MDXG MiMedx Group Inc

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Exhibit 99.1

MIMEDX Announces Second Quarter 2024 Operating and Financial Results

Net Sales of $87 Million Grew 7% Year-Over-Year for the Second Quarter

Second Quarter GAAP Net Income and Earnings Per Share were $18 Million and $0.12, Respectively

Second Quarter Adjusted EBITDA was $20 Million, or 23% of Net Sales

Management to Host Conference Call Today, July 31, 2024, at 4:30 PM ET

MARIETTA, Ga., July 31, 2024 — MiMedx Group, Inc. (Nasdaq: MDXG) (“MIMEDX” or the “Company”), today announced operating and financial results for the second quarter 2024.

Recent Operating and Financial Highlights:

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Second quarter 2024 net sales of $87 million, reflecting 7% growth over the prior year period.

 

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GAAP net income from continuing operations and net income margin for the second quarter 2024 of $18 million and 20%, respectively.

 

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Adjusted EBITDA and Adjusted EBITDA margin for the second quarter 2024 of $20 million and 23%, respectively.

 

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Announced publication focused on surgical applications using MIMEDX placental-based allografts in Nature – Scientific Reports.

 

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Launched HELIOGEN™, a Fibrillar Collagen Matrix and the Company’s first xenograft product.

 

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Commenced Randomized Controlled Trial for EPIEFFECT®.

Joseph H. Capper, MIMEDX Chief Executive Officer, commented, “Our second quarter 2024 results were marked by exceptional resolve, focus and execution, resulting in total net sales growth of 7% year-over-year and an Adjusted EBITDA margin of 23%, both compared to a strong second quarter in 2023. During the quarter, we faced commercial challenges as a result of certain competitive behavior. Specifically, several companies continue to engage in schemes to sell artificially high-priced, yet clinically unproven, skin substitutes primarily in the private office, by sharing a substantial portion of the revenue with treating physicians. Since remedial action has yet to be implemented, these selling practices have escalated dramatically, reaching a fevered pitch as of late. As a result, we unfortunately experienced higher than normal employee and customer attrition during the quarter as people were swept up by the promise of riches.”

Mr. Capper continued, “We are in active dialogue with several regulatory and legislative bodies in an effort to promote positive change in this area. Despite these near-term challenges, we are enthusiastic about our progress in pursuit of the company’s long-term priorities. We are excited for the full market release of our first xenograft product, HELIOGEN, to help drive the continued expansion of our footprint in various surgical settings. Our commitment to high-quality clinical and scientific research is unmatched in our market, as evidenced by our recent peer-reviewed publication in Nature - Scientific Reports.”

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		Three Months Ended June 30,								Six Months Ended June 30,
		2024				2023				2024				2023
Net Income		$	17,625			$	1,200			$	26,886			$	(3,783	)
Non-GAAP Adjustments:
Depreciation expense			577				687				1,135				1,401
Amortization of intangible assets			572				191				761				380
Interest (income) expense, net			(3	)			1,630				1,687				3,184
Income tax provision expense (benefit), net			5,595				(74	)			7,944				(23	)
Share-based compensation			4,091				4,060				8,431				8,405
Investigation, restatement and related expenses			(9,701	)			1,017				(9,390	)			4,690
Impairment of intangible assets			—				—				54				—
Transaction related expenses			484				—				556				—
Extraordinary legal and regulatory expenses			581				—				631				—
Expenses related to disbanding of Regenerative Medicine Business Unit			(4	)			5,391				(204	)			5,391
Adjusted EBITDA		$	19,817			$	14,102			$	38,491			$	19,645
Adjusted EBITDA margin			22.7	%			17.4	%			22.4	%			12.8	%

Second Quarter 2024 Results Discussion¹

Net Sales

MIMEDX reported net sales for the three months ended June 30, 2024, of $87 million, compared to $81 million for the three months ended June 30, 2023, an increase of 7%. The increase was primarily driven by growing contributions from its AMNIOEFFECT^® and EPIEFFECT^® products, partially offset by commercial challenges associated with competitive behavior in the marketplace, namely the sale of artificially high-priced skin substitute products and the ongoing uncertainty related to Medicare’s reimbursement of these products, based upon recently proposed Local Coverage Determinations, and headwinds relating to turnover of certain of our sales team and customers.

 

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The following discussion of the Company’s second quarter 2024 results are made on a “continuing operations basis” and exclude the historical costs of the Regenerative Medicine business unit, which was disbanded beginning in June 2023. For a full discussion of the impact of these discontinued operations, please refer to our Annual Report on Form 10-K filed with the Securities and Exchange Commission for the year ended December 31, 2023 and our Quarterly Report on Form 10-Q for the three months ended June 30, 2024.

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Gross Profit and Margin

Gross profit for the three months ended June 30, 2024, was $72 million, an increase of $5 million as compared to the prior year period. Gross margin for the three months ended June 30, 2024 was 83.0%, compared to 83.3% in the prior year period. The year-over-year reduction in gross margin was driven by the amortization of distribution rights stemming from the TELA Bio, Inc. and Regenity Biosciences agreements entered into during the first quarter of 2024. Excluding this amortization expense, gross margin for the second quarter was roughly flat compared to the prior year period.

Operating Expenses

Selling, general and administrative (“SG&A”) expenses for the three months ended June 30, 2024, were $55 million compared to $52 million for the three months ended June 30, 2023. The increase in SG&A was driven by year-over-year increases in compensation related to higher salary and benefit costs from merit raises, promotions, as well as commissions driven by increases in sales volumes and proportionally higher sales through sales agents. Incremental spend from legal and regulatory disputes in the current period also contributed to the increase.

Research and development expenses for the three months ended June 30, 2024, were $3 million compared to $4 million for the three months ended June 30, 2023. The decrease was the result of lower headcount and the timing of R&D activities compared to the prior year.

Investigation, restatement and related expense for the three months ended June 30, 2024, was a benefit of $10 million compared to expense of $1 million for the three months ended June 30, 2023. The benefit in the second quarter 2024 resulted from various settlements, including those with former officers and other matters.

Net income from continuing operations for the three months ended June 30, 2024 was $18 million compared to $9 million for the three months ended June 30, 2023.

Cash and Cash Equivalents

As of June 30, 2024, the Company had $69 million of cash and cash equivalents compared to $82 million as of December 31, 2023. The decrease during the period ended June 30, 2024 was primarily a result of our repaying the $30 million outstanding balance on our revolving credit facility in the first quarter of 2024, as well as the $5 million cash payment also in the first quarter 2024 associated with our agreement with TELA Bio, Inc., paving the way for our exclusive manufacturing and supply agreement with Regenity Biosciences. The decrease was partially offset by year-over-year increases in net sales, which drove increases in collections from customers.

Financial Outlook

For 2024, MIMEDX expects net sales growth to be in the mid-to-high single-digits as a percentage compared to 2023, due principally to the ongoing uncertainty surrounding Medicare reimbursement policy for skin substitutes in the private office and adjacent care settings.

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Longer-term, the Company continues to expect to achieve annual net sales growth in the low double-digits as a percentage with an adjusted EBITDA margin above 20%.

Conference Call and Webcast

MIMEDX will host a conference call and webcast to review its second quarter 2024 results on Wednesday, July 31, 2024, beginning at 4:30 p.m., Eastern Time. The call can be accessed using the following information:

Webcast: Click here

U.S. Investors: 877-407-6184

International Investors: 201-389-0877

Conference ID: 13747365

A replay of the webcast will be available for approximately 30 days on the Company’s website at www.mimedx.com following the conclusion of the event.

Important Cautionary Statement

This press release includes forward-looking statements. Statements regarding: (i) future sales or sales growth; (ii) our 2024 financial goals and expectations for future financial results, including levels of net sales, Adjusted EBITDA, and Adjusted EBITDA margin; (iii) our cash flows; (iv) our expectations regarding the use of our products, including EPIEFFECT and AMNIOEFFECT; (v) our expectations regarding the launch of HELIOGEN; and (v) continued growth in different care settings. Additional forward-looking statements may be identified by words such as “believe,” “expect,” “may,” “plan,” “goal,” “outlook,” “potential,” “will,” “preliminary,” and similar expressions, and are based on management’s current beliefs and expectations.

Forward-looking statements are subject to risks and uncertainties, and the Company cautions investors against placing undue reliance on such statements. Actual results may differ materially from those set forth in the forward-looking statements. Factors that could cause actual results to differ from expectations include: (i) future sales are uncertain and are affected by competition, access to customers, patient access to healthcare providers, the reimbursement environment and many other factors; (ii) the Company may change its plans due to unforeseen circumstances; (iii) the results of scientific research are uncertain and may have little or no value; (iv) our ability to sell our products in other countries depends on a number of factors including adequate levels of reimbursement, market acceptance of novel therapies, and our ability to build and manage a direct sales force or third party distribution relationship; (v) the effectiveness of amniotic tissue as a therapy for particular indications or conditions is the subject of further scientific and clinical studies; and (vi) we may alter the timing and amount of planned expenditures for research and development based on regulatory developments. The Company describes additional risks and uncertainties in the Risk Factors section of its most recent annual report and quarterly reports filed with the Securities and Exchange Commission. Any forward-looking statements speak only as of the date of this press release and the Company assumes no obligation to update any forward-looking statement.

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About MIMEDX

MIMEDX is a pioneer and leader focused on helping humans heal. With more than a decade of helping clinicians manage chronic and other hard-to-heal wounds, MIMEDX is dedicated to providing a leading portfolio of products for applications in the wound care, burn, and surgical sectors of healthcare. The Company’s vision is to be the leading global provider of healing solutions through relentless innovation to restore quality of life. For additional information, please visit www.mimedx.com.

Contact:

Matt Notarianni

Investor Relations

470.304.7291

mnotarianni@mimedx.com

Selected Unaudited Financial Information

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MiMedx Group, Inc.

Condensed Consolidated Balance Sheets

(in thousands) Unaudited

 

		June 30, 2024				December 31, 2023
ASSETS
Current assets:
Cash and cash equivalents		$	69,037			$	82,000
Accounts receivable, net			52,798				53,871
Inventory			25,056				21,021
Prepaid expenses			4,030				5,624
Other current assets			3,097				1,745
Total current assets			154,018				164,261
Property and equipment, net			6,822				6,974
Right of use asset			3,175				2,132
Deferred tax asset, net			33,441				40,777
Goodwill			19,441				19,441
Intangible assets, net			12,047				5,257
Other assets			1,239				205
Total assets		$	230,183			$	239,047
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Current portion of long term debt		$	1,000			$	1,000
Accounts payable			7,603				9,048
Accrued compensation			17,645				22,353
Accrued expenses			9,281				9,361
Current portion of Profit Share Payments			2,196				—
Current liabilities of discontinued operations			217				1,352
Other current liabilities			2,070				2,894
Total current liabilities			40,012				46,008
Long term debt, net			18,249				48,099
Other liabilities			3,882				2,223
Total liabilities			62,143				96,330
Total stockholders’ equity			168,040				142,717
Total liabilities and stockholders’ equity		$	230,183			$	239,047

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MiMedx Group, Inc.

Condensed Consolidated Statements of Operations

(in thousands, except share and per share amounts) Unaudited

 

		Three Months Ended June 30,								Six Months Ended June 30,
		2024				2023				2024				2023
Net sales		$	87,207			$	81,257			$	171,915			$	152,933
Cost of sales			14,855				13,583				27,841				26,002
Gross profit			72,352				67,674				144,074				126,931
Operating expenses:
Selling, general and administrative			55,401				51,955				110,530				104,203
Research and development			3,012				3,672				5,852				7,156
Investigation, restatement and related			(9,701	)			1,017				(9,390	)			4,690
Amortization of intangible assets			190				191				379				380
Impairment of intangible assets			—				—				54				—
Operating income			23,450				10,839				36,649				10,502
Other expense, net
Interest income (expense), net			3				(1,630	)			(1,687	)			(3,184	)
Other expense, net			(237	)			(32	)			(336	)			(32	)
Income from continuing operations before income tax provision			23,216				9,177				34,626				7,286
Income tax provision (expense) benefit from continuing operations			(5,595	)			74				(7,944	)			23
Net income from continuing operations			17,621				9,251				26,682				7,309
Income (loss) from discontinued operations, net of tax			4				(8,051	)			204				(11,092	)
Net income (loss)		$	17,625			$	1,200			$	26,886			$	(3,783	)
Net income available to common stockholders from continuing operations		$	17,621			$	7,523			$	26,682			$	3,898
Basic net income (loss) per common share:
Continuing operations			0.12				0.07				0.18				0.04
Discontinued operations			—				(0.07	)			—				(0.10	)
Basic net income (loss) per common share		$	0.12			$	(0.00	)		$	0.18			$	(0.06	)
Diluted net income (loss) per common share:
Continuing operations		$	0.12			$	0.06				0.18				0.04
Discontinued operations			0.00				(0.05	)			—				(0.10	)
Diluted net income (loss) per common share		$	0.12			$	0.01			$	0.18			$	(0.06	)
Weighted average common shares outstanding - basic			147,326,273				115,866,371				147,033,879				115,136,646
Weighted average common shares outstanding - diluted			148,897,920				146,862,924				149,211,012				115,849,854

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MiMedx Group, Inc.

Condensed Consolidated Statements of Cash Flows

(in thousands) Unaudited

 

		Six Months Ended June 30,
		2024				2023
Net cash flows provided by operating activities from continuing operations			28,722				12,567
Net cash flows used in operating activities of discontinued operations			(930	)			(8,840	)
Net cash flows provided by operating activities		$	27,792			$	3,727
Net cash flows used in investing activities			(6,929	)			(1,025	)
Net cash flows used in financing activities			(33,826	)			—
Net change in cash		$	(12,963	)		$	2,702

Reconciliation of Non-GAAP Measures

In addition to our GAAP results, we provide certain non-GAAP measures including Adjusted EBITDA, related margins, Free Cash Flow, Adjusted Gross Profit, Adjusted Gross Margin, Adjusted Net Income, and Adjusted Earnings Per Share (“Adjusted EPS”). We believe that the presentation of these measures provides important supplemental information to management and investors regarding our performance. These measures are not a substitute for GAAP measures. Company management uses these non-GAAP measures as aids in monitoring our ongoing financial performance from quarter-to-quarter and year-to-year on a regular basis and for benchmarking against comparable companies.

These non-GAAP financial measures reflect the exclusion of the following items:

 

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Share-based compensation expense - expense recognized related to awards to various employees and our board of directors pursuant to our share-based compensation plans. This expense is reflected amongst cost of sales, research and development expense, and selling, general, and administrative expense in the unaudited condensed consolidated statements of operations.

 

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Investigation, restatement, and related (benefit) expense - expenses incurred toward the legal defense of the Company and advanced on behalf of certain former officers and directors, net of negotiated reductions and settlements of amounts previously advanced, related to certain legal matters. This expense is reflected in the line of the same name in our unaudited condensed consolidated statements of operations.

 

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Impairment of intangible assets - reflects the impairment of intangibles. This expense is reflected in the line of the same name in our unaudited condensed consolidated statements of operations.

 

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Transaction-related expenses - reflects expenses incrementally incurred resulting from the consummation of material strategic transactions or the integration of acquired assets or operations into our core business. With respect to the three and six months ended June 30, 2024, this relates to our acquisition and integration of exclusive distribution rights to HELIOGEN.

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Strategic legal and regulatory expenses - With respect to the three and six months ended June 30, 2024, this relates to litigation and regulatory expenses. Litigation expenses incurred relate to suits filed against former employees and their employers for violation of non-compete and non-solicitation agreements and related matters. Regulatory expenses relate to legal fees incurred stemming from action taken against the United States Food & Drug Administration (“FDA”) surrounding the designation of one of our products.

 

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Loss on extinguishment of debt - reflects the excess of cash paid to extinguish debt over the carrying value of the debt on our balance sheet upon the repayment and termination of a loan agreement. With respect to the six months ended June 30, 2024, this relates to the repayment and termination of the Company’s loan agreement with Hayfin. Amounts in this line reflect (i) prepayment premium paid and (ii) write-offs of unamortized original issue discount and deferred financing costs.

 

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Expenses related to the Disbanding of Regenerative Medicine - incremental expenses recognized or incurred directly as a result of our announcement to disband our Regenerative Medicine segment.

 

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Amortization of acquired intangible assets - reflects amortization expense recognized solely related to assets which were acquired as part of a transaction. With respect to the three and six months ended June 30, 2024, this relates solely to the amortization of distribution rights stemming from the TELA Bio, Inc. and Regenity Biosciences agreements entered into during the first quarter of 2024. These expenses are reflected in cost of sales in our consolidated statements of operations.

 

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Income Tax Adjustment - for purposes of calculating Adjusted Net Income (Loss) and Adjusted Earnings Per Share, reflects our expectation of a long-term effective tax rate, which is normalized and balance sheet-agnostic. Actual reporting tax expense will be based on GAAP earnings, and may differ from the expected long-term effective tax rate due to a variety of factors, including the tax treatment of various transactions included in GAAP net income and other reconciling items that are excluded in determining Adjusted Net Income (Loss) and Adjusted EPS. The long-term normalized effective tax rate was 25% for each of the quarters ended June 30, 2024 and 2023.

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Adjusted EBITDA and Adjusted EBITDA margin

Adjusted EBITDA consists of GAAP net income (loss) excluding: (i) depreciation, (ii) amortization of intangibles, (iii) interest (income) expense, net, (iv) income tax provision, (v) share-based compensation, (vi) investigation, restatement and related expenses, (vii) expenses related to disbanding of the Regenerative Medicine business unit, (viii) extraordinary legal and regulatory expenses, (x) transaction-related expenses, and (ix) impairment of intangible assets.

Please refer to the tables at the beginning of this press release for reconciliation to GAAP net income (loss).

Adjusted Net Income (Loss)

Adjusted Net Income (Loss) provides a view of our operating performance, exclusive of certain items which are non-recurring or not reflective of our core operations.

Adjusted Net Income is defined as GAAP net income (loss) plus (i) loss on extinguishment of debt, (ii) investigation restatement and related expenses, (iii) impairment of intangible assets, (iv) amortization of acquired intangible assets, (v) transaction related expenses, (vi) strategic legal and regulatory expenses, and (vii) expenses related to disbanding of our Regenerative Medicine business unit, and (viii) the long-term effective income tax rate adjustment.

A reconciliation of GAAP Net Income (Loss) to Adjusted Net Income appears in the table below (in thousands):

 

		Three Months Ended June 30,								Six Months Ended June 30,
		2024				2023				2024				2023
Net income (loss)		$	17,625			$	1,200			$	26,886			$	(3,783	)
Loss on extinguishment of debt			—				—				1,401				—
Investigation, restatement and related expenses			(9,701	)			1,017				(9,390	)			4,690
Impairment of intangible assets			—				—				54				—
Amortization of acquired intangible assets			382				—				382				—
Transaction related expenses			484				—				556				—
Strategic legal and regulatory expenses			581				—				631				—
Expenses related to disbanding of Regenerative Medicine Business Unit			(4	)			5,391				(204	)			5,391
Long-term effective income tax rate adjustment			1,855				(1,958	)			879				(1,592	)
Adjusted net income		$	11,222			$	5,650			$	21,195			$	4,706

A reconciliation of various line items included in our GAAP unaudited condensed consolidated statements of operations to Adjusted Net Income for the three and six months ended June 30, 2024 and 2023 are presented in the tables below (in thousands):

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		Three Months Ended June 30, 2024
		Gross Profit				Selling, General & Administrative Expense				Research and Development Expense				Net Income
Reported GAAP Measure		$	72,352			$	55,401			$	3,012			$	17,625
Investigation, restatement and related expenses			—				—				—				(9,701	)
Amortization of acquired intangible assets			382				—				—				382
Transaction related expenses			—				(414	)			—				484
Strategic legal and regulatory expenses			—				(581	)			—				581
Expenses related to disbanding of Regenerative Medicine Business Unit			—				—				—				(4	)
Long-term effective income tax rate adjustment			—				—				—				1,855
Non-GAAP Measure		$	72,734			$	54,406			$	3,012			$	11,222
Gross Profit Margin			83.0	%
Gross Profit Margin, as adjusted			83.4	%
		Three months ended June 30, 2023
		Gross Profit				Selling, General & Administrative Expense				Research and Development Expense				Net Income
Reported GAAP Measure		$	67,674			$	51,955			$	3,672			$	1,200
Investigation, restatement and related expenses			—				—				—				1,017
Expenses related to disbanding of Regenerative Medicine Business Unit			—				—				—				5,391
Long-term effective income tax rate adjustment			—				—				—				(1,958	)
Non-GAAP Measure		$	67,674			$	51,955			$	3,672			$	5,650
Gross Profit Margin			83.3	%
Gross Profit Margin, as adjusted			83.3	%

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		Six Months Ended June 30, 2024
		Gross Profit				Selling, General & Administrative Expense				Research and Development Expense				Net Income
Reported GAAP Measure		$	144,074			$	110,530			$	5,852			$	26,886
Loss on extinguishment of debt			—				—				—				1,401
Investigation, restatement and related expenses			—				—				—				(9,390	)
Impairment of intangible assets			—				—				—				54
Amortization of acquired intangible assets			382				—				—				382
Transaction related expenses			—				(486	)			—				556
Strategic legal and regulatory expenses			—				(631	)			—				631
Expenses related to disbanding of Regenerative Medicine Business Unit			—				—				—				(204	)
Long-term effective income tax rate adjustment			—				—								879
Non-GAAP Measure		$	144,456			$	109,413			$	5,852			$	21,195
Gross Profit Margin			83.8	%
Gross Profit Margin, as adjusted			84.0	%
		Six Months Ended June 30, 2023
		Gross Profit				Selling, General & Administrative Expense				Research and Development Expense				Net (Loss) Income
Reported GAAP Measure		$	126,931			$	104,203			$	7,156			$	(3,783	)
Investigation, restatement and related expenses			—				—				—				4,690
Expenses related to disbanding of Regenerative Medicine Business Unit			—				—				—				5,391
Long-term effective income tax rate adjustment			—				—								(1,592	)
Non-GAAP Measure		$	126,931			$	104,203			$	7,156			$	4,706
Gross Profit Margin			83.0	%
Gross Profit Margin, as adjusted			83.0	%

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Adjusted Earnings Per Share

Adjusted Earnings Per Share is intended to provide a normalized view of earnings per share by removing items that may be irregular, one-time, or non-recurring from net income. This enables us to identify underlying trends in our business that could otherwise be masked by such items. Adjusted Earnings Per Share consists of GAAP diluted net income (loss) per common share including adjustments for: (i) loss on extinguishment of debt, (ii) investigation restatement and related expenses, (iii) impairment of intangible assets, (iv) amortization of acquired intangible assets, (v) transaction related expenses, (vi) strategic legal and regulatory expenses, and (vii) expenses related to disbanding of our Regenerative Medicine business unit, (viii) the long-term effective income tax rate adjustment, and (ix) effects of antidilution, reflecting changes resulting from the removal of securities which are considered dilutive for purposes of calculating GAAP diluted net income (loss) per common share, but antidilutive for non-GAAP purposes.

A reconciliation of GAAP diluted earnings per share to Adjusted Earnings Per Share appears in the table below (per diluted share):

 

		Three Months Ended June 30,								Six Months Ended June 30,
		2024				2023				2024				2023
GAAP net income (loss) per common share - diluted		$	0.12			$	0.01			$	0.18			$	(0.06	)
Loss on extinguishment of debt			0.00				0.00				0.01				0.00
Investigation, restatement and related (benefit) expense			(0.07	)			0.01				(0.06	)			0.04
Impairment of intangible assets			0.00				0.00				0.00				0.00
Amortization of acquired intangible assets			0.00				0.00				0.00				0.00
Transaction related expenses			0.01				0.00				0.00				0.00
Strategic legal and regulatory expenses			0.01				0.00				0.00				0.00
Expenses related to disbanding of Regenerative Medicine business unit			0.00				0.05				0.00				0.05
Long-term effective income tax rate adjustment			0.01				(0.02	)			0.01				(0.01	)
Effects of antidilution			0.00				(0.02	)			0.00				0.00
Adjusted Earnings Per Share		$	0.08			$	0.03			$	0.14			$	0.02
GAAP weighted average common shares outstanding - diluted			148,897,920				146,862,924				149,211,012				115,849,854
Effects of antidilution			—				(29,997,271	)			—				—
Weighted average common shares outstanding - adjusted			148,897,919				116,865,653				149,211,012				115,849,854

Free Cash Flow

Free Cash Flow is intended to provide a measure of our ability to generate cash in excess of capital investments. It provides management with a view of cash flows which can be used to finance operational and strategic investments.

Free Cash Flow is defined as net cash provided by (used in) operating activities less capital expenditures, including purchases of equipment.

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A reconciliation of GAAP net cash flows provided by (used in) operating activities to Free Cash Flow appears in the table below (in thousands):

 

		Three Months Ended June 30,								Six Months Ended June 30,
		2024				2023				2024				2023
Net cash flows provided by operating activities		$	21,814			$	7,775			$	27,792			$	3,727
Capital expenditures, including purchases of equipment			(105	)			(299	)			(1,249	)			(932	)
Free Cash Flow		$	21,709			$	7,476			$	26,543			$	2,795

Net Sales by Product Category by Quarter

Below is a summary of net sales by product category (in thousands):

 

		2023																2024
		Q1				Q2				Q3				Q4				Q1				Q2
Wound		$	45,206			$	53,319			$	51,156			$	55,980			$	57,049			$	57,546
Surgical			26,468				27,939				30,557				30,852				27,660				29,660
Net sales		$	71,674			$	81,258			$	81,713			$	86,832			$	84,709			$	87,206

Exhibit 99.2 Q2 2024 Results Conference Call July 31, 2024

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Disclaimer & Cautionary Statements This presentation includes forward-looking statements. Forward-looking statements are subject to risks and uncertainties, and the Company cautions investors against placing undue reliance on such statements. Actual results may differ materially from those set forth in the forward-looking statements. Such forward-looking statements include statements regarding: • Future sales or sales growth; • Estimates of potential market size and demand for the Company’s current and future products; • Plans for expansion outside of the U.S.; • The effectiveness of amniotic tissue as a therapy for any particular indication or condition; • Expected spending on research and development and litigation; • Expectations regarding the reimbursement environment for the Company’s products; • The Company’s long-term strategy and goals for value creation, the status of its pipeline products, expectations for future products, and expectations for future growth and profitability 2

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Disclaimer & Cautionary Statements Additional forward-looking statements may be identified by words such as believe, expect, may, plan, potential, will, preliminary, and similar expressions, and are based on management's current beliefs and expectations. Forward-looking statements are subject to risks and uncertainties, and the Company cautions investors against placing undue reliance on such statements. Actual results may differ materially from those set forth in the forward-looking statements. Factors that could cause actual results to differ from expectations include: • Future sales are uncertain and are affected by competition, access to customers, patient access to hospitals and healthcare providers, the reimbursement environment and many other factors; • The future market for the Company’s products can depend on regulatory approval of such products, which might not occur at all or when expected, and is based in part on assumptions regarding the number of patients who elect less acute and more acute treatment than the Company’s products, market acceptance of the Company’s products, and adequate reimbursement for such therapies; • The process of obtaining regulatory clearances or approvals to market a biological product or medical device from the FDA or similar regulatory authorities outside of the U.S. is costly and time consuming, and such clearances or approvals may not be granted on a timely basis, or at all, and the ability to obtain the rights to market additional, suitable products depends on negotiations with third parties which may not be forthcoming; and • The Company describes additional risks and uncertainties in the Risk Factors section of its most recent annual report and quarterly reports filed with the Securities and Exchange Commission. Any forward-looking statements speak only as of the date of this presentation and the Company assumes no obligation to update any forward- looking statement. 3

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Joe Capper Chief Executive Officer helping humans heal.

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Q2:24 Highlights 1 Net Income Net Sales Gross Margin Adjusted EBITDA $18MM $87MM 83% $20MM +7% year-over-year 23% of net sales Portfolio Expansion First Publication 1 Cash Balance Free Cash Flow into Xenografts in $69MM $22MM 5 1 – EBITDA, Adjusted EBITDA, related margins and Free Cash Flow are non-GAAP financial measures. See our Earnings Release for the quarter ended June 30, 2024 for a reconciliation to the nearest GAAP measure.

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Executing on Strategic Priorities Despite Wound Market Turbulence Strategic Priorities Progress Update ➢ Strong Q2 growth from AMNIOEFFECT® & EPIEFFECT® Innovate & diversify product portfolio to maximize growth ➢ Ongoing uptake in Japan ➢ First ever publication in Nature for MIMEDX Develop & deploy programs to expand footprint in Surgical market ➢ HELIOGEN , our first xenograft offering, now available ➢ Long-term plan to lower customer churn Introduce initiatives to enhance customer intimacy ➢ Robust adoption of MIMEDX Connect Committed to Evolving & Achieving Strategic Priorities to Strengthen and Grow Business Over Long-Term 6

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Doug Rice Chief Financial Officer helping humans heal.

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Q2:24 Net Sales Recap Total Net Sales By Product Category By Site of Service $87 $81 Other $13MM $30 +18% $28 Hospital Private $47MM Office +2% $27MM +13% $58 $53 Q2:23 Q2:24 Q2:23 Q2:24 Wound Surgical 8 $ millions $ millions

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Q2:24 Gross Profit & Gross Margin Roughly Flat Year/Year 80 $72 $68 Q2:24 GAAP gross profit and gross margin impacted by HELIOGEN transaction-related accounting, 83% excluding this $0.4 million impact, 83% gross margins were flat 0 Q2:23 Q2:24 9 $ millions Gross Margin

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Q2:24 Operating Expenses Q2:23 $55 $52 Q2:24 Higher SG&A due to increased commercial expenses $4 $3 % of net sales 64% 64% 5% 3% R&D SG&A Continue to deliver strong Net $20 $18 $14 Income and an $11 $6 Adjusted EBITDA $1 margin above 20% 20% 7% 13% 17% 23% % of net sales 1% GAAP Net Income Adj. Net Income Adj. EBITDA 10 $ millions $ millions

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Q2:24 Balance Sheet & Cash Flows …Enabling Net Cash to Nearly Quadruple Strong Free Cash Flow Generated by the Since Beginning of 2023 Business… $50 $22 $34 $32 $29 $12 $10 $20 $7 $13 $5 Q1:23 Q2:23 Q3:23 Q4:23 Q1:24 Q2:24 -$5 Q1:23 Q2:23 Q3:23 Q4:23 Q1:24 Q2:24 Continue to Organically Strengthen Balance Sheet with Robust Free Cash Flow Generation 11 $ millions $ millions

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Joe Capper Chief Executive Officer helping humans heal.

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Q2:24 Summary Net Sales of $87 million were up 7% year-over-year Gross profit margin 83% Adjusted EBITDA of $20 million reflected 23% of net sales Q2:24 cash balance of $69 million HELIOGEN launch underway and already being used in surgical cases Recent Nature publication builds on our industry-leading scientific evidence base and expands use cases for amniotic tissue 13

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Physician Office Medicare Reimbursement Overhaul Needed 1 Medicare Allowed Charges for skin Loopholes creating commercial frenzy that has caused tremendous disruption in the market substitutes have exploded since 2020 $4.0B $4 6 Disruption surged in Q2:24 for MIMEDX 5 $3 Above average employee & customer churn 4 $2 3 Recent DOJ cases underscore issue $1.5B 2 $1.0B $1 LCDs – proposed in April – would mark important first step to prevent abuses 1 $0.5B $0 0 Meanwhile, CMS has not yet acted, leaving the LCDs as the most likely solution 2020 2021 2022 2023 Medicare Allowed Charges Recent Proposed LCDs Reflect Unified National Approach to Curb Abuses in Private Office 1) The Moran Company. (2024). Volume and Total Payment by Skin Substitute Product, CY 2019-2023. 2) ASP List refers to the Medicare Part B ASP Drug Pricing Files and CMS refers to the Centers for Medicare and Medicaid Services, Data Source: ASP Pricing Files. Centers for Medicare & Medicaid Services. Accessed March 18, 2024. https://www.cms.gov/medicare/payment/all-fee-service-providers/medicare-part-b-drug-average-sales-price/asp-pricing-files 14 3) LCDs refer to “Local Coverage Determination” $ billions Volume (millions)

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2024 & Long-Term Outlook Long-Term Long-Term Net 2024 Net Sales % Growth Sales % Growth Profitability Adjusted Mid-to-high EBITDA Low double- single digits margin above digits vs. 2023 20% Despite near-term disruption, long-term outlook for the business remains unchanged 15

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Closing Remarks, Q&A

Exhibit 99.3 Investor Presentation August 2024 helping humans heal.

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Disclaimer & Cautionary Statements This presentation includes forward-looking statements. Forward-looking statements are subject to risks and uncertainties, and the Company cautions investors against placing undue reliance on such statements. Actual results may differ materially from those set forth in the forward-looking statements. Such forward-looking statements include statements regarding: • Future sales or sales growth; • Estimates of potential market size and demand for the Company’s current and future products; • Plans for expansion outside of the U.S.; • The effectiveness of amniotic tissue as a therapy for any particular indication or condition; • Expected spending on research and development and litigation; • Expectations regarding the reimbursement environment for the Company’s products; • The Company’s long-term strategy and goals for value creation, the status of its pipeline products, expectations for future products, and expectations for future growth and profitability 2

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Disclaimer & Cautionary Statements Additional forward-looking statements may be identified by words such as believe, expect, may, plan, potential, will, preliminary, and similar expressions, and are based on management's current beliefs and expectations. Forward-looking statements are subject to risks and uncertainties, and the Company cautions investors against placing undue reliance on such statements. Actual results may differ materially from those set forth in the forward-looking statements. Factors that could cause actual results to differ from expectations include: • Future sales are uncertain and are affected by competition, access to customers, patient access to hospitals and healthcare providers, the reimbursement environment and many other factors; • The future market for the Company’s products can depend on regulatory approval of such products, which might not occur at all or when expected, and is based in part on assumptions regarding the number of patients who elect less acute and more acute treatment than the Company’s products, market acceptance of the Company’s products, and adequate reimbursement for such therapies; • The process of obtaining regulatory clearances or approvals to market a biological product or medical device from the FDA or similar regulatory authorities outside of the U.S. is costly and time consuming, and such clearances or approvals may not be granted on a timely basis, or at all, and the ability to obtain the rights to market additional, suitable products depends on negotiations with third parties which may not be forthcoming; and • The Company describes additional risks and uncertainties in the Risk Factors section of its most recent annual report and quarterly reports filed with the Securities and Exchange Commission. Any forward-looking statements speak only as of the date of this presentation and the Company assumes no obligation to update any forward-looking statement. 3

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A Pioneer and Leader in Healing Solutions for Wound & Surgical To be the leading global Helping Our Our provider of healing solutions Humans through relentless innovation Why Vision Heal to restore quality of life. Large, national placental New product innovations The most studied portfolio A key partner to healthcare donation network and leading to untapped of placental-based products professionals with industry opportunities for growth, with 50+ clinical & scientific proprietary tissue leading support services publications and over 300 processing. including an increasing and customer-focused footprint in the Surgical million payer covered lives. approach. market. 4

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The Unmet Need for Wound Healing Solutions Is Large and Growing 1 million people suffer from chronic, non-healing wounds in the U.S. >10 • Aging population Favorable • Obesity Demographic • Smoking history• Heart & vascular disease Trends • Diabetes Chronic Wounds ~16% of the Medicare beneficiary population is impacted by Burden Medicare 1 chronic wounds—and this proportion is increasing. Beneficiaries Ineffective Wound It is estimated that up to 85% of amputations are avoidable with a Management holistic multispecialty team approach that incorporates innovative Leads to Poor 2 treatments and adherence to treatment parameters. Outcomes Advances Driving When applied following parameters for use, patients treated with EPIFIX® 2 Improved Outcomes experienced reductions in major amputations and hospital utilization. for Patients 1) Sen CK. Human Wound and Its Burden: Updated 2022 Compendium of Estimates. Adv Wound Care (New Rochelle). 2023;12(12):657-670. 5 2) Tettelbach WH, et al. Cost-effectiveness of dehydrated human amnion/chorion membrane allografts in lower extremity diabetic ulcer treatment. J Wound Care. 2022 Feb 1;31(Sup2):S10-S31.

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The Patient Journey in Wound Care MIMEDX products are available in all settings …and are used on a range of chronic and other where patients receive care… hard-to-heal wounds. Private Acute Wounds Office Wound Hospital Care Clinic Inpatient Mohs surgery Burn/Trauma Hospital Home Chronic Wounds Outpatient Health Diabetic Foot Ulcer Venous Leg Ulcer Assisted Mobile Living Health Complex/ Facility Dehisced Wounds …and other Nursing care Facility settings 6 Limb Salvage Dehiscence

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Significant Opportunity to Drive Further Utilization in Surgical Neuro Mohs Orthopedic Spine Colorectal Anastomoses Procedures Cranioplasty Procedures with AMNIOFIX® with AMNIOFIX Gastrointestinal 3 1 Anastomotic Leak Rate with & without AMNIOFIX Clinical Outcomes with Conventional Methods 4% OB/GYN Average Frequent Fibrosis has dissection time fibrosis increased ~30 minutes reported complications Vascular p=0.0022 2 Clinical Outcomes with AMNIOFIX 1.03% Average Minimal dural No dissection time fibrosis in 86% intraoperative Foot & Ankle < 3 minutes of patients complications Conventional Closure Procedures with AMNIOFIX 1) Lee B. MIMEDX interview with Bryan Lee, MD. October 4, 2023. Leak / N 80 / 2,000 4 / 390 2) Endicott L, Ehresman J, Tettelbach W, Forsyth A, Lee B. Dehydrated human amnion/chorion membrane (DHACM) use in emergent craniectomies shows minimal dural adhesions. J Wound 7 Care. 2023;32(10):634-640. 3) F. Raymond Ortega, MD, FACS; Dennis Choat, MD, FACS, FASCRS; Emery Minnard, MD; Jeffrey Cohen, MD. The American College of Surgeons Clinical Congress, Oct 22-26, 2017, San Diego, CA.

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Our Strategic Priorities • Continue momentum with new organic products in Wound & Surgical Innovate & Diversify Build leadership position Product Portfolio to • Consider additional inorganic additions in Wound & Surgical Maximize Growth to our product offering • Drive further uptake of EPIFIX® in Japan • Increase our presence in targeted Develop & Deploy surgical settings with our portfolio Programs to Expand Footprint in Surgical• Invest in clinical data, partnering with KOLs • Execute on initiatives to increase Enhance Customer customer “stickiness” and reduce Intimacy churn helping humans heal. 8

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Advanced Wound Care Market by Technology Platform Current MIMEDX Product Offering Placental-derived allografts Animal-derived xenografts Synthetically manufactured grafts Section 361 regulatory pathway; FDA 510(k) regulatory pathway; claims FDA 510(k) regulatory pathway; claims homologous use; barrier around management of wounds around management of wounds Sourced from a large, national donation Sourced from closed herds of bovine, Made using a variety of materials, including network recovering placentas from porcine and other select animals electrospun fibers, glass, etc. scheduled c-section live births MIMEDX launched first xenograft in portfolio, Antimicrobial features, potential for use as Undergoes proprietary processing to create HELIOGEN , a bovine-derived collagen day 1 products make this attractive potential a wide variety of MIMEDX products particulate in June 2024 vertical 9

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Expanding Breadth of Skin Substitutes Leading Human-Derived Portfolio Emerging Xenograft Platform Best-in-Class Wound Product Portfolio Recently announced exclusive manufacturing and supply agreement with Regenity Biosciences. HELIOGEN builds on our goal to augment our growth through strategic portfolio expansion. Provides MIMEDX with a bovine-derived collagen matrix particulate product that is 510(k)-cleared and indicated for the management of exudating wounds and to control minor bleeding. Innovative Offering for Surgical Market 10

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Physician Office Medicare Reimbursement Overhaul Underway 1 Increasing the number of skin substitutes on the Medicare Medicare Allowed Charges for skin substitutes have Resulting in a de-facto national 2 ASP List has proven insufficient, with a significant number exploded since 2020 coverage proposal of products priced above $500/sq.cm… $4.0B $4 6 Average Price of Skin $0 $500 $1,000 $1,500 $2,000 $2,500 Substitutes on ASP List Has Q1:22 Increased More Than Threefold 5 Since Q1:22 $3 4 3 LCDs proposed in April 2024 $2 3 Q3:24 would disallow coverage of ~180 products in the category $1.5B Price per sq. cm on ASP List 2 $1.0B $1 …and the top 5 Q coded products accounting for nearly EPIFIX and EPICORD® are 1 ¾ of the 2023 Medicare spend on skin substitutes $0.5B among the 15 covered products eligible for $0 0 Q4262 Q4236 Q4217 Q4253 Q4205 reimbursement in the proposal 2020 2021 2022 2023 $1.4B $0.5B $0.4B $0.3B $0.3B Medicare Allowed Charges Skin Substitute Volume Recent Proposed LCDs Reflect Unified National Approach to Curb Abuses in Private Office 1) The Moran Company. (2024). Volume and Total Payment by Skin Substitute Product, CY 2019-2023. 2) ASP List refers to the Medicare Part B ASP Drug Pricing Files and CMS refers to the Centers for Medicare and Medicaid Services, Data Source: ASP Pricing Files. Centers for Medicare & Medicaid Services. Accessed March 18, 2024. https://www.cms.gov/medicare/payment/all-fee-service-providers/medicare-part-b-drug-average-sales-price/asp-pricing-files 11 3) LCDs refer to “Local Coverage Determination” $ billions Volume (millions)

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Diversified Business by Product & Across Multiple Sites of Service Product Type Segment Commentary Led by best-in-class placental allograft, 35% Wound EPIFIX and our newest product innovation, EPIEFFECT® 65% Continuing to see expanding use cases for Surgical allografts and xenografts in a large and growing number of surgical settings Site of Service Segment Commentary Hospital Setting Stable reimbursement settings and 13% (Inpatient & growing with expanded use of products Outpatient) & in surgical applications Wound Care Clinics Medicare reimbursement evolving, 55% 32% Private Office resulting in opportunity for EPIFIX & EPICORD Derived from other sites of service, Other including federal facilities and international 12 *Sales mix based upon trailing twelve months net sales ending June 30, 2024

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Q2:24 Highlights 1 Net Income Net Sales Gross Margin Adjusted EBITDA $18MM $87MM 83% $20MM +7% year-over-year 23% of net sales Portfolio Expansion First Publication Cash Balance Free Cash Flow into Xenografts in 1 $69MM $21MM 13 1 – EBITDA, Adjusted EBITDA, related margins and Free Cash Flow are non-GAAP financial measures. See our Earnings Release for the quarter ended June 30, 2024 for a reconciliation to the nearest GAAP measure.

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Management Team with Track Record of Success in MedTech Doug Rice Kim Moller Joe Capper John Harper, Ph.D. Butch Hulse Kate Surdez Matt Notarianni Ricci Whitlow Chief Financial Chief Commercial Chief Executive Chief Scientific Officer & Chief Administrative Chief Human Head of IR Chief Operating Officer Officer Officer SVP, R&D Officer & General Counsel Resource Officer Officer Prior Roles Include: 14

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Conclusion Committed to Pioneer Expanding and leader presence in delivering above- in Advanced Wound & market growth Wound Care Surgical and profitability helping humans heal. 15

v3.24.2

Document and Entity Information	Jul. 31, 2024
Cover [Abstract]
Document Type	8-K
Document Period End Date	Jul. 31, 2024
Entity Registrant Name	MIMEDX GROUP, INC.
Entity Incorporation State Country Code	FL
Entity File Number	001-35887
Entity Tax Identification Number	26-2792552
Entity Address Address Line 1	1775 West Oak Commons Ct., NE
Entity Address City Or Town	Marietta
Entity Address State Or Province	GA
Entity Address Postal Zip Code	30062
City Area Code	770
Local Phone Number	651-9100
Written Communications	false
Soliciting Material	false
Pre Commencement Tender Offer	false
Pre Commencement Issuer Tender Offer	false
Security 12b Title	Common Stock, $0.001 par value per share
Trading Symbol	MDXG
Security Exchange Name	NASDAQ
Entity Emerging Growth Company	false
Entity Central Index Key	0001376339
Amendment Flag	false

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