UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 Form 10-Q
 
     QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 
FOR THE QUARTERLY PERIOD ENDED: June 30, 20212022 
or
        TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 Commission File Number 001-35280
 
VERICEL CORPORATION
(Exact name of registrant as specified in its charter)
Michigan 94-3096597
(State or other jurisdiction of incorporation or organization) (I.R.S. Employer Identification No.)
 
64 Sidney Street
Cambridge, MA 02139
(Address of principal executive offices, including zip code) 

Registrant’s telephone number, including area code: (617) 588-5555 

 Securities registered pursuant to Section 12(b) of the Act: 
Title of ClassTrading Symbol(s)Name of Each Exchange on Which Registered
Common Stock (No par value)VCELNASDAQ

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 during the 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 requirements for the past 90 days.  Yes x No o
 
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).  Yes x No o
 
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company.  See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company”, and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filerAccelerated filer
Non-accelerated filerSmaller reporting company
 Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).  Yes  No x


As of July 30, 2021, 46,631,15829, 2022, 47,177,974 shares of Common Stock, no par value per share, were outstanding. 

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Table of Contents
VERICEL CORPORATION
 QUARTERLY REPORT ON FORM 10-Q
 TABLE OF CONTENTS
 
  Page
 PART I - FINANCIAL INFORMATION 
Item 1.Financial Statements (Unaudited):
 
 
 
 
Item 2.
Item 3.
Item 4.
PART II — OTHER INFORMATION
Item 1.
Item 1A.
Item 1B.
Item 2.
Item 3.
Item 4.
Item 5.
Item 6.
Exhibit Index
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PART I - FINANCIAL INFORMATION
 

Item 1. Financial Statements (Unaudited)

VERICEL CORPORATION
CONDENSED CONSOLIDATED BALANCE SHEETS
(Unaudited, amounts in thousands)

June 30,December 31, June 30,December 31,
20212020 20222021
ASSETSASSETS  ASSETS  
Current assets:Current assets:  Current assets:  
Cash and cash equivalentsCash and cash equivalents$51,761 $33,620 Cash and cash equivalents$56,054 $68,330 
Short-term investmentsShort-term investments39,214 42,187 Short-term investments44,638 35,068 
Accounts receivable (net of allowance for doubtful accounts of $3 and $143, respectively)31,732 34,504 
Accounts receivable (net of allowance for doubtful accounts of $40 and $40, respectively)Accounts receivable (net of allowance for doubtful accounts of $40 and $40, respectively)33,664 37,437 
InventoryInventory12,959 9,356 Inventory15,929 13,381 
Other current assetsOther current assets2,854 3,893 Other current assets4,809 4,246 
Total current assetsTotal current assets138,520 123,560 Total current assets155,094 158,462 
Property and equipment, netProperty and equipment, net10,590 7,633 Property and equipment, net15,919 13,308 
Restricted cashRestricted cash211 211 Restricted cash6,184 211 
Right-of-use assetsRight-of-use assets47,798 50,105 Right-of-use assets43,583 45,720 
Long-term investmentsLong-term investments24,826 24,099 Long-term investments23,718 25,687 
Other long-term assetsOther long-term assets317 317 
Total assetsTotal assets$221,945 $205,608 Total assets$244,815 $243,705 
LIABILITIES AND SHAREHOLDERS’ EQUITYLIABILITIES AND SHAREHOLDERS’ EQUITY  LIABILITIES AND SHAREHOLDERS’ EQUITY  
Current liabilities:Current liabilities:  Current liabilities:  
Accounts payableAccounts payable$8,134 $6,755 Accounts payable$9,684 $9,016 
Accrued expensesAccrued expenses11,077 11,293 Accrued expenses12,133 14,045 
Current portion of operating lease liabilitiesCurrent portion of operating lease liabilities4,611 4,394 Current portion of operating lease liabilities3,156 2,950 
Other liabilities41 41 
Other current liabilitiesOther current liabilities41 41 
Total current liabilitiesTotal current liabilities23,863 22,483 Total current liabilities25,014 26,052 
Operating lease liabilitiesOperating lease liabilities46,928 48,789 Operating lease liabilities44,964 47,147 
Other long-term liabilitiesOther long-term liabilities62 76 Other long-term liabilities21 44 
Total liabilitiesTotal liabilities$70,853 $71,348 Total liabilities69,999 73,243 
COMMITMENTS AND CONTINGENCIESCOMMITMENTS AND CONTINGENCIES00COMMITMENTS AND CONTINGENCIES00
Shareholders’ equity:Shareholders’ equity:  Shareholders’ equity:  
Common stock, no par value; shares authorized — 75,000; shares issued and outstanding 46,579 and 45,804, respectively534,005 510,061 
Accumulated other comprehensive income (loss)(23)14 
Common stock, no par value; shares authorized — 75,000; shares issued and outstanding 47,141 and 46,880, respectivelyCommon stock, no par value; shares authorized — 75,000; shares issued and outstanding 47,141 and 46,880, respectively575,011 553,902 
Accumulated other comprehensive lossAccumulated other comprehensive loss(855)(154)
Accumulated deficitAccumulated deficit(382,890)(375,815)Accumulated deficit(399,340)(383,286)
Total shareholders’ equityTotal shareholders’ equity151,092 134,260 Total shareholders’ equity174,816 170,462 
Total liabilities and shareholders’ equityTotal liabilities and shareholders’ equity$221,945 $205,608 Total liabilities and shareholders’ equity$244,815 $243,705 

The accompanying Notesnotes to the Condensed Consolidated Financial Statementscondensed consolidated financial statements are an integral part of these statements.

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VERICEL CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited, amounts in thousands, except per share amounts)
 
Three Months Ended June 30,Six Months Ended June 30, Three Months Ended June 30,Six Months Ended June 30,
2021202020212020 2022202120222021
Product sales, netProduct sales, net$38,680 $20,014 $72,307 $46,692 Product sales, net$36,826 $38,680 $72,678 $72,307 
Other revenueOther revenue839 1,780 Other revenue220 839 442 1,780 
Total revenueTotal revenue39,519 20,014 74,087 46,692 Total revenue37,046 39,519 73,120 74,087 
Cost of product salesCost of product sales12,609 8,660 24,192 18,582 Cost of product sales14,192 12,609 26,814 24,192 
Gross profitGross profit26,910 11,354 49,895 28,110 Gross profit22,854 26,910 46,306 49,895 
Research and developmentResearch and development4,449 3,226 8,079 6,989 Research and development4,792 4,449 9,652 8,079 
Selling, general and administrativeSelling, general and administrative26,190 16,486 48,850 34,555 Selling, general and administrative27,144 26,190 53,009 48,850 
Total operating expensesTotal operating expenses30,639 19,712 56,929 41,544 Total operating expenses31,936 30,639 62,661 56,929 
Loss from operationsLoss from operations(3,729)(8,358)(7,034)(13,434)Loss from operations(9,082)(3,729)(16,355)(7,034)
Other income (expense):Other income (expense):  Other income (expense):   
Interest incomeInterest income43 147 119 453 Interest income148 43 236 119 
Interest expenseInterest expense(1)(1)(2)(3)Interest expense(20)(1)(38)(2)
Other income (expense)Other income (expense)(27)(57)57 10 Other income (expense)(9)(27)103 57 
Total other incomeTotal other income15 89 174 460 Total other income119 15 301 174 
Net loss before tax provision(3,714)(8,269)(6,860)(12,974)
Tax provision(72)(215)
Loss before income taxesLoss before income taxes(8,963)(3,714)(16,054)(6,860)
Income tax expenseIncome tax expense— 72 — 215 
Net lossNet loss$(3,786)$(8,269)$(7,075)$(12,974)Net loss$(8,963)$(3,786)$(16,054)$(7,075)
Net loss per share attributable to common shareholders (Basic and diluted)$(0.08)$(0.18)$(0.15)$(0.29)
Weighted average number of common shares outstanding (Basic and diluted)46,403 45,137 46,195 45,031 
Net loss per common share:Net loss per common share:
BasicBasic$(0.19)$(0.08)$(0.34)$(0.15)
DilutedDiluted$(0.19)$(0.08)$(0.34)$(0.15)
Weighted-average common shares outstanding:Weighted-average common shares outstanding:
BasicBasic47,117 46,403 47,052 46,195 
DilutedDiluted47,117 46,403 47,052 46,195 

The accompanying Notesnotes to the Condensed Consolidated Financial Statementscondensed consolidated financial statements are an integral part of these statements.

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VERICEL CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS
(Unaudited, amounts in thousands)

Three Months Ended June 30,Six Months Ended June 30, Three Months Ended June 30,Six Months Ended June 30,
2021202020212020 2022202120222021
Net lossNet loss$(3,786)$(8,269)$(7,075)$(12,974)Net loss$(8,963)$(3,786)$(16,054)$(7,075)
Other comprehensive income (loss):
Unrealized gain (loss) on investments24 84 (37)125 
Other comprehensive loss:Other comprehensive loss:
Unrealized (loss) gain on investmentsUnrealized (loss) gain on investments(242)24 (701)(37)
Comprehensive lossComprehensive loss$(3,762)$(8,185)$(7,112)$(12,849)Comprehensive loss$(9,205)$(3,762)$(16,755)$(7,112)

The accompanying Notesnotes to the Condensed Consolidated Financial Statementscondensed consolidated financial statements are an integral part of these statements.

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VERICEL CORPORATION 
CONDENSED CONSOLIDATED STATEMENTS OF SHAREHOLDERS'SHAREHOLDERS’ EQUITY
(Unaudited, amounts in thousands)
Common StockAccumulated Other Comprehensive Income (loss)Accumulated DeficitTotal Shareholders' Equity
SharesAmount
BALANCE, DECEMBER 31, 202045,804 $510,061 $14 $(375,815)$134,260 
Net loss— — — (3,289)(3,289)
Compensation expense related to stock options and restricted stock units granted, net of forfeitures— 7,019 — — 7,019 
Stock option exercises359 3,532 — — 3,532 
Shares issued under the Employee Stock Purchase Plan14 249 — — 249 
Issuance of stock upon restricted stock unit vesting76 — — — 
Restricted stock withheld for employee tax remittance(28)(1,501)— — (1,501)
Unrealized loss on investments— — (61)— (61)
BALANCE, MARCH 31, 202146,225 $519,360 $(47)$(379,104)$140,209 
Net loss— — — (3,786)(3,786)
Compensation expense related to stock options and restricted stock units granted, net of forfeitures— 10,866 — — 10,866 
Stock option exercises330 3,531 — — 3,531 
Shares issued under the Employee Stock Purchase Plan13 309 — — 309 
Issuance of stock upon restricted stock unit vesting12 — — — 
Restricted stock withheld for employee tax remittance(1)(61)— — (61)
Unrealized gain on investments— — 24 — 24 
BALANCE, JUNE 30, 202146,579 $534,005 $(23)$(382,890)$151,092 

Common StockAccumulated Other Comprehensive LossAccumulated DeficitTotal Shareholders’ Equity
SharesAmount
BALANCE, DECEMBER 31, 202146,880 $553,902 $(154)$(383,286)$170,462 
Net loss— — — (7,091)(7,091)
Stock-based compensation expense— 9,531 — — 9,531 
Stock option exercises1251,155 — — 1,155 
Shares issued under the Employee Stock Purchase Plan9310 — — 310 
Issuance of stock for restricted stock unit vesting108 — — — — 
Restricted stock withheld for employee tax remittance(41)(1,423)— — (1,423)
Unrealized loss on investments— — (459)— (459)
BALANCE, MARCH 31, 202247,081 $563,475 $(613)$(390,377)$172,485 
Net loss— — — (8,963)(8,963)
Stock-based compensation expense— 10,808 — — 10,808 
Stock option exercises32 428 — — 428 
Shares issued under the Employee Stock Purchase Plan10 318 — — 318 
Issuance of stock for restricted stock unit vesting19 — — — — 
Restricted stock withheld for employee tax remittance(1)(18)— — (18)
Unrealized loss on investments— — (242)— (242)
BALANCE, JUNE 30, 202247,141 $575,011 $(855)$(399,340)$174,816 


Common StockAccumulated Other Comprehensive IncomeAccumulated DeficitTotal Shareholders' EquityCommon StockAccumulated Other Comprehensive Income (Loss)Accumulated DeficitTotal Shareholders’ Equity
SharesAmountSharesAmount
BALANCE, DECEMBER 31, 201944,864 $489,749 $21 $(378,679)$111,091 
BALANCE, DECEMBER 31, 2020BALANCE, DECEMBER 31, 202045,804 $510,061 $14 $(375,815)$134,260 
Net lossNet loss— — — (4,705)(4,705)Net loss— — — (3,289)(3,289)
Compensation expense related to stock options and restricted stock units granted, net of forfeitures— 3,768 — — 3,768 
Stock-based compensation expenseStock-based compensation expense— 7,019 — — 7,019 
Stock option exercisesStock option exercises57 196 — — 196 Stock option exercises359 3532 — — 3,532 
Shares issued under the Employee Stock Purchase PlanShares issued under the Employee Stock Purchase Plan20 224 — — 224 Shares issued under the Employee Stock Purchase Plan14 249 — — 249 
Issuance of stock upon restricted stock unit vesting36 — — — 
Issuance of stock for restricted stock unit vestingIssuance of stock for restricted stock unit vesting76 — — — — 
Restricted stock withheld for employee tax remittanceRestricted stock withheld for employee tax remittance(28)(1,501)— — (1,501)
Unrealized loss on investmentsUnrealized loss on investments— — (61)— (61)
BALANCE, MARCH 31, 2021BALANCE, MARCH 31, 202146,225 $519,360 $(47)$(379,104)$140,209 
Net lossNet loss— — — (3,786)(3,786)
Stock-based compensation expenseStock-based compensation expense— 10,866 — — 10,866 
Stock option exercisesStock option exercises330 3,531 — — 3,531 
Shares issued under the Employee Stock Purchase PlanShares issued under the Employee Stock Purchase Plan13 309 — — 309 
Issuance of stock for restricted stock unit vestingIssuance of stock for restricted stock unit vesting12 — — — — 
Restricted stock withheld for employee tax remittanceRestricted stock withheld for employee tax remittance(14)(163)— — (163)Restricted stock withheld for employee tax remittance(1)(61)— — (61)
Unrealized gain on investmentsUnrealized gain on investments— — 41 — 41 Unrealized gain on investments— — 24 — 24 
BALANCE, MARCH 31, 202044,963 $493,774 $62 $(383,384)$110,452 
Net loss— — — (8,269)(8,269)
Compensation expense related to stock options and restricted stock units granted, net of forfeitures— 4,376 — — 4,376 
Stock option exercises188 696 — — 696 
Shares issued under the Employee Stock Purchase Plan32 257 — — 257 
Issuance of stock upon restricted stock unit vesting11 — — — 
Unrealized gain on investments— — 84 — 84 
BALANCE, JUNE 30, 202045,194 $499,103 $146 $(391,653)$107,596 
BALANCE, JUNE 30, 2021BALANCE, JUNE 30, 202146,579 $534,005 $(23)$(382,890)$151,092 

The accompanying Notesnotes to the Condensed Consolidated Financial Statementscondensed consolidated financial statements are an integral part of these statements.


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VERICEL CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited, amounts in thousands)

Six Months Ended June 30, Six Months Ended June 30,
20212020 20222021
Operating activities:Operating activities:  Operating activities:  
Net lossNet loss$(7,075)$(12,974)Net loss$(16,054)$(7,075)
Adjustments to reconcile net loss to net cash provided by operating activities:  
Adjustments to reconcile net loss to net cash flows from operating activities:Adjustments to reconcile net loss to net cash flows from operating activities:  
Depreciation and amortization expenseDepreciation and amortization expense1,506 1,079 Depreciation and amortization expense1,928 1,506 
Stock compensation expense17,885 8,144 
Foreign currency translation loss27 45 
Loss (gain) on sale of fixed assets(22)30 
Stock-based compensation expenseStock-based compensation expense20,339 17,885 
Amortization of premiums and discounts on marketable securitiesAmortization of premiums and discounts on marketable securities505 (25)Amortization of premiums and discounts on marketable securities302 505 
Non-cash lease costNon-cash lease cost2,325 1,603 Non-cash lease cost2,155 2,325 
OtherOther16 
Changes in operating assets and liabilities:Changes in operating assets and liabilities:  Changes in operating assets and liabilities:  
InventoryInventory(3,603)(1,601)Inventory(2,548)(3,603)
Accounts receivableAccounts receivable2,772 8,513 Accounts receivable3,773 2,772 
Other current assetsOther current assets1,039 53 Other current assets(563)1,039 
Accounts payableAccounts payable1,356 (1,692)Accounts payable1,152 1,356 
Accrued expensesAccrued expenses(216)27 Accrued expenses(1,912)(216)
Operating lease liabilitiesOperating lease liabilities(1,644)(1,537)Operating lease liabilities(1,977)(1,644)
Net cash provided by operating activitiesNet cash provided by operating activities14,855 1,665 Net cash provided by operating activities6,611 14,855 
Investing activities:Investing activities:  Investing activities:  
Purchases of investmentsPurchases of investments(30,951)(5,657)Purchases of investments(34,948)(30,951)
Sales and maturities of investmentsSales and maturities of investments32,655 32,797 Sales and maturities of investments26,344 32,655 
Expenditures for property, plant and equipment(4,461)(1,186)
Net cash provided by (used for) investing activities(2,757)25,954 
Expenditures for property and equipmentExpenditures for property and equipment(5,062)(4,461)
Net cash used in investing activitiesNet cash used in investing activities(13,666)(2,757)
Financing activities:Financing activities:  Financing activities:  
Net proceeds from common stock issuance due to stock option exercises7,621 1,373 
Payments on employee's behalf for taxes related to vesting of restricted stock units(1,562)(163)
Net proceeds from common stock issuanceNet proceeds from common stock issuance2,211 7,621 
Payments on employee’s behalf for taxes related to vesting of restricted stock unit awardsPayments on employee’s behalf for taxes related to vesting of restricted stock unit awards(1,441)(1,562)
OtherOther(16)(14)Other(18)(16)
Net cash provided by financing activitiesNet cash provided by financing activities6,043 1,196 Net cash provided by financing activities752 6,043 
Net increase in cash, cash equivalents, and restricted cash18,141 28,815 
Net (decrease) increase in cash, cash equivalents, and restricted cashNet (decrease) increase in cash, cash equivalents, and restricted cash(6,303)18,141 
Cash, cash equivalents, and restricted cash at beginning of periodCash, cash equivalents, and restricted cash at beginning of period33,831 26,978 Cash, cash equivalents, and restricted cash at beginning of period68,541 33,831 
Cash, cash equivalents, and restricted cash at end of periodCash, cash equivalents, and restricted cash at end of period$51,972 $55,793 Cash, cash equivalents, and restricted cash at end of period$62,238 $51,972 

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VERICEL CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (CONTINUED)
(Unaudited, amounts in thousands)


Six Months Ended June 30,
20222021
Supplemental disclosure of cash flow information:
Non-cash information:
Additions to property and equipment included in accounts payable869 630 
Restricted stock held for employee tax remittance included in accounts payable— 61 

Six Months Ended June 30,
20222021
Reconciliation of amounts within the condensed consolidated balance sheets:
Cash and cash equivalents$56,054 $51,761 
Restricted cash6,184 211 
Total cash, cash equivalents, and restricted cash at end of period$62,238 $51,972 


The accompanying Notesnotes to the Condensed Consolidated Financial Statementscondensed consolidated financial statements are an integral part of these statements.
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VERICEL CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

1.Organization

Vericel Corporation, a Michigan corporation (together with its consolidated subsidiaries referred to herein as the Company, or Vericel), was incorporated in March 1989 and began employee-based operations in 1991. The Company is a fully-integrated, commercial-stage biopharmaceutical company and is a leader in advanced therapies for the sports medicine and severe burn care markets. Vericel currently markets 2 cell therapy products in the United States,U.S., MACI® (autologous cultured chondrocytes on porcine collagen membrane) and Epicel® (cultured epidermal autografts).

MACI is an autologous cellularized scaffold product indicated for the repair of symptomatic, single or multiple full-thickness cartilage defects of the knee with or without bone involvement in adults. Epicel is a permanent skin replacement for the treatment of adult and pediatric patients with deep-dermal or full-thickness burns comprising greater than or equal to 30 percent of total body surface area (TBSA)(“TBSA”). The Company also holds an exclusive license from MediWound Ltd. (MediWound)(“MediWound”) for North American rights to NexoBrid®(concentrate of proteolytic enzymes enriched in bromelain), a registration-stage biological orphan product designed for the debridement of severe thermal burns. The Company operates its business primarily in the U.S. in 1 reportable segment — the research, product development, manufacture and distribution of cellular therapies for use in the treatment of specific diseases.

COVID-19

The ongoing pandemic caused by the spread of a novel strain of coronavirus (COVID-19) began directly affecting the United States in March of 2020 and has continued since that point.The pandemic(“COVID-19”) has created significant disruptions to the U.S. and global economy and has contributed at times, to significant volatility in financial markets. The global impact of the outbreak has fluctuated since early 2020.At times, many state, local and national governments – including those in Massachusetts and Michigan, where the Company’s operations are located – have responded by issuing, extending and supplementing orders requiring quarantines, restrictions on travel, and the mandatory closure of certain non-essential businesses, among other actions. In the U.S., the status and application of these orders have varied on a state-by-state basis since the early days of the pandemic. Many of the restrictions have been periodically updated as infection rates in the U.S. have risen and fallen, as new virus variants have emerged, as vaccines have been distributed and administered, and as world health leaders learn more about the virus, its transmission pathway and who is most at risk. Because Vericel is deemed an essential business, the Company has been exempted from government orders requiring the closure of workplaces and the cessation of business operations. The vast majority of these restrictions have since been rescinded throughout most of the U.S.

Notwithstanding being an essential business, the Company’s business and operations were, at times have been adversely impacted by the ongoing effects of the COVID-19 during 2020. Aspandemic. For example, as a result of periodic restrictions placed on the performance of elective surgical procedures, the CompanyVericel experienced a significant increase in cancellations of scheduled MACI procedures as well as a slowdown in new MACI orders during March and April of 2020. The widespread suspension of surgical procedures impacted the Company’s business and operations during the first and second quarters of 2020. The level and degree of restriction on elective surgeries, on the ability of patients to seek treatment and on U.S. business operations generally fluctuated throughout 2020 as COVID-19 infection rates rose and fell during the summer months and into the autumn. By the first quarter of 2021, the pandemic’s effects on the Company’s MACI business had largely dissipated. During the summer of 2021, however, the pandemic’s direct and ancillary effects again began to cause some disruption to the Company’s MACI business. Following the cessation of COVID-19-related travel restrictions in many parts of the U.S. and the availability of vaccinations in May and June 2021, some MACI patients postponed or delayed treatment. Further, surges of new COVID-19 cases during the second half of 2021 caused by the spread of the “Delta” and “Omicron” variants again caused disruptions to health care networks including restrictions on the performance of elective procedures, the availability of physicians and/or their treatment prioritizations, the level of healthcare facility staffing and, in some instances, the willingness or ability of patients to seek treatment. Consequently, and notwithstanding the widespread distribution of vaccines, these factors contributed to a slowdown of MACI procedures during the third and fourth quarters of 2021 and during the first and second quarters of 2022. Although hospitals are now better prepared for a subsequent surgesurges in COVID-19 patients, and COVID-19 vaccines have been approved and are being widely distributed in the United States, the risk remains that regional or local restrictions could again be placed on the performance of elective surgical procedures if the number of COVID-19 infections in the United StatesU.S. were to rise, again, or if new or existing COVID-19 variants render current vaccine treatments ineffective.

Because Epicel is used almost exclusively in thean emergent setting by burn centers and surgeons throughout the country, Epicel revenue and procedure volumes have been less affected by the pandemic. Nevertheless, the number of large burns and burn admissions can be affected by restrictions on human activity resulting from more severe government lockdown orders.

At the outset of the pandemic, the Company put in place a comprehensive workplace protection plan, which instituted protective measures in response to COVID-19.The Company’s Vericel’s workplace protection plan has closely followed guidance issued by the Centers for Disease Control and Prevention (CDC)(“CDC”) and has complied with applicable federal and state law.Because vaccines designed To date, Vericel has been successful in sustaining its operations and providing MACI and Epicel to protect against COVID-19 have become readily available and the rates of COVID-19 infections, hospitalizations and deathspatients in the majority of the U.S. have declined since the beginning of 2021, the CDC and the Occupational Safety and Health Administration (OSHA) have altered their guidance for Americans, and emergency orders and mandatory workplace protocols in Michigan and Massachusetts have either been rescinded or greatly reduced –need. The Company continues to include the lifting of all capacity
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limitations on businesses in both states.Accordingly, Vericel is planning for a return to more normal workplace operations, but will continue to modify its workplace protection plan, and will reinstitute protective measures for its workforce as necessary.

The Company is reviewingreview its policies and procedures regularly, including its workplace protection plan, as the pandemic evolves and the Company may take additional actions to the extent required.

The Company continues to manufacture MACI and Epicel and is maintaining a significant safety stock of all key raw materials. Vericel does not expect that current supply chain interruptions will impact its ongoing manufacturing operations. With respect to customer delivery, MACI final product has an established shelf life of six (6) days and an established shipping shelf life of three (3) days. Currently, MACI is picked up by courier and shipped by commercial air or ground transportation to customer surgical sites. Epicel final product has an established shelf life of 48 hours and is hand carried to customer hospitals by courier. Transportation is primarily by commercial or charter airline. Although the Company has not experienced material shipping delays, significant disruption of air travel could result in the inability to deliver MACI or Epicel final products to customer sites within appropriate timeframes, which could further adversely impact the Company’s business. At this time, the Company is not aware of COVID-19 related impacts on its distributors, operations or third-party service providers’ ability to manage patient cases. The Company believes it is possible that it could experience variable business impacts, should a new resurgence of COVID-19 infections occur in the future.

Going ConcernThe Conflict in Ukraine

The current conflict between Russia and Ukraine and the related sanctions and other penalties imposed by countries across the globe against Russia are creating substantial uncertainty in the global economy and resulting in heightened inflation and supply chain disruptions. While the Company does not have operations in Russia or Ukraine and does not have exposure to distributors, or third-party service providers in Russia or Ukraine, it is unable to predict the impact that these actions will have on the global economy or on its financial condition, results of operations, and cash flows as of the date of these unaudited condensed consolidated financial statements.

Liquidity

The accompanying Condensed Consolidated Financial Statementscondensed consolidated financial statements have been prepared on a basis which assumes that the Company will continue as a going concern and contemplates the realization of assets and the satisfaction of liabilities and commitments in the normal course of business. As of June 30, 2021,2022, the Company had an accumulated deficit of $382.9399.3 million and had a net loss of $3.8$16.1 million and $7.1 million, respectively, during the three and six months ended June 30, 2021.2022. The Company had cash and cash equivalents of $51.8$56.1 million and investments of $64.0$68.4 million as of June 30, 2021.2022. The Company expects that cash from the sales of its products and existing cash, cash equivalents and investments will be sufficient to support the Company’s current operations through at least 12 months from the issuance of these Condensed Consolidated Financial Statements.condensed consolidated financial statements. The effects of the COVID-19 pandemic continue to evolve, however. To the extent the United StatesU.S. experiences a resurgenceworsening in COVID-19 infections or the emergence of additional virus variants that result in more serious disease or limit the effectiveness of existing vaccines, subsequent healthcare measures – to include the postponement or cessation of elective and elective surgery restrictions are reinstated onother surgical procedures – may cause the Company to experience a widespread basisreduction in business and resulting revenue. This, consequently, may result in irrecoverable losses of customers and significantly impact the Company’s business,long-term liquidity, potentially requiring the Company to engage in layoffs, furloughs and/or reductions in salaries. The Company also may need to access additional capital; however, the Company may not be able to obtain financing on acceptable terms or at all, particularly in light of the impact of COVID-19 on the global economy and financial markets. The terms of any financing may adversely affect the holdings or the rights of the Company’s shareholders.

2. Basis of Presentation

The accompanying cCondensed Consolidated Financial Statementsondensed consolidated financial statements as of June 30, 2021 and for the three and six months ended June 30, 2021Vericel are unaudited and have been prepared in accordance with the rules and regulations of the U.S. Securities and Exchange Commission (SEC)(“SEC”). The preparation of Condensed Consolidated Financial Statementscondensed consolidated financial statements in conformity with U.S. generally accepted accounting principles (GAAP)(“GAAP”) requires management to make estimates, judgments, and assumptions that may affect the reported amounts of assets, liabilities, equity, revenue and expenses. Certain information and footnote disclosures normally included in financial statements prepared in accordance with U.S. GAAP have been omitted pursuant to such rules and regulations.

The financial statements reflect, in the opinion of management, all adjustments (consisting only of normal, recurring adjustments) necessary to state fairly the financial position and results of operations as of and for the periods indicated. The Company bases its estimates on historical experience and on various other assumptions that it believes are reasonable, the results of which form the basis for making judgments about the carrying values of assets, liabilities and equity and the amount of revenue and expenses. The full extent to which the COVID-19 pandemic will continue to directly or indirectly impact itsthe Company’s business, results of operations and financial condition, including sales, expenses, reserves and allowances, manufacturing, clinical trials, research and development costs and employee-related amounts, will depend on future
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developments that are highly uncertain, including as a result of new information that may emerge concerning the COVID-19 pandemic and the actions taken to continue to contain or treat COVID-19, as well as the economic impact on its customers. The Company has made estimates of the impact of the COVID-19 pandemic within these financial statements and there may be changes to those estimates in future periods. Actual results may differ from these estimates. As of June 30, 2021,2022, the Company has not recorded impairments to investments, inventory, other current assets or long-lived assets as a result of the COVID-19 pandemic.

The condensed consolidated balance sheet as of December 31, 2021 has been derived from the audited consolidated financial statements at that date, but does not include all the information and notes required by U.S. GAAP for complete financial statements. These cCondensed Consolidated Financial Statementsondensed consolidated financial statements should be read in conjunction with the audited consolidated financial statements and the notes thereto included in our Annual Report on Form 10-K for the year ended December 31, 2020,2021, as filed with the SEC on February 24, 2021 (Annual Report)2022 (“Annual Report”).

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Recent Accounting Pronouncements

Consolidated Statement of Cash Flows

The following table presents certain supplementary cash flows information forNo new accounting standards were adopted during the six monthsquarter ended June 30, 2021 and 2020:
Six Months Ended June 30,
(In thousands)20212020
Supplementary Cash Flows information:
Non-cash information:
Right-of-use asset and lease liability recognized$$429 
Additions to property and equipment included in accounts payable630 55 
Restricted shares held for employee tax remittance included in accounts payable61 66 
Cash information:
Interest paid$$

Six Months Ended June 30,
(In thousands)20212020
Reconciliation of cash, cash equivalents, and restricted cash reported in the statement of financial position:
Cash and cash equivalents$51,761$55,704
Restricted cash, included in other long-term assets21189
Total cash, cash equivalents, and restricted cash shown in the statement of cash flows$51,972 $55,793 
2022.


3. Recent Accounting PronouncementsRevenue

Simplifying the Accounting for Income Taxes

In December 2019, the FASB issued ASU 2019-12, Simplifying the Accounting for Income Taxes (ASC 740). The ASU enhances and simplifies various aspects of the income tax accounting guidance in ASC 740, including requirements related to hybrid tax regimes, the tax basis step-up in goodwill obtained in a transaction that is not a business combination, separate financial statements of entities not subject to tax, the intra-period tax allocation exception to the incremental approach, ownership changes in investments, changes from a subsidiary to an equity method investment, interim-period accounting for enacted changes in tax law, and the year-to-date loss limitation in interim-period tax accounting. This guidance became effective for the Company on January 1, 2021 and had no material impact on its Condensed Consolidated Financial Statements.

4. Revenue
Revenue Recognition and Net Product Sales

The Company recognizes product revenue from sales of MACI biopsy kits, MACI implants, Epicel grafts and other sources following the five-step model in Accounting Standards Codification 606, Revenue RecognitionRecognition.
.
MACI Biopsy Kits

MACI biopsy kits are sold directly to hospitals and ambulatory surgical centers based on contracted rates in an approved contract or sales order. The Company recognizes MACI kit revenue upon delivery of the biopsy kit, at which time the customer (the facility) is in control of the kit. The kit is used by the doctor to provide a sample of cartilage tissue to the Company, which can later be used to manufacture a MACI implant. The ordering of the kit does not obligate the Company to manufacture an implant nor does the receipt of the cartilage tissue.tissue by the Company from the customer following biopsy. The customer’s order of an implant is separate from the process of ordering the biopsy kit. Therefore, the sale of the biopsy kit and any subsequent sale of an implant are distinct contracts and are accounted for separately.

10MACI Implants


MACI Implants
The Company contracts with 2 specialty pharmacies, Orsini Pharmaceutical Services, Inc. (Orsini)(“Orsini”) and AllCare Plus Pharmacy, Inc. (AllCare)(“AllCare”) to distribute MACI in a manner in which the Company retains the credit and collection risk from the end customer. The Company pays both specialty pharmacies a fee for each patient to whom MACI is dispensed. Both Orsini and AllCare perform collection activities to collect payment from customers. The Company engages a third-partythird party to provide services in connection with a patient support program to manage patient cases and to ensure complete and correct billing information is provided to the insurers and hospitals. In addition, the Company also sells MACI directly to DMS Pharmaceutical (DMS)Group, Inc.(“DMS”) for patients treated at military treatment facilities. The sales directly to DMS are made at a contracted rate.

Prior authorization and confirmation of coverage level by the patient’s private insurance plan, hospital or government payer is a prerequisite to the shipment of product to a patient. The Company recognizes product revenue from sales of all MACI implants upon delivery at which time the customer obtains control of the implant and the claim is billable. The total consideration which the Company expects to collect in exchange for MACI implants (the transaction price)“Transaction Price”) may be fixed or variable. Direct sales to hospitals or distributors are recorded at a contracted price, and there are typically no forms of variable consideration.

When the Company sells MACI, the patient is responsible for payment; however, the Company is typically reimbursed by a third-party insurer or government payer, subject to a patient co-pay amount. Reimbursements from third-party insurers and government payers vary by patient and payer and are based on either contracted rates, publicly available rates, fee schedules or past payer precedents. Net product revenue is recognized net of estimated contractual allowances, which considers historical collection experience from both the payer and patient, denial rates and the terms of the Company’s contractual arrangements. The Company estimates expected collections for these transactions using the portfolio approach. The Company records a reduction to revenue at the time of sale for its estimate of the amount of consideration that will not be collected. The total allowance for uncollectible consideration as of June 30, 2021 and December 31, 2020 was $7.1 million and $5.3 million, respectively. Changes to the estimate of the amount of consideration that will not be collected could have a material impact to the revenue recognized. A 0.5% change to the estimated uncollectible percentage could result in approximately a $0.3 million increase or decrease in the revenue recognized as of the six months ended June 30, 2021.

Changes in estimates of the transaction price are recorded through revenue in the period in which such change occurs. Changes in estimates related to prior period sales for the three and six months ended June 30, 2021 resulted in a decrease to revenue of $0.4 million and $0.1 million, respectively, and a decrease to revenue of $0.2 million and an increase to revenue of $1.1 million, respectively, for the same periods in 2020. The changes in estimates recorded during the three and six months ended June 30, 2021 and June 30, 2020, were primarily due to completion of the billing claims process for implants that occurred in 2020 or prior. Upon completion of the billing claims process, the Company concluded that it was probable that a significant reversal in the amount of revenue recognized would not occur.

Additionally,In addition, potential credit risk exposure has been evaluated for the Company’s accounts receivable in accordance with ASC 326, Financial Instruments -
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Credit Losses. Losses. The Company assesses risk and determines a loss percentage by pooling account receivables based on similar risk characteristics. The loss percentage is calculated by pooling account receivables containing similar risk characteristics and applying collectabilitythrough the use of forecasts whichthat are derived frombased on current and historical economic and financial information. TheThis loss percentage calculated was applied to the accounts receivables as of June 30, 20212022. The total allowance for uncollectible consideration as of June 30, 2022 and December 31, 2020. The allowance related2021 was $6.7 million and $7.0 million, respectively. Changes to the potential impactsestimate of COVID-19the amount of consideration that will not be collected could have a material impact on accounts receivable from third-party insurers, government payers, hospitals and patients as of December 31, 2020 includedthe revenue recognized. A 50 basis points change to the estimated uncollectible percentage could result in an approximately $0.1$0.3 million and 0 additional allowance was recorded duringdecrease or increase in the revenue recognized for the six months ended June 30, 2021.2022.

Changes in estimates of the Transaction Price are recorded through revenue in the period in which such change occurs. Changes in estimates related to prior periods are shown in the Revenue by Product and Customer table below and relate primarily to changes in the initial expected reimbursement or collection expectation upon completion of the billing claims process for MACI implants that occurred in a prior year. During the three months ended June 30, 2022, the Company recorded changes in estimates for MACI implants that occurred in a prior year of approximately $1.4 million, related to claims billed through a third-party insurer as a result of finalization of the billing claims processes.

Epicel

The Company sells Epicel directly to hospitals and burn centers based on contracted rates stated in an approved contract or purchase order. Similar to MACI, there is no obligation to manufacture Epicel grafts upon receipt of a skin biopsy, and Vericel has no contractual right to receive payment until the product is delivered to the hospital. The Company recognizes product revenue from sales of Epicel upon delivery to the hospital, at which time the customer is in control of the Epicel grafts and the claim is billable to the hospital.

NexoBrid

The Company entered into exclusive license and supply agreements with MediWound in May 2019, under which MediWound will manufacture and supply NexoBrid on a unit price basis, which may be increased pursuant to the terms of the agreement.agreements. The U.S. Biomedical Advanced Research and Development Authority (BARDA)(“BARDA”) has committed to procure NexoBrid directly from MediWound under an emergency use authorization. Asand, as of June 30, 2022, the Company did not hold a result, during 2020,direct contract or distribution agreement with BARDA, acceptedor take title to the first shipments of
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NexoBrid, per the agreement between BARDA and MediWound.product. The Company recognizes revenue based on a percentage of gross profits for sales of NexoBrid to BARDA upon delivery, at which time BARDA is in control of the product. As of June 30, 2021, the Company did not take title to the product or hold a direct contract or distribution agreement with BARDA. During the three and six months ended

June 30, 2021, the Company recognized $0.8 million and $1.8 million of revenue, respectively. NaN revenue related to the procurement by BARDA was recognized for the three and six months ended June 30, 2020. See note 11 for further information.
Revenue by Product and Customer

The following table and descriptiondescriptions below showsshow the products from which the Company generated its revenue:
 Three Months Ended June 30,Six Months Ended June 30,
Revenue by product (in thousands)2021202020212020
MACI implants and kits
Implants based on contracted rates sold through a specialty pharmacy (a)$17,972 $9,790 $31,200 $21,218 
Implants subject to third party reimbursement sold through a specialty pharmacy (b)3,502 2,819 7,917 6,335 
Implants sold direct based on contracted rates (c)4,487 1,806 8,954 4,916 
Implants sold direct subject to third party reimbursement (d)405 589 1,255 1,016 
Biopsy kits - direct bill551 348 1,070 811 
Change in estimates related to prior periods (e)(392)(248)(74)1,095 
Epicel
Direct bill (hospital)12,155 4,910 21,985 11,301 
Total product revenue$38,680 $20,014 $72,307 $46,692 
NexoBrid revenue (f)839 1,780 
Total net revenue$39,519 $20,014 $74,087 $46,692 
(a) Represents implants sold through Orsini and AllCare whereby such specialty pharmacies have a direct contract with the underlying insurance provider. The amount of reimbursement is based on contracted rates at the time of sale supported by the pharmacy's direct contracts.
(b) Represents implants sold through Orsini and AllCare whereby such specialty pharmacies do not have a direct contract with the underlying payer. The amount of reimbursement is established based on a payer or state fee schedule and/or payer history.
(c) Represents implants sold directly from the Company to the facility based on a contract and known price agreed upon prior to the surgery date. Also represents direct sales under a contract to the specialty distributor DMS.
(d) Represents implants sold directly from the Company to the facility based on a contract and known price agreed upon prior to the surgery date. The payment terms are subject to third-party reimbursement from an underlying insurance provider.
(e) Primarily represents changes in estimates related to implants sold through Orsini or AllCare in which such specialty pharmacy does not have a direct contract with the underlying payer. The initial estimate of the amount of reimbursement is established based on a payer or state fee schedule and/or payer history. The change in estimates is a result of additional information or actual cash collections received in the current period.
(f) Represents revenue based on a percentage of gross profits for sales of NexoBrid to BARDA, pursuant to the license agreement between the Company and MediWound.
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 Three Months Ended June 30,Six Months Ended June 30,
Revenue by product (in thousands)2022202120222021
MACI implants and kits
Implants based on contracted rates sold through a specialty pharmacy (a)
$15,714 $17,972 $31,009 $31,200 
Implants subject to third party reimbursement sold through a specialty pharmacy (b)
4,295 3,502 7,803 7,917 
Implants sold direct based on contracted rates (c)
5,756 4,487 11,390 8,954 
Implants sold direct subject to third-party reimbursement (d)
570 405 1,441 1,255 
Biopsy kits - direct bill545 551 1,066 1,070 
Change in estimates related to prior periods (e)
1,733 (392)1,898 (74)
Total MACI implants and kits28,613 26,525 54,607 50,322 
Epicel
Direct bill (hospital)8,213 12,155 18,071 21,985 
NexoBrid revenue (f)
220 839 442 1,780 
Total revenue$37,046 $39,519 $73,120 $74,087 
(a) Represents implants sold through Orsini and AllCare whereby such specialty pharmacies have a direct contract with the underlying insurance provider. The amount of reimbursement is based on contracted rates at the time of sale supported by the pharmacy’s direct contracts.
(b) Represents implants sold through Orsini or AllCare whereby such specialty pharmacy does not have a direct contract with the underlying payer. The amount of reimbursement is established based on a payer or state fee schedule and/or payer history.
(c) Represents implants sold directly from the Company to the facility based on a contract and known price agreed upon prior to the surgery date. Also represents direct sales under a contract to specialty distributor DMS.
(d) Represents implants sold directly from the Company to the facility based on a contract and known price agreed upon prior to the surgery date. The payment terms are subject to third-party reimbursement from an underlying insurance provider.
(e) Primarily represents changes in estimates related to implants sold through Orsini or AllCare, and relate primarily to changes to the initial expected reimbursement or collection expectation upon completion of the billing claims process. The change in estimates is a result of additional information, changes in collection expectations or actual cash collections received in the current period.
(f) Represents revenue based on a percentage of gross profits for sales of NexoBrid to BARDA, pursuant to the license agreement between the Company and MediWound (see note 10).

Concentration of Credit Risk

The Company'sCompany’s total Epicel revenue concentration from aan Epicel customer for the three and six months ended June 30, 20212022 was 6% and 7%, respectively, and 11% and 12%, respectively, and 6% and 10% for the same periods in 2020.2021. For the Company'sCompany’s total MACI revenue, and MACI and Epicel accounts receivable balances, there were no customers for the three and six months endedas of June 30, 20212022 or the comparable periods in 2020,December 31, 2021, with a concentration greater than 10%.


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5.4. Selected Balance Sheet Components

Inventory

Inventory as of June 30, 20212022 and December 31, 2020:2021:

(In thousands)(In thousands)June 30, 2021December 31, 2020(In thousands)June 30, 2022December 31, 2021
Raw materialsRaw materials$12,266 $8,775 Raw materials$15,175 $12,676 
Work-in-processWork-in-process625 537 Work-in-process683 644 
Finished goodsFinished goods68 44 Finished goods71 61 
Inventory$12,959 $9,356 
Total inventoryTotal inventory$15,929 $13,381 

Property and Equipment

Property and Equipment, net as of June 30, 20212022 and December 31, 2020:2021:

(In thousands)(In thousands)June 30, 2021December 31, 2020(In thousands)June 30, 2022December 31, 2021
Machinery and equipmentMachinery and equipment$4,273 $3,672 Machinery and equipment$4,615 $4,522 
Furniture, fixtures and office equipmentFurniture, fixtures and office equipment844 809 Furniture, fixtures and office equipment1,710 1,551 
Computer equipment and softwareComputer equipment and software7,597 6,846 Computer equipment and software8,112 7,769 
Leasehold improvementsLeasehold improvements5,634 5,560 Leasehold improvements13,134 10,617 
Construction in processConstruction in process5,013 2,021 Construction in process4,543 3,097 
Financing right-of-use leaseFinancing right-of-use lease92 111 Financing right-of-use lease55 74 
Total property and equipment, grossTotal property and equipment, gross23,453 19,019 Total property and equipment, gross32,169 27,630 
Less accumulated depreciationLess accumulated depreciation(12,863)(11,386)Less accumulated depreciation(16,250)(14,322)
Property and equipment, net$10,590 $7,633 
Total property and equipment, netTotal property and equipment, net$15,919 $13,308 

Depreciation expense for the three and six months ended June 30, 20212022 was $1.1 million and $1.9 million, respectively, and $0.7 million and $1.5 million, respectively, and $0.5 million and $1.1 million, respectively, for the same periods in 2020.2021.
 
Accrued Expenses

Accrued Expenses as of June 30, 20212022 and December 31, 20202021 are as follows:

(In thousands)(In thousands)June 30, 2021December 31, 2020(In thousands)June 30, 2022December 31, 2021
Bonus related compensationBonus related compensation$3,815 $5,721 Bonus related compensation$3,942 $6,305 
Employee related accrualsEmployee related accruals3,969 3,482 Employee related accruals3,555 3,616 
Insurance reimbursement-related liabilitiesInsurance reimbursement-related liabilities4,585 3,973 
Other accrued expensesOther accrued expenses3,293 2,090 Other accrued expenses51 151 
Accrued expenses$11,077 $11,293 
Total accrued expensesTotal accrued expenses$12,133 $14,045 


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6.5. Leases

The Company leases facilities in Ann Arbor, Michigan and Cambridge, Massachusetts. The Ann Arbor facility includes office space, and the Cambridge facilities include clean rooms, laboratories for MACI and Epicel manufacturing, and office space. The Company also leases offsite warehouse space, vehicles and computer equipment. Certain of the Company’s lease agreements include lease payments that are adjusted periodically for an index or rate. The leases are initially measured using the present value of the projected payments adjusted for the index or rate in effect at the commencement date. The Company’s lease agreements do not contain any material residual value guarantees or material restrictive covenants. All operating lease commitments with a lease term greater than 12 months are recognized as right-of-use assets and liabilities, on a discounted basis on the balance sheet. Effective October 21, 2020

On January 28, 2022, the Company entered into ana lease agreement with one(the “Burlington Lease”) to lease approximately 126,000 square feet of its Cambridge,to-be-constructed manufacturing, laboratory and office space in Burlington, Massachusetts facility leases. (the “Premises”). Once constructed, the Premises will serve as the Company’s new corporate headquarters and primary manufacturing facility.

The agreement extended the termsterm of the leaseBurlington Lease is currently expected to expirebegin in 2023, 12 months following the landlord’s commencement of construction of the core and shell of the building in which the Premises are located (the “Commencement Date”).
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The Company’s obligation to pay rent for the Premises will begin on February 29, 2032,the earlier of: 13 months from the Commencement Date; or the date on which the Company first occupies the Premises to conduct operations (the “Rent Commencement Date”). The initial term of the Lease is 144 months following the Rent Commencement Date. The Company has a 1-time option to extend the term of the Lease for an additional 10 years, exercisable under certain conditions and at a market rate determined in accordance with monthlythe Burlington Lease.

The annual base rent of the Burlington Lease is initially $57 per square foot per year, subject to annual increases of 2.5%. Monthly contractual lease payments rangingare expected to range from $0.4$0.6 million to $0.6$0.8 million. Additionally, the Company is responsible for reimbursing the landlord for the Company’s share of the Premises’ property taxes and certain other operating expenses. The agreementBurlington Lease also provides for a tenant improvement allowance from the landlord in an amount equal to $200 per square foot of the Premises, or approximately $25.1 million in total, towards the design and construction of certain tenant improvements made to the Premises, subject to the terms set forth in the Burlington Lease.

The Company is not involved in the initial construction of the core and shell of the building and will record the lease liability and right-of-use asset on its condensed consolidated balance sheet, when the construction is substantially completed and it obtains control of the Premises, which is currently expected to be on or around the Commencement Date.

In January 2022, in connection with the execution of the Burlington Lease, the Company issued a letter of credit collateralized by cash deposits of approximately $4.3$6.0 million. Such letter of credit shall be reduced to approximately $4.2 million available through December 31, 2023.and $1.8 million at the conclusion of the third and sixth lease years, respectively, provided certain conditions set forth in the Burlington Lease are satisfied.

Leases with an initial term of 12 months or less are not recorded on the balance sheet. For both the three and six months ended June 30, 20212022 and 2020,2021, lease expense of less than $0.1 million was recorded for each ofrelated to short-term leases and financing leases. During the six months ended June 30, 2021, the Company recorded $0.2 million of leasehold improvements funded by tenant improvement allowances available under the lease agreements. The contribution toward the cost of tenant improvements is recorded as a reduction of the operating lease assets. For the three and six months ended June 30, 20212022, the Company recognized $1.8$1.7 million and $3.7$3.5 million, respectively, of operating lease expense and $1.4$1.8 million and $2.9$3.7 million, respectively, for the same periods in 2020. The Company’s leases contain non-lease components2021. For the three and activities that do not transfer a good or service tosix months ended June 30, 2022 and 2021, the Company. The Company elected not to combinerecognized less than $0.1 million of financing lease and non-lease components and therefore non-lease costs were not included in the net lease assets or lease liabilities.expense.

Total leasedOperating and finance lease assets and liabilities classified on the balance sheet, as of June 30, 2021 and December 31, 2020 are as follows:

(In thousands)ClassificationJune 30, 2021December 31, 2020
Assets
OperatingRight-of-use assets$47,798 $50,105 
FinanceProperty and equipment, net92 111 
$47,890 $50,216 
Liabilities
Current
OperatingCurrent portion of operating lease liabilities$4,611 $4,394 
FinanceOther liabilities41 41 
$4,652 $4,435 
Non-current
OperatingOperating lease liabilities$46,928 $48,789 
FinanceOther long-term liabilities62 76 
$46,990 $48,865 
7.Stock-Based Compensation
Stock Option, Restricted Stock Units and Equity Incentive Plans
The Company has historically had various stock incentive plans and agreements that provide for the issuance of nonqualified and incentive stock options and restricted stock units as well as other equity awards. Such awards may be granted by the Company’s Board of Directors to certain of the Company’s employees, directors and consultants. 
(In thousands)ClassificationJune 30, 2022December 31, 2021
Assets
OperatingRight-of-use assets$43,583 $45,720 
FinanceProperty and equipment, net55 73 
Total leased assets$43,638 $45,793 
Liabilities
Current
OperatingCurrent portion of operating lease liabilities$3,156 $2,950 
FinanceOther current liabilities41 41 
Non-current
OperatingOperating lease liabilities44,964 47,147 
FinanceOther long-term liabilities21 44 
Total leased liabilities$48,182 $50,182 

Options granted to employees and non-employees under these plans expire no later than ten years from the date of grant. Options and restricted stock units generally become exercisable or vest over a four-year period, under a graded-vesting methodology for stock options and annually on the anniversary grant date for restricted stock units, following the date of grant.  The Company generally issues new shares upon the exercise of stock options or vesting of restricted stock units.
6. Stock-Based Compensation

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The Company's Amended and Restated 20192022 Omnibus Incentive Plan (2019 Plan)(“2022 Plan”) was approved on April 29, 202027, 2022, and provides incentives through the grant of stock options, stock appreciation rights, restricted stock awards and restricted stock units. The exercise price of stock options granted under the 20192022 Plan shall not be less than the fair market value of the Company’s common stock on the date of grant. The 20192022 Plan replaced the 1992 Stock Option Plan, the 2001 Stock Option Plan, the Amended and Restated 2004 Equity Incentive Plan, the 2009 Second Amended and Restated Omnibus Incentive Plan, and the 2017 Omnibus Incentive Plan, (Prior Plans)and the Amended and Restated 2019 Omnibus Incentive Plan (“Prior Plans”), and 0no new grants have been granted under the Prior Plans after approval of the 20192022 Plan. However, the expiration or forfeiture of options previously granted under the Prior Plans will increase the number of shares available for issuance under the 20192022 Plan.

As
15

Table of June 30, 2021, there were 2,804,486 shares available for future grant under the 2019 Plan.Contents

Employee Stock Purchase PlanCompensation Expense

Employees are able toNon-cash stock-based compensation expense (service-based stock options, restricted stock units and employee stock purchase stock underplan) is summarized in the Vericel Corporation Employee Stock Purchase Plan (ESPP). The ESPP allows for the issuance of an aggregate of 1,000,000 shares of common stock of which 729,273 shares have been issued since the inception of the plan in 2015. Participation in this plan is available to substantially all employees. The ESPP is a compensatory plan accounted for under the expense recognition provisions of the share-based payment accounting standards. Compensation expense is recorded based on the fair market value of the options at the grant date, which corresponds to the first day of each purchase period and is amortized over the purchase period. In July 2021, employees purchased 9,045 shares resulting in proceeds from the sale of common stock of $0.4 million under the ESPP for the second quarter of 2021.following table:
 Three Months Ended June 30,Six Months Ended June 30,
(in thousands)2022202120222021
Cost of product sales$1,035 $1,287 $2,153 $2,199 
Research and development1,520 1,234 2,870 2,096 
Selling, general and administrative8,253 8,345 15,316 13,590 
Total non-cash stock-based compensation expense$10,808 $10,866 $20,339 $17,885 

Service-Based Stock Options

During the three and six months ended June 30, 2021,2022, the Company granted service-based options to purchase common stock of 170,060 and 1,163,649, respectively, and 136,117 and 1,474,072, respectively, and 110,750 and 1,296,890, respectively, for the same periods in 2020.2021. The exercise price of the options is the fair market value per share of common stock on the grant date, and the options generally vest over four years (other than non-employee director options which may vest over one to three years from the grant date pursuant to the provisions of the Company's Amended and Restated Non-Employee Director Compensation Guidelines) and have a term of ten years. The Company issues new shares upon the exercise of stock options. The weighted averageweighted-average grant-date fair value of service-based options granted during the three and six months ended June 30, 20212022 was $19.25 and $20.74 per option, respectively, and $39.31 and $32.69, respectively, and $8.82 and $8.66, respectively, for the same periods in 2020.2021.

Restricted Stock Units

During the three and six months ended June 30, 2021,2022, the Company granted 26,94139,746 and 241,054 service-based382,768 restricted stock units, respectively, and 10,70026,941 and 196,836,241,054, respectively, for the same periods in 2020.2021. The restricted stock units vest annually over four years in equal installments commencing on the first anniversary of the grant date (other than non-employee director awards which may vest over one to three years from the grant date pursuant to the provisions of the Company's Amended and Restated Non-Employee Director Compensation Guidelines). The Company issues new shares upon the vesting of restricted stock units. Restricted stock units are recorded at fair value at the date of grant, which is based on the closing share price on the grant date. Compensation expense is recorded for restricted stock units that are expected to vest based on their fair value at grant date and is amortized over the expected vesting period. The weighted averageweighted-average grant-date fair value of restricted stock units granted during the three and six months ended June 30, 20212022 was $31.94 and $34.65 per unit, respectively, and $61.37 and $51.99, respectively, and $14.49 and $11.41, respectively, for the same periods in 2020. The aggregate fair value of restricted stock units granted in the three and six months ended June 30, 2021 was $1.7 million and $12.5 million, respectively, and $0.2 million and $2.2 million, respectively, for the same periods in 2020.

During the three and six months ended June 30, 2021, 11,576 and 59,433 shares, respectively, of common stock were issued upon the vesting of restricted stock units. These amounts are net of 1,174 and 29,414 shares, respectively, that were withheld for payment of taxes on the behalf of employees. During the three and six months ended June 30, 2020, 10,500 and 32,840 shares, respectively, of common stock were issued upon the vesting of restricted stock units. These amounts are net of 0 and 13,872 shares, respectively, withheld for payment of taxes, as no shares are withheld at vesting for shares awarded to the members of the Company's Board of Directors.

For the three and six months ended June 30, 2021, the total fair value of restricted stock awards vested was $0.9 million and $5.0 million, respectively, and $0.2 million and $0.5 million, respectively, for the same periods in 2020. The total fair value of restricted stock units withheld for payment of taxes during the three and six months ended June 30, 2021, was $0.1 million and $1.6 million, respectively. During the six months ended June 30, 2020, the total fair value of restricted stock units withheld for payment of taxes was $0.2 million. There were 0 restricted stock units withheld during the three months ended June 30, 2020.
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Stock Compensation Expense
Non-cash stock-based compensation expense (employee stock purchase plan, service-based stock options and restricted stock units) included in cost of product sales, research and development expenses and selling, general and administrative expenses is summarized in the following table: 
 Three Months Ended June 30,Six Months Ended June 30,
(in thousands)2021202020212020
Cost of product sales$1,287 $568 $2,199 $997 
Research and development1,234 484 2,096 1,060 
Selling, general and administrative8,345 3,325 13,590 6,087 
Total non-cash stock-based compensation expense$10,866 $4,377 $17,885 $8,144 
2021.

8. Cash Equivalents and7. Investments

Marketable debt securities held by the Company are classified as available-for-sale pursuant to ASC 320, Investments – Debt and Equity Securities, and carried at fair value in the accompanying Condensed Consolidated Balance Sheetscondensed consolidated balance sheets on a settlement date basis. The following tables summarize the gross unrealized gains and losses of the Company’s marketable securities as of June 30, 20212022 and December 31, 2020:2021:
June 30, 2021
Gross UnrealizedEstimated Fair Value
(In thousands)Amortized CostGainsLossesCredit Losses
Money market funds$6,022 $$$$6,022 
Commercial paper15,996 15,996 
Corporate notes43,692 (24)43,668 
U.S. government securities1,500 1,500 
U.S. government agency bonds1,074 1,074 
U.S. asset-backed securities1,802 1,802 
$70,086 $$(24)$$70,062 
Classified as:
Cash equivalents$6,022 
Short-term investments39,214 
Long-term investments24,826 
$70,062 
December 31, 2020
Gross UnrealizedEstimated Fair Value
(In thousands)Amortized CostGainsLossesCredit Losses
Money market funds$3,698 $$$$3,698 
Commercial paper8,993 8,994 
Corporate notes35,917 (6)35,911 
U.S. government securities12,828 14 12,842 
U.S. government agency bonds5,000 5,001 
U.S. asset-backed securities3,534 3,538 
$69,970 $20 $$(6)$69,984 
Classified as:
Cash equivalents$3,698 
Short-term investments42,187 
Long-term investments24,099 
$69,984 

Investments classified as short-term have maturities of less than one year. Investments classified as long-term are those which: (i) have a maturity of greater than one year, and (ii) the Company does not intend to liquidate within the next twelve months, although these funds are available for use and, therefore, are classified as available-for-sale. The Company’s
June 30, 2022
Gross UnrealizedEstimated Fair Value
(In thousands)Amortized CostGainsLossesCredit Losses
Commercial paper$15,784 $— $(76)$— $15,708 
Corporate notes53,428 — (780)— 52,648 
$69,212 $— $(856)$— $68,356 
Classified as:
Short-term investments$44,638 
Long-term investments23,718 
$68,356 
December 31, 2021
Gross UnrealizedEstimated Fair Value
(In thousands)Amortized CostGainsLossesCredit Losses
Commercial paper$10,243 $— $(12)$— $10,231 
Corporate notes50,666 — (142)— 50,524 
$60,909 $— $(154)$— $60,755 
Classified as:
Short-term investments$35,068 
Long-term investments25,687 
$60,755 

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investment strategy is to buy short-duration marketable securities with a high credit rating. As of June 30, 20212022 and December 31, 20202021, all marketable securities held by the Company had remaining contractual maturities of three years or less.

Unrealized gains are included as a component of accumulated other comprehensive income in the Condensed Consolidated Balance Sheets and Statements of Shareholders’ Equity and a component of total comprehensive income (loss) in the Condensed Consolidated Statements of Comprehensive Loss, until realized. Unrealized losses are evaluated for impairment under ASC 326, Financial Instruments - Credit Losses, to determine if the impairment is credit-related or non-credit-related. Credit-related impairment is recognized as an allowance on the Condensed Consolidated Balance Sheet with a corresponding adjustment to earnings, and non-credit-related impairment is recognized in other comprehensive income (loss), net of taxes. There were no material realized losses on marketable securities during the three and six months ended June 30, 2021. There have been 0no impairments of the Company’s assets measured and carried at fair value during the three and six months ended June 30, 2021 or June 30, 2020, respectively.2022 and 2021.

9.
8. Fair Value Measurements

The Company’s fair value measurements are classified and disclosed in one of the following three categories:

Level 1: Unadjusted quoted prices in active markets that are accessible at the measurement date for identical, unrestricted assets or liabilities;
Level 2: Quoted prices in markets that are not active, or inputs which are observable, either directly or indirectly, for substantially the full term of the asset or liability;
Level 3: Prices or valuation techniques that require inputs that are both significant to the fair value measurement and unobservable (i.e., supported by little or no market activity).

There was no movement between Level 1 and Level 2 or between Level 2 and Level 3 from December 31, 2020 to June 30, 2021. Assets and liabilities measured at fair value are classified in their entirety based on the lowest level of input that is significant to the fair value measurement. The commercial paper and corporate notes U.S. government securities, U.S. government agency bonds and U.S. asset-backed securities are classified as Level 2 as they were valued based upon quoted market prices for similar instruments in active markets, quoted prices for identical or similar instruments in markets that are not active and model-based valuation techniques for which all significant inputs are observable in the market or can be corroborated by observable market data for substantially the full term of the assets. There were no transfers into or out of Level 3 from December 31, 2021 to June 30, 2022.

The following table summarizes the valuation of the Company’s financial instruments that are measured at fair value on a recurring basis:

June 30, 2021December 31, 2020 June 30, 2022December 31, 2021
 Fair value measurement category Fair value measurement category  Fair Value Measurement Category Fair Value Measurement Category
(In thousands)(In thousands)TotalLevel 1Level 2Level 3TotalLevel 1Level 2Level 3(In thousands)TotalLevel 1Level 2Level 3TotalLevel 1Level 2Level 3
Assets:Assets:Assets:
Money market fundsMoney market funds$6,022 $6,022 $$$3,698 $3,698 $$Money market funds$1,135 $1,135 $— $— $1,258 $1,258 $— $— 
Commercial paper (a)
Commercial paper (a)
15,708 — 15,708 — 18,229 — 18,229 — 
Corporate notesCorporate notes52,648 — 52,648 — 50,524 — 50,524 — 
$69,491 $1,135 $68,356 $— $70,011 $1,258 $68,753 $— 
Commercial paper15,996 15,996 8,994 8,994 
Corporate notes43,668 43,668 35,911 35,911 
U.S. government securities1,500 1,500 12,842 12,842 
U.S. government agency bonds1,074 1,074 5,001 5,001 
U.S. asset-backed securities1,802 1,802 3,538 3,538 
$70,062 $6,022 $64,040 $$69,984 $3,698 $66,286 $

(a) Approximately $8.0 million of commercial paper had an original maturity of 90 days or less and was recorded as a cash equivalent as of December 31, 2021.

The fair values of the cash equivalents and marketable securities are based on observable market prices. The Company’s accounts receivables, accounts payable and accrued expenses are valued at cost which approximates fair value.










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10.9.  Net Loss Per Common Share

The following reflects theA summary of net loss attributable toper common shareholders and share data used in the basic and diluted earnings per share computations using the two class method:is presented below:
 Three Months Ended June 30,Six Months Ended June 30,
(Amounts in thousands, except per share amounts)2021202020212020
Numerator:  
Net loss$(3,786)$(8,269)$(7,075)$(12,974)
Denominator:   
Weighted-average common shares outstanding (basic and diluted)46,403 45,137 46,195 45,031 
Net loss per share attributable to common shareholders (basic and diluted)$(0.08)$(0.18)$(0.15)$(0.29)
Anti-dilutive shares excluded from the calculation of diluted earnings per share(a):
Stock options5,960 6,018 5,960 6,018 
Restricted stock units413 301 413 301 
(a) Common equivalent shares are not included in the diluted per share calculation where the effect of their inclusion would be anti-dilutive. 
 Three Months Ended June 30,Six months ended June 30,
(Amounts in thousands, except per share amounts)2022202120222021
Net loss$(8,963)$(3,786)$(16,054)$(7,075)
   
Basic weighted-average common shares outstanding47,117 46,403 47,052 46,195 
Effect of dilutive stock options and restricted stock units— — — — 
Diluted weighted-average common shares outstanding47,117 46,403 47,052 46,195 
Basic loss per common share$(0.19)$(0.08)$(0.34)$(0.15)
Diluted loss per common share$(0.19)$(0.08)$(0.34)$(0.15)
Anti-dilutive shares excluded from diluted net loss per common share:
Stock options6,586 5,960 6,586 5,960 
Restricted stock units636 413 636 413 

11.
10. NexoBrid License and Supply Agreements

On May 6, 2019, the Company entered into exclusive license and supply agreements with MediWound to commercialize NexoBrid and any improvements to NexoBrid in North America. NexoBrid is a topically-administered biological product that enzymatically removes nonviable burn tissue, or eschar, in patients with deep partial and full-thickness thermal burns. On September 16, 2020, the Company announced MediWound's submission of a biologics license application (BLA) to the U.S. Food and Drug Administration (FDA) seeking marketing approval for NexoBrid in the United States for the treatment of severe burns, and the FDA's assignment of a Prescription Drug User Fee Act (PDUFA) target date for the product of June 29, 2021. Subsequently, on June 29, 2021, the Company announced that MediWound had received a complete response letter (CRL)(“CRL”) from the U.S. Food & Drug Administration (“FDA”) with respect to a biologics license application (“BLA”), which MediWound had previously submitted to the FDA regardingseeking marketing approval for the BLA, through whichproduct in the U.S. As part of the CRL, the FDA communicated to MediWound that it had completed its review of the BLA, as amended, and had determined that it cannotcould not approve the BLA in its presentthen form. The Company announced further that it is committedhas continued to workingwork with MediWound, BARDA and the FDA on the next steps to address the issues identified in the CRLCRL. On July 1, 2022, the Company and MediWound submitted a BLA resubmission to seek the potential approvalFDA to address the issues identified by the FDA in the CRL. Subsequently, the FDA informed the Company that it has accepted the resubmission for review and has established a Prescription Drug User Fee Act (“PDUFA”) date for completing that review of NexoBrid.January 1, 2023.

Pursuant to the terms of the license agreement, if the BLA is approved, MediWound will transfer the BLA to the CompanyVericel and the CompanyVericel will market NexoBrid in the U.S. Both MediWound and the Company,Vericel, under the supervision of a Central Steering Committee comprised of members of both companies will continue to guide the development of NexoBrid in North America.America (the “Central Steering Committee”). NexoBrid is approved in the European Union (“EU”) and other international markets and has been designated as an orphan biologic in the United States, European UnionU.S., EU and other international markets.

In May 2019, the Company paid MediWound $17.5 million in consideration for the license. The $17.5 million upfront paymentlicense, which was recorded toas research and development expense during 2019, as the license was considered in process research and development.2019. The Company is also obligated to pay MediWound $7.5 million, which is contingent upon U.S. regulatory approval of the BLA for NexoBrid and up to $125$125.0 million contingent upon meeting certain sales milestones, subsequent to approval.milestones. The first sales milestone of $7.5 million would be triggered when annual net sales of NexoBrid or improvements to it in North America exceed $75$75.0 million. As of June 30, 2021,2022, the milestone payments wereare not yet probable and therefore, not consideredrecorded as a liability. The Company also will pay MediWound tiered royalties on net sales ranging from mid-high single-digit to mid-teen percentages, subject to customary reductions, following approval.reductions. The Company also entered into a supply agreement with MediWound under which MediWound will manufacture NexoBrid for the Company on a unit price basis which may be increased based on a published index. MediWound is obligated to supply the Company with NexoBrid for sale in North
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America on an exclusive basis for the first five years of the term of the supply agreement. After the exclusivity period or upon supply failure, the Company will be permitted to establish an alternate source of supply.

BARDA has committed to procure NexoBrid directly from MediWound under an emergency use authorization, and under such commitment the Company will receive a percentage of gross profit for sales directly to BARDA. If BARDA procures NexoBrid directly from the Company,Vericel, the Company will pay a percentage of gross profits to MediWound on initial committed amounts and a royalty on any additional BARDA purchases of NexoBrid beyond the initial committed amount. As of June 30, 2021,2022, the Company diddoes not hold a direct contract or distribution agreement with BARDA. During 2020, BARDA accepted the first shipments
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Table of NexoBrid for emergency use preparedness per the agreement between BARDA and MediWound. During the three and six months ended June 30, 2021, the Company recognized $0.8 million and $1.8 million, respectively, of revenue. NaN revenue related to the procurement by BARDA was recognized for the three and six months ended June 30, 2020.Contents

12.
11. Commitments and Contingencies

The Company's purchase commitments consist of minimum purchase amounts of materials usedFrom time to time, the Company could be a party to various legal proceedings arising in the Company's cell manufacturing processordinary course of business. The costs and outcome of litigation, regulatory, investigatory or other proceedings cannot be predicted with certainty, and some lawsuits, claims, actions or proceedings may be disposed of unfavorably to manufacture its marketed cell therapy products.the Company and could have a material adverse effect on the Company’s results of operations or financial condition. In addition, intellectual property disputes often have a risk of injunctive relief which, if imposed against the Company, also pays for usagecould materially and adversely affect its financial condition or results of an offsite warehouse space. In February 2021,operations. If a matter is both probable to result in material liability and the termsamount of loss can be reasonably estimated, the operating agreement were extended through March 31, 2027. The Company records rent expense related to this agreement onestimates and discloses the possible material loss or range of loss. If such loss is not probable or cannot be reasonably estimated, a straight-line basis over the remaining term.liability is not recorded in its condensed consolidated financial statements.

Future minimum payments related toAs of June 30, 2022, the Company's contractual obligations are as follows:
  Payments Due by Period
Contractual Obligations (in thousands)TotalJuly 1, 2021 - December 31, 20212022202320242025More than 5 Years
Purchase commitments$19,390 $18,729 $661 $$$$
Warehouse operating agreement4,954 541 1,046 792 792 792 991 
Total$24,344 $19,270 $1,707 $792 $792 $792 $991 
Company had no material ongoing litigation in which the Company was a party or any material ongoing regulatory or other proceedings and had no knowledge of any investigations by government or regulatory authorities in which the Company is a target that could have a material adverse effect on its current business.



12. Subsequent Events

On July 29, 2022, the Company, as borrower, entered into a $150 million five-year senior secured revolving credit agreement by and among the Company, the other loan parties thereto, the lenders party thereto, and JPMorgan Chase Bank, N.A., as the administrative agent (the “Revolving Credit Agreement”). The Revolving Credit Agreement includes a $15 million sub-facility for the issuance of letters of credit. Amounts available under the Revolving Credit Agreement are for the working capital needs and other general corporate purposes of the Company.

Outstanding borrowings under the Revolving Credit Agreement bear interest, with pricing based from time to time at the Company’s election at (i) SOFR plus 0.10% plus a spread ranging from 1.25% to 2.50% as determined by the Company’s total net leverage ratio (as defined in the Revolving Credit Agreement) or (ii) the alternative base rate (as defined in the Revolving Credit Agreement) plus a spread ranging from 0.25% to 1.50% as determined by the Company’s total net leverage ratio. The Revolving Credit Agreement also includes a commitment fee, which ranges from 0.20% to 0.25% as determined by the Company’s total net leverage ratio.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Overview

Vericel Corporation is a fully-integrated, commercial-stage biopharmaceutical company and a leader in advanced cell therapies and specialty biologics for the sports medicine and severe burn care markets. We currently market two U.S. Food and Drug Administration (FDA)-approved(“FDA”) approved autologous cell therapy products in the United States.U.S. MACI® is an autologous cellularized scaffold product indicated for the repair of symptomatic, single or multiple full-thickness cartilage defects of the knee with or without bone involvement in adults. Epicel® is a permanent skin replacement Humanitarian Use Device (HUD)(“HUD”) for the treatment of adult and pediatric patients with deep-dermal or full-thickness burns comprising greater than or equal to 30 percent of total body surface area (TBSA)(“TBSA”). We also hold an exclusive license from MediWound for North American rights to NexoBrid®, a registration-stage biological orphan product.product designed for the debridement of severe thermal burns. In 2020, MediWound submitted to the FDA a biologics license application (BLA)(“BLA”) seeking the approval of NexoBrid for eschar removal (debridement) in adults with deep partial-thickness and/or full-thickness thermal burns. The FDA subsequently accepted the BLA for filing and assigned a Prescription Drug User Fee Act (PDUFA)(“PDUFA”) target date of June 29, 2021.

Subsequently, Thereafter, on June 29, 2021, we announced that MediWound received a complete response letter (CRL)(“CRL”) from the FDA regarding the BLA for NexoBrid. Thethrough which the FDA communicated to MediWound that it had completed its review of the BLA, as amended, and had determined that it cannotcould not approve the BLA in its presentthen form. The FDA had identified issues relatedWe have continued to the Chemistry, Manufacturing and Controls (CMC) section of the BLA and had requested that MediWound provide additional CMC information. The FDA stated that it had not reviewed several amendments submitted by MediWound in response to the CMC information requests related to the BLA. The FDA also stated that inspections of manufacturing facilities in Israel and Taiwan are required before the BLA can be approved, but that it was unable to conduct the required inspections during the original review cycle due to COVID-19-related travel restrictions. In addition, the CRL referenced observations that were made during good clinical practice (GCP) inspections related to the DETECT study and requested that MediWound address questions regarding the impact of the observations on the study’s efficacy findings. The FDA also requested that MediWound provide a safety update as part of its BLA resubmission. The Company announced further that it is committed to workingwork with MediWound, BARDA and the FDA on the next steps to address the issues identified in the CRLCRL. On July 1, 2022, Vericel and MediWound submitted the BLA resubmission to seekthe FDA seeking the potential approval of NexoBrid. Subsequently, the FDA informed us that it has accepted the resubmission for review and has established a PDUFA date for completing that review of January 1, 2023.

See "Risk Factors - NexoBrid’s approval in the United States for the treatment of severe burns may be further delayed, and it may not be approved for use in the United States and other North American markets at all."

For patents related to MACI, we have one issued patent in the United States directed to a device related to MACI that is set to expire in November 2033, and one issued patent in the European Union set to expire in November 2034.
COVID-19

The ongoing pandemic caused by the spread of a novel strain of coronavirus (COVID-19)(“COVID-19”) has created significant disruptions to the U.S. and global economy and has contributed to significant volatility in financial markets. The global impact of the outbreak has fluctuated since early 2020. At times, many state, local and national governments – including those in Massachusetts and Michigan, where ourthe Company’s operations are located – have responded by issuing, extending and supplementing orders requiring quarantines, restrictions on travel, and the mandatory closure of certain non-essential businesses, among other actions. In the U.S., the status and application of these orders have varied on a state-by-state basis since the early days of the pandemic. Many of the restrictions have been periodically updated as infection rates in the U.S. have risen and fallen, as new virus “variants” have emerged, as vaccines have been distributed and administered, and as world health leaders learn more about the virus, its transmission pathway and who is most at risk. Because Vericel is deemed an essential business, the Companyit has been exempted from government orders requiring the closure of workplaces and the cessation of business operations. The vast majority of these restrictions have since been rescinded throughout most of the U.S.

Notwithstanding being an essential business, the Company’sour business and operations were, at times have been adversely impacted by the ongoing effects of the COVID-19 during 2020. Aspandemic. For example, as a result of periodic restrictions placed on the performance of elective surgical procedures, the CompanyVericel experienced a significant increase in cancellations of scheduled MACI procedures as well as a slowdown in new MACI orders during March and April of 2020. The widespread suspension of surgical procedures impacted the Company’sour business and operations during the first and second quarters of 2020. The level and degree of restriction on elective surgeries, on the ability of patients to seek treatment and on U.S. business operations generally fluctuated throughout 2020 as COVID-19 infection rates rose and fell during the summer months and into the autumn. By the first quarter of 2021, the pandemic’s effects on the Company’sour MACI business had largely dissipated. During the summer of 2021, however, the pandemic’s direct and ancillary effects again began to cause some disruption to our MACI business. Following the cessation of COVID-19-related travel restrictions in many parts of the U.S. and the availability of vaccinations in May and June 2021, some MACI patients postponed or delayed treatment. Further, surges of new COVID-19 cases during the second half of 2021 caused by the spread of the “Delta” and “Omicron” variants again caused disruptions to health care networks including restrictions on the performance of elective surgical procedures, the availability of physicians and/or their treatment prioritizations, the level of healthcare facility staffing and, in some instances, the willingness or ability of patients to seek treatment. Consequently, and notwithstanding the widespread distribution of vaccines, these factors contributed to a slowdown of MACI procedures during the third and fourth quarters of 2021 and during the first and second quarters of 2022. Although hospitals are now better prepared for a subsequent surgesurges in COVID-19 patients, and COVID-19 vaccines have been approved and are being widely distributed in the
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United States, the risk remains that regional or local restrictions could again be placed on the performance of elective surgical procedures if the number of COVID-19 infections in the United StatesU.S. were to continue to rise, again, or if new or existing COVID-19 variants render current vaccine treatments ineffective.

Because Epicel is used almost exclusively in an emergent setting by burn centers and surgeons throughout the country, Epicel revenue and procedure volumes have been less affected by the pandemic. Nevertheless, the number of large burns and burn admissions can be affected by restrictions on human activity resulting from more severe government lockdown orders. Epicel procedure volumes did experience a slow-down during the second quarter of 2020, however, the reduction was less pronounced than that observed with MACI. Further reductions could be observed in the future, based on the degree of restrictions imposed.

At the outset of the pandemic, the Companywe put in place a comprehensive workplace protection plan, which instituted protective measures in response to COVID-19. The Company'sOur workplace protection plan has closely followed the guidance issued by the Centers for
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Disease Control and Prevention (CDC)(“CDC”) and has complied with applicable federal and state law. Because vaccines designedTo date, Vericel has been successful in sustaining its operations and providing MACI and Epicel to protect against COVID-19 have become readily available and the rates of COVID-19 infections, hospitalizations and deathspatients in the majority of the U.S. have declined since the beginning of 2021, the CDC and the Occupational Safety and Health Administration (OSHA) have altered their guidance for Americans, and emergency orders and mandatory workplace protocols in Michigan and Massachusetts have either been rescinded or greatly reduced - to include the lifting of all capacity limitations on businesses in both states. Accordingly, Vericel is planning for a return to more normal workplace operations, but willneed. We continue to modify its workplace protection plan, and will reinstitute protective measures for its workforce as necessary. The Company is reviewing itsreview our policies and procedures regularly, including our workplace protection plan, as the pandemic evolves and we may take additional actions to the extent required.

We continue to manufacture MACI and Epicel and are maintaining a significant safety stock of all key raw materials. We do not expect current supply chain interruptions will impact our ongoing manufacturing operations. With respect to customer delivery, MACI final product has an established shelf life of six (6) days and an established shipping shelf life of three (3) days. Currently, MACI is picked up by courier and shipped by commercial air or ground transportation to customer surgical sites. Epicel final product has an established shelf life of 48 hours and is hand carriedhand-carried to customer hospitals by courier. Transportation is primarily by commercial or charter airline. Although we have not experienced material shipping delays, or materially increased costs to date, significant disruption of air travel could result in the inability to deliver MACI or Epicel final products to customer sites within appropriate timeframes, which could further adversely impact our business. At this time, there is no expected impactwe are not aware of COVID-19COVID-19-related impacts on our distributors, operations or third-party service providers’ ability to manage patient cases.

We believe it is possible that we could continue to experience variable impacts on our business, should there be a new resurgence of COVID-19 infections occur in various areas of the United States.future. Measures taken to limit the impact of COVID-19 at the international, national and local levels, including the availability and effectiveness of COVID-19 vaccines, shelter-in-place orders, social distancing measures, travel bans and restrictions, and business and government shutdowns, may again create significant negative economic impacts on a global basis. Given that uncertainty, we cannot reliablyaccurately estimate the extent to which the ongoing COVID-19 pandemic may continue to impact utilization and revenue of our products in 20212022 and beyond.

For a discussionThe Conflict in Ukraine

The current conflict between Russia and Ukraine and the related sanctions and other penalties imposed by countries across the globe against Russia are creating substantial uncertainty in the global economy and resulting in heightened inflation and supply chain disruptions. While we do not have operations in Russia or Ukraine and do not have exposure to distributors, or third-party service providers in Russia or Ukraine, we are unable to predict the impact that these actions will have on the global economy or on our financial condition, results of additional risks associated with COVID-19, please see Item 1A. Risk Factors.operations, and cash flows as of the date of these unaudited condensed consolidated financial statements.

Manufacturing

We have a cell-manufacturingcell manufacturing facility in Cambridge, Massachusetts which is used for U.S. manufacturing and distribution of MACI and Epicel.

Product Portfolio

Our marketed products include two FDA-approved autologous cell therapies.therapies: MACI, a third-generation autologous implantcellularized scaffold product indicated for the repair of symptomatic, single or multiple full-thickness cartilage defects of the knee with or without bone involvement in adult patientsadults, and Epicel, a permanent skin replacement for the treatment of adult and pediatric patients with deep dermaldeep-dermal or full thicknessfull-thickness burns comprising greater than or equal to 30%30 percent of TBSA. Both products are currently marketed in the U.S. In addition, we have entered into exclusive license and supply agreements with MediWound to commercialize NexoBrid in North America, following regulatory approval. As previously mentioned, MediWound has submitted a BLA toif approved by the FDA seeking commercial approval of NexoBrid. On June 29, 2021, we announced that MediWound had received a CRL in response to the BLA and that the Company is committed to working with MediWound and the FDA to respond to the CRL to seek the potential approval of NexoBrid.FDA.


MACI
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MACI
MACI is a third-generation autologous chondrocyte implantation (ACI)(“ACI”) product indicated for the repair of symptomatic, single or multiple full-thickness cartilage defects of the knee with or without bone involvement in adults.

Our target audience of U.S. physicians is approximately 5,000 orthopedic surgeons and is divided into two segments -segments: a group of orthopedic surgeons who self-identify and/or have a formal specialty as sports medicine physicians, and a sub-populationsubpopulation of general orthopedic surgeons who perform a high volume of cartilage repair procedures. As of the date of this report, we currently have 76 MACI sales representatives to enable the sales force to reach our target audience. Most private payers have a medical policy that covers treatment with MACI with the top 30 largest commercial payers having a formal medical policy for MACI or ACI in general. Even forWith respect to private commercial payers that have not yet approved a medical policy for MACI, for medically appropriate cases, we often obtain approval on a case-by-case basis. For the three and six months ended, June 30, 2021, net revenue for MACI was $26.5 million and $50.3 million, respectively, and $15.1 million and $35.4 million, respectively, for the same periods in 2020.


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Epicel

Epicel is a permanent skin replacement for deep dermaldeep-dermal or full-thickness burns greater than or equal to 30%30 percent of TBSA. Epicel is regulated by the Center for Biologics Evaluation and Research or CBER(“CBER”) of the U.S. Food and Drug AdministrationFDA under medical device authorities, and is the only FDA-approved cultured epidermal autograft product available for large total surface area burns. Epicel was designated as a HUD in 1998 and a Humanitarian Device Exception (HDE)an HDE application for the product was submitted in 1999. HUDs are devices that are intended for diseases or conditions that affect fewer than 8,000 individuals annually in the U.S. Under an HDE approval, a HUD cannot be sold for an amount that exceeds the cost of research and development, fabrication and distribution unless certain conditions are met. A HUD is eligible to be sold for profit after receiving HDE approval if the device meets certain eligibility criteria, including where the device is intended for the treatment of a disease or condition that occurs in pediatric patients and such device is labeled for use in pediatric patients. If the FDA determines that a HUD meets the eligibility criteria, the HUD is permitted to be sold for profit so long as the number of devices distributed in any calendar year does not exceed the Annual Distribution Number (ADN)(“ADN”). The ADN is defined as the number of devices reasonably needed to treat a population of 8,000 individuals per year in the U.S.

On February 18, 2016, the FDA approved our HDE supplement to revise the labeled indications of use for Epicel to specifically include pediatric patients. The revised product label also now specifies that the probable benefit of Epicel, mainly related to survival, was demonstrated in two Epicel clinical experience databases and a physician-sponsored study comparing outcomes in patients with massive burns treated with Epicel relative to standard care. Because of the change in the label to specifically include use in pediatric patients, Epicel is no longer subject to the HDE profit restrictions. In conjunction with adding the pediatric labeling and meeting the pediatric eligibility criteria, the FDA has determined the ADN number for Epicel isto be 360,400 which is approximately 4530 times larger than the volume of grafts sold in 2019.2021. We currently have a thirteen-person burn field force comprised of seven (7) account managers and six (6) burn clinical specialists, led by atwo regional directors and aone national sales director. For the three and six months ended June 30, 2021, net revenue for Epicel was $12.2 million and $22.0 million, respectively, and $4.9 million and $11.3 million, respectively, for the same periods in 2020.

NexoBrid

Our development portfolio also includes NexoBrid, a registration-stage, topically-administered biological product that enzymatically removes nonviable burn tissue, or eschar, in patients with deep partial and full-thickness thermal burns. On June 30, 2020, we announced MediWound's submission of a BLAWe have entered into exclusive license and supply agreement with MediWound to commercialize NexoBrid and any improvements to the FDA seeking the approval of NexoBrid.product in North America, if approved. On June 29, 2021, the Company announced that MediWound had received a CRL from the FDA regardingwith respect to the BLA, through which MediWound had previously submitted to the FDA seeking marketing approval for the product in the U.S. As part of the CRL, the FDA communicated to MediWound that it had completed its review of the BLA, as amended, and had determined that it cannotcould not approve the BLA in its presentthen form. The Company announced further that it is committedWe have continued to workingwork with MediWound, BARDA and the FDA on the next steps to address the issues identified in the CRLCRL. On July 1, 2022, Vericel and MediWound submitted a BLA resubmission to seek the potential approval of NexoBrid. See "Risk Factors - NexoBrid’s approvalFDA to address the issues identified by the FDA in the United StatesCRL. Subsequently, the FDA informed us that is has accepted the resubmission for the treatmentreview and has established a Prescription Drug User Fee Act (“PDUFA”) date for completing that review of severe burns may be further delayed, and it may not be approved for use in the United States and other North American markets at all."January 1, 2023.

NexoBrid is approved in the European Union (“EU”) and other international markets and has been designated as an orphan biologic in the United States, European UnionU.S., EU and other international markets. Pursuant to the terms of our existing license agreement, if the BLA is approved, MediWound will transfer the BLA to Vericelus and Vericelwe will market NexoBrid in the U.S. Both MediWound and Vericel, under the supervision of a Central Steering Committee comprised of members of both companies will continue to guide development of NexoBrid in North America. Under our license agreement with MediWound, NexoBrid is being manufactured for BARDA prior to approval by the FDA under an emergency use authorization. For the three and six months ended June 30, 2021, $0.8 million and $1.8 million, respectively, of net revenue associated with delivery of NexoBrid


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to BARDA was recorded. NaN revenue related to the procurement by BARDA was recognized in the comparable periods of 2020.

Results of Operations

Net LossThe following is a summary of our condensed consolidated results of operations:
 Three Months Ended June 30,Six Months Ended June 30,
(In thousands)20222021Change $Change %20222021Change $Change %
Total revenue$37,046 $39,519 $(2,473)(6.3)%$73,120 $74,087 $(967)(1.3)%
Cost of product sales14,192 12,609 1,583 12.6 %26,814 24,192 2,622 10.8 %
Gross profit22,854 26,910 (4,056)(15.1)%46,306 49,895 (3,589)(7.2)%
Research and development4,792 4,449 343 7.7 %9,652 8,079 1,573 19.5 %
Selling, general and administrative27,144 26,190 954 3.6 %53,009 48,850 4,159 8.5 %
Total operating expenses31,936 30,639 1,297 4.2 %62,661 56,929 5,732 10.1 %
Loss from operations(9,082)(3,729)(5,353)143.6 %(16,355)(7,034)(9,321)132.5 %
Total other income119 15 104 693.3 %301 174 127 73.0 %
Income tax expense— 72 (72)(100.0)%— 215 (215)(100.0)%
Net loss$(8,963)$(3,786)$(5,177)136.7 %$(16,054)$(7,075)$(8,979)126.9 %
Our net loss
Comparison of the Periods Ended June 30, 2022 and 2021

Total Revenue

Revenue by product for the three and six months ended June 30, 2022 and 2021 totaled $3.8 million and $7.1 million, respectively, and $8.3 million and $13.0 million, respectively, for the same periods in 2020.
 Three Months Ended June 30,Six Months Ended June 30,
(In thousands)2021202020212020
Net revenue$39,519 $20,014 $74,087 $46,692 
Cost of product sales12,609 8,660 24,192 18,582 
Gross profit26,910 11,354 49,895 28,110 
Total operating expenses30,639 19,712 56,929 41,544 
Loss from operations(3,729)(8,358)(7,034)(13,434)
Other income15 89 174 460 
Tax provision(72)— (215)— 
Net loss$(3,786)$(8,269)$(7,075)$(12,974)
Net Revenueare as follows:

Net
 Three Months Ended June 30,Six Months Ended June 30,
Revenue by product (In thousands)20222021Change $Change %20222021Change $Change %
MACI$28,613 $26,526 $2,087 7.9 %$54,607 $50,322 $4,285 8.5 %
Epicel8,213 12,154 (3,941)(32.4)%18,071 21,985 (3,914)(17.8)%
NexoBrid220 839 (619)(73.8)%442 1,780 (1,338)(75.2)%
Total Revenue$37,046 $39,519 $(2,473)(6.3)%$73,120 $74,087 $(967)(1.3)%

Total revenue increaseddecrease for the three and six months ended June 30, 20212022 compared to the same periods in 2020,2021, was driven by volume growth for both MACIa decrease in Epicel revenue and Epicel. Additionally, for the three and six months ended June 30, 2021, we recorded $0.8 million and $1.8 million, respectively, of revenuelower revenues associated with the delivery of NexoBrid to BARDA for emergency response preparedness.

Net revenue by product for the three and six months ended June 30, 2021 and 2020 are shown below.
 Three Months Ended June 30,Six Months Ended June 30,
Revenue by product (In thousands)2021202020212020
MACI$26,526 $15,104 $50,322 $35,391 
Epicel12,154 4,910 21,985 11,301 
NexoBrid839 — 1,780 — 
Total Revenue$39,519 $20,014 $74,087 $46,692 
Seasonality. The effects of the ongoing COVID-19 pandemic have disrupted the normal seasonality of our MACI business at times over the past sixteentwenty-eight months. These effects have included, among others, periodic restrictions on the temporary limitationperformance of elective surgical procedures throughout the country, the unavailability of physicians and/or changes to their treatment prioritizations, reductions in the levels of healthcare facility staffing and, in certain instances, the willingness or ability of patients to seek treatment and the inability of our Clinical Account Specialistsclinical account specialists to call on surgeon customerscustomers. Over the last five years, ACI (MACI and we believe, a reduction in the number of patients seeking treatment for cartilage damage. In the four years preceding 2020, ACICarticel prior to replacement) sales volumes from the first through the fourth quarter on average represented 19% (16%-24%-21% range), 22% (16%-25% range), 23% (21%-25% range), 22% (20%-23%-26% range) and 36% (32%(33%-38% range) respectively, of total annual volumes. MACI orders are consistentlynormally stronger in the fourth quarter due to several factors including the satisfaction by patients of insurance deductible limits and the time of year patients prefer to start rehabilitation. Due toBecause of the effects of the COVID-19 pandemic, the MACI business seasonality in 2021 and 2020 did not follow our historical patterns, and seasonality in 20212022 could continue to be impacted by COVID-19 related factors, as well.factors. Due to the low incidence and variable occurrence of severe burns, Epicel revenue has inherent variability from quarter-to-quarter and does not exhibit significant seasonality. Over

Gross Profit

Gross profit decreased for the past four years,three and six months ended June 30, 2022 compared to the same periods in 2021, driven by the reduction in revenue over those periods in addition to higher external storage costs and manufacturing facility costs, lower Epicel revenue in a single quarter has ranged from as high as 38% to as low as 18% of annual revenue.labor utilization and raw material price increases.


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Gross Profit and Gross Profit Ratio
Three Months Ended June 30,Six Months Ended June 30,
(In thousands)2021202020212020
Gross profit$26,910 $11,354 $49,895 $28,110 
Gross profit %68 %57 %67 %60 %

Gross profit increased for the three and six months ended June 30, 2021 compared to the same periods in 2020 primarily due to continued growth of both products, the impacts of the COVID-19 pandemic in the prior year, and other revenue related to NexoBrid.

Research and Development CostsExpenses
 Three Months Ended June 30,Six Months Ended June 30,
(In thousands)2021202020212020
Research and development costs$4,449 $3,226 $8,079 $6,989 

The following table summarizes research and development expenses, which include license fees, materials, professional fees and the approximatean allocation of employee-related salary and fringe benefit costs for our research and development projects:
 Three Months Ended June 30,Six Months Ended June 30,
(In thousands)2021202020212020
ACI$2,533 $1,664 $4,421 $3,769 
Epicel1,231 686 2,165 1,713 
NexoBrid685 876 1,493 1,507 
Total research and development costs$4,449 $3,226 $8,079 $6,989 

 Three Months Ended June 30,Six Months Ended June 30,
(In thousands)20222021Change $Change %20222021Change $Change %
MACI$2,972 $2,533 $439 17.3 %$5,961 $4,421 $1,540 34.8 %
Epicel1,238 1,231 0.6 %2,458 2,165 293 13.5 %
NexoBrid582 685 (103)(15.0)%1,233 1,493 (260)(17.4)%
Total research and development expenses$4,792 $4,449 $343 7.7 %$9,652 $8,079 $1,573 19.5 %
Research and development expenses for the three months ended June 30, 20212022 were $4.4$4.8 million, compared to $3.2$4.4 million for the same period in 2020.2021. Research and development costs continue to be centered around process development, and regulatory and medical affairs for MACI and Epicel. The increase is primarily due to an increaseadditional spend on instrument design for Arthroscopic MACI delivery, offset by reimbursement of $0.7 million in stock-based compensation expense comparedexpenses related to the same period a year ago.BLA resubmission.

Research and development expenses for the six months ended June 30, 20212022 were $8.1$9.7 million, compared to $7.0$8.1 million for the same period in 2020.2021. Research and development costs continue to be centered around process development, regulatory and medical affairs for MACI and Epicel. The increase is primarily due to an increase of $1.1$0.8 million in stock-based compensation expense comparedand additional spend on instrument design for Arthroscopic MACI delivery, offset by reimbursement of expenses related to the same period a year ago.BLA resubmission.

Selling, General and Administrative CostsExpenses
 Three Months Ended June 30,Six Months Ended June 30,
(In thousands)2021202020212020
Selling, general and administrative costs$26,190 $16,486 $48,850 $34,555 

Selling, general and administrative expenses for the three months ended June 30, 20212022 were $26.2$27.1 million compared to $16.5$26.2 million for the same period in 2020.2021. The increase in selling, general and administrative expenses during the three months ended June 30, 2021, compared to the same period in 2020, iswas primarily due to a $5.0 millionan increase in stock-based compensation expenses, a $0.8 million increase in sales force travel and conference spend, a $0.7 million increasein-person events including more physician engagement and educational programs in patient reimbursement support services as a result ofaddition to higher MACI volumes, and a recovery of marketing activities that were partially reduced during 2020, because of COVID-19.depreciation related to the new office space in Cambridge, Massachusetts.

Selling, general and administrative expenses for the six months ended June 30, 20212022 were $48.9$53.0 million compared to $34.6$48.9 million for the same period in 2020.2021. The increase in selling, general and administrative expenses during the six months ended June 30, 2021, compared to the same period in 2020, iswas primarily due to a $7.5an increase of $1.7 million increase in stock-based compensation expenses, a $1.6 millionan increase in MACI expenses as a result oftravel and in-person events including more physician engagement and educational programs in addition to higher depreciation related to the sales force expansionnew office space in 2020, a $0.9 million increase in patient reimbursement support services as a result of higher MACI volume, and a recovery of marketing activities that were partially reduced during 2020, because of COVID-19.
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Cambridge, Massachusetts.

Total Other Income (Expense) 
 Three Months Ended June 30,Six Months Ended June 30,
(In thousands)2021202020212020
Net interest income$42 $146 $117 $450 
Other income (expense)(27)(57)57 10 
Total other income$15 $89 $174 $460 

The decreasechange in other income (expense) for the three and six months ended June 30, 2021,2022, compared to the same periods in 2020 is2021 was due primarily to fluctuations in the decreasing rates of return on our investments in various marketable debt securities compared to the prior period.securities.

Stock Compensation
Non-cash stock-based compensation expense included in cost of product sales, research and development expenses and selling, general and administrative expenses is summarized in the following table: 
 Three Months Ended June 30,Six Months Ended June 30,
(In thousands)2021202020212020
Cost of product sales$1,287 $568 $2,199 $997 
Research and development1,234 484 2,096 1,060 
Selling, general and administrative8,345 3,325 13,590 6,087 
Total non-cash stock-based compensation expense$10,866 $4,377 $17,885 $8,144 
Income Tax Expense

The increase in stock-based compensationNo income tax expense was recorded for the three and six months ended June 30, 2022, compared to $0.1 million and $0.2 million recorded for the three and six months ended June 30, 2021, respectively.


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Stock-Based Compensation Expense

Non-cash stock-based compensation expense is summarized in the following table: 

 Three Months Ended June 30,Six Months Ended June 30,
(In thousands)20222021Change $Change %20222021Change $Change %
Cost of product sales$1,035 $1,287 $(252)(19.6)%$2,153 $2,199 $(46)(2.1)%
Research and development1,520 1,234 286 23.2 %2,870 2,096 774 36.9 %
Selling, general and administrative8,253 8,345 (92)(1.1)%15,316 13,590 1,726 12.7 %
Total non-cash stock-based compensation expense$10,808 $10,866 $(58)(0.5)%$20,339 $17,885 $2,454 13.7 %

The increase in stock-based compensation expense for the six months ended June 30, 2022 compared to the same periodsperiod in 2020, is2021, was due primarily to increasesfluctuations in stock prices which impact the fair value of the options and restricted stock units awarded and the expense recognized in the period.

As of June 30, 2021, there was approximately $45.8 million of total unrecognized compensation cost related to non-vested service-based stock options granted under the 2019 Plan and the Prior Plans, compared to $13.1 million as of December 31, 2020. That cost is expected to be recognized over a weighted-average period of 3.3 years.

As of June 30, 2021, there was approximately $11.6 million of total unrecognized compensation cost related to non-vested restricted stock units granted under the 2019 Plan and Prior Plans, compared to $2.1 million as of December 31, 2020. That cost is expected to be recognized over a weighted-average period of 3.2 years. The estimated unrecognized compensation cost is not reduced by expected forfeitures.
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Liquidity and Capital Resources

Cash Flows

The following table summarizes our sources and uses of cash for each of the periods presented:

Six Months Ended June 30,
(In thousands)20222021
Net cash provided by operating activities$6,611 $14,855 
Net cash used in investing activities(13,666)(2,757)
Net cash provided by financing activities752 6,043 
Net (decrease) increase in cash, cash equivalents, and restricted cash$(6,303)$18,141 

Net Cash Provided by Operating Activities

Our cash, cash equivalents and restricted cash totaled $62.2 million, short-term investments totaled $44.6 million and long-term investments totaled $23.7 million as of June 30, 2022. The $6.6 million of cash provided by operations during the six months ended June 30, 2022 was primarily the result of non-cash charges of $20.3 million related to stock-based compensation expense, $2.2 million of operating lease amortization and $1.9 million in depreciation and amortization expense, offset by a net loss of $16.1 million and a net decrease of $2.1 million related to movements in our working capital accounts. The overall decrease in cash from our working capital accounts was primarily driven by a decrease in accrued expenses due to timing of payments, a decrease in operating lease liabilities, an increase in inventory due to increased production needs, offset by a decrease in accounts receivable due to cash collections.

Our cash, cash equivalents and restricted cash totaled $52.0 million, short-term investments totaled $39.2 million and long-term investments totaled $24.8 million as of June 30, 2021. The $14.9 million of cash provided by operations during the six months ended June 30, 2021 was primarily the result of non-cash charges of $17.9 million related to stock compensation expense, $2.3 million of operating lease amortization, and $1.5 million in depreciation and amortization expense, offset by a net loss of $7.1 million, and a net decrease of $0.3 million related to movements in our working capital accounts. The overall decrease in cash from our working capital accounts was primarily driven by a decrease in accounts receivable due to a decrease in sales volume compared to the previous sequential quarter, an increase in inventory due to increased production needs, and an increase in operating lease liabilities.

Net Cash Used In by Investing Activities

Net cash used in investing activities during the six months ended June 30, 2022 was the result of $34.9 million in investment purchases and $5.1 million of property and equipment purchases primarily for manufacturing upgrades and leasehold improvements, offset by $26.3 million of investment sales and maturities.

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Net cash used in investing activities during the six months ended June 30, 2021 was the result of $31.0 million in investments purchases and equipment purchases of $4.5 million, primarily for manufacturing upgrades and leasehold improvements, offset by $32.7 million of investment sales and maturities.

Net Cash Provided by Financing Activities

Net cash provided by financing activities during the six months ended June 30, 2022 was the result of net proceeds from the exercise of stock options and the employee stock purchase plan of $2.2 million partially offset by payments of employee withholding taxes related to the vesting of restricted stock units of $1.4 million.

Net cash provided by financing activities during the six months ended June 30, 2021 was primarily the result of net proceeds from the exercise of stock options of $7.6 million, partially offset by the payment of employee withholding taxes related to the vesting of restricted stock units of $1.6 million.

Liquidity

Since our acquisition of MACI and Epicel in 2014, our primary focus has been to invest in our existing commercial business with the goal of growing revenue. We have raised significant funds in order to complete our product development programs and to market and commercialize our products, and product candidates.including NexoBrid. To date, we have financed our operations primarily through cash received through Epicel and MACI sales, debt and public and private sales of our equity securities. We generated $14.9$6.6 million in operating cash flows during the six months ended June 30, 2021,2022, and we may continue to finance our operations through the sales of equity securities.

Six Months Ended June 30,
(In thousands)20212020
Cash provided by operating activities$14,855 $1,665 
Cash provided by (used for) investing activities(2,757)25,954 
Cash provided by financing activities6,043 1,196 
Net increase in cash, cash equivalents and restricted cash$18,141 $28,815 

Our cash and cash equivalents totaled $51.8 million, short-term investments totaled $39.2 million and long-term investments totaled $24.8 million as of June 30, 2021. The $14.9 million of cash provided by operations during the six months ended June 30, 2021 was the result of cash collections, a decrease in accounts receivable of $2.8 million, an increase in inventory of $3.6 million primarily to meet increased production needs and safety stock goals, and an increase in operating lease liabilities of $1.6 million. This includes non-cash charges of $17.9 million related to stock compensation expense, $2.3 million of operating lease amortization and $1.5 million in depreciation and amortization expense and a $7.1 million net loss.

Our cash and cash equivalents totaled $55.7 million and short-term investments totaled $25.1 million as of June 30, 2020. The $1.7 million of cash provided by operations during the six months ended June 30, 2020 was the result of cash collections and a decrease in accounts receivable of $8.5 million from a decrease in sales volume from the prior quarter and collections on prior period sales, including non-cash charges of $8.1 million in stock compensation expense and $1.1 million in depreciation and amortization expense offset by a $13.0 million net loss.

The change in cash provided by investing activities during the six months ended June 30, 2021 was the result of $32.7 million of investment sales and maturities offset by $31.0 million in investment purchases and property plant and equipment purchases of $4.5 million primarily for manufacturing upgrades through June 30, 2021. The cash provided by investing activities for the six months ended June 30, 2020 was the result of $32.8 million of investment sales and maturities offset by $5.7 million in short term investment purchases, and property plant and equipment purchases of $1.2 million primarily for manufacturing upgrades and leasehold improvements.

The change in cash provided by financing activities was the result of net proceeds from the exercise of stock options of $7.6 million, partially offset by the payment of employee withholding taxes related to the vesting of restricted stock units of $1.6 million during the six months ended June 30, 2021. The change in cash provided from financing activities during the six months ended June 30, 2020 was the result of proceeds from the exercise of stock options of $1.4 million, slightly offset by the payment of employee withholding taxes related to the vesting of restricted stock units of $0.2 million.securities or debt financings.

We believe that our current cash on hand, cash equivalents investments, and investmentsborrowing capacity will be sufficient to support our current operations through at least 12 months from the issuance of these Condensed Consolidated Financial Statements.condensed consolidated financial statements. However, the continuing effects of the ongoing COVID-19 pandemic continue to evolve and may result in irrecoverable losses from customers.

If revenue declines for a sustained period, we may need to access additional capital; however, we may not be able to obtain financing on acceptable terms or at all. Market volatility could also adversely impact our ability to access financing when needed. The terms of any financing may adversely affect the holdings or the rights of our shareholders. Actualbusiness and operations. Our actual cash requirements may differ from projections and will depend on many factors, including any future impacts of the COVID-19 pandemic, the level of future research and development, the scope and results of ongoing and potential clinical trials, the costs involved in filing, prosecuting and enforcing patents, the need for additional manufacturing capacity, competing technological and market developments, costs of possible acquisition or development of complementary business activities, and the cost to market our products.
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Off-Balance Sheet Arrangements

AtAs of June 30, 2021,2022, we were not party to any off-balance sheet arrangements.


Sources of Capital

On August 27, 2021, we entered into a Sales Agreement with SVB Leerink LLC, as sales agent (“SVB Leerink”), pursuant to which we may offer and sell up to $200.0 million of shares of our common stock, no par value per share (“ATM Shares”). The ATM Shares to be offered and sold under the Sales Agreement will be issued and sold pursuant to an automatically effective shelf registration statement on Form S-3ASR (File No. 333-259119) filed by us on August 27, 2021, which expires three years from the filing date. We also filed a prospectus supplement relating to the offering and sale of the ATM Shares on August 27, 2021. We are not obligated to make any sales of ATM Shares, and SVB Leerink is not required to sell any specific number or dollar amount of the ATM Shares under the Sales Agreement. As of June 30, 2022, we have sold no shares pursuant to the Sales Agreement.

On July 29, 2022, we entered into a $150 million five-year senior secured revolving credit agreement by and among the Company, the other loan parties thereto, the lenders party thereto, and JPMorgan Chase Bank, N.A., as the administrative agent (the “Revolving Credit Agreement”). We have no immediate plans to borrow under the Revolving Credit Agreement, but we will use the facility for working capital needs and other general corporate purposes, as desired. As of the filing of this Quarterly Report on Form 10-Q, there are no outstanding borrowings under the Revolving Credit Agreement, and we are in compliance with all covenant requirements of the Revolving Credit Agreement. See Note 12, “Subsequent Events” in the accompanying condensed consolidated financial statements.



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Contractual Obligations and Commitments

The disclosure of our contractual obligations and commitments is set forth in the heading “Management’s Discussion and Analysis of Financial Conditions and Results of Operations - Contractual Obligations” in our Annual Report on Form 10-K for the year ended December 31, 2021. There have been no material changes, outside of the ordinary course of business, to our contractual obligations and commitments since December 31, 2021, except as discussed in Note 5, “Leases” in the accompanying condensed consolidated financial statements.


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Critical Accounting Policies

Our Condensed Consolidated Financial Statements are prepared in accordance with accounting principles generally accepted in the United States. The preparation of these Condensed Consolidated Financial Statements requires the application of appropriate technical accounting rulesdiscussion and guidance, as well as the use of estimates. The application of these policies necessarily involves judgments regarding future events. These estimates and judgments, in and of themselves, could materially impact the Condensed Consolidated Financial Statements and disclosures based on varying assumptions. The accounting policies discussed in our Annual Report are considered by management to be the most important to an understanding of the consolidated financial statements because of their significance to the portrayalanalysis of our financial condition and results of operations. operations are based on our condensed consolidated financial statements, which have been prepared in accordance with U.S. GAAP. The preparation of these condensed consolidated financial statements requires us to make estimates and judgments that affect our reported assets, liabilities, revenues, expenses, and related disclosures. Actual results may differ materially from these estimates under different assumptions and conditions.

There have been no material changes to that information disclosedour critical accounting policies and estimates in our Annual Report during the six months ended June 30, 2022. For further information, refer to our summary of significant accounting policies and estimates in our Annual Report on Form 10-K filed for the year ended December 31, 2021.

Cautionary Note Regarding Forward-Looking Statements

This report, including the documents incorporated by reference herein, containcontains certain statements that describe our management’s beliefs concerning future business conditions, plans and prospects, growth opportunities and the outlook for our business based upon information currently available. Such statements are “forward-looking” statements within the meaning of the Private Securities Litigation Reform Act of 1995, Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (Exchange Act)(“Exchange Act”). Wherever possible, we have identified these forward-looking statements by words such as “will,” “may,” “anticipates,” “believes,” “intends,” “estimates,” “expects,” “plans,” “projects,” “trends,” “opportunity,” “current,” “intention,” “position,” “assume,” “potential,” “outlook,” “remain,” “continue,” “maintain,” “sustain,” “seek,” “target,” “achieve,” “continuing,” “ongoing,” and similar words or phrases, or future or conditional verbs such as “would,” “should,” “could,” “may,” or similar expressions. These forward-looking statements are based upon assumptions our management believes are reasonable. Such forward-looking statements are subject to risks and uncertainties which could cause our actual results, performance and achievements to differ materially from those expressed in, or implied by, these statements, including, among others, the risks and uncertainties listed in our Annual Report under “Part I, Item 1A Risk Factors.”

Because our forward-looking statements are based on estimates and assumptions that are subject to significant business, economic and competitive uncertainties, many of which are beyond our control or are subject to change, actual results could be materially different and any or all of our forward-looking statements may turn out to be wrong. Forward-looking statements speak only as of the date made and can be affected by assumptions we might make or by known or unknown risks and uncertainties. Many factors mentioned in our discussion in our Annual Report will be important in determining future results. New factors emerge from time to time, and it is not possible for us to predict which factors will arise. Consequently, we cannot assure you that our expectations or forecasts expressed in such forward-looking statements will be achieved. Except as required by law, we undertake no obligation to publicly update any of our forward-looking or other statements, whether as a result of new information, future events, or otherwise. These forward-looking statements include statements regarding:

manufacturing and facility capabilities;
potential strategic collaborations with others;
future capital needs and financing sources;
adequacy of existing capital to support operations for a specified time;
reimbursement for our products;
the timing of a response to the FDA’s CRL regarding the NexoBrid BLA;
the timing of the FDA’s review of any resubmission of the NexoBrid BLA;BLA resubmission;
expectations regarding approval by the FDA of the NexoBrid BLA;
product development and marketing plans;
features and successes of our therapies;
clinical trial plans, including publication thereof;
the effects of the ongoing COVID-19 pandemic on our business, including economic slowdowns or recessions, impact to our operations or to the healthcare industry generally, which could reduce demand for our products;
anticipated inflationary pressures and our responses thereto as well as other unfavorable global and regional economic conditions, geopolitical events, and military conflicts, such as repercussions from the recent conflict in Ukraine;
anticipation of future losses;
replacement of manufacturing sources;
commercialization plans; or
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revenue expectations and operating results.
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Item 3. Quantitative and Qualitative Disclosures About Market Risk

As of June 30, 2021, we held marketable debt securities, which are classified as available-for-saleFor quantitative and carried at fair value in the accompanying Condensed Consolidated Balance Sheet included in this Form 10-Q. The fair valuequalitative disclosures about market risk, see Part II, Item 7A. “Quantitative and Qualitative Disclosures About Market Risk,” of our cash equivalents and marketable securities is subject to changes in market interest rates. Our earnings and cash flows are subject to fluctuations due to changes in interest rates, principally in connection with our investments in marketable debt securities. We do not believe we are materially exposed to changes in interest rates related to our investments, and we do not currently use interest rate derivative instruments or hedging transactions to manage exposure to interest rate changes of our investments. We estimate that a 100 basis point, or 1%, unfavorable change in interest rates would have resulted in approximately a $0.4 million and $0.5 million decrease inAnnual Report on Form 10-K for the fair value of our investment portfolio as of June 30, 2021 andyear ended December 31, 2020, respectively.

We2021. Our exposures to market risk have evaluated the potential credit risk exposure for our accounts receivable and available-for sale investment securities in accordance with ASC 326, Financial Instruments - Credit Losses. See note 4 and note 8, for further discussion.

We operate in the United States only. We are primarily exposed to foreign exchange risk with respect to recognized assets and liabilities due to vendors in countries outside the United States, which are typically paid in Euro. We do not enter into hedging transactions and do not purchase derivative instruments.changed materially since December 31, 2021.

Item 4. Controls and Procedures

Evaluation of Disclosure Controls and Procedures

Management of the Company, with the participation of its Chief Executive Officer and Chief Financial Officer (its Certifying Officers), evaluated the effectiveness of the Company’s disclosure controls and procedures as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act. Based on the evaluation as of June 30, 2021,2022, the Company’s Certifying Officers concluded that the Company’s disclosure controls and procedures were effective.

The Company has established disclosure controls and procedures designed to ensure that information required to be disclosed by the Company in the reports that it files or submits under the Securities and Exchange Act of 1934, as amended (the Exchange Act), is recorded, processed, summarized and reported within the time periods specified in the Commission’s rules and forms, and that such information is accumulated and communicated to management of the Company, with the participation of its Certifying Officers, as appropriate, to allow timely decisions regarding required disclosure.

Changes in Internal Control over Financial Reporting

During the three months ended June 30, 2021,2022, there were no material changes made in our internal control over financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) of the Exchange Act).


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PART II - OTHER INFORMATION

Item 1. Legal Proceedings

We are currently not party to any material legal proceedings, although from time to time we may become involved in disputes in connection with the operation of our business.

Item 1A. Risk Factors

 CertainFactors that could cause the Company’s actual results to differ materially from those in this Quarterly Report are any of the risks described below update the risk factors discussed in Part I, Item 1A, “Risk Factors,” of our Annual Report on Formthe 10-K for the fiscal year ended December 31, 2020, as well as2021 filed with the Risk Factors discussedSEC on February 24, 2022. Any of these factors could result in Part II, Item 1A, “Risk Factors,”a significant or material adverse effect on our results of operations or financial condition. Additional risk factors not presently known to us or that we currently deem immaterial may also impair our business or results of operations. As of the date of this Quarterly Report on Form 10-Q, there have been no material changes to the risk factors disclosed in our Annual Report on the 10-K for the quarterfiscal year ended MarchDecember 31, 2021, and expound upon and amend the specific risks resulting from the COVID-19 pandemic,except as well as the specific risks related to the U.S. Food & Drug Administration’s review of any resubmission of the NexoBrid BLA for the approval of NexoBrid in the United States. Each of these risks, as well as those discussed in our previous filings could materially affect our business, financial condition, results of operations, or cash flows. The risks described below and in our previous filings are not the only risks we face. Additional risks and uncertainties not currently known or currently deemed to be immaterial also may materially and adversely affect our business, financial condition, results of operations or cash flows.follows.

The currentWe are currently operating in a period of economic uncertainty and ongoing pandemic of COVID-19 and the future outbreak of other highly infectious or contagious diseases, could seriously harm our research, development and commercialization efforts, increase our costs and expenses and have a material adverse effect on our business, financial condition and results of operations.

Broad-based business or economic disruptions could adversely affect our ongoing or planned research, development and commercialization activities. For example, the COVID-19 pandemic has created significant disruptions to the U.S. and global economy and has contributed, at times, to significant volatility in financial markets. The global impact of the outbreak has fluctuated since early 2020.At times, many state, local and national governments – including those in Massachusetts and Michigan, where the Company’s operations are located – have responded by issuing, extending and supplementing orders requiring quarantines, restrictions on travel, and the mandatory closure of certain non-essential businesses, among other actions. In the U.S., the status and application of these orders have varied on a state-by-state basis since the early days of the pandemic. Many of the restrictions have been periodically updated as infection rates in the U.S. have risen and fallen, as new virus variants have emerged, as vaccines have been distributed and administered, and as world health leaders learn more about the virus, its transmission pathway and who is most at risk. Because Vericel is deemed an essential business, the Companycapital markets disruption, which has been exempted from government orders requiring the closure of workplacessignificantly impacted by geopolitical instability, an ongoing military conflict between Russia and the cessation of business operations as they have existed from time-to-time during the pandemic.

Even though widespread distribution of vaccines designed to protect against COVID-19 infection began in the United StatesUkraine, and other countries throughout the world in early 2021, the pandemic remains unpredictable and the number of COVID-19 infections has fluctuated significantly in various geographies during 2020 and throughout 2021 and could continue to do so, particularly in light of emerging variant strains. As such, some state and local governments have re-instituted restrictions on businesses, travel, and personal activities from time-to-time and additional such measures may occur in the future as the pandemic evolves.

At the outset of the pandemic, the Company put in place a comprehensive workplace protection plan, which instituted protective measures in response to COVID-19.The Company’s workplace protection plan closely followed guidance issued by the CDC and complied with applicable federal and state law.Because vaccines designed to protect against COVID-19 have become readily available in the United States and the rates of COVID-19 infections, hospitalizations and deaths in the majority of the U.S. have declined since the beginning of 2021, the CDC and the OSHA have altered their guidance for Americans, and emergency orders and mandatory workplace protocols in Michigan and Massachusetts have either been rescinded or greatly reduced – to include the lifting of all capacity limitations on businesses in both states.Accordingly, Vericel is planning for a return to more normal workplace operations, but will continue to modify its workplace protection plan and will reinstitute protective measures for its workforce as necessary. The Company is reviewing its policies and procedures regularly as the pandemic evolves and may take additional actions to the extent required.Both these and any future actions we take may result in disruption to our business.

The extent to which the COVID-19 pandemic, or the future outbreak of any other highly infectious or contagious disease, impacts our preclinical studies, clinical trial operations and current or future commercialization efforts will depend on future developments, which are highly uncertain and cannot be predicted with confidence, including the scope, severity and duration of such pandemic, the actions taken to contain the pandemic or mitigate its impact, and the direct and indirect economic effects
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of the pandemic and containment measures, among others. The rapid development and uncertainty of this situation precludes any prediction as to the full adverse impact of the COVID-19 pandemic. Nevertheless, the COVID-19 pandemic has and could continue to adversely affect ourrecord inflation. Our business, financial condition and results of operations could be materially adversely affected by any negative impact on the global economy and it may havecapital markets resulting from the effect of heightening many of the risks described herein, including the below.conflict in Ukraine, geopolitical tensions, or record inflation.

Hospitals, health systemsU.S. and surgeons minimized, postponed, or canceled electively scheduled surgeries duringglobal markets are experiencing volatility and disruption following the initial waveescalation of geopolitical tensions and the start of the pandemicmilitary conflict between Russia and Ukraine. In February 2022, a full-scale military invasion of Ukraine by Russian troops began. Although the length and impact of the ongoing military conflict is highly unpredictable, the conflict in the spring of 2020. These actions were followed by numerous state-level executive orders either restricting or partially restricting elective surgeries. Because MACI is an elective surgical procedure, as a result of these restrictions the Company experienced aUkraine has led to market disruptions, including significant increasevolatility in cancellations of scheduled MACI procedurescommodity prices, credit and capital markets, as well as a slowdown in new MACI orders during March and April of 2020, which negatively impacted the Company’s business and results of operations during the first and second quarters of 2020. The level and degree of restriction on elective surgeries, on the ability of patients to seek treatment and on U.S. business operations generally fluctuated throughout 2020 as COVID-19 infection rates rose and fell during the summer months and into the autumn. By the first quarter of 2021, the pandemic’s effects on the Company’s MACI business had largely dissipated. Although hospitals are now better prepared for a subsequent surge in COVID-19 patients and COVID-19 vaccines have been made available and are being widely distributed in the United States, the risk remains that regional or local restrictions could again be placed on the performance of elective surgical procedures if the number of COVID-19 infections in the United States were to rise again, or if new or existing COVID-19 variants render current vaccine treatments ineffective. We believe our MACI business will be negatively impacted if elective surgical procedures are again restricted. Further, renewed and material disruption to the operations of our employees, distributors, suppliers or customers will impact our sales and operating results and could lead to potential impairments to inventory and accounts receivable. Although Epicel has been less directly impacted by the pandemic given the critical nature of severe burn injuries, it is difficult to ascertain the current or future impact of COVID-19 on the treatment of severe burns.

We are currently conducting the PEAK (A Study of MACI in Patients Aged 10 to 17 Years with Symptomatic Chondral or Osteochondral Defects of the Knee) Study at ten (10) sites throughout the United States. Two (2) such sites have currently paused enrollment of new PEAK patients as a result of the effects of the pandemic, and the PEAK Study experienced a slow-down in its traditional rate of patient enrollment during 2020 and throughout 2021. Furthermore, the PEAK Study or another of our clinical trials may in the future experience difficulties associated with patient visits and study monitoring, which may be paused or delayed due to changes in policies at various clinical sites, federal, state, local or foreign laws, rules and regulations, including closure of site access to outside medical monitors, quarantines or other travel restrictions, prioritization of healthcare resources toward pandemic efforts, including diminished attention of physicians serving as our clinical trial investigators and reduced availability of site staff supporting the conduct of our clinical trials, interruption or delays in the operations of the FDA, heightened exposure of patients, principal investigators and site staff to COVID-19 if an outbreak occurs in their geography, or other reasons related to the COVID-19 pandemic. Further, patients who are already recruited into our clinical trials may be unable or unwilling to attend follow-up visits within the timelines specified in our trial protocols, potentially impacting our ability to meet our clinical trial endpoints. A future outbreak may also affect employees of third-party contract research organizations located in affected geographies that we rely upon to carry out our clinical trials.

We continue to manufacture MACI and Epicel and we maintain a significant safety back-up of all key raw materials. We do not currently expect that supply chain interruptions, willwhich has contributed to record inflation globally. We are continuing to monitor inflation, the situation in Ukraine and global capital markets and assessing its potential impact our ongoing manufacturing operations. However, we currently rely on both domestic and international third parties to, among other things, manufacture and supply raw materials, which are used to produce our products, and supply other goods and services to run our business. If any such third parties in our supply chain are adversely impacted by current or future restrictions or executive orders resulting from the COVID-19 pandemic for an extended period of time, including staffing shortages, production slowdowns, disruptions in delivery systems, or federal, state or foreign orders requiring the diversion of key supplies for use in the production or manufacturing of vaccines designed to inoculate individuals against COVID-19, our supply chain may be disrupted, limiting our ability to manufacture our products and product candidates and conduct our research and development operations, or commercially launch any of our product candidates, if approved. With respect to customer delivery, MACI final product has an established shelf life of six (6) days and established shipping shelf life of three (3) days. Currently, MACI is picked-up by courier and shipped by commercial air or ground transportation to our customers’ locations. Epicel final product has an established shelf life of 24 hours and is hand carried to customer hospital sites by courier. Transportation is primarily by commercial or charter airline. Although we have not experienced material shipping delays or increased costs to date, significant disruption of air travel in the future could result in the inability to deliver MACI or Epicel final products to customer sites within appropriate timeframes, which would have a material adverse effect on our business and results of operations.business.


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Throughout muchAlthough, to date, our business has not been materially impacted by the ongoing military conflict between Russian and Ukraine, geopolitical tensions, or record inflation, it is impossible to predict the extent to which our operations will be impacted in the short and long term, or the ways in which such matters may impact our business. The extent and duration of the pandemic, we generally restricted on-site staffconflict in our facilitiesUkraine, geopolitical tensions, record inflation and resulting market disruptions are impossible to only those personnel and contractors who are required to perform essential activities related topredict but could be substantial. Any such disruptions may also magnify the manufacture, production and deliveryimpact of our products. We encouraged the majority of our remaining employees to work remotely. Since early 2021, vaccines designed to protect against COVID-19 infection have become readily availableother risks described in the United States and the rates of COVID-19 infections, hospitalizations and deaths10-K.

NexoBrid’s approval in the U.S. have generally declined. The CDC and OSHA have altered their guidance for Americans, and emergency orders and mandatory workplace protocols in Michigan and Massachusetts have either been rescindedthe treatment of severe burns may be further delayed, or greatly reduced – to includeit may not be approved by the lifting of all capacity limitations on businesses in both states. Accordingly, Vericel is planningFDA for a return to more normal workplace operations but will continue to modify its workplace protection plan and will reinstitute protective measures for its workforce as necessary. We expect that some of our employees will continue to work remotely from time to time. A resurgence of COVID-19, COVID-19 variants, or similar infectious diseasesuse in the U.S., however, may lead to future government-imposed quarantines and restrictions, which may result in the closure of our administrative offices, with our employees working outside of our offices for an extended period of time. These actions may also result in the disruption of our manufacturing operations, which are currently accomplished within our administrative offices. Additionally, such quarantines and restrictions may adversely affect our ability to conduct certain product enhancement and business development activities. at all.

Our reliance on certain personnel working from home may also increase our cyber security risk, create data accessibility concerns, and make us more susceptible to communication disruptions, any of which could adversely impact our business operations or delay necessary interactions with local and federal regulators, institutional review boards and ethics committees, third-party contractors and suppliers, clinical trial sites and other important agencies and contractors. Our business operations may be further disrupted if any of our employees, officers or directors contract an illness related to COVID-19 and are unable to perform their duties. For example, COVID-19 illness could impact members of management or our board of directors resulting in absenteeism from management meetings or meetings of the directors or committees of directors, and making it more difficult for management to effectively oversee our daily operations, or to convene the quorums of the full board of directors or its committees needed to conduct meetings for the management of our affairs. A resurgence of COVID-19 or COVID-19 variants may cause our employees, and employees of third-party contractors and licensees, including MediWound, responsible for conducting research and development activities to be unable to access laboratories and places of business for an extended period of time as a result of the temporary closure of such workspaces. As a result, this could delay timely completion of ongoing clinical trials or preclinical activities, and our ability to select future development candidates.

NexoBrid is currently a pre-commercial product in North America. On June 29, 2021, we announced that MediWound had received a CRL regardingfrom the FDA with respect to a BLA and that MediWound had previously submitted to the FDA seeking marketing approval for NexoBrid in the U.S. As part of the CRL, the FDA communicated to MediWound that it had completed its review of the BLA, as amended, and had determined that it cannotcould not approve the BLA in its presentthen form.We announced further that we are working with MediWound and the FDA to address the issues identified in the CRL to seek potential approval of NexoBrid. Health regulatory agencies, including the FDA, have experienced and may continue to experience disruptions in their operations as a result of the continued spread or resurgence of the COVID-19 pandemic. For instance, the COVID-19 pandemic may impact the FDA’s response times to regulatory submissions, like a BLA resubmission in response to the CRL, and its ability to monitor our clinical trials. Additionally, in many instances across the industry, the FDA has postponed, or has been unable to conduct certain inspections of domestic and international manufacturing facilities in connection with its regulatory review of product applications as a result of travel and other restrictions caused by the pandemic. As part of its review of the BLA, and any BLA resubmission, the FDA has communicated to MediWound that physical Current Good Manufacturing Practice (cGMP) inspections of manufacturing facilities in Israel and Taiwan are required before the BLA can be approved, as the FDA must assess the ability of those facilities to conduct certain manufacturing operations in compliance with cGMP. The FDA indicated that because of restrictions on travel caused by the COVID-19 pandemic, the agency was unable to conduct the required inspections of those facilities during the original BLA review cycle. Should continued restrictions prevent or delay the FDA in conducting necessary reviews or physical inspections of the manufacturing facilities involved in the production of NexoBrid, or should other events impact the FDA’s response times, the timeline for approval of NexoBrid could be materially and further delayed, which could materially affect the development, study and ultimate commercialization of the product.

The trading prices of our common stock and that of other biopharmaceutical companies have been highly volatile during the COVID-19 pandemic. As a result, we may face difficulties raising capital through sales of our common stock or such sales may be on unfavorable terms. In addition, a recession, depression or other sustained adverse market event resulting from the continued spread or a resurgence of the COVID-19 pandemic could materially and adversely affect our business and the value of our common stock.

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The negative economic effects of the pandemic have, at times, caused increased unemployment in the U.S. resulting in many individuals losing their employer-based insurance coverage. Although the economy has begun to recover from the pandemic’s initial effects, the continued or future unemployment of our potential patients may adversely affect our ability to commercialize our products. In addition, market disruption or rising unemployment caused by a resurgence of the COVID-19 pandemic or a variant strain thereof may lead to delays in obtaining insurance coverage and reimbursement of newly approved products as well as an increase in the numbers of uninsured patients and patients who may no longer be able to afford their co-insurance or co-pay obligations. These factors may lead to decreased utilization of our products, which could reduce revenue. The continued outbreak or a worsening of COVID-19 may also negatively impact our commercialization strategy for our products and product candidates, if approved. At times during the pandemic, hospitals and other medical institutions have reduced and diverted staffing, diverted resources to patients suffering from COVID-19 and limited hospital access for non-patients, which has included our sales personnel. Hospitals may continue or increase these and similar measures in the future should the COVID-19 virus continue to spread or surge in certain areas. In addition, COVID-19 levels in the United States and/or specific regions of the United States may cause customers or patients to postpone or cancel previously scheduled surgeries or to decline to schedule surgeries utilizing our products, which would negatively impact our operations and financial results. Although many face-to-face interactions are again resuming, our sales personnel, at times, have conducted, and may continue to have to conduct, many of their interactions with physicians and patients through the use of webinars, telemedicine, direct-to-consumer advertising and social media. These circumstances may adversely affect the ability of our sales professionals to effectively market our products to physicians in the future, which may have a negative impact on our potential sales and our market penetration.

If any of these risks related to the impact of the COVID-19 pandemic were to occur, our preclinical activities, clinical development progress, data and timelines, commercialization efforts including any potential revenue from sales, supply chain continuity, and general business operations could be delayed and/or materially harmed and our business, prospects, financial condition, and results of operations would suffer as a result. The extent to which the current pandemic, or a future pandemic, impacts our business and operations will depend on future developments, such as the ultimate geographic spread of the disease, the duration of the outbreak, travel restrictions and governmental actions to contain the outbreak or treat its impact, which are highly uncertain and cannot be predicted with confidence.

NexoBrid’s approval in the United States for the treatment of severe burns may be further delayed, or it may not be approved for use in the United States and other North American markets at all.

On September 16, 2020, we announced that the FDA had accepted for review MediWound’s BLA seeking marketing approval for NexoBrid in the United States for the treatment of severe burns, and had assigned a PDUFA target date for the product of June 29, 2021. The BLA submission is based in large part on data derived from a U.S. Phase 3 pivotal study. MediWound is conducting twelve and twenty-four month safety follow-ups for cosmesis, function, quality of life and other safety measurements. Data from MediWound’s twelve-month follow-up has been compiled and is being evaluated by the FDA, while data from the twenty-four month follow-up will be submitted to the agency as a safety update - either in connection with a BLA resubmission or as part of a post-approval commitment, if the BLA is approved. While this and previous studies evaluating NexoBrid have met their primary endpoints, we cannot predict the outcome of the planned safety follow-ups or whether the FDA will approve the BLA based on the available preclinical and clinical data and the submitted manufacturing processes, and the cGMP data.

Subsequently, on June 29, 2021, we announced that MediWound received a CRL from the FDA regarding the BLA for NexoBrid.The FDA communicated to MediWound that it had completed its review of the BLA, as amended, and had determined that it cannot approve the BLA in its present form. The FDA identified issues related to the chemistry, manufacturing and controls, or CMC section of the BLA and had requested that MediWound provide additional CMC information. The FDA stated that it had not reviewed several amendments submitted by MediWound in response to the CMC information requests related to the BLA. The FDA also stated that inspections of manufacturing facilities in Israel and Taiwan are required before the BLA can be approved, but that it was unable to conduct the required inspections during the original review cycle due to COVID-19-related travel restrictions. In addition, the CRL referenced observations that were made during GCP inspections related to the Phase 3 pivotal DETECT study and requested that MediWound address questions regarding the impact of the observations on the study’s efficacy findings. The FDA also requested that MediWound provide a safety update as part of a BLA resubmission.

While we intendWe have continued to work with MediWound, BARDA and the FDA to address the issues identified in the CRL, and on July 1, 2022, Vericel and MediWound submitted a BLA resubmission to seek the potential approvalFDA to address the issues identified by the FDA in the CRL. Subsequently, the FDA informed us that it has accepted the resubmission for review and has established a PDUFA date for completing that review of NexoBrid, weJanuary 1, 2023. We cannot predict how long itthe likelihood that the FDA will take for MediWound and/orultimately approve the Company to respond to the CRL.NexoBrid BLA. We also cannot predict whether current geopolitical tensions between the FDAU.S. and China will accept any such resubmission for review, and, if such resubmission is accepted for review,affect or delay the lengthFDA’s ability to conduct inspections of time of any subsequent FDA review.We also cannot predict whether FDA will ultimately approve the
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NexoBrid BLA.manufacturing facility located in Taiwan. In addition, if approval to market NexoBrid is sought in Mexico or Canada, we cannot predict how long regulatory authorities in those countries will take to provide NexoBrid with marketing authorization in their jurisdictions or whether such authorizations will be granted at all. A significant delay or a failure to receive regulatory approval for NexoBrid in the United StatesU.S. may have a material adverse impact on our business prospects.

Item 1B. Unresolved Staff Comments
Not applicable.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

Not applicable.

Item 3. Defaults Upon Senior Securities

Not applicable.

Item 4. Mine Safety Disclosures

Not applicable.

Item 5. Other Information

Not applicable.

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Item 6. Exhibits
The Exhibits listed in the Exhibit Index are filed as a part of this Quarterly Report on Form 10-Q.

EXHIBIT INDEX
 
Exhibit No. Description
   
3.1
3.2
3.3
3.4
3.5
10.1†
10.2
10.3
10.4
10.5*
10.6*
10.7*
10.8*
10.9*
10.10*
10.11*
31.1**
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Exhibit No.Description
31.2**
32.1**
32.2**
32.3**
32.4**
101.INS**Inline XBRL Instance Document
101.SCH**Inline XBRL Taxonomy Extension Schema Document
101.CAL**Inline XBRL Taxonomy Extension Calculation Linkbase Document
101.LAB**Inline XBRL Taxonomy Extension Label Linkbase Document
101.PRE**Inline XBRL Taxonomy Extension Presentation Linkbase Document
101.DEF**Inline XBRL Taxonomy Extension Definition Linkbase Document
104
 
** Filed herewith.
† Certain of the exhibits and schedules to this Exhibit have been omitted in accordance with Regulation S-K Item 601(a)(5). The Registrant agrees to furnish a copy of all omitted exhibits and schedules to the SEC upon its request.
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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
 
Date: August 4, 20213, 2022
 
 VERICEL CORPORATION
  
  
 /s/ DOMINICK C. COLANGELO
 Dominick C. Colangelo
 President and Chief Executive Officer
 (Principal Executive Officer)
  
  
 /s/ JOSEPH A. MARA
 Joseph A. Mara
 Chief Financial Officer
 (Principal Financial Officer)


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