On March 4, 2020, the U.S. Securities and Exchange Commission,
or the SEC, issued an order (Release No. 34-88318) under Section 36 of the Securities Exchange Act of 1934, as amended, or the
Exchange Act, granting exemptions from specified provisions of the Exchange Act and certain rules thereunder. On March 25, 2020,
the order was modified and superseded by a new SEC order (Release No. 34-88465), or the SEC Order, that provides conditional relief
to public companies that are unable to timely comply with their filing obligations as a result of the COVID-19 pandemic.
We are relying on the SEC Order to delay the filing of our Quarterly
Report on Form 10-Q for the quarter ended March 31, 2020, or the Quarterly Report, due to circumstances related to the COVID-19
pandemic. The extension of time is necessary due to unanticipated delays we have experienced in connection with COVID-19. Disruptions
and changes to our business caused by COVID-19 have required that we perform additional analyses relating to COVID-19’s potential
impact on our consolidated financial statements, including impairment to goodwill, especially in the context of our acquisitions
of Arthrosurface, Incorporated and Parcus Medical, LLC in the quarter ended March 31, 2020.
Although we can provide no assurance, we presently intend to
file the Quarterly Report on or before May 22, 2020, but, in any event, no later than June 25, 2020, which is 45 days from the
Quarterly Report’s original filing deadline of May 11, 2020.
In addition, in light of ongoing developments related to COVID-19,
we are supplementing the risk factors previously disclosed under Part I, Item 1A, “Risk Factors” of our Annual Report
on Form 10-K for the fiscal year ended December 31, 2019, or the 2019 Form 10-K, with the following risk factor:
The COVID-19 pandemic has affected, and may continue to
adversely affect for the foreseeable future, our global operations, financial condition and results of operations.
A novel strain of coronavirus, COVID-19, originated in Wuhan,
China, in December 2019. As COVID-19 reached a global pandemic level in the last weeks of the quarter ended March 31, 2020, we
experienced significant decline in procedure volume in many jurisdictions worldwide, including the U.S. and Western Europe, as
healthcare systems diverted resources to meet the increasing demands of managing COVID-19. In addition, the American College of
Surgeons, U.S. surgeon general, and other public health bodies have recommended delaying elective surgeries during the COVID-19
pandemic, and surgeons and medical societies are evaluating the risks of minimally invasive surgeries in the presence of infectious
diseases, which we expect will continue to negatively impact the usage of our products and the number of procedures performed.
The virus has impacted Italy, which as of May 2020, reportedly
had among the highest number of coronavirus infections in the world. Though it represents a relatively small percentage of our
consolidated business, we conduct commercial activity, product development, sales and inventory management and other services in
our Padova, Italy location, and those business operations have been and could continue to be subject to potential business interruptions
arising from protective measures that have been and may yet be taken by the Italian government or other agencies or governing bodies.
Business disruptions elsewhere in the world could also negatively affect the sources and availability of components and materials
that are essential to the operation of our business in both Italy and the United States.
To mitigate the spread of COVID-19, we have transitioned a significant
subset of our employee population to a remote work environment, which may exacerbate various cybersecurity risks to our business,
including an increased demand for information technology resources, an increased risk of phishing and other cybersecurity attacks,
and an increased risk of unauthorized dissemination of sensitive personal information or proprietary or confidential information.
In addition, employee disruptions and remote working environments related to the COVID-19 pandemic and the federal, state and local
responses to the pandemic, has impacted and could continue to impact the efficiency and pace with which we work and develop our
product candidates and our manufacturing capabilities.
While we are working diligently to accelerate integration activities,
specifically with respect to our commercial and product development functions, the employee disruptions, communication challenges
and management diversion created by the pandemic present particular challenges to our integration of our recent acquisitions of
Arthrosurface and Parcus Medical, and could make it difficult to effectively and timely complete our integration goals. See “Risk
Factors—Risks Related to Our Business and Industry—We may not generate the expected benefits of our recent acquisitions,
and the integration of those acquisitions could disrupt our ongoing business, distract our management and increase our expenses”
in the 2019 Form 10-K for additional information. We will record an impairment to goodwill and a reduction in the fair value of
contingent consideration in connection with the acquisitions that will be driven by an increase in the significant uncertainty
surrounding the effect that COVID-19 will have on near-term cash flows of our new subsidiaries.
We are unable to accurately predict the full impact that the
ongoing COVID-19 pandemic will have on our results of operations, financial condition and clinical studies due to numerous factors
that are not within our control, including the duration and severity of the pandemic. Stay-at-home orders, business closures, travel
restrictions, supply chain disruptions, employee illness or quarantines, and other extended periods of interruption to our business
have resulted and could continue to result in disruptions to our operations, which have had and could continue to have adverse
impacts on the growth of our business, have and could continue to cause us to cease or delay operations, and could prevent our
customers from receiving shipments or processing payments.
In addition, the COVID-19 pandemic has resulted in ongoing volatility
in financial markets. If our access to capital is restricted or associated borrowing costs increase as a result of developments
in financial markets relating to the COVID-19 pandemic, our operations and financial condition could be adversely impacted.
Forward-Looking Statements
This Current Report includes forward-looking
statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934,
as amended, concerning, but not limited to, the unprecedented impact of COVID-19 pandemic on our business, employees, service providers,
shareholders and other stakeholders. The SEC encourages companies to disclose forward-looking statements so that investors
can better understand a company’s future prospects and make informed investment decisions. Forward-looking statements
are subject to risks and uncertainties, many of which are outside our control, which could cause actual results to differ materially
from these statements. Therefore, you should not rely on any of these forward-looking statements. Forward-looking statements
can be identified by such words as “will,” “likely,” “may,” “believe,” “expect,”
“anticipate,” “intend,” “seek,” “designed,” “develop,” “would,”
“future,” “can,” “could,” and other expressions that are predictions of or indicate future
events and trends and that do not relate to historical matters. All statements other than statements of historical facts included
in this Current Report regarding our strategies, prospects, financial condition, operations, costs, plans, and objectives are forward-looking
statements.
Please refer to the factors set forth under the
heading “Risk Factors” in the 2019 Form 10-K for additional important factors that we believe could cause actual results
to differ materially from those in our forward-looking statements. Any forward-looking statement made by us in this Current
Report is based only on information currently available to us and speaks only as of the date on which it is made. We undertake
no obligation to publicly update any forward-looking statement, whether written or oral, that may be made from time to time,
whether as a result of new information, future developments, or otherwise.