patient's damaged tissue. hMatrix™provides a natural collagen tissue scaffold that promotes cellular ingrowth, tissue vascularization and regeneration. The hMatrix™ scaffoldtissue reabsorbs into the patient's dermal tissue for a biocompatible, natural repair.In addition, we make and sell (i) sports allografts which are processed specifically for anterior and posterior cruciate ligament repairs, anteriorcruciate ligament reconstruction and meniscal repair, (ii) milled allografts which are comprised of cortical bone milled to desired shapes and dimensions, alsocalled milled spinal allografts, and (iii) traditional allografts for multi-disciplinary applications including orthopedics, neurology, podiatry, oral/maxillofacial,genitourinary and plastic/reconstructive. The Company has multiple physician-initiated studies that continue to prove expanded indications for our products. Medical Device Products Our medical devices division researches, tests and develops coatings for medical devices, particularly antimicrobial-based coatings. This divisionproduces and distributes OsteoSelect® DBM putty, an osteoinductive product used by surgeons as a bone void filler in the extremities and pelvis. OsteoSelect® DBM putty is engineered with the surgeon in mind. With outstanding handling characteristics, OsteoSelect® can be easily moldedinto any shape and compressed into bony voids. Taking the design a step further, Bacterin has validated a low-dose, low-temperature gamma sterilizationprocess to provide maximum osteoinductive potential while still affording device level sterility. Every production batch of OsteoSelect® is tested for its bonegrowth characteristics allowing us to make that unique marketing claim. 8 Our medical devices division also develops custom surgical instrument kits for use with allografts processed by our biologics division. These kitsoffer state-of-the-art instrumentation that is designed based upon the needs and inputs of surgeons who desire to use the most minimally invasive techniques.The instrumentation is intended to be an optimal delivery system for the proper placement of our proprietary allografts. Objectives of allograft use include painrelief, aid in the regeneration of tissue, and to provide a scaffold for bone fusion in spinal and sports medicine procedures. We currently sell a surgical drainseries called ViaTM, which is used to drain exudate from a surgical site. Building upon the ViaTM platform, Bacterin plans on releasing a second generationproduct called the Elutia® surgical drains which will be performance enhanced via an antimicrobial coating to help reduce the incidence of surgical siteinfection. Our wound drain product is gaining attention at the VA Hospitals. During August 2010, we received notice that the Brook Army Medical Hospital inTexas, a level 1 trauma facility, will begin using our wound drain product system wide. This hospital currently reports that over fifty percent (50%) of postoperative infections occur due to an uncoated wound drain that it is currently using. We are hopeful that over the next several months, our wound drainproduct will be distributed throughout the VA Hospital system. Our wound drain products sell into hospitals for $40 and cost us approximately $6 toproduce. On August 10, 2010, we announced that the FDA has cleared RyMed Technologies, Inc.’s InVision-Plus® CS™ needleless IV connector forcommercialization. In a joint development project between RyMed and our company, the InVision-Plus CS™ is treated with our patented antimicrobialtechnology. The InVision-Plus CS™ is the only needleless IV connector to offer the combined antibacterial protection of chlorhexidine and silver. The device isdesigned to reduce potentially deadly, catheter-related bloodstream infections. We will receive a fixed price for each InVision-Plus CS™ unit sold by RyMed onall devices treated for RyMed. Technology and Intellectual Property Patents Our patent efforts have been, and will continue to be, primarily focused in two key areas: ¨The delivery of bioactive agents impregnated into or onto metals, polymers or tissues which, when activated by bodily fluids, release the agentinto the surrounding environment; and ¨The development of innovative and novel, engineered tissue implants or constructs which employ acellular tissue and processes, and enhanceddemineralized bone matrix products. The following table summarizes our current patent portfolio, including patents covering technology licensed by us for use or inclusion in certain ofour products: 9 First Serial or Date Filed Title Business Purpose Inventor Patent Number or Granted Status1. Pending U.S. Applications MEDICAL DEVICEINCLUDING A BIOACTIVEIN A NON-IONIC AND ANIONIC FORM ANDMETHODS OFPREPARATION THEREOF This application arose out of anow defunct project. We retainedrights as the technology mayprove useful in the future. Thepatent describes the modificationof elution profiles via activeagent equilibration; it ispotentially applicable to manycoated products. Mike Johnson 11/864,360 9/28/2007 Undergoing furtherexamination ANTIMICROBIAL COATINGFOR INHIBITION OFBACTERIAL ADHESIONAND BIOFILM FORMATION® This application relates to thecoating used for the Elutia®wound drain and for the BardBioBloc coating on theirHemoStar hemodialysis catheter.The efficacy period can bevaried according to the desiredoutcome; the coating has shownin vitro efficacy for between 7and 21 days. Guy Cook 10/891,885 7/15/2004 Non-final Office Actionmailed 9/15/09; responsesubmitted 12/15/09 PROCESS FORDEMINERALIZATION OFBONE MATRIX WITHPRESERVATION OFNATURAL GROWTHFACTORS This application is intended toprotect OsteoSponge®, a coreproduct produced by ourBiologics division. OsteoSponge® is a novel form ofdemineralized bone matrix whichprovides a natural scaffold forcellular growth and exposes bonegrowth inducing proteins to thehealing environment. Nancy J. Shelby 12/130,384 5/30/2008 First examination:November 2010 (estimated) 2. Pending Foreign Applications MEDICAL DEVICEINCLUDING A BIOACTIVEIN A NON-IONIC AND ANIONIC FORM ANDMETHODS OFPREPARATION THEREOF This application arose out of anow defunct project. We retainedrights as the technology mayprove useful in the future. Thepatent describes the modificationof elution profiles via activeagent equilibration and ispotentially applicable to manycoated products. Mike Johnson PCT/US2007/079924 9/28/2007 Preliminary Report onPatentability generated3/13/09 10 ANTIMICROBIAL COATINGFOR INHIBITION OFBACTERIAL ADHESIONAND BIOFILM FORMATION This application relates to thecoating used for the Elutia®wound drain and for the BardBioBloc coating on theirHemoStar hemodialysis catheter.The efficacy period can bevaried according to the desiredoutcome; the coating has shownin vitro efficacy for between 7and 21 days. Guy Cook PCT/US2005/015162 4/28/2005 Entered National Phase in:Europe, Australia, Canada,Japan PROCESS FORDEMINERALIZATION OFBONE MATRIX WITHPRESERVATION OFNATURAL GROWTHFACTORS This application is intended toprotect OsteoSponge®, a coreproduct produced by ourBiologics division. OsteoSponge® is a novel form ofdemineralized bone matrix whichprovides a natural scaffold forcellular growth and exposes bonegrowth inducing proteins to thehealing environment. Nancy J. Shelby PCT/US2008/006942 6/2/2008 Entered national Phase in:Europe, Canada, Mexico,Korea AN ELASTOMERICARTICLE INCORPORATEDWITH A BROADSPECTRUMANTIMICROBIAL This application was generatedas a means of protecting thetechnology used for aforthcoming product. We haveobserved long term (over 30days) in vitro efficacy with thistechnology. Benjamin P.Luchsinger PCT/US2009/005103 9/11/2009 Awaiting InternationalSearch Report (thisapplication will enter the USthrough PCT) 3. In-Licensed Intellectual Property SWOLLENDEMINERALIZED BONEPARTICLES, FLOWABLEOSTEOGENICCOMPOSITIONCONTAINING SAME ANDUSE OF THECOMPOSITION IN THEREPAIR OF OSSEOUSDEFECTS This patent protectsOsteoSelect®, Bacterin’s DBMputty. OsteoSelect® hasexceptional handlingcharacteristics and can easily bemolded into any shape andcompressed into bony voids.Bacterin employs a low-dose,low-temperature sterilizationprocess to provide maximumosteoinductive potential whilemaintaining device-level sterility. Simon Bogdansky 5,284,655 2/8/1994 Granted - US Expires April2011 11 FLOWABLEDEMINERALIZED BONEPOWDER COMPOSITIONAND ITS USE IN BONEREPAIR This patent protectsOsteoSelect®, Bacterin’s DBMputty. OsteoSelect® hasexceptional handlingcharacteristics and can easily bemolded into any shape andcompressed into bony voids.Bacterin employs a low-dose,low-temperature sterilizationprocess to provide maximumosteoinductive potential whilemaintaining device-level sterility. Robert K. O’Leary 5,290,558 3/1/1994 Granted - US Expires April2011We believe our patent filings and patent position will facilitate growth and enhance our proprietary core competencies, enabling us to protect andexpand revenue growth and stockholder value in the future. We expect that additional patent applications will be filed and prosecuted as inventions arediscovered, technological improvements and processes are developed and specific applications are identified. The status of individual patents and patentjurisdiction is maintained in our internal records. We anticipate, however, that there may be instances in which we enter into collaborative research anddevelopment agreements with medical device companies under such terms that the medical device company may or will retain a right to make future patentfilings arising from such cooperative development agreement. In such instances, we will attempt to protect our overall patent use rights by agreements whichlimit the right of the collaborative party to an exclusive right only as it pertains to the field of use, as defined by the applicable project’s scope of work. In thismanner, we anticipate that we will receive future benefit and use of such intellectual property outside the field of use, as defined by any given scope of work. There can be no assurance that we will be able to obtain final approval of any patents. 12 Trademarks We believe in the superiority of our technology and products. As a result, we have invested in the development and protection of the names of ourproducts in order to drive consumer awareness and loyalty to the brand. To protect this investment, we have registered, and continue to seek registration, ofthese trademarks and continuously monitor and aggressively pursue users of names and marks that potentially infringe upon our registered trademarks. Wecurrently own registered trademarks to the following brand names of certain of our products: OsteoSponge®, OsteoWrap®, OsteoLock®, BacFast®,OsteoSelect®, and Elutia® and have recently applied to register hMatrix™. Trade Secrets To safeguard our proprietary knowledge and technology, we rely heavily upon trade secret protection and non-disclosure/confidentiality agreementswith employees, consultants and third party collaboration partners with access to our confidential information. There can be no assurance, however, that thesemeasures will adequately protect against the unauthorized disclosure or use of confidential information, or that third parties will not be able to independentlydevelop similar technology. Additionally, there can be no assurance that any agreements concerning confidentiality and non-disclosure will not be breached, orif breached, that we will have an adequate remedy to protect us against losses. Although we believe our proprietary technology has value, because of rapidtechnological changes in the medical industry, we also believe that proprietary protection is of less significance than factors such as the intrinsic knowledgeand experience of our management, advisory board, consultants and personnel and their ability to identify unmet market needs and to create, invent, developand market innovative and differentiated new medical devices. Donor Procurement We implemented our biologics division, among other reasons, to secure and process our own tissue, which posed initial challenges and associatedoperational disadvantages. At the time we embarked on this plan, we lacked donor sources, manufacturing capabilities, and distribution channels. We alsolacked the vertical integration of an in-house tissue processing laboratory and were thus constrained by sub-contracting tissue processing to outside processors.These same sub-contractors are essentially suppliers of their own tissue to the marketplace and are hence ultimately our competitors. We have sincesuccessfully secured rights of first refusal of human tissue with multiple recovery agencies. Concurrent with this initiative, we also sought to secure futureallograft production capability by constructing our own tissue processing facility. We have now begun efforts to expand our network for donor tissue inanticipation of increased production and believe that this effort, along with our current network of procurement agencies, will be sufficient to supply enoughdonors to meet our forecasted revenue volume through 2011 and beyond. We expect to be able to continue to build the network for donor tissue as the needsarise. Sales and Marketing We are committed to building our direct sales channel into the primary method of distributing our products. We have promoted three regional vicepresidents to the role of executive vice-president to lead the North, South and West thirds of the United States and established 13 regions with a regional vicepresident in charge of all activities within the region. We have hired and trained 52 sales representatives toward a near term goal of establishing four to fivesales representatives in each region. While we incurred significant costs due to this initiative in 2009 and 2010, it is our expectation that this investment in thedirect sales network will lead to higher revenue in 2011 and beyond. No assurance can be given that these efforts will be successful. 13 After 7 months of testing by Broadlane, Inc., the largest operator of healthcare supply chains in the United States, and its clients, we were acceptedin May 2010 as an authorized vendor in its group purchasing program, which enables Broadlane’s customers to purchase products from us. Our contractwith Broadlane has a three year term and may be terminated by either party for breach of contract and Broadlane may terminate the agreement if Bacterin orany of Bacterin’s key personnel is convicted of an offense related to health care or listed by a federal agency as being debarred, excluded, or otherwise ineligible for federal program participation. Broadlane manages approximately $10 billion in contract volume with over 6,000 medical facilities and 33,000physician practices in its network. In June 2010, Broadlane issued a newsletter to its entire network showcasing and introducing Bacterin to all of itshospitals, independent delivery networks, ambulatory care and surgery centers. As a result of this contract, our sales force can now proceed to sell ourproducts to this expansive network of doctors. We have already received our first order from Tenet Hospitals, which runs over 40 hospitals, and Advocates inIllinois, which manages approximately 25 hospitals. We also market our products through independent distributors who receive a discount off of our list price and then sell to their customer base. Because we have experienced a decline in revenue from this sales channel, we expect it will continue to represent a smaller portion of our overall revenue as ourdirect distribution channel grows. Within the medical devices division, our marketing strategy is to develop product development alliances with multinational medical devicecompanies at the same time as we develop our own new products in fields or applications outside of the rights of our collaborative partners. We haveimplemented this strategy and are pursuing contract opportunities with other medical device companies. Although we are in the process of discontinuing it, we also have a physician compensation program that compensates physicians for referring ourproducts to other surgeons and medical care providers with whom they do not have a disqualifying “financial relationship” under applicable laws. Thesephysicians, at our direction, refer us to other physicians and are paid a commission on all revenue generated by the referred physicians’ use of our products. We have established procedures that are designed to prevent abuses involving these physicians and others with whom they have financial relationships andbeen advised by counsel that this program complies with the Stark laws and applicable anti-kickback regulations. Growth Strategy After multiple years of product development, we believe that our technology has been largely market tested, and since 2009, we have beentransitioning our focus to appropriately market and distribute our products. We have spent months preparing the business to capitalize on our core markets,as well as new market opportunities. In particular, we have diversified our supply of donor tissue, expanded our production capabilities, developed theinfrastructure of what we believe will grow into a formidable sales force, refined the message to our market and started gathering proof points on how to scaleour revenue in these markets. As discussed in “Sales and Marketing” above, we began implementing a direct sales network in July 2009. We have met our goal of growing thissales force to 3 executive vice presidents, 13-15 regional vice presidents, and 52 sales representatives. We strive to hire sales representatives with deep industryexperience and pre-existing contacts. In addition, we plan to utilize small independent sales representatives with entrenched physician relationships. We expectrevenue to move towards 50% by employed sales representatives and 50% by independent sales representatives. We are working on developing and implementing a high-level, national effort to present our products as a value proposition to hospital chains,insurers and other purchasing organizations. To this end, we have already entered into agreements with Banner Hospitals, the Hospital for Special Surgery,Broadlane (a purchasing organization for 1,200 hospitals and other medical facilities), and Access Mediquip (a national purchasing organization forambulatory surgery centers). These agreements are paving the way for our sales representatives to call on physicians, as the hospital process has already beenapproved. 14 Competition Because the orthopedic biomaterials market overlaps with a number of medical fields - spine, trauma, joint reconstruction, sports medicine,pharmaceuticals and biotechnology - fragmentation is to be expected. However, there is one clear leader in the market: Medtronic held 27.1% of the market in2009. Medtronic’s lead is based on the strength of their Infuse® growth factor product. However, the growth potential of this product has been affected bysome negative media attention regarding off-label usage and adverse events with specific indications. Beyond Medtronic, the orthopedic biomaterials market is comprised of a great number of players, each offering a multitude of products. It isexpected that several new products will emerge over the coming years. These assumptions are based on the advance of technology and the clinical promise ofregenerative therapies such as stem cells and bone marrow concentration. Specific competitors in the orthopedic biomaterials markets are: Medtronic , DePuy, Synthes, Arthrex, Smith & Nephew, Nuvasive, OrthoFix,Biomet, Osteotech, Orthovita, MTF, Stryker, RTI, AlloSource, Lifenet Health, Integra, ConMed/Linvatec, Wright, Exactech, ArthroCare, Harvest, andArteriocyte. (Idata Research Inc. 2010, U.S. Market for Orthopedic Biomaterials). Government Regulation We produce human allografts that are regulated and comply with all the criteria under both Sections 361 and 351 of the Public Health Service Act. Compliance is determined by the FDA during the inspection of our production facility. To date, we have successfully completed all of our FDA inspections. We are registered with the FDA as a manufacturer of human cellular and tissue products (HCT/Ps) as well as medical devices. We are an accredited memberof the American Association of Tissue Banks in good standing. We meet all licensing requirements for the distribution of HCT/Ps in the States of Florida,California, Maryland and New York. We cannot predict the impact of future regulations on either us or our customers. Human Tissue Our human tissue products, which are sold through our biologics division, have been regulated by the FDA since 1993. In May 2005, three new,comprehensive regulations went into effect that address manufacturing activities associated with HCT/Ps. The first requires that companies that produce anddistribute HCT/Ps register with the FDA. The second provides criteria that must be met for donors to be eligible to donate tissues and is referred to as the“Donor Eligibility” rule. The third rule governs the processing and distribution of the tissues and is often referred to as the “Current Good Tissue Practices”rule. Together, they are designed to ensure that sound, high quality practices are followed to reduce the risk of tissue contamination and of communicabledisease transmission to recipients. Our HCT/P products such as OsteoSponge® are regulated by the Center for Biologics Evaluation and Research. OurOsteoSponge® and OsteoWrap® products are regulated as a HCT/P as determined by the Tissue Reference Group and regulated solely under Section 361 ofthe Public Health Service Act and 21 CFR Part 1271. 15 Medical Devices Because our medical devices incorporate coating technologies, they are subject to regulation by the FDA. These medical devices require the approvalof the FDA prior to sale within the United States. The manufacturers and licensees who use our coating technology in their medical devices will have theburden of demonstrating the safety and efficacy of the medical devices, a burden which we will assist such manufacturers and licensees in demonstrating tothe extent our coating technologies are at issue. Sales of medical devices using our coating technology in the European Union will require the CE Markcertification and sales of such medical devices in Canada will require approval from the Medical Device Bureau of Canada. Within the United States, the FDA process requires that a pre-market notification, or a 510(k) Submission, be made to the FDA to demonstrate thatthe medical device is safe and effective and is substantially equivalent to a legally marketed device that is not subject to pre-market approval. Applicants mustcompare the device to one or more similar devices that are commercially available in the U.S. (known as the “predicate device”), and make and support aclaim of substantial equivalency to such predicate device. Support for such claims must include descriptive data and, when necessary, performance data. Insome cases, data from clinical trials must also be submitted in support of a 510(k) Submission. The FDA must then issue an order finding substantialequivalency before the devices may be commercially distributed in the U.S. This process can take anywhere from three months to two or three years, and canbe extremely expensive. The Center for Devices and Radiological Health regulates medical devices, including our OsteoSelect® DBM putty. ISO Certification In March 2010, we announced that we had received certification from the International Organization for Standardization, or ISO, for fulfilling therequirements of ISO 13485:2003. The Geneva based International Organization for Standardization is the world’s largest developer and publisher ofInternational Standards. ISO 13485:2003 specifies requirements for a quality management system. To obtain ISO 13485:2003 certification, an organizationmust demonstrate its ability to provide medical devices that consistently meet applicable customer and regulatory requirements. The primary objective of ISO13485:2003 is to facilitate harmonized medical device regulatory requirements for quality management systems. All requirements of ISO 13485:2003 arespecific to organizations providing medical devices, regardless of the type or size of the organization. The certification assures our customers and partners ofour commitment to quality, and in the quality of our innovative products and processes. Additionally, we believe that the ISO 13485:2003 certification offersnew markets and business opportunities for our products in the global marketplace. Employees As of March 29, 2011, we had 117 full-time employees, of whom 33 were in production, 66 were in sales, 2 were in marketing, and 16 were inadministrative. In addition, we make use of a varying number of temporary employees and outsourced services to manage normal business cycles. None ofthese employees is covered by a collective bargaining agreement and our management considers relations with employees and services partners to be good. Facilities We lease approximately 16,000 square feet in a building located at 600 Cruiser Lane, Belgrade, Montana 59714. In addition to our corporateheadquarters, this space also includes a clean room, fully equipped diagnostics laboratory, microbiology laboratory and testing laboratory. We lease thebuilding under a ten-year operating lease which runs through October 2013 and has a monthly lease payment of $10,000. The lease also has a ten-year renewaloption. 16 In November 2007, we purchased a 14,000 square foot facility at 664 Cruiser Lane, Belgrade, Montana 59714. This building is an FDA registeredfacility with 5 “Class 1,000” clean rooms and currently houses our medical device coatings operations. The validated manufacturing areas and laboratoryfacilities located in this facility provide processing and testing space to manufacture medical devices pursuant to FDA, GMP regulations, and ISO13485:2003. We expect this facility to meet all of our regulatory requirements for the manufacture of future Bacterin-label products, including our surgicaldrains (ViaTM and Elutia®), as well as production requirements for coated medical devices from our medical device partners. The facility is registered withthe FDA for device design, device manufacture, and contract manufacture, as well as for screening, testing, storing, and distributing biological tissues. We also lease office space in Englewood, Colorado, where certain of our administrative and sales functions are housed. ITEM 1A.RISK FACTORS Our business and an investment in our securities are subject to a variety of risks. The following risk factors describe some of the mostsignificant events, facts or circumstances that could have a material adverse effect upon our business, financial condition, results of operations, abilityto implement our business plan and the market price for our securities. Many of these events are outside of our control. If any of these risks actuallyoccurs, our business, financial condition or results of operations may be materially adversely affected. In such case, the trading price of our commonstock could decline and investors in our common stock could lose all or part of their investment.Risks Related to Our Business and Our Industry Our products are relatively new and long-term results are incomplete, thus, the future of our business still remains uncertain. Many of our current products are relatively new and have been in use for a relatively short period of time. The results of the use of these productswill be monitored for many years. While preliminary results have been good, there can be no assurance that any or all of these products will perform well overlonger periods of time. Future product issues may expose us to legal actions, removal of regulatory approvals or products being pulled from use. If we becomesubject to product or general liability or errors and omissions claims, they could be time-consuming and costly. The U.S. Food and Drug Administration, orthe FDA, and foreign regulatory authorities may impose significant restrictions on the use or marketing of our products or impose additional requirements. Later discovery of previously unknown problems with any of these products or their manufacture may result in further restrictions, including withdrawal ofthe product from the market. Any such restrictions or withdrawals could materially affect our ability to execute our business plan. In addition, governmentalauthorities could seize our inventory of products, or force us to recall any product already in the market if we fail to comply with FDA or other governmentalregulations. Many competitive products exist and more will be developed, and we may not be able to successfully compete because we are smaller andhave fewer financial resources. Our business is in a very competitive and evolving field. Rapid new developments in this field have occurred over the past few years, and areexpected to continue to occur. Other companies already have competing products available or about to be available or may develop products to compete withours. 17 Many of these products may have short regulatory timeframes and our competitors, many with more substantial development resources, may be ableto develop competing products that are equal to or better than ours. This may make our products obsolete or undesirable by comparison and reduce ourrevenue. Our success will depend, in large part, on our ability to maintain a competitive position concerning our intellectual property, and to develop newtechnologies and new applications for our technologies. Many of our competitors have substantially greater financial and technical resources, as well as greaterproduction and marketing capabilities, than us. The medical community and the general public may perceive synthetic materials and growth factors as safer, which could have a materialadverse effect on our business. Members of the medical community and the general public may perceive synthetic materials and growth factors as safer than our allograft-basedbone tissue products. Our products may be incapable of competing successfully with synthetic bone graft substitutes and growth factors developed and commercialized byothers, which could have a material adverse effect on our business, financial condition and results of operations. Negative publicity concerning methods of human tissue recovery and screening of donor tissue in the industry in which we operate mayreduce demand for our allografts and impact the supply of available donor tissue. Media reports or other negative publicity concerning both improper methods of tissue recovery from donors and disease transmission from donatedtissue may limit widespread acceptance of our allografts. Unfavorable reports of improper or illegal tissue recovery practices, both in the United States andinternationally, as well as incidents of improperly processed tissue leading to transmission of disease, may broadly affect the rate of future tissue donation andmarket acceptance of allograft technologies. Potential patients may not be able to distinguish our allografts, technologies and the tissue recovery and theprocessing procedures from those of our competitors or others engaged in tissue recovery. In addition, families of potential donors may become reluctant toagree to donate tissue to for-profit tissue processors. We are highly dependent on the availability of human donors; any disruptions could cause our customers to seek alternative providers ortechnologies. We are highly dependent on our ability to obtain donor cadavers as the raw material for many of our products. The availability of acceptable donorsis relatively limited and we compete with many other companies for this limited availability. The availability of donors is also impacted by regulatorychanges, general public opinion of the donor process and our reputation for our handling of the donor process. In addition, due to seasonal changes in themortality rates, some scarce tissues are at times in short supply. Any disruption in the supply of this crucial raw material could have significantconsequences for our revenue, operating results and continued operations. We will need to continue to innovate and develop new products to be desirable to our customers. The markets for our products and services are characterized by rapid technological change, frequent new introductions, changes in customers’demands and evolving industry standards. Accordingly, we will need to continue to innovate and develop additional products. These efforts can be costly,subject to long development and regulatory delays and may not result in products approved for sale. These costs may hurt operating results and may requireadditional capital. If additional capital is not available, we may be forced to curtail development activities. In addition, any failure on our behalf to react tochanging market conditions could create an opportunity for other market participants to capture a critical share of the market within a short period of time. 18 Our success will depend on our ability to engage and retain qualified technical personnel who are difficult to attract. Our success will depend on our ability to attract and retain qualified technical personnel to assist in research and development, testing, productimplementation, low-scale production and technical support. Competition for qualified technical personnel is intense, and we may encounter difficulty inengaging and retaining qualified personnel needed to implement our growth plan. The demand for such personnel is high and the supply of qualified technicalpersonnel is limited. A significant increase in the wages paid by competing employers could result in a reduction of our technical work force and increases inthe wage rates that we must pay or both. If either of these events were to occur, our cost structure could increase and our growth potential could be impaired. Loss of key members of our management who we need to succeed could adversely affect our business. We are highly dependent on the services of Guy Cook, our President and Chief Executive Officer, and other key members of our management teamand the loss of his or any of their services could have an adverse effect on our future operations. We do not currently maintain a key-man life insurance policyinsuring the life of Mr. Cook or any other member of our management team. We are highly dependent on the continued availability of our facilities and would be harmed if they were unavailable for any prolongedperiod of time. Any failure in the physical infrastructure of our facilities or services could lead to significant costs and disruptions that could reduce our revenuesand harm our business reputation and financial results. We are highly reliant on our Belgrade, Montana facilities. Any natural or man-made event thatimpacts our ability to utilize these facilities could have a significant impact on our operating results, reputation and ability to continue operations. Theregulatory process for approval of facilities is time-consuming and our ability to rebuild facilities would take a considerable amount of time and expense andcause a significant disruption in service to our customers. Further, the FDA or some other regulatory agency could identify deficiencies in future inspectionsof our facilities or our supplies that could disrupt our business, reducing profitability. We carry business interruption insurance of up to $1 million perlocation to help in these instances, but it may not cover all costs or our standing in the market. We will be required to invest in facilities and equipment on a continuing basis, which will put pressure on us to finance these investments. We have invested, and intend to continue to invest, in facilities and state-of-the-art equipment in order to increase, expand or update our capabilitiesand facilities. Changes in technology or sales growth beyond currently established production capabilities, which we anticipate, will require furtherinvestment. We currently anticipate that we will need to spend between $4 and $5 million over the next five years in order to increase, expand or update ourexisting facilities to meet our expected growth over that period. However, there can be no assurance that we will generate sufficient funds from operations tomaintain our existing facilities and equipment or to finance any required capital investments or that other sources of funding will be available. Additionally,there can be no guarantee that any future expansion will not negatively affect earnings. 19 Future revenue will depend on our ability to develop new sales channels and there can be no assurance that these efforts will result insignificant sales. We are in the process of developing sales channels for our products but there can be no assurance that these channels can be developed or that we willbe successful in selling our products. We currently sell our products through direct sales by our employees and indirectly through distributor relationships. We recently engaged in a major initiative to build and further expand our direct sales force. In 2010, we incurred sales and marketing expenses ofapproximately $8 million and expect this amount to be approximately $20 million in 2011. The increased sales and marketing expenses are anticipated to befunded from operating cash flow. The incurrence of these additional expenses may impact our operating results and there can be no assurance of theireffectiveness. Many of our competitors have well-developed sales channels and it may be difficult for us to break through these competitors to take marketshare. If we are unable to develop these sales channels, we may not be able to grow revenue or maintain our current level of revenue generation. There may be fluctuations in our operating results, which will impact our stock price. Significant annual and quarterly fluctuations in our results of operations may be caused by, among other factors, our volume of revenues, the timingof new product or service announcements, releases by us and our competitors in the marketplace of new products or services, and general economicconditions. There can be no assurance that the level of revenues and profits, if any, achieved by us in any particular fiscal period will not be significantlylower than in other comparable fiscal periods. Our expense levels are based, in part, on our expectations as to future revenues. As a result, if future revenuesare below expectations, net income or loss may be disproportionately affected by a reduction in revenues, as any corresponding reduction in expenses may notbe proportionate to the reduction in revenues. We are dependent on the ability of our licensees and development partners for obtaining regulatory approvals and market acceptance oftheir products, for which we may have no control. A large part of our success will depend on our ability, or that of our licensees, to obtain timely regulatory approval for products employing ourtechnology. Moreover, our success will also depend on whether, and how quickly, our licensees gain market acceptance of products incorporating ourtechnology, compared to competitors using competing technologies. Our revenues will depend upon prompt and adequate reimbursement from public and private insurers and national health systems. Political, economic and regulatory influences are subjecting the healthcare industry in the United States to fundamental change. The ability ofhospitals to pay fees for allograft bone tissue products depends in part on the extent to which reimbursement for the costs of such materials and relatedtreatments will continue to be available from governmental health administration authorities, private health coverage insurers and other organizations. We mayhave difficulty gaining market acceptance for our products if government and third-party payors do not provide adequate coverage and reimbursement tohospitals. Major third-party payors of hospital services and hospital outpatient services, including Medicare, Medicaid and private healthcare insurers,annually revise their payment methodologies, which can result in stricter standards for reimbursement of hospital charges for certain medical procedures or theelimination of reimbursement. Further, Medicare, Medicaid and private healthcare insurer cutbacks could create downward price pressure on our products. 20 Our operating results will be harmed if we are unable to effectively manage and sustain our future growth. We might not be able to manage our future growth efficiently or profitably. Our business is unproven on a large scale and actual revenue andoperating margins, or revenue and margin growth, may be less than expected. If we are unable to scale our production capabilities efficiently, we may fail toachieve expected operating margins, which would have a material and adverse effect on our operating results. Growth may also stress our ability to adequatelymanage our operations, quality of products, safety and regulatory compliance. If growth significantly decreases our reserves, we may be required to obtainadditional financing, which may increase our indebtedness or result in dilution to our stockholders. Further, there can be no assurance that we would be ableto obtain any additional financing. Future business combinations or acquisitions may be difficult to integrate and cause our attention to be diverted. We may pursue various business combinations with other companies or strategic acquisitions of complementary businesses, product lines ortechnologies. There can be no assurance that such acquisitions will be available at all, or on terms acceptable to us. These transactions may requireadditional financing which may increase our indebtedness or outstanding shares, resulting in dilution to stockholders. The inability to obtain such futurefinancing may inhibit our growth and operating results. Integration of acquisitions or additional products can be time consuming, difficult and expensive andmay significantly impact operating results. Furthermore, the integration of any acquisition may divert management’s time and resources from our corebusiness. We may sell some or all of our product lines to other companies or may agree to combine with another company. Selling some of our product linesmay inhibit our ability to generate positive operating results going forward. We recently entered into a non-binding letter of intent to acquire substantially all of the assets of Robinson MedSurg LLC. There can be no assurancethat we will complete this transaction or that the integration of this acquisition will be successful. We may be subject to future product liability litigation that could be expensive and our insurance coverage may not be adequate in acatastrophic situation. Although we are not currently subject to any product liability proceedings, and we have no reserves for product liability disbursements, we mayincur material liabilities relating to product liability claims in the future, including product liability claims arising out of the usage of our products. Wecurrently carry product liability insurance of up to $10 million at an annual premium cost of approximately $140,000, however, our insurance coverage andany reserves we may maintain in the future for product related liabilities may not be adequate and our business could suffer material adverse consequences. We may implement a product recall or voluntary market withdrawal due to product defects or product enhancements and modifications,which would significantly increase our costs. The manufacturing and marketing of our biologic products, medical devices and coating technologies involves an inherent risk that our productsmay prove to be defective. In that event, we may voluntarily implement a recall or market withdrawal or may be required to do so by a regulatory authority. Arecall of one of our products, or a similar product manufactured by another manufacturer, could impair sales of the products we market as a result ofconfusion concerning the scope of the recall or as a result of the damage to our reputation for quality and safety. 21 Risks Related to the Regulatory Environment in which We Operate U.S. governmental regulation could restrict the use of our products or our procurement of tissue. In the United States, the procurement and transplantation of allograft bone tissue is subject to federal law pursuant to the National Organ TransplantAct, or NOTA, a criminal statute which prohibits the purchase and sale of human organs used in human transplantation, including bone and related tissue,for “valuable consideration.” NOTA permits reasonable payments associated with the removal, transportation, processing, preservation, quality control,implantation and storage of human bone tissue. We provide services in all of these areas in the United States, with the exception of removal and implantation,and receive payments for all such services. We make payments to certain of our clients and tissue banks for their services related to recovering allograft bonetissue on our behalf. If NOTA is interpreted or enforced in a manner which prevents us from receiving payment for services we render or which prevents usfrom paying tissue banks or certain of our clients for the services they render for us, our business could be materially and adversely affected. We are engaged through our marketing employees, independent sales agents and sales representatives in ongoing efforts designed to educate themedical community as to the benefits of our products, and we intend to continue our educational activities. Although we believe that NOTA permits paymentsin connection with these educational efforts as reasonable payments associated with the processing, transportation and implantation of our products, paymentsin connection with such education efforts are not exempt from NOTA’s restrictions and our inability to make such payments in connection with our educationefforts may prevent us from paying our sales representatives for their education efforts and could adversely affect our business and prospects. No federalagency or court has determined whether NOTA is, or will be, applicable to every allograft bone tissue-based material which our processing technologies maygenerate. Assuming that NOTA applies to our processing of allograft bone tissue, we believe that we comply with NOTA, but there can be no assurance thatmore restrictive interpretations of, or amendments to, NOTA will not be adopted in the future which would call into question one or more aspects of ourmethod of operations. Our business is subject to continuing regulatory compliance by the FDA and other authorities which is costly and could result in delaysin the commercialization of our products. As a manufacturer and marketer of medical devices, we are subject to extensive regulation by the FDA and the Center for Medicare Services of theU.S. Department of Health and Human Services and other federal governmental agencies and, in some jurisdictions, by state and foreign governmentalauthorities. These regulations govern the introduction of new medical devices, the observance of certain standards with respect to the design, manufacture,testing, labeling, promotion and sales of the devices, the maintenance of certain records, the ability to track devices, the reporting of potential product defects,the import and export of devices and other matters. We are facing an increasing amount of scrutiny and compliance costs as more states are implementingregulations governing medical devices, pharmaceuticals and/or biologics which affect many of our products. 22 Medical devices that incorporate coatings technology are subject to FDA regulation and compliance. Generally, any medical device manufacturer thatwishes to incorporate our coatings technology into its products will be responsible for obtaining FDA approval for the medical devices it intends to marketthough we will assist in the 510(k) filing submitted by licensees. The FDA process can take several months to several years in the United States. The timerequired to obtain approval for international sales may be longer or shorter, depending on the laws of the particular country. There can be no assurance thatour licensees will be able to obtain FDA or international approval on a timely basis. The FDA may also require the more extensive Premarket ApprovalApplication, or PMA, process for certain products, which results, in effect, in a private license being granted to the applicant for marketing a particularmedical device and requires an additional level of FDA scientific review to ensure the safety and effectiveness of such devices. Approval or clearance mayplace substantial restrictions on the indications for which the product may be marketed or to whom it may be marketed, warnings that may be required toaccompany the product or additional restrictions placed on the sale and/or use of the product. Changes in regulations or adoption of new regulations could alsocause delays in obtaining product approval. In addition, regulatory approval is subject to continuing compliance with regulatory standards, and productapproval is subject to withdrawal if a licensee fails to comply with standards, or if an unforeseen event should occur concerning a product. Significant delaysin obtaining product approval could have a significantly detrimental impact on our business. Human tissues intended for transplantation have been regulated by the FDA since 1993. In May 2005, three new comprehensive regulations wentinto effect that address manufacturing activities associated with human cells, tissues and cellular and tissue-based products, or HCT/Ps. The first requiresthat companies that produce and distribute HCT/Ps register with the FDA. The second provides criteria that must be met for donors to be eligible to donatetissues and is referred to as the “Donor Eligibility” rule. The third rule governs the processing and distribution of the tissues and is often referred to as the“Current Good Tissue Practices” rule. The “Current Good Tissue Practices” rule covers all stages of allograft processing, from procurement of tissue todistribution of final allografts. Together they are designed to ensure that sound, high quality practices are followed to reduce the risk of tissue contaminationand of communicable disease transmission to recipients. These regulations increased regulatory scrutiny within the industry in which we operate and havelead to increased enforcement action which affects the conduct of our business. In addition, these regulations can increase the cost of tissue recovery activities. Other regulatory entities include state agencies with statutes covering tissue banking. Regulations issued by Florida, New York, California andMaryland will be particularly relevant to our business. Most states do not currently have tissue banking regulations. However, recent incidents of allograftrelated infections in the industry may stimulate the development of regulation in other states. It is possible that others may make allegations against us oragainst donor recovery groups or tissue banks about non-compliance with applicable FDA regulations or other relevant statutes or regulations. Allegations likethese could cause regulators or other authorities to take investigative or other action, or could cause negative publicity for our business and the industry inwhich we operate. Our products may be subject to regulation in the EU as well should we enter that market. In the European Union, or EU, regulations, if applicable,differ from one EU member state to the next. Because of the absence of a harmonized regulatory framework and the proposed regulation for advanced therapymedicinal products in the EU, as well as for other countries, the approval process for human derived cell or tissue based medical products may be extensive,lengthy, expensive and unpredictable. Some of our products may be subject to European Union member states’ regulations that govern the donation,procurement, testing, coding, traceability, processing, preservation, storage, and distribution of human tissues and cells and cellular or tissue-basedproducts. Some EU member states have their own tissue banking regulations. 23 Clinical trials can be long, expensive and ultimately uncertain which could jeopardize our ability to obtain regulatory approval andmarket our products. Clinical trials are required to develop products, gain market acceptance and obtain 510(k) certifications from the FDA. We have several clinicaltrials planned and will likely undertake future trials. These trials often take two years to execute and are subject to factors within and outside of our control.The outcome of these trials is uncertain and may have a significant impact on the success of our current and future products and future profits. The commencement or completion of any of our clinical trials may be delayed or halted for numerous reasons, including, but not limited to, aregulatory body placing clinical trials on hold, patients not enrolling in clinical trials at the rate we expect, patients experiencing adverse side effects, thirdparty contractors failing to perform in accordance with our anticipated schedule or consistent with good clinical practices, inclusive or negative interim trialresults or our inability to obtain sufficient quantities of raw materials to produce our products. Our development costs will increase if we have material delaysin our clinical trials or if we need to perform more or larger clinical trials than planned. If this occurs, our financial results and the commercial prospects forour products will be harmed and our prospects for profitability will be harmed. Product pricing (and, therefore, profitability) is subject to regulatory control which could impact our revenue and financial performance. The pricing and profitability of our products may become subject to control by the government and other third-party payors. The continuing effortsof governmental and other third-party payors to contain or reduce the cost of healthcare through various means may adversely affect our ability to successfullycommercialize our products. In most foreign markets, the pricing and/or profitability of certain diagnostics and prescription pharmaceuticals are subject togovernmental control. In the United States, we expect that there will continue to be federal and state proposals to implement similar governmental controlthough it is unclear which proposals will ultimately become law, if any. Changes in prices, including any mandated pricing, could impact our revenue andfinancial performance. Risks Related to Our Intellectual Property Failure to protect our intellectual property rights could result in costly and time consuming litigation and our loss of any potentialcompetitive advantage. Our success will depend, to a large extent, on our ability to successfully obtain and maintain patents, prevent misappropriation or infringement ofintellectual property, maintain trade secret protection, and conduct operations without violating or infringing on the intellectual property rights of third parties. There can be no assurance that our patented and patent-pending technologies will provide us with a competitive advantage, that we will be able to develop oracquire additional technology that is patentable, or that third parties will not develop and offer technologies which are similar to ours. Moreover, we canprovide no assurance that confidentiality agreements, trade secrecy agreements or similar agreements intended to protect unpatented technology will provide theintended protection. Intellectual property litigation is extremely expensive and time-consuming, and it is often difficult, if not impossible, to predict theoutcome of such litigation. A failure by us to protect our intellectual property could have a materially adverse effect on our business and operating results andour ability to successfully compete in this industry. 24 We may not be able to obtain or protect our proprietary rights relating to our products without resorting to costly and time consuminglitigation. We may not be able to obtain, maintain and protect certain proprietary rights necessary for the development and commercialization of our products orproduct candidates. Our commercial success will depend in part on obtaining and maintaining patent protection on our products and successfully defendingthese patents against third-party challenges. Our ability to commercialize our products will also depend in part on the patent positions of third parties,including those of our competitors. The patent positions of pharmaceutical and biotechnology companies can be highly uncertain and involve complex legaland factual questions. Accordingly, we cannot predict with certainty the scope and breadth of patent claims that may be afforded to other companies’ patents. We could incur substantial costs in litigation if we are required to defend against patent suits brought by third parties, or if we initiate suits to protect ourpatent rights. In addition to the risks involved with patent protection, we also face the risk that our competitors will infringe on our trademarks. Any infringementcould lead to a likelihood of confusion and could result in lost sales. There can be no assurance that we will prevail in any claims we make to protect our intellectual property. Future protection for our proprietary rights is uncertain which may impact our ability to successfully compete in our industry. The degree of future protection for our proprietary rights is uncertain. We cannot ensure that: ¨we were the first to make the inventions covered by each of our patent applications; ¨we were the first to file patent applications for these inventions; ¨others will not independently develop similar or alternative technologies or duplicate any of our technologies; ¨any of our pending patent applications will result in issued patents; ¨any of our issued patents or those of our licensors will be valid and enforceable; ¨any patents issued to us or our collaborators will provide a basis for commercially viable products or will provide us with any competitiveadvantages or will not be challenged by third parties; ¨we will develop additional proprietary technologies that are patentable; ¨the patents of others will not have a material adverse effect on our business rights; or ¨the measures we rely on to protect the intellectual property underlying our products may not be adequate to prevent third parties from using ourtechnology, all of which could harm our ability to compete in the market. 25 Our success depends on our ability to avoid infringing on the intellectual property rights of third parties which could expose us tolitigation or commercially unfavorable licensing arrangements. Our commercial success depends in part on our ability and the ability of our collaborators to avoid infringing patents and proprietary rights of thirdparties. Third parties may accuse us or our collaborators of employing their proprietary technology in our products, or in the materials or processes used toresearch or develop our products, without authorization. Any legal action against our collaborators or us claiming damages and/or seeking to stop ourcommercial activities relating to the affected products, materials and processes could, in addition to subjecting us to potential liability for damages, require ourcollaborators or us to obtain a license to continue to utilize the affected materials or processes or to manufacture or market the affected products. We cannotpredict whether we or our collaborators would prevail in any of these actions or whether any license required under any of these patents would be madeavailable on commercially reasonable terms, if at all. If we are unable to obtain such a license, we or our collaborators may be unable to continue to utilize theaffected materials or processes or manufacture or market the affected products or we may be obligated by a court to pay substantial royalties and/or otherdamages to the patent holder. Even if we are able to obtain such a license, the terms of such a license could substantially reduce the commercial value of theaffected product or products and impair our prospects for profitability. Accordingly, we cannot predict whether or to what extent the commercial value of theaffected product or products or our prospects for profitability may be harmed as a result of any of the liabilities discussed above. Furthermore, infringementand other intellectual property claims, with or without merit, can be expensive and time-consuming to litigate and can divert management’s attention from ourcore business. We may be unable to obtain and enforce intellectual property rights to adequately protect our products and related intellectual property. Others may claim an ownership interest in our intellectual property which could expose us to litigation and have a significant adverseeffect on our prospects. A third-party may claim an ownership interest in one or more of our patents or intellectual property. While we believe we own 100% of the right, titleand interest in the patents for which we have applied and our other intellectual property, including that which we license from third parties, we cannotguarantee that a third-party will not, at some time, assert a claim or an interest in any of such patents or intellectual property. We are presently unaware of anyclaims or assertions by third-parties with respect to its patents or intellectual property, except that, (1) as a defense to a lawsuit we brought against Allosourcefor infringement of our OsteoSponge® trademark, Allosource has counterclaimed in an attempt to invalidate such mark; and (2) we, along with manycompanies in our industry, have been served a complaint filed by minSURG International, Inc. alleging patent infringement. A successful challenge or claimby a third party to our patents or intellectual property could have a significant adverse effect on our prospects. The result of litigation may result in financial loss and/or impact our ability to sell our products going forward. We will vigorously defend any future intellectual property litigation that may arise but there can be no assurance that we will prevail in these matters. An unfavorable judgment may result in a financial burden on us. An unfavorable judgment may also result in restrictions on our ability to sell certainproducts and therefore may impact future operating results. Risks Related to Our Common Stock We have found material weaknesses in our system of internal controls over financial reporting that have not been fully remediated as ofDecember 31, 2010, which could adversely affect our ability to record, process, summarize and report certain financial data. In connection with the evaluation of the effectiveness of our internal controls over financial reporting as of December 31, 2010, managementdiscovered the following deficiencies: (i) insufficient number of personnel with the appropriate level of experience and technical expertise to appropriatelyresolve non-routine and complex accounting matters while completing the financial statement close process; (ii) our inventory records are kept separately fromour accounting system, requiring duplicate input and reconciliation, thereby increasing the risk of errors in recording inventory transactions, and (iii) thedocumentation surrounding equity transactions for employees and consultants needs to be strengthened to comply with procedures outlined by the Company toensure that all equity transactions are recorded in the appropriate periods. In light of these material weaknesses, management has concluded that we did notmaintain effective internal control over our disclosure controls and procedures as of December 31, 2010, which constituted a material weakness in our internalcontrols over financial reporting because they resulted in a reasonable possibility that a material misstatement could occur in our annual or interim financialstatements which could not be prevented or detected. Although we are working to remediate these deficiencies as outlined in Item 9A of this Annual Report onForm 10-K, there can be no assurance that our remediation efforts will resolve all of our internal control deficiencies or that we will not discover additionalmaterial weaknesses or significant deficiencies as we evaluate and test such controls in the future. Such material weaknesses or deficiencies could adverselyaffect our ability to record, process, summarize and report our financial information, which could cause current and potential stockholders to lose confidencein our financial reporting which could have a negative effect on the trading price of our common stock. Because we became public through a reverse merger, we may not be able to attract the attention of major brokerage firms. There are coverage risks associated with our becoming public through a reverse merger, including, among other things, security analysts of majorbrokerage firms may not provide coverage of us since there is no incentive to brokerage firms to recommend the purchase of our common stock. We cannotassure you that brokerage firms will want to conduct any public offerings on our behalf in the future. 26 The market price of our common stock may be volatile and may decline in value. The market price of our common stock has been and will likely continue to be highly volatile, as is the stock market in general. Some of the factorsthat may materially affect the market price of our common stock are beyond our control, such as changes in financial estimates by industry and securitiesanalysts, conditions or trends in the industry in which we operate or sales of our common stock. These factors may materially adversely affect the marketprice of our common stock, regardless of our performance. In addition, the public stock markets have experienced extreme price and trading volume volatility. This volatility has significantly affected the market prices of securities of many companies for reasons frequently unrelated to the operating performance of thespecific companies. These broad market fluctuations may adversely affect the market price of our common stock. Our stockholders may experience significant dilution if future equity offerings are used to fund operations or acquire complementarybusinesses. If our future operations or acquisitions are financed through the issuance of equity securities, our stockholders could experience significant dilution.In addition, securities issued in connection with future financing activities or potential acquisitions may have rights and preferences senior to the rights andpreferences of our common stock. We also have established an equity incentive plan for our management and employees. We expect to grant options topurchase shares of our common stock to our directors, employees and consultants and we will grant additional options in the future. The issuance of shares ofour common stock upon the exercise of these options may result in dilution to our stockholders. Our current management can exert significant influence over us and make decisions that are not in the best interests of all stockholders. Our executive officers and directors beneficially own as a group approximately 42% of our outstanding shares of common stock. As a result, thesestockholders will be able to assert significant influence over all matters requiring stockholder approval, including the election and removal of directors and anychange in control. In particular, this concentration of ownership of our outstanding shares of common stock could have the effect of delaying or preventing achange in control, or otherwise discouraging or preventing a potential acquirer from attempting to obtain control. This, in turn, could have a negative effect onthe market price of our common stock. It could also prevent our stockholders from realizing a premium over the market prices for their shares of commonstock. Moreover, the interests of the owners of this concentration of ownership may not always coincide with our interests or the interests of otherstockholders and, accordingly, could cause us to enter into transactions or agreements that we would not otherwise consider. We do not anticipate paying dividends in the foreseeable future; you should not buy our stock if you expect dividends. We currently intend to retain our future earnings to support operations and to finance expansion and, therefore, we do not anticipate paying any cashdividends on our common stock in the foreseeable future. 27 We could issue “blank check” preferred stock without stockholder approval with the effect of diluting then current stockholder interestsand impairing their voting rights, and provisions in our charter documents and under Delaware law could discourage a takeover thatstockholders may consider favorable. Our certificate of incorporation provides for the authorization to issue up to 5,000,000 shares of “blank check” preferred stock with designations,rights and preferences as may be determined from time to time by our board of directors. Our board of directors is empowered, without stockholder approval,to issue one or more series of preferred stock with dividend, liquidation, conversion, voting or other rights which could dilute the interest of, or impair thevoting power of, our common stockholders. The issuance of a series of preferred stock could be used as a method of discouraging, delaying or preventing achange in control. For example, it would be possible for our board of directors to issue preferred stock with voting or other rights or preferences that couldimpede the success of any attempt to change control of our company. In addition, advanced notice is required prior to stockholder proposals. Item 1B.Unresolved Staff Comments As a “smaller reporting company”, we are not required to respond to this item. Item 2.Properties We lease approximately 16,000 square feet in a building located at 600 Cruiser Lane, Belgrade, Montana 59714. In addition to our corporateheadquarters, this space also includes a clean room, fully equipped diagnostics laboratory, microbiology laboratory and testing laboratory. We lease thebuilding under a ten-year operating lease which runs through October 2013 and has a monthly lease payment of $10,000. The lease also has a ten-year renewaloption. In November 2007, we purchased a 14,000 square foot facility at 664 Cruiser Lane, Belgrade, Montana 59714. This building is an FDA registeredfacility with 5 “Class 1,000” clean rooms and currently houses our medical device coatings operations. The validated manufacturing areas and laboratoryfacilities located in this facility provide processing and testing space to manufacture medical devices pursuant to FDA, GMP regulations, and ISO13485:2003. We expect this facility to meet all of our regulatory requirements for the manufacture of future Bacterin-label products, including our surgicaldrains (ViaTM and Elutia®), as well as production requirements for coated medical devices from our medical device partners. The facility is registered withthe FDA for device design, device manufacture, and contract manufacture, as well as for screening, testing, storing, and distributing biological tissues. We also lease office space in Englewood, Colorado, where certain of our administrative and sales functions are housed. Item 3.Legal Proceedings In November 2009, we were served a complaint in connection with the following court action filed in Utah state court: Yanaki and Activatek v.Cook and Bacterin International, Inc., case number 090912772. This action involves the plaintiff’s attempt to sell shares of our common stock to a thirdparty in a private sale and claims, as its primary allegation, tortuous interference with the sales contract. Plaintiff seeks $300,000, 358,904 shares of ourcommon stock, attorneys fees and costs. Although this case is still pending, there has been very little activity. We are pressing for responses to our discoveryrequests and are discussing the possibility of mediation with opposing counsel. We initiated an arbitration proceeding in Bozeman, Montana to collect a large account receivable from OrthoPro, LLC under a Private LabelDistribution Agreement. On October 28, 2010, OrthoPro agreed to pay their debt to Bacterin, Inc. in full. As of March 3, 2011, OrthoPro has paid$50,000.00 of the outstanding balance of $118,270.07. Final payment to Bacterin was paid on April 1, 2011. 28 As a result of our policy to aggressively defend our intellectual property rights, we recently filed and served a complaint in a lawsuit styled BacterinInternational, Inc. v. Allosource in the Federal District Court for the District of Colorado. Our complaint is based on Allosource’s infringement of ourOsteoSponge® trademark through Allosource’s use of the name “AlloSponge.” We are seeking an injunction against the continuing use of the ALLOSPONGEmark, plus unspecified commercial monetary damages. Allosource has generally denied all allegations and has filed a counterclaim to cancel the federalregistration for OsteoSponge®. We believe the counterclaim has no merit and we intend to aggressively pursue our infringement claims. This case has beensettled. The defendant has agreed to cease using the offending mark. There is an agreed phase out of use over a period of months. We have been served a complaint in connection with Civil Action No. 8:10-cv-01589-VMC-EAJ filed by minSURG International, Inc., orminSURG, in the United States District Court in the Middle District of Florida. In this action, minSURG alleges infringement of U.S. Patent No.7,708,761, entitled “Spinal Plug for a Minimally Invasive facet Joint Fusion System” by many companies in our industry. minSURG seeks an injunctionagainst alleged patent infringement plus unspecified commercial monetary damages. We have entered into a joint defense agreement with many of the otherdefendants in this action and plan a vigorous defense. Regardless of the outcome of this case, we do not anticipate this notice to have a material impact on ouroverall sales or operating results. Plaintiff’s request for a preliminary injunction was denied and a Markman hearing has been scheduled by the Court. On September 20, 2010, we filed a complaint in the United States District Court for the District of Colorado (Civil Action No. 10-CV-02294-RPM-KMT) against Advanced Biologics, Inc. and Advanced Biologics, LLC, or Advanced, alleging infringing use of the Company’s “OsteoSponge” trademarkand sent a demand letter to Advanced, demanding Advanced cease any and all use of its "OsteoAMP Sponge" trademark or any other "OSTEO" and/or"SPONGE" formative mark in connection with human allograft tissue, demineralized bone matrix, and cancellous bone products. We are currentlynegotiating with Advanced and expect to reach an amicable resolution without resorting to litigation. On February 18, 2011 the Company received pleadings in litigation commenced in Federal District Court in New Jersey by MusculoskeletalTransplant Foundation against the Company, Lori Kmet and Carey Bauer. Plaintiff alleges that Ms. Kmet and Ms. Bauer, former employees of Plaintiff,violated certain non-compete, non-solicit and nondisclosure commitments when they joined the Company’s sales force. The Company is alleged to haveinterfered with these commitments in engaging these employees. The Company does not believe that Ms. Kmet or Ms. Bauer violated their commitments andintends to provide a vigorous defense against these claims. Item 4.[Reserved] PART II Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities Market InformationFrom July 1, 2010 to March 4, 2011, our common stock was traded on the OTC Bulletin Board under the symbol BIHI.OB. Beginning on March7, our common stock began trading on the NYSE Amex under the symbol BONE. The following table sets forth the range of the high and low prices for ourcommon stock, as reported by the OTC Bulletin Board for each quarter during 2010, beginning July 1, 2010, the first day our common stock tradedfollowing the closing of our reverse merger. 29 High Low Third Quarter 2010 (July 1, 2010 – September 30, 2010) $7.68 $2.50 Fourth Quarter 2010 (October 1, 2010 – December 31, 2010) $8.50 $5.86 Holders of Record As of March 28, 2011, we had 373 holders of record. Dividends We have not paid any cash dividends and do not expect to do so in the foreseeable future. Securities authorized for issuance under equity compensation plans Equity Compensation Plan Information Plan category Number ofsecurities to beissued uponexercise ofoutstandingoptions, warrantsand rights Weighted-average exerciseprice ofoutstandingoptions, warrantsand rights Number ofsecuritiesremainingavailable forfuture issuanceunder equitycompensationplans (excludingsecuritiesreflected incolumn (a)) Equity compensation plans approved by security holders 4,673,243(1) $1.38 1,302,257 Equity compensation plans not approved by security holders N/A $N/A N/A Total 4,673,243 $1.38 1,302,257 (1) Consists of 3,850,743 shares underlying options and 822,500 shares of restricted stock. Bacterin International Equity Incentive PlanAll of our stock options were granted under the Bacterin International Equity Incentive Plan. The following is a summary of the material terms ofthat plan.The purpose of the incentive compensation plan is to enable us to attract, retain and motivate key employees, directors and, on occasion, independentconsultants, by providing them with stock options and restricted stock grants. Stock options granted under the incentive compensation plan may be eitherincentive stock options to employees, as defined in Section 422A of the Internal Revenue Code of 1986, or non-qualified stock options. The plan isadministered by the compensation committee of our board of directors. The administrator of the plan has the power to determine the terms of any stockoptions granted under the incentive plan, including the exercise price, the number of shares subject to the stock option and conditions of exercise. Stockoptions granted under the incentive plan are generally not transferable, vest in installments and are exercisable during the lifetime of the optionee only by suchoptionee. The exercise price of all incentive stock options granted under the incentive plan must be at least equal to the fair market value of the shares ofcommon stock on the date of the grant. The specific terms of each stock option grant will be reflected in a written stock option agreement. There are 6,000,000 shares of our common stock authorized to be issued under the plan. As of December 31, 2010, we had outstanding options topurchase 3,850,743 shares granted to employees and executives (at exercise prices ranging from $0.10 to $7.40 per share) and 24,500 options were exercised.In addition, we have issued 822,500 shares of restricted stock to employees and consultants leaving an additional 1,302,257 available for issuancethereunder. 30 Recent Sales of Unregistered SecuritiesWe issued warrants to purchase 25,000 shares of our common stock to Middlebury Securities LLC for placement agent services in connection withour financing arrangement with Western Technology Investment, we issued 30,000 shares to a former executive in connection with a settlement agreement, andin February of 2011, we issued 93,750 shares to David Stefansky and 93,750 shares to The Corbran, LLC per an existing agreement with HarborviewAdvisors, LLC. Other issuances of unregistered securities have already been disclosed in reports previously filed with the SEC.Purchases of Equity Securities by the Issuer and Affiliated PurchasersWe did not repurchase any shares of our common stock during the fourth quarter of 2010.Item 6 Selected Financial Data Not required. Item 7 Management’s Discussion and Analysis of Financial Condition and Results of Operation Safe Harbor DeclarationThe comments made throughout this Annual Report on Form 10-K should be read in conjunction with our Financial Statements and the Notes thereto,and other financial information appearing elsewhere in this document. In addition to historical information, the following discussion and other partsof this document contain certain forward-looking information. When used in this discussion, the word “believes,” “anticipates,” “expects,” “plan,”“possible,” “should,” “might,” “may” and similar expressions are intended to identify forward-looking statements. Such statements are subject tocertain risks and uncertainties, which could cause actual results to differ materially from projected results, due to a number of factors beyond ourcontrol. We do not undertake to publicly update or revise any of our forward-looking statements, even if experience or future changes show that theindicated results or events will not be realized. Readers are cautioned not to place undue reliance on these forward-looking statements, which speakonly as of the date hereof. Readers are also urged to carefully review and consider our discussions regarding the various factors that affect ourbusiness, which are described in the section entitled “Risk Factors” in Item 1A of this Form 10-K. 31 Comparison of Twelve Months Ended December 31, 2010 and December 31, 2009 Twelve Months Ended December 31, 2010 2009 Amount % of Revenue Amount % of Revenue Tissue sales $15,214,775 98.68% 7,101,357 96.05%Royalties and other 202,872 1.32% 292,136 3.95%Total Revenue 15,417,647 100.00% 7,393,493 100.00% Cost of tissue sales (excluding depreciation expense presented below) 3,363,876 21.82% 2,318,142 31.35% Gross Profit 12,053,771 78.18% 5,075,351 68.65% Operating Expenses General and administrative 8,546,193 54.4% 6,314,220 85.40%Selling and marketing 8,897,293 57.7% 1,445,843 19.56%Depreciation 633,827 4.11% 661,847 8.95%Non-cash consulting expense (excluded from general and administrative expense) 1,560,324 10.12% 275,995 3.73%Other expense 1,030,290 6.68% 2,242 0.03%Total Operating Expenses 20,667,927 134.05% 8,700,147 117.67% Loss From Operations (8,614,156) -55.87% (3,624,796) -49.02% Interest expense (1,647,984) -10.69% (513,934) -6.95%Interest income 1,044 0.01% 12,988 0.18%Change in warrant derivative liability (9,206,826) -59.72% - 0.00%Total Other Expense (10,853,766) -70.04% 500,946 -6.78% Net Loss Before Benefit (Provision) for Income Taxes (19,467,922) -126.27% (4,125,742) -55.80% Benefit (Provision) for Income Taxes Current - 0.00% - 0.00%Deferred - 0.00% - 0.00% Net Loss (19,467,922) -126.27% (4,125,742) -55.80% Revenue Total revenue for the twelve months ended December 31, 2010 increased 109% to $15,417,647 compared to $7,393,493 in the comparable prioryear period. The increase of $8,024,154 was largely the result of transitioning the sales model in the second half of 2009 from a distributorship model with alimited direct sales force to a direct sales force model which resulted in increased market penetration and increased usage of our products by surgeons. Cost of tissue sales Costs of tissue sales consist primarily of tissue and device manufacturing costs. Costs of tissue sales increased by 45% or $1,045,734 to$3,363,876 from $2,318,142 for the twelve months ended December 31, 2009. The increase was the result of increased costs associated with our highersales. As a percentage of revenues, our gross profit % increased from 69% to 78% due to improved manufacturing efficiencies associated with a higherutilization of our manufacturing capacity. Operating Expenses Operating expenses include general and administrative expenses, selling and marketing expenses, depreciation, research and development expenses,and compensation costs, including incentive compensation. Operating expenses increased 138%, or $11,967,780, for the twelve months ended December 31,2010 compared to the twelve months ended December 31, 2009, primarily due to the reasons set forth below. General and Administrative General and administrative expenses consist principally of corporate personnel cash based and stock option compensation related costs and corporateexpenses for legal, accounting and other professional fees as well as occupancy costs. General and administrative expenses increased 35%, or $2,231,973, to$8,546,193, for the twelve months ended December 31, 2010 compared to 2009. The increase is largely associated with increased personnel costs as well aslegal and professional fees incurred between the two periods. Selling and Marketing Selling and marketing expenses include sales cash based and stock option compensation expense and primarily consist of costs for trade shows,sales conventions and meetings, travel expenses, advertising and other sales and marketing related costs. Selling and marketing expenses increased 515%, or$7,451,450, to $8,897,293 for the twelve months ended December 31, 2010 from $1,445,843 for the comparable prior year period. As a percentage ofrevenue, selling and marketing expenses increased to 58% in 2010 from 20% in the prior year. The increases were primarily the result of increasedcommissions and travel costs associated with the larger sales force as well as a substantial increase in marketing and advertising activities in 2010 as part ofour switch to a direct sales force model from a distributor based model. 32 Depreciation Depreciation expense consists of depreciation of long-lived property and equipment. Depreciation expense remained relatively unchanged, decreasingto $633,827 for the twelve months ended December 31, 2010 from $661,847 in the comparable prior year period.. Non-cash Consulting Expense Non-cash consulting expense consists of non-cash expense associated with granting restricted stock to consultants. Stock options/restricted stockcompensation expense increased $1,284,329 to $1,560,324 for the twelve months ended December 31, 2010 from $275,995 in the comparable year period.As a percentage of revenues, restricted stock expense for the twelve months ended December 31, 2010 was 10%, compared to 4% in the prior year. Other Expense For 2010, the Company recorded a non cash charge of approximately $772,000 associated with a legal settlement with a former officer in the fourthquarter and other miscellaneous operating expenses. Interest Expense Interest expense is from our promissory notes and convertible debt instruments. Interest expense for 2010 increased 221%, to $1,647,984, ascompared to 2009. The increase was the result of interest expense associated with the incurrence of convertible debt during the last half of 2009 and first halfof 2010 as well as the $2.5 million debt transaction with WTI. In addition, the Company incurred debt discount expenses associated with its financingtransactions. Change in Warrant Derivitive Liability For 2010, the Company recorded a non-cash charge of $9,206,826 associated with the issuance of warrants as part of its convertible debtfinancing, based upon the closing price of the Company's common stock on December 31, 2010. The increase is primarily due to the increase in theCompany's stock price from the date of the issuance of the warrants to the closing price on December 31, 2010. Liquidity and Capital Resources Since our inception, we have historically financed our operations through operating cash flows, as well as the private placement of equity securitiesand debt, and other debt transactions. Most recently, on June 30 and July 30, 2010, we raised approximately $9,272,000 through a private placement of equitysecurities and conversion of a portion of a bridge loan financing. In addition, during November 2010, we finalized a debt transaction with WTI which resultedin gross proceeds to the Company of $2,500,000. At December 31, 2010, we had approximately $3,784,000 of cash and cash equivalents and accountsreceivables. In addition, we have access to credit lines secured by certain of our accounts receivable balances through a credit facility for up to $5 million withBridge Bank which closed in January 2011. Net cash used in operating activities for 2010 was $8,371,968. This was primarily related to cash used to fund our operations as well as anincrease of accounts receivable of approximately $2,283,079 and an increase in our inventory balance of approximately $2,618,200. For 2009, net cash usedin operating activities was $3,671,596 due to a lower net loss compared to 2010 resulting from our decision to go to a direct sales effort in the second half of2009. Net cash provided by financing activities was $9,461,666 and $3,436,991 for 2010 and 2009, respectively. The net cash provided fromfinancing activities during 2010 was primarily the result of the sale of approximately $4,700,000 in convertible debt instruments and the issuance of$5,160,963 of common stock, net of issuance costs, in connection with the above referenced Reverse Merger and related financing transactions. In addition,we entered into a debt financing transaction for $2.5 million with WTI in November 2010. These amounts were partially offset by principal payments onoutstanding loan and lease obligations. 33 Off Balance Sheet Arrangements We do not have any off balance sheet arrangements that have or are reasonably likely to have a current or future effect on our financial condition,changes in financial condition, revenues or expenses, results of operations, liquidity or capital expenditures or capital resources that are material to an investorin our shares. Cash Requirements We believe that our December 31,2010 cash on hand and accounts receivable balance of $3,522,031, as well as credit lines available through ouraccounts receivable credit facility with Bridge Bank and anticipated cash receipts from sales expected from operations will be sufficient to meet our anticipatedcash requirements through June 30, 2012. We incurred approximately $9 million in sales and marketing expenses in 2010 and expect to incur $20 million in2011. The increased sales and marketing expenses are anticipated to be funded from operating cash flow. The incurrence of these additional expenses mayimpact our operating results and there can be no assurance of their effectiveness. If we do not meet our revenue objectives over that period, we may need to selladditional equity securities, which could result in dilution to our stockholders, or seek additional loans. The incurrence of indebtedness would result inincreased debt service obligations and could require us to agree to operating and financial covenants that would restrict our operations. Financing may not beavailable in amounts or on terms acceptable to us, if at all. Any failure by us to raise additional funds on terms favorable to us, or at all, could limit ourability to expand our business operations and could harm our overall business prospects. In addition, we currently anticipate that we will need to spend between $4 and $5 million over the next 5 years in order to increase, expand or updateour existing facilities to meet our expected growth over that period. 34 Item 7A Quantitative and Qualitative Disclosures About Market Risk Not required. 35 Item 8 Financial Statements and Supplementary Data Index to Consolidated Financial Statements Report of Independent Registered Public Accounting Firm 37 Consolidated Financial Statements Consolidated Balance Sheets as of December, 2010 and 2009 38 Consolidated Statements of Operations for the Years Ended December 31, 2010 and 2009 39 Consolidated Statements of Changes in Stockholders’ Equity (Deficit) for the Years Ended December 31, 2010 and 2009 40 Consolidated Statements of Cash Flows for the Years Ended December 31, 2010 and 2009 41 Notes to Consolidated Financial Statements for the Years Ended December 31, 2010 and 2009 42 36 Report of Independent Registered Public Accounting Firm To the Board of Directors and Audit CommitteeBacterin International Holdings, Inc. We have audited the consolidated balance sheets of Bacterin International Holdings, Inc. (the Company) as ofDecember 31, 2010 and 2009, and the related consolidated statements of operations, changes in stockholders’equity (deficit) and cash flows for the years then ended. These financial statements are the responsibility of theCompany’s management. Our responsibility is to express an opinion on these financial statements based on ouraudits. We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board(United States). Those standards require that we plan and perform the audit to obtain reasonable assuranceabout whether the consolidated financial statements are free of material misstatement. The Company is notrequired to have, nor were we engaged to perform, an audit of its internal controls over financial reporting. Ouraudit included consideration of internal controls over financial reporting as a basis for designing auditprocedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on theeffectiveness of the Company’s internal controls over financial reporting. Accordingly, we express no suchopinion. An audit also includes examining, on a test basis, evidence supporting the amounts and disclosures inthe consolidated financial statements, assessing the accounting principles used and significant estimates madeby management, as well as evaluating the overall consolidated financial statement presentation. We believe thatour audits provide a reasonable basis for our opinion. In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, thefinancial position of Bacterin International Holdings, Inc. as of December 31, 2010 and 2009, and the results ofits consolidated operations and its consolidated cash flows for the years then ended, in conformity withaccounting principles generally accepted in the United States of America. Salt Lake City, UtahApril 7, 2011 37 BACTERIN INTERNATIONAL HOLDINGS, INC. Consoldiated Balance Sheets as of December 31, 2010 and 2009 Year Ended December 31, 2010 2009 ASSETS Current Assets: Cash and cash equivalents $327,481 $54,155 Accounts receivable, net of allowance of $ 157,269 and $81,803, respectively 3,522,031 1,314,418 Accounts receivable - related party 613,034 270,565 Inventories, net 5,440,638 5,000,713 Prepaid and other current assets 572,015 30,000 10,475,199 6,669,851 Non-current inventories 1,439,384 - Property and equipment, net 3,397,320 3,248,096 Intangible assets, net 355,639 554,268 Note receivable- related party 82,398 - Other assets 13,675 13,675 Total Assets $15,763,615 $10,485,890 LIABILITIES & STOCKHOLDERS' EQUITY (DEFICIT) Current Liabilities: Accounts payable $2,260,237 $1,196,200 Accounts payable- related party 573,036 207,750 Accrued liabilities 1,391,540 463,630 Warrant derivative liability 9,690,741 75,231 Notes payable - 1,126,693 Notes payable to stockholders - 183,461 Current portion of capital lease obligations 30,105 85,071 Convertible notes payable, net of debt discount - 820,787 Current portion of long-term debt 234,149 1,202,574 14,179,808 5,361,397 Long-term Liabilities: Capital lease obligation, less current portion 13,185 27,074 Long-term debt, less current portion, net of debt discount of $1,575,985 as of December 31, 2010 2,189,866 412,545 Total Liabilities 16,382,859 5,801,016 Stockholders' Equity (Deficit) Preferred stock, $.000001 par value; 5,000,000 shares authorized; no shares issued and outstanding - - Common stock, $.000001 par value; 95,000,000 shares authorized; 36,994,715 shares issued and outstanding onDecember 31, 2010 and 28,270,460 shares issued and 28,211,563 shares outstanding on December 31, 2009 37 28 Additional paid-in capital 36,325,976 22,238,747 Treasury stock, no shares on December 31, 2010 and 58,897 shares on December 31, 2009 - (76,566)Retained deficit (36,945,257) (17,477,335)Total Stockholders’ Equity (Deficit) (619,244) 4,684,874 Total Liabilities & Stockholders’ Equity (Deficit) $15,763,615 $10,485,890 See notes to consolidated financial statements. 38 BACTERIN INTERNATIONAL HOLDINGS, INC. Consolidated Statements of OperationsFor the Years Ended December 31, 2010 and 2009 Year Ended December 31, 2010 2009 Revenue Tissue sales $ 15,214,775 $7,101,357 Royalties and other 202,872 292,136 Total Revenue 15,417,647 7,393,493 Cost of tissue sales 3,363,876 2,318,142 Gross Profit 12,053,771 5,075,351 Operating Expenses General and administrative 8,546,193 6,314,220 Sales and marketing 8,897,293 1,445,843 Depreciation 633,827 661,847 Non-cash consulting expense 1,560,324 275,995 Other expense 1,030,290 2,242 Total Operating Expenses 20,667,927 8,700,147 Loss from Operations (8,614,156) (3,622,554) Other Income (Expense) Interest expense (1,647,984) (513,934)Interest income 1,044 12,988 Change in warrant derivative liability (9,206,826) - Total Other Income (Expense) (10,853,766) (500,946) Net Loss Before Benefit (Provision) for Income Taxes (19,467,922) (4,125,742) Benefit (Provision) for Income Taxes Current - - Deferred - - Net Loss $ (19,467,922) $(4,125,742) Net loss per share: Basic $ (0.61) $(0.16) Shares used in the computation: Basic 32,178,342 26,455,505 See notes to consolidated financial statements. 39 BACTERIN INTERNATIONAL HOLDINGS, INC. Consolidated Statements of Changes in Stockholders’ Equity (Deficit)For the Years Ended December 31, 2010, and 2009 Common Stock Additional Retained Treasury Totalstockholders' Shares Amount paid-in capital Deficit Stock equity (deficit) Balance at December 31, 2008 25,369,067 $25 $16,974,340 $(13,351,593) $- $3,622,772 Issuance of common stock, options and warrants: Private placement 1,218,750 1 1,949,999 - - 1,950,000 Conversion of notes to common stock 1,510,143 2 2,414,875 - - 2,414,877 Purchase of treasury stock (58,897) - - - (76,566) (76,566)Warrants for debt issuance - - 62,183 - - 62,183 Stock-based compensation 172,500 0 837,350 - - 837,350 Net loss - - - (4,125,742) - (4,125,742) Balance at December 31, 2009 28,211,563 $28 $22,238,747 $(17,477,335) $(76,566) $4,684,874 Issuance of common stock, options and warrants: Private placement 3,618,750 4 4,937,517 - - 4,937,521 Purchase and reissuance of dissenters shares - - (595,152) - - (595,152) Conversion of notes to common stock 32,753 - 52,404 - - 52,404 Conversion of bridge notes to common stock 2,735, 107 3 3,934,713 - - 3,934,716 Placement agent shares 106,217 - 67,253 - - 67,253 Sale of common stock 6,250 - 10,000 - - 10,000 Purchase of treasury stock - - - (135,470) (135,470)Retirement of treasury stock (69,044) - (212,036) - 212,036 - Exercise of warrants-warrant exchange program 489,710 - 1,237,262 - - 1,237,262 Cashless exercise of warrants 364,148 - - - - - Transfer from warrant derivative liability due to warrantexercises - - 1,665,458 - - 1,665,458 Issuance of warrants - - 405,000 - - 405,000 Stock-based compensation 264,165 1 1,672,128 - - 1,672,129 Warrants/shares issued in legal settlement 30,000 - 772,047 - - 772,047 Exercise of options 24,500 - 40,328 - - 40,328 Debt Discount-WTI - - 100,308 - - 100,308 Reverse merger transactions 1,180,596 1 (1) - - - Net loss - - - (19,467,922) - (19,467,922)Balance at December 31, 2010 36,994,715 $37 $36,325,976 $(36,945,257) $- $(619,244)See notes to consolidated financial statements. 40 BACTERIN INTERNATIONAL HOLDINGS, INC. Consolidated Statements of Cash FlowsFor the Years Ended December 31, 2010 and 2009 Year Ended December 31, 2010 2009 Operating activities: Net loss $(19,467,922) $(4,125,742)Noncash adjustments: Depreciation and amortization 682,544 707,926 Stock/option awards for services 2,849,177 837,350 Provision for losses on accounts receivable and inventory 814,357 (2,078)Non-cash interest expense 870,655 183,078 Gain on disposal of assets - (5,250)Change in derivative warrant liability 9,206,826 - Loss on impairment of intangible assets 183,234 - Changes in operating assets and liabilities: Accounts receivable (2,283,079) (739,206)Notes receivable (342,469) (81,178)Inventories (2,618,200) (851,023)Prepaid and other current assets (624,414) 44,082 Accounts payable 1,429,413 150,349 Accrued liabilities 927,910 210,096 Net cash used in operating activities (8,371,968) (3,671,596) Investing activities: Purchases of property and equipment (783,051) (42,089)Proceeds on sale of fixed assets - 5,250 Notes receivable from stockholder - 138,280 Intangible asset additions (33,321) (51,576)Net cash (used in) investing activities (816,372) 49,865 Financing activities: Proceeds from the issuance of long-term debt 3,973,435 - Proceeds from exercise of warrants 1,018,806 - Payments on long-term debt (1,588,554) (235,330)Release of restriction on cash - 1,000,000 Proceeds from issuance of convertible debt 4,700,000 550,000 Payments on convertible debt (1,790,000) - Payments on notes payable (1,074,289) (500,000)Proceeds from notes payable 926,690 Payments on notes payable to shareholders (183,461) (47,137)Payments on capital leases (68,855) (207,232)Proceeds from stock option exercises 40,328 - Proceeds from issuance of common stock 5,160,963 1,950,000 Purchase of treasury stock/payment to dissenting investors (726,707) - Net cash provided by financing activities 9,461,666 3,436,991 Net change in cash and cash equivalents 273,326 (184,740) Cash and cash equivalents at beginning of period 54,155 238,895 Cash and cash equivalents at end of period $327,481 $54,155 See notes to consolidated financial statements. 41 Notes to Consolidated Financial Statements (1) Business Description and Summary of Significant Accounting Policies Business Description Bacterin International Holdings, Inc. (the “Company” or “Bacterin”) develops, manufactures and markets biologics products to domestic and internationalmarkets. Bacterin’s proprietary methods are used in human allografts to create stem cell scaffolds and promote bone and other tissue growth. These productsare used in a variety of applications including enhancing fusion in spine surgery, relief of back pain with a facet joint stabilization, promotion of bone growthin foot and ankle surgery, promotion of skull healing following neurosurgery and cartilage regeneration in knee and other joint surgeries. Bacterin’s device division develops anti-microbial coatings to inhibit infection based upon proprietary knowledge of the phenotypical changes made bymicrobes as they sense and adapt to changes in their environment. Bacterin develops, employs, and licenses bioactive coatings for various medical deviceapplications. Bacterin’s strategic coating initiatives include the inhibition of biofilm formation, local (as opposed to systemic) drug delivery, local (as opposedto systemic) pain management, and anti-thrombotic factors for medical device applications. Certain Risks and Concentrations The Company's revenue is derived principally from the sale or license of its medical products, coatings and device implants. The markets in which theCompany competes are highly competitive and rapidly changing. Significant technological advances, changes in customer requirements, or the emergence ofcompetitive products with new capabilities or technologies could adversely affect the Company's operating results. The Company's business could be harmedby a decline in demand for, or in the prices of, its products or as a result of, among other factors, any change in pricing or distribution model, increased pricecompetition, changes in government regulations or a failure by the Company to keep up with technological change. Further, a decline in available tissuedonors could have an adverse impact on the business. Financial instruments subjecting the Company to concentrations of credit risk are accounts and notes receivable. The Company maintains cash, cashequivalents, and short-term investments with various domestic financial institutions. From time to time, the Company's cash balances with its financialinstitutions may exceed federal deposit insurance limits. The Company's customers are worldwide with approximately 97% of sales in the United States for 2010. One customer accounted for approximately 6% and9% of the Company’s revenue for 2010 and 2009, respectively. One customer represented 6% and 9% of accounts receivable at December 31, 2010 and2009, respectively. Revenue by geographical region is as follows: Year endedDecember 31, 2010 2009 United States $14,941,562 $6,708,028 Rest of World 476,085 685,465 $15,417,647 $7,393,493 42 Use of Estimates The preparation of the financial statements requires management of the Company to make a number of estimates and assumptions relating to the reportedamount of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenueand expenses during the period; the carrying amount of property and equipment and intangible assets; valuation allowances for receivables and deferredincome tax assets; and estimates of expected term and volatility in determining stock-based compensation expense. Actual results could differ from thoseestimates. Cash and Cash Equivalents The Company considers all highly liquid investments purchased with an original maturity date of three months or less to be cash equivalents. Cashequivalents are recorded at cost, which approximates market value. Accounts Receivable and Accounts Receivable - Related Party Accounts receivable represents amounts due from customers for which revenue has been recognized. Normal terms on trade accounts receivable are net 30 daysand some customers are offered discounts for quick pay. Notes receivable include amounts due from West Coast Tissue Service, a supplier of donors to theCompany. The Company performs credit evaluations when considered necessary, but generally does not require collateral to extend credit. The allowance for doubtful accounts is the Company's best estimate of the amount of probable credit losses in the Company's existing receivables. TheCompany determines the allowance based on factors such as historical collection experience, customer's current creditworthiness, customer concentration, ageof accounts receivable balance and general economic conditions that may affect a customer's ability to pay. Actual customer collections could differ fromestimates. Account balances are charged to the allowance after all means of collection have been exhausted and the potential for recovery is considered remote.Provisions to the allowance for doubtful accounts are charged to expense. The Company does not have any off-balance sheet credit exposure related to itscustomers. Inventories Inventories are stated at the lower of cost or market. Cost is determined using the specific identification method and includes materials, labor and overhead. Property and Equipment Property and equipment are stated at cost less accumulated depreciation and amortization. Depreciation and amortization is computed using the straight-linemethod over the estimated useful lives of the assets, generally three to seven years for computers and equipment, and 30 years for buildings. Repairs andmaintenance are expensed as incurred. Intangible Assets Intangible assets include costs to acquire and protect Company patents and are carried at cost less accumulated amortization. The Company amortizes theseassets on a straight-line basis over their estimated useful lives of 15 years. 43 Grants As part of the Company’s efforts to build the development of new technologies, tissue donation and expansion of tissue supply, the Company, may, fromtime-to-time either provide or receive grants. These grant receipts are used for research and development efforts. Revenue Recognition Revenue is recognized when all of the following criteria are met: a) the Company has entered into a legally binding agreement with the customer; b) the productsor services have been delivered; c) the Company's fee for providing the products and services is fixed and determinable; and d) collection of the Company’sfee is probable. The Company’s policy is to record revenue net of any applicable sales, use, or excise taxes. If an arrangement includes a right of acceptance or a right tocancel, revenue is recognized when acceptance is received or the right to cancel has expired. The Company sells to certain customers under consignment arrangements whereby the Company ships product to be stored by the customer. The customer isrequired to report the use to the Company and upon such notice, the Company invoices the customer. Research and development services revenue is recognized as performed, based on the incurrence of qualifying costs or achievement of milestones as prescribedin the arrangement. Non Cash Consulting Expense Non Cash Consulting Expense consists of the fair market value of restricted stock awards to consultants and advisors to the Company. Other Expense Other expense consists of a non cash charge of approximately $722,000 associated with a legal settlement with a former officer and other miscellaneousoperating expenses. Research and Development Research and development costs, which are principally related to internal costs for the development of new technologies and processes for tissue and coatings,are expensed as incurred. Income Taxes The Company records income taxes under the asset and liability method as prescribed under FASB Accounting Standards Codification (“ASC”) 740,Accounting for Income Taxes. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financialstatement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted taxrates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred taxassets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. When applicable, a valuation allowance isestablished to reduce any deferred tax asset when it is determined that it is more likely than not that some portion of the deferred tax asset will not be realized. Impairment of Long-Lived Assets Long-lived assets, including intangible assets, are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount ofan asset may not be recoverable. Recoverability of assets to be held and used is measured by a comparison of the carrying amount of an asset to future netcash flows expected to be generated by the asset. If such assets are considered to be impaired, the impairment to be recognized is measured by the amount bywhich the carrying amount of the assets exceeds the estimated fair value of the assets. In 2010, the Company recorded loss on impairment of intangible assetsof $183,234, net of $105,074 of accumulated amortization on the impaired assets. This loss is reflected in General and Administrative expenses on theStatement of Operations. Assets to be disposed of are reported at the lower of the carrying amount or fair value less costs to sell. 44 Net Loss Per Share A reconciliation of the denominator used in the calculation of basic and diluted net (loss) per share is as follows: Year Ended Net Loss Per Share: December 31, 2010 2009 Net Loss $(19,467,922) $(4,125,742)Basic net loss per share $(0.61) $(0.16)Weighted average common shares outstanding for basic net loss per share 32,178,342 26,455,505 Dilutive earnings per share are not reported as their effects of including 11,142,303 and 6,809,891 outstanding stock options and warrants for the twelvemonths ended December 31, 2010 and 2009, respectively are anti-dilutive. Reverse Merger/Financing Transactions On June 30, 2010, the Company completed a reverse merger transaction (the “Reverse Merger”), in which we caused Bacterin International, Inc., a Nevadacorporation (“Bacterin”), to be merged with and into a wholly-owned Nevada subsidiary created for purposes of effecting the Reverse Merger, and thestockholders of Bacterin obtained control of the Company. The Reverse Merger was consummated under Nevada corporate law pursuant to an Agreement andPlan of Merger, dated as of June 30, 2010. As a result of the Reverse Merger, Bacterin became our wholly-owned subsidiary and we are now engaged, throughBacterin, in the business of biomaterials research, development, and commercialization. K-Kitz ceased operations on June 30, 2010 in connection with theReverse Merger transaction. Pursuant to the terms of the Reverse Merger, the stockholders of Bacterin immediately preceding the Reverse Merger received one share of the Company’scommon stock for each two shares of Bacterin common stock such stockholder held prior to the Reverse Merger (effectively resulting in a de facto one-for-tworeverse stock split of the then outstanding Bacterin shares). The aggregate number of the Company’s shares of common stock so issued to the Bacterinstockholders, being 28,257,133 shares, represented approximately 96% of our outstanding common stock as of the closing of the Reverse Merger on June 30,2010, prior to taking into account the issuance of any shares of our common stock pursuant to the private placement described below. All share amounts, including those for which any securities are exercisable or convertible, have been adjusted to reflect the conversion ratio used in the ReverseMerger. In addition, stockholders equity and earnings per share have been retroactively restated to reflect the number of shares of Company common stockreceived by Bacterin stockholders in the Reverse Merger or the number of shares of Company common stock receivable by former Bacterin stockholders uponexercise or conversion of other securities held by them, as applicable. Bacterin was deemed to be the acquiring company for accounting purposes and, accordingly, the Reverse Merger has been accounted for as arecapitalization. The consolidated financial statements of the Company after the Reverse Merger reflect the historical financial results of Bacterin before theconsummation of the Reverse Merger and do not include the historical financial results of the Company before the consummation of the Reverse Merger. 45 Private Placement Concurrently with the closing of the Reverse Merger on June 30, 2010, we also completed an initial closing of a private placement to selected qualified investorsof shares of our common stock at a purchase price of $1.60 per share and detachable warrants to purchase one-quarter share of our common stock (at anexercise price of $2.50 per share) for each share of common stock purchased in the private placement. In the initial closing on June 30,2010, we sold 4,934,533 shares of our common stock and warrants to purchase 1,233,646 shares of common stock as partof this initial closing. We received gross proceeds of $7,508,329 in consideration for the sale of the shares of common stock and warrants, which consisted of(i) $4,026,000 in net cash from investors in the private placement and (ii) $3,482,329 from note holders in two earlier Bacterin bridge financings (conductedto fund working capital and capital expenditures during the months prior to the Reverse Merger) who converted their outstanding principal and interest into theprivate placement at a 10% discount to the purchase price, being $1.44 per share, and received identical warrant coverage as the cash investors except that theexercise price of the converting note holders’ warrants is $2.25 per share, a 10% discount to the exercise price of the warrants received by the cash investors.The note holders in the bridge financings also received warrants to purchase 1,482,256 shares of our common stock and our placement agent receivedwarrants to purchase 328,125 shares of our common stock as part of the bridge financings. In the second and final closing of this private placement on July 30, 2010, we sold a total of 1,102,500 additional shares of our common stock together withadditional warrants to purchase an aggregate of 275,625 shares of our common stock for total gross cash proceeds of $1,764,000. Our placement agents received an aggregate of $463,200 in cash fees in connection with the private placement ($322,080 from the initial closing and $141,120from the second and final closing) and were reimbursed for their out-of-pocket-expenses. In addition, the placement agents received an aggregate of 106,217shares of our common stock (84,167 shares from the initial closing and 22,050 shares from the second and final closing) and warrants to purchase 361,875shares of our common stock (251,625 shares from the initial closing and 110,250 shares from the second and final closing) at an exercise price of $1.60 pershare. Following the private placement transaction, the Company has permitted an additional $450,000 in principal amount outstanding under the bridge financing toconvert into 316,823 shares of the Company’s common stock and warrants to purchase 88,309 shares of the Company’s common stock on the same termsas if such debt had actually converted in the private placement transaction. On August 6, 2010, we paid certain of Bacterin’s former stockholders, who held approximately 371,970 shares of Bacterin common stock in the aggregate,the fair value for such shares in connection with the exercise of their dissenters’ rights. As a result, and pursuant to the terms of the agreement governing theReverse Merger, the former Bacterin stockholders (excluding the dissenting shareholders) were issued 371,970 shares of our common stock (i.e., the samenumber of shares that the dissenting stockholders would have received had they not exercised their dissenters rights) in proportion to such stockholders’ pre-Reverse Merger share holding percentages in Bacterin. On November 19, 2010, the Company entered into financing arrangement with two subsidiaries of Western Technology Investment (“WTI”), whereby WTI,through its subsidiaries, agreed to provide a credit facility which allows the Company to draw down $2.5 million initially, and gives the Company the abilityto draw down an additional $2.5 million through April 30, 2011 provided the Company has achieved 90% of performance based milestones for the next twoquarters. In addition, upon the mutual agreement of Bacterin and WTI, WTI has agreed to an additional commitment through December 31, 2011 of up to25% of the next new round of equity financing or up to $3.0 million. The credit facility is secured by the Company’s personal property and carries an all-ininterest rate of 12.5%. Repayment of the initial $2.5 million will be interest only for the first six months, with principal and interest for the subsequent 30months. The WTI facility also allows the company to obtain separate accounts receivable financing. In connection with the financing, WTI also receivedwarrants to purchase up to 375,000 shares of the Company’s common stock. The warrants have an exercise price of the lower of $4.00 per share or the priceat which shares of the Company’s stock are sold in the next qualified financing, if applicable prior to the date of exercise. The WTI warrants expire on April30, 2018. WTI also has the right to receive additional warrants to purchase 125,000 shares of the Company’s common stock at the same exercise price if theCompany draws down the second $2.5 million tranche of the facility. In January 2011, Middlebury Securities LLC also received warrants to purchase25,000 shares of our common stock for placement agent service in connection with the WTI transaction. 46 The Company also issued warrants to purchase a total of 489,710 shares of the Company’s common stock to a limited group of existing investors whoexercised existing warrants. The new warrants have an exercise price of $4.00 per share and expire November 15, 2015. The Company received a total of$1,172,696 from the cash payments of the exercise price of the existing warrants. Stock-Based Compensation The Company records stock-compensation expense according to the provisions of ASC 718. Under ASC 718, stock-based compensation costs are recognizedbased on the estimated fair value at the grant date for all stock-based awards. The Company estimates grant date fair values using the Black-Scholes-Mertonoption pricing model, which requires assumptions of the life of the award and the stock price volatility over the term of the award. The Company recordscompensation cost of stock-based awards using the straight line method, which is recorded into earnings over the vesting period of the award. Pursuant to theincome tax provisions included in ASC 718-740, the Company has elected the “short cut method” of computing its hypothetical pool of additional paid-incapital that is available to absorb future tax benefit shortfalls. Comprehensive Income (Loss) Comprehensive loss includes net income or loss, as well as other changes in stockholders' equity that result from transactions and economic events other thanthose with stockholders. The Company currently does not have any transactions that qualify for accounting and inclusion as other comprehensive income(loss). Fair Value of Financial Instruments The carrying values of financial instruments, including accounts receivable, notes receivable, accounts payable and other accrued expenses, approximate theirfair values. (2) Accounts Receivable - related party Accounts receivable - related party consist of the following: December 31,2010 December 31,2009 West Coast Tissue Service, Inc. $613,034 $270,565 47 West Coast Tissue Service, Inc. is a non-profit corporation organized under Section 501(c)(3) of the Internal Revenue Code. The Company has contractedwith West Coast Tissue Service to acquire its donor tissue for use in the Company’s production. If the Company were unable to continue to receive donortissue, it may have a material effect on its financial statements and results of operations. The notes are non-interest bearing. (3) Inventories Inventories consist of the following: December 31, Current inventories 2010 2009 Raw materials $709,800 $1,279,006 Work in process 1,212,468 1,282,080 Finished goods 4,239,972 2,499,627 6,162,240 5,060,713 Reserve (721,602) (60,000) Current inventories, total $5,440,638 $5,000,713 Non-current inventories Work in process $588,295 $- Finished goods 851,089 - Non-current inventories, total $1,439,384 $- Total inventories $6,880,022 $5,000,713 (4) Property and Equipment, Net Property and equipment, net are as follows: December 31, 2010 2009 Buildings $1,613,628 $1,613,628 Equipment 3,330,156 2,575,659 Computer equipment 255,170 235,566 Computer software 144,353 140,071 Furniture and fixtures 75,007 75,007 Leasehold improvements 902,916 898,248 Vehicles 68,306 68,306 Total cost 6,389,536 5,606,485 Less: accumulated depreciation (2,992,216) (2,358,389) $3,397,320 $3,248,096 48 Maintenance and repairs expense for 2010 and 2009, was $86,251 and $43,328, respectively. Depreciation expense related to property, plant and equipment,including property under capital lease for 2010 and 2009 was $633,828 and $661,847, respectively. (5) Intangible Assets Bacterin has been issued various patents with regards to processes for its products. The following table sets forth information regarding intangible assets: Intellectual Property December 31, 2010 December 31, 2009 Gross carrying value $455,483 $710,471 Accumulated amortization $(99,844) $(156,203)Net carrying value $355,639 $554,268 Aggregate amortization expense: $48,715 $46,080 Estimated amortization expense: 2011 $30,366 2012 $30,366 2013 $30,366 2014 $30,366 2015 $30,366 In 2010, the Company recorded a loss on impairment of intangible assets of $183,234, net of $105,074 of accumulated amortization of the impaired assets. (6) Accrued Liabilities Accrued liabilities consist of the following: December 31, 2010 2009 Credit cards $7,597 $10,764 Accrued interest payable - 75,382 Accrued stock compensation 197,763 - Wages payable 415,386 377,484 Other accrued expenses 770,794 - $1,391,540 $463,630 49 (7) Notes Payable Notes payable consist of the following: December 31, 2010 2009 Note payable Kevin Daly $- $200,000 Note payable Hamilton Group - 426,693 Notes payable Flathead Bank - 500,000 $- $1,126,693 The note payable to Kevin Daly was a 30-day note payable bearing interest at 15% and was repaid in January 2010. The Hamilton Group notes were repaidwith the proceeds of the WTI financing on November 19, 2010. The notes payable to Flathead Bank are 6.5% short-term notes with monthly payments of$3,728 and matured on June 25, 2010. (8) Convertible Notes Payable December 31, 2010 2009 12% convertible note payable. $- $890,000 Less: debt discount - (69,213) $- $820,787 The 12% convertible notes payable matured in September 2010, were secured by the Company’s intellectual property and raw material inventory, and wereconvertible any time into common stock at $1.44 per share. (9) Long-Term Debt Long-term debt consists of the following: December 31, 2010 2009 6.5% loan payable to Flathead Bank, $7,278 monthly payments including interest, note has been extended, secured bybuilding $- $976,218 8.50% loan payable to Flathead Bank, $9,329 monthly payments, including interest, maturing in 2012, secured byequipment - 293,052 5.00% loan payable to the City of Belgrade, $3,653 monthly payments, including interest, maturing in 2012, securedby equipment - 141,215 5.00% loan payable to the City of Belgrade, $6,982 monthly payments, including interest, maturing in 2010, securedby equipment - 39,044 5.00% loan payable to Valley Bank of Belgrade, $4,140 monthly payments including interest, maturing September 1,2011; secured by building - 165,590 6.00% loan payable to Valley Bank of Belgrade, $10,746 monthly payments including interest, maturing December 24,2030; secured by building 1,500,000 - 12.553% loan payable to Venture Lending and Leasing, variable monthly payments, maturing in November, 2013,secured by equipment 1,250,000 - 12.553% loan payable to Venture Lending and Leasing, variable monthly payments, maturing in November, 2013,secured by equipment 1,250,000 - 4,000,000 1,615,119 Less: Current portion (234,149) (1,202,574)Debt discount (1,575,985) - $2,189,866 $412,545 50 The following is a summary of maturities due on the long-term debt as of December 31, 2010: 2011 $529,290 2012 966,896 2013 1,104,703 2014 47,912 2015 50,868 Thereafter 1,300,331 Total $4,000,000 (10) Notes Payable to Stockholders Notes payable to stockholders consist of the following: December 31, 2010 2009 Notes payable to Guy Cook $- $76,969 Note payable to Mitch Godfrey - 106,492 $- $183,461 The notes payable to Guy Cook and Mitch Godfrey did not have specified payment terms and earned 6% interest per annum. These notes and accrued interestwere repaid in November 2010. (11) Stock-Based Compensation The Company’s Equity Incentive Plan provides for stock awards, including options and performance stock awards, to be granted to employees, consultants,independent contractors, officers and directors. The purpose of the incentive compensation plan is to enable us to attract, retain and motivate key employees,directors and, on occasion, independent consultants, by providing them with stock options and restricted stock grants. Stock options granted under theincentive compensation plan may be either incentive stock options to employees, as defined in Section 422A of the Internal Revenue Code of 1986, or non-qualified stock options. The plan is currently administered by the compensation committee of our Board of Directors. The administrator of the plan has thepower to determine the terms of any stock options granted under the incentive plan, including the exercise price, the number of shares subject to the stockoption and conditions of exercise. Stock options granted under the incentive plan are generally not transferable, vest in installments and are exercisable duringthe lifetime of the optionee only by such optionee. The exercise price of all incentive stock options granted under the incentive plan must be at least equal to thefair market value of the shares of common stock on the date of the grant. The specific terms of each stock option grant will be reflected in a written stockoption agreement. At December 31, 2010, the Company had approximately 1,302,257 shares available for issuance under the equity plan. 51 Compensation expense recognized in the statement of operations for the years ended December 31, 2010 and 2009 is based on awards ultimately expected tovest and reflects an estimate of awards that will be forfeited. ASC 718 requires forfeitures to be estimated at the time of grant and revised, if necessary, insubsequent periods if actual forfeitures differ from those estimates. The estimated fair value of stock options granted is done using the Black-Sholes-Merton method applied to individual grants. Key assumptions used toestimate the fair value of stock awards are as follows: ·Risk-Free Rate: The risk-free rate is determined by reference to U.S. Treasury yields at or near the time of grant for time periods similar to theexpected term of the award. ·Expected Term: The Company does not have adequate history to estimate an expected term of stock-based awards, and accordingly, uses the short-cut method as prescribed by Staff Accounting Bulletin 107 to determine an expected term. ·Volatility: The Company estimates expected volatility based on peer-companies as prescribed by ASC 718. ·Dividend Yield: The dividend yield assumption is based on the Company’s history and expectation of dividend payouts and was 0% asof December 31, 2010 and 2009. Activity under the Company’s stock option plans was as follows: Year endedDecember, 2010 Year ended December 31, 2009 Weighted Weighted Average Average Exercise Exercise Shares Price Shares Price Outstanding at Jan. 1, 3,353,493 $1.33 1,999,160 $1.18 Granted 1,228,000 1.60 1,497,500 1.52 Exercised (24,500) 1.34 - - Cancelled or expired (706,250) 1.52 (143,167) 1.18 Outstanding at December 31, 3,850,743 $1.38 3,353,493 $1.33 Exercisable at December 31, 1,536,198 $1.13 1,033,411 $0.96 From time to time the Company may grant stock options to consultants. The Company accounts for consultant stock options in accordance with ASC 505-50. Compensation expense for the grant of stock options to consultants is determined based on the estimated fair value of the stock options at the measurementdate as defined in ASC 505-50 and is recognized over the vesting period. 52 In connection with private placements of convertible debt, short-term debt, and common stock, the Company issued warrants to purchase shares of commonstock at an exercise price of between $1.16 and $2.50 per share. During 2009, 38,400 warrants were issued with private placements of common stock,86,400 warrants were issued with the placement of short-term debt and 105,600 warrants were issued with the placement of convertible notes. Warrantsissued with common stock were recorded as additional paid in capital at the estimated fair market value of $13,601 in 2009. The warrants issued withconvertible debt and short-term loans were recorded as interest expense at the estimated fair value of $137,415 in 2009 using the following assumptions: December 31,2010 December 31,2009 Value of underlying common stock (per share) $1.60 $1.60 Risk free rate 0.82 % 2.20%Expected term 2.5 years 2.5-5 years Dividend yield 0% 0%Volatility 52% 44-61%From January 1, 2010, through December 31, 2010, we issued warrants to purchase 1,570,565 shares of our common stock at an exercise price between$2.16 and $2.50 per share in connection with Bacterin’s two prior bridge financings and warrants to purchase 1,509,271 shares of our common stock inconnection with the closing of our private placement on June 30, 2010 and July 30, 2010 described above. Warrants to purchase 904,688 shares of ourcommon stock which were issued to investors who purchased shares for cash in the private placement have an exercise price of $2.50 per share and warrantsto purchase 604,583 shares of our common stock which were issued to note holders who converted debt they acquired in Bacterin’s two prior bridgefinancings into the private placement have an exercise price of $2.25 per share, a 10% discount to the exercise price of the investors for cash. Additionally, we issued warrants to our placement agents to purchase 328,125 shares of our common stock at an exercise price of $1.66 per share inconnection with Bacterin’s two prior bridge financings and 361,875 shares of our common stock at an exercise price of $1.60 per share in connection withthe private placements which closed on June 30, 2010 and July 30, 2010. In November 2010, the Company issued warrants to purchase 375,000 shares of common stock to Western Technology, Inc. in connection with a financingtransaction. The warrants have an exercise price of the lower of $4.00 per share or the price at which shares of the Company’s stock are sold in the nextqualified financing, if applicable, prior to the date of exercise. The warrants expire on April 30, 2018. WTI also has the right to receive additional warrants topurchase 125,000 shares of the Company’s common stock at the same exercise price if the Company draws down the second $2.5 million tranche of thefacility. The Company also issued warrants to purchase 489,710 shares of the Company’s common stock to a limited group of investors at an exercise price of $4.00per share in exchange for those investors exercising their existing 489,710 warrants at exercise price ranging from $2.16 to $2.50 per share. The following table summarizes our warrant activities for 2010: Shares WeightedAverageExercisePrice Outstanding at January 1, 2010 3,456,398 $1.52 Issued 4,759,546 2.53 Exercised (924,384) 2.29 Cancelled or expired - - Outstanding at December 31, 2010 7,291,560 2.08 The Company utilizes a lattice model to determine the fair market value of the warrants. The 1,570,565 warrants issued in connection with the bridgefinancings and the 375,000 warrants issued in connection with the WTI financing were accounted for as derivative liabilities in connection with the priceprotection provisions of the warrants in compliance with ASC 815. The lattice model accommodates the probability of exercise price adjustment features asoutlined in the warrant agreements. Under the terms of the warrant agreement, at any time while the warrant is outstanding, the exercise price per share can bereduced to the price per share of future subsequent equity sales of the Company’s common stock or common stock equivalents that is lower than the exerciseprice per share as stated in the warrant agreement. 53 The following table summarizes our warrant activities for the year ended December 31, 2010: Shares WeightedAverageExercisePrice Outstanding at January 1, 2010 3,456,398 $1.52 Issued: Warrants in connection with bridge financings 1,570,565 $2.24 Warrants in connection with private placement 1,509,271 $2.39 Warrants in connection with placement agents - bridge financings 328,125 $1.66 Warrants in connection with placement agents - private placement 361,875 $1.60 Warrants in connection with Warrant Exchange Program 489,710 $4.00 Warrants in connection with WTI Financing 375,000 $4.00 Warrants in connection with legal settlement 100,000 $1.50 Warrants to placement agent - WTI 25,000 $4.00 Total Issued 4,759,546 $2.53 Exercised (924,384) 2.29 Cancelled or expired - - Outstanding at December 31, 2010 7,291,560 2.08 (12) Commitments and Contingencies Operating Leases The Company leases office facilities under a non-cancelable operating lease agreement with an expiration date in 2013. The Company has the option to extendthe lease for another ten year term and has right of first refusal on any sale. The Company leases additional office facilities under month-to-montharrangements. Future minimum payments for the next five years and thereafter as of December 31, 2010, under these leases, are as follows: 2011 $130,411 2012 $145,369 2013 $72,258 Thereafter $- Rent expense was $148,284 and $162,766 for 2010 and 2009, respectively. Rent expense is determined using the straight-line method of the minimumexpected rent paid over the term of the agreement. The Company has no contingent rent agreements. Warranties and Indemnification The Company's arrangements generally include certain provisions for indemnifying customers against liabilities if its products or services infringe a third-party's intellectual property rights. To date, the Company has not incurred any material costs as a result of such indemnifications and has not accrued anyliabilities related to such obligations in the accompanying financial statements. 54 The Company has also agreed to indemnify its directors and executive officers for costs associated with any fees, expenses, judgments, fines and settlementamounts incurred by any of these persons in any action or proceeding to which any of those persons is, or is threatened to be, made a party by reason of theperson's service as a director or officer, including any action by the Company, arising out of that person's services as the Company's director or officer or thatperson's services provided to any other company or enterprise at the Company's request. Litigation From time to time, the Company is involved in legal proceedings arising in the ordinary course of business. The Company believes that the resolution of thesematters will not have a material effect on the Company's financial position, results of operations or liquidity. Legal fees are charged to expense as incurred,unless the probability of incurring a loss is high and the amount can be reasonably estimated, in which case the estimated loss is accrued. (13) Income Taxes The Company’s provision for income taxes differs from applying the statutory U.S. federal income tax rate to income before taxes. The primary differenceresults from providing for state income taxes and from deducting certain expenses for financial statement purposes but not for federal income tax purposes.The components of loss before provision for income taxes consist of the following: Year ended December 31, 2010 2009 United States $(19,467,922) $(4,125,742) $(19,467,922) $(4,125,742)The reconciliation of income tax attributable to operations computed at the U.S. Federal statutory income tax rate of 35% to income tax expense is as follows: Year EndedDecember 31, 2010 2009 Statutory Federal tax rate $(6,813,739) $(1,468,234)Valuation allowance 7,751,559 1,733,385 State income taxes, net of Federal benefit (1,118,621) (289,452)Nondeductible meals & entertainment expense 180,801 24,301 $- $- 55 Deferred tax components are as follows: December 31, 2010 2009 Deferred tax assets: Accrued liability for vacation $99,352 $85,734 Accrued commission expense - 48,318 Bad debt reserve 64,081 34,275 Inventory reserve 294,024 25,140 Net operating loss carryovers 5,941,272 3,654,421 Non-cash warrant/interest expense 820,095 843,321 Debt issuance expense 1,090,381 815,816 Warrant derivative liability 3,948,589 30,525 Stock compensation 1,569,121 661,296 Total deferred tax assets 13,826,915 6,198,846 Valuation allowance (13,712,352) (6,057,142)Net deferred tax assets 114,563 141,704 Deferred tax liabilities: Depreciation (120,767) (179,774)Amortization 6,204 38,070 Total deferred tax liabilities (114,563) (141,704)Net deferred tax assets $- $- The ultimate realization of deferred tax assets is dependent upon the existence, or generation, of taxable income in the periods when those temporary differencesand net operating loss carryovers are deductible. Management considers the scheduled reversal of deferred tax liabilities, taxes paid in carryover years,projected future taxable income, available tax planning strategies, and other factors in making this assessment. Based on available evidence, management doesnot believe it is more likely than not that all of the deferred tax assets will be realized. Accordingly, the Company has established a valuation allowance equalto the net realizable deferred tax assets. The valuation allowance increased by $6,081,174 and $1,733,002 in 2010 and 2009, respectively.At December 31, 2010 and 2009, the Company had total domestic Federal and state net operating loss carryovers of approximately $14,581,241 and$8,721,768, respectively. Federal net operating loss carryovers expire at various dates between 2027 and 2030, while state net operating loss carryovers expirebetween 2024 and 2030.Under the Tax Reform Act of 1986, as amended, the amounts of and benefits from net operating loss carryovers and research and development credits may beimpaired or limited in certain circumstances. Events which cause limitations in the amount of net operating losses that the Company may utilize in any oneyear include, but are not limited to, a cumulative ownership change of more than 50%, as defined, over a three year period. The Company does not believethat such an ownership change has occurred in 2010 or 2009.The 2007 through 2009 tax years remain open to examination by the Internal Revenue Service and the 2005 to 2009 tax years remain open to the MontanaDepartment of Revenue. These taxing authorities have the authority to examine those tax years until the applicable statute of limitations expire.The Company did not recognize any interest or penalties related to income taxes for the years ended December 31, 2010 and 2009. (14) Employee Benefit Plans The Company had a SIMPLE IRA retirement plan established for qualified employees. Qualified employees may defer their salary and the deferrals arematched up to 2% for December 31, 2010 and 3% for 2009 of eligible compensation by the Company. The plan covers substantially all full-time employees.Under the terms of the plan, participants may contribute up to the lower of $10,500 of their salary or the statutorily prescribed limit to the plan. Employees areeligible the first January after their hire date. The Company made matching contributions during 2010 and 2009 of $40,093 and $131,709, respectively. 56 (15) Supplemental Disclosure of Cash Flow Information Supplemental cash flow information is as follows: Year Ended December 31, 2010 2009 Supplemental disclosure of cash flow information Cash paid during the period for: Interest $511,757 $276,074 Income taxes - - Non-cash investing and financing activities: Acquisition of property and equipment under capital lease $- $65,715 Increase in debt discount $1,575,985 $- Acquisition of treasury stock using notes payable $- $76,566 Conversion of convertible notes payable into common stock $2,054,620 $614,992 (16) Quarterly Results of Operations (unaudited) Unaudited First quarter Second quarter Third quarter Fourth quarter 2010 Revenue 2,736,433 3,201,100 4,191,986 5,288,128 Cost of tissue sales 604,622 519,082 711,173 1,530,909 Net loss (1,643,029) (2,051,002) (9,043,227) (6,730,664)Earnings (loss) per share (0.06) (0.07) (0.26) (0.18) 2009 Revenue 2,098,441 1,721,478 1,383,317 2,190,257 Cost of tissue sales 483,639 174,480 973,436 686,587 Net income (loss) 16,030 (667,738) (1,871,682) (1,602,352)Earnings (loss) per share - (0.03) (0.09) (0.06) (17) Related Party TransactionsOur Chief Executive Officer serves as a Board member of West Coast Tissue Services and is Chairman of the Board of American Donor Services. Inaddition, our Vice President – Biologics serves as a Board member of American Donor Services. Both of these entities recover tissues from donors and wereimburse them for recovery fees including labor costs. These relationships benefit the Company, thus insuring we have a pipeline of current and futuredonors which is necessary for our success. The aggregate amount of all payments made to these entities since January 1, 2008 is $1,058,997 to West CoastTissue Services and $1,529,505 to American Donor Services. At December 31, 2010 the Company had an accounts receivable-related party from West CoastTissue Services of $613,034 and accounts payable to American Donor Services of $573,036. No compensation is paid to our Chief Executive Officer or VP –Biologics for their services to those entities.At December 31, 2010, the Company has a note receivable from its Chief Executive Officer of $82,398 which existed prior to the reverse merger transaction inJune, 2010, before we became a public corporation. The Company expects to collect the note and accrued interest by June 30, 2011. (18) Subsequent Events Effective January 14, 2011, the Company entered into a Loan and Security Agreement with Bridge Bank, National Association (“Bridge Bank”) wherebyBridge Bank agreed to provide a two year revolving credit facility which allows the Company to borrow up to the lesser of (i) 80% of the Company’s accountsreceivable, or (ii) $3 million, increasing to $5 million if the Company achieves two consecutive quarters of profitability of at least $4 million in the aggregate.Amounts advanced will carry interest at the Bridge Bank prime rate plus 2.25% (subject to a minimum prime rate of 4%) and will be secured by theCompany’s accounts receivable and other personal property.On March 18, 2011, the Company announced that it has executed a preliminary letter of intent to acquire Robinson MedSurg LLC (“RMS”), a medical devicedistribution company focused primarily on maxillofacial and craniofacial surgery devices. The proposed transaction will involve an initial exchange ofBacterin common stock valued at $1,000,000 at the closing date, in exchange for all the assets of RMS, including approximately $500,000 of inventory,existing commercial agreements and intellectual property. In addition, upon achievement of certain revenue goals by RMS over a two year period, additionalBacterin common stock valued at $1,000,000 may be remitted to RMS. 57 Item 9 Changes in and Disagreements with Accountants on Accounting and Financial Disclosure None. 58 Item 9A. Controls and Procedures Evaluation of Disclosure Controls and Procedures Our senior management with the participation of our chief executive officer and chief financial officer evaluated the effectiveness of our disclosure controls andprocedures (as defined in Rules 13a – 15(e) under the Exchange Act) as of December 31, 2010. Based upon that evaluation, we concluded that as of December31, 2010, our disclosure controls and procedures were ineffective due to the material weakness in our internal controls over financial reporting detailed belowthat have not been fully remediated as of December 31, 2010. Management’s Report on Internal Control over Financial Reporting Management is responsible for maintaining adequate internal control over financial reporting as such term is defined in rule 13a-15 (f) under the Securities andExchange Act of 1934 as amended. Under the supervision and with the participation of senior and executive management, we conducted an evaluation of ourinternal controls over financial reporting based upon the framework Internal Control – Integrated Framework as outlined by COSO, the Committee ofSponsoring Organizations of the Treadway Commission. Our internal control over financial reporting is a process designed to provide reasonable assuranceregarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with accounting principlesgenerally accepted in the United States of America. Because of its inherent limitations, internal control over financial reporting may not prevent or detectmisstatements. Also, projections of an evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because ofchanges in conditions or that the degree of compliance with the policies or procedures may deteriorate. Based on our evaluation under the framework Internal Control – Integrated Framework, management concluded that our internal control over financialreporting was ineffective as of December 31,2010 due to material weaknesses in our internal control over financial reporting that have not been fully remediatedas of December 31,2010 as detailed below: 1)Insufficient number of personnel with the appropriate level of experience and technical expertise to appropriately resolve non-routine and complexaccounting matters while completing the financial statement close process. This weakness resulted in the identification of adjustments during thefinancial statement close process that have been recorded in 2010 consolidated financial statements. Until this design deficiency in our internalcontrol over financial reporting is remediated, there is a reasonable possibility that a material misstatement in our annual or interim financialstatements could occur and not be corrected or prevented by our internal control system in a timely manner. Our efforts to remediate this weakness include the following: -The hiring of an SEC Reporting Manager in February 2011 with experience preparing SEC reports for publicly traded companiesrequired to comply with Section 404 of the Sarbanes Oxley act of 2002. -We will further expand the hiring of qualified accounting and finance personnel throughout 2011. -Expand the training and education of our accounting and finance department, including Sarbanes Oxley compliance training. 2) The Company currently keeps its inventory records under a separate operating system than its accounting system. Accordingly, duplicate input isrequired for both systems increasing the risk of errors in recording inventory transactions while requiring numerous reconciliations to be performed byCompany personnel. In addition, the inventory system does not have the capability to generate historical detailed inventory reports which limits the ability to reconcile discrepanciesbetween the accounting system and the inventory system. Our efforts to remediate the weakness include the following: -The Company is currently evaluating the purchase of an integrated accounting operating and inventory system. Currently, the Company expects toimplement the system during the second half of 2011. -In the interim periods, the Company will perform a detailed inventory reconciliation and cost analysis on a quarterly basis. 3) The documentation surrounding equity transactions for employees and consultants needs to be strengthened to comply with procedures outlined by theCompany to ensure that all equity related transactions are properly recorded in the appropriate periods. Our efforts to remediate the weakness include the following: -Development of a standard operating procedure for the grant of all equity securities including the approval process by the CompensationCommittee and the Board of Directors. Item 9B.Other Information None. PART III Item 10Directors and Executive Officers of the Registrant Executive Officers and Directors The names, ages and positions of our executive officers and directors are as follows: Name Age Position Guy Cook 46 Chairman of the Board, Chief Executive Officer, President and Chief Scientific Officer Mitchell T. Godfrey 65 Director Kent Swanson 66 Director Michael Lopach 62 Director Jon Wickwire 67 Director John P. Gandolfo 50 Chief Financial Officer Jesus Hernandez 55 Vice President of Biologics Darrel Holmes 57 Vice President of Medical DevicesThe principal occupations for the past five years (and, in some instances, for prior years) of each of our executive officers and directors are asfollows. Guy Cook, Chairman of the Board, Chief Executive Officer, President and Chief Scientific Officer, is considered an international expert inbiofilm science and its application. He is widely published and has been invited to speak at many prominent biofilm conferences, including the “Anti-InfectiveMaterials” Seminar in Tokyo and the FDA-CDRH Antimicrobial Device Efficacy Testing Seminar. Mr. Cook started his career as a product specialist in theImage Analysis Department for Laboratory Equipment Company in Chicago. He later became President of Delta Resources in Crystal Lake, Illinois, whichspecialized in developing customized image analysis solutions for the academic community. In 1996, he moved to Montana and worked as a ConfocalMicroscopist for the Center for Biofilm Engineering at the Montana State University where he developed several proprietary testing models for the medicaldevice industry. Mr. Cook attended the University of Indiana and received Bachelor of Science degrees in Finance and Economics. 59 Mitchell T. Godfrey, Director, has been involved over the past 25 years in a number of private enterprises, including consulting for andparticipation in firms in the manufacturing, medical devices, nuclear, service and animal health industries. Mr. Godfrey graduated from the University ofUtah in 1968 with Bachelor of Science degrees in psychology and mathematics. He served as a Lieutenant in the U.S. Navy for a period of four years in the1960s. Upon his return from overseas duty, he served as a director of the Utah Vietnam Agent Orange Program. He currently is the Chairman of the Montanabased Crow Creek Falls Conservation Group and has been actively involved in many other organizations. Mr. Godfrey joined us in October 2003 as our ChiefFinancial Officer until December 2007, when his primary responsibility was changed to investor relations. Mr. Godfrey currently serves as a consultant. Kent Swanson, Director, was with Accenture for over 32 years, retiring from the firm in 2001 as a Senior Partner. He held global leadership andmanagement positions in a wide range of industries and geographies. From 2001 to 2008, he was the Board Chair of ALN Medical Management; providingoutsourced services for clinic-based physician practices. Also from 2001 to 2008, he was Board Chair for Boys Hope Girls Hope of Colorado, a charitableorganization providing a home and scholarship education for disadvantaged children with significant capabilities and promise. From 2002 to 2009, he was aBoard member, Audit Committee member and Compensation Committee Chair for MPC Computers. Mr. Swanson graduated with distinction from theUniversity of Minnesota earning an M.S. in Business and received an M.B.A. from the University of Chicago in 1969. Michael Lopach, Director, is a certified public accountant with over 30 years of accounting experience. Mr. Lopach spent 27 years of his careerwith Galusha, Higgens, Galusha & Co., the largest privately held accounting firm in Montana and northern Idaho, where he served as president and CEO. In1999, Mr. Lopach founded Lopach & Carparelli PC, an accounting firm that focuses on medical practitioners. Mr. Lopach received his MBA from theUniversity of Notre Dame. Mr. Lopach serves as chairman of the Board’s Audit Committee. Jon Wickwire, Director, is an attorney and founding shareholder of Wickwire Gavin, P.C., a national construction law firm which merged withAkerman Senterfitt, one of the top 100 law firms in the United States. Mr. Wickwire served as lead counsel on major infrastructure litigation and alternativedispute resolutions, both domestically and internationally, throughout his 35 year career, and was the founding fellow of the American College of ConstructionLawyers. Mr. Wickwire also served as the founding chairman of the College of Scheduling, an organization dedicated to advancing the techniques, practiceand profession of project scheduling, and has authored several books and articles on construction and public contract law, including ConstructionManagement: Law and Practice and The Construction Subcontracting Manual: Practice Guide with Forms. Mr. Wickwire is a graduate of theUniversity of Maryland and Georgetown University Law Center. Mr. Wickwire has been a shareholder of the Company for approximately 5 years and hasparticipated is several rounds of financing. Mr. Wickwire will serve as chairman of the Corporate Governance and Nominating Committees. 60 John P. Gandolfo, Chief Financial Officer, joined Bacterin as its interim Chief Financial Officer on a part-time basis, effective June 4, 2010, andfilled this position full time commencing on July 6, 2010. Mr. Gandolfo has 25 years of experience as chief financial officer of rapidly growing private andpublicly held companies with a primary focus in the life sciences, healthcare and medical device areas. Mr. Gandolfo has had direct responsibility overcapital raising, including four public offerings, financial management, mergers and acquisition transactions and SEC reporting throughout his professionalcareer. Prior to joining Bacterin, Mr. Gandolfo served as the Chief Financial Officer for Progenitor Cell Therapy LLC, a leading manufacturer of stem celltherapies. Prior to joining Progenitor, Mr. Gandolfo served as the Chief Financial Officer for Power Medical Interventions, Inc., a publicly held developer andmanufacturer of computerized surgical stapling and cutter systems, from January 2007 to January 2009. Prior to joining PMI, Mr. Gandolfo was the ChiefFinancial Officer of Bioject Medical Technologies, Inc., a publicly held supplier of needle-free drug delivery systems to the pharmaceutical and biotechnologyindustries, from September 2001 to May 2006, and served on the Bioject’s Board of Directors from September 2006 through May 2007. Prior to joiningBioject, Mr. Gandolfo was the Chief Financial Officer of Capital Access Network, Inc., a privately held specialty finance company, from 2000 throughSeptember 2001, and Xceed, Inc., a publicly held Internet consulting firm, from 1999 to 2000. From 1994 to 1999, Mr. Gandolfo was Chief FinancialOfficer and Chief Operating Officer of Impath, Inc., a publicly held, cancer-focused healthcare information company. From 1987 through 1994, he wasChief Financial Officer of Medical Resources, Inc., a publicly held manager of diagnostic imaging centers throughout the United States. A graduate of RutgersUniversity, Mr. Gandolfo is a certified public accountant (inactive status) who began his professional career at Price Waterhouse. Jesus Hernandez, Vice President of Biologics, began his career as the Director of the Organ and Tissue Bank at University of California, IrvineMedical Center. He has over 20 years of organ and tissue banking experience, including having served as Chief Operating Officer and Chief Executive Officerfor two national tissue banks. Mr. Hernandez served as the Chief Operating Officer of Bone Bank Allografts from November 1997 to April 2005. He hasbeen an advisor for various committees including the United Network for Organ Sharing, Association of Organ Procurement Organizations, North AmericanTransplant Coordinators Organization, American Association of Tissue Banks and served as a board member of the World Children’s Transplant Fund. Mr.Hernandez graduated from the University of California, Irvine. Mr. Hernandez has served in his current position since April 2005. Darrel Holmes, Vice President of Medical Devices, joined Bacterin in 2003 as Director of Operations. Mr. Holmes started his career as chemistand later Director of Operations for ICL Scientific. He later worked for Hycor Medical as the Director of Manufacturing, and then as Director of Operations atStratagene Cloning Systems. Mr. Holmes moved to Montana and became the President of Big Spring Water in Bozeman. He holds several certificates includingEnvironmental Inspector with the Environmental Assessment Association and is a Hazardous Materials Specialist. Mr. Holmes attended California StateUniversity at Long Beach and graduated with a Bachelor’s Degree in Biology. He has over 25 years of Technical Operations experience in the medical deviceand diagnostics industries. Scientific Advisory Board Our Scientific Advisory Board assists us with issues relating to the clinical development and exploitation of our coating and biologic technologies. As our needs evolve, members with required areas of interest and expertise are added. The members of our Scientific Advisory Board are compensated withstock options and shares of common stock under our equity incentive plan. Steven Scott MD, is currently the Chairman of our Scientific Advisory Board and a member of the American Academy of Orthopaedic Surgeons,the Musculoskeletal Tumor Society and the Pediatric Society Orthopaedic of North America. Dr. Scott maintains an active orthopaedic practice in Salt LakeCity and has special expertise in the use of Ilizarov External Fixation, pediatric orthopaedics, bone graft technology, and orthopedic oncology. Dr. Scott hasauthored many scientific publications, has presented at numerous national conferences and has a patent pending. He received his BA from Linfield Collegesumma cum laude and attended medical school at the University of Colorado. He completed his orthopaedic training at the University of Utah and the MayoClinic; he holds a clinical appointment within the Department of Orthopaedics at University of Utah and received an M.B.A. through the University of Utah. 61 Board Composition and Terms of Office The composition of our board of directors, audit committee, compensation committee, and nominations and governance committee, is subject to thecorporate governance provisions of the NYSE Amex, including rules relating to the independence of directors. All of our board committee members areindependent directors. All directors hold office until the next annual meeting of stockholders and the election and qualification of their successors. Officers areelected annually by the board of directors and serve at the discretion of the board. Board Committees We have established an audit committee, compensation committee and nominations and governance committee, in compliance with applicablecorporate governance requirements. Audit Committee . The purpose of the Audit Committee is to assist the oversight of our Board of Directors of the integrity of the financial statements of our company,our company’s compliance with legal and regulatory matters, the independent auditor’s qualifications and independence, and the performance of ourcompany’s independent auditor and internal audit function. The primary responsibilities of the Audit Committee are set forth in its charter and include variousmatters with respect to the oversight of our company’s accounting and financial reporting process and audits of the financial statements of our company. TheAudit Committee also selects the independent auditor to conduct the annual audit of the financial statements of our company; reviews the proposed scope ofsuch audit; reviews accounting and financial controls of our company with the independent auditor and our financial accounting staff; and reviews andapproves transactions between us and our directors, officers, and their affiliates. The Audit Committee currently consists of Messrs. Lopach, Swanson and Wickwire, each an independent director of our company under NYSEAmex listing standards as well as under rules adopted by the SEC pursuant to the Sarbanes-Oxley Act of 2002. Mr. Lopach serves as the Chairman of theAudit Committee. The Board of Directors has determined that Messrs. Lopach and Swanson (whose backgrounds are detailed above) each qualify as an“audit committee financial expert” in accordance with applicable rules and regulations of the SEC. Compensation Committee . The primary purposes of the Compensation Committee are to determine or recommend the compensation of our CEO and other executive officers,and to oversee our Equity Incentive Plan. Our Compensation Committee currently consists of Kent Swanson and Michael Lopach, each of whom is anindependent director. Nominations and Governance Committee . The purposes of the Nominations and Governance Committee include the selection or recommendation to our Board of Directors of nominees to standfor election as directors at each election of directors, the oversight of the selection and composition of committees of our Board of Directors, the oversight of theevaluations of our Board of Directors and management, and the development and recommendation to our Board of Directors of a set of corporate governanceprinciples applicable to our company. The Nominations and Governance Committee currently consists of Messrs. Wickwire and Swanson, each of whom isan independent director of our company under NYSE Amex listing standards as well as under rules adopted by the SEC pursuant to Sarbanes-Oxley.Mr. Wickwire serves as the Chairman of the Nominations and Governance Committee. 62 Nominations to the Board of Directors Our directors take a critical role in guiding our strategic direction and overseeing the management of our company. Board candidates are consideredbased upon various criteria, such as their broad-based business and professional skills and experiences, a global business and social perspective, concern forthe long-term interests of the stockholders, diversity, and personal integrity and judgment. In addition, directors must have time available to devote to board activities and to enhance their knowledge in the growing business. Accordingly, weseek to attract and retain highly qualified directors who have sufficient time to attend to their substantial duties and responsibilities. Indebtedness of Directors and Executive Officers We have a note receivable from Guy Cook, our Chairman, Chief Executive Officer and President, in the amount of $82,398, which bears interest atthe prime rate of interest and is secured by certain shares of our common stock owned by Mr. Cook. This note relates to a transaction involving our wholly-owned subsidiary, Bacterin, prior to the Reverse Merger. Family Relationships There are no family relationships among our new directors and executive officers and any former or proposed directors or executive officers. Legal Proceedings During the past ten years, none of our directors or executive officers has been: othe subject of any bankruptcy petition filed by or against any business of which such person was a general partner or executive officereither at the time of the bankruptcy or within two years prior to that time; oconvicted in a criminal proceeding or is subject to a pending criminal proceeding (excluding traffic violations and other minoroffenses); osubject to any order, judgment or decree, not subsequently reversed, suspended or vacated, of any court of competent jurisdiction,permanently or temporarily enjoining, barring, suspending or otherwise limiting his involvement in any type of business, securities orbanking activities; ofound by a court of competent jurisdiction (in a civil action), the SEC or the Commodity Futures Trading Commission to haveviolated a federal or state securities or commodities law, that has not been reversed, suspended, or vacated; osubject of, or a party to, any order, judgment, decree or finding, not subsequently reversed, suspended or vacated, relating to analleged violation of a federal or state securities or commodities law or regulation, law or regulation respecting financial institutions orinsurance companies, law or regulation prohibiting mail or wire fraud or fraud in connection with any business entity; or osubject of, or a party to, any sanction or order, not subsequently reversed, suspended or vacated, of any self-regulatory organization,any registered entity or any equivalent exchange, association, entity or organization that has disciplinary authority over its members orpersons associated with a member. 63 None of our directors, officers or affiliates, or any beneficial owner of 5% or more of our common stock, or any associate of such persons, is anadverse party in any material proceeding to, or has a material interest adverse to, us or any of our subsidiaries.Compliance with Section 16(a) of the Exchange ActSection 16(a) requires directors, executive officers and holders of more than 10% of an equity security registered pursuant to Section 12 of theExchange Act of 1934 to file various reports with the SEC. Our equity securities were not registered pursuant to Section 12 in 2010, so our directors, executiveofficers and 10% holders were not subject to Section 16(a) during 2010.To the Company’s knowledge, based solely on our review of the Forms 3 furnished to us in 2011 when our common stock was registered pursuantto Section 12, we believe all reports required pursuant to Section 16(a) were filed on a timely basis.Code of EthicsWe have adopted a Code of Conduct and a Code of Ethics for our CEO and Senior Financial Officers, both of which are posted on our website atwww.bacterin.com. The contents of our website are not incorporated by reference into this annual report on Form 10-K.Procedures for Shareholder Recommendation of Nominees to the Board of DirectorsThe procedures by which shareholders may recommend nominees to the Board of Directors are contained in our Bylaws, which are attached as anexhibit to this Form 10-K.Item 11. Executive Compensation The table below summarizes the compensation earned for services rendered to Bacterin International Holdings, Inc. f/ka/ K-Kitz, Inc. and BacterinInternational, Inc. in all capacities, for the fiscal years indicated, by its Chief Executive Officer and two most highly-compensated officers other than the ChiefExecutive Officer. Name and Principal Position Year Salary Bonus Stock Awards OptionAwards Non-EquityIncentivePlanCompensation Change inPension ValueandNonqualifiedDeferredCompensationEarnings All OtherCompensation Total Guy S. Cook (1) 2010 $240,000 $- $- $- $- $- $- $240,000 Chairman of the Board 2009 230,750 40,000(2) - - - - 34,897(2) 305,647 and Chief Executive Officer 2008 249,210 - - - - 23,783 272,993 John Gandolfo (3) 2010 140,000 - - 1,738,236(4) - - - 1,878,236 Chief Financial Officer Jesus Hernandez (1) 2010 255,000 15,000 - - - - - 270,000 VP - Biologics 2009 236,153 - - - - - 12,743 248,896 2008 197,308 27,500 66,983 291,791 Jennifer Jarvis 2010 - - - - - - - - Former Director, ChiefExecutive 2009 - - - - - - - - Officer, President and ChiefFinancial Officer (3) 2008 45,000 - - - - - - 45,000 64 (1)Each of Mr. Cook and Mr. Hernandez received this compensation in connection with their service to Bacterin, our wholly-owned subsidiary throughwhich we now operate our business. (2)Mr. Cook received 50,000 shares of Bacterin common stock (or 25,000 shares of our common stock as adjusted to reflect the ratio used to determine thenumber of our shares issued to Bacterin stockholders in connection with the Reverse Merger) and is entitled to $10,000, each as of December 31, 2009,for his service on Bacterin’s board of directors for fiscal year 2009, though payment of the $10,000 has been deferred indefinitely. (3)Mr. Gandolfo joined Bacterin as interim Chief Financial Officer on a part-time basis effective June 4, 2010 and filled the position full time commencingJuly 6, 2010. (4)As outlined in footnote 11 of the Notes to Consolidated Financial Statements of this Form 10-K, the following assumptions were used in the valuationof this option award:Risk Free Rate of .82%,Expected Term of 2.5 years,Volatility of 52%, andDividend Yield 0%(5)Ms. Jarvis resigned from her position as a director and our Chief Executive Officer, President and Chief Financial Officer, effective June 30, 2010. Employment Agreements Employment agreements for Guy Cook, John P. Gandolfo, Jesus Hernandez and Darrel Holmes are set forth as exhibits to this Form 10-K. Theemployment agreements require each of the executives to perform such duties as are customarily performed by one holding their positions, which are Presidentand Chief Executive Officer, Chief Financial Officer, Vice President - Biologics Division and Vice President - Medical Devices Division, respectively. Theemployment agreements for each of the above officers are for an indefinite term and provide that each of Messrs. Cook, Gandolfo, Hernandez and Holmesreceive a fixed annual base salary during the term of the employment agreement. In addition, each executive is entitled to (a) receive certain cash bonuses as setforth in their respective employment agreements or as may be determined by our compensation committee of our board of directors and (b) participate in ourequity incentive plan. 65 The employment agreements are essentially terminable at will by reference to the termination procedures set forth in Bacterin’s employee handbookbut also provide for termination of an executive’s employment without any further obligation of our company upon the disability of the executive for a period of30 days or more during any calendar year. The employment agreements also contain covenants (a) restricting the executive from engaging in any activity competitive with our business duringthe term of the employment agreement, (b) prohibiting the executive from disclosing confidential information regarding our company, and (c) requiring that allintellectual property developed by the executive and relating to our business constitutes our sole and exclusive property. The officers also entered into lock-up agreements restricting the sale of their shares of our common stock until July 7, 2011. Bacterin International Equity Incentive Plan The following is a summary of the material terms of the Bacterin International Equity Incentive Plan: The purpose of the incentive compensation plan is to enable us to attract, retain and motivate key employees, directors and, on occasion, independentconsultants, by providing them with stock options and restricted stock grants. Stock options granted under the incentive compensation plan may be eitherincentive stock options to employees, as defined in Section 422A of the Internal Revenue Code of 1986, or non-qualified stock options. The plan isadministered by our compensation committee. The administrator of the plan has the power to determine the terms of any stock options granted under theincentive plan, including the exercise price, the number of shares subject to the stock option and conditions of exercise. Stock options granted under theincentive plan are generally not transferable, vest in installments and are exercisable during the lifetime of the optionee only by such optionee. The exerciseprice of all incentive stock options granted under the incentive plan must be at least equal to the fair market value of the shares of common stock on the date ofthe grant. The specific terms of each stock option grant will be reflected in a written stock option agreement. There are 6,000,000 shares of our common stock authorized to be issued under the plan. As of December 31, 2010, we had outstanding options topurchase 3,850,743 shares (at exercise prices ranging from $0.10 to $7.40 per share) granted, 24,500 options exercised and 822,500 shares of restricted stockissued, to directors, executives, employees and consultants, leaving an additional 1,302,257 available for issuance thereunder. Except for the Equity Incentive Plan discussed above, we have not had a stock option plan or other similar incentive compensation plan for officers,directors and employees. 66 Outstanding Equity Awards at Fiscal Year-End (December 31, 2010) Option Awards Number of Securities UnderlyingUnexercised Options Equity IncentivePlan Awards:Number ofSecuritiesUnderlyingUnexercisedUnearned OptionExercise OptionExpiration Name Exercisable Unexercisable Options Price Date Guy Cook - - - - - John Gandolfo - - 250,000 $1.60 6/3/2020 Jesus Hernandez 500,000 - - $1.34 10/10/16 Jesus Hernandez 58,000 - - $1.60 5/19/15 Potential Payments Upon Termination or Change-in-Control SEC regulations state that we must disclose information regarding agreements, plans or arrangements that provide for payments or benefits to ournamed executive officers in connection with any termination of employment or change in control of the company. Except for Mr. Gandolfo’s employmentagreement described below, we currently have no employment agreements with any of our named executive officers which have payments upon termination orchange in control, nor any compensatory plans or arrangements that provide for any payments or benefits upon the resignation, retirement or any othertermination of any of our named executive officers, as the result of a change in control, or from a change in any named executive officer’s responsibilitiesfollowing a change in control. Pursuant to the terms of Mr. Gandolfo’s employment agreement, if Mr. Gandolfo’s employment with our company is terminated by us in connectionwith a “Change of “Control” (as defined therein), Mr. Gandolfo shall be eligible to receive 12 months’ salary as severance, if he has delivered to us a completerelease of any claims against us in form and substance reasonably satisfactory to us and if Mr. Gandolfo has not breached any section of his employmentagreement. Mr. Gandolfo’s current salary under the employment agreement is $290,000 per year. The severance payments payable to Mr. Gandolfo will bepaid biweekly through automatic deposits; provided that the initial payment of any severance hereunder shall begin on the eighth day after Mr. Gandolfo hassigned the aforementioned release. A “Change of Control” is defined in Mr. Gandolfo’s employment agreement to consist of either Guy Cook no longer servingas the Chief Executive Officer or a sale of all or substantially all of the assets of the Company. 67 Director Compensation Name Fees Earnedor Paid inCash (1) StockAwards (1)(2) OptionAwards Non-EquityIncentive PlanCompensation Change inPension ValueandNonqualifiedDeferredCompensationEarnings All OtherCompensation Total Mitch Godfrey $- $- - - - - $- Kent Swanson $- $40,000 - - - - $40,000 Steve Warnecke (3) $- $- - - - - $- Ken Calligar (4) $- $- - - - - $- Daniel Frank (4) $- $- - - - - $- Gary Simon (5) $- $- - - - - $- Michael Lopach (6) $- $- - - - - $- Jon Wickwire (6) $- $- - - - - $- (1)During 2010, we were re-evaluating our Director compensation policies and no grants were issued except for a continued service grant to Kent Swansonof 25,000 shares of restricted stock. Effective March 23, 2011, the Board adopted a new Director compensation policy whereby new Board memberswill receive options to purchase 50,000 shares of our common stock, vesting after one year, with an exercise price of the closing price of our commonstock on the date of grant. Following the first year of service, Board members will receive an annual continued service grant of options to purchase30,000 shares with an exercise price of the closing price for our common stock on the date of grant. Directors will also receive an annual retainer of$40,000 per year, the Audit Committee Chair will receive an additional $10,000 per year, and the other Committee Chairs will receive an additional$3,500 per year. New member grants for Directors who joined in 2010 will be reflected in our 2011 Director Compensation Table, since no newmember grants were made in 2010. 68 (2)The past policy was to award 25,000 shares of our common stock per year for continued service on the board. Accordingly, we issued 25,000 sharesto Kent Swanson effective June 30, 2010 for continued service on the Board during 2010. During 2010 we were re-evaluating our Director compensationpolicy and, except for the continued service grant to Kent Swanson, no grants were made during 2010. Our new Director compensation policy isdescribed in footnote 1 above. (3)Mr. Warnecke resigned as a director effective May 22, 2010. (4)Ken Calligar and Daniel Frank served as directors from June 30, 2010 to October 15, 2010. (5)Gary Simon served as a director from June 30, 2010 to October 19, 2010. (6) Michael Lopach and Jon Wickwire became members of the Board on October 21, 2010. Compensation Committee Interlocks and Insider Participation No interlocking relationship exists between our board of directors and the board of directors or compensation committee of any other company, norhas any interlocking relationship existed in the past. Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters The following table sets forth information regarding the beneficial ownership of our common stock as of December 31, 2010, by (a) each of ourdirectors and executive officers, (b) all of our directors and executive officers as a group, and (c) each person who is known by us to beneficially own 5% ormore of our common stock. Name (1) Number ofSharesBeneficiallyOwned (2) Percentage ofShares BeneficiallyOwned (3) Executive Officers and Directors: Guy S. Cook 13,265,970(4) 35.86%Mitchell Godfrey 975,133(5) 2.64%Kent Swanson 441,065(6) 1.19%Michael Lopach -(7) * Jon Wickwire 361,489(8) 0.98%John P. Gandolfo - - Jesus Hernandez 558,000(9) 1.51%All executive officers and directors as a group (7 persons) 15,601,657 42.17% 69 *Less than 1% of outstanding shares of common stock. (1)The address of each person is c/o Bacterin International, Inc., 600 Cruiser Lane, Belgrade Montana 59714. (2)Unless otherwise indicated, includes shares owned by a spouse, minor children and relatives sharing the same home, as well as entities owned orcontrolled by the named person. Also includes shares if the named person has the right to acquire those shares within 60 days after December 31, 2010,by the exercise or conversion of any warrant, stock option or convertible preferred stock. Unless otherwise noted, shares are owned of record andbeneficially by the named person. (3)The calculation in this column is based upon 36,994,715 shares of common stock outstanding on December 31, 2010. The shares of common stockunderlying warrants and stock options are deemed outstanding for purposes of computing the percentage of the person holding them, but are notdeemed outstanding for the purpose of computing the percentage of any other person. (4)Includes (a) 20,000 shares of our common stock issuable to Sue Cook, Mr. Cook’s spouse and our head of human resources, upon the exercise ofstock options previously granted by Bacterin under its 2004 Stock Incentive Plan, (b) 484,375 shares of common stock acquired in the privateplacement that occurred concurrently with the Reverse Merger, and (c) warrants to purchase 104,594 shares of our common stock which were alsoacquired in such private placement. (5)Includes (a) 50,666 shares of common stock owned by Mr. Godfrey’s spouse, and (b) 300,000 shares of our common stock issuable to Mr. Godfreyupon the exercise of stock options previously granted by Bacterin under its 2004 Stock Incentive Plan. (6)Includes (a) 200,000 shares held by a family limited partnership and (b) 69,842 shares of our common stock issuable upon the exercise of warrantspreviously issued in connection with the conversion of certain debt. (7)There is a proposal which would grant 100,000 shares of restricted stock to new board members, subject to vesting; however, the proposal has not yetbeen formally adopted, so the proposed grant is not included in this table. (8)Includes (a) 215,397 shares of common stock held by family trusts and family members, and (b) warrants to purchase 51,458 shares of commonstock held by family trusts. This table does not include a proposed grant to new directors discussed in footnote 7 above. (9)Represents shares of our common stock issuable to Mr. Hernandez upon the exercise of stock options previously granted by Bacterin under its 2004Stock Incentive Plan. Item 13. Certain Relationships and Related Transactions, and Director IndependenceTransactions with Related Persons, Promoters and Certain Control PersonsGuy Cook, our President and Chief Executive Officer, serves as a board member of West Coast Tissue Services and American Donor Services. Both of these entities recover tissue from donors. We reimburse them for their recovery fees, which are comprised primarily of labor costs. The aggregateamount of all payments we and our subsidiaries made to these entities since January 1, 2008 is $575,297 to West Coast Tissue Services, and $1,654,352to American Donor Services. This relationship benefits us, and thus Mr. Cook, as these entities provide us with donors, thus insuring that we have a pipelineof current and future donors, which is necessary to our success. Mr. Cook’s wife performs the bookkeeping and accounting for American Donor Services. She was paid $60,126 in 2009 for her services, but received no compensation in 2006-2008 or 2010 for her services. Mr. Cook is not involved in the day today operations of either entity and does not receive any compensation for his board service from either entity. 70 Concurrently with the closing of the Reverse Merger and the private placement, we repurchased and cancelled, 4,319,404 shares of our commonstock from Jennifer Jarvis, our former director, chief executive officer and chief financial officer, for aggregate consideration of $100 and certain other goodand valuable consideration. Convertible Capital, a firm where one of our former directors, Ken Calligar, is a principal, arranged for Mr. Calligar’s two daughters and two otherindividuals to purchase approximately $225,000 of bridge financing indebtedness which did not convert in our recently concluded private placement. Thedebt was purchased from five holders of such debt based on the understanding that the purchasers would thereafter be permitted to convert such indebtednesson the same terms as if they had converted the debt in such private placement transaction. Ken Calligar was entitled to all of the warrants associated with theconversions by the purchasers. Unless delegated to the Compensation Committee by the Board of Directors, the Audit Committee reviews and approves all related party transactionsand reviews and makes recommendations to the full Board of Directors, or approves, any contracts or other transactions with current or former executiveofficers of our company, including consulting arrangements, employment agreements, change-in-control agreements, termination arrangements, and loans toemployees made or guaranteed by our company. Director Independence The following board members are independent directors, as defined under the independence standards of the NYSE Amex LLC: Kent Swanson, MichaelLopach and Jon Wickwire. In addition, the following former board members were independent at the time of their service, from June 30, 2010 toapproximately October 15, 2010: Ken Calligar, Daniel Frank and Gary Simon. All of our board committees are comprised solely of independent directors,and the composition of our board committees is described in Item 10 of this Form 10-K. Item 14. Principal Accountant Fees and Services Child, Van Wagoner & Bradshaw, PLLC (“CVWB”) served as the independent registered public accounting firm to audit our books and accounts for thefiscal year ending December 31, 2010, and CVWB has served as our independent accountant since March 2008. The following table presents the aggregatefees billed for professional services rendered by CVWB for the years ended December 31, 2010 and 2009. 2010 2009 Audit fees $84,010 $31,505 Audit-related fees - - Tax fees - - All other fees - - In the above table, “audit fees” are fees billed for services provided related to the audit of our annual financial statements, quarterly reviews of our interimfinancial statements and services normally provided by the independent accountant in connection with statutory and regulatory filings or engagements forthose fiscal periods. “Audit-related fees” are fees not included in audit fees that are billed by the independent accountant for assurance and related services thatare reasonably related to the performance of the audit or review of our financial statements. “Tax fees” are fees billed by the independent accountant forprofessional services rendered for tax compliance, tax advice and tax planning. “All other fees” are fees billed by the independent accountant for products andservices not included in the foregoing categories. 71 Audit Committee’s Pre-Approval Policy It is the Audit Committee’s policy to approve in advance the types and amounts of audit, audit-related, tax and any other services to be provided by ourindependent accountants. In situations where it is not possible to obtain full Audit Committee approval, the Audit Committee has delegated authority to theChairman of the Audit Committee to grant pre-approval of auditing, audit-related, tax and all other services. Any pre-approved decisions by the Chairman arerequired to be reviewed with the Audit Committee at its next scheduled meeting. The Audit Committee approved 100% of the services provided by CVWB. PART IV Item 15. Exhibits and Financial Statement Schedules The following documents are filed as part of or are included in this Annual Report on Form 10-K: 1. Financial statements included in Item 8 of this Annual Report; and 2. Exhibits listed in the Exhibit Index filed as part of this Annual Report. 72 SIGNATURESPursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed onits behalf by the undersigned, thereunto duly authorized. BACTERIN INTERNATIONAL HOLDINGS, INC. By: /s/ Guy S. Cook Name:Guy S. Cook Title:President and Chief Executive Officer Date:April 8, 2011Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant andin the capacities and on the dates indicated. By:/s/ Guy S. Cook Name: Guy S. Cook Title: President and Chief Executive Officer Date: April 8, 2011 By:/s/ John Gandolfo Name: John Gandolfo Title: Chief Financial Officer Date: April 8, 2011 73 Exhibit IndexExhibitNo. Description2.1 Agreement and Plan of Merger, dated as of June 30, 2010, by and among K-Kitz, Inc., KB Merger Sub, Inc. and Bacterin International,Inc. (1)3.1 Certificate of Incorporation, including all amendments to date (1)3.2 Amended and Restated Bylaws, dated January 12, 2011(5)4.1 Form of Warrant to Purchase Common Stock (1)10.1 Form of Private Placement Subscription Agreement to purchase Shares and Warrants (1)10.2 Form of Registration Rights Agreement (3)10.3 Form of Management Lock-Up Agreement for the officers and directors of Bacterin International Holdings, Inc. and Bacterin International,Inc. (3)10.4 Form of Indemnification Agreement for the officers and directors of Bacterin International Holdings, Inc. and Bacterin International, Inc. (3)10.5 Bacterin International Equity Incentive Plan (3)10.6 Guy Cook Employment Agreement (3) •10.8 John Gandolfo Employment Agreement (3) •10.9 Jesus Hernandez Employment Agreement (3) •10.10 Darrel Holmes Employment Agreement (3) •10.11 Loan and Security Agreement dated as of November 17, 2010 between Bacterin International Holdings, Inc. and Bacterin International, Inc.and Venture Lending & Leasing V, Inc. and Venture Lending & Leasing VI Inc. (4)10.12 Supplement to the Loan and Security Agreement dated as of November 17, 2010 among Bacterin International Holdings, Inc. and BacterinInternational, Inc. and Venture Lending & Leasing V, Inc. and Venture Lending & Leasing VI, Inc. (4)10.13 Agreement for Bone Allograft, DBM, and Bone Graft Substitute Products between Broadlane, Inc. and Bacterin International, Inc. (4)10.14 Loan and Security Agreement dated as of January 14, 2011 between Bacterin International, Inc. and Bacterin International Holdings, Inc.and Bridge Bank, National Association (6)14.1 Code of Conduct (6)14.2 Code of Ethics for the CEO and Senior Financial Officials (6)16.1 Letter from W.T. Uniack & Co., CPA’s P.C., dated September 24, 2010 (2)21.1 Subsidiaries of the Registrant (3)31.1* Rule 13a-14(a)/15d-14(a) Certification of Chief Executive Officer31.2* Rule 13a-14(a)/15d-14(a) Certification of Chief Financial Officer32.1* Section 1350 Certification of Chief Executive Officer32.2* Section 1350 Certification of Chief Financial Officer •Compensation Agreement*Filed herewith (1)Incorporated herein by reference to the Registrant’s Form 8-K dated June 30, 2010, filed with the SEC on June 30, 2010. (2)Incorporated herein by reference to the Registrant’s Form 8-K dated September 24, 2010, filed with the SEC on September 24, 2010.(3)Incorporated herein by reference to the Registrant’s Form 8-K dated June 30, 2010, filed with the SEC on July 7, 2010.(4)Incorporated by reference to the Registrant’s Amendment No. 1 to Form S-1 Registration Statement filed with the SEC on December 7, 2010. (5)Incorporated by reference to the Registrant’s Form 8-K dated January 12, 2011, filed with the SEC on January 12, 2011. (6)Incorporated by reference to the Registrant’s Form 8-K dated January 14, 2011, filed with the SEC on January 21, 2011. 74 Exhibit 31.1Certification of Chief Executive Officer I, Guy Cook, certify that: 1. I have reviewed this Annual Report on Form 10-K of Bacterin International Holdings, Inc.; 2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary tomake the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by thisreport; 3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all materialrespects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report; 4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (asdefined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have: a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under oursupervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by otherswithin those entities, particularly during the period in which this report is being prepared; b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designedunder our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements forexternal purposes in accordance with generally accepted accounting standards; c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusionsabout the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’smost recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely tomaterially affect, the registrant’s internal control over financial reporting; and 5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financialreporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions): a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which arereasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’sinternal control over financial reporting. Date: April 8, 2011By:/s/ Guy Cook Guy Cook Chief Executive Officer  Exhibit 31.2 Certification of Chief Financial Officer I, John P. Gandolfo, certify that: 1. I have reviewed this Annual Report on Form 10-K of Bacterin International Holdings, Inc.; 2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary tomake the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by thisreport; 3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all materialrespects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report; 4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (asdefined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have: a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under oursupervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by otherswithin those entities, particularly during the period in which this report is being prepared; b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designedunder our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements forexternal purposes in accordance with generally accepted accounting standards; c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusionsabout the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’smost recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely tomaterially affect, the registrant’s internal control over financial reporting; and 5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financialreporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions): a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which arereasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’sinternal control over financial reporting. Date: April 8, 2011By:/s/ John P. Gandolfo John P. Gandolfo Chief Financial Officer Exhibit 32.1Section 1350 Certification of Chief Executive Officer In connection with the Annual Report on Form 10-K of Bacterin International Holdings, Inc. (the "Company") for the annual period ended December 31,2010 as filed with the Securities and Exchange Commission on the date hereof (the "Report"), I, Guy Cook, Chief Executive Officer of the Company, certify,to the best of my knowledge and belief, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that:(1)The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a) or 78o(d));and (2)The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company. /s/ Guy CookGuy CookChief Executive OfficerApril 8, 2011 Exhibit 32.2 Section 1350 Certification of Chief Financial Officer In connection with the Annual Report on Form 10-K of Bacterin International Holdings, Inc. (the "Company") for the annual period ended December 31,2010 as filed with the Securities and Exchange Commission on the date hereof (the "Report"), I, John P. Gandolfo, Chief Financial Officer of the Company,certify, to the best of my knowledge and belief, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that:(1)The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a) or 78o(d)); and (2)The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company. /s/ John P. GandolfoJohn P. GandolfoChief Financial OfficerApril 8, 2011 

Continue reading text version or see original annual report in PDF format above