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Xvivo Perfusion Earnings Release 2019

Jan 30, 2020

3130_10-k_2020-01-30_4db68699-8a4b-4a05-b1f6-c78ec21222e6.pdf

Earnings Release

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XVIVO Perfusion is a medical technology company which develops and markets solutions and systems for assessing the usability of organs, enabling the treatment of organs, and maintaining organs in good condition outside of the body, pending transplantation. Currently, the company's product, Perfadex® Plus, has a market share of approximately 90 percent in the traditional cold preservation of lungs for transplantation. The company's products for warm perfusion, XPS™ and STEEN Solution™, have regulatory approval in all major markets, and were the first products that received regulatory approval from the FDA for warm perfusion of marginal lungs. XVIVO Perfusion employs around 50 people at its headquarters in Gothenburg, Sweden, its office in Lund, Sweden, and its office for North & South America in Denver, CO, USA. The XVIVO share is listed on NASDAQ Stockholm and has the ticker symbol XVIVO.

A HISTORIC YEAR ENDED WITH A QUARTER OF SALES RECORDS

FOURTH QUARTER 2019 (OCT - DEC)

  • Net sales of non-durable goods* in the quarter amounted to SEK 59.4 (52.3) million, corresponding to an increase of 14 percent in SEK and 6 percent in local currency. Total net sales (incl. durable goods) in the quarter amounted to SEK 62.4 (58.4) million, corresponding to an increase of 7 percent in SEK and 0 percent in local currency.
  • Sales from warm perfusion** represented 48 percent (50) of sales of non-durable goods.
  • Operating income before depreciation and amortization (EBITDA) adjusted for costs for a share-based bonus program for employees outside Sweden amounted to SEK 8.3 million (9.7), corresponding to an EBITDA margin of 13 percent (17). Reported EBITDA amounted to SEK 8.5 (10.5) million, corresponding to an EBITDA margin of 14 percent (18).
  • Reported operating income amounted to SEK 1.6 (6.1) million, after amortization and depreciation of SEK 6.9 (4.4) million. Operating income adjusted for the sharebased bonus program was SEK 1.4 million (5.3).
  • Net income amounted to SEK -1.9 (4.9) million, resulting in earnings per share of SEK -0.07 SEK (0.19).
  • • Cash flow from operating activities during the quar ter amounted to SEK -7.2 (-2.4) million. Cash flow from investing activities amounted to SEK -26.3 (-11.9) million.
  • • Breakthrough Device Designation granted from the FDA for the XVIVO Hear t Preservation System.
  • An Australian subsidiary was established and a third XPS™ was delivered to the country.
  • XVIVOs issue of warrants for employees of series 2019/2021 was fully subscribed.

THE PERIOD 2019 (JAN - DEC)

  • Net sales of non-durable goods* in the period amounted to SEK 206,9 (172,7) million, corresponding to an increase of 20 percent in SEK and 12 percent in local currency. Total net sales (incl. durable goods) in the period amounted to SEK 220.8 (187.9) million, corresponding to an increase of 12 percent in SEK and 10 percent in local currency.
  • Sales from warm perfusion** represented 45 percent (43) of sales of non-durable goods.
  • Operating income before depreciation and amortization (EBITDA) adjusted for costs for a share-based bonus program for employees outside Sweden amounted to SEK 35.8 million (33.7), corresponding to an EBITDA margin of 16 percent (18). Reported EBITDA amounted to SEK 28.8 (30.9) million, corresponding to an EBITDA margin of 13 percent (16).
  • Reported operating income amounted to SEK 3.9 (14.0) million, after amortization and depreciation of SEK 24.9 (16.9) million. Operating income adjusted for the sharebased bonus program was SEK 10.9 million (16.8).
  • Net income amounted to SEK 4,9 (12.7) million, resulting in earnings per share of SEK 0.19 (0.48).
  • • Cash flow from operating activities for the period amounted to SEK 29.5 (23.6) million. Cash flow from investing activities amounted to SEK -83.8 (-53.2) million.
  • • XVIVO has received Premarket approval (PMA) from the FDA for STEEN Solution™ and XPS™.The PMA approval was the first of its kind in the world.
  • Perfadex® Plus received patent approval in Europe.
  • At ISHLT (International Society for Heart and Lung Transplantation), the positive results from the first six heart transplant patients from the study at Lund University Hospital were presented.
  • • XVIVO and MyCar tis engage to develop a fast diagnostic test to assess the quality of donated organs before transplantation.
  • • XVIVO's patents for the hear t preservation fluid was approved in the US and Europe.
  • • The Swedish MPA has given approval to begin clinical studies with the company's new products for heart preservation.Applications have been submitted to all other participating EU countries.
  • SEK 27 million shares was issued because of warrants being exercised.
  • Reimbursement for the whole EVLP process granted in France.
  • • Five XPS™ were delivered during the period.At the end of the period 51 hospitals had access to either XPS™ or LS™. During the period, Canada became a new country with XPS™.

MILESTONES PASSED DURING THEYEAR

XVIVO has received Premarket approval (PMA) from
the FDA for STEEN Solution™ and XPS™
XVIVO's patents for the hear t preservation fluid was
approved in the US and Europe
Perfadex® Plus received patent approval in Europe The Swedish MPA has given approval to begin clinical
studies with the company's new products for heart
preservation
At ISHLT (International Society for Heart and Lung
Transplantation), the positive results from the first
six heart transplant patients from the study at Lund
University Hospital were presented
Breakthrough Device Designation granted from the
FDA for the XVIVO Hear t Preservation System
Net sales of non-durable goods passed 200 MSEK XVIVO established an Australian wholly owned
subsidiary

CONFERENCE CALL

CEO Magnus Nilsson will present the repor t in a conference call at 2 p.m. CET onThursday, January 30, 2020. Telephone UK: +44 (0) 3333 0008 04 or USA: +1 631 913 1422, enter code 31640247#.

CEO'S COMMENTS

We are delighted to be able to summarize the most successful year ever for XVIVO Perfusion, with strong sales development, the company's first PMA approval (XPS™ with STEEN Solution™) and great progress in our other important product areas as well – heart transplantation and PrimECC®. Total sales

for 2019 amounted to SEK 221 million, driven by sales of non-durable goods which showed a growth of +20 percent. Most of the strong sales growth have come from the warm perfusion of lungs area, but cold preservation also displays good growth. A milestone was passed when sales of our input products were in excess of SEK 200 million for the first time.We were par ticularly pleased to observe that growth in Europe clearly accelerated during the year. This means that for the 29th quarter in a row (all quarters as a listed company) XVIVO displayed positive sales growth, a good gross margin and positive EBITDA.This is in parallell with making significant investments in R&D, in regulatory competence and in expansion of our customer support organization.

In addition to the PMA approval of XPS™ with STEEN Solution™ in the US, other important milestones were passed within the field of lung transplantation: the star t-up of a subsidiary in Australia when a third XPS™ was sold in the country, and Perfadex® Plus, which is an improved "readyto-use" version of Perfadex®, the company's largest product, obtained patent approval in Europe. XVIVO continues to develop the technology for the warm perfusion of lungs, both under its own management and through collaboration with partners, so as to be the leader in this product area in the future as well.

Very impor tant steps have been taken in the development of the future growth areas – heart transplantation and PrimECC®. In the field of hear t transplantation, good results were presented at the large transplantation conference during the year, ISHLT, from the initial par t of a hear t preservation study at Lund University Hospital using Professor Steen's first prototype.A new ready to use solution product and an improved second machine version have been constructed, tested and completed for the multicenter studies that will be started in all important markets. For the European studies, applications for approval of clinical trials were submitted earlier during the year in seven countries.These have been approved by some countries but are still being reviewed at present by some countries' medical authorities. We expect to be able to include patients in the first quar ter at a number of centers.A "Breakthrough Device Designation" was received from the FDA. This will shorten the administration time for

the whole study process and for the application for market approval in the US. It was also impor tant for the product development project that XVIVO's patent application for the hear t preservation fluid has been approved in the US and Europe.

The regulatory file for the new version of PrimECC® production with new environmentally and user-friendly packaging was submitted during the third quar ter.The approval of which is necessary to secure the continuation of the clinical program.The regulatory review of this change has taken a long time, due to the fact that the so-called Notified Bodies have an incredibly tough workload resulting in longer review times. This in turn is due to the fact that all Notified Bodies must be cer tified for the change in EU regulations for medical devices (MDR), which is planned to take place in May 2020.This type of delay is something that has affected all actors in the medical device field.As soon as the review of the regulatory file for the new version of PrimECC® production is complete, the continuation of clinical development can be initiated.The planned multicenter study, intended to widen the documentation of the product, is expected to be ongoing until the beginning of 2021 and to include 366 patients at seven clinics in Sweden.

As can be seen, in 2019 XVIVO managed to be both successful in the market and to achieve ambitious milestones in R&D, at the same time as the company has grown considerably in terms of competence and scope.This would not have been possible without our uniquely committed employees who collaborate over three continents. Despite the rapid expansion, XVIVO perfusion is still a small, firmly focused growth company with a high level of internal competence that invests the equivalent of 60 percent of sales (including what is capitalized in the balance sheet) in product development, with a view to long-term growth in the new product areas as well.

The focus for the lung transplantation area is to continue to support the transplantation clinics in their efforts to be able to treat more of the patients on the transplantation waiting lists by continuing to refine and simplify the EVLP technology and to increase the installation base of the company's EVLP machines, above all in Europe and in the new markets in Asia. In the field of hear t transplantation we are fully focused on supporting the clinics in the three clinical multicenter studies (Europe, the US and Australia). In general terms, XVIVO's research focuses on continuing to lead the development of innovative solutions in the field of organ transplantation and focus on assuring that we maintain our vision that no one should die waiting for an organ.

Magnus Nilsson CEO

FOURTH QUARTER 2019 (OCTOBER - DECEMBER)

Net Sales

Total net sales in the quarter amounted to SEK 62.4 (58.4) million, corresponding to an increase of 7 percent in SEK and 0 percent in local currency. Net sales of non-durable goods* in

the quarter amounted to SEK 59.4 (52.3) million, corresponding to an increase of 14 percent in SEK and 6 percent in local currency.

Total sales from warm perfusion (STEEN Solution™, XPS™, LS™, and products and services related to the use of the XPS™ and LS™) accounted for 51 (55) percent of the total sales. Warm perfusion sales from non-durable goods (STEEN

COMPILATION OF NET SALES AND EBITDA

January - December October - December
SEK THOUSANDS 2019 2018 2019 2018
Net Sales non-Durable Goods 206 857 172 693 59 401 52 333
Net Sales Durable Goods 13 980 15 175 3 015 6 056
Net Sales Total 220 837 187 868 62 416 58 389
Cost of Goods non-Durable Goods -47 439 -39 406 -13 771 -11 521
Cost of Goods Durable goods -10 585 -12 509 -2 939 -5 094
Cost of GoodsTotal -58 024 -51 915 -16 710 -16 615
Gross income non-Durable Goods 159 418 133 287 45 630 40 812
Gross margin non-Durable Goods,% 77% 77% 77% 78%
Gross income Durable Goods 3 395 2 666 76 962
Gross incomeTotal 162 813 135 953 45 706 41 774
Gross marginTotal,% 74% 72% 73% 72%
Selling expenses -60 786 -47 948 -18 372 -14 166
Administrative expenses -24 739 -22 519 -7 152 -7 808
Research and development costs -62 651 -47 931 -17 964 -12 560
Other operating revenues and expenses** -10 697 -3 555 -622 -1 126
Operating Income 3 940 14 000 1 596 6 114
Deprecation of cost of goods sold -815 -527 -208 -177
Deprecation of administrative expenses -2 216 -1 384 -631 -348
Amor tization of research and development expenses -16 624 -10 900 -4 693 -2 737
Deprecation of other operative expenses -5 205 -4 112 -1 351 -1 109
EBITDA 28 800 30 923 8 479 10 485
EBITDA,% 13% 16% 14% 18%

*See note 3 for segments. ** Item "Other operation revenues and expenses" for 2019 includes costs for a share based bonus program for employees based outside of Sweden. Accumulated for the period January-December 2019, the cost amounted to SEK -7 046 thousand (-2 800). During the four th quar ter the cost was positive of SEK 237 thousand (812) due to resolution of a provision. During 2018 this cost was recognized in the respective functions. See note 2 for more information.

Solution™, products and services related to the use of the XPS™ and LS™) accounted for 48 (50) percent of the total sales of non-durable goods.

Income

The gross margin for non-durable goods during the quarter was 77 (78) percent. The total gross margin during the quarter was 73 (72) percent.

Operating income before depreciation and amortization (EBITDA) amounted to SEK 8.5 (10.5) million, corresponding to an EBITDA margin of 14 percent (18). The decrease in EBITDA compared with last year is mainly due to increased sales and R&D costs, caused by increased investments in to marketing and product development. During the four th quar ter, costs for the share-based bonus program for employees outside Sweden was positive, SEK 0.2 (0.8) million, due to a resolution of an earlier made provision. For more information see note 2. EBITDA adjusted for costs for the share-based bonus program for employees outside Sweden amounted to SEK 8.3 million (9.7), corresponding to an EBITDA margin of 13 percent (17).

Operating income amounted to SEK 1.6 (6.1) million, after amortization and depreciation of SEK 6.9 (4.4) million. Adjusted operating income for the quarter was SEK 1.4 million (5.3).

Selling expenses in relation to sales increased during the quarter to 29 (24) percent. The increase is mainly due to a larger organization, investments into marketing and the buildup of an Australian subsidiary. R&D expenses amounted to 29 (22) percent of sales.The increase of R&D expenses in relation to sales is primarily attributable to increased depreciations and the upgrade of the XPS-technology with the aim of supporting the growth within EVLP.Administrative expenses decreased to 11 (13) percent of sales.

Net of other operating revenues and expenses during the quar ter were SEK -0.6 (-1.1) million.The financial net was -3,8 MSEK (1,2).The decrease compared to the comparison quar ter is due to currency conversions in liquid funds.

During the quar ter, SEK 17.6 (12.1) million of the development costs were capitalized as an intangible asset. SEK 14.4 (8.6) million was attributable to investments in the Hear t transplant project with aim of marketing approval in the USA and Europe, SEK 2.1 million (0.0) was attributable to PrimECC and SEK 1.1 (3.5) million was attributable to product development of the rest of the product portfolio. Amortization of capitalized development costs for the quar ter amounted to SEK 3.9 (2.5) million, of which SEK 2.5 (2.5) million was amortization of the HDE approval and SEK 1.4 (-) million was amor tization of the PMA approval.

Cash flow

Cash flow from operating activities amounted to SEK -7.2 (-2.4) million. The main reason for the decrease compared to the same period prior year is that a debt to a supplier from other quar ters within the year of 12.1 MSEK has been paid. Investments amounted to SEK 26.3 (11.9) million, whereof SEK 18.8 (12.4) million was invested in intangible assets and SEK 7.4 (1.0) million was invested in tangible assets. Cash and cash equivalents at the end of the quar ter amounted to SEK 160.0 (187.1) million.

'Breakthrough Device Designation' granted by FDA for XHPS

XVIVO Perfusion has been granted 'Breakthrough Device Designation' from the U.S. Food and Drug Administration (FDA) for the XVIVO Hear t Preservation System (XHPS), indicated for the hypo-thermic non-ischemic perfusion of excised donor hear ts for preservation prior to transplant. The Breakthrough Device Designation is intended to expedite the development and prioritize the review of cer tain medical devices that provide for more effective treatment or diagnosis of life-threatening or irreversibly debilitating diseases or conditions.The overall goal of the Breakthrough Devices Program is to provide patients and health care providers with timely access to these medical devices by speeding up their development, assessment, and review, while preserving the statutory standards for premarket approval, 510(k) clearance, and De Novo marketing authorization, consistent with the FDA's mission to protect and promote public health.

Australian subsidiary established

Based on the increasing interest for XVIVO Perfusion´s products for lung transplantation as well as the high interest from all Australian clinics to par ticipate in the Hear t preservation study XVIVO Perfusion AB (publ) has decided to open a subsidiary in Sydney, Australia. XVIVO also recently hired a Regional Business Manager with star t date in October 2019.

Warrants for employees, series 2019/2021, fully subscribed

XVIVO Perfusion issue of warrants for employees of series 2019/2021, with a total of 351 000 warrants is fully subscribed. The warrants may be exercised to subscribe for new shares at the share price of SEK 278.91 in May 2021.

THE PERIOD 2019 (JANUARY - DECEMBER)

Net Sales

Total net sales in the period amounted to SEK 220.8 (187.9) million, corresponding to an increase of 18 percent in SEK and 10 percent in local currency. Net sales of non-durable goods* in the period amounted to SEK 206,9 (172.7) million, corresponding to

an increase of 20 percent in SEK and 12 percent in local currency.

Total sales from warm perfusion (STEEN Solution™, XPS™, LS™, and products and services related to the use of the XPS™ and LS™) accounted for 48 (47) percent of the total sales. Warm perfusion sales from non-durable goods (STEEN Solution™, products and services related to the use of the XPS™ and LS™) accounted for 45 (43) percent of the total sales of non-durable goods.

Income

The gross margin for non-durable goods during the period was 77 (77) percent. The total gross margin during the period was 74 (72) percent. The increase is mainly attributable to changes in segment mix.

Operating income before depreciation and amortization (EBITDA) amounted to SEK 28.8 (30.9) million, corresponding to an EBITDA margin of 13 (16) percent. The decrease in EBITDA margin compared to last year is mainly due to increased sales and R&D costs, caused by increased investments in to marketing and product development. During the period, costs for the sharebased bonus program for employees outside Sweden amounted to SEK 7.0 (2.8) million. See note 2 for more information. EBITDA adjusted for costs for the share-based bonus program for employees outside Sweden amounted to SEK 35.8 million (33.7), corresponding to an EBITDA margin of 16 percent (18).

Operating income amounted to SEK 3.9 (14.0) million, after amortization and depreciation of SEK 24.9 (16.9) million. Adjusted operating income for the period was SEK 7.0 million (2.8).

Selling expenses in relation to sales during the period was 28 (26) percent. The increase is mainly due to a larger organization and investments into marketing. R&D expenses amounted to 28 (27) percent of sales.The increase of R&D expenses in relation to sales is primarily attributable to increased depreciations and the upgrade of the XPS-technology with the aim of supporting the growth within EVLP. Administration expenses was 11 (12) percent of sales. Net of other operating revenues and expenses during the period were SEK -10.7 (-3.6) million. The increase is explained by the share-based bonus program.

During the period, SEK 69,8 (47.2) millions of the development costs were capitalized as intangible assets. SEK 10.0 (19.0) million was attributable to the now finalized NOVEL study with STEEN Solution™ and XPS™ with the aim of PMA approval. The approval was received during the second quarter of 2019 and therefore it is fully capitalization. SEK 52,7 (26.9) million was attributable to investments in the Heart transplant project with aim of marketing approval in the USA and Europe, SEK 4.2 (0.7) million was attributable to PrimECC and SEK 2.9 (0.6) million was attributable to product development of the rest of the

product portfolio.Amortization of capitalized development costs for the period amounted to SEK 13.7 (10.2) million, of which SEK 9.9 (9.9) million was amortization of the HDE approval and SEK 3.4 (-) million was amortization of the PMA approval.

Cash flow

Cash flow from operating activities amounted to SEK 29.5 (23.6) million.The increase comes from stronger operating cashflow, mainly affected by lower receivables on customers. Investments amounted to SEK 83.8 (53.2) million, whereof SEK 73.2 (48.0) million was invested in intangible assets and SEK 10.5 (6.7) million was invested in tangible assets and 0.1 in financial assets.The cash flow from financing activities was SEK 25.6 (19.2) million due to the issue of new shares related to a share warrant program and after amortization of leasing debts of SEK 3.3 million. Cash and cash equivalents at the end of the period amounted to SEK 160.0 (187.1) million.

Financing

XVIVO Perfusion's total credit facilities consist of an overdraft facility that at the end of the period amounted to SEK 30 (30) million, of which SEK 0.0 (0.0) million was utilized. The equity/ assets ratio was 91 (92) percent at the end of the period.

Perfadex® Plus has received patent approval in Europe

XVIVO Perfusion has received European patent approval for the company's ready to use product Perfadex® Plus for cold preservation of lungs. Perfadex® Plus was launched in Europe and the US in 2018. Patent applications for the new formulation have been submitted in all important markets.

XVIVO and MyCartis engage to develop a fast diagnostic test to assess the quality of donated organs before transplantation

During the third quarter, MyCartis and XVIVO Perfusion AB announced a collaboration to engage in the development of a fast diagnostic tool to timely assess the quality of donated organs during ex-vivo perfusion. Such test can guide the transplant surgeon and team on the quality of an organ and the chances of a positive outcome for the recipient. MyCartis is a Belgian company in the field of rapid diagnostics.

Currently, surgeons rely on physiological criteria to determine the fitness of an organ, whereas signs of non-fitness, like inflammation or tissue damage, may remain unnoticed by such means. Biomarker assessment to identify and quantify these unfavorable conditions in a timely manner would help the surgeon in the decision process.The MyCartis Evalution™ platform is unique in its ability to measure multiple biomarkers simultaneously in a fast and easy way using a workflow that enables repeated testing. In a recent whitepaper, MyCartis demonstrated the successful application of interleukin-1β as an indicator for inflammation in lung organs during perfusion. With results generated within 20

minutes, this test meets the required turnaround time for realtime organ assessment as well as organ follow-up. MyCartis and XVIVO decided to expand the real-time testing panel to also enable the quantitation of organ damage next to the degree of inflammation. Both phenomena are negative indicators for successful transplantation.

Results from the heart preservation study presented on ISHLT

ISHLT (The International Society for Heart and Lung Transplantation) was held at the beginning of April. At the conference, Professor Johan Nilsson presented the positive results from the first six heart transplant patients from the ongoing study at Lund University Hospital.The results of the study indicate that the method is safe to use in humans. This means that larger randomized studies can be initiated with the heart preservation method. If the new method in larger studies demonstrates the same effect on humans as on animals, it will be possible to use significantly more donated hearts for transplantation. XVIVO Perfusion has, through its cooperation agreement with Igelösa Life Science, the commercial rights to Professor Stig Steen's research in heart transplantation.

Approximately 7,500 heart transplants are performed in the world each year and the limiting factor for more heart transplants are the lack of donated hearts and that the generally accepted maximum transport time today is about four hours. The new preservation method includes a machine that supplies the heart with important substances in an oxygenated solution (patent application submitted) before transplantation. In previous animal experiments using the new method, the preservation time for the donated heart has been significantly extended and the function of the donated heart has been better preserved.

XVIVO has received Premarket approval (PMA) from the FDA for STEEN Solution™ and XPS™

On April 26, 2019 XVIVO received Premarket approval (PMA) from the FDA for the products XPS™ and STEEN Solution™ for sale on the American market.The PMA approval was the first of its kind and means that more lung transplants are made possible without the limitations that the HDE approval entailed and that the clinics' reimbursement process is facilitated.

The process to receive market approval from the FDA began in 2009 and the company's HDE application was approved in August 2014. During the course of the process, clinical studies have been conducted to prove product and patient safety, and in March 2014, the FDA's expert panel unanimously voted that the XPS™ and STEEN Solution™ meets the requirements for HDE approval.An HDE approval involves certain limitations, including that a maximum of 8,000 patients may be treated per year and that separate ethical permits are required for treatment. With the PMA approval, the products can now be sold on the American market without such restrictions and will be labeled for warm perfusion of initially not accepted donated lungs.

XVIVO Perfusion will perform a Post Approval Study (PAS) required by the FDA to monitor the long-term results of EVLP through an official US registry comparing traditionally donated lungs to those where EVLPs have been performed prior to transplantation. Costs for the PAS study will be capitalized on an ongoing basis during the five years it is expected to last.

XVIVO's patents for the heart preservation fluid approved in the US and Europe

XVIVO's patents for the heart preservation fluid have been approved in the US and Europe. Canada has already approved this patent. XVIVO has also previously received a patent for the heart evaluation equipment in Europe,Australia, Canada and China.The review of the patent application for the heart evaluation equipment is in its final stages in the US.Together these patents strengthen XVIVO's position in the heart transplantation field on all major markets in the world.

XVIVO has two main patents in the field of heart transplantation. The first of these covers the preservation fluid that is used in heart preservation and the other covers important parts of the evaluation equipment that is to be used for heart evaluation after preservation, but before transplantation.

The Swedish MPA has given approval to begin clinical studies with the company's new products for heart preservation

XVIVO has received approval from the Swedish Medical Products Agency (MPA) to begin the clinical study with XVIVO's heart preservation products.Applications have been submitted to the other EU countries that will participate in the study. The study will form the basis for regulatory approval in Europe, known as the CE mark. The study will begin as soon as regulatory approvals and ethical approvals from hospital committees have been obtained.

The heart preservation study in Europe is a randomized study planned to include eight centers in seven European countries. The aim of the study is to clinically show that the technology is safe and improves the preservation of the donated heart during transport.

The company also plans to begin clinical trials in the US to obtain regulatory approvals as well as in Australia to expand the documentation of the cardiac preservation products.The products for heart preservation consist of a portable machine with associated sterile disposable products, as well as a patented innovative solution that perfuse, and oxygenate, the heart during transportation and preservation.The technology is developed by Professor Stig Steen at Igelösa Life Science and it is a task that started approximately ten years ago. Over the past two years, XVIVO has further developed the products and setup large-scale production of the heart preservation fluid.

Reimbursement for the entire EVLP process obtained in France

Reimbursement for the EVLP process obtained in France. This means that clinics in France not only receive compensation for the EVLP kits used at an EVLP but also receive reimbursement for the clinical team's time during an EVLP.

SEK 27 million share issue because of warrants being exercised

Because of warrants being exercised, the number of shares and votes in XVIVO Perfusion AB (publ) has during the period increased by 198.000 shares and votes.As of December 31, 2019, there were a total of 26,600,496 shares and votes in the company. The share issue of 198.000 shares raised approximately SEK 27 million.

OUTLOOK 2020

As the number of lungs that can be transplanted using traditional cold preservation is not expected to increase more than the number of donated lungs in existing markets in North America and Europe, growth in these markets is expected to come primarily from evaluation using warm perfusion of lungs. Emerging markets, such as China and India where the capacity for lung transplantations is being expanded, are expected to display higher growth for both EVLP and traditional cold preservation using Perfadex® Plus. The focus during 2020 is therefore on continuing to develop the market for STEEN Solution™, with the objective to become the standard treatment in the transplantation of lungs in addition to increasing the company's investments in emerging markets to assure sustainable global growth moving ahead.

The company will intensify its research and development in the field of heart transplantation, with the aim of starting clinical multi-center studies in Europe, the US and Australia which will form the basis of regulatory approval. Expenditure attributable to the development of heart transplantation will be capitalized on an ongoing basis.

In regard to research and development, the company will carry out work with the aim of expanding the use of the STEEN Solution™ method for other organs. In addition, the company will continue to develop other areas of use for the company's solution technology including warm perfusion of organs that are still in the body and the priming of heart-lung machines. An example of the latter is PrimECC®, a patented product that has been approved in Europe for the priming of heart-lung machines before open heart surgery. PrimECC® has been developed with an objective to decreasing the adverse effects when using this type of device.The company plans to increase the documentation of PrimECC® during 2020 by performing multicenter studies. Expenditure attributable to documentation of PrimECC® will be capitalized on an ongoing basis up until market launch.

THE COMPANY IN BRIEF

Operations

XVIVO Perfusion AB is a medical technology company which develops solutions and systems for selecting usable organs and maintaining them in optimal condition pending transplantation. Currently, the company's product, Perfadex® Plus, has a market share of approximately 90 percent in the traditional preservation of lungs for transplantation. The company's products for warm perfusion, XPS™ and STEEN Solution™, have regulatory approval in all major markets in the world, and were the first products to receive regulatory approval from the FDA for warm perfusion of marginal lungs.

Lung transplantation

A great problem in transplantation healthcare is the lack of available lungs. Currently in the USA, only around 20 percent of the available donated lungs are transplanted, as it is considered far too risky to transplant the remaining majority. By using XVIVO's product STEEN Solution™, the organ is cleared of harmful substances from the donor, thus creating a better environment for the organ's cells. The technology thereby allows the organ to "recover" when possible. It also allows for functional testing to be performed on the organ outside the body. In clinical use in the US, Europe, Australia, and Canada, it has emerged that once STEEN Solution™ perfusion has been carried out, many of the organs that were initially "rejected" are assessed as being usable and have been successfully transplanted into patients with endstage lung disease. Therefore, the use of STEEN Solution™ has the potential to increase the total number of lung transplants.

Heart transplantation

Based on the world leading research of Professor Stig Steen and Igelösa, XVIVO Perfusion's heart transplantation competence center in Lund (Sweden) develops a machine and solutions for heart preservation.The products are developed to increase the availability of donated hearts so that more heart transplants can be performed and more patients can be given a last chance of a longer life. Future focus is to perform clinical multicenter studies and use the documentation of these studies as a basis for applications for regulatory approvals for the products on all major markets.

Other indications

The company also invests in preclinical and clinical research in transplantation of liver and kidney and in perfusion of organs remaining in the body, for example, drug administration to isolated organs and priming solutions for heart-lung machines.

Business concept

XVIVO Perfusion's business concept is to increase the survival rate of patients in need of an organ transplant by providing effective products that increase the availability and survival potential of organs once transplanted.

Vision

The company's vision is that no one should have to die waiting for a new organ.

Objective

The company's objective is to establish the perfusion of organs with STEEN Solution™ and other advanced solutions as the standard treatment in organ transplantation so that more of these life saving treatments can be performed..

Strategy

XVIVO Perfusion's strategy is focused on increasing the number of organs available for transplantation.Through development of products for perfusion of organs and through clinical trials on all major markets in the world, XVIVO Perfusion shows that perfusion of organs gives more organs available for transplantation and thus gives a larger number of patients a life-saving treatment.

OTHER INFORMATION

Organization and personnel

At the end of 2019, the number of employees was 53, of whom 23 were women and 30 were men. Of these, 30 people were employed in Sweden and 23 outside Sweden. In addition, the company uses around 10 consultants.

Information on transactions with related parties

During the financial year, one transaction with the Board member Folke Nilsson has been conducted amounting to SEK 93 thousand.

Risk management

XVIVO Perfusion is constantly working to identify, evaluate, and manage risks in different systems and processes. Risk analyses are performed continually with regard to the company's normal business activities and also in connection with activities that are outside XVIVO Perfusion's regular quality system.

The market risks that are determined to have par ticular impor tance for the future development of XVIVO Perfusion are access to financial funds and medical resources at clinics around the world. Operational risks primarily comprise risks that limit or prevent XVIVO Perfusion from developing, manufacturing and selling quality, effective and safe products. Legal and regulatory risks may arise from changes in legislation and other regulations. Changes in legislation or political decisions may affect the company's ability to run or develop the business. Including financial risks are the currency risk for the business.

The most impor tant strategic and operative risks affecting the company are described in the 2018 annual report.

Seasonal effects

XVIVO Perfusion's sales are marginally affected by seasonal effects. Mainly in new treatments such as EVLP or warm perfusion of the lungs there are slightly less activity during the summer months.

Nomination Committee for the 2020 Annual General Meeting

The following members have been appointed to XVIVO Perfusion's Nomination Committee for the 2020 Annual General Meeting:

Henrik Blomquist, appointed by Bure Equity AB Mar tin Lewin, appointed by Eccenovo AB Joachim Spetz, appointed by Swedbank Robur Gösta Johannesson, Chairman of the Board

The appointments have been made in accordance with the instructions regarding principles for the appointment of the company Nomination Committee which were determined at the Annual General Meeting of XVIVO Perfusion AB (publ) on April 27, 2018. The members of the Nomination Committee together represent 28 percent of the votes attached to all voting shares in the company.

Annual General Meeting and Annual Report

The Annual General Meeting of XVIVO Perfusion AB (publ) will be held on 31 Mars, 2020 in Gothenburg. Shareholders who wish to have an item considered at the Annual General Meeting can submit a written request to the Board to this effect. Such a request for an item to be considered is to be sent to XVIVO Perfusion AB (publ), Att: Chairman of the Board, Box 53015, 400 14 Gothenburg, and must have been received by the Board no later than seven weeks before the Annual General Meeting, or otherwise in such good time that the matter, where necessary, can be included in the notice to attend the Annual General Meeting

It is estimated that XVIVO Perfusion's Annual Report for 2019 will be available for download on XVIVO Perfusion's website during the week commencing Monday, March 9.

Events after the end of the reporting period

No events have occurred after the end of the repor ting period that significantly affect the assessment of the financial information in this report.

Certification

The Board and the CEO cer tify that the half-year repor t gives a true and fair view for the company´s and the Group´s business activities, financial position and results, and describes the essential risks and uncertainty factors that the company and the companies which are par t of the Group face

Gothenburg January 30, 2020

Magnus Nilsson Gösta Johannesson
CEO Chairman of the Board
Camilla Öberg Folke Nilsson
Board member Board member
Yvonne Mår tensson Alan Raffensperger
Board member Board member
Dag Andersson
Board member

This report has not been reviewed by the company's auditors.

Financial reports

XVIVO Perfusion's interim reports are published on the company's website, www.xvivoperfusion.com. Following repor ts are planned to be submitted:

Interim Repor t January-March 2020: Friday,April 17, 2020 Interim Report January-June 2020: Friday, July 10, 2020 Interim Report January-September 2020: Friday, October 23, 2020 Report on Operations 2020: Thursday, January 28, 2021

For further information, please contact

Magnus Nilsson, CEO, +46 31 788 21 50, [email protected] Christoffer Rosenblad, CFO, +46 735 192159, [email protected]

This information is information that XVIVO Perfusion AB (publ) is obliged to make public pursuant to the EU Market Abuse Regulation. The information was submitted for publication, through the agency of the contact person set out above on January 30, 2020 at 7.30 am.

This is a translation of the Swedish version of the repor t.When in doubt, the Swedish wording prevails.

CONDENSED CONSOLIDATED STATEMENT OF NET INCOME

SEK THOUSANDS January – December
2019
2018
October – December
2019
2018
Net sales 220 837 187 868 62 416 58 389
Cost of goods sold -58 024 -51 915 -16 710 -16 615
Gross income 162 813 135 953 45 706 41 774
Selling expenses -60 786 -47 948 -18 372 -14 166
Administrative expenses -24 739 -22 519 -7 152 -7 808
Research and development costs -62 651 -47 931 -17 964 -12 560
Other operating revenues and expenses* -10 697 -3 555 -622 -1 126
Operating income 3 940 14 000 1 596 6 114
Financial income and expenses 1 350 3 498 -3 838 1 208
Income after financial items 5 290 17 498 -2 242 7 322
Taxes -351 -4 813 340 -2 437
Net income 4 939 12 685 -1 902 4 885
Attributable to
Parent Company's shareholders 4 939 12 685 -1 902 4 885
Earnings per share, SEK 0,19 0,48 -0,07 0,19
Earnings per share, SEK** 0,19 0,48 -0,07 0,19
Average number of outstanding shares 26 518 546 26 302 385 26 600 496 26 402 496
Average number of outstanding shares** 26 799 996 26 302 385 26 879 496 26 402 496
Number of shares at closing day 26 600 496 26 402 496 26 600 496 26 402 496
Number of shares at closing day** 26 879 496 26 402 496 26 879 496 26 402 496
EBITDA 28 800 30 923 8 479 10 485
Amortization -14 539 -10 861 -4 107 -2 725
Depreciation -10 321 -6 062 -2 776 -1 646
Operating income 3 940 14 000 1 596 6 114

* Item "Other operation revenues and expenses" for 2019 includes costs for a share based bonus program for employees based outside of Sweden.Accumulated for the period January-December 2019, the cost amounted to SEK -7 046 thousand (-2 800). During the four th quar ter the cost was positive of SEK 237 thousand (812) due to resolution of a provision. During 2018 the cost was recognized in the respective function. See note 2 for more information.

** After dilution. See note 2 for information on warrant programs.

CONSOLIDATED STATEMENT OF TOTAL COMPREHENSIVE INCOME

October – December
2018
4 939 12 685 -1 823 4 885
3 721 4 875 -3 691 1 126
-514 -473 343 -164
3 207 4 402 -3 348 962
8 146 17 087 -5 250 5 847
5 847
2019
8 146
January – December
2018
17 087
2019
-5 250

CONDENSED CONSOLIDATED STATEMENT OF FINANCIAL POSITION

SEK THOUSANDS Dec 31, 2019 Dec 31, 2018
ASSETS
Goodwill 65 773 65 614
Capitalized development expenditure 266 517 210 460
Other intangible fixed assets 6 219 3 624
Fixed assets 23 554 15 615
Financial assets 12 539 13 619
Total non-current assets 374 602 308 932
Inventories 43 871 36 387
Current receivables 56 068 54 229
Liquid funds 159 946 187 064
Total current assets 259 885 277 680
Total assets 634 487 586 612
SHAREHOLDERS' EQUITY AND LIABILITIES
Shareholders' equity, attributable to the Parent Company's shareholders 577 521 540 477
Long-term interest-bearing liabilities 2 154 -
Long-term non-interest-bearing liabilities 2 213 3 562
Short-term interest-bearing liabilities 3 396 -
Short-term non-interest-bearing liabilities 49 203 42 573
Total shareholders' equity and liabilities 634 487 586 612

CONSOLIDATED KEY RATIOS

January – December October – December
2019 2018 2019 2018
Gross margin non-Durable goods,% 77 77 77 78
Gross margin,% 74 72 73 72
EBITDA,% 13 16 14 18
Operating margin,% 2 7 3 10
Net margin,% 2 7 -3 8
Equity/assets ratio,% 91 92 91 92
Income per share, SEK 0,19 0,48 -0,07 0,19
Shareholders' equity per share, SEK 21,71 20,47 21,71 20,47
Share price on closing day, SEK 170,00 132,00 170,00 132,00

See page 17-18 for key ratios definition and reconciliation of alternative key figures.

CONDENSED CONSOLIDATED CASH FLOW STATEMENTS

January – December October – December
SEK THOUSANDS 2019 2018 2019 2018
Income after financial items 5 290 17 497 -2 241 7 321
Adjustment for items not affecting cash flow 28 862 15 263 12 722 1 739
Paid taxes -2 945 628 -182 1 032
Change in inventories -8 478 -2 311 1 892 102
Change in trade receivables -542 -17 236 -6 292 -17 871
Change in trade payables 7 318 9 786 -13 117 5 304
Cash flow from operating activities 29 505 23 627 -7 218 -2 373
Cash flow from investing activities -83 844 -53 198 -26 341 -11 910
Cash flow from financing activities 25 551 19 204 -686 0
Cash flow for the period -28 788 -10 367 -34 245 -14 283
Liquid funds at beginning of period 187 064 195 322 197 643 201 248
Exchange rate difference in liquid funds 1 670 2 109 -3 452 99
Liquid funds at end of period 159 946 187 064 159 946 187 064

CONSOLIDATED CHANGES IN SHAREHOLDERS EQUITY

SEK THOUSANDS Share capital Other paid in
capital
Reserves Retained ear
nings incl. profit
for the year
Sum
shareholders'
equity
Shareholders' equity as of 1 January, 2018 670 467 661 8 618 27 237 504 186
Total comprehensive income Jan - Dec, 2018 4 402 12 685 17 087
Share warrent program
Issuing of new shares efter deduction of incremental costs directly related to
5 19 017 19 022
issuing new shares net of tax 182 182
Shareholders' equity as of 31 december, 2018 675 486 860 13 020 39 922 540 477
Total comprehensive income January - Dec, 2019
Issuing of new shares efter deduction of incremental costs directly related to
3 207 4 969 8 146
issuing new shares net of tax 5 27 296 27 301
Share warrent program 1 597 1 597
Shareholders' equity as of 31 December, 2019 680 515 753 16 227 44 861 577 521

CONDENSED CONSOLIDATED STATEMENT OF NET INCOME PER QUARTER

SEK THOUSANDS Oct - Dec
2019
Jul - Sep
2019
Apr - Jun
2019
Jan - Mar
2019
Oct - Dec
2018
Jul - Sep
2018
Apr - Jun
2018
Jan - Mar
2018
Net sales 62 416 54 334 56 437 47 650 58 389 40 914 46 090 42 475
Cost of goods sold -16 710 -15 791 -14 789 -10 734 -16 615 -9 876 -13 061 -12 363
Gross income 45 706 38 543 41 648 36 916 41 774 31 038 33 029 30 112
Selling expenses -18 372 -14 376 -15 957 -12 081 -14 166 -11 846 -11 549 -10 387
Administrative expenses -7 152 -6 029 -6 148 -5 410 -7 808 -5 513 -4 684 -4 514
Research and development costs -17 964 -16 827 -12 898 -14 962 -12 560 -11 734 -12 100 -11 537
Other operating revenues and expenses* -622 966 -4 716 -6 325 -1 126 -1 207 -697 -525
Operating income 1 596 2 277 1 929 -1 862 6 114 738 3 999 3 149
Financial income and expenses -3 838 3 210 527 1 451 1 208 -803 1 315 1 778
Income after financial items -2 242 5 487 2 456 -411 7 322 -65 5 314 4 927
Taxes 340 -558 -229 96 -2 437 164 -1 420 -1 120
Net income -1 902 4 929 2 227 -315 4 885 99 3 894 3 807
Attributable to
Parent Company's shareholders -1 823 4 929 2 227 -315 4 885 99 3 894 3 807
Earnings per share, SEK -0,07 0,19 0,08 -0,01 0,19 0,00 0,15 0,15
Earnings per share, SEK** -0,07 0,18 0,08 -0,01 0,19 0,00 0,15 0,15
Average number of outstanding shares 26 600 496 26 600 496 26 532 296 26 402 496 26 402 496 26 402 496 26 378 940 26 190 496
Average number of outstanding shares** 26 879 496 26 879 496 26 879 496 26 720 496 26 402 496 26 786 496 26 378 940 26 190 496
Number of shares at closing day 26 600 496 26 600 496 26 600 496 26 402 496 26 402 496 26 402 496 26 402 496 26 190 496
Number of shares at closing day** 26 879 496 26 879 496 26 879 496 26 879 496 26 402 496 26 879 496 26 402 496 26 190 496
EBITDA 8 479 9 025 8 055 3 241 10 485 5 207 8 075 7 156
Amortization -4 107 -4 099 -3 618 -2 715 -2 725 -2 736 -2 699 -2 701
Depreciation -2 776 -2 649 -2 508 -2 388 -1 646 -1 733 -1 377 -1 306
Operating income 1 596 2 277 1 929 -1 862 6 114 738 3 999 3 149

* Item "Other operation revenues and expenses" for 2019 includes cost for share based bonus program for employees based outside of Sweden. For the years in comparison the cost was repor ted in each function. During the four th quar ter the cost was positive of SEK 237 thousand (812) due to resolution of a provision. During the third quar ter 2019 the cost amounted to thousand SEK 2 253 (-812), during the second quarter 2019 the cost amounted to SEK -4 000 (-2 800) and during the first quarter -5 536 TSEK (-). See note 2 for more information. ** After dilution. See note 2 for information on warrant programs.

CONSOLIDATED STATEMENT OF TOTAL COMPREHENSIVE INCOME PER QUARTER

SEK THOUSANDS Oct - Dec
2019
Jul - Sep
2019
Apr - Jun
2019
Jan - Mar
2019
Oct - Dec
2018
Jul - Sep
2018
Apr - Jun
2018
Jan - Mar
2018
Net income -1 902 4 929 2 227 -315 4 885 99 3 894 3 807
Other comprehensive income
Items that may be reclassified to the
income statement
Exchange rate differences
Tax attributable to items that have been
transferred, or can be transferred to
-3 691 4 531 30 2 851 1 126 -801 4 413 137
net income 343 -487 -20 -350 -164 81 -466 76
Total other comprehensive income,
net after tax -3 348 4 044 10 2 501 962 -720 3 947 213
Total comprehensive income -5 250 8 973 2 237 2 186 5 847 -621 7 841 4 020
Attributable to
Parent Company's shareholders -5 250 8 973 2 237 2 186 5 847 -621 7 841 4 020

CONDENSED INCOME STATEMENT FOR THE PARENT COMPANY

January – December October – December
SEK THOUSANDS 2019 2018 2019 2018
Net sales 169 608 152 332 47 737 40 997
Cost of goods sold -50 677 -39 735 -17 514 -10 941
Gross income 118 931 112 597 30 223 30 056
Selling expenses -36 502 -27 940 -9 915 -8 395
Administrative expenses -18 485 -12 578 -6 596 -5 000
Research and development costs -65 937 -46 074 -16 291 -12 262
Other operating revenues and expenses -181 -2 643 2 980 -704
Operating income -2 174 23 362 401 3 695
Financial income and expenses 4 774 6 460 -5 066 2 176
Income after financial items 2 600 29 822 -4 665 5 871
Year end dispositions -2 300 -19 537 - -19 537
Taxes -299 -2 487 83 2 954
Net income 1 7 798 -4 582 -10 712

The Parent Company has no items to repor t as other comprehensive income, therefore a statement of comprehensive income is not presented. Depreciation and amortization has reduced income for the period by SEK 17 832 (14 053) thousand, of which SEK 4 991 thousand (3 467) for the quarter.

CONDENSED BALANCE SHEET FOR THE PARENT COMPANY

SEK THOUSANDS Dec 31, 2019 Dec 31, 2018
ASSETS
Intangible fixed assets 206 205 149 153
Fixed assets 7 924 7 367
Financial assets 194 166 200 222
Total non-current assets 408 295 356 742
Inventories 15 070 14 360
Current receivables 34 352 27 687
Cash and bank 150 362 178 248
Total current assets 199 784 220 295
Total assets 608 079 577 037
SHAREHOLDERS' EQUITY AND LIABILITIES
Shareholders' equity 548 150 519 247
Untaxed reserves 4 200 10 150
Provisions 6 734 1 329
Short-term non-interest-bearing liabilities 48 995 46 311
Total shareholders' equity and liabilities 608 079 577 037

Disclosures in accordance with IAS 34.16A occur in the financial statements and the related notes, as well as elsewhere in parts of the interim report.

Note 1. Accounting principles

For the Group,the repor t is presented pursuant to the Swedish Annual Accounts Act and IAS 34, Interim Financial Reporting, and for the Parent Company pursuant to the Swedish Annual Accounts Act and the Swedish Financial Reporting Board's recommendation RFR 2 Accounting for Legal Entities.

Accounting principles applied for the Group and the parent company correspond, unless otherwise stated below, with the accounting policies used for the preparation of the latest annual repor t. During 2019 the Group has star ted to apply IFRS 16 Leases. Effects of the transition is presented below.

IFRS 16 Leases

As of January 1, 2019, the Group applies IFRS 16 Leases.The new standard replaces previous IFRS related to the recognition of leasing agreements such as IAS 17 "Leases"" and IFRIC 4 "Determining whether an agreement contains a lease". For the Group, the new standard means that "right of use" agreements for premises and equipment are recognised as an asset in the balance sheet and that a leasing debt is recognised, which represents an obligation to pay future leasing fees. Excemptions are used, which means that short-term leases and leases of low value are not capitalized. Instead they are expensed in the period of consumption. The parent company does not apply IFRS 16, in accordance with the excemptions stated in RFR 2.

A modified retrospective approach of IFRS 16 has been adopted, which has entailed effects on the balance sheet as of January 1, 2019. Comparative figures for previous periods have not been restated.As of January 1, 2019, an a tangible asset of TSEK 8.727 have been recognized.The corresponding amount has been recognized as current lease debt, TSEK 3.363, and long-term lease debt, TSEK 5.364. Total leasing debt as of January 1, 2019 thus amounts to SEK 8.727 thousand, which is to be compared with the information in the most recently prepared annual report for 2018, where future operational lease commitments are stated to amount to SEK 8.500 thousand. The difference is due to discounting effects and additional reasonably safe extension periods.An average marginal loan rate of 2.3 percent has been used in the calculations.

At the end of the period, December 31, 2019, the Group repor ts the following book values of leased assets:Tangible assets SEK 5 550 (-) thousand.The effect of IFRS 16 in the consolidated income statement for the period January-December, 2019, is that depreciation of SEK 3.349 thousand and interest expense of SEK 161 thousand replaced operating leasing cost of SEK 3.510 thousand. The new standard has therefore not had any effect on the net result for the period, compared with if IAS 17 was applied.

Note 2. Share warrant programs

In total there are 579.000 outstanding warrants in two programs. The Annual General Meeting of 2018 resolved to issue no more than 315.000 warrants (series 2018/2020), with the right to subscribe a maximum of 315.000 new shares to employees of the XVIVO Perfusion Group.As per June 30, 2019, 279.000 of these warrants have been subscribed for. Each warrant entitles the holder to subscribe for a new share in May 2020, at a price of SEK 146.02.

The Annual General Meeting of 2019 resolved to issue no more than 351.000 warrants (series 2019/2021), with the right to subscribe a maximum of 351.000 new shares to employees of the XVIVO Perfusion Group.As per December 31, 2019, all 351.000 warrants have been subscribed for. Each warrant entitles the holder to subscribe for a new share in May 2021, at a price of SEK 278.91.

During the period January-December 2019, both the average share price for the period and the closing price at period end exceeded the exercise price of warrant program series 2018/2020, whereby the warrant program at strike is expected to result in a total dilution effect for existing shares of approximately 1.0 percent.

The Annual General Meeting in 2018 and 2019 decided to approve a cashbased incentive program for the Group's employees in countries outside Sweden, as these employees are not entitled to participate in the Swedish option programs. The cash-based programs should, as far as practically possible, be designed to correspond to the Swedish option programs but have a limit for maximum outcome.The cost of these cash-based incentive programs is recognized in the periods when XVIVO's share price exceeds the exercise price for each Swedish option program.

Note 3. Financial data per segment, Group

January - December
Net sales of non Durable goods Total consolidated
Durable goods
SEK Thousands 2019 2018 2019 2018 2019 2018
Net sales 206 857 172 693 13 980 15 175 220 837 187 868
Cost of goods sold -47 439 -39 406 -10 585 -12 509 -58 024 -51 915
Gross income 159 418 133 287 3 395 2 666 162 813 135 953
October - December
Net sales of non
Durable goods
Durable goods Total consolidated
SEK Thousands 2019 2018 2019 2018 2019 2018
Net sales 59 401 52 333 3 015 6 056 62 416 58 389
Cost of goods sold -13 771 -11 521 -2 939 -5 094 -16 710 -16 615
Gross income 45 630 40 812 76 962 45 706 41 774

Note 4. Financial instruments

The Group's financial assets and liabilities valuated at acquisition value amount to SEK 216 (241) million and SEK 49 (34) million respectively. Fair value of the Group's financial assets and liabilities is assessed to correspond to the book value.

RECONCILIATION OF ALTERNATIVE KEY FIGURES

This report includes certain key ratios not defined in IFRS, but they are included in the report as company management considers that this information makes it easier for investors to analyze the Group's financial performance and position. Investors should regard these alternative key ratios as complementing rather than replacing financial information in accordance with IFRS.

EBITDA

January - December October - December
SEK THOUSANDS 2019 2018 2019 2018
Operating income 3 940 14 000 1 596 6 114
Amortization 14 539 10 861 4 107 2 725
Depreciation 10 321 6 062 2 776 1 646
EBITDA 28 800 30 923 8 479 10 485
Gross margin
SEK THOUSANDS January - December
2019
2018 October - December
2019
2018
Operating income
Net sales 220 837 187 868 62 416 58 389
Operating expenses
Cost of goods sold -58 024 -51 915 -16 710 -16 615
Gross income 162 813 135 953 45 706 41 774

Gross margin non-Durable goods

January - December October - December
SEK THOUSANDS 2019 2018 2019 2018
Operating income
Net sales of non-Durable goods 206 857 172 693 59 401 52 333
Operating expenses
Cost of non-Durable goods sold -47 439 -39 406 -13 771 -11 521
Gross income,
non-Durable goods
159 418 133 287 45 630 40 812
Gross margin,
non-Durable goods %
77 77 77 78

To calculate the gross profit margin, gross profit is first calculated by subtracting the cost of goods for resale from net sales. Gross profit is then divided by net sales to obtain the performance measure of "gross profit margin." Gross profit margin states the percentage of net sales that are conver ted into profit after cost of goods sold, and is impacted by such factors as pricing, the cost of raw materials and manufacturing, inventory impairment and trends in exchange rates.

Equity/assets ratio

Equity/assets ratio % 91 92
Total assets 634 487 586 612
Shareholders' equity 577 521 540 477
SEK THOUSANDS 2019 2018
December 31, December 31,

Equity consists of share capital, other contributed capital, reserves and retained earnings, including the Group's profit for the year and non-controlling interests. Equity/assets ratio is calculated by dividing equity by total assets and is thus a measure of the percentage of assets that are financed by equity.

KPI DEFINITIONS

KEY RATIO DEFINITION JUSTIFICATION TO USE OF KEY RATIO
Gross margin non-Durable goods, % Gross income segment non-Durable goods as a
percentage of the net sales of segment non-Durable
goods.
The company believes that the key ratio provides an
in-depth understanding of the company's profitability
for operations for non-Durable goods. Since the
pricing strategy for durable goods differs from the
pricing strategy from all other operations, the gross
margin is excluded separately from durable goods.
Gross margin, % Gross income as a percentage of the net sales for the
period.
The company believes that the key ratio provides an
in-depth understanding of the company's profitability.
EBITDA margin, % Operating income before depreciation and amortiza
tion as a percentage of net sales for the period.
The company believes that the key ratio provides an
in-depth understanding of the company's profitability.
Operating margin, % Operating income as a percentage of net sales for the
period.
The company believes that the key ratio provides an
in-depth understanding of the company's profitability.
Net margin, % Income for the period as a percentage of net sales for
the period.
The company believes that the key ratio provides an
in-depth understanding of the company's profitability.
Equity/assets ratio, % Shareholders' equity and non-controlling interests as
a percentage of total assets.
The company believes that the equity to asset ratio
provides an in-depth understanding of the company's
capital structure.
Shareholders' equity per share, SEK Shareholders' equity in relation to the number of
shares outstanding at closing day.
The key ratio has been included to give investors an
overview of how the company's equity per share has
evolved.
Earnings per share, SEK Income for the period in relation to the average
number of outstanding shares for the period.
The key ratio has been included to give investors an
overview of how the company's earnings per share
has evolved.
Earnings per share after dilution, SEK Income for the period in relation to the average num
ber of outstanding shares after dilution for the period.
The key ratio has been included to give investors an
overview of how the company's equity per share
after dilution has evolved.

GLOSSARY

The following explanations are intended to help the reader understand cer tain specific terms and expressions in XVIVO Perfusion's reports:

Preclinical study

Research performed before a drug or method of treatment is sufficiently documented to be studied in humans, for example the testing of substances in tissue samples and subsequent testing in experimental animals.

Clinical study/trial

An investigation in healthy or sick people to study the effect of a drug or method of treatment.

Medical device

Comprises devices used to diagnose a disease or treat a disease and as rehabilitation.

Obstructive lung disease

Disease where there is airway obstruction.

Perfusion

Passage of a fluid through an organ's blood vessels.

Evaluation

Evaluation of the function of an organ.

Preservation

Storage and maintenance of an organ outside the body before transplantation.

Ex vivo (Latin for "outside a living organism")

Biological processes in living cells and tissues when they are in an ar tificial environment outside the body."Opposite" of in vivo.

In vivo

Biological processes in living cells and tissues when they are in their natural place in intact organisms.

EVLP or Ex Vivo Lung Perfusion

Perfusion of a lung outside the body. The procedure is normally done to evaluate a lung before transplantation.

Hypo-thermic non-ischemic perfusion of a heart

Circulation of a cold, donated heart with addition of oxygen and necessary nutrition's during transport to the recipient.

FDA or US Food and Drug Administration

The FDA is the USA's food and drug authority with responsibility for food, dietary supplements, drugs, cosmetics, medical equipment, radiology equipment, and blood products. FDA approval is required to market a medical device on the American market.

PMA or Premarket Approval

Premarket approval (PMA) is the FDA process of scientific and regulatory review to evaluate the safety and efficacy of Class III medical devices.Class III devices suppor t or sustain human life, are of substantial impor tance in preventing impairment of human health, or potentially present an unreasonable risk of illness or injury.

HDE or Humanitarian Device Exemption

A humanitarian device exemption (HDE) application can be submitted to the FDA for a device that is intended to benefit patients by treating or diagnosing a disease or condition that affects or is manifested in fewer than 8,000 individuals in the United States per year. An HDE is similar in both form and content to a Premarket Approval (PMA) application, but is exempt from the efficacy requirements of a PMA.

OPO or Organ Procurement Organization

In the United States, an organ procurement organization (OPO) is a non-profit organization that is responsible for the evaluation and procurement of deceased-donor organs for organ transplantation. There are approximately 58 such organizations in the United States.

Reimbursement

Reimbursement is relevant within the health insurance system for healthcare providers to be paid faster and more easily for accrued expenses from a private or public insurance company (in the United States, e.g.Medicare).

XVIVO PERFUSION'S PRODUCTS

WARM PERFUSION WARM PERFUSION WARM PERFUSION COLD PERFUSION
STEEN Solution™ PERFADEX® Plus
XPS™, Durable goods XVIVO LS™, Durable goods
XVIVO Organ Chamber™ XVIVO Silicone Tubing Set™
XPS Disposable Lung Kit™ XVIVO Disposable Lung Set™ XVIVO Lung Cannula Set™

WWW.XVIVOPERFUSION .COM

XVIVO Perfusion A B (publ), Box 53015, SE-400 1 4 Göteborg. Te l : +46 31-788 2 1 50. Fax: +46 31-788 2 1 69. X V I VO Pe r f u s i o n I n c . , 3 6 6 6 S o u t h I n c a S t r e e t , E n g l e wo o d , C O 8 0 1 1 0 , U S A , Te l : + 1 3 0 3 3 9 5 9 1 7 1 , F a x + 1 8 0 0 6 9 4 5 8 9 7 . XVIVO Perfusion Lund AB, Propellervägen 16, SE-224 7 8 Lund, Sweden. Te l : +46 4 6 261 0 5 50. Fax: +46 31-788 2 1 69. XVIVO Perfusion SAS, 3 Place Giovanni d a Ver razzano, 69009 Lyon, France . Te l : +46 31-788 2 1 50. Fax: +46 31-788 2 1 6 9 XVIVO Perfusion Pacific P ty. Ltd., Level 18, 530 Collins Street, Melbourne, VIC 3000, Australia. Te l : +46 31-788 2 1 50. Fax: +46 31-788 2 1 69.