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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549



FORM 10-K



|x | ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934
|- | ------------------------------------------------------------------------------------

For the fiscal year ended December 31, 2010

or



| ̈ | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934
|- | ----------------------------------------------------------------------------------------

For the transition period from
                             to
                            .

Commission file number: 0-31271

RTI BIOLOGICS, INC.

(Exact Name of Registrant as Specified in Its Charter)





|                                                               |  |                                    
|-------------------------------------------------------------- |  | -----------------------------------
|Delaware                                                       |  | 59-3466543                         
|(State or Other Jurisdiction of Incorporation or Organization) |  | (I.R.S. EmployerIdentification No.)

11621 Research Circle, Alachua, Florida 32615

(Address of
Principal Executive Offices) (Zip Code)

(386) 418-8888

(Registrants telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:    Common Stock, par value $0.001

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities
Act.    Yes  ̈    No x

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the
Act.    Yes  ̈    No x

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for
such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90
days.    Yes x    No  ̈

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of registrants knowledge, in
definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. x

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller
reporting company. See definition of accelerated filer, large accelerated filer and smaller reporting company in Rule 12b-2 of the Exchange Act. (Check one):

Large Accelerated Filer  ̈ Accelerated
Filer x Non-Accelerated Filer  ̈ Smaller Reporting Company  ̈

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

The aggregate market value of the Common Stock held by non-affiliates of the registrant, based upon the last sale price of the Common Stock reported on the Nasdaq Stock Market as of the last business day
of the registrants most recently completed second fiscal quarter (June 30, 2010), was approximately $160.6 million.

The
number of shares of Common Stock outstanding as of February 16, 2011 was 54,843,362.

DOCUMENTS INCORPORATED BY
REFERENCE

As stated in Part III of this Annual Report on Form 10-K, portions of the registrants definitive proxy
statement for the registrants 2011 Annual Meeting of Stockholders are incorporated by reference in Part III of this Annual Report on Form 10-K.









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RTI BIOLOGICS, INC.

FORM 10-K Annual Report

Table of Contents



|         |  |                                                                                                              |  |      |    | 
|-------- |  | ------------------------------------------------------------------------------------------------------------ |  | ---- | -- | 
|Part I   |  |                                                                                                              |  | Page |   
|Item 1   |  | Business                                                                                                     |  |      | 1  | 
|         |  | Company Overview                                                                                             |  |      | 1  | 
|         |  | Corporate Information                                                                                        |  |      | 2  | 
|         |  | Industry Overview                                                                                            |  |      | 3  | 
|         |  | Marketing and Distribution                                                                                   |  |      | 4  | 
|         |  | The BioCleanse® Tissue Sterilization Solution                                                                |  |      | 8  | 
|         |  | The TUTOPLAST® Tissue Sterilization Solution                                                                 |  |      | 9  | 
|         |  | Tissue Recovery                                                                                              |  |      | 9  | 
|         |  | Research and Development                                                                                     |  |      | 10 | 
|         |  | Intellectual Property                                                                                        |  |      | 10 | 
|         |  | Competition                                                                                                  |  |      | 11 | 
|         |  | Government Regulation                                                                                        |  |      | 11 | 
|         |  | Environmental                                                                                                |  |      | 12 | 
|         |  | Employees                                                                                                    |  |      | 13 | 
|         |  | Executive Officers of the Registrant                                                                         |  |      | 13 | 
|         |  | Available Information                                                                                        |  |      | 14 | 
|Item 1A  |  | Risk Factors                                                                                                 |  |      | 14 | 
|Item 1B  |  | Unresolved Staff Comments                                                                                    |  |      | 21 | 
|Item 2   |  | Properties                                                                                                   |  |      | 21 | 
|Item 3   |  | Legal Proceedings                                                                                            |  |      | 21 | 
|         |  |                                                                                                             
|Part II  |  |                                                                                                              |  |      |    | 
|Item 5   |  | Market for Registrants Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities |  |      | 23 | 
|Item 6   |  | Selected Financial Data                                                                                      |  |      | 25 | 
|Item 7   |  | Managements Discussion and Analysis of Financial Condition and Results of
Operations                        |  |      | 27 | 
|Item 7A  |  | Quantitative and Qualitative Disclosures About Market Risk                                                   |  |      | 39 | 
|Item 8   |  | Financial Statements and Supplementary Data                                                                  |  |      | 39 | 
|Item 9   |  | Changes in and Disagreements with Accountants on Accounting and Financial
Disclosure                         |  |      | 40 | 
|Item 9A  |  | Controls and Procedures                                                                                      |  |      | 40 | 
|Item 9B  |  | Other Information                                                                                            |  |      | 40 | 
|         |  |                                                                                                             
|Part III |  |                                                                                                              |  |      |    | 
|Item 10  |  | Directors, Executive Officers and Corporate Governance                                                       |  |      | 41 | 
|Item 11  |  | Executive Compensation                                                                                       |  |      | 41 | 
|Item 12  |  | Security Ownership of Certain Beneficial Owners and Management and Related Stockholder
Matters               |  |      | 41 | 
|Item 13  |  | Certain Relationships and Related Transactions, and Director Independence                                    |  |      | 41 | 
|Item 14  |  | Principal Accounting Fees and Services                                                                       |  |      | 41 | 
|         |  |                                                                                                             
|Part IV  |  |                                                                                                              |  |      |    | 
|Item 15  |  | Exhibits and Financial Statement Schedules                                                                   |  |      | 42 | 
|         |  | Index to Consolidated Financial Statements                                                                   |  |      | 43 | 



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PART I

This Annual Report on Form 10-K and the documents incorporated by reference contain forward-looking statements that have been made
pursuant to the provisions of the Private Securities Litigation Reform Act of 1995. These forward-looking statements are based on current expectations, estimates and projections about our industry, our managements beliefs and certain
assumptions made by our management. Words such as anticipates, expects, intends, plans, believes, seeks, estimates, requires hopes,
may, assumes, variations of such words and similar expressions are intended to identify such forward-looking statements. Do not unduly rely on forward-looking statements. These statements give our expectations about future
performance, but are not guarantees of future performance and are subject to certain risks, uncertainties and assumptions that are difficult to predict; therefore, actual results may differ materially from those expressed or forecasted in any such
forward-looking statements. Some of the matters described below in the Risk Factors section constitute cautionary statements which identify factors regarding these forward-looking statements, including certain risks and uncertainties,
that could cause actual results to vary materially from the future results indicated in these forward-looking statements. Other factors could also cause actual results to vary materially from the future results indicated in such forward-looking
statements. Forward-looking statements speak only as of the date they are made, and unless required by law, we undertake no obligation to update publicly any forward-looking statements, whether as a result of new information, future events or
otherwise.



|Item 1. | BUSINESS.
|------- | ---------

Company Overview

We are a leader in the use of natural tissues and innovative technologies to produce orthopedic and other surgical implants that repair and promote the natural healing of human bone and other human
tissues and improve surgical outcomes. We process donated human musculoskeletal and other tissue, including bone, cartilage, tendon, ligament, fascia lata, pericardium, sclera and dermal tissue, and bovine animal tissue in producing allograft and
xenograft implants utilizing proprietary BIOCLEANSE® and TUTOPLAST® sterilization processes, for distribution to hospitals and surgeons. We process at two facilities in Alachua,
Florida and one facility in Neunkirchen, Germany and distribute our products and services in all 50 states and in over 31 countries worldwide.

We process human and bovine animal tissue and distribute the tissue through various distribution channels. Our lines of business are comprised primarily of five product categories: sports medicine, spine,
dental, surgical specialties, Bone graft substitutes (BGS) and general orthopedic. The following table presents revenues from tissue distribution and other revenues and their respective percentages of our revenues for the years ended
December 31, 2010, 2009 and 2008:



|                               |  |                         |         |  |      |  |       |         |  |   |         |  |  |  |       |   |  |   |         |  |  |  |       |  
|------------------------------ |  | ----------------------- | ------- |  | ---- |  | ----- | ------- |  | - | ------- |  |  |  | ----- | - |  | - | ------- |  |  |  | ----- | -
|                               |  | Year Ended December 31, |        
|                               |  | 2010                    |         |  | 2009 |  |       | 2008(1) | 
|                               |  | (In thousands)          |        
|Fees from tissue distribution: |  |                         |         |  |      |  |       |         |  |   |         |  |  |  |       |   |  |   |         |  |  |  |       |  
|Sports medicine                |  | $                       | 45,065  |  |      |  | 27.1  | %       |  | $ | 39,533  |  |  |  | 24.0  | % |  | $ | 36,330  |  |  |  | 24.8  | %
|Spine                          |  |                         | 33,906  |  |      |  | 20.4  | %       |  |   | 41,087  |  |  |  | 25.0  | % |  |   | 41,817  |  |  |  | 28.5  | %
|Dental                         |  |                         | 29,746  |  |      |  | 17.9  | %       |  |   | 29,985  |  |  |  | 18.2  | % |  |   | 27,365  |  |  |  | 18.7  | %
|Surgical specialties           |  |                         | 26,871  |  |      |  | 16.2  | %       |  |   | 26,278  |  |  |  | 16.0  | % |  |   | 15,350  |  |  |  | 10.5  | %
|BGS and general orthopedic     |  |                         | 25,413  |  |      |  | 15.3  | %       |  |   | 23,161  |  |  |  | 14.1  | % |  |   | 20,024  |  |  |  | 13.6  | %
|Other revenues                 |  |                         | 5,170   |  |      |  | 3.1   | %       |  |   | 4,483   |  |  |  | 2.7   | % |  |   | 5,749   |  |  |  | 3.9   | %
|                               |  |                         |         |  |      |  |       |         |  |   |         |  |  |  |       |   |  |   |         |  |  |  |       |  
|Total revenues                 |  | $                       | 166,171 |  |      |  | 100.0 | %       |  | $ | 164,527 |  |  |  | 100.0 | % |  | $ | 146,635 |  |  |  | 100.0 | %
|                               |  |                         |         |  |      |  |       |         |  |   |         |  |  |  |       |   |  |   |         |  |  |  |       |  
|Domestic revenues              |  |                         | 147,943 |  |      |  | 89.0  | %       |  |   | 141,275 |  |  |  | 85.9  | % |  |   | 126,957 |  |  |  | 86.6  | %
|International revenues         |  |                         | 18,228  |  |      |  | 11.0  | %       |  |   | 23,252  |  |  |  | 14.1  | % |  |   | 19,678  |  |  |  | 13.4  | %
|                               |  |                         |         |  |      |  |       |         |  |   |         |  |  |  |       |   |  |   |         |  |  |  |       |  
|Total revenues                 |  | $                       | 166,171 |  |      |  | 100.0 | %       |  | $ | 164,527 |  |  |  | 100.0 | % |  | $ | 146,635 |  |  |  | 100.0 | %
|                               |  |                         |         |  |      |  |       |         |  |   |         |  |  |  |       |   |  |   |         |  |  |  |       |  



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|(1) | Includes results
of Tutogen Medical, Inc. beginning on February 28, 2008.
|--- | -------------------------------------------------------------------------

For additional financial information
concerning our operating performance, please refer to Managements Discussion and Analysis of Financial Condition and Results of Operations in Part II, Item 7 of this report and our Consolidated Financial Statements in Part II, Item 8
of this report.

We pursue a market-by-market approach to the distribution of our implants, and establish strategic
distribution arrangements in order to increase our penetration in selected markets. We have distribution arrangements with Medtronic, Inc. (Medtronic), Zimmer, Inc. (Zimmer), Blackstone Medical, Inc., a subsidiary of Orthofix
International NV (Blackstone), Stryker Spine, a division of Stryker (Stryker), Aesculap Implant Systems, Inc. (Aesculap) and SeaSpine, Inc. (SeaSpine) for spine implants, and with Zimmer for our dental
implants. For our surgical specialties markets, we distribute through Davol, Inc., a subsidiary of C. R. Bard, Inc. (Davol), for hernia repair, and breast reconstruction, through Coloplast A/S of Denmark (Coloplast) for
urology, through IOP, Inc. (IOP) for ophthalmology and through ENTrigue Surgical, Inc. (ENTrigue) for ENT applications. Zimmer, Stryker, Exactech, Inc., (Exactech) and Pioneer Surgical Technology, Inc.
(Pioneer) are our current distributors for our allograft paste implants, and Wright Medical Technology, Inc. (Wright) distributes certain of our sports medicine implants. In the domestic sports medicine and general orthopedic
applications we have developed a direct distribution force and a network of independent distributors. In the international market we use Zimmer for our dental implants, a direct distribution force in Germany, and a network of independent
distributors outside Germany for other implants.

As part of the tissue procurement process we rely on
tissue recovery agencies to perform a risk assessment on every potential donor, interview family members and evaluate the donors medical records. Blood collected from each donor by the recovery agency is tested for the presence of viral or
bacterial diseases. Bone tissue, soft tissue and tendon and ligament grafts are sterilized through our
BioCleanse® process and TUTOPLAST® process only after they have passed this screening by the recovery agency and testing of the blood samples. Our BioCleanse® process is a patented tissue sterilization process that is designed to add a measure of safety to our tissue
implants and provide surgeons and patients with tissue implants that are free of spores, fungi, bacteria and viruses and is the only tissue sterilization process that has been reviewed by the U.S. Food and Drug Administration (FDA). The
BioCleanse® process is an automated, multi-step cleansing process which first removes blood and fats, then
chemically sterilizes the tissue, while maintaining the structural integrity and biocompatibility of the tissue, and is applied to bone tissue and tendon and ligament tissue. The TUTOPLAST® process utilizes solvent dehydration and chemical inactivation, and is applied to two types of preserved allografts: soft tissue, consisting of fascia lata, fascia
temporalis, pericardium, dermis and sclera; and bone tissue; consisting of various configurations of cancellous and cortical bone material. We believe that the BioCleanse® and TUTOPLAST® processes are
the industry leading sterilization processes.

We are an accredited member of the American Association of Tissue Banks, or
AATB, a nationally recognized association of the tissue banking industry. The accreditation covers the processing, storage and distribution of tissues for transplantation and research and informs users of our human tissue implants that we are in
compliance with the minimum safety guidelines of the association.

Corporate Information

We were incorporated in 1997 in Florida as a wholly-owned subsidiary of the University of Florida Tissue Bank, UFTB. We began
operations on February 12, 1998 when UFTB contributed to us its allograft processing operations, related equipment and technologies, distribution arrangements, research and development activities and certain other assets. At the time of our
initial public offering in August 2000, we reincorporated in the State of Delaware. On February 27, 2008, we completed our merger with Tutogen Medical, Inc., a Delaware corporation (TMI), in a tax-free stock-for-stock exchange
pursuant to which TMI shareholders received 1.22 shares of our common stock for each share of TMIs common stock. In connection with the merger, we changed



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our name from Regeneration Technologies, Inc. to RTI Biologics, Inc. The results of TMIs operations have been included in our consolidated financial statements since the merger. Our
principal offices are located at 11621 Research Circle, Alachua, Florida, and our phone number is (386) 
418-8888.

Industry Overview

Defects in bone and other human tissue can be caused by a variety of sources including trauma, congenital defect, aging, revision of joint replacements, infectious disease, cancer and other similar
conditions. The prevalent method used to repair and promote the healing of defective tissue is surgical intervention, principally through the use of surgical implants. When considering a surgical procedure for tissue repair, surgeons and patients
have a number of treatment options including:



| |  |  | metals and synthetics;
| | - |  | ----------------------



| |  |  | xenograft tissue from an animal source;
| | - |  | -----------------------------------------



| |  |  | autograft tissue from the patient; and
| | - |  | ----------------------------------------



| |  |  | allograft tissue from another human donor.
| | - |  | --------------------------------------------

Metals and Synthetics

Historically, the medical community has used
metal and synthetic materials for implant procedures. Metal and synthetic technologies, however, have several shortcomings. One of the principal drawbacks to the use of these materials is that, despite best efforts, they do not facilitate the
bodys natural tissue healing process known as remodeling. Metal exhibits different properties than bone, and one concern with its use in orthopedics is stress shielding, where the bone adjoining the metal can become
weak and fragile over time. This problem can be of particular concern to elderly patients who are more likely to suffer from osteoporosis. Additionally, a number of synthetics can wear away in the body, causing a negative immune system response.
Other synthetics can chemically break down over time with negative biological and clinical consequences. Using metal and synthetic products may also make it difficult to do a second surgery or revision. Finally, some metal and synthetic products may
need to be removed and/or replaced, requiring the risk, expense and inconvenience of a second surgery.

Xenograft Tissue

Surgical procedures using xenograft tissue-based implants are common in many areas of medicine including cardiac and
vascular procedures, soft tissue repair and wound care. Xenograft based products are also used in the repair of bone defects in orthopedic surgery as carriers for demineralized bone matrix and bone morphogenic protein products. The production of
xenograft products involves recovering animal tissue, typically from cattle (bovine) or pigs (porcine), processing and sterilization, and then transplanting that recovered tissue into a human patient.

Autograft and Allograft Tissue

Surgeons are increasingly utilizing autograft and allograft tissue in their surgical procedures to take advantage of their natural healing characteristics. Autograft procedures involve a surgeon
harvesting tissue from one part of a patients body for transplant to another part of the body. In contrast to autograft, allograft tissues are recovered from cadaveric donors, processed for certain intended uses and then transplanted by a
surgeon into the patients body to make the needed repair.

Autografts and allografts are not only
osteoconductive, meaning they provide a scaffold for new bone to attach itself to, but, in contrast to metals and some synthetics, can be osteoinductive as well, meaning they stimulate the growth of new tissue.



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A significant drawback to autograft procedures is that they require an additional surgery to
harvest the tissue from a second site in the patients body. Often in autograft procedures, the site where the patients tissue is harvested becomes painful and uncomfortable, and can take longer to heal than the primary surgical site.
Additional complications can involve infection, nerve and arterial injury and joint instability. Moreover, a patient may not have sufficient quantities of quality autograft tissue for transplant procedures. We believe allograft is a superior
surgical solution compared to autograft because the procedure involves only the primary surgical site.

Marketing
and Distribution

Our lines of business are comprised primarily of the following markets: sports medicine, spine, dental,
surgical specialties, bone graft substitutes, and general orthopedic. Our current implants range from allografts and xenografts that are precision machined for specific surgical applications to grafts conventionally processed for general surgical
uses. The following summarizes the marketing and distribution in each of our markets:



|                |  |                          |  |                       |  |                                        
|--------------- |  | ------------------------ |  | --------------------- |  | ---------------------------------------
|Market          |  | Estimated US Market Size |  | Distributor           |  | Products                               
|Sports Medicine |  | $1,800 Million           |  | Wright                |  | Cancello-Puro® Wedge                   
|                |  |                          |  | RTI (Direct)          |  | Matrix® HD                             
|                |  |                          |  |                       |  | Sterling® Interference Screws          
|                |  |                          |  |                       |  | Sterling® Wedge                        
|                |  |                          |  |                       |  | Fresh-stored OCFem Condyles & Taul    
|                |  |                          |  |                       |  | Menisci                                
|                |  |                          |  |                       |  | Patellar Tendon (BTB) Series           
|                |  |                          |  |                       |  | Tibialis Tendons                       
|                |  |                          |  |                       |  | Achilles Tendons                       
|                |  |                          |  |                       |  | Assembled BTB and BTB Select           
|                |  |                          |  |                       |  | Peroneus Longus                        
|                |  |                          |  |                       |  | Semi-T - Gracilis                      
|                |  |                          |  |                       |  | HTO Wedge                              
|Spine           |  | $1,200 Million           |  | Medtronic             |  | Cornerstone® SR Series Grafts          
|                |  |                          |  |                       |  | Cornerstone® Reserve Series Grafts     
|                |  |                          |  |                       |  | Cornerstone® Select Series Grafts      
|                |  |                          |  |                       |  | Cornerstone Conventional Allografts   
|                |  |                          |  |                       |  | Tangent Impacted Cortical Wedge       
|                |  |                          |  |                       |  | Precision ALIF                        
|                |  |                          |  |                       |  | MD Series Threaded Cortical Bone Dowel
|                |  |                          |  | Zimmer                |  | Puros® A                               
|                |  |                          |  |                       |  | Puros® S                               
|                |  |                          |  |                       |  | Puros® S2                              
|                |  |                          |  |                       |  | Puros® P                               
|                |  |                          |  |                       |  | Puros® Conventional Allografts         
|                |  |                          |  | Blackstone (Orthofix) |  | AlloQuent S                           
|                |  |                          |  |                       |  | AlloQuent ALIF                        
|                |  |                          |  | Stryker               |  | AlloCraft C                           
|                |  |                          |  |                       |  | AlloCraft L                           
|                |  |                          |  | Aesculap              |  | Cervical /Lumbar Grafts                
|                |  |                          |  | Sea Spine             |  | Cambria ACC Allograft Blocks           
|Dental          |  | $225 Million             |  | Zimmer                |  | Puros® Blocks                          
|                |  |                          |  |                       |  | Puros® Cancellous Chips                
|                |  |                          |  |                       |  | Puros® Cortical Chips                  
|                |  |                          |  |                       |  | Puros® Membranes                       
|                |  |                          |  |                       |  | CopiOs®
Pericardium                    



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|                           |  |                          |  |                                     |  |                               
|-------------------------- |  | ------------------------ |  | ----------------------------------- |  | ------------------------------
|Market                     |  | Estimated US Market Size |  | Distributor                         |  | Products                      
|Surgical Specialties       |  |                          |  |                                     |  |                               
|Hernia                     |  | $252 Million             |  | Davol (Bard)                        |  | Allomax® Dermis               
|Breast Reconstruction      |  | $104 Million             |  | Davol (Bard)                        |  | Allomax® Dermis               
|Urology                    |  | $37 Million              |  | Coloplast                           |  | Suspend® Fascia Lata          
|                           |  |                          |  |                                     |  | Axis® Dermis                  
|                           |  |                          |  |                                     |  | Tutoplast® Pericardium        
|Ophthalmology              |  | $14 Million              |  | IOP                                 |  | IO Patch®                     
|                           |  |                          |  |                                     |  | BioDome®                      
|                           |  |                          |  |                                     |  | BioElevation®                 
|ENT                        |  | $9 Million               |  | ENTrigue                            |  | Allograft Dermis              
|                           |  |                          |  |                                     |  | RegenerENT Bovine Pericardium
|                           |  |                          |  |                                     |  | Allograft Fascia Lata         
|                           |  |                          |  |                                     |  | Allograft Pericardium         
|BGS and general orthopedic |  | $426 Million             |  | Zimmer                              |  | Puros® RTU
Paste              
|                           |  |                          |  | Exactech                            |  | Altiva DBM                    
|                           |  |                          |  |                                     |  | Regenafil®                    
|                           |  |                          |  |                                     |  | Regenaform®                   
|                           |  |                          |  |                                     |  | Osteofil®                     
|                           |  |                          |  |                                     |  | Opteform®                     
|                           |  |                          |  |                                     |  | OsteoBridge                  
|                           |  |                          |  | Aesculap                            |  | ProSpace DBM                  
|                           |  |                          |  | Pioneer                             |  | BioSet                       
|                           |  |                          |  | Stryker                             |  | AlloCraft DBM Boat           
|                           |  |                          |  |                                     |  | BIO DBM Boat                 
|                           |  |                          |  | Medtronic                           |  | Osteofil®                     
|                           |  |                          |  | Independent and direct distribution |  | Conventional Fashioned        
|                           |  |                          |  |                                     |  | Conventional Intercalary      
|                           |  |                          |  |                                     |  | Conventional Other            
|                           |  |                          |  |                                     |  | Faslata                       
|                           |  |                          |  |                                     |  | Xeno Wedge (Sterling)         

Sports Medicine

Many repetitive use and sports-related injuries can
be addressed with allograft implants. The most prevalent surgeries include repairs to the anterior cruciate ligament, or ACL in the knee, and rotator cuff, in the shoulder. Our principal sports medicine allografts are tendons for ligament
reconstruction and our meniscal allografts for transplantation. Many of our sports medicine allografts utilize our patented pre-shape technology and are shaped to fit surgeons requirements making them easier and/or faster to implant. Our
sports medicine products are marketed domestically through our direct biologics representatives and through our network of independent distributors and internationally through a network of independent distributors.

On February 9, 2007, we entered into a Xenograft Distribution and Supply Agreement with Wright. Under this contract, Wright
distributes certain allografts, Sterling xenografts as well as xenografts designed by Wright which we process and package. This agreement was expanded to include additional designs effective March 9, 2007.

During 2007 we enhanced the sports medicine product category by introducing the following new products: BioCleanse Meniscus,
Bone-Tendon-Bone Select, BioCleanse Peroneus Longus and Sterling Xenograft Wedge. In May 2008, our first fresh-stored osteochondral (OC) allograft for cartilage repair was successfully implanted. In 2009, we introduced our Matrix HD dermis products
for wound repair in addition to our Fresh OC Talus products, an extension of the fresh osteochondral line.



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Spine

The spine market for allografts includes precision machined implants and bone paste utilized in spinal procedures. Our spine allografts are marketed domestically through our non-exclusive relationships
with Medtronic, Blackstone, Zimmer, Stryker, Aesculap and SeaSpine.

Medtronic is our principal distributor in the spine
market. We originally entered into an Exclusive Distribution and License Agreement with Medtronic, dated June 1, 2002, pursuant to which Medtronic distributed specialty allograft and bone paste for use in spinal surgery. We have amended our
agreement with Medtronic several times. Our current agreement with Medtronic expires June 1, 2014.

During September
2000, Zimmer began distributing TMI bone products under a ten-year agreement for applications in the spine market. In April 2003, TMI entered into an exclusive license and distribution agreement with Zimmer. Effective with that agreement, Zimmer
became a stocking distributor. Currently, Zimmer distributes both traditional bone and specialty allografts, and bone paste for use in spinal surgery. Our current spine agreement with Zimmer expires March 8, 2011 and renews
automatically for successive one year terms.

On November 21, 2006, we entered into an Allograft Distribution and Supply
Agreement with Blackstone for an initial term of 3 years with additional one year renewals unless terminated in writing by either party. Under this agreement, we process and package implants designed by Blackstone for distribution by Blackstone. On
November 17, 2007, this agreement was expanded to include four additional implant designs.

On June 6, 2007, we
entered into an Allograft Distribution and Supply Agreement with an initial term of 3 years and one year automatic renewals with Stryker, under which we process and package implants designed by Stryker for distribution by Stryker. The current
agreement with Stryker expires June 5, 2011 and renews automatically for successive one year terms.

On December 15,
2008, we entered into an Implant Development and Supply Agreement with an initial term of 10 years with Aesculap, under which we will process and package implants designed by Aesculap for distribution by Aesculap.

On July 29, 2010, we entered into a Contract Processing and Supply Agreement with an initial term of 3 years with SeaSpine, under
which we will process and package implants designed by SeaSpine for distribution by SeaSpine.

Dental

We currently provide various products including cancellous and cortical bone and human and bovine membranes primarily
for dental procedures related to augmenting ridge restoration.

During September 2000, Zimmer entered into
a ten-year agreement to represent TUTOPLAST® processed bone, under the brand name Puros®, for dental applications. Zimmer marketed the implants to the end user and in the United States we shipped and
billed the customer directly. Distribution fees earned pursuant to the agreement were recognized ratably over the term of the agreement. During 2006, TMI expanded its relationship with Zimmer by adding pericardium and dermis soft tissue implants for
dental applications. The additions of these implants provided Zimmer with a full line of biologic implants for the dental surgeons. In August 2007, TMI entered into an agreement to extend Zimmers exclusivity internationally into Europe, the
Middle East and Asia. The international agreement includes both human and bovine bone and soft tissue implants and allows Zimmer to provide the dentist with a complete product offering for the regenerative procedure. On September 3, 2010, we
entered into a new exclusive distribution agreement (the Agreement), with Zimmer Dental Inc. (Zimmer), a subsidiary of Zimmer, Inc., with an effective date of September 30, 2010. The Agreement has an initial term of ten
years. Under the terms of the Agreement, we will supply sterilized allograft and xenograft implants (the



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Implants) at an agreed upon transfer price, and Zimmer will be the exclusive distributor of the Implants for dental and oral applications worldwide (except the Ukraine), subject to
certain Company obligations under an existing distribution agreement with a third party with respect to certain implants for the dental market. In consideration for Zimmers exclusive distribution rights, Zimmer agreed to the following: 1)
payment to us of $13.0 million within ten days of the effective date (the Upfront Payment), 2) annual exclusivity fees (Annual Exclusivity Fees) paid annually for the term of the contract to be paid at the beginning of each
calendar year, the first of which was paid on January 18, 2011 in the amount of $4.0 million (the Initial Annual Exclusivity Fee), and , 3) escalating annual purchase minimums to maintain exclusivity. Upon occurrence of an event
that materially and adversely affects Zimmers ability to distribute the Implants, Zimmer may be entitled to certain refund rights with respect to the Upfront Payment and the then current Annual Exclusivity Fee, where such refund would be in an
amount limited by a formula specified in the Agreement that is based substantially on the number of days from the occurrence of such event to the date that it is cured by us to the satisfaction of Zimmer. Both the Upfront Payment and the Initial
Annual Exclusivity Fee have been deferred and are being recognized as other revenues based on Zimmers anticipated annual purchases over the term of the agreement.

Surgical Specialties

We distribute implants for surgical
specialties which include hernia, breast reconstruction, urology, ophthalmology, and ENT.

In January 2006, TMI entered into a
four-year exclusive worldwide distribution agreement with Davol Inc., a subsidiary of C.R. Bard, Inc. (Davol), to promote, market and distribute TMIs line of allograft biologic tissues for hernia repair and the reconstruction of
the chest and abdominal walls. Under the agreement, Davol paid TMI $3.3 million in fees for the exclusive distribution rights. On July 13, 2009, we and Davol amended their January 2006 distribution agreement with TMI. Under the amended
agreement, 1) Davol paid us $8.0 million in non-refundable fees for exclusive distribution rights for the distribution to the breast reconstruction market until July 13, 2019, 2) the exclusive worldwide distribution agreement related to the
hernia market was extended to July 13, 2019, and 3) Davol agreed to pay us certain additional exclusive distribution rights fees contingent upon the achievement of certain revenue milestones by Davol during the duration of the contract. In the
fourth quarter of 2010, Davol paid us the first revenue milestone payment of $3.5 million. The $8.0 million and $3.5 million exclusivity payments have been deferred and are being recognized as other revenue on a straight-line basis over ten years,
the initial term of the contract, and the remaining term of the contract, respectively.

In June 2006, TMI
signed a distribution agreement with Mentor Corporation (Mentor) for the exclusive North American rights for the use of TUTOPLAST® dermis for breast reconstruction. Under the agreement, Mentor paid TMI $500,000 in fees for the exclusive distribution rights. Mentor initiated distribution during
the third quarter of 2007. Johnson & Johnson completed its acquisition of Mentor in January 2009 and the agreement with Mentor expired in June 2009.

For urological indications, TMI partnered with Mentor since 1998. During 2006, Mentor sold their urology business to
Coloplast and assigned the TMI agreement to Coloplast. In May 2007, TMI signed an agreement with Coloplast extending the current distribution agreement and expanding its scope both internationally, and to include TMIs Tutoplast® processed bovine pericardium. As a stocking distributor, Coloplast markets TUTOPLAST® fascia lata, dermis, and pericardium tissue grafts.

IOP has been a distributor of TMIs since 1998, and is the exclusive distributor for TUTOPLAST® processed tissue for ophthalmic applications.

In December 2008, we entered into a biologics development, distribution and supply agreement with ENTrigue to develop, promote,
distribute and supply our line of allograft biologic tissues for the ear, nose and throat market. Initial shipments of implants to ENTrigue began in 2009.



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BGS and general orthopedic

Allograft Paste.    Surgeons principally use our allograft paste implants, which are
composed of demineralized bone matrix (DBM) and in some cases a biologic gel carrier, in fracture treatment, bone and joint reconstruction and periodontal applications, such as ridge augmentation for dental implants. Our allograft paste
implants are marketed under Osteofil by Medtronic, Puros® RTU Paste by Zimmer and the Optefil, Opteform®, Regenafil® and Regenaform® brands with
Exactech and we distribute directly the BioSet family of paste products through our direct distributor force, Pioneer, and our international distribution network. Our DBM Boat products are marketed under AlloCraft by Stryker.

We also distribute these products through Medtronic, Exactech, Zimmer, Stryker, Pioneer, our own direct distribution force and an
international distribution network. We pay Exactech a 3% royalty fee with respect to our moldable allograft pastes distributed by others which is the same formulation as the Exactech product. The agreement is for an initial term expiring
June 30, 2014, subject to earlier termination under certain limited circumstances.

In 2007, we entered into an exclusive
distribution agreement with Zimmer with an initial term of 10 years, relating to new bone paste products. The field of use for these products includes all orthopedic, trauma, reconstruction, spine, sports medicine, dental and oral maxillofacial
applications. As part of the agreement, Zimmer has made payments to us totaling $5.0 million for the aforementioned exclusive distribution rights, and has to maintain certain minimum order volumes beginning in 2010. The $5.0 million exclusivity
payment is being recognized as other revenue on a straight-line basis over the initial term of the contract. The contract provides for repayment, on a pro rata basis, of the exclusivity payments during the initial contract term for specific events
of non-performance, as defined in the agreement. The agreement also includes automatic two-year renewal terms, as well as buy-out provisions by both parties upon proper notice of cancellation.

Milled Allograft and Xenograft.    Our bone graft substitutes business also includes certain types of blended
and milled bone allografts and xenografts, such as our demineralized bone matrix, cortical cancellous chips and ground cancellous chips, used in total hip and knee replacements and for various injuries.

Conventional Allografts.    Our conventional allograft business includes a wide variety of allograft
categories including our intercalary grafts, such as our frozen femoral heads which are used for cancer treatment procedures and hip and knee reconstruction. We also produce various types of fashioned bone, such as strips and shafts used for various
orthopedic procedures.

The BioCleanse® Tissue Sterilization Solution

We have developed and utilized in the United States the patented
BioCleanse® tissue sterilization process, which is an automated, pharmaceutical grade chemical sterilization
process for musculoskeletal bone and certain soft tissue. This process is fully validated to kill or inactivate all classes of conventional pathogens, viruses, microbes, bacteria and fungi. Our BioCleanse® process is able to remove greater than 99% of the blood, fats, lipids and other unwanted materials from the tissue
we process. We believe the removal of blood, fat, lipids and other unwanted materials results in faster patient healing because it eliminates the need for the patients body to remove these substances using natural processes following surgery.
An important element of the BioCleanse® process is that while it removes unwanted materials embedded within the
tissue, it maintains the tissues structural integrity and compression strength. Studies have shown that tissue sterilized with BioCleanse® maintains the same compression strength as untreated tissue and has significantly greater compression strength than tissue treated with other sterilization processes.

The BioCleanse® process has been reviewed by the FDA which concluded that BioCleanse® was a validated tissue sterilization process demonstrated to prevent contamination and cross contamination of tissue grafts. The significance of the review is that we
are not aware of any other tissue sterilization process related to human tissue in our industry that has been reviewed or approved by the FDA. The FDA does not have a formal approval process in place for tissue related processing techniques.



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Our BioCleanse® process is currently used on most of our bone allografts and xenografts and most of our musculoskeletal soft tissue products. In addition to the safety advantage of
BioCleanse®, it provides us with a number of significant research and development opportunities, including the
ability to introduce bone-growth factors and anti-bacterial, anti-viral and cancer fighting agents into our implants.

The TUTOPLAST® Tissue Sterilization Solution

The TUTOPLAST® tissue sterilization process utilizes solvent dehydration and chemical inactivation to remove blood, lipids and extraneous materials, inactivate viruses and prions,
and break down RNA and DNA into fragments not capable of replication and disease transmission while preserving the biological and mechanical properties.

We apply the TUTOPLAST® process to two types of preserved
allografts: soft tissue, consisting of fascia lata, fascia temporalis, pericardium, dermis and sclera; and bone tissue; consisting of various configurations of cancellous and cortical bone material. Processed pericardium, fascia lata and dermis are
collagenous tissue used to repair, replace or line native connective tissue primarily in dental, ophthalmology, urology, plastic and reconstructive surgeries. Dermis is also used in hernia repair and pelvic floor reconstruction. Sclera is used in
ophthalmology procedures such as, anterior and posterior segment patch grafting applications for glaucoma, retina and trauma surgery and oculoplastics, as well as contour wrapping of an orbital implant. Processed cortical and cancellous bone
material is used in a wide variety of applications in spine, orthopaedic and dental surgeries.

Tissue Recovery

Tissue recovery is the actual removal of tissue from a donor after receiving appropriate consent. Consent is obtained by
the tissue recovery group. We operate certain tissue recovery groups directly, and contract with other independent FDA registered tissue recovery groups which specialize in this activity. Tissue recovery personnel aseptically recover musculoskeletal
tissue within 24 hours following a donors death, using surgical instruments and sterile techniques similar to those used in hospitals for routine surgery. Recovered tissue is placed on wet or dry ice and then transported by the donor recovery
agency to the tissue processor or possibly a research institution.

Under U.S. law, human tissue cannot be sold. However, the
law permits the recovery of some costs, such as those involved in recovering, processing and storing tissue and costs related to the advancement of tissue processing technologies, all types of activities in which we are involved.

Our network of donor recovery groups recovers a variety of tissue types from donors including the fibula, femur, tibia, humerus, ilium,
pericardium, fascia lata, dermis, sclera, tendons and ligaments. Once we receive tissue that has been screened at our tissue recovery centers, we re-screen this recovered material to guard against transmittable diseases. This screening process
includes evaluation of risk on the basis of donor medical history, lifestyle, interviews with the donors family and physical examination of the donor. We also perform biomedical testing and culturing at various stages during the processing of
tissue, using FDA licensed tests and other tests for known viruses and pathogens.

We have relationships with over thirty
tissue donor recovery agencies across the country. We also have relationships outside the United States. Our largest single donor recovery group represented 12% of our total donor tissue for the year ended December 31, 2010. We believe
additional recovery group relationships would be available if needed and consequently that the loss of any one of our sources of donor tissue would not have a material impact on our operating results.

We continue to develop new xenograft tissue implants. Implants processed from xenograft tissue are regulated by the FDA as devices and
require approval or licenses from the FDA prior to marketing in the United States. The sources of our animal tissues are regulated closed herds. The herds are located in the United States



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and New Zealand. Our clinical studies indicate that our xenograft implants, after processing through BioCleanse® and TUTOPLAST® are equivalent
to our allograft implants with respect to functionality, safety and incorporation. We believe the continued development of our xenograft implants will help us meet unmet demand for certain allografts and also allow us to develop new biological
implants that cannot currently be made due to structural limitations of human tissue.

Research and Development

Our research and development costs for the years ended December 31, 2010, 2009 and 2008 were
$9,435, $8,899 and $8,143, respectively. In 2010, we continued to increase our investment in our R&D efforts by funding new projects including research and development projects at our facility in Neunkirchen, Germany. Our scientists are focusing
their studies on delivering optimal regenerative medicine solutions through allograft and xenograft, as well as expanding the uses of the BioCleanse® and Tutoplast processing technologies.

We plan to continue to develop new implants and technologies within our current market, and to develop additional tissue-related technologies for other markets. We plan to do this by building on our core
technology platforms: BioCleanse®, TUTOPLAST®, precision machining, assembled grafts, and tissue and mediated osteoinduction, We operate a dedicated research team working on advanced technologies, and have
embedded development/technical teams who work with the business/marketing teams focused on expanding the scope and scale of existing competencies such as tissue sterilization and tissue machining to meet specific surgical needs. This approach has
resulted in the development of core science platforms, a pipeline of concepts for development and marketing and focused development to meet immediate needs.

In 2010 we launched 15 new implants in sports medicine, spine, surgical specialties and BGS and general orthopedic developed by our research and development teams.

Intellectual Property

Our business depends upon the significant know-how and proprietary technology we have developed. To protect this know-how and proprietary technology, we rely on a combination of trade secret laws,
patents, licenses, trademarks and confidentiality agreements. The effect of these intellectual property rights is to define zones of exclusive use of the covered intellectual property.

Our United States patent holdings include patents relating to or covering: BioCleanse®, our proprietary method of cleaning, sterilizing and virally inactivating donor tissue; our MD-Series cortical
bone dowel; soft and calcified tissue implants; certain precision machined allograft intervertebral spacers and other spinal implants; matrix compositions comprised of gelatin, muscle or pulverized dermis; the use of the interference screw
technology; our segmentally demineralized graft; methods and instruments for improved meniscus transplantation; materials and methods for improved bone- tendon-bone transplantation; and various assembled bone-tendon-bone implant designs. Our foreign
patent holdings include: our MD-Series cortical bone dowel technology, our precision machined spinal implants, and our BioCleanse® process. The duration of patent rights generally is 20 years from the date of filing of priority application, while trademarks, once registered, are essentially
perpetual. We also have patent applications pending in the U.S. (including continuation and divisional applications), and corresponding foreign patent applications pending in various countries including, but not limited to, Canada, Japan, Australia
and the European Union. We have also entered into exclusive and non-exclusive licenses relating to a wide array of third-party technologies. In addition, we rely on our substantial body of know-how, including proprietary tissue recovery techniques
and processes, research and development, tissue processing and quality assurance.

The TUTOPLAST® process utilizes proprietary trade secrets.

No significant patents are expected to expire in the next five years.



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Competition

Competition in the tissue reconstruction and healing industry is intense and subject to rapid technological change and evolving industry
requirements and standards. Companies within the industry compete on the basis of design of related instrumentation, efficacy of products, relationships with the surgical community, depth of range of implants, scientific and clinical results, and
pricing. Allograft and our xenograft implants compete with autograft, metals and synthetic tissues.

Our principal competitors
in the conventional allograft market include the Musculoskeletal Transplant Foundation, or MTF, AlloSource, LifeCell, Inc., a subsidiary of Kinetic Concepts Inc. and LifeNet. Among our competitors in precision machined allograft are MTF, LifeNet and
AlloSource. Other companies who process and distribute allograft pastes include Medtronic, AlloSource, Integra, Wright, and MTF. Companies who process and distribute xenograft tissue include Synovis, LifeCell, Cook Surgical and Medtronic.

Government Regulation

Government regulation plays a significant role in the processing and distribution of allografts. We procure, process and market our tissue products worldwide. Although some standards of harmonization
exist, each country in which we do business has its own specific regulatory requirements. These requirements are dynamic in nature and, as such, are continually changing. New regulations may be promulgated at any time and with limited notice. While
we believe that we are in compliance with all existing pertinent international and domestic laws and regulations, there can be no assurance that changes in governmental administrations and regulations will not adversely affect our operations.
Failure to comply with applicable requirements could result in fines, injunctions, civil penalties, recall or seizure of products, suspension of production, inability to market current products, criminal prosecution, and/or refusal of the government
to authorize the marketing of new products.

In the United States, our allograft products are regulated by the FDA under Title
21 of the Code of Federal Regulations, Parts 1270 and 1271, Current Good Tissue Practice for Human Cell, Tissue, and Cellular and Tissue-Based Products. Xenograft tissues and allograft bone paste are regulated as medical devices and
subject to FDA 21 CFR, Part 820 (Current Good Manufacturing Practices for Medical Devices) and related statutes from the FDA. In addition, our U.S. operation is subject to certain state and local regulations, as well as compliance to the standards
of the tissue bank industrys accrediting organization, the AATB.

In Germany, allografts are classified as drugs and the
German government regulates such products in accordance with German Drug Law. On April 7, 2004, the European Commission issued a human tissue directive to regulate allografts within the European Union (EU). Our Neunkirchen facility
is presently licensed by the German Health Authorities and in compliance with applicable international laws and regulations, allowing us to market our human and animal implant products globally.

The FDA and international regulatory bodies conduct periodic compliance inspections of both our U.S. and our German processing
facilities. Both operations are registered with the U.S. FDA Center for Biologics Evaluation and Research (CBER) and are certified to ISO 13485:2003. The Alachua facility is also accredited by the AATB and is licensed in the states of
Florida, New York, California, Maryland, Delaware and Illinois. The Neunkirchen facility is registered with the German Health Authority (BfArM) as a pharmaceutical and medical device manufacturer and is subject to German drug law. We
believe that worldwide regulation of allografts and xenografts is likely to intensify as the international regulatory community focuses on the growing demand for these implant products and the attendant safety and efficacy issues of citizen
recipients.

We currently market and distribute allografts that are subject to the FDAs Human Tissue Intended for
Transplantation and Subparts A and B of Human Cells, Tissues, and Cellular and Tissue-Based Products regulations. Under these regulations, we are required to perform donor screening and infectious disease testing and to document
this screening and testing for each donor from whom we process tissue. The FDA has authority



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under the rules to inspect human tissue processing facilities, and to detain, recall, or destroy tissues for which appropriate documentation is not available. We are not required to obtain
pre-market approval or clearance from the FDA for allografts that meet the regulations definition of human tissue.

The FDA may regulate certain allografts as medical devices, drugs, or biologics, which would require that we obtain approval or product licensure from the FDA. This would occur in those cases where the
allograft is deemed to have been more than minimally manipulated or indicated for non-homologous use. In general, homologous use occurs when tissue is used for the same basic function that it fulfilled in the donor. The
definitional criteria for making these determinations appear in the FDAs rules. If the FDA decides that certain of our current or future allografts are more than minimally manipulated or indicated for non-homologous use, it would require
licensure, approval or clearances of those allografts. Allografts requiring such approval are subject to pervasive and continuing regulation by the FDA. We would be required to list these allografts as a drug, as a medical device, or as a biologic,
and to manufacture them in specifically registered or licensed facilities in accordance with FDA regulation Current Good Manufacturing Practices. We would also be subject to post-marketing surveillance and reporting requirements. In
addition, our manufacturing facilities and processes would be subject to periodic inspection to assess compliance with Current Good Manufacturing Practices. Our labeling and promotional activities would be subject to scrutiny by the FDA and, in
certain instances, by the Federal Trade Commission. The export of drugs, devices and biologics is also subject to more intensive regulation than is the case for human tissue products.

Certain of our allograft pastes are subject to regulation as medical devices under the 510(k) pre-market notification process because
they incorporate a non-human gelatin constituent as a carrier. We have received FDA clearance for our flowable and moldable allograft paste implants for orthopedic and spinal applications and for our allograft bone paste for dental applications.

Our xenograft implants are regulated by the FDA as medical devices and are subject to pre-market approval or clearance by the
FDA.

Our xenograft implants are CE-marked and are therefore subject to a design examination review by a Notified Body. In
2006, the RTI US facility received initial CE mark approval for ten different product models, followed by additional product approvals in subsequent years. In addition, the US facility received A Certificate of Suitability from the
European Directorate for the Quality of Medicines & HealthCare (EDQM) for bovine bone in 2008. This certifies that the bovine bone material complies with the European Pharmacopoeia monograph for products at risk for transmission of animal
spongiform disease.

The FDA requires tissue processors to register with the agency and list their tissue products. We are
currently an FDA registered tissue processor.

Our tissue processing generates by-products classified as medical hazardous
waste by the U.S. Environmental Protection Agency and the Florida Department of Environmental Protection. All such by-products must be segregated and properly disposed of in compliance with applicable environmental regulations. We believe that we
are in compliance with the applicable regulations.

Environmental

Our allografts and xenografts, as well as the chemicals used in processing, are handled and disposed of in accordance with
country-specific, federal, state and local regulations. We contract with independent, third parties to perform all gamma-terminal sterilization of our allografts. In view of the engagement of a third party to perform irradiation services, the
requirements for compliance with radiation hazardous waste does not apply, and therefore we do not anticipate that having any material adverse effect upon our capital expenditures, results of operations or financial condition. However, we are
responsible for assuring that the service is being performed in accordance with applicable regulations.



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Employees

As of December 31, 2010, we had a total of 711 employees of whom 154 were employed in Germany and of whom 5 were employed in France.
Management believes its relations with its employees are good.

Executive Officers of the Registrant

Our executive officers and their respective ages and positions as of the date of this report and their previous business
experience are as follows:



|                    |  |     |  |                                                                                     
|------------------- |  | --- |  | ------------------------------------------------------------------------------------
|NAME                |  | AGE |  | POSITION WITH THE COMPANY                                                           
|Brian K. Hutchison  |  | 51  |  | Chairman and Chief Executive Officer                                                
|Robert P. Jordheim  |  | 47  |  | Executive Vice President and Chief Financial Officer                                
|Thomas F. Rose      |  | 60  |  | Executive Vice President, Chief Operations Officer and Secretary                    
|Roger W. Rose       |  | 51  |  | President, RTI Donor Services, Executive Vice President and Chief Commercial Officer
|Caroline A. Hartill |  | 54  |  | Executive Vice President and Chief Scientific Officer                               

Brian K. Hutchison was named chairman and chief executive officer for RTI Biologics in February 2008. He joined RTI in December 2001 as president and CEO and was elected chairman of the board of directors
in December 2002. In his role at RTI, Hutchison oversees all aspects of the company and its affiliates. He serves on the board of directors for the United Way of North Central Florida. Hutchison spent the previous 12 years with Stryker Corporation,
based in Kalamazoo, MI. He served most recently as vice president, worldwide product development and distribution. A native of Muskegon, MI, Hutchison earned a bachelors degree in business administration from Grand Valley State University in
1981. He also completed the Program for Management Development from Harvard Business School in 1995.

Robert P. Jordheim
joined RTI in June, 2010 as executive vice president and CFO, and oversees all aspects of finance for the company. Jordheim has 24 years of progressive corporate finance experience, including 17 years with Medtronic, Inc. Most recently, he served as
vice president, finance and business development for Medtronics Spinal and Biologics business unit. Previously, he served as vice president, finance for Medtronics Surgical Technologies business unit. His tenure with Medtronic also
included responsibilities in corporate development and international experience gained through a five-year assignment in Europe. Previous to his tenure at Medtronic, Jordheim served as manager of external reporting at The Fairchild Corporation and
an auditor for Deloitte & Touche LLP. Jordheim earned a bachelors degree in business administration from Southern Methodist University and a masters degree in business administration from the University of Pittsburgh with a
concentration in finance.

Thomas F. Rose was named executive vice president and chief operations officer in June, 2010. He
was named chief financial officer for RTI Biologics in February 2008. He also serves as corporate secretary to the board of directors. Rose joined RTI as vice president and CFO in May 2002. Rose served the previous 10 years as vice president and
chief financial officer at A.M. Todd Group, based in Kalamazoo, MI. Rose earned a bachelors degree in business administration from Western Michigan University in Kalamazoo. He has also completed numerous executive education courses at
University of Michigan and Northwestern University focusing on strategy and organizational issues.

Roger W. Rose was named
executive vice president and chief commercial officer in June, 2010. In February 2008, he was named president of RTI Donor Services, and, in August 2004, he was named executive vice president of RTI. Rose oversees all aspects of the
organizations not-for-profit affiliate, RTI Donor Services, marketing, and the distribution of donated tissue back into the community. He is committed to ensuring a meaningful connection between the donation and transplantation communities.
Rose joined RTI as vice president of donor services in October 2002 and assumed additional responsibility for distribution and marketing in



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October 2003. Prior to this, Rose spent seven years at Stryker Corporation based in Kalamazoo, Mich., where he held leadership positions in sales and marketing in both the medical and orthopedic
divisions. Rose earned a bachelors degree in business administration from Western Michigan University in Kalamazoo and completed numerous executive education courses at UCLA, University of Michigan and Harvard Business School, focusing on
finance, leadership, medical marketing, negotiation and strategy.

Caroline A. Hartill was named executive vice president and
chief scientific officer on June 21, 2010. She was named chief scientific officer in March 2007. She joined RTI in November 2001 and was named vice president of quality assurance and regulatory affairs in January 2003. In her role at RTI,
Hartill oversees all scientific research, quality assurance, regulatory affairs and clinical studies. She has served as a board member for BioFlorida and is a member of the Advanced Medical Technology Association (AdvaMed). She also serves on the
Accreditation Committee and the Strategic Planning Task Force of the American Association of Tissue Banks (AATB). For the previous 18 years, she worked in the areas of technology development and market approvals as a consultant working with many
major and start-up biotechnology and medical device companies worldwide. Hartill earned a bachelors degree with honors in health sciences from Birmingham University Medical School in England, as well as a masters degree in management
from the University of Wolverhampton in England. Hartill has also earned masters level credits in sterilization science from Manchester University.

Available Information

Our Internet address is
www.rtix.com. Information included on our website is not incorporated by reference in our Form 10-K. We make available, free of charge, on or through the investor relations portion of our website, our annual reports on Form 10-K, quarterly reports
on Form 10-Q and current reports on Form 8-K and amendments to such reports filed or furnished pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended (the Exchange Act), as soon as reasonably
practicable after we file such material with, or furnish it to the Securities and Exchange Commission (SEC). These filings are also available on the SECs website at www.sec.gov. Also available on our website is our Code of Conduct,
our Code of Ethics for Senior Financial Professionals, and the charters for our Audit Committee, Compensation Committee and Nominating and Governance Committee. Within the time period required by the SEC and Nasdaq, we will post any amendment to our
Code of Ethics for our Senior Financial Professionals and any waiver of our Code of Conduct applicable to our senior financial professionals, executive officers and directors.

Item 1A.    RISK FACTORS

An investment in our common stock involves a high degree of risk. You should consider each of the risks and uncertainties described
in this section and all of the other information in this document before deciding to invest in our common stock. Any of the risk factors we describe below could severely harm our business, financial condition and results of operations. The market
price of our common stock could decline if any of these risks or uncertainties develop into actual events. You may lose all or part of the money you pay to buy our common stock.

We depend heavily upon sources of human tissue, and any failure to obtain tissue from these sources in a timely manner will
interfere with our ability to process and distribute allografts.

The supply of human tissue has at times limited our
growth, and may not be sufficient to meet our future needs. In addition, due to seasonal changes in mortality rates, some scarce tissues that we currently use for allografts are at times in particularly short supply. Other factors, some of which are
unpredictable, such as negative publicity and regulatory actions in the industry in which we operate also could unexpectedly reduce the available supply of tissue.

We rely on donor recovery groups for their human tissue supplies and we have relationships with over thirty tissue donor recovery agencies across the country. We also have relationships outside the United
States. Donor



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recovery groups are part of relatively complex relationships. They provide support to donor families, are regulated by the FDA, and are often affiliated with hospitals, universities or organ
procurement organizations. Our relationships with donor recovery groups, which are critical to our supply of tissue, could be affected by relationships recovery groups have with other organizations. Any negative impact of the regulatory and disease
transmission issues facing the industry, as well as the negative publicity that these issues create, could adversely affect our ability to negotiate contracts with recovery groups.

We cannot be sure that the supply of human tissue will continue to be available at current levels or will be sufficient to meet our
needs. If we are not able to obtain tissue from current sources sufficient to meet our needs, we may not be able to locate additional replacement sources of tissue on commercially reasonable terms, if at all. Any interruption of our business caused
by the need to locate additional sources of tissue would significantly impact our revenues. We expect that our revenues would decline in proportion to any decline in tissue supply.

If we fail to maintain existing strategic relationships or are unable to identify distributors of our implants, revenues may
decrease.

We currently derive the majority of our revenues through our relationships with Medtronic, Zimmer, Davol
and Exactech. In addition, Medtronic and Zimmer provide nearly all of the instrumentation, surgeon training, distribution assistance and marketing materials for the lines of spinal allografts they distribute.

Variations in the timing and volume of orders by Medtronic and Zimmer may have a material effect upon our revenues. If our relationships
with Medtronic or Zimmer are terminated or reduced for any reason and we are unable to replace these relationships with other means of distribution, we would suffer a material decrease in revenues.

We may need to obtain the assistance of additional distributors to market and distribute our new allografts and technologies, as well as
to market and distribute our existing allografts and technologies to new markets or geographical areas. We may not be able to find additional distributors who will agree to and successfully market and distribute our allografts and technologies on
commercially reasonable terms, if at all. If we are unable to establish additional distribution relationships on favorable terms, our revenues may decline.

If adverse macro-economic conditions persist, our business and revenues could be adversely affected.

We have been adversely affected by the current macro-economic conditions. If this slowdown continues or worsens, it could have a material adverse effect upon our business and revenues.

If third-party payors fail to provide appropriate levels of reimbursement for the use of our implants, revenues could be adversely
affected.

Political, economic and regulatory influences are subjecting the healthcare industry in the United States
to fundamental change. In March 2010, President Obama signed the Affordable Care Act into law. The new law will result in sweeping changes across the health care industry. The primary goal of this comprehensive legislation is to extend health
coverage to approximately 32 million uninsured legal U.S. residents through a combination of public program expansion and private sector health insurance reforms. To fund the expansion of insurance coverage, the legislation contains measures
designed to promote quality and cost efficiency in health care delivery and to generate budgetary savings in the Medicare and Medicaid programs. We are unable to predict the full impact of the Affordable Care Act at this time due to the laws
complexity and current lack of implementing regulations or interpretive guidance. However, we expect that several provisions of the Affordable Care Act will have a material effect on our business.

Our revenues will largely depend on the reimbursement of patients medical expenses by government health care programs and private
health insurers. Governments and private insurers closely examine medical procedures



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incorporating new technologies to determine whether the procedures will be covered by payment, and if so, the level of payment which may apply. We cannot be sure that third-party payors will
continue to reimburse for our implants at the current levels.

If we fail to maintain the high processing standards that
implants require or if we are unable to develop processing capacity as required, our commercial opportunity will be reduced or eliminated.

Implants require careful calibration and precise, high-quality processing. Achieving precision and quality control will require skill and diligence by our personnel. If we fail to achieve and maintain
these high processing standards, including avoiding processing errors, design defects or component failures; we would be forced to recall, withdraw or suspend distribution of our implants; our implants and technologies could fail quality assurance
and performance tests; production and deliveries of our implants could be delayed or cancelled; and our processing costs could increase.

Further, to be successful, we will need to manage our human tissue processing capacity related to tissue recovery and demand for our allografts. It may be difficult for us to match our processing capacity
to demand due to problems related to yields, quality control and assurance, tissue availability, adequacy of control policies and procedures, and lack of skilled personnel. If we are unable to process and produce our implants on a timely basis, at
acceptable quality and costs, and in sufficient quantities, or if we experience unanticipated technological problems or delays in processing, it will reduce revenues and increase our cost per allograft processed.

Our allograft and xenograft implants and technologies could become subject to significantly greater regulation which could disrupt
our business.

The FDA and several states have statutory authority to regulate allograft
processing, including our BioCleanse® and TUTOPLAST® processes, and allograft-based materials. The FDA could identify deficiencies in future inspections of our facilities or our suppliers or promulgate future regulatory
rulings that could disrupt our business, reducing profitability.

If any of our allografts fall under the FDAs
definitions of more than minimally manipulated or indicated for non-homologous use, we would be required to obtain medical device approval or clearance or biologics licenses, which could require clinical testing and could result in
disapproval of our license applications and restricted distribution of any of our allografts which may become subject to pre-market approval. The FDA could require post-market testing and surveillance to monitor the effects of such allografts, could
restrict the commercial applications of these allografts, and could conduct periodic inspections of our facilities and our suppliers. Delays encountered during the FDA approval process could shorten the patent protection period during which we have
the exclusive right to commercialize such technologies or could allow others to come to market before us with similar technologies.

FDA regulations of human cellular and tissue-based products, titled Good Tissue Practices, cover all stages of allograft processing, from procurement of tissue to distribution of final
allografts. These regulations increased regulatory scrutiny within the industry in which we operate and have lead to increased enforcement action which affects the conduct of our business. In addition, these regulations have a significant effect
upon recovery agencies which supply us with tissue and increase the cost of recovery activities. Any such increase would translate into increased costs, as we would expect to reimburse the recovery agencies based on their cost of recovery.

Other regulatory entities include state agencies with statutes covering tissue banking. Regulations issued by Florida, New
York, California and Maryland will be particularly relevant to our business. Most states do not currently have tissue banking regulations. However, recent incidents of allograft related infections in the industry may stimulate the development of
regulation in other states. It is possible that others may make allegations against us or against donor recovery groups or tissue banks, including those with which we have relationships,



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about non-compliance with applicable FDA regulations or other relevant statutes and regulations. Allegations like these could cause regulators or other authorities to take investigative or other
action, or could cause negative publicity for our business and the industry in which we operate.

Some of our implants contain
tissue derived from animals, commonly referred to as xenografts. Xenograft implants are medical devices that are subject to pre-market approval or clearance by the FDA. We have received FDA clearance on several xenograft implants. However, we may
not receive FDA approval or clearance to market new implants as we attempt to expand the quantity of xenograft implants available for distribution.

The allograft industry is subject to additional local, state, federal and international government regulations and any increased regulations of our activities could significantly increase the cost
of doing business, thereby reducing profitability.

Some aspects of our business are subject to additional local,
state, federal or international regulation. Changes in the laws or new interpretations of existing laws could negatively affect our business, revenues or prospects, and increase the costs associated with conducting our business. In particular, the
procurement and transplantation of allograft tissue is subject to federal regulation under the National Organ Transplant Act, or NOTA, a criminal statute that prohibits the purchase and sale of human organs, including bone and other tissue. NOTA
permits the payment of reasonable fees associated with the transportation, processing, preservation, quality control and storage of human tissue. If NOTA were amended or interpreted in a way that made us unable to include some of these costs in the
amounts we charge our customers, it could reduce our revenues and therefore hurt our business. It is possible that more restrictive interpretations or expansions of NOTA could be adopted which could require us to change one or more aspects of our
business, at a substantial cost, in order to continue to comply with this statute.

A variety of additional local, state,
federal and international government laws and regulations govern our business, including those relating to the storage, handling, generation, manufacture and disposal of medical wastes from the processing of tissue. If we fail to conduct our
business in compliance with these laws and regulations, we could be subject to significant liabilities for which our insurance may not be adequate. Moreover, such insurance may not always be available in the future on commercially reasonable terms,
if at all. If our insurance proves to be inadequate to pay a damage award, we may not have sufficient funds to do so, which would harm our financial condition and liquidity.

Our success depends on the continued acceptance of our allograft and xenograft implants and technologies by the medical community.

New allograft and xenograft implants, technologies or enhancements to our existing implants may never achieve broad market acceptance,
which can be affected by numerous factors, including lack of clinical acceptance of implants and technologies; introduction of competitive tissue repair treatment options which render implants and technologies too expensive or obsolete; lack of
availability of third-party reimbursement; and difficulty training surgeons in the use of tissue implants and technologies.

Market acceptance will also depend on our ability to demonstrate that our existing and new implants and technologies are an attractive
alternative to existing tissue repair treatment options. Our ability to do so will depend on surgeons evaluations of the clinical safety, efficacy, ease of use, reliability and cost-effectiveness of these tissue repair options and
technologies. For example, we believe that some in the medical community have lingering concerns over the risk of disease transmission through the use of allografts.

Furthermore, we believe that even if the medical community generally accepts our implants and technologies, recommendations and endorsements by influential surgeons will be important to their broad
commercial success. If our implants and technologies are not broadly accepted in the marketplace, we may not achieve a competitive position in the market.



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Rapid technological changes could result in reduced demand for our products.

Technologies change rapidly in the industry in which we operate. For example, steady improvements have been made in
synthetic human tissue substitutes which compete with our tissue implants. Unlike allografts, synthetic tissue technologies are not dependent on the availability of tissue. If one of our competitors successfully introduces synthetic technologies
using recombinant technologies, which stimulate the growth of tissue surrounding an implant, it could result in a decline in demand for tissue implants. We may not be able to respond effectively to technological changes and emerging industry
standards, or to successfully identify, develop or support new technologies or enhancements to existing implants in a timely and cost-effective manner, if at all. If we are unable to achieve the improvements in our implants necessary for their
successful commercialization, the demand for our implants will suffer.

We face intense competition, which could result
in reduced acceptance and demand for our implants and technologies.

The medical technology/biotechnology industry is
intensely competitive. We compete with companies in the United States and internationally that engage in the development and production of medical technologies and processes including biotechnology, orthopedic, pharmaceutical, biomaterial and other
companies; academic and scientific institutions; and public and private research organizations.

Many of our competitors have
much greater financial, technical, research, marketing, distribution, service and other resources than ours. Moreover, our competitors may offer a broader array of tissue repair treatment products and technologies or may have greater name
recognition in the marketplace. For example, we compete with a number of divisions of Johnson & Johnson, a company with significantly greater resources and brand recognition than ours. Our competitors, including several development stage
companies, may develop or market technologies that are more effective or commercially attractive than our technologies, or that may render our technologies obsolete. For example, the development of a synthetic tissue product that permits remodeling
of bones could reduce the demand for allograft and xenograft-based products and technologies.

If we do not manage the
medical release of donor tissue into processing in an effective and efficient manner, it could adversely affect profitability.

Many factors affect the level and timing of donor medical releases, including the effectiveness of donor screening currently performed by our donor recovery groups, the timely receipt, recording and
review of required medical documentation, and employee loss and turnover in our medical records department. We can provide no assurance that releases will occur at levels which maximize our processing efficiency and minimize our cost per allograft
processed.

Negative publicity concerning methods of human tissue recovery and screening of donor tissue in the industry
in which we operate may reduce demand for our allografts and impact the supply of available donor tissue.

Media
reports or other negative publicity concerning both improper methods of tissue recovery from donors and disease transmission from donated tissue may limit widespread acceptance of our allografts. Unfavorable reports of improper or illegal tissue
recovery practices, both in the United States and internationally, as well as incidents of improperly processed tissue leading to transmission of disease, may broadly affect the rate of future tissue donation and market acceptance of allograft
technologies.

Potential patients may not be able to distinguish our allografts, technologies and the tissue recovery and the
processing procedures from those of our competitors or others engaged in tissue recovery. In addition, families of potential donors may become reluctant to agree to donate tissue to for-profit tissue processors.



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If our patents and the other means we use to protect our intellectual property prove
to be inadequate, our competitors could exploit our intellectual property to compete more effectively against us.

The
law of patents and trade secrets is constantly evolving and often involves complex legal and factual questions. The U.S. government may deny or significantly reduce the coverage we seek for our patent applications before or after a patent is issued.
We cannot be sure that any particular patent for which we apply will be issued, that the scope of the patent protection will be comprehensive enough to provide adequate protection from competing technologies, that interference proceedings regarding
any of our patent applications will not be filed, or that we will achieve any other competitive advantage from a patent. In addition, it is possible that one or more of our patents will be held invalid if challenged or that others will claim rights
in or ownership of our patents and other proprietary rights. If any of these events occur, our competitors may be able to use our intellectual property to compete more effectively against us.

Because patent applications are secret until patents are actually issued (or until 18 months after a patent application has been filed)
and the publication of discoveries in the scientific or patent literature lags behind actual discoveries, we cannot be certain that our patent application was the first application filed covering a particular invention. If another partys
rights to an invention are superior to ours, we may not be able to obtain a license to use that partys invention on commercially reasonable terms, if at all. In addition, our competitors, many of which have greater resources than ours, could
obtain patents that will prevent, limit or interfere with our ability to make use of our inventions either in the United States or in international markets. Further, the laws of some foreign countries do not always protect our intellectual property
rights to the same extent as the laws of the United States. Litigation or regulatory proceedings in the United States or foreign countries also may be necessary to enforce our patent or other intellectual property rights or to determine the scope
and validity of the proprietary rights of our competitors. These proceedings can be costly, result in development delays, and divert the attention of our management.

We rely upon unpatented proprietary techniques and processes in tissue recovery, research and development, tissue processing and quality assurance. It is possible that others will independently develop
technology similar to our technology or otherwise gain access to or disclose our proprietary technologies. We may not be able to meaningfully protect our rights in these proprietary technologies, which would reduce our ability to compete.

Our success depends in part on our ability to operate without infringing on or misappropriating the proprietary rights
of others, and if we are unable to do so we may be liable for damages.

We cannot be certain that U.S. or foreign
patents or patent applications of other companies do not exist or will not be issued that would prevent us from commercializing our allografts and technologies. Third parties may sue us for infringing or misappropriating their patent or other
intellectual property rights. Intellectual property litigation is costly. If we do not prevail in litigation, in addition to any damages we might have to pay, we could be required to stop the infringing activity or obtain a license requiring us to
make royalty payments. It is possible that a required license will not be available to us on commercially acceptable terms, if at all. In addition, a required license may be non-exclusive, and therefore our competitors may have access to the same
technology licensed to us. If we fail to obtain a required license or are unable to design around another companys patent, we may be unable to make use of some of the affected technologies or distribute the affected allografts, which would
reduce our revenues.

The defense costs and settlements for patent infringement lawsuits are not covered by insurance. Patent
infringement lawsuits can take years to settle. If we are not successful in our defenses or are not successful in obtaining dismissals of any such lawsuit, legal fees or settlement costs could have a material adverse effect on our results of
operations and financial position.



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We or our competitors may be exposed to product or professional liability claims which
could cause us to be liable for damages or cause investors to think we will be liable for similar claims in the future.

The development of allografts and technologies for human tissue repair and treatment entails an inherent risk of product or professional
liability claims, and substantial product or professional liability claims may be asserted against us. We are party to a number of legal proceedings relating to product or professional liability.

The implantation of donated human tissue implants creates the potential for transmission of communicable diseases. Although we comply
with Federal and state regulations and guidelines intended to prevent communicable disease transmission, and our tissue suppliers are also required to comply with such regulations, there can be no assurances that: (i) our tissue suppliers will
comply with such regulations intended to prevent communicable disease transmissions; (ii) even if such compliance is achieved, that our implants have not been or will not be associated with transmission of disease; or (iii) a patient
otherwise infected with disease would not erroneously assert a claim that the use of our implants resulted in disease transmission.

We currently have $20 million of product and professional liability insurance to cover claims. This amount of insurance may not be adequate for potential claims if we are not successful in our defenses.
Moreover, insurance covering our business may not always be available in the future on commercially reasonable terms, if at all. If our insurance proves to be inadequate to pay a damage award, we may not have sufficient funds to do so, which would
harm our financial condition and liquidity. In addition, successful product liability claims made against one of our competitors could cause claims to be made against us or expose us to a perception that we are vulnerable to similar claims. Claims
against us, regardless of their merit or potential outcome, may also hurt our ability to obtain surgeon endorsement of our allografts or to expand our business.

If we are not successful in expanding our distribution activities into international markets, we will not be able to pursue one of our strategies for increasing revenues.

Our international distribution strategies vary by market, as well as within each country in which we operate. For example, we distribute
only a portion of our line of allograft and xenograft products within each country. Our international operations will be subject to a number of risks which may vary from the risks we face in the United States, including the need to obtain regulatory
approvals in additional foreign countries before we can offer our implants and technologies for use; longer distribution-to-collection cycles, as well as difficulty in collecting accounts receivable; dependence on local distributors; limited
protection of intellectual property rights; fluctuations in the values of foreign currencies; and political and economic instability.

The outcome of litigation or arbitration in which we are involved is unpredictable and an adverse decision in any such matter could adversely impact our business, financial condition or results of
operations.

We are from time to time subject to legal proceedings and claims that arise in the ordinary course of
business. For example, we are currently involved in an arbitration brought by Medtronic Sofamor Danek, USA, Inc. (MSD), a subsidiary of Medtronic, related to events stemming from the actions of Biomedical Tissue Services, Ltd.
(BTS), an unaffiliated company recovery agency, and the subsequent voluntary recall of allografts processed by us from tissue originating from BTS. MSD seeks indemnification from us for its legal fees, costs and expenses allegedly
incurred during the defense of cases brought by recipients of these allografts. Any material litigation or arbitration, even if without merit, inevitably results in the diversion of the attention of our management and other relevant personnel. To
the extent uninsured, such claims further require the expenditure of our resources for defense costs for us and for parties to whom we may have indemnification obligations. We also may be required to pay material amounts in settlement costs or
damages. No assurances can be given that the results of the current arbitration or any new legal matters will be favorable to us. An adverse resolution of lawsuits or arbitrations could adversely impact our business, financial condition or results
of operations.



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Item 1B.    UNRESOLVED STAFF COMMENTS.

None.

Item 2.    PROPERTIES.

UNITED STATES. Our headquarters and U.S.
manufacturing facilities are located in Alachua, Florida, near metropolitan Gainesville, include three buildings on approximately 21 acres of property that we own, including a 65,000 square foot processing facility, a 50,000 square foot office
building and a 20,000 square foot commons building. These facilities include clean-rooms for tissue processing and packaging, BioCleanse® sterilization chambers, freezers for storage of tissue and laboratory facilities. Our processing facility meets the FDAs Current Good Manufacturing Practices
requirements and allows us to meet the requirements of an FDA approved medical device manufacturer. We believe that we have sufficient space to meet our current and foreseeable future needs.

We currently have separate BioCleanse® and TUTOPLAST® processing
units and laboratory operations in approximately 27,000 square feet of leased space related to processing and research in Alachua, Florida. We also currently lease approximately 6,000 square feet of separate R&D laboratory building space, and
approximately 12,000 square feet of leased distribution and marketing office space in Alachua, Florida.

We also lease space
at two of our recovery group locations throughout the United States.

GERMANY. Our facility in Neunkirchen consists of six
buildings totaling approximately 45,000 square feet on approximately two acres of land. We own this property and believe it will be sufficient in size and condition to handle anticipated production levels for international markets into the
foreseeable future.

FRANCE. Our facility in Metz consists of a small leased distribution office.

Item 3.    LEGAL PROCEEDINGS.

We are, from time to time, involved in lawsuits and arbitration proceedings relating to claims arising out of our operations in the
ordinary course of business. We believe that none of these claims that were outstanding as of December 31, 2010 will have a material adverse impact on our financial position or results of operations.

The development of allografts and technologies for human tissue repair and treatment entails an inherent risk of product or professional
liability claims, and substantial product or professional liability claims may be asserted against us. We are party to a number of legal proceedings relating to product or professional liability.

The implantation of donated human tissue implants creates the potential for transmission of communicable disease. Although we comply with
Federal and state regulations and guidelines intended to prevent communicable disease transmission, and our tissue suppliers are also required to comply with such regulations, there can be no assurances that: (i) our tissue suppliers will
comply with such regulations intended to prevent communicable disease transmissions; (ii) even if such compliance is achieved, that our implants have not been or will not be associated with transmission of disease; or (iii) a patient
otherwise infected with disease would not erroneously assert a claim that the use of our implants resulted in disease transmission.

We currently have $20 million of product and professional liability insurance to cover claims. This amount of insurance may not be adequate for potential claims if we are not successful in our defenses.
Moreover, insurance covering our business may not always be available in the future on commercially reasonable terms, if at all. If our insurance proves to be inadequate to pay a damage award, we may not have sufficient funds to do so, which would
harm our financial condition and liquidity. In addition, successful product liability claims made against one of our competitors could cause claims to be made against us or expose us to a perception that we are vulnerable to similar claims. Claims
against us, regardless of their merit or potential outcome, may also hurt our ability to obtain surgeon endorsement of our allografts or to expand our business.



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Arbitration Proceeding with Medtronic

We and Medtronic Sofamor Danek, USA, Inc. (MSD), a subsidiary of Medtronic, Inc., (Medtronic), have filed claims
against each other with the American Arbitration Association related to events stemming from the actions of Biomedical Tissue Services, Ltd. (BTS), an unaffiliated company recovery agency, and the subsequent voluntary recall of
allografts processed by us from tissue originating from BTS (the Allografts). MSD seeks indemnification from us for its legal fees, costs and expenses allegedly incurred during the defense of cases brought by recipients of Allografts. We
deny that we are obligated to indemnify MSD in respect of the Allografts. In the same proceeding, we are seeking damages from MSD due to actions taken by MSD during the recall process. Among other allegations, we allege that MSDs actions were
negligent and in breach of the contractual agreements between us and MSD. The proceeding is currently in its initial stages and the probability of a favorable or unfavorable outcome to us is unknown at this time. However, while we believe our
defenses and counterclaims are meritorious, the ultimate resolution of the matters, which is expected to occur within nine months, could adversely impact our business, financial condition or results of operations.



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PART II

Item 5.    MARKET FOR REGISTRANTS COMMON EQUITY, RELATED
STOCKHOLDER MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES

Market Information and Holders

Our common stock is quoted on the Nasdaq Stock Market under the symbol RTIX. The following table sets forth the range of high
and low sales prices for our common stock for each quarterly period in the last two fiscal years.



|               |  |      |      |  |     |   |      | 
|-------------- |  | ---- | ---- |  | --- | - | ---- | 
|2009           |  | High |      |  | Low |  
|First Quarter  |  | $    | 3.38 |  |     | $ | 2.08 | 
|Second Quarter |  | $    | 5.02 |  |     | $ | 2.40 | 
|Third Quarter  |  | $    | 5.11 |  |     | $ | 3.41 | 
|Fourth Quarter |  | $    | 4.34 |  |     | $ | 3.19 | 
|               |  |     
|2010           |  | High |      |  | Low |  
|First Quarter  |  | $    | 4.44 |  |     | $ | 3.04 | 
|Second Quarter |  | $    | 4.54 |  |     | $ | 2.92 | 
|Third Quarter  |  | $    | 3.02 |  |     | $ | 2.09 | 
|Fourth Quarter |  | $    | 2.86 |  |     | $ | 2.28 | 

As of
February 16, 2011, we had 396 stockholders of record of our common stock. The closing sale price of our common stock on February 16, 2011 was $2.63 per share.



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Stock Performance Graph

The Securities and Exchange Commission requires us to present a chart comparing the cumulative total stockholder return on our common stock with the cumulative total stockholder return of: (1) a
broad equity market index, and (2) a published industry or line-of-business index. We selected the Standards & Poors Biotechnology Index based on our good faith determination that this index fairly represents the companies which
compete in the same industry or line-of-business as we do. The chart below compares our common stock with the Nasdaq Composite Index and the Standards & Poors Biotechnology Index and assumes an investment of $100.00 on December 31,
2005 in each of the common stock, the stocks comprising the Nasdaq Composite Index and the stocks comprising the Standards & Poors Biotechnology Index.

LOGO



|                      |  |       |        |  |       |   |        |       |  |   |        |  |  |       |        |  |       |   |        |  |  |   |        | 
|--------------------- |  | ----- | ------ |  | ----- | - | ------ | ----- |  | - | ------ |  |  | ----- | ------ |  | ----- | - | ------ |  |  | - | ------ | 
|Total Return Analysis |  | 12/05 |        |  | 12/06 |   |        | 12/07 |  |   | 12/08  |  |  | 12/09 |        |  | 12/10 |  
|RTI Biologics, Inc.   |  | $     | 100.00 |  |       | $ | 82.24  |       |  | $ | 121.40 |  |  | $     | 38.60  |  |       | $ | 53.71  |  |  | $ | 37.34  | 
|NASDAQ Composite      |  |       | 100.00 |  |       |   | 110.25 |       |  |   | 121.88 |  |  |       | 73.10  |  |       |   | 106.22 |  |  |   | 125.36 | 
|S&P Biotechnology     |  |       | 100.00 |  |       |   | 97.26  |       |  |   | 93.93  |  |  |       | 103.62 |  |       |   | 96.09  |  |  |   | 97.96  | 



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Dividend Policy

We have never paid cash dividends. We do not expect to declare or pay any dividends on our common stock in the foreseeable future, but instead intend to retain all earnings, if any, to invest in our
operations. The payment of future dividends, if any, will depend upon our future earnings, if any, our capital requirements, financial condition, debt covenant terms, and other relevant factors.

Item 6.    SELECTED FINANCIAL DATA.

The statement of operations data set forth below for the years ended December 31, 2010, 2009, and 2008, and selected balance sheet
data as of December 31, 2010, and 2009 have been derived from our audited consolidated financial statements and accompanying notes. The consolidated financial statements as of December 31, 2010, and 2009 and for the three years ended
December 31, 2010 are included elsewhere in this Form 10-K. The selected consolidated financial data set forth below should be read along with Item 7. Managements Discussion and Analysis of Financial Condition and Results of
Operations, and our consolidated financial statements and accompanying notes included elsewhere in this document.



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The statement of operations data set forth below for the years ended December 31, 2007,
and 2006, and the balance sheet data set forth as of December 31, 2008, 2007 and 2006 have been derived from our audited consolidated financial statements and accompanying notes which are not included elsewhere in this Form 10-K.



|                                                    |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|--------------------------------------------------- |  | ----------------------------------------------- | ---------- | - | ---- | - | ---------- | ---- |  | - | ---------- | - |  | ---- | ---------- | - |  | - | ---------- | -
|                                                    |  | Year Ended December 31,                         |           
|                                                    |  | 2010                                            |            |   | 2009 |   |            | 2008 |  |   | 2007       |   |  | 2006 |           
|                                                    |  | (In thousands, except share and per share data) |           
|Statements of Operations Data:                      |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|Revenues:                                           |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|Fees from tissue distribution                       |  | $                                               | 161,001    |   |      | $ | 160,044    |      |  | $ | 140,886    |   |  | $    | 88,708     |   |  | $ | 70,158     |  
|Other revenues                                      |  |                                                 | 5,170      |   |      |   | 4,483      |      |  |   | 5,749      |   |  |      | 5,499      |   |  |   | 3,812      |  
|                                                    |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|Total revenues                                      |  |                                                 | 166,171    |   |      |   | 164,527    |      |  |   | 146,635    |   |  |      | 94,207     |   |  |   | 73,970     |  
|Costs of processing and distribution                |  |                                                 | 90,168     |   |      |   | 87,034     |      |  |   | 77,821     |   |  |      | 56,557     |   |  |   | 54,647     |  
|                                                    |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|Gross profit                                        |  |                                                 | 76,003     |   |      |   | 77,493     |      |  |   | 68,814     |   |  |      | 37,650     |   |  |   | 19,323     |  
|                                                    |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|Expenses:                                           |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|Marketing, general and administrative               |  |                                                 | 59,232     |   |      |   | 59,325     |      |  |   | 54,168     |   |  |      | 31,040     |   |  |   | 27,252     |  
|Research and development                            |  |                                                 | 9,435      |   |      |   | 8,899      |      |  |   | 8,143      |   |  |      | 5,190      |   |  |   | 5,403      |  
|Gain on business exchange                           |  |                                                 |           |   |      |   |           |      |  |   |           |   |  |      | (197       | ) |  |   |           |  
|Restructuring charges                               |  |                                                 |           |   |      |   | 42         |      |  |   | 451        |   |  |      |           |   |  |   |           |  
|Goodwill impairment                                 |  |                                                 | 134,681    |   |      |   |           |      |  |   | 103,007    |   |  |      |           |   |  |   |           |  
|Asset impairments and abandonments                  |  |                                                 | 30         |   |      |   | 208        |      |  |   | 1,402      |   |  |      | 4,185      |   |  |   | 4,202      |  
|                                                    |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|Total expenses                                      |  |                                                 | 203,378    |   |      |   | 68,474     |      |  |   | 167,171    |   |  |      | 40,218     |   |  |   | 36,857     |  
|                                                    |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|Operating (loss) income                             |  |                                                 | (127,375   | ) |      |   | 9,019      |      |  |   | (98,357    | ) |  |      | (2,568     | ) |  |   | (17,534    | )
|                                                    |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|Other (expense) income:                             |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|Interest expense                                    |  |                                                 | (537       | ) |      |   | (544       | )    |  |   | (788       | ) |  |      | (753       | ) |  |   | (898       | )
|Interest income                                     |  |                                                 | 114        |   |      |   | 273        |      |  |   | 567        |   |  |      | 849        |   |  |   | 934        |  
|Foreign exchange gain (loss)                        |  |                                                 | 4          |   |      |   | (293       | )    |  |   | (9         | ) |  |      |           |   |  |   |           |  
|                                                    |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|Total other (expense) incomenet                    |  |                                                 | (419       | ) |      |   | (564       | )    |  |   | (230       | ) |  |      | 96         |   |  |   | 36         |  
|                                                    |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|Income (loss) before income tax (provision) benefit |  |                                                 | (127,794   | ) |      |   | 8,455      |      |  |   | (98,587    | ) |  |      | (2,472     | ) |  |   | (17,498    | )
|Income tax (provision) benefit                      |  |                                                 | (1,605     | ) |      |   | (2,600     | )    |  |   | (1,391     | ) |  |      | 376        |   |  |   | 6,373      |  
|                                                    |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|Net (loss) income                                   |  | $                                               | (129,399   | ) |      | $ | 5,855      |      |  | $ | (99,978    | ) |  | $    | (2,096     | ) |  | $ | (11,125    | )
|                                                    |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|Net (loss) income per common sharebasic            |  | $                                               | (2.36      | ) |      | $ | 0.11       |      |  | $ | (2.00      | ) |  | $    | (0.07      | ) |  | $ | (0.37      | )
|                                                    |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|Net (loss) income per common sharediluted          |  | $                                               | (2.36      | ) |      | $ | 0.11       |      |  | $ | (2.00      | ) |  | $    | (0.07      | ) |  | $ | (0.37      | )
|                                                    |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|Weighted average shares outstandingbasic           |  |                                                 | 54,729,608 |   |      |   | 54,349,391 |      |  |   | 49,912,154 |   |  |      | 29,824,816 |   |  |   | 29,753,166 |  
|                                                    |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|Weighted average shares outstandingdiluted         |  |                                                 | 54,729,608 |   |      |   | 54,772,489 |      |  |   | 49,912,154 |   |  |      | 29,824,816 |   |  |   | 29,753,166 |  
|                                                    |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|                                                    | 
|                                                    |  | As of December 31,                              |           
|                                                    |  | 2010                                            |            |   | 2009 |   |            | 2008 |  |   | 2007       |   |  | 2006 |           
|Balance Sheet Data:                                 |  |                                                 |            |   |      |   |            |      |  |   |            |   |  |      |            |   |  |   |            |  
|Cash and cash equivalents                           |  | $                                               | 28,212     |   |      | $ | 17,382     |      |  | $ | 20,076     |   |  | $    | 18,560     |   |  | $ | 15,509     |  
|Working capital                                     |  |                                                 | 125,629    |   |      |   | 114,944    |      |  |   | 90,189     |   |  |      | 70,621     |   |  |   | 56,784     |  
|Total assets                                        |  |                                                 | 225,758    |   |      |   | 354,507    |      |  |   | 334,080    |   |  |      | 135,966    |   |  |   | 129,808    |  
|Long-term obligationsless current portion          |  |                                                 | 1,877      |   |      |   | 11,029     |      |  |   | 3,183      |   |  |      | 1,875      |   |  |   | 3,401      |  
|Total stockholders equity                          |  |                                                 | 161,936    |   |      |   | 289,889    |      |  |   | 281,050    |   |  |      | 111,643    |   |  |   | 109,890    |  



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|Item 7. | MANAGEMENTS DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.
|------- | --------------------------------------------------------------------------------------

You should read the following discussion of our financial condition and results of operations together with those financial statements
and the notes to those statements included elsewhere in this filing. This discussion contains forward looking statements based on our current expectations, assumptions, estimates and projections about us and our industry. Our actual results could
differ materially from those anticipated in these forward looking statements. We undertake no obligation to update publicly any forward looking statements for any reason, even if new information becomes available or other events occur in the future.

Management Overview: Recent Developments

Given the macroeconomic climate we are not seeing growth in elective surgeries in most of our markets which is impacting the performance in several of our revenue categories.

Our principal goals for 2011 are to build on our competitive strengths in the marketplace to increase revenues, profitability and cash
flow as we focus on improved operational efficiency, productivity and asset management. In addition, we are making investments in new products and direct distribution to fuel growth in 2011 and beyond.

During 2011 we will maintain our commitment to research and development and introduce new strategically targeted allograft and xenograft
implants and focus clinical efforts to support their market acceptance.

Merger with Tutogen Medical, Inc.

On February 27, 2008, we completed our merger with TMI, a Delaware corporation, in a tax-free stock-for-stock merger transaction.
TMI, with its consolidated subsidiaries, processes, manufactures and distributes specialty surgical products and performs tissue processing services for dental, spine, urology, hernia repair, breast reconstruction, ophthalmology, and ear, nose and
throat applications. The transaction was accounted for using the purchase method of accounting in accordance with Financial Accounting Standards Board (FASB) ASC 805, Business Combinations. The results of TMIs operations
have been included in our consolidated financial statements since the merger date of February 27, 2008.

Critical Accounting Policies

The preparation of our financial statements in accordance with accounting principles generally accepted in the
United States often requires us to make estimates and judgments that affect reported amounts. These estimates and judgments are based on historical experience and assumptions that we believe to be reasonable under the circumstances. Assumptions and
judgments based on historical experience may provide reported results which differ from actual results; however, these assumptions and judgments historically have not varied significantly from actual experience and we therefore do not expect them to
vary significantly in the future.

The accounting policies which we believe are critical, or require the
most use of estimates and judgment, relate to the following items presented in our financial statements: 1) Tissue Inventory Valuation; 2) Accounts Receivable Allowances; 3) Long-Lived Assets; 4) Intangible Assets and Goodwill and; 5) Revenue
Recognition.

Tissue Inventory Valuation.Accounting principles generally accepted in the United
States require that inventory be stated at the lower of cost or market value. Due to various reasons, some tissue within our inventory will never become available for distribution. Therefore, we must make estimates of future distribution from
existing inventory in order to write-off inventory which will not be distributed and which therefore has reduced or no market value.

Our management reviews available information regarding processing costs, inventory distribution rates, industry supply and demand, medical releases and processed tissue rejections, in order to determine
write-offs of



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cost above market value. For a variety of reasons, we may from time to time be required to adjust our assumptions as processes change and as we gain better information. Although we continue to
refine the information on which we base our estimates, we cannot be sure that our estimates are accurate indicators of future events. Accordingly, future adjustments may result from refining these estimates. Such adjustments may be significant.

Accounts Receivable Allowances.We maintain allowances for doubtful accounts based on our
review and assessment of payment history and our estimate of the ability of each customer to make payments on amounts invoiced. If the financial condition of any of our customers were to deteriorate, additional allowances might be required. From
time to time we must adjust our estimates. Changes in estimates of the collection risk related to accounts receivable can result in decreases and increases to current period net income.

Long-Lived Assets.We periodically evaluate the period of depreciation or amortization for long-lived
assets to determine whether current circumstances warrant revised estimates of useful lives. We review our property, plant and equipment for impairment whenever events or changes in circumstances indicate the carrying value of an asset may not be
recoverable. Recoverability is measured by a comparison of the carrying amount to the net undiscounted cash flows expected to be generated by the asset. An impairment loss would be recorded for the excess of net carrying value over the fair value of
the asset impaired. The fair value is estimated based on expected discounted future cash flows. The results of impairment tests are subject to our estimates and assumptions of projected cash flows and operating results. Changes in assumptions or
market conditions could result in a change in estimated future cash flows and the likelihood of materially different reported results.

Intangible Assets and Goodwill.FASB ASC 350, Goodwill and Other Intangible Assets, requires companies to test goodwill for impairment on an annual basis at the
reporting unit level (or an interim basis if an event occurs that might reduce the fair value of a reporting unit below its carrying value). We have one reporting unit and the annual impairment test is performed at each year-end unless indicators of
impairment are present and require more frequent testing. FASB ASC 350 also requires that the carrying value of an identifiable intangible asset that has an indefinite life be determined by using a fair value based approach.

Intangible assets generally consist of patents, trademarks, procurement contracts, customer lists, non-compete agreements, distribution
agreements and acquired exclusivity rights. Patents and trademarks are amortized on the straight-line method over the shorter of the remaining protection period or estimated useful lives of between 8 and 16 years. Procurement contracts, customer
lists, non-compete agreements and distribution agreements are amortized over estimated useful lives of between 5 to 25 years. The acquired exclusivity rights are being amortized over eight years, the remaining term of the amended distribution
agreement.

Goodwill is tested for impairment by comparing the fair value of the reporting unit to its carrying amount,
including goodwill. In concluding as to fair value of the reporting unit for purposes of testing goodwill, an income approach and a market approach are utilized. The conclusion from these two approaches are weighted equally and then adjusted to
incorporate a control premium or acquisition premium that reflects the additional amount a buyer is willing to pay for elements of control and for a premium that reflects the buyers perception of its ability to add value through synergies.

In general, the income approach employs a discounted cash flow model that considers 1) assumptions that marketplace
participants would use in their estimates of fair value, including the cash flow period, terminal values based on a terminal growth rate and the discount rate, 2) current period actual results, and 3) projected results for future periods that have
been prepared and approved by senior management of the Company. The forecasted cash flows do not include synergies that a marketplace participant would be expecting to achieve.

The market approach employs market multiples from guideline public companies operating in our industry. Estimates of fair value are
derived by applying multiples based on revenue and earnings before interest, taxes, depreciation and amortization (EBITDA) adjusted for size and performance metrics relative to peer companies. A control premium was included in
determining the fair value under this approach.



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If the carrying amount of the reporting unit exceeds its calculated fair value, the second
step of the goodwill impairment test is performed in accordance with FASB ASC 350 to measure the amount of the impairment loss, if any.

Both approaches used in the analysis have a degree of uncertainty. Potential events or changes in circumstances which could impact the key assumptions used in our goodwill impairment evaluation are as
follows:



| |  |  | Change in peer group or performance of peer group companies
| | - |  | -----------------------------------------------------------



| |  |  | Change in the Companys markets and estimates of future operating performance
| | - |  | -----------------------------------------------------------------------------



| |  |  | Change in the Companys estimated market cost of capital
| | - |  | --------------------------------------------------------



| |  |  | Change in implied control premiums related to acquisitions in the medical device industry.
| | - |  | ------------------------------------------------------------------------------------------

Based on the current economic environment, the severe decline in our stock price beginning late in the second quarter of 2010 and
sustained through year-end, and the significant gap between the book and market value of the our equity, we concluded that there were sufficient indicators to require an interim goodwill impairment analysis as of September 30, 2010. For
purposes of this analysis, estimates of fair value were based on a combination of the income approach, which estimates the fair value of the our reporting unit based on future discounted cash flows, and the market approach, which estimates the fair
value of the our reporting unit on comparable market prices. Based on the goodwill impairment analysis performed, we recorded a $134,681 goodwill impairment charge for the remaining balance of goodwill on the balance sheet during the third quarter
of 2010. The goodwill impairment charge does not affect our liquidity, nor does it affect any financial covenants of our credit agreements. We concluded our goodwill impairment assessment in the fourth quarter of 2010, which resulted in no change to
the goodwill impairment charge recorded during the third quarter of 2010.

The valuation of goodwill and intangible assets
with indefinite useful lives requires management to use significant judgments and estimates including, but not limited to, projected future revenue and cash flows. Changes in assumptions or market conditions could result in a change in estimated
future cash flows and the likelihood of materially different report results.

If we overestimate the useful life of an asset,
or overestimate the fair value of an asset, and at some time in the future we dispose of that asset for a lower amount than its carrying value, our historically reported total assets and net income would have been higher than they would have been
during periods prior to our recognition of the loss on disposal of assets, and lower during the period when we recognize the loss.

The fair value of these long-term investments is dependent on their performance, as well as volatility inherent in the external markets for these investments. These determinations require complex
calculations based on estimated future benefit and fair value. We have often made investments for which the expected future benefit has not been easily estimated. Examples of such investments include, but are not limited to, our acquisition of TMI,
our acquisition of RTI Biologics, Inc.Cardiovascular (inactive); our investment in equipment; and our investment in obtaining patents. In assessing potential impairment for these investments, we consider these factors as well as forecasted
financial performance. If forecasts are not met, impairment charges may be required.

Revenue Recognition.We recognize
revenue upon shipping, or receipt by our customers of the processed tissue for implantation, depending on our distribution agreements with our customers or distributors. We recognize our other revenues when all appropriate contractual obligations
have been satisfied.

We permit returns of tissue in accordance with the terms of contractual agreements with customers if the
tissue is returned in a timely manner, in unopened packaging and from the normal channels of distribution. We provide allowances for returns based upon analysis of our historical patterns of returns, matched against the fees from which they
originated. Historical returns have been within the amounts we reserved.



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On September 3, 2010, we entered into a new exclusive distribution agreement (the
Agreement) with Zimmer Dental Inc. (Zimmer), a subsidiary of Zimmer, Inc., with an effective date of September 30, 2010. The Agreement has an initial term of ten years. Under the terms of the Agreement, we will supply
sterilized allograft and xenograft implants (the Implants) at an agreed upon transfer price, and Zimmer will be the exclusive distributor of the Implants for dental and oral applications worldwide (except the Ukraine), subject to certain
obligations we have under an existing distribution agreement with a third party with respect to certain implants for the dental market. In consideration for Zimmers exclusive distribution rights, Zimmer agreed to the following: 1) payment to
us of $13,000 within ten days of the effective date (the Upfront Payment) which was paid in October, 2010, 2) annual exclusivity fees (Annual Exclusivity Fees) paid annually for the term of the contract to be paid at the
beginning of each calendar year, the first of which was paid on January 18, 2011 in the amount of $4,000 (the Initial Annual Exclusivity Fee), and , 3) escalating annual purchase minimums to maintain exclusivity. Upon occurrence of
an event that materially and adversely affects Zimmers ability to distribute the Implants, Zimmer may be entitled to certain refund rights with respect to the Upfront Payment and the then current Annual Exclusivity Fee, where such refund would
be in an amount limited by a formula specified in the Agreement that is based substantially on the number of days from the occurrence of such event to the date that it is cured by us to the satisfaction of Zimmer. Both the Upfront Payment and the
Initial Annual Exclusivity Fee have been deferred and are being recognized as other revenues based on Zimmers anticipated annual purchases over the term of the agreement.

On July 13, 2009, we and Davol Inc., a subsidiary of C.R. Bard, Inc. (Davol), amended the January 2006 distribution
agreement with TMI. Under the amended agreement, 1) Davol paid us $8,000 in non-refundable fees for exclusive distribution rights for the distribution to the breast reconstruction market until July 13, 2019, 2) the exclusive worldwide
distribution agreement related to the hernia market was extended to July 13, 2019, and 3) Davol agreed to pay us certain additional exclusive distribution rights fees contingent upon the achievement of certain revenue milestones by Davol during
the duration of the contract. In the fourth quarter of 2010, Davol paid us the first revenue milestone payment of $3,500. The $8,000 and $3,500 exclusivity payments have been deferred and are being recognized as other revenue on a straight-line
basis over ten years, the initial term of the contract, and the remaining term of the contract, respectively

Off Balance-Sheet
Arrangements

As of December 31, 2010, we had no off-balance-sheet arrangements, as defined in Item 303(a)(4)(ii)
of Regulation S-K.

Recent Regulatory Actions



| |  |  | August 2010: BioCleanse Bovine Bone products approved in Australia.
| | - |  | -------------------------------------------------------------------

Certifications, Accreditations and Inspections



| |  |  | March 2010: SGS ISO 13485 recertification audit at our Alachua, Florida facility.
| | - |  | ---------------------------------------------------------------------------------



| |  |  | March 2010: American Association of Tissue Banks (AATB) inspection at our Alachua, Florida facility.
| | - |  | ----------------------------------------------------------------------------------------------------



| |  |  | June 2010: State of Florida medical device inspection at our Alachua, Florida facility.
| | - |  | ---------------------------------------------------------------------------------------



| |  |  | September 2010: U.S. Food and Drug Administration (FDA) tissue bank and medical device inspection at our Alachua, Florida facility.
| | - |  | -----------------------------------------------------------------------------------------------------------------------------------

All registrations, licensures, certifications and accreditations were renewed or continued and no
regulatory actions are pending from state and federal inspections.



30



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Recalls



| |  |  | January 2010: We initiated a voluntary recall of three allografts processed from a single donor due to the receipt of additional information impacting
donor suitability. The recall is complete.
| | - |  | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| |  |  | July 2010: We initiated a voluntary recall of approximately 9,000 Puros Cancellous Particles and Puros Cortical Particles due to a potential problem
with the seal of the plastic tray holding the screw-capped vial of allograft particles. The recall is complete.
| | - |  | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Results
of Operations

The following tables set forth, in both dollars and as a percentage of revenues, the results of our
operations for the years indicated:



|                                          |  |                         |          |   |      |  |       |      |  |   |         |   |  |  |       |   |  |   |         |   |  |  |       |   
|----------------------------------------- |  | ----------------------- | -------- | - | ---- |  | ----- | ---- |  | - | ------- | - |  |  | ----- | - |  | - | ------- | - |  |  | ----- | --
|                                          |  | Year Ended December 31, |         
|                                          |  | 2010                    |          |   | 2009 |  |       | 2008 | 
|                                          |  | (Dollars in thousands)  |         
|Statement of Operations Data:             |  |                         |          |   |      |  |       |      |  |   |         |   |  |  |       |   |  |   |         |   |  |  |       |   
|Revenues:                                 |  |                         |          |   |      |  |       |      |  |   |         |   |  |  |       |   |  |   |         |   |  |  |       |   
|Fees from tissue distribution             |  | $                       | 161,001  |   |      |  |       |      |  | $ | 160,044 |   |  |  |       |   |  | $ | 140,886 |   |  |  |       |   
|Other revenues                            |  |                         | 5,170    |   |      |  |       |      |  |   | 4,483   |   |  |  |       |   |  |   | 5,749   |   |  |  |       |   
|                                          |  |                         |          |   |      |  |       |      |  |   |         |   |  |  |       |   |  |   |         |   |  |  |       |   
|Total revenues                            |  |                         | 166,171  |   |      |  | 100.0 | %    |  |   | 164,527 |   |  |  | 100.0 | % |  |   | 146,635 |   |  |  | 100.0 | % 
|Costs of processing and distribution      |  |                         | 90,168   |   |      |  | 54.3  |      |  |   | 87,034  |   |  |  | 52.9  |   |  |   | 77,821  |   |  |  | 53.1  |   
|                                          |  |                         |          |   |      |  |       |      |  |   |         |   |  |  |       |   |  |   |         |   |  |  |       |   
|Gross profit                              |  |                         | 76,003   |   |      |  | 45.7  |      |  |   | 77,493  |   |  |  | 47.1  |   |  |   | 68,814  |   |  |  | 46.9  |   
|                                          |  |                         |          |   |      |  |       |      |  |   |         |   |  |  |       |   |  |   |         |   |  |  |       |   
|Expenses:                                 |  |                         |          |   |      |  |       |      |  |   |         |   |  |  |       |   |  |   |         |   |  |  |       |   
|Marketing, general and administrative     |  |                         | 59,232   |   |      |  | 35.6  |      |  |   | 59,325  |   |  |  | 36.1  |   |  |   | 54,168  |   |  |  | 36.9  |   
|Research and development                  |  |                         | 9,435    |   |      |  | 5.7   |      |  |   | 8,899   |   |  |  | 5.4   |   |  |   | 8,143   |   |  |  | 5.6   |   
|Restructuring charges                     |  |                         |         |   |      |  |      |      |  |   | 42      |   |  |  |      |   |  |   | 451     |   |  |  | 0.3   |   
|Goodwill impairment                       |  |                         | 134,681  |   |      |  | 81.1  |      |  |   |        |   |  |  |      |   |  |   | 103,007 |   |  |  | 70.2  |   
|Asset impairments and abandonments        |  |                         | 30       |   |      |  |      |      |  |   | 208     |   |  |  | 0.1   |   |  |   | 1,402   |   |  |  | 1.0   |   
|                                          |  |                         |          |   |      |  |       |      |  |   |         |   |  |  |       |   |  |   |         |   |  |  |       |   
|Total expenses                            |  |                         | 203,378  |   |      |  | 122.4 |      |  |   | 68,474  |   |  |  | 41.6  |   |  |   | 167,171 |   |  |  | 114.0 |   
|                                          |  |                         |          |   |      |  |       |      |  |   |         |   |  |  |       |   |  |   |         |   |  |  |       |   
|Operating (loss) income                   |  |                         | (127,375 | ) |      |  | (76.7 | )    |  |   | 9,019   |   |  |  | 5.5   |   |  |   | (98,357 | ) |  |  | (67.1 | ) 
|                                          |  |                         |          |   |      |  |       |      |  |   |         |   |  |  |       |   |  |   |         |   |  |  |       |   
|Other (expense) income:                   |  |                         |          |   |      |  |       |      |  |   |         |   |  |  |       |   |  |   |         |   |  |  |       |   
|Interest expense                          |  |                         | (537     | ) |      |  | (0.3  | )    |  |   | (544    | ) |  |  | (0.3  | ) |  |   | (788    | ) |  |  | (0.6  | ) 
|Interest income                           |  |                         | 114      |   |      |  | 0.1   |      |  |   | 273     |   |  |  | 0.2   |   |  |   | 567     |   |  |  | 0.4   |   
|Foreign exchange gain (loss)              |  |                         | 4        |   |      |  |      |      |  |   | (293    | ) |  |  | (0.2  | ) |  |   | (9      | ) |  |  |      |   
|                                          |  |                         |          |   |      |  |       |      |  |   |         |   |  |  |       |   |  |   |         |   |  |  |       |   
|Total other expensenet                   |  |                         | (419     | ) |      |  | (0.2  | )    |  |   | (564    | ) |  |  | (0.3  | ) |  |   | (230    | ) |  |  | (0.2  | ) 
|                                          |  |                         |          |   |      |  |       |      |  |   |         |   |  |  |       |   |  |   |         |   |  |  |       |   
|(Loss) income before income tax provision |  |                         | (127,794 | ) |      |  | (76.9 | )    |  |   | 8,455   |   |  |  | 5.2   |   |  |   | (98,587 | ) |  |  | (67.3 | ) 
|Income tax provision                      |  |                         | (1,605   | ) |      |  | (1.0  | )    |  |   | (2,600  | ) |  |  | (1.6  | ) |  |   | (1,391  | ) |  |  | (0.9  | ) 
|                                          |  |                         |          |   |      |  |       |      |  |   |         |   |  |  |       |   |  |   |         |   |  |  |       |   
|Net (loss) income                         |  | $                       | (129,399 | ) |      |  | (77.9 | %)   |  | $ | 5,855   |   |  |  | 3.6   | % |  | $ | (99,978 | ) |  |  | (68.2 | %)
|                                          |  |                         |          |   |      |  |       |      |  |   |         |   |  |  |       |   |  |   |         |   |  |  |       |   



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|                               |  |                         |         |  |                |   |         |         |  |   |           |  |  |           |       |   |  |  |       |  
|------------------------------ |  | ----------------------- | ------- |  | -------------- | - | ------- | ------- |  | - | --------- |  |  | --------- | ----- | - |  |  | ----- | -
|                               |  | Year Ended December 31, |         |  | Percent Change |  
|                               |  | 2010                    |         |  | 2009           |   |         | 2008(1) |  |   | 2010/2009 |  |  | 2009/2008 |      
|Fees from tissue distribution: |  |                         |         |  |                |   |         |         |  |   |           |  |  |           |       |   |  |  |       |  
|Sports medicine                |  | $                       | 45,065  |  |                | $ | 39,533  |         |  | $ | 36,330    |  |  |           | 14.0  | % |  |  | 8.8   | %
|Spine                          |  |                         | 33,906  |  |                |   | 41,087  |         |  |   | 41,817    |  |  |           | -17.5 | % |  |  | -1.7  | %
|Dental                         |  |                         | 29,746  |  |                |   | 29,985  |         |  |   | 27,365    |  |  |           | -0.8  | % |  |  | 9.6   | %
|Surgical specialties           |  |                         | 26,871  |  |                |   | 26,278  |         |  |   | 15,350    |  |  |           | 2.3   | % |  |  | 71.2  | %
|BGS and general orthopedic     |  |                         | 25,413  |  |                |   | 23,161  |         |  |   | 20,024    |  |  |           | 9.7   | % |  |  | 15.7  | %
|Other revenues                 |  |                         | 5,170   |  |                |   | 4,483   |         |  |   | 5,749     |  |  |           | 15.3  | % |  |  | -22.0 | %
|                               |  |                         |         |  |                |   |         |         |  |   |           |  |  |           |       |   |  |  |       |  
|Total revenues                 |  | $                       | 166,171 |  |                | $ | 164,527 |         |  | $ | 146,635   |  |  |           | 1.0   | % |  |  | 12.2  | %
|                               |  |                         |         |  |                |   |         |         |  |   |           |  |  |           |       |   |  |  |       |  
|Domestic revenues              |  | $                       | 147,943 |  |                | $ | 141,275 |         |  | $ | 126,957   |  |  |           | 4.7   | % |  |  | 11.3  | %
|International revenues         |  |                         | 18,228  |  |                |   | 23,252  |         |  |   | 19,678    |  |  |           | -21.6 | % |  |  | 18.2  | %
|                               |  |                         |         |  |                |   |         |         |  |   |           |  |  |           |       |   |  |  |       |  
|Total revenues                 |  | $                       | 166,171 |  |                | $ | 164,527 |         |  | $ | 146,635   |  |  |           | 1.0   | % |  |  | 12.2  | %
|                               |  |                         |         |  |                |   |         |         |  |   |           |  |  |           |       |   |  |  |       |  



|(1) | Includes results
of Tutogen Medical, Inc. beginning on February 28, 2008.
|--- | -------------------------------------------------------------------------

2010 Compared to 2009

Revenues.Our total revenues increased $1.6 million, or 1.0%, to $166.2 million for the year ended
December 31, 2010 compared to $164.5 million for the year ended December 31, 2009.

Sports
MedicineRevenues from sports medicine allografts increased $5.5 million, or 14.0%, to $45.1 million for the year ended December 31, 2010 compared to the year ended December 31, 2009. Sports medicine revenues increased
primarily as a result of increases in unit volumes of 8.6% due to higher number of tendons distributed, and higher average revenue per unit of 4.9% due primarily to changes in product mix.

SpineRevenues from spinal allografts decreased $7.2 million, or 17.5%, to $33.9 million for the year ended
December 31, 2010 compared to the year ended December 31, 2009. Spine revenues decreased primarily as a result of unit volume decreases of 17.2% due to an inventory reduction of approximately $6.0 million in the first half of 2010 from our
largest spine distributor.

DentalRevenues from dental allografts decreased $239,000, or 0.8%, to
$29.7 million for the year ended December 31, 2010 compared to the year ended December 31, 2009. Dental revenues decreased primarily as a result of a 21.7% decrease in average revenue per unit which was a function of the new exclusive
distribution agreement with our dental distributor. Effective September 30, 2010, we changed from a marketing fee structure to a transfer fee structure, which lowered distribution revenue per unit. The new agreement included a $4.0 million
stocking order at transfer fees which offset the decrease in revenue and resulted in an increase in unit volumes of 26.6%.

Surgical SpecialtiesRevenues from surgical specialty allografts increased $593,000, or 2.3%, to $26.9 million
for the year ended December 31, 2010 compared to the year ended December 31, 2009. The increase resulted primarily from higher unit volumes of 3.8%, partially offset by decreases in average revenue per unit of 1.5% due primarily to changes
in product mix.

Bone Graft Substitutes (BGS) and General OrthopedicRevenues from BGS and general
orthopedic allografts increased $2.3 million, or 9.7%, to $25.4 million for the year ended December 31, 2010 compared to the year ended December 31, 2009. BGS and general orthopedic revenues increased primarily as a result of higher unit
volumes of 15.0%, partially offset by lower average revenue per unit of 3.2% due to changes in product mix. Growth in unit volumes resulted from new products introduced in the last twenty-one months increased distributor orders and increased market
penetration through our direct distribution force both domestically and internationally.



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Other RevenuesRevenues from other sources, consisting of tissue
recovery fees, biomedical laboratory fees, deferred revenues, shipping fees, distribution of reproductions of our allografts to distributors for demonstration purposes, and restocking fees, increased by $687,000, or 15.3%, to $5.2 million for the
year ended December 31, 2010 compared to the year ended December 31, 2009. The increase was due to higher deferred revenue amortization resulting from exclusivity payments from our dental and surgical specialty distributors.

Foreign Currency FluctuationsFor the twelve months ended December 31, 2010, foreign currency exchange fluctuations
resulted in a decrease in total revenues of $738,000 due to a 2.8% increase in the value of the U.S. dollar versus the Euro, as compared to the prior year period.

Costs of Processing and Distribution.    Costs of processing and distribution increased by $3.1 million, or 3.6%, to $90.2 million for the year ended December 31, 2010. As
a percentage of revenues, costs of processing and distribution increased from 52.9% for the year ended December 31, 2009 to 54.3% for the year ended December 31, 2010. The increase in cost of processing and distribution was primarily due
to higher levels of tissue distributed during the year.

Marketing, General and Administrative
Expenses.    Marketing, general and administrative expenses decreased by $93,000, or 0.2%, to $59.2 million for the year ended December 31, 2010 from $59.3 million for the year ended December 31, 2009. Marketing,
general and administrative expenses decreased as a percentage of revenues from 36.1% for the year ended December 31, 2009 to 35.6% for the year ended December 31, 2010. The decrease in marketing, general and administrative expenses was
primarily due to decreases in legal, distributor commissions, bad debt, and utilities expenses offset by an increase in payroll and benefits expenses.

Research and Development Expenses.Research and development expenses increased by $536,000, or 6.0%, to $9.4 million for the year ended December 31, 2010 compared to the
year ended December 31, 2009. As a percentage of revenues, research and development expenses increased from 5.4% for the year ended December 31, 2009 to 5.7% for the year ended December 31, 2010. These increases are primarily due to
increases in legal expenses of $229,000 for patent prosecution and research supplies of $780,000, offset by decreases in studies and compensation expenses of $309,000.

Restructuring Charges.As a result of the merger with TMI we implemented a formal restructuring plan which resulted in $42,000 of severance benefits for the year ended
December 31, 2009. There were no restructuring charges for the year ended December 31, 2010.

Goodwill
Impairment, Asset Impairments and Abandonments.    We recognized a $134.7 million loss on goodwill impairment, asset impairments and abandonments during the year ended December 31, 2010, compared to $208,000 for the year
ended December 31, 2009.

Based on the current economic environment, the severe decline in our stock price beginning late
in the second quarter of 2010 and sustained through year-end, and the significant gap between the book and market value of our equity, we concluded that there were sufficient indicators to require an interim goodwill impairment analysis as of
September 30, 2010. For purposes of this analysis, estimates of fair value were based on a combination of the income approach, which estimates the fair value of our reporting unit based on future discounted cash flows, and the market approach,
which estimates the fair value of our reporting unit on comparable market prices. Based on the goodwill impairment analysis, we recorded a $134.7 million goodwill impairment charge for the remaining balance of goodwill on the balance sheet during
the year ended December 31, 2010. The goodwill impairment charge does not affect our liquidity or financial covenants. We concluded our goodwill impairment assessment in the fourth quarter of 2010 which resulted in no change to the goodwill
impairment charge recorded during the third quarter of 2010.

Net Other (Expense) Income.    Net
other expense was $419,000 for the year ended December 31, 2010 compared to $564,000 for the year ended December 31, 2009. Interest expense decreased by $7,000 for the year



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ended December 31, 2010 to $537,000 from $544,000 for the year ended December 31, 2009 due to lower interest rates paid on long-term obligations. Interest income decreased by $159,000
for the year ended December 31, 2010 to $114,000 from $273,000 for the year ended December 31, 2009 due to the lower interest earned on the investment of excess cash in interest bearing cash equivalents than the comparable prior year
period. Foreign exchange gain was $4,000 for the year ended December 31, 2010 compared to an exchange loss of $293,000 for the year ended December 31, 2009 due to changes in the value of the U.S. dollar versus the Euro and the timing of
payments on foreign currency liabilities.

Income Tax Provision.Income tax provision for the
year ended December 31, 2010 was $1.6 million compared to an income tax provision of $2.6 million for the year ended December 31, 2009. Our effective tax rate for the year ended December 31, 2010 and 2009 was -1.3% and 30.8%,
respectively. Our effective tax rate for the year ended December 31, 2010 as compared to 2009 was impacted by the non-deductible goodwill impairment for the year ended December 31, 2010.

2009 Compared to 2008

Revenues.Our total revenues increased $17.9 million, or 12.2%, to $164.5 million for the year ended
December 31, 2009 compared to $146.6 million for the year ended December 31, 2008. The increase in year over year revenues is partially due to the inclusion of TMI revenues for a ten month period in 2008 versus the full year in 2009.

Sports MedicineRevenues from sports medicine allografts increased $3.2 million, or 8.8%, to
$39.5 million for the year ended December 31, 2009 compared to the year ended December 31, 2008. Sports medicine revenues increased primarily as a result of unit volume increases. Unit volumes increased by 6.9% due to higher numbers of
tendons distributed and new product launches. The remainder of the increase resulted from favorable impact of distribution mix and increases in average revenue per unit.

SpineRevenues from spinal allografts decreased $730,000, or 1.7%, to $41 million for the year ended
December 31, 2009 compared to the year ended December 31, 2008. Unit volumes were down 3.8% primarily as a result of lower distributions of cervical grafts offset by higher average revenue per unit of 2.1% due primarily to changes in
product mix for both current and new distributors.

DentalRevenues from dental allografts increased
$2.6 million, or 9.6%, to $29.9 million for the year ended December 31, 2009 compared to the year ended December 31, 2008. The increase is primarily attributable to twelve months of Dental revenues for the period ended December 31,
2009 versus ten months in 2008, as we did not offer dental allografts prior to our merger with TMI, which closed on February 27, 2008. Revenues from dental allografts for the year ended December 31, 2008 were $27.4 million.

Surgical SpecialtiesRevenues from surgical specialty allografts increased $10.9 million, or 71.2%, to $26.2
million for the year ended December 31, 2009 compared to the year ended December 31, 2008. The increase resulted primarily from increases in average revenue per unit of 28.0% and higher unit volumes of 34.0% as we recovered higher levels
of donated tissue to support this market. In addition, the increase is also due to twelve months of surgical specialties revenues for the period ended December 31, 2009 versus ten months in 2008, as we did not offer surgical specialty
allografts (hernia repair, breast reconstruction, urology, and ophthalmology) prior to our merger with TMI Revenues from surgical specialty allografts for the year ended December 31, 2008 were $15.4 million.

Bone Graft Substitutes (BGS) and General OrthopedicRevenues from BGS and general orthopedic increased $3.1
million, or 15.7%, to $23.2 million for the year ended December 31, 2009 compared to the year ended December 31, 2008. The increase was primarily the result of unit volumes increasing by 17.7% and a decrease in average revenue per unit of
1.9% primarily due to changes in product mix. Unit volumes increases related primarily to new product launches during the year. In addition, the increase is also attributable to revenues associated with TMI operations for the twelve months ended
December31, 2009 versus ten months in 2008.



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Other RevenuesRevenues from other sources, consisting of tissue
recovery fees, biomedical laboratory fees, deferred revenues, shipping fees, distribution of reproductions of our allografts to distributors for demonstration purposes, and restocking fees, decreased by $1.3 million, or 22%, to $4.5 million for the
year ended December 31, 2009 compared to the year ended December 31, 2008. The decrease was due to lower tissue recovery fees for the prior year.

Foreign Currency FluctuationsFor the twelve months ended December 31, 2009, foreign currency exchange fluctuations resulted in a decrease in total revenues of $513,000 due to a 3.5%
increase in the value of the U.S. dollar versus the Euro, as compared to the prior year period.

Costs of Processing and
Distribution.    Costs of processing and distribution increased by $9.2 million, or 11.8%, to $87.0 million for the year ended December 31, 2009. As a percentage of revenues, costs of processing and distribution
decreased from 53.1% for the year ended December 31, 2008 to 52.9% for the year ended December 31, 2009. The increase in cost of processing and distribution was primarily due to higher levels of tissue distributed during the year.

Marketing, General and Administrative Expenses.    Marketing, general and administrative expenses
increased by $5.2 million, or 9.5%, to $59.3 million for the year ended December 31, 2009 from $54.1 million for the year ended December 31, 2008. Marketing, general and administrative expenses decreased as a percentage of revenues from
36.9% for the year ended December 31, 2008 to 36.1% for the year ended December 31, 2009. Marketing, general and administrative expenses associated with the TMI German and French business operations increased by $2.5 million compared to
the prior year which was primarily attributable to twelve months of TMI expenses for year ended December31, 2009 compared to ten months in the prior year. In addition, domestic expenses increased $2.7 million, which was primarily due to an increase
in direct sales commissions expense of $2.5 million and an increase in legal expenses of $809,000 primarily due to patent litigation, offset by a decrease in payroll and benefits expenses of $1.2 million.

Research and Development Expenses.Research and development expenses increased by $756,000, or 9.3%, to
$8.9 million for the year ended December 31, 2009 compared to the year ended December 31, 2008. As a percentage of revenues, research and development expenses decreased from 5.6% for the year ended December 31, 2008 to 5.4% for the
year ended December 31, 2009. These increases in expenses are primarily due to an increase in the use of human and animal tissues used in research and development, and an increase in payroll and benefits expense.

Restructuring Charges.As a result of the merger with TMI we implemented a formal restructuring plan which
resulted in $42,000 of expenses in the year ended December 31, 2009 compared to $451,000 for the year ended December 31, 2008. These expenses represent severance benefits.

Goodwill Impairment, Asset Impairments and Abandonments.    Asset abandonments were $208,000 for the year
ended December 31, 2009, which were primarily due to the disposal of non-productive assets. We recognized a $104.4 million loss on goodwill impairment, asset impairments and abandonments during the year ended December 31, 2008. The other
than temporary goodwill impairment, asset impairments and abandonment charges of $104.4 million reduced our goodwill and other intangible assets, and includes the abandonment of our remaining cardiovascular assets and other non-productive assets.

Net Other (Expense) Income.    Net other expense was $564,000 for the year ended December 31,
2009 compared to net other expense of $230,000 for the year ended December 31, 2008. Interest expense decreased by $244,000 for the year ended December 31, 2009 to $544,000 from $788,000 for the year ended December 31, 2008 due to
lower interest rates paid on long-term obligations. Interest income decreased by $294,000 for the year ended December 31, 2009 to $273,000 from $567,000 for the year ended December 31, 2008 due to the lower interest earned on the
investment of excess cash in interest bearing cash equivalents than the comparable prior year period. Foreign exchange loss was $293,000 for the year ended December 31, 2009 compared to an



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exchange loss of $9,000 for the year ended December 31, 2008 due to changes in the value of the U.S. dollar versus the Euro and the timing of payments on foreign currency liabilities.

Income Tax Provision.Income tax provision for the year ended December 31, 2009 was $2.6
million compared to an income tax provision of $1.4 million for the year ended December 31, 2008. Our effective tax rate for the year ended December 31, 2009 and 2008 was 30.8% and 1.4%, respectively. Our effective tax rate for the year
ended December 31, 2009 as compared to 2008 was impacted by the non-deductible goodwill impairment for the year ended December 31, 2008.

Liquidity and Capital Resources

Cash Flows.

Our cash flows provided by operating activities were $29.4 million for the year ended December 31, 2010, compared to cash flows used
in operating activities of $4.4 million for the year ended December 31, 2009. The cash provided by operating activities was primarily due to $4.1 million of inventory distributions in excess of tissue procurement and processing costs, $1.7
million related to increased collection efforts from our customers and $16.5 for exclusive distribution rights, offset by higher disbursements in cash to reduce vendor obligations. Cash used in operating activities for the year ended
December 31, 2009 was primarily due to an investment in inventories of $20.5 million offset by $8.0 million in fees for exclusive distribution rights and utilization of tax loss carry-forwards to reduce income taxes payable of $2.9 million.

Our cash flows used in investing activities were $7.1 million for the year ended December 31, 2010 compared to $4.8
million for the year ended December 31, 2009. Our investing activities for the year ended December 31, 2010 consisted primarily of purchases of property, plant and equipment of $3.2 million and purchases of licensing rights of $3.5
million, and patent costs of $332,000. Our investing activities for the year ended December 31, 2009 consisted primarily of purchases of property, plant and equipment of $4.4 million.

Our cash flows used in financing activities were $11.5 million for the year ended December 31, 2010, compared to cash flows provided
by financing activities of $6.4 million for the year ended December 31, 2009. Cash used in financing activities for the year ended December 31, 2010 consisted primarily of payments on long-term obligations of $20.1 million and net payments
of $1.9 million on short-term obligations offset by proceeds from long-term obligations of $9.8 million. Our financing activities for the year ended December 31, 2009 consisted primarily of proceeds of long-term obligations of $13.1 million
offset by payments on long-term obligations of $5.4 million and net payments of $2.1 million on short-term obligations.

Liquidity.

As of December 31, 2010, we had $28.2 million of cash and cash equivalents. We believe that our working capital at December 31, 2010, together with our borrowing ability under our revolving
credit facilities, will be adequate to fund our ongoing operations for the next twelve months.

Our accounts receivable days
sales outstanding were 44 as of December 31, 2010 and 49 as of December 31, 2009. The decrease was due to cash receipts from customers exceeding shipments in 2010. Our inventory days outstanding were 340 as of December 31, 2010,
compared to 386 as of December 31, 2009. The decrease reflects increased distributions of implantable donor tissue which exceeded expenditures for tissue recoveries during 2010.

Certain Commitments.

On September 3, 2010, we entered into a new exclusive distribution agreement (the Agreement), with Zimmer Dental Inc. (Zimmer), a subsidiary of Zimmer, Inc., with an effective
date of September 30, 2010. The



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Agreement has an initial term of ten years. Under the terms of the Agreement, we will supply sterilized allograft and xenograft implants (the Implants) at an agreed upon transfer
price, and Zimmer will be the exclusive distributor of the Implants for dental and oral applications worldwide (except the Ukraine), subject to certain Company obligations under an existing distribution agreement with a third party with respect to
certain implants for the dental market. In consideration for Zimmers exclusive distribution rights, Zimmer agreed to the following: 1) payment to us of $13.0 million within ten days of the effective date (the Upfront Payment), 2)
annual exclusivity fees (Annual Exclusivity Fees) paid annually for the term of the contract to be paid at the beginning of each calendar year, the first of which was paid on January 18, 2011 in the amount of $4.0 million (the
Initial Annual Exclusivity Fee), and , 3) escalating annual purchase minimums to maintain exclusivity. Upon occurrence of an event that materially and adversely affects Zimmers ability to distribute the Implants, Zimmer may be
entitled to certain refund rights with respect to the Upfront Payment and the then current Annual Exclusivity Fee, where such refund would be in an amount limited by a formula specified in the Agreement that is based substantially on the number of
days from the occurrence of such event to the date that it is cured by us to the satisfaction of Zimmer. Both the Upfront Payment and the Initial Annual Exclusivity Fee have been deferred and are being recognized as other revenues based on
Zimmers anticipated annual purchases over the term of the agreement.

On September 10, 2010, we entered into an
Exclusive License Agreement (the Exclusive License) with Athersys, pursuant to which Athersys will provide us access to its Mulitpotent Adult Progenitor Cell (MAPC) technologies to develop and commercialize MAPC
technology-based biologic implants for certain orthopedic applications. In consideration for the Exclusive License, we will pay Athersys the following: 1) a non-refundable $3.0 million license fee, payable in three time-based $1.0 million
installments, the first of which was paid upon execution of the agreement, and the remaining two payments expected within the next 15 months, 2) payment of $2.0 million contingent upon successful achievement of certain development milestones which
we believe is reasonably probable, and 3) up to $32.5 million contingent upon achievement of certain cumulative revenue milestones in future years. In addition, we will pay Athersys royalties from the distribution of implants under a tiered royalty
structure based on achievement of certain cumulative revenue milestones. The term of the Exclusive License Agreement is the longer of five years, or the remaining life of any patent or trade secret. The asset is being expensed on a straight-line
basis over the life of the asset.

On November 24, 2008, we entered into a License Agreement with LifeNet Health, Inc. to
license from LifeNet Health certain intellectual property rights that may be used in or useful to our tissue processing efforts. The term of the License Agreement is for seven years or the remaining life of any patent covered by the License
Agreement, whichever is longer. Total monetary consideration for the License Agreement is $4.9 million, to be paid in five annual installments of $1.0 million in each of November 2008 through 2012. The asset is being expensed on a straight-line
basis over the life of the asset.

On May 14, 2007, we entered into an exclusive distribution agreement with Zimmer with
an initial term of 10 years, relating to certain new bone graft substitutes products. As part of the agreement, Zimmer made payments to us totaling $5.0 million for the aforementioned exclusive distribution rights, and has to maintain certain
minimum order volumes commencing in 2010. The $5.0 million exclusivity payment has been deferred and is being recognized as other revenue on a straight-line basis over the initial term of the contract. The contract provides for repayment, on a pro
rata basis, of the exclusivity payments during the initial contract term for specific events of non-performance, as defined in the agreement. The agreement also includes automatic two-year renewal terms, as well as buy-out provisions by both parties
upon proper notice of cancellation.



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The Companys short-term and long-term obligations and availability of credit as of
December 31, 2010 are as follows:



|                             |  |                    |       |  |                 |   |        | 
|---------------------------- |  | ------------------ | ----- |  | --------------- | - | ------ | 
|                             |  | OutstandingBalance |       |  | AvailableCredit |  
|                             |  | (In thousands)     |      
|Short-term obligations:      |  |                    |       |  |                 |   |        | 
|Credit facilities            |  | $                  |      |  |                 | $ | 2,253  | 
|                             |  |                    |       |  |                 |   |        | 
|Total short-term obligations |  |                    |      |  |                 |   | 2,253  | 
|                             |  |                    |       |  |                 |   |        | 
|Long-term obligations:       |  |                    |       |  |                 |   |        | 
|Credit facility              |  |                    |      |  |                 |   | 13,709 | 
|Term loans                   |  |                    | 2,307 |  |                 |   |       | 
|Capital leases               |  |                    | 690   |  |                 |   |       | 
|                             |  |                    |       |  |                 |   |        | 
|Total long-term obligations  |  |                    | 2,997 |  |                 |   | 13,709 | 
|                             |  |                    |       |  |                 |   |        | 
|Total obligations            |  | $                  | 2,997 |  |                 | $ | 15,962 | 
|                             |  |                    |       |  |                 |   |        | 

Under the terms of revolving credit facilities with two German banks, we may borrow up to 1.5 million
Euros (1.0 million Euros and 500,000 Euros, respectively) or approximately $2.3 million for working capital needs. The 1.0 million Euro revolving credit facility is secured by a mortgage on our German facility and a 4.0 million Euro
guarantee by TMI. The 500,000 Euro revolving credit facility is secured by accounts receivable of TMIs German subsidiary.

On July 21, 2010, we entered into a second amendment to the credit agreement with Mercantile Bank, a division of Toronto-Dominion
Bank. Under the second amendment to the credit agreement, 1) the revolving credit facility was increased from $10.0 million to $15.0 million, available based on levels of accounts receivable and inventories, 2) the revolving credit facilitys
maturity date was extended from February 3, 2011 to July 21, 2012, and accordingly the debt is classified as long-term on the balance sheet, and 3) a $5.0 million compensating balance requirement was eliminated. The revolving credit
facility contains various restrictive covenants which limit, among other things, indebtedness and liens. Under the agreement, the credit facility is secured by our domestic accounts receivable, inventory and certain processing equipment.

We also have five term loans with a German bank. The first loan of 46,000 Euros, or $61,000, as of December 31, 2010, has an
interest rate of 5.00%, payable monthly, maturing June of 2011. The second loan of 313,000 Euros, or $415,000, as of December 31, 2010, has an interest rate of 5.15%, payable quarterly, maturing March of 2012. The third loan of 660,000 Euros,
or $875,000, as of December 31, 2010 is payable semi-annually at a fixed rate of 5.60% maturing December 2016. The fourth loan of 91,000 Euros, or $121,000, as of December 31, 2010, is payable quarterly at a fixed rate of 5.75%, maturing
September 2012. The fifth loan of 630,000 Euros, or $835,000, as of December 31, 2010, is payable quarterly at a fixed rate of 4.95%, maturing June 2014. The senior debt and the 1.0 million Euro revolving credit facility with a German bank
are secured by a mortgage on our German facility and a 4.0 million Euro guarantee by the TMI parent company. There are no financial covenants under this debt.

In 2008, we entered into a financing agreement with a German bank to finance the expansion of our processing facility in Germany. The agreement called for an interim line of credit during the expansion.
The expansion was completed in June 2009 and the line of credit was converted to a term loan. As of December 31, 2010, 630,000 Euros, or $835,000, was outstanding on the term loan. Interest on the term loan is 4.95%.



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The following table provides a summary of our debt obligations, operating lease payments,
estimated future expenditures, other purchase obligations, and unrecognized tax benefits as of December 31, 2010.



|                                 |  |                                    |        |  |      |   |       |      |  |   |       |  |  |      |       |  |            |   |     |  |  |   |     | 
|-------------------------------- |  | ---------------------------------- | ------ |  | ---- | - | ----- | ---- |  | - | ----- |  |  | ---- | ----- |  | ---------- | - | --- |  |  | - | --- | 
|                                 |  | Contractual Payments Due by Period |       
|                                 |  | Total                              |        |  | 2011 |   |       | 2012 |  |   | 2013  |  |  | 2014 |       |  | After 2014 |  
|                                 |  | (In thousands)                     |       
|Debt obligations                 |  | $                                  | 2,997  |  |      | $ | 1,024 |      |  | $ | 874   |  |  | $    | 508   |  |            | $ | 301 |  |  | $ | 290 | 
|Operating lease payments         |  |                                    | 3,512  |  |      |   | 1,575 |      |  |   | 1,156 |  |  |      | 644   |  |            |   | 106 |  |  |   | 31  | 
|Other significant obligations(1) |  |                                    | 6,710  |  |      |   | 4,107 |      |  |   | 2,271 |  |  |      | 202   |  |            |   | 130 |  |  |   |    | 
|                                 |  |                                    |        |  |      |   |       |      |  |   |       |  |  |      |       |  |            |   |     |  |  |   |     | 
|Total                            |  | $                                  | 13,219 |  |      | $ | 6,706 |      |  | $ | 4,301 |  |  | $    | 1,354 |  |            | $ | 537 |  |  | $ | 321 | 
|                                 |  |                                    |        |  |      |   |       |      |  |   |       |  |  |      |       |  |            |   |     |  |  |   |     | 



|(1) | These amounts consist of contractual obligations for tissue recovery development grants and licensing fees.
|--- | -----------------------------------------------------------------------------------------------------------

As of December 31, 2010, we had federal and state net operating loss carryforwards of $9.7 million and $19.2 million, respectively,
and research tax credit carryforwards of $5.2 million. We anticipate a portion of these amounts will be utilized to offset our tax liability in 2011, with any remainder used in ensuing years. When these carryforwards are fully utilized, they will
reduce our income taxes payable by $9.3 million.

Impact of Inflation

Inflation generally affects us by increasing our cost of labor, equipment and processing tools and supplies. We do not believe that the
relatively low rates of inflation experienced in the United States since the time we began operations have had any material effect on our business.



|Item 7A. | QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK.
|-------- | -----------------------------------------------------------

We are subject to market risk from exposure to changes in interest rates based upon our financing, investing and cash management activities. We do not expect changes in interest rates to have a material
adverse effect on our income or our cash flows in 2011. However, we cannot assure that interest rates will not significantly change in the future.

In the United States and Germany, we are exposed to interest rate risk. Changes in interest rates affect interest income earned on cash and cash equivalents and interest expense on revolving credit
arrangements. Except for an interest rate swap associated with 313,000 Euros (or $415,000) of long-term debt over six years that was started March 31, 2006 we have not entered into derivative transactions related to cash and cash equivalents or
debt. Accordingly, we are subject to changes in interest rates. Based on December 31, 2010 outstanding intercompany balances, a 1% change in interest rates would have had a de-minimis impact on our results of operations.

The value of the U.S. dollar compared to the Euro affects our financial results. Changes in exchange rates may positively or negatively
affect revenues, gross margins, operating expenses and net income. The international operation currently transacts business primarily in the Euro. Assets and liabilities of foreign subsidiaries are translated at the period end exchange rate while
revenues and expenses are translated at the average exchange rate for the period. Intercompany transactions are translated from the Euro to the U.S. dollar. Based on December 31, 2010 outstanding intercompany balances, a 1% change in currency
rates would have had a de-minimis impact on our results of operations.



|Item 8. | FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA.
|------- | --------------------------------------------

Our consolidated financial statements and supplementary data required in this item are set forth at the pages indicated in Item 15(a)(1).



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##### Table of Contents

|Item 9. | CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE.
|------- | -------------------------------------------------------------------------------------

Not applicable.



|Item 9A. | CONTROLS AND PROCEDURES.
|-------- | ------------------------

Attached as exhibits to this Form 10-K are certifications of our Chief Executive Officer (CEO) and Chief Financial Officer (CFO), which
are required in accordance with Rule 13a-15 of the Exchange Act. This Controls and Procedures section includes information concerning the controls and controls evaluation referred to in the certifications. The report of
Deloitte & Touche LLP, our independent registered public accounting firm, regarding its audit of our internal control over financial reporting appears on page 44. This section should be read in conjunction with the certifications and the
Deloitte & Touche LLP report for a more complete understanding of the topics presented.

As of the end of the period
covered by this report, an evaluation was performed on the effectiveness of the design and operation of our disclosure controls and procedures under the supervision and with the participation of our management, including our Chief Executive Officer
and Chief Financial Officer. Disclosure controls and procedures include controls and other procedures that are designed to ensure that information required to be disclosed by the Company in the reports that it files or submits under the Exchange Act
is recorded, processed, summarized and reported, within the time periods specified in the Commissions rules and forms, and accumulated and communicated to the Companys management, including its principal executive and principal financial
officers, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure. Based upon that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that the design and operation of
our disclosure controls and procedures were effective as of the end of the period covered by this report.

Changes in Internal Controls

There have been no changes in the Companys internal control over financial reporting during the Companys last
fiscal quarter that materially affected, or are reasonably likely to materially affect the Companys internal control over financial reporting.

Managements Report on Effectiveness of Internal Controls

The
management of RTI Biologics, Inc. and subsidiaries (the Company) is responsible for establishing and maintaining adequate internal control over financial reporting (as defined in Securities Exchange Act Rules 13a-15(f) and 15d-15(f)).
The Companys internal control system was designed to provide reasonable assurance to the Companys management and board of directors regarding the preparation and fair presentation of published financial statements.

All internal control systems, no matter how well designed, have inherent limitations. Therefore, even those systems determined to be
effective can provide only reasonable assurance with respect to financial statement preparation and presentation.

The
Companys management assessed the effectiveness of the Companys internal control over financial reporting as of December 31, 2010. In making this assessment, it used the criteria set forth by the Committee of Sponsoring Organizations
of the Treadway Commission (COSO) in Internal ControlIntegrated Framework. Based on this assessment, management believes that, as of December 31, 2010, the Companys internal control over financial reporting is
effective based on those criteria.

The Companys independent registered public accounting firm has issued a report on
the Companys internal control over financial reporting. This report appears on page 44.



|Item 9B. | OTHER INFORMATION.
|-------- | ------------------

None.



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##### Table of Contents

PART III

Item 10.  DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE.

The information set forth under the caption Directors and Executive Officers in our definitive proxy statement
to be used in connection with our 2011 Annual Meeting of Stockholders is incorporated by reference. Information relating to our Code of Ethics that applies to our senior financial professionals is available on our website at
www.rtix.com/codeofethics.aspx.

Item 11.  EXECUTIVE
COMPENSATION.

The information set forth under the caption Executive Compensation in our definitive proxy
statement to be used in connection with our 2011 Annual Meeting of Stockholders is incorporated by reference.

Item 12.  SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND
RELATED STOCKHOLDER MATTERS.

The information set forth under the captions Beneficial Ownership of Common Stock by
Certain Stockholders and Management and Securities Authorized For Issuance Under Equity Compensation Plans in our definitive proxy statement to be used in connection with our 2011 Annual Meeting of Stockholders is incorporated by
reference.

Item 13.  CERTAIN RELATIONSHIPS AND RELATED
TRANSACTIONS, AND DIRECTOR INDEPENDENCE.

The information set forth under the caption Certain Relationships and
Related Transactions, and Director Independence in our definitive proxy statement to be used in connection with our 2011 Annual Meeting of Stockholders is incorporated by reference.

Item 14.  PRINCIPAL ACCOUNTING FEES AND SERVICES.

The information set forth under the caption Audit Matters in our definitive proxy statement to be used in connection with our
2011 Annual Meeting of Stockholders is incorporated by reference.



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##### Table of Contents

PART IV

Item 15.    EXHIBITS AND FINANCIAL STATEMENT SCHEDULES.



|(a) | (1) Financial Statements:
|--- | -------------------------

See Index to Consolidated Financial Statements and Consolidated Financial Statement Schedule on page 43, the Independent
Registered Public Accounting Firms Report on page 44 and the Consolidated Financial Statements on pages 46 to 49, all of which are incorporated herein by reference.



| | (2) | Financial Statement Schedule:
| | --- | -----------------------------

The following consolidated financial statement schedule is filed as part of this Report:

Schedule II, Valuation and Qualifying Accounts for the years ended December 31, 2010, 2009 and 2008 is included in the Consolidated Financial Statements of RTI Biologics, Inc. and subsidiaries on
page 71. All other financial statement schedules are omitted because they are inapplicable, not required or the information is indicated elsewhere in the consolidated financial statements or the notes thereto.



| | (3) | Exhibits:
| | --- | ---------

The
information required by this item is set forth on the exhibit index that follows the signature page of this report.



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##### Table of Contents

INDEX TO CONSOLIDATED FINANCIAL STATEMENTS



|                                                                                              |  |      |         | 
|--------------------------------------------------------------------------------------------- |  | ---- | ------- | 
|                                                                                              |  | Page |        
|Consolidated Financial Statements of RTI Biologics, Inc. and Subsidiaries                     |  |      |         | 
|                                                                                              | 
|Report of Independent Registered Public Accounting Firm                                       |  |      | 44      | 
|Consolidated Balance SheetsDecember 31, 2010 and 2009                                        |  |      | 46      | 
|Consolidated Statements of OperationsYears Ended December 31, 2010, 2009 and
2008            |  |      | 47      | 
|Consolidated Statements of Stockholders EquityYears Ended December 
31, 2010, 2009 and 2008 |  |      | 48      | 
|Consolidated Statements of Cash FlowsYears Ended December 31, 2010, 2009 and
2008            |  |      | 49      | 
|Notes to Consolidated Financial StatementsYears Ended December 31, 2010, 2009 and
2008       |  |      | 50 - 70 | 
|Schedule IIValuation and Qualifying Accounts                                                 |  |      | 71      | 



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##### Table of Contents

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Board of Directors and Stockholders of

RTI Biologics, Inc.

Alachua, Florida

We have audited the accompanying consolidated balance sheets of RTI Biologics, Inc. and subsidiaries (the Company) as of
December 31, 2010 and 2009, and the related consolidated statements of operations, stockholders equity, and cash flows for each of the three years in the period ended December 31, 2010. Our audits also included the financial
statement schedule listed in Item 15(a)(2). We also have audited the Companys internal control over financial reporting as of December 31, 2010, based on criteria established in Internal ControlIntegrated Framework
issued by the Committee of Sponsoring Organizations of the Treadway Commission. The Companys management is responsible for these financial statements and financial statement schedule, for maintaining effective internal control over financial
reporting, and for its assessment of the effectiveness of internal control over financial reporting, included in the accompanying Managements Report on Effectiveness of Internal Controls. Our responsibility is to express an opinion on these
financial statements and financial statement schedule and an opinion on the Companys internal control over financial reporting based on our audits.

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable
assurance about whether the financial statements are free of material misstatement and whether effective internal control over financial reporting was maintained in all material respects. Our audits of the financial statements included examining, on
a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, and evaluating the overall financial statement presentation. Our audit
of internal control over financial reporting included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of
internal control based on the assessed risk. Our audits also included performing such other procedures as we considered necessary in the circumstances. We believe that our audits provide a reasonable basis for our opinions.

A companys internal control over financial reporting is a process designed by, or under the supervision of, the companys principal executive
and principal financial officers, or persons performing similar functions, and effected by the companys board of directors, management, and other personnel to provide reasonable assurance regarding the reliability of financial reporting and
the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A companys internal control over financial reporting includes those policies and procedures that (1) pertain to the
maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation
of financial statements in accordance with generally accepted accounting principles and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and
(3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the companys assets that could have a material effect on the financial statements.

Because of the inherent limitations of internal control over financial reporting, including the possibility of collusion or improper management override
of controls, material misstatements due to error or fraud may not be prevented or detected on a timely basis. Also, projections of any evaluation of the effectiveness of the internal control over financial reporting to future periods are subject to
the risk that the controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.



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##### Table of Contents

In our opinion, the consolidated financial statements referred to above present fairly, in all material
respects, the financial position of RTI Biologics, Inc. and subsidiaries as of December 31, 2010 and 2009, and the results of their operations and their cash flows for each of the three years in the period ended December 31, 2010, in
conformity with accounting principles generally accepted in the United States of America. Also, in our opinion, such financial statement schedule, when considered in relation to the basic consolidated financial statements taken as a whole, presents
fairly, in all material respects, the information set forth therein. Also, in our opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of December 31, 2010, based on the criteria
established in Internal ControlIntegrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission.

/s/ DELOITTE & TOUCHE LLP

Certified Public Accountants

Tampa, Florida

February 22, 2011



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##### Table of Contents

RTI BIOLOGICS, INC. AND SUBSIDIARIES

Consolidated Balance Sheets

(In thousands, except share data)



|                                                                                                                                   |  |              |          |   |      |   |          |  
|---------------------------------------------------------------------------------------------------------------------------------- |  | ------------ | -------- | - | ---- | - | -------- | -
|                                                                                                                                   |  | December 31, |         
|                                                                                                                                   |  | 2010         |          |   | 2009 |  
|Assets                                                                                                                             |  |              |          |   |      |   |          |  
|Current Assets:                                                                                                                    |  |              |          |   |      |   |          |  
|Cash and cash equivalents                                                                                                          |  | $            | 28,212   |   |      | $ | 17,382   |  
|Accounts receivableless allowances of $490 at December 31, 2010 and $1,296 at December 31, 2009                                   |  |              | 20,126   |   |      |   | 22,228   |  
|Inventoriesnet                                                                                                                    |  |              | 87,278   |   |      |   | 93,935   |  
|Prepaid and other current assets                                                                                                   |  |              | 7,646    |   |      |   | 2,066    |  
|Deferred tax assetsnet                                                                                                            |  |              | 15,810   |   |      |   | 17,331   |  
|                                                                                                                                   |  |              |          |   |      |   |          |  
|Total current assets                                                                                                               |  |              | 159,072  |   |      |   | 152,942  |  
|Property, plant and equipmentnet                                                                                                  |  |              | 43,346   |   |      |   | 46,562   |  
|Deferred tax assetsnet                                                                                                            |  |              | 7,099    |   |      |   | 7,007    |  
|Goodwill                                                                                                                           |  |              |         |   |      |   | 134,681  |  
|Other intangible assetsnet                                                                                                        |  |              | 15,611   |   |      |   | 12,301   |  
|Other assetsnet                                                                                                                   |  |              | 630      |   |      |   | 1,014    |  
|                                                                                                                                   |  |              |          |   |      |   |          |  
|Total assets                                                                                                                       |  | $            | 225,758  |   |      | $ | 354,507  |  
|                                                                                                                                   |  |              |          |   |      |   |          |  
|                                                                                                                                   |  |             
|Liabilities and Stockholders Equity                                                                                               |  |              |          |   |      |   |          |  
|Current Liabilities:                                                                                                               |  |              |          |   |      |   |          |  
|Accounts payable                                                                                                                   |  | $            | 12,570   |   |      | $ | 19,844   |  
|Accrued expenses                                                                                                                   |  |              | 14,340   |   |      |   | 11,707   |  
|Short-term obligations                                                                                                             |  |              |         |   |      |   | 2,101    |  
|Deferred tax liabilities                                                                                                           |  |              | 939      |   |      |   | 839      |  
|Current portion of deferred revenue                                                                                                |  |              | 4,474    |   |      |   | 1,645    |  
|Current portion of long-term obligations                                                                                           |  |              | 1,120    |   |      |   | 1,862    |  
|                                                                                                                                   |  |              |          |   |      |   |          |  
|Total current liabilities                                                                                                          |  |              | 33,443   |   |      |   | 37,998   |  
|Long-term obligationsless current portion                                                                                         |  |              | 1,877    |   |      |   | 11,029   |  
|Other long-term liabilities                                                                                                        |  |              | 3,135    |   |      |   | 5,104    |  
|Deferred tax liabilities                                                                                                           |  |              | 249      |   |      |   | 106      |  
|Deferred revenue                                                                                                                   |  |              | 25,118   |   |      |   | 10,381   |  
|                                                                                                                                   |  |              |          |   |      |   |          |  
|Total liabilities                                                                                                                  |  |              | 63,822   |   |      |   | 64,618   |  
|                                                                                                                                   |  |             
|Stockholders equity:                                                                                                              |  |              |          |   |      |   |          |  
|Common stock, $.001 par value: 150,000,000 shares authorized;54,806,762 and 54,553,062 shares issued and outstanding,
respectively |  |              | 55       |   |      |   | 55       |  
|Additional paid-in capital                                                                                                         |  |              | 408,849  |   |      |   | 406,339  |  
|Accumulated other comprehensive loss                                                                                               |  |              | (1,438   | ) |      |   | (374     | )
|Accumulated deficit                                                                                                                |  |              | (245,516 | ) |      |   | (116,117 | )
|Less treasury stock, 133,296 shares, at cost                                                                                       |  |              | (14      | ) |      |   | (14      | )
|                                                                                                                                   |  |              |          |   |      |   |          |  
|Total stockholders equity                                                                                                         |  |              | 161,936  |   |      |   | 289,889  |  
|                                                                                                                                   |  |              |          |   |      |   |          |  
|Total liabilities and stockholders equity                                                                                         |  | $            | 225,758  |   |      | $ | 354,507  |  
|                                                                                                                                   |  |              |          |   |      |   |          |  

See notes to consolidated financial statements.



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RTI BIOLOGICS, INC. AND SUBSIDIARIES

Consolidated Statements of Operations

(In thousands, except share and per share data)



|                                            |  |                         |            |   |      |   |            |      |  |   |            |  
|------------------------------------------- |  | ----------------------- | ---------- | - | ---- | - | ---------- | ---- |  | - | ---------- | -
|                                            |  | Year Ended December 31, |           
|                                            |  | 2010                    |            |   | 2009 |   |            | 2008 | 
|Revenues:                                   |  |                         |            |   |      |   |            |      |  |   |            |  
|Fees from tissue distribution               |  | $                       | 161,001    |   |      | $ | 160,044    |      |  | $ | 140,886    |  
|Other revenues                              |  |                         | 5,170      |   |      |   | 4,483      |      |  |   | 5,749      |  
|                                            |  |                         |            |   |      |   |            |      |  |   |            |  
|Total revenues                              |  |                         | 166,171    |   |      |   | 164,527    |      |  |   | 146,635    |  
|Costs of processing and distribution        |  |                         | 90,168     |   |      |   | 87,034     |      |  |   | 77,821     |  
|                                            |  |                         |            |   |      |   |            |      |  |   |            |  
|Gross profit                                |  |                         | 76,003     |   |      |   | 77,493     |      |  |   | 68,814     |  
|                                            |  |                         |            |   |      |   |            |      |  |   |            |  
|Expenses:                                   |  |                         |            |   |      |   |            |      |  |   |            |  
|Marketing, general and administrative       |  |                         | 59,232     |   |      |   | 59,325     |      |  |   | 54,168     |  
|Research and development                    |  |                         | 9,435      |   |      |   | 8,899      |      |  |   | 8,143      |  
|Restructuring charges                       |  |                         |           |   |      |   | 42         |      |  |   | 451        |  
|Goodwill impairment                         |  |                         | 134,681    |   |      |   |           |      |  |   | 103,007    |  
|Asset impairments and abandonments          |  |                         | 30         |   |      |   | 208        |      |  |   | 1,402      |  
|                                            |  |                         |            |   |      |   |            |      |  |   |            |  
|Total expenses                              |  |                         | 203,378    |   |      |   | 68,474     |      |  |   | 167,171    |  
|                                            |  |                         |            |   |      |   |            |      |  |   |            |  
|Operating (loss) income                     |  |                         | (127,375   | ) |      |   | 9,019      |      |  |   | (98,357    | )
|                                            |  |                         |            |   |      |   |            |      |  |   |            |  
|Other (expense) income:                     |  |                         |            |   |      |   |            |      |  |   |            |  
|Interest expense                            |  |                         | (537       | ) |      |   | (544       | )    |  |   | (788       | )
|Interest income                             |  |                         | 114        |   |      |   | 273        |      |  |   | 567        |  
|Foreign exchange gain (loss)                |  |                         | 4          |   |      |   | (293       | )    |  |   | (9         | )
|                                            |  |                         |            |   |      |   |            |      |  |   |            |  
|Total other expensenet                     |  |                         | (419       | ) |      |   | (564       | )    |  |   | (230       | )
|                                            |  |                         |            |   |      |   |            |      |  |   |            |  
|(Loss) income before income tax provision   |  |                         | (127,794   | ) |      |   | 8,455      |      |  |   | (98,587    | )
|Income tax provision                        |  |                         | (1,605     | ) |      |   | (2,600     | )    |  |   | (1,391     | )
|                                            |  |                         |            |   |      |   |            |      |  |   |            |  
|Net (loss) income                           |  | $                       | (129,399   | ) |      | $ | 5,855      |      |  | $ | (99,978    | )
|                                            |  |                         |            |   |      |   |            |      |  |   |            |  
|                                            |  |                         |           
|Net (loss) income per common sharebasic    |  | $                       | (2.36      | ) |      | $ | 0.11       |      |  | $ | (2.00      | )
|                                            |  |                         |            |   |      |   |            |      |  |   |            |  
|Net (loss) income per common sharediluted  |  | $                       | (2.36      | ) |      | $ | 0.11       |      |  | $ | (2.00      | )
|                                            |  |                         |            |   |      |   |            |      |  |   |            |  
|Weighted average shares outstandingbasic   |  |                         | 54,729,608 |   |      |   | 54,349,391 |      |  |   | 49,912,154 |  
|                                            |  |                         |            |   |      |   |            |      |  |   |            |  
|Weighted average shares outstandingdiluted |  |                         | 54,729,608 |   |      |   | 54,772,489 |      |  |   | 49,912,154 |  
|                                            |  |                         |            |   |      |   |            |      |  |   |            |  

See notes to consolidated financial statements.



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RTI BIOLOGICS, INC. AND SUBSIDIARIES

Consolidated Statements of Stockholders Equity

(In thousands)



|                                                                                |  |             |    |  |                          |   |         |                                   |  |   |                    |   |  |               |          |   |       |   |     |   |  |   |          |  
|------------------------------------------------------------------------------- |  | ----------- | -- |  | ------------------------ | - | ------- | --------------------------------- |  | - | ------------------ | - |  | ------------- | -------- | - | ----- | - | --- | - |  | - | -------- | -
|                                                                                |  | CommonStock |    |  | AdditionalPaid-inCapital |   |         | AccumulatedOtherComprehensiveLoss |  |   | AccumulatedDeficit |   |  | TreasuryStock |          |   | Total |  
|Balance, January 1, 2008                                                        |  | $           | 30 |  |                          | $ | 133,621 |                                   |  | $ |                   |   |  | $             | (21,994  | ) |       | $ | (14 | ) |  | $ | 111,643  |  
|Net loss                                                                        |  |             |   |  |                          |   |        |                                   |  |   |                   |   |  |               | (99,978  | ) |       |   |    |   |  |   | (99,978  | )
|Foreign currency translation adjustment                                         |  |             |   |  |                          |   |        |                                   |  |   | (765               | ) |  |               |         |   |       |   |    |   |  |   | (765     | )
|                                                                                |  |             |    |  |                          |   |         |                                   |  |   |                    |   |  |               |          |   |       |   |     |   |  |   |          |  
|Comprehensive loss                                                              |  |             |   |  |                          |   |        |                                   |  |   | (765               | ) |  |               | (99,978  | ) |       |   |    |   |  |   | (100,743 | )
|Exercise of common stock options                                                |  |             | 1  |  |                          |   | 2,492   |                                   |  |   |                   |   |  |               |         |   |       |   |    |   |  |   | 2,493    |  
|Equity instruments issued in connection with Tutogen Medical mergernet of fees |  |             | 24 |  |                          |   | 265,890 |                                   |  |   |                   |   |  |               |         |   |       |   |    |   |  |   | 265,914  |  
|Stock-based compensation                                                        |  |             |   |  |                          |   | 1,648   |                                   |  |   |                   |   |  |               |         |   |       |   |    |   |  |   | 1,648    |  
|Income tax benefit from nonqualified stock option exercises                     |  |             |   |  |                          |   | 95      |                                   |  |   |                   |   |  |               |         |   |       |   |    |   |  |   | 95       |  
|                                                                                |  |             |    |  |                          |   |         |                                   |  |   |                    |   |  |               |          |   |       |   |     |   |  |   |          |  
|Balance, December 31, 2008                                                      |  |             | 55 |  |                          |   | 403,746 |                                   |  |   | (765               | ) |  |               | (121,972 | ) |       |   | (14 | ) |  |   | 281,050  |  
|                                                                                |  |             |    |  |                          |   |         |                                   |  |   |                    |   |  |               |          |   |       |   |     |   |  |   |          |  
|Net income                                                                      |  |             |   |  |                          |   |        |                                   |  |   |                   |   |  |               | 5,855    |   |       |   |    |   |  |   | 5,855    |  
|Foreign currency translation adjustment                                         |  |             |   |  |                          |   |        |                                   |  |   | 391                |   |  |               |         |   |       |   |    |   |  |   | 391      |  
|                                                                                |  |             |    |  |                          |   |         |                                   |  |   |                    |   |  |               |          |   |       |   |     |   |  |   |          |  
|Comprehensive income                                                            |  |             |   |  |                          |   |        |                                   |  |   | 391                |   |  |               | 5,855    |   |       |   |    |   |  |   | 6,246    |  
|Exercise of common stock options                                                |  |             |   |  |                          |   | 525     |                                   |  |   |                   |   |  |               |         |   |       |   |    |   |  |   | 525      |  
|Stock-based compensation                                                        |  |             |   |  |                          |   | 1,882   |                                   |  |   |                   |   |  |               |         |   |       |   |    |   |  |   | 1,882    |  
|Income tax benefit from nonqualified stock option exercises                     |  |             |   |  |                          |   | 186     |                                   |  |   |                   |   |  |               |         |   |       |   |    |   |  |   | 186      |  
|                                                                                |  |             |    |  |                          |   |         |                                   |  |   |                    |   |  |               |          |   |       |   |     |   |  |   |          |  
|Balance, December 31, 2009                                                      |  |             | 55 |  |                          |   | 406,339 |                                   |  |   | (374               | ) |  |               | (116,117 | ) |       |   | (14 | ) |  |   | 289,889  |  
|                                                                                |  |             |    |  |                          |   |         |                                   |  |   |                    |   |  |               |          |   |       |   |     |   |  |   |          |  
|Net loss                                                                        |  |             |   |  |                          |   |        |                                   |  |   |                   |   |  |               | (129,399 | ) |       |   |    |   |  |   | (129,399 | )
|Foreign currency translation adjustment                                         |  |             |   |  |                          |   |        |                                   |  |   | (1,064             | ) |  |               |         |   |       |   |    |   |  |   | (1,064   | )
|                                                                                |  |             |    |  |                          |   |         |                                   |  |   |                    |   |  |               |          |   |       |   |     |   |  |   |          |  
|Comprehensive loss                                                              |  |             |   |  |                          |   |        |                                   |  |   | (1,064             | ) |  |               | (129,399 | ) |       |   |    |   |  |   | (130,463 | )
|Exercise of common stock options                                                |  |             |   |  |                          |   | 764     |                                   |  |   |                   |   |  |               |         |   |       |   |    |   |  |   | 764      |  
|Stock-based compensation                                                        |  |             |   |  |                          |   | 1,758   |                                   |  |   |                   |   |  |               |         |   |       |   |    |   |  |   | 1,758    |  
|Change in income tax benefit fromstock-based compensation                       |  |             |   |  |                          |   | (12     | )                                 |  |   |                   |   |  |               |         |   |       |   |    |   |  |   | (12      | )
|                                                                                |  |             |    |  |                          |   |         |                                   |  |   |                    |   |  |               |          |   |       |   |     |   |  |   |          |  
|Balance, December 31, 2010                                                      |  | $           | 55 |  |                          | $ | 408,849 |                                   |  | $ | (1,438             | ) |  | $             | (245,516 | ) |       | $ | (14 | ) |  | $ | 161,936  |  
|                                                                                |  |             |    |  |                          |   |         |                                   |  |   |                    |   |  |               |          |   |       |   |     |   |  |   |          |  

See notes to consolidated financial statements.



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RTI BIOLOGICS, INC. AND SUBSIDIARIES

Consolidated Statements of Cash Flows

(In thousands)



|                                                                                                   |  |                         |          |   |      |   |         |      |  |   |         |  
|-------------------------------------------------------------------------------------------------- |  | ----------------------- | -------- | - | ---- | - | ------- | ---- |  | - | ------- | -
|                                                                                                   |  | Year Ended December 31, |         
|                                                                                                   |  | 2010                    |          |   | 2009 |   |         | 2008 | 
|Cash flows from operating activities:                                                              |  |                         |          |   |      |   |         |      |  |   |         |  
|Net (loss) income                                                                                  |  | $                       | (129,399 | ) |      | $ | 5,855   |      |  | $ | (99,978 | )
|Adjustments to reconcile net (loss) income to net cash provided by (used in) operating activities: |  |                         |          |   |      |   |         |      |  |   |         |  
|Depreciation and amortization expense                                                              |  |                         | 7,498    |   |      |   | 7,139   |      |  |   | 7,994   |  
|Amortization of deferred financing costs                                                           |  |                         | 82       |   |      |   | 72      |      |  |   | 199     |  
|Provision for bad debts and product returns                                                        |  |                         | 166      |   |      |   | 209     |      |  |   | 638     |  
|Provision for inventory writedowns                                                                 |  |                         | 2,107    |   |      |   | 1,940   |      |  |   | 2,372   |  
|Amortization of deferred revenue                                                                   |  |                         | (2,917   | ) |      |   | (2,283  | )    |  |   | (2,033  | )
|Deferred income tax benefit                                                                        |  |                         | 1,719    |   |      |   | 1,529   |      |  |   | 334     |  
|Stock-based compensation                                                                           |  |                         | 1,758    |   |      |   | 1,882   |      |  |   | 1,648   |  
|Goodwill and intangible asset impairments                                                          |  |                         | 134,681  |   |      |   |        |      |  |   | 103,927 |  
|Tax benefit attributable from exercise of stock options                                            |  |                         |         |   |      |   | 212     |      |  |   | 432     |  
|Excess tax benefit from exercise of stock options                                                  |  |                         |         |   |      |   | (186    | )    |  |   | (337    | )
|Loss on asset abandonments                                                                         |  |                         | 30       |   |      |   | 200     |      |  |   | 442     |  
|Write-off of capitalized patent and trademark expenses                                             |  |                         |         |   |      |   | 8       |      |  |   | 40      |  
|Changes in assets and liabilities:                                                                 |  |                         |          |   |      |   |         |      |  |   |        |  
|Accounts receivable                                                                                |  |                         | 1,681    |   |      |   | (7,665  | )    |  |   | (294    | )
|Inventories                                                                                        |  |                         | 4,095    |   |      |   | (20,540 | )    |  |   | (22,360 | )
|Prepaid and other current assets                                                                   |  |                         | (1,612   | ) |      |   | 1,984   |      |  |   | 1,771   |  
|Other long-term assets                                                                             |  |                         | 289      |   |      |   | (790    | )    |  |   | (144    | )
|Accounts payable                                                                                   |  |                         | (5,126   | ) |      |   | 2,007   |      |  |   | 1,787   |  
|Accrued expenses                                                                                   |  |                         | 792      |   |      |   | (4,866  | )    |  |   | 89      |  
|Other non-current liabilities                                                                      |  |                         | (2,955   | ) |      |   | 919     |      |  |   | 2,842   |  
|Deferred revenue                                                                                   |  |                         | 16,500   |   |      |   | 8,000   |      |  |   |        |  
|                                                                                                   |  |                         |          |   |      |   |         |      |  |   |         |  
|Net cash provided by (used in) operating activities                                                |  |                         | 29,389   |   |      |   | (4,374  | )    |  |   | (631    | )
|                                                                                                   |  |                         |          |   |      |   |         |      |  |   |         |  
|Cash flows from investing activities:                                                              |  |                         |          |   |      |   |         |      |  |   |         |  
|Purchases of property, plant and equipment                                                         |  |                         | (3,244   | ) |      |   | (4,422  | )    |  |   | (5,474  | )
|Cash acquired in merger, net of transaction costs                                                  |  |                         |         |   |      |   |        |      |  |   | 808     |  
|Proceeds from sale of marketable securities                                                        |  |                         |         |   |      |   |        |      |  |   | 5,192   |  
|Proceeds from sale of property, plant and equipment                                                |  |                         |         |   |      |   | 18      |      |  |   | 63      |  
|Patent and acquired intangible asset costs                                                         |  |                         | (3,812   | ) |      |   | (387    | )    |  |   | (1,341  | )
|                                                                                                   |  |                         |          |   |      |   |         |      |  |   |         |  
|Net cash used in investing activities                                                              |  |                         | (7,056   | ) |      |   | (4,791  | )    |  |   | (752    | )
|                                                                                                   |  |                         |          |   |      |   |         |      |  |   |         |  
|Cash flows from financing activities:                                                              |  |                         |          |   |      |   |         |      |  |   |         |  
|Proceeds from exercise of stock options                                                            |  |                         | 764      |   |      |   | 525     |      |  |   | 2,492   |  
|Excess tax benefit from exercise of stock options                                                  |  |                         |         |   |      |   | 186     |      |  |   | 337     |  
|Net (payments) proceeds on short-term obligations                                                  |  |                         | (1,947   | ) |      |   | (2,092  | )    |  |   | 3,529   |  
|Proceeds from long-term obligations                                                                |  |                         | 9,750    |   |      |   | 13,103  |      |  |   | 1,750   |  
|Payments on long-term obligations                                                                  |  |                         | (20,074  | ) |      |   | (5,358  | )    |  |   | (5,144  | )
|                                                                                                   |  |                         |          |   |      |   |         |      |  |   |         |  
|Net cash (used in) provided by financing activities                                                |  |                         | (11,507  | ) |      |   | 6,364   |      |  |   | 2,964   |  
|                                                                                                   |  |                         |          |   |      |   |         |      |  |   |         |  
|Effect of exchange rate changes on cash and cash equivalents                                       |  |                         | 4        |   |      |   | 107     |      |  |   | (65     | )
|                                                                                                   |  |                         |          |   |      |   |         |      |  |   |         |  
|Net increase (decrease) in cash and cash equivalents                                               |  |                         | 10,830   |   |      |   | (2,694  | )    |  |   | 1,516   |  
|Cash and cash equivalents, beginning of year                                                       |  |                         | 17,382   |   |      |   | 20,076  |      |  |   | 18,560  |  
|                                                                                                   |  |                         |          |   |      |   |         |      |  |   |         |  
|Cash and cash equivalents, end of year                                                             |  | $                       | 28,212   |   |      | $ | 17,382  |      |  | $ | 20,076  |  
|                                                                                                   |  |                         |          |   |      |   |         |      |  |   |         |  

See notes to consolidated financial statements.



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RTI BIOLOGICS, INC. AND SUBSIDIARIES

Notes to Consolidated Financial Statements

Years Ended December 31, 2010, 2009 and 2008

(In thousands, except
share and per share data)

1.    Business

RTI Biologics, Inc. (RTI), and its subsidiaries (collectively, the Company) process human and animal tissue. The
processing transforms the tissue into either conventional or precision machined allograft implants (human) or xenograft implants (animal), for orthopedic and other surgical applications to promote the natural healing of human bone and other human
tissue. These implants are distributed domestically and internationally, for use in reconstruction and fracture repair.

2.    Summary of Significant Accounting Policies

Principles of ConsolidationThe consolidated financial statements include the accounts of RTI and its wholly owned subsidiaries, Tutogen Medical, Inc. (TMI), RTI Biologics,
Inc.  Cardiovascular (inactive), Biological Recovery Group (inactive), and RTI Services, Inc. The consolidated financial statements also include the accounts of RTI Donor Services, Inc. (RTIDS), which is a controlled entity. The
consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America. All intercompany balances and transactions have been eliminated in consolidation.

RTIDS is a taxable not-for-profit entity organized and controlled by the Company. RTIDS is the corporate entity that is responsible for
procuring tissue for the Company. Expenses incurred by RTIDS to procure tissue are passed through to the Company. RTIDS has no significant assets or liabilities except for its intercompany account and accounts payable to tissue recovery agencies.
The Company pays all expenses of RTIDS.

Foreign Currency TranslationThe functional currency of the
Companys German subsidiary is the Euro. Assets and liabilities of foreign subsidiaries are translated at the period end exchange rate while revenues and expenses are translated at the average exchange rate for the period. The resulting
translation adjustments, representing unrealized, noncash gains and losses are recorded and presented as a component of comprehensive loss. Gains and losses resulting from transactions of the Company and its subsidiaries, which are made in
currencies different from their own, are included in income or loss as they occur and are included in net other (expense) income in the consolidated statements of operations.

Cash and Cash EquivalentsThe Company considers all funds in banks and short-term investments with an original maturity of three months or less to be cash and cash equivalents.

Derivative InstrumentsThe Company accounts for its hedging activities in accordance with Financial
Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 815, Accounting for Derivatives and Hedging Activities, as amended. FASB ASC 815 requires that all hedging activities be recognized in the
balance sheet as assets or liabilities and be measured at fair value. Gains or losses from the change in fair value of hedging instruments that qualify for hedge accounting are recorded in other comprehensive income. The Companys policy is to
specifically identify the assets, liabilities or future commitments being hedged and monitor the hedge to determine if it continues to be effective. The Company does not enter into or hold derivative instruments for trading or speculative purposes.

InventoriesImplantable donor tissue inventories are stated at the lower of cost or market, with cost
determined using the first-in, first-out method. Inventory writedowns are recorded for unprocessed donor tissue based on the estimated amount of inventory that will not pass the quality control process based on historical data, and the amount of
inventory that is not readily distributable or unusable. In addition, provisions for inventory writedowns are estimated for tissue in process inventory that is not readily distributable or is unusable. Any implantable donor tissue deemed to be
obsolete is included in the writedown at the time the determination is made.



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Product RecallsThe Company accrues the estimated cost of product recalls
at the date the recall is initiated. The cost of recalls is primarily comprised of product replacement costs. In 2010 the Company had two product recalls, in 2009 the Company had one product recall and in 2008 the Company had two product recalls.
The Company incurred immaterial costs related to all of the recalls for the years ended December31, 2010, 2009 and 2008.

Property, Plant and EquipmentProperty, plant, and equipment are stated at cost less accumulated depreciation. The
cost of equipment under capital leases and leasehold improvements is amortized on the straight-line method over the shorter of the lease term or the estimated useful life of the asset. Depreciation is computed on the straight-line method over the
following estimated useful lives of the assets:



|                                                 |  |  |                | 
|------------------------------------------------ |  |  | -------------- | 
|Buildings                                        |  |  | 25 to 40 years | 
|Building improvements and leasehold improvements |  |  | 8 to 40 years  | 
|Processing equipment                             |  |  | 7 to 10 years  | 
|Office equipment, furniture and fixtures         |  |  | 5 to 7 years   | 
|Computer hardware and software                   |  |  | 3 years        | 

Software
CostsIncluded in property, plant and equipment are costs related to purchased software that are capitalized.

Debt Issuance CostsDebt issuance costs include costs incurred to obtain financing. Upon funding of debt offerings,
deferred financing costs are capitalized as debt issuance costs and are amortized using the straight-line method, which approximates the effective interest method, over the life of the related debt. Debt issuance costs are included in other
assetsnet in the accompanying consolidated balance sheets.

Research and Development CostsResearch
and development costs, including the cost of research and development conducted for others and the cost of contracted research and development, are expensed as incurred. Research and development costs for the years ended December 31, 2010, 2009
and 2008 were $9,435, $8,899 and $8,143, respectively.

Revenue RecognitionRevenue is recognized upon
shipping, or receipt by the Companys customers of the processed tissue for implantation, depending on the Companys distribution agreements with the Companys customers or distributors. Other revenues are recognized when all
significant contractual obligations have been satisfied.

The Company permits returns of tissue in accordance with the terms
of contractual agreements with customers if the tissue is returned in a timely manner, in unopened packaging, and from the normal channels of distribution. Allowances for returns are provided based upon analysis of the Companys historical
patterns of returns matched against the revenues from which they originated.

On September 3, 2010, the Company and
Zimmer Dental Inc. (Zimmer), a subsidiary of Zimmer, Inc. entered into a new exclusive distribution agreement (the Agreement), with an effective date of September 30, 2010. The Agreement has an initial term of ten years.
Under the terms of the Agreement, the Company will supply sterilized allograft and xenograft implants (the Implants) at an agreed upon transfer price, and Zimmer will be the exclusive distributor of the Implants for dental and oral
applications worldwide (except the Ukraine), subject to certain Company obligations under an existing distribution agreement with a third party with respect to certain implants for the dental market. In consideration for Zimmers exclusive
distribution rights, Zimmer agreed to the following: 1) payment to the Company of $13,000 within ten days of the effective date (the Upfront Payment) which was received in October, 2010, 2) annual exclusivity fees (Annual
Exclusivity Fees) paid annually for the term of the contract to be paid at the beginning of each calendar year, the first of which was paid on January 18, 2011 in the amount of $4,000 (the Initial Annual Exclusivity Fee), and
, 3) escalating annual purchase minimums to maintain exclusivity. Upon occurrence of an event that materially and adversely affects Zimmers ability to distribute the Implants, Zimmer may be entitled to certain refund rights



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with respect to the Upfront Payment and the then current Annual Exclusivity Fee, where such refund would be in an amount limited by a formula specified in the Agreement that is based
substantially on the number of days from the occurrence of such event to the date that it is cured by the Company to the satisfaction of Zimmer. Both the Upfront Payment and the Initial Annual Exclusivity Fee have been deferred and are being
recognized as other revenues based on Zimmers anticipated annual purchases over the term of the agreement.

On
July 13, 2009, the Company and Davol Inc., a subsidiary of C.R. Bard, Inc. (Davol), amended their previous distribution agreement with TMI for human dermis implants. Under the amended agreement, 1) Davol paid the Company $8,000 in
non-refundable fees for exclusive distribution rights for the distribution to the breast reconstruction market until July 13, 2019, 2) the exclusive worldwide distribution agreement related to the hernia market was extended to July 13,
2019, and 3) Davol agreed to pay the Company certain additional exclusive distribution rights fees contingent upon the achievement of certain revenue milestones by Davol during the duration of the contract. In the fourth quarter of 2010, Davol paid
the first revenue milestone payment of $3,500. The $8,000 and $3,500 exclusivity payments have been deferred and are being recognized as other revenue on a straight-line basis over ten years, the initial term of the contract, and the remaining term
of the contract, respectively.

Other RevenuesOther revenues consists of tissue recovery fees, biomedical
laboratory fees, deferred revenues, shipping fees, distribution of reproductions of our allografts to distributors for demonstration purposes, and restocking fees.

Comprehensive (Loss) IncomeComprehensive (loss) income includes cumulative foreign currency translation adjustments.

Income TaxesThe Company uses the asset and liability method of accounting for income taxes. Deferred income taxes are
recorded to reflect the tax consequences on future years for differences between the tax basis of assets and liabilities and their financial reporting amounts at each year-end based on enacted tax laws and statutory tax rates applicable to the
periods in which the differences are expected to affect taxable income. Valuation allowances are established when necessary to reduce deferred tax assets to amounts which are more likely than not to be realized.

Stock-Based Compensation PlansThe Company accounts for its stock based compensation plans in accordance with FASB ASC
718, Accounting for Stock Compensation. FASB ASC 718 requires the measurement and recognition of compensation expense for all stock-based awards made to employees and directors, including employee stock options and restricted stock. Under the
provisions of FASB ASC 718, and U.S. Securities and Exchange Commission Staff Accounting Bulletin No. 107, stock-based compensation cost is measured at the grant date, based on the calculated fair value of the award, and is recognized as
an expense on a straight-line basis over the requisite service period of the entire award (generally the vesting period of the award).

The Company elected to use the modified prospective transition method as permitted by ASC 718 and, therefore, financial results for periods prior to 2006 have not been restated. Under this transition
method, stock-based compensation expense for the years ended December 31, 2010, 2009 and 2008 includes expense for all equity awards granted prior to, but not yet vested as of January 1, 2006, based on the grant-date fair value estimated
in accordance with the original provisions of ASC 718. Since the adoption of ASC 718, there have been no changes to the Companys stock compensation plans or modifications to outstanding stock-based awards which would increase the value of any
awards outstanding. Compensation expense for all stock-based compensation awards granted subsequent to January 1, 2006 was based on the grant-date fair value determined in accordance with the provisions of ASC 718.

ASC 718 also requires the benefits of tax deductions in excess of recognized compensation cost to be reported as a financing cash flow.



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Earnings Per ShareBasic earnings per share (EPS) is computed
by dividing earnings attributable to common stockholders by the weighted-average number of common shares outstanding for the periods. Diluted EPS reflects the potential dilution of securities that could share in the earnings. A reconciliation of the
number of common shares used in the calculation of basic and diluted EPS is presented below:



|                               |  |                         |            |  |      |  |            |      |  |  |            | 
|------------------------------ |  | ----------------------- | ---------- |  | ---- |  | ---------- | ---- |  |  | ---------- | 
|                               |  | Year Ended December 31, |           
|                               |  | 2010                    |            |  | 2009 |  |            | 2008 | 
|Basic shares                   |  |                         | 54,729,608 |  |      |  | 54,349,391 |      |  |  | 49,912,154 | 
|Effect of dilutive securities: |  |                         |            |  |      |  |            |      |  |  |            | 
|Stock options                  |  |                         |           |  |      |  | 423,098    |      |  |  |           | 
|                               |  |                         |            |  |      |  |            |      |  |  |            | 
|Diluted shares                 |  |                         | 54,729,608 |  |      |  | 54,772,489 |      |  |  | 49,912,154 | 
|                               |  |                         |            |  |      |  |            |      |  |  |            | 

Options to purchase 6,308,182 shares of common stock at prices ranging from $1.76 to $14.95 per share which
were outstanding as of December 31, 2010 were not included in the computation of diluted EPS because dilutive shares are not factored into the calculation of EPS when a loss from continuing operations is reported as they would be anti-dilutive.

Options to purchase 6,259,952 shares of common stock at prices ranging from $1.76 to $14.95 per share which were outstanding
as of December 31, 2009 were included in the computation of diluted EPS because dilutive shares are factored into the calculation of EPS when a profit from continuing operations is reported.

Options to purchase 6,140,494 shares of common stock at prices ranging from $0.77 to $14.95 per share which were outstanding as of
December 31, 2008 were not included in the computation of diluted EPS because dilutive shares are not factored into the calculation of EPS when a loss from continuing operations is reported as they would be anti-dilutive.

Use of EstimatesThe preparation of consolidated financial statements in conformity with accounting principles
generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosures of contingent assets and liabilities at the date of the financial
statements and the reported amounts of revenues and expenses during the reporting period. Estimates and assumptions relating to inventories, receivables, long-lived assets, investment valuations and litigation are made at the end of each financial
reporting period by management. Actual results could differ from those estimates.

Long-Lived AssetsThe
Company periodically evaluates the period of depreciation or amortization for long-lived assets to determine whether current circumstances warrant revised estimates of useful lives. The Company reviews its property, plant and equipment for
impairment whenever events or changes in circumstances indicate the carrying value of an asset may not be recoverable. Recoverability is measured by a comparison of the carrying amount to the net undiscounted cash flows expected to be generated by
the asset. An impairment loss would be recorded for the excess of net carrying value over the fair value of the asset impaired. The fair value is estimated based on expected discounted future cash flows. The results of impairment tests are subject
to managements estimates and assumptions of projected cash flows and operating results. Changes in assumptions or market conditions could result in a change in estimated future cash flows and the likelihood of materially different reported
results. Past estimates by management of the fair values and useful lives of long-lived assets and investments have been accurate but have periodically been impacted by one-time events.

Intangible Assets and Goodwill.FASB ASC 350, Goodwill and Other Intangible Assets, requires companies to
test goodwill for impairment on an annual basis at the reporting unit level (or an interim basis if an event occurs that might reduce the fair value of a reporting unit below its carrying value). The Company has one reporting unit and the annual
impairment test is performed at each year-end unless indicators of impairment are present and require more frequent testing. FASB ASC 350 also requires that the carrying value of an identifiable intangible asset that has an indefinite life be
determined by using a fair value based approach.



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Intangible assets generally consist of patents, trademarks, procurement contracts, customer
lists, non-compete agreements, distribution agreements, licensing rights, and acquired exclusivity rights. Patents and trademarks are amortized on the straight-line method over the shorter of the remaining protection period or estimated useful lives
of between 8 and 16 years. Procurement contracts, customer lists, non-compete agreements, licensing rights, and distribution agreements are amortized over estimated useful lives of between 5 to 25 years. The acquired exclusivity rights are being
amortized over eight years, the remaining term of the amended distribution agreement.

Goodwill is tested for impairment by
comparing the fair value of the reporting unit to its carrying amount, including goodwill. In concluding as to fair value of the reporting unit for purposes of testing goodwill, an income approach and a market approach are utilized. The conclusion
from these two approaches are weighted equally and then adjusted to incorporate a control premium or acquisition premium that reflects the additional amount a buyer is willing to pay for elements of control and for a premium that reflects the
buyers perception of its ability to add value through synergies.

In general, the income approach employs a discounted
cash flow model that considers 1) assumptions that marketplace participants would use in their estimates of fair value, including the cash flow period, terminal values based on a terminal growth rate and the discount rate, 2) current period actual
results, and 3) projected results for future periods that have been prepared and approved by senior management of the Company. The forecasted cash flows do not include synergies that a marketplace participant would be expecting to achieve.

The market approach employs market multiples from guideline public companies operating in our industry. Estimates of fair
value are derived by applying multiples based on revenue and earnings before interest, taxes, depreciation and amortization (EBITDA) adjusted for size and performance metrics relative to peer companies. A control premium was included in
determining the fair value under this approach.

If the carrying amount of the reporting unit exceeds its calculated fair
value, the second step of the goodwill impairment test is performed in accordance with FASB ASC 350 to measure the amount of the impairment loss, if any.

Both approaches used in the analysis have a degree of uncertainty. Potential events or changes in circumstances which could impact the key assumptions used in our goodwill impairment evaluation are as
follows:



| |  |  | Change in peer group or performance of peer group companies
| | - |  | -----------------------------------------------------------



| |  |  | Change in the Companys markets and estimates of future operating performance
| | - |  | -----------------------------------------------------------------------------



| |  |  | Change in the Companys estimated market cost of capital
| | - |  | --------------------------------------------------------



| |  |  | Change in implied control premiums related to acquisitions in the medical device industry.
| | - |  | ------------------------------------------------------------------------------------------

Based on the current economic environment, the severe decline in the Companys stock price beginning late in the second quarter of
2010 and sustained through year-end, and the significant gap between the book and market value of the Companys equity, the Company concluded that there were sufficient indicators to require an interim goodwill impairment analysis as of
September 30, 2010. For purposes of this analysis, estimates of fair value were based on a combination of the income approach, which estimates the fair value of the Companys reporting unit based on future discounted cash flows, and the
market approach, which estimates the fair value of the Companys reporting unit on comparable market prices. Based on the goodwill impairment analysis, the Company recorded a $134,681 goodwill impairment charge for the remaining balance of
goodwill on the balance sheet during the third quarter of 2010. The goodwill impairment charge does not affect the Companys liquidity, nor does it affect any financial covenants of the Companys credit agreements. The Company concluded
its goodwill impairment analysis in the fourth quarter of 2010, which resulted in no change to the goodwill impairment charge recorded during the third quarter of 2010.



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Fair Value of Financial InstrumentsThe estimated fair value of financial
instruments disclosed in the consolidated financial statements has been determined by using available market information and appropriate valuation methodologies. The carrying value of all current assets and current liabilities approximates fair
value because of their short-term nature. The carrying value of the long-term debt obligations approximates fair value. The carrying value of capital lease obligations approximates the fair value, based on current market prices.

3.    Merger with Tutogen Medical, Inc.

On February 27, 2008, the Company completed its merger with TMI, a Delaware corporation, in a stock-for-stock merger transaction. TMI, with its consolidated subsidiaries, performed tissue processing
services for dental, spine, urology, hernia repair, breast reconstruction, ophthalmology, and ear, nose and throat applications. The transaction was accounted for using the purchase method of accounting in accordance with ASC 350,
IntangiblesGoodwill and other. The results of TMIs operations have been included in the Companys consolidated financial statements since the merger date of February 27, 2008.

4.    Stock-Based Compensation

The Company has five stock-based compensation plans under which employees, consultants and outside directors have received stock options and other equity-based awards. At December 31, 2010, awards
relating to 6,308,182 shares were outstanding, and 5,239,461 shares remained available for the grant of awards under our plans. For the year ended December 31, 2010, employees and outside directors of the Company were granted 1,049,000 stock
options under the plans. Stock options are granted with an exercise price equal to 100% of the market value of a share of common stock on the date of the grant, generally have ten-year contractual terms, and vest over a one to five year period from
the date of grant. The amount of excess equity compensation benefits that have not been recognized was $0 for each of the years ended December 31, 2010, 2009, and 2008.

2010 Equity Incentive PlanOn April 20, 2010, the Companys stockholders approved and adopted the 2010 Equity Incentive Plan, (the 2010 Plan). The 2010 Plan
provides for the grant of incentive and nonqualified stock options and restricted stock to key employees, including officers and directors of the Company, and consultants and advisors. The option price per share may not be less than 100% of the fair
market value of such shares on the date granted. The 2010 Plan allows for up to 5,000,000 shares of common stock to be issued with respect to awards granted. Awards or shares which are forfeited, surrendered or otherwise terminated are available for
further awards; provided, however, that any such shares that are surrendered in connection with any award or that are otherwise forfeited after issuance shall not be available for purchase pursuant to incentive stock options intended to qualify
under Internal Revenue Service (IRS) Code Section 422.

1998 Stock Option Plan and 2004 Equity
Incentive PlanThe Company adopted equity incentive plans in 1998 (the 1998 Plan) and 2004 (the 2004 Plan), which provide for the grant of incentive and nonqualified stock options and restricted stock to key
employees, including officers and directors of the Company, and consultants and advisors. The option price per share may not be less than 100% of the fair market value of such shares on the date granted. The 1998 and 2004 Plans allow for up to
4,406,400 and 2,000,000 shares, respectively, of common stock to be issued with respect to awards granted. Under the 2004 Plan, awards or shares which are forfeited, surrendered or otherwise terminated are available for further awards; provided,
however, that any such shares that are surrendered in connection with any award or that are otherwise forfeited after issuance shall not be available for purchase pursuant to incentive stock options intended to qualify under IRS Code
Section 422. New stock options may no longer be awarded under the 1998 Plan.

TMI 1996 Stock Option Plan and TMI
2006 Incentive and Non-Statutory Stock Option Plan In connection with the merger with TMI, the Company assumed the TMI 1996 Stock Option Plan and the TMI 2006 Incentive and Non-Statutory Stock Option Plan (TMI Plans). The
TMI Plans allow for 4,880,000 and 1,830,000 shares of common stock, respectively, which may be issued with respect to stock options granted to former TMI employees or employees of the Company hired subsequent to the TMI acquisition. New stock



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options may no longer be awarded under the TMI 1996 Stock Option Plan. Outstanding stock options of the TMI Plans were exchanged for stock options to acquire common stock of the Company as
described below.

The Company uses the Black-Scholes model to value its stock option grants under FASB ASC 718 and expenses
the related compensation cost using the straight-line method over the vesting period. The fair value of stock options is determined on the grant date using assumptions for the expected term, expected volatility, dividend yield, and the risk free
interest rate. The term assumption is primarily based on the contractual vesting term of the option and historic data related to exercise and post-vesting cancellation history experienced by the Company. The Company uses the simplified method for
estimating the expected term used to determine the fair value of options under FASB ASC 718. The expected term is determined separately for options issued to the Companys directors and to employees. The Companys anticipated volatility
level is primarily based on the historic volatility of the Companys common stock. The Companys model includes a zero dividend yield assumption, as the Company has not historically paid nor does it anticipate paying dividends on its
common stock. The risk free interest rate approximates recent U.S. Treasury note auction results with a similar life to that of the option. The Companys model does not include a discount for post-vesting restrictions, as the Company has not
issued awards with such restrictions. The period expense is then determined based on the valuation of the options, and at that time an estimated forfeiture rate is used to reduce the expense recorded. The Companys estimate of pre-vesting
forfeitures is primarily based on the recent historical experience of the Company, and is adjusted to reflect actual forfeitures as the options vest.

The following weighted-average assumptions were used to determine the fair value of options under FASB ASC 718:



|                        |  |                         |       |   |      |  |       |      |  |  |       |  
|----------------------- |  | ----------------------- | ----- | - | ---- |  | ----- | ---- |  |  | ----- | -
|                        |  | Year Ended December 31, |      
|                        |  | 2010                    |       |   | 2009 |  |       | 2008 | 
|Expected term (years)   |  |                         | 6.29  |   |      |  | 6.27  |      |  |  | 6.24  |  
|Risk free interest rate |  |                         | 3.13  | % |      |  | 2.25  | %    |  |  | 3.14  | %
|Volatility factor       |  |                         | 66.61 | % |      |  | 63.42 | %    |  |  | 61.02 | %
|Dividend yield          |  |                         |      |   |      |  |      |      |  |  |      |  

Stock Options

Outstanding options under all option plans vest over a one to five year period. Options expire ten years from the date
of grant. The weighted-average grant-date fair value of options granted for the year ended December 31, 2010 was $2.56. The total intrinsic value of options exercised for the year ended December 31, 2010 was $242. The intrinsic value of a
stock option at December 31, 2010 is the difference between the Companys closing stock price on the last trading day of 2010 and the exercise price, multiplied by the number of in-the-money options that would have been received by the
option holders had all option holders exercised their options on December 31, 2010. This amount changes based on the fair market value of the Companys stock. Cash received from option exercises for the year ended December 31, 2010
was $764.

As of December 31, 2010, there was $3,133 of total unrecognized compensation cost related to nonvested stock
options. That cost is expected to be recognized over a weighted-average period of 3.03 years.



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Stock options outstanding and exercisable at December 31, 2010 are summarized as
follows:



|                                                |  |                 |           |   |                              |   |      |                                                 |  |  |                         |  |  |   |     | 
|----------------------------------------------- |  | --------------- | --------- | - | ---------------------------- | - | ---- | ----------------------------------------------- |  |  | ----------------------- |  |  | - | --- | 
|                                                |  | Number ofShares |           |   | WeightedAverageExercisePrice |   |      | WeightedAverageRemainingContractualLife (Years) |  |  | AggregateIntrinsicValue | 
|Outstanding at January 1, 2010                  |  |                 | 6,259,952 |   |                              | $ | 6.20 |                                                 |  |  |                         |  |  |   |     | 
|Granted                                         |  |                 | 1,049,000 |   |                              |   | 4.04 |                                                 |  |  |                         |  |  |   |     | 
|Exercised                                       |  |                 | (253,700  | ) |                              |   | 3.01 |                                                 |  |  |                         |  |  |   |     | 
|Forfeited or expired                            |  |                 | (747,070  | ) |                              |   | 7.71 |                                                 |  |  |                         |  |  |   |     | 
|                                                |  |                 |           |   |                              |   |      |                                                 |  |  |                         |  |  |   |     | 
|Outstanding at December 31, 2010                |  |                 | 6,308,182 |   |                              | $ | 5.79 |                                                 |  |  | 5.14                    |  |  | $ | 261 | 
|                                                |  |                 |           |   |                              |   |      |                                                 |  |  |                         |  |  |   |     | 
|Vested or expected to vest at December 31, 2010 |  |                 | 6,071,698 |   |                              | $ | 5.86 |                                                 |  |  | 4.99                    |  |  | $ | 261 | 
|                                                |  |                 |           |   |                              |   |      |                                                 |  |  |                         |  |  |   |     | 
|Exercisable at December 31, 2010                |  |                 | 4,440,182 |   |                              | $ | 6.38 |                                                 |  |  | 3.73                    |  |  | $ | 261 | 
|                                                |  |                 |           |   |                              |   |      |                                                 |  |  |                         |  |  |   |     | 
|Available for grant at December 31, 2010        |  |                 | 5,239,461 |   |                              |   |      |                                                 |  |  |                         |  |  |   |     | 
|                                                |  |                 |           |   |                              |   |      |                                                 |  |  |                         |  |  |   |     | 

The aggregate intrinsic value in the table above represents the total pre-tax intrinsic value.

For the years ended December 31, 2010, 2009, and 2008, the Company recognized stock-based compensation as follows:



|                                      |  |                         |       |  |      |   |       |      |  |   |       | 
|------------------------------------- |  | ----------------------- | ----- |  | ---- | - | ----- | ---- |  | - | ----- | 
|                                      |  | Year Ended December 31, |      
|                                      |  | 2010                    |       |  | 2009 |   |       | 2008 | 
|Stock-based compensation:             |  |                         |       |  |      |   |       |      |  |   |       | 
|Costs of processing and distribution  |  | $                       | 153   |  |      | $ | 338   |      |  | $ | 280   | 
|Marketing, general and administrative |  |                         | 1,485 |  |      |   | 1,443 |      |  |   | 1,269 | 
|Research and development              |  |                         | 120   |  |      |   | 101   |      |  |   | 99    | 
|                                      |  |                         |       |  |      |   |       |      |  |   |       | 
|Total                                 |  | $                       | 1,758 |  |      | $ | 1,882 |      |  | $ | 1,648 | 
|                                      |  |                         |       |  |      |   |       |      |  |   |       | 

For the years ended December 31, 2010, 2009, and 2008, the Company recognized total income tax benefits from
stock-based compensation of $477, $470, and $376, respectively.

Other information concerning stock options for the years
ended December 31 is as follows:



|                                               |  |      |      |  |      |   |      |      |  |   |       | 
|---------------------------------------------- |  | ---- | ---- |  | ---- | - | ---- | ---- |  | - | ----- | 
|                                               |  | 2010 |      |  | 2009 |   |      | 2008 | 
|Weighted average fair value of options granted |  | $    | 2.56 |  |      | $ | 1.83 |      |  | $ | 4.54  | 
|Intrinsic value of options exercised           |  | $    | 242  |  |      | $ | 857  |      |  | $ | 2,580 | 

5.    Inventories

Inventories by stage of completion are as follows:



|                         |  |              |        |  |      |   |        | 
|------------------------ |  | ------------ | ------ |  | ---- | - | ------ | 
|                         |  | December 31, |       
|                         |  | 2010         |        |  | 2009 |  
|Unprocessed donor tissue |  | $            | 27,774 |  |      | $ | 26,986 | 
|Tissue in process        |  |              | 30,688 |  |      |   | 40,821 | 
|Implantable donor tissue |  |              | 27,092 |  |      |   | 24,641 | 
|Supplies                 |  |              | 1,724  |  |      |   | 1,487  | 
|                         |  |              |        |  |      |   |        | 
|                         |  | $            | 87,278 |  |      | $ | 93,935 | 
|                         |  |              |        |  |      |   |        | 

For the years ended December 31, 2010, 2009, and 2008, the Company had inventory write-downs of $2,107,
$1,940, $2,372, respectively, relating primarily to product obsolescence.



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6.    Prepaid and Other Current Assets

Prepaid and other current assets are as follows:



|                            |  |              |       |  |      |   |       | 
|--------------------------- |  | ------------ | ----- |  | ---- | - | ----- | 
|                            |  | December 31, |      
|                            |  | 2010         |       |  | 2009 |  
|Exclusivity fees receivable |  | $            | 4,000 |  |      | $ |      | 
|Other                       |  |              | 3,646 |  |      |   | 2,066 | 
|                            |  |              |       |  |      |   |       | 
|                            |  | $            | 7,646 |  |      | $ | 2,066 | 
|                            |  |              |       |  |      |   |       | 

In September, 2010, the Company entered into a new 10 year exclusive distribution agreement with Zimmer.
Under the new agreement, Zimmer agreed to pay the Company annual exclusivity fees for the term of the contract paid at the beginning of each calendar year, the first of which was paid January 18, 2011 in the amount of $4,000.

7.    Property, Plant and Equipment

Property, plant and equipment are as follows:



|                                         |  |              |         |   |      |   |         |  
|---------------------------------------- |  | ------------ | ------- | - | ---- | - | ------- | -
|                                         |  | December 31, |        
|                                         |  | 2010         |         |   | 2009 |  
|Land                                     |  | $            | 1,816   |   |      | $ | 1,898   |  
|Buildings and improvements               |  |              | 42,992  |   |      |   | 44,713  |  
|Processing equipment                     |  |              | 27,376  |   |      |   | 28,919  |  
|Office equipment, furniture and fixtures |  |              | 2,025   |   |      |   | 2,351   |  
|Computer equipment and software          |  |              | 3,881   |   |      |   | 3,823   |  
|Construction in process                  |  |              | 258     |   |      |   | 233     |  
|Equipment under capital leases:          |  |              |         |   |      |   |         |  
|Processing equipment                     |  |              | 285     |   |      |   | 285     |  
|Computer equipment                       |  |              | 744     |   |      |   |        |  
|                                         |  |              |         |   |      |   |         |  
|                                         |  |              | 79,377  |   |      |   | 82,222  |  
|Less accumulated depreciation            |  |              | (36,031 | ) |      |   | (35,660 | )
|                                         |  |              |         |   |      |   |         |  
|                                         |  | $            | 43,346  |   |      | $ | 46,562  |  
|                                         |  |              |         |   |      |   |         |  

Depreciation expense for the years ended December 31, 2010, 2009, and 2008 was $5,798, $5,632, and
$6,494, respectively.

8.    Goodwill

The change in the carrying amount of goodwill for the year ended December 31, 2010, is as follows:



|                           |  |                     |         |  |                       |   |         | 
|-------------------------- |  | ------------------- | ------- |  | --------------------- | - | ------- | 
|                           |  | December 31, 2010   |        
|                           |  | GrossCarryingAmount |         |  | AccumulatedImpairment |  
|Balance at January 1, 2010 |  | $                   | 237,903 |  |                       | $ | 103,222 | 
|Other                      |  |                     |        |  |                       |   | 134,681 | 
|                           |  |                     |         |  |                       |   |         | 
|                           |  | $                   | 237,903 |  |                       | $ | 237,903 | 
|                           |  |                     |         |  |                       |   |         | 

The carrying value of goodwill was $0 and $134,681 at December 31, 2010 and December 31, 2009.



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Goodwill includes the excess of the TMI purchase price over the sum of the amounts assigned
to assets acquired less liabilities assumed.

Based on the current economic environment, the severe decline in the
Companys stock price beginning late in the second quarter of 2010 and sustained through year-end, and the significant gap between the book and market value of the Companys equity, the Company concluded that there were sufficient
indicators to require an interim goodwill impairment analysis as of September 30, 2010. For purposes of this analysis, estimates of fair value were based on a combination of the income approach, which estimates the fair value of the
Companys reporting unit based on future discounted cash flows, and the market approach, which estimates the fair value of the Companys reporting unit on comparable market prices. Based on the goodwill impairment analysis, the Company
recorded a $134,681 goodwill impairment charge for the remaining balance of goodwill on the balance sheet during the third quarter of 2010. The goodwill impairment charge does not affect the Companys liquidity, nor does it affect any financial
covenants of the Companys credit agreements. The Company concluded its goodwill impairment analysis in the fourth quarter of 2010, which resulted in no change to the goodwill impairment charge recorded during the third quarter of 2010.

9.    Other Intangible Assets

Other intangible assets are as follows:



|                                    |  |                     |        |  |                         |   |       |                     |  |   |                         |  |  |   |       | 
|----------------------------------- |  | ------------------- | ------ |  | ----------------------- | - | ----- | ------------------- |  | - | ----------------------- |  |  | - | ----- | 
|                                    |  | December 31, 2010   |        |  | December 31, 2009       |  
|                                    |  | GrossCarryingAmount |        |  | AccumulatedAmortization |   |       | GrossCarryingAmount |  |   | AccumulatedAmortization | 
|Patents                             |  | $                   | 4,392  |  |                         | $ | 1,032 |                     |  | $ | 4,433                   |  |  | $ | 879   | 
|Acquired exclusivity rights         |  |                     | 2,941  |  |                         |   | 1,671 |                     |  |   | 2,941                   |  |  |   | 1,300 | 
|Acquired licensing rights           |  |                     | 10,850 |  |                         |   | 1,692 |                     |  |   | 5,850                   |  |  |   | 758   | 
|Procurement contracts               |  |                     | 1,755  |  |                         |   | 405   |                     |  |   | 1,755                   |  |  |   | 331   | 
|Selling and marketing relationships |  |                     | 500    |  |                         |   | 237   |                     |  |   | 500                     |  |  |   | 170   | 
|Customer lists                      |  |                     | 376    |  |                         |   | 354   |                     |  |   | 406                     |  |  |   | 364   | 
|Non-compete agreement               |  |                     | 275    |  |                         |   | 110   |                     |  |   | 275                     |  |  |   | 83    | 
|Trademarks                          |  |                     | 58     |  |                         |   | 35    |                     |  |   | 58                      |  |  |   | 32    | 
|                                    |  |                     |        |  |                         |   |       |                     |  |   |                         |  |  |   |       | 
|Total                               |  | $                   | 21,147 |  |                         | $ | 5,536 |                     |  | $ | 16,218                  |  |  | $ | 3,917 | 
|                                    |  |                     |        |  |                         |   |       |                     |  |   |                         |  |  |   |       | 

On September 10, 2010, the Company entered into an Exclusive License Agreement (the Exclusive
License) with Athersys, pursuant to which Athersys will provide the Company access to its Mulitpotent Adult Progenitor Cell (MAPC) technologies to develop and commercialize MAPC technology-based biologic implants for certain
orthopedic applications. The term of the Exclusive License Agreement is the longer of five years, or the remaining life of any patent or trade secret. In consideration for the Exclusive License, the Company will pay Athersys the following: 1) a
non-refundable $3,000 license fee, payable in three time-based $1,000 installments, the first of which was paid upon execution of the agreement, the second of which was paid in the fourth quarter of 2010, and the remaining payment is expected within
the next 15 months, 2) payment of $2,000 contingent upon successful achievement of certain development milestones which the Company believes is reasonably probable, and 3) up to $32,500 contingent upon achievement of certain cumulative revenue
milestones in future years.

On November 24, 2008, the Company entered into a License Agreement with LifeNet Health, Inc.
(LifeNet) to license from LifeNet certain intellectual property rights to be used in the Companys tissue processing efforts. The term of the License Agreement is for seven years or the remaining life of any patent covered by the
License Agreement, whichever is longer. Total monetary consideration for the License Agreement is $4,900, to be paid in five annual installments of $980 from November 2008 to 2012.



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During the year ended December 31, 2006, the Company and Medtronic
(Medtronic) entered into an amended distribution agreement which allows the Company, among other things, the ability to distribute spinal allografts through other distributors. In conjunction with the amendment, the Company paid
Medtronic $3,000 to buyout exclusivity provisions under the former distribution agreement. Of this payment, $2,444 relates to the acquired exclusivity rights and was recorded as an intangible asset and the remaining $556 reduced deferred revenue.

On December 15, 2006 the Company recorded $2,908 in intangibles related to CryoLifes orthopedic sports medicine
business which are recorded in other intangible assets.

As a result of the Companys other intangible assets impairment
test as of December 31, 2008, the Company concluded that due to the termination of several agreements with independent distributors for its sports medicine business during the fourth quarter of 2008, the customer lists and selling and marketing
relationships acquired in connection with the CryoLife exchange were impaired. The Company recorded an intangible asset impairment charge of $920 included in asset impairments and abandonments in the consolidated statements of operations, which
reduced the respective intangible assets to zero. The fair value of these intangible assets was estimated using the expected present value of future cash flows.

Patents and trademarks are amortized on the straight-line method over the shorter of the remaining protection period or estimated useful life of between 8 and 16 years. The acquired exclusivity rights are
being amortized over eight years, the remaining term of the amended distribution agreement. Procurement contracts, customer lists, non-compete agreements, licensing agreements and distribution agreements are amortized over estimated useful lives of
between 5 to 25 years. Amortization expense for the years ended December 31, 2010, 2009, and 2008 was $1,700, $1,507, and $1,500, respectively. Management estimates amortization expense of $2,100 per year for the next five years.

10.    Other Assets

Other assets are as follows:



|                              |  |              |      |   |      |   |       |  
|----------------------------- |  | ------------ | ---- | - | ---- | - | ----- | -
|                              |  | December 31, |     
|                              |  | 2010         |      |   | 2009 |  
|Debt issuance costs           |  | $            | 194  |   |      | $ | 161   |  
|Other                         |  |              | 590  |   |      |   | 925   |  
|                              |  |              |      |   |      |   |       |  
|                              |  |              | 784  |   |      |   | 1,086 |  
|Less accumulated amortization |  |              | (154 | ) |      |   | (72   | )
|                              |  |              |      |   |      |   |       |  
|                              |  | $            | 630  |   |      | $ | 1,014 |  
|                              |  |              |      |   |      |   |       |  

The Company recognized interest expense associated with the amortization of its debt issuance costs for the
years ended December 31, 2010, 2009, and 2008 of $82, $72, $199, respectively.



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11.    Accrued Expenses

Accrued expenses are as follows:



|                                                   |  |                  |        |  |                  |   |        | 
|-------------------------------------------------- |  | ---------------- | ------ |  | ---------------- | - | ------ | 
|                                                   |  | December 31,2010 |        |  | December 31,2009 |  
|Accrued compensation                               |  | $                | 3,372  |  |                  | $ | 2,783  | 
|Accrued donor recovery fees                        |  |                  | 1,535  |  |                  |   | 2,001  | 
|Accrued distributor fees and marketing commissions |  |                  | 429    |  |                  |   | 1,237  | 
|Accrued severance                                  |  |                  | 40     |  |                  |   | 517    | 
|Accrued licensing fees                             |  |                  | 3,354  |  |                  |   | 1,550  | 
|Accrued taxes                                      |  |                  | 161    |  |                  |   | 184    | 
|Accrued professional service fees                  |  |                  | 544    |  |                  |   | 246    | 
|Other                                              |  |                  | 4,905  |  |                  |   | 3,189  | 
|                                                   |  |                  |        |  |                  |   |        | 
|                                                   |  | $                | 14,340 |  |                  | $ | 11,707 | 
|                                                   |  |                  |        |  |                  |   |        | 

The Company accrues for the estimated recovery fees due to third party recovery agencies as tissue is
received.

12.    Short and Long-Term Obligations

Short and long-term obligations are as follows:



|                             |  |                     |            |      |              |  |                  |                  |  |   |                  |  |  |        |        |   |             |   |       |  |  |   |        |  
|---------------------------- |  | ------------------- | ---------- | ---- | ------------ |  | ---------------- | ---------------- |  | - | ---------------- |  |  | ------ | ------ | - | ----------- | - | ----- |  |  | - | ------ | -
|                             |  | CurrentInterestRate |            |      | MaturityDate |  |                  | December 31,2010 |  |   | December 31,2009 | 
|                             |  |                     |            |      |              |  |                  | (Euro)           |  |   | (US Dollar)      |  |  | (Euro) |        |   | (US Dollar) |  
|Short-term obligations       |  |                     |            |      |              |  |                  |                  |  |   |                  |  |  |        |        |   |             |   |       |  |  |   |        |  
|Germany                      |  |                     |            |      |              |  |                  |                  |  |   |                  |  |  |        |        |   |             |   |       |  |  |   |        |  
|Credit facilities:           |  |                     |            |      |              |  |                  |                  |  |   |                  |  |  |        |        |   |             |   |       |  |  |   |        |  
|Line of credit1             |  |                     | 5.25       | %(1) |              |  | None             |                  |  |  |                 |  |  | $      |       |   |             |  | 779   |  |  | $ | 1,117  |  
|Line of credit2             |  |                     | 3.30       | %(1) |              |  | None             |                  |  |   |                 |  |  |        |       |   |             |   | 492   |  |  |   | 705    |  
|Line of credit3             |  |                     | 6.18       | %(1) |              |  | None             |                  |  |   |                 |  |  |        |       |   |             |   | 195   |  |  |   | 279    |  
|                             |  |                     |            |      |              |  |                  |                  |  |   |                  |  |  |        |        |   |             |   |       |  |  |   |        |  
|Total short-term obligations |  |                     |            |      |              |  |                  |                  |  |  |                 |  |  | $      |       |   |             |  | 1,466 |  |  | $ | 2,101  |  
|                             |  |                     |            |      |              |  |                  |                  |  |   |                  |  |  |        |        |   |             |   |       |  |  |   |        |  
|Long-term obligations        |  |                     |            |      |              |  |                  |                  |  |   |                  |  |  |        |        |   |             |   |       |  |  |   |        |  
|United States                |  |                     |            |      |              |  |                  |                  |  |   |                  |  |  |        |        |   |             |   |       |  |  |   |        |  
|Credit facility              |  |                     | 2.76       | %(3) |              |  | 7/2012           |                  |  |  |                 |  |  | $      |       |   |             |  |      |  |  | $ | 8,004  |  
|Term loan1                  |  |                     | 3.26       | %(4) |              |  | 2/2011           |                  |  |   |                 |  |  |        |       |   |             |   |      |  |  |   | 500    |  
|Term loan2                  |  |                     | 4.55       | %(5) |              |  | 6/2013           |                  |  |   |                 |  |  |        |       |   |             |   |      |  |  |   | 741    |  
|                             |  |                     |            |      |              | 
|Germany                      |  |                     |            |      |              |  |                  |                  |  |   |                  |  |  |        |        |   |             |   |       |  |  |   |        |  
|Term loans:                  |  |                     |            |      |              |  |                  |                  |  |   |                  |  |  |        |        |   |             |   |       |  |  |   |        |  
|Senior debt                  |  |                     | 5.00       | %(2) |              |  | 6/2011           |                  |  |   | 46               |  |  |        | 61     |   |             |   | 147   |  |  |   | 211    |  
|Construction I               |  |                     | 5.15       | %(2) |              |  | 3/2012           |                  |  |   | 313              |  |  |        | 415    |   |             |   | 563   |  |  |   | 807    |  
|Construction II              |  |                     | 5.60       | %(2) |              |  | 12/2016          |                  |  |   | 660              |  |  |        | 875    |   |             |   | 770   |  |  |   | 1,104  |  
|Construction III             |  |                     | 5.75       | %(2) |              |  | 9/2012           |                  |  |   | 91               |  |  |        | 121    |   |             |   | 143   |  |  |   | 205    |  
|Construction IV              |  |                     | 4.95       | %(2) |              |  | 6/2014           |                  |  |   | 630              |  |  |        | 835    |   |             |   | 810   |  |  |   | 1,161  |  
|Capital leases               |  |                     | 5.00%-8.46 | %    |              |  | 5/2013 - 12/2013 |                  |  |   |                 |  |  |        | 690    |   |             |   |      |  |  |   | 158    |  
|                             |  |                     |            |      |              |  |                  |                  |  |   |                  |  |  |        |        |   |             |   |       |  |  |   |        |  
|Total long-term obligations  |  |                     |            |      |              |  |                  |                  |  |  | 1,740            |  |  | $      | 2,997  |   |             |  | 2,433 |  |  | $ | 12,891 |  
|                             |  |                     |            |      |              |  |                  |                  |  |   |                  |  |  |        |        |   |             |   |       |  |  |   |        |  
|Less current portion         |  |                     |            |      |              |  |                  |                  |  |   |                  |  |  |        | (1,120 | ) |             |   |       |  |  |   | (1,862 | )
|                             |  |                     |            |      |              |  |                  |                  |  |   |                  |  |  |        |        |   |             |   |       |  |  |   |        |  
|Long-term portion            |  |                     |            |      |              |  |                  |                  |  |   |                  |  |  | $      | 1,877  |   |             |   |       |  |  | $ | 11,029 |  
|                             |  |                     |            |      |              |  |                  |                  |  |   |                  |  |  |        |        |   |             |   |       |  |  |   |        |  



|(1) | Fixed interest
rate is negotiated periodically for terms no less than six months
|--- | --------------------------------------------------------------------------------



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|(2) | Fixed interest rates
|--- | --------------------

|(3) | LIBOR plus 2.5% to
3.5%
|--- | -----------------------

|(4) | LIBOR plus 3.0%
|--- | ---------------

|(5) | Prime plus 1.3%
|--- | ---------------

Under the terms of the revolving credit facilities with three German banks, the Company may borrow up to
1,700 Euros, or approximately $2,500 for working capital needs. The 1,000 Euro revolving credit facility is secured by a mortgage on the Companys German facility and a 4,000 Euro guarantee by the Company. The 500 Euro revolving credit facility
is secured by accounts receivable of the Companys German subsidiary.

On July 21, 2010, the Company entered into
second amendment to the credit agreement with Mercantile Bank, a division of Toronto-Dominion Bank. Under the second amendment to the credit agreement, 1) the revolving U.S. credit facility was increased from $10,000 to $15,000, available based on
levels of accounts receivable and inventories, 2) the revolving credit facilitys maturity date was extended from February 3, 2011 to July 21, 2012, and 3) a $5,000 compensating balance requirement was eliminated. The revolving credit
facility contains various restrictive covenants which limit, among other things, indebtedness and liens. Under the agreement, the credit facility was secured by the Companys domestic accounts receivable, inventory and certain processing
equipment. The Company has $13,709 available credit on the revolving credit facility at December 31, 2010.

On
June 11, 2009, the Company entered into an amended credit agreement with Mercantile Bank, a division of Toronto-Dominion Bank. The amended agreement provided for an additional term loan to finance certain new equipment of $848 maturing on
June 11, 2013, subject to acceleration upon the occurrence of an event of default, including but not limited to a failure to maintain certain financial ratios. The Company paid off the loan in the fourth quarter of 2010.

The Company was in compliance with all covenants related to its credit facilities and term loans as of December 31, 2010.

At December 31, 2010, the Company had an outstanding interest rate swap agreement relating to the German term loan of
313 Euro, or $415 maturing March 31, 2012. Under this agreement, the Company pays a fixed interest rate of 5.15%. Payments or receipts on the agreement are recorded as adjustments to interest expense. Such adjustments have not been significant.

As of December 31, 2010, contractual maturities of long-term obligations are as follows:



|                |  |            |       |  |               |   |     |                  |  |   |       |  |  |   |       | 
|--------------- |  | ---------- | ----- |  | ------------- | - | --- | ---------------- |  | - | ----- |  |  | - | ----- | 
|                |  | Term Loans |       |  | CapitalLeases |   |     | CreditFacilities |  |   | Total | 
|2011            |  | $          | 727   |  |               | $ | 297 |                  |  | $ |      |  |  | $ | 1,024 | 
|2012            |  |            | 599   |  |               |   | 275 |                  |  |   |      |  |  |   | 874   | 
|2013            |  |            | 390   |  |               |   | 118 |                  |  |   |      |  |  |   | 508   | 
|2014            |  |            | 301   |  |               |   |    |                  |  |   |      |  |  |   | 301   | 
|2015 and beyond |  |            | 290   |  |               |   |    |                  |  |   |      |  |  |   | 290   | 
|                |  |            |       |  |               |   |     |                  |  |   |       |  |  |   |       | 
|                |  | $          | 2,307 |  |               | $ | 690 |                  |  | $ |      |  |  | $ | 2,997 | 
|                |  |            |       |  |               |   |     |                  |  |   |       |  |  |   |       | 



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13.    Income Taxes

The Companys income tax provision consists of the following components:



|                           |  |                         |        |   |      |   |        |      |  |   |        |  
|-------------------------- |  | ----------------------- | ------ | - | ---- | - | ------ | ---- |  | - | ------ | -
|                           |  | Year Ended December 31, |       
|                           |  | 2010                    |        |   | 2009 |   |        | 2008 | 
|Current:                   |  |                         |        |   |      |   |        |      |  |   |        |  
|Federal                    |  | $                       | (162   | ) |      | $ | (187   | )    |  | $ | (99    | )
|State                      |  |                         |       |   |      |   |       |      |  |   |       |  
|International              |  |                         | (588   | ) |      |   |       |      |  |   | (150   | )
|                           |  |                         |        |   |      |   |        |      |  |   |        |  
|Total current              |  |                         | (750   | ) |      |   | (187   | )    |  |   | (249   | )
|                           |  |                         |        |   |      |   |        |      |  |   |        |  
|Deferred:                  |  |                         |        |   |      |   |        |      |  |   |        |  
|Federal                    |  |                         | (325   | ) |      |   | (1,694 | )    |  |   | (1,179 | )
|State                      |  |                         | (241   | ) |      |   | (205   | )    |  |   | (142   | )
|International              |  |                         | (289   | ) |      |   | (514   | )    |  |   | 179    |  
|                           |  |                         |        |   |      |   |        |      |  |   |        |  
|Total deferred             |  |                         | (855   | ) |      |   | (2,413 | )    |  |   | (1,142 | )
|                           |  |                         |        |   |      |   |        |      |  |   |        |  
|Total income tax provision |  | $                       | (1,605 | ) |      | $ | (2,600 | )    |  | $ | (1,391 | )
|                           |  |                         |        |   |      |   |        |      |  |   |        |  

The components of the deferred tax assets and liabilities consisted of the following at:



|                         |                     |                   |        |                     |                   |   |        |       |  |   |           |   |  |   |        |  
|------------------------ | ------------------- | ----------------- | ------ | ------------------- | ----------------- | - | ------ | ----- |  | - | --------- | - |  | - | ------ | -
|                         |                     | December 31, 2010 |        |                     | December 31, 2009 |  
|                         | Deferred Income Tax |                   |        | Deferred Income Tax |                  
|                         |                     | Asset             |        |                     | Liability         |   |        | Asset |  |   | Liability |  
|Current:                 |                     |                   |        |                     |                   |   |        |       |  |   |           |   |  |   |        |  
|International            |                     | $                 |       |                     |                   | $ | (939   | )     |  | $ |          |   |  | $ | (839   | )
|Allowance for bad debts  |                     |                   |       |                     |                   |   |       |       |  |   | 33        |   |  |   |       |  
|Investments              |                     |                   |       |                     |                   |   |       |       |  |   | 1,112     |   |  |   |       |  
|Inventory                |                     |                   | 6,914  |                     |                   |   |       |       |  |   | 6,089     |   |  |   |       |  
|Net operating losses     |                     |                   | 3,299  |                     |                   |   |       |       |  |   | 6,527     |   |  |   |       |  
|Tax credits              |                     |                   | 1,680  |                     |                   |   |       |       |  |   |          |   |  |   |       |  
|Accrued liabilities      |                     |                   | 3,860  |                     |                   |   |       |       |  |   | 3,570     |   |  |   |       |  
|Other                    |                     |                   | 57     |                     |                   |   |       |       |  |   |          |   |  |   |       |  
|                         |                     |                   |        |                     |                   |   |        |       |  |   |           |   |  |   |        |  
|Total current            |                     |                   | 15,810 |                     |                   |   | (939   | )     |  |   | 17,331    |   |  |   | (839   | )
|                         |                     |                   |        |                     |                   |   |        |       |  |   |           |   |  |   |        |  
|Noncurrent:              |                     |                   |        |                     |                   |   |        |       |  |   |           |   |  |   |        |  
|Fixed assets             |                     |                   |       |                     |                   |   | (2,254 | )     |  |   |          |   |  |   | (3,644 | )
|Intangibles              |                     |                   | 321    |                     |                   |   |       |       |  |   |          |   |  |   | (87    | )
|International            |                     |                   |       |                     |                   |   | (249   | )     |  |   |          |   |  |   | (106   | )
|Investments              |                     |                   | 2,025  |                     |                   |   |       |       |  |   | 1,982     |   |  |   |       |  
|Unearned revenue         |                     |                   | 4,029  |                     |                   |   |       |       |  |   | 4,457     |   |  |   |       |  
|Net operating losses     |                     |                   | 540    |                     |                   |   |       |       |  |   |          |   |  |   |       |  
|Tax credits              |                     |                   | 2,895  |                     |                   |   |       |       |  |   | 4,426     |   |  |   |       |  
|Charitable contributions |                     |                   |       |                     |                   |   |       |       |  |   | 225       |   |  |   |       |  
|AMT credit               |                     |                   |       |                     |                   |   |       |       |  |   | 631       |   |  |   |       |  
|Other                    |                     |                   | 12     |                     |                   |   |       |       |  |   | 155       |   |  |   |       |  
|Valuation allowance      |                     |                   | (469   | )                   |                   |   |       |       |  |   | (1,138    | ) |  |   |       |  
|                         |                     |                   |        |                     |                   |   |        |       |  |   |           |   |  |   |        |  
|Total noncurrent         |                     |                   | 9,353  |                     |                   |   | (2,503 | )     |  |   | 10,738    |   |  |   | (3,837 | )
|                         |                     |                   |        |                     |                   |   |        |       |  |   |           |   |  |   |        |  
|Total                    |                     | $                 | 25,163 |                     |                   | $ | (3,442 | )     |  | $ | 28,069    |   |  | $ | (4,676 | )
|                         |                     |                   |        |                     |                   |   |        |       |  |   |           |   |  |   |        |  



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Valuation allowances are established when necessary to reduce deferred tax assets to amounts
which are more likely than not to be realized. As such, valuation allowances of $469 and $1,138 have been established at December 31, 2010 and 2009, respectively, against a portion of the deferred tax assets based on the characteristics of the
research tax credits claimed and on the nature of the credits claimed for certain state net operating loss carryforwards.

The
Company recorded a non-cash tax benefit from the exercise of incentive stock options as an addition to its deferred income tax assets in the amount of $0 and $212 for the years ended December 31, 2010 and 2009, respectively.

As of December 31, 2010, the Company has federal net operating loss carryforwards of $9,683 that will expire in the years 2025 to
2028, as well as state net operating loss carryforwards of $19,194 that will expire in the years 2016 to 2018 and 2020 to 2027.

As of December 31, 2010, the Company has research tax credit carryforwards of $5,236 that will expire in years 2018 through 2029, as
well as alternative minimum tax credit carryforwards of $684 that are carried forward indefinitely.

The Company expects the
domestic deferred tax assets of approximately $22,909, net of the valuation allowance at December 31, 2010 of $469, to be realized through the generation of future taxable income and the reversal of existing taxable temporary differences.
Valuation allowances have been recorded for certain state tax loss carryforwards as the Company does not believe that it will have future income in the state to utilize the loss carryforwards, and tax deductions taken for certain merger-related
costs.

United States income taxes have not been provided on the undistributed earnings of the Companys German
subsidiary. It is not practicable to estimate the amount of tax that might be payable. The Companys intention is to permanently reinvest earnings in its German subsidiary.

Excluding the non-deductible goodwill impairments in 2008 and 2010, over the past three years the Company has improved its business model
to produce predictable earnings through the following:



| |  |  | improved tissue availability
| | - |  | ----------------------------



| |  |  | renegotiated distributor agreements
| | - |  | -----------------------------------



| |  |  | exiting unprofitable business through business exchange
| | - |  | -------------------------------------------------------



| |  |  | the acquisition of TMI
| | - |  | ----------------------



| |  |  | increased diversification of product portfolio
| | - |  | ----------------------------------------------



| |  |  | reduced concentration risk on independent distributors
| | - |  | ------------------------------------------------------

The Company considered the improvements in its operating performance, as well as the impact of recent losses resulting from the non-deductible goodwill impairments in 2008 and 2010 as it relates to the
realization of remaining net deferred tax assets, and based on the weight of evidence, among other facts and circumstances, management determined that it was more likely than not that such net deferred tax assets would be realized.

At December 31, 2010 the Company had $688 of unrecognized tax benefits recorded in other long-term liabilities and $1,653 of
unrecognized tax benefits recorded net against deferred tax assets in the accompanying consolidated balance sheet. There were no significant changes to the Companys unrecognized tax benefits for income tax positions during 2010. The Company
does not anticipate any significant changes to its unrecognized tax benefits in 2011. The unrecognized tax benefits of $2,341, $1,269 and $897 for the years ended December 31, 2010, 2009 and 2008, respectively, that if recognized would
favorably impact the Companys effective tax rate.



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The Companys unrecognized tax benefits are summarized as follows:



|                                                             |  |                         |       |  |      |   |       |      |  |   |     | 
|------------------------------------------------------------ |  | ----------------------- | ----- |  | ---- | - | ----- | ---- |  | - | --- | 
|                                                             |  | Year Ended December 31, |      
|                                                             |  | 2010                    |       |  | 2009 |   |       | 2008 | 
|Opening balance                                              |  | $                       | 1,269 |  |      | $ | 897   |      |  | $ | 820 | 
|Additions based on tax positions related to the current year |  |                         | 210   |  |      |   | 240   |      |  |   | 77  | 
|Additions for tax positions of prior years                   |  |                         | 862   |  |      |   | 493   |      |  |   |    | 
|Reductions for tax positions of prior years                  |  |                         |      |  |      |   | (361  | )    |  |   |    | 
|Settlements                                                  |  |                         |      |  |      |   |      |      |  |   |    | 
|                                                             |  |                         |       |  |      |   |       |      |  |   |     | 
|                                                             |  | $                       | 2,341 |  |      | $ | 1,269 |      |  | $ | 897 | 
|                                                             |  |                         |       |  |      |   |       |      |  |   |     | 

The Companys policy is to recognize interest accrued related to unrecognized benefits in interest
expense and penalties in the provision for income taxes. There were no interest and penalties recorded in 2010, 2009 and 2008 and no interest and penalties accrued at December 31, 2010 and December 31, 2009.

The Company files income tax returns in the U.S. federal jurisdiction and various states. With few exceptions, the Company is no longer
subject to U.S. federal, state and local income tax examinations for years before 2000. The income tax examination of the Companys U.S. federal filings for the years 2001 and 2002 was completed in 2008 with no additional taxes payable.

The effective tax rate differs from the statutory federal income tax rate for the following reasons:



|                                              |  |                         |        |    |      |  |        |      |  |  |        |   
|--------------------------------------------- |  | ----------------------- | ------ | -- | ---- |  | ------ | ---- |  |  | ------ | --
|                                              |  | Year Ended December 31, |       
|                                              |  | 2010                    |        |    | 2009 |  |        | 2008 | 
|Statutory federal rate                        |  |                         | 35.00  | %  |      |  | 34.00  | %    |  |  | 34.00  | % 
|State income taxesnet of federal tax benefit |  |                         | (0.12  | %) |      |  | 3.03   | %    |  |  | 3.76   | % 
|Impairment of goodwill                        |  |                         | (36.89 | %) |      |  | 0.00   | %    |  |  | (39.19 | %)
|Research tax credits                          |  |                         | 0.48   | %  |      |  | (11.03 | %)   |  |  | 0.30   | % 
|Exercise of incentive stock options           |  |                         |       |    |      |  | 2.85   | %    |  |  | (0.23  | %)
|Valuation allowance                           |  |                         |       |    |      |  | 2.61   | %    |  |  | (0.16  | %)
|Miscellaneous                                 |  |                         | 0.27   | %  |      |  | (0.71  | %)   |  |  | 0.11   | % 
|                                              |  |                         |        |    |      |  |        |      |  |  |        |   
|Effective tax rate                            |  |                         | (1.26  | %) |      |  | 30.75  | %    |  |  | (1.41  | %)
|                                              |  |                         |        |    |      |  |        |      |  |  |        |   

14.    Stockholders Equity

Preferred StockThe Company has 5,000,000 shares of preferred stock authorized under its Certificate of Incorporation,
none of which currently is outstanding. These shares may be issued in one or more series having such terms as may be determined by the Companys Board of Directors.

Common StockThe Company has 150,000,000 shares of common stock authorized. The common stocks voting, dividend, and liquidation rights presently are not subject to or qualified by
the rights of the holders of any outstanding shares of preferred stock, as the Company presently does not have any shares of preferred stock outstanding. Holders of common stock are entitled to one vote for each share held at all stockholder
meetings. Shares of common stock do not have redemption rights.

15.    Retirement Benefits

The Company has a qualified 401(k) plan available to all United States employees who meet certain eligibility requirements. The 401(k)
plan allows each employee to contribute up to the annual maximum allowed under the Internal Revenue Code. The Company has the discretion to make matching contributions up to 6% of



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the employees earnings. For the years ended December 31, 2010, 2009 and 2008, the Companys contributions to the plan were $1,358, $1,343 and $1,251, respectively.

16.    Concentrations of Risk

DistributionThe Companys principal concentration of risk is related to its limited distribution channels. The Companys revenues include the distribution efforts of eleven
independent companies with significant revenues coming from two of the distribution companies, Medtronic and Zimmer. For years ended December 31, 2010, 2009 and 2008, the amount of revenues derived from Medtronic were approximately 18%, 22% and
24%, respectively. For year ended December 31, 2010, 2009 and 2008, the amount of revenues derived from Zimmer was approximately 15%, 22% and 19% respectively.

The Companys distribution agreements are subject to termination by either party for a variety of causes. No assurance can be given that such distribution agreements will be renewed beyond their
expiration dates, continue in their current form or at similar rate structures. Any termination or interruption in the distribution of the Companys products through one of its major distributors could have a material adverse effect on the
Companys operations.

Tissue SupplyThe Companys operations are dependent on the availability
of tissue from human donors. For the majority of the tissue recoveries, the Company relies on the efforts of independent procurement agencies to educate the public and increase the willingness to donate bone tissue. These procurement agencies may
not be able to obtain sufficient tissue to meet present or future demands. Any interruption in the supply of tissue from these procurement agencies could have a material adverse effect on the Companys operations.

17.    Supplemental Disclosure of Cash Flow and Non-Cash Investing and Financing Activities

Selected cash payments, receipts, and noncash activities are as follows:



|                                                                            |  |                         |       |  |      |   |     |      |  |   |         | 
|--------------------------------------------------------------------------- |  | ----------------------- | ----- |  | ---- | - | --- | ---- |  | - | ------- | 
|                                                                            |  | Year Ended December 31, |      
|                                                                            |  | 2010                    |       |  | 2009 |   |     | 2008 | 
|Cash paid for interest                                                      |  | $                       | 453   |  |      | $ | 472 |      |  | $ | 625     | 
|Income taxes paid                                                           |  |                         | 652   |  |      |   | 505 |      |  |   | 341     | 
|Purchases of property, plant, and equipment financed through capital leases |  |                         | 743   |  |      |   |    |      |  |   |        | 
|Accrual for purchases of property, plant and equipment                      |  |                         | 311   |  |      |   | 175 |      |  |   | 525     | 
|Payable for aquired licensing rights                                        |  |                         | 3,000 |  |      |   | 950 |      |  |   | 3,920   | 
|Common stock issued and stock options assumed for acquisition of TMI        |  |                         |      |  |      |   |    |      |  |   | 265,914 | 
|Deposit applied against notes payable                                       |  |                         |      |  |      |   |    |      |  |   | 300     | 
|Income tax benefit from non-qualified stock option exercises                |  |                         |      |  |      |   | 186 |      |  |   | 337     | 

18.    Commitments and Contingencies

Potential Value Added Tax (VAT) AssessmentIn 2008, the Company was audited by the German value added tax (VAT) authorities and received an assessment for 600 Euros, or
$846, for the year ended December 31, 2008. The Company also received an assessment for the year ended December 31, 2009, in the third quarter of 2010 for 1,069 Euros, or $1,455. The Company estimates an additional potential assessment of
1,095 Euros, or $1,451, for the twelve months ended December 31, 2010. The Company has not accrued a liability for this contingency. The Company does not believe that it is probable that it will ultimately be required to pay the assessment to
the German VAT authorities.

Distribution Agreement with ZimmerOn September 3, 2010, the Company and
Zimmer Dental Inc., a subsidiary of Zimmer, Inc. entered into a new exclusive distribution agreement, with an effective date of September 30, 2010. The Agreement has an initial term of ten years. Under the terms of the Agreement, the Company
will supply sterilized allograft and xenograft implants at an agreed upon transfer price, and Zimmer



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will be the exclusive distributor of the Implants for dental and oral applications worldwide (except the Ukraine), subject to certain Company obligations under an existing distribution agreement
with a third party with respect to certain implants for the dental market. In consideration for Zimmers exclusive distribution rights, Zimmer agreed to the following: 1) payment to the Company of $13,000 within ten days of the effective, 2)
annual exclusivity fees paid annually for the term of the contract to be paid at the beginning of each calendar year, the first of which was paid on January 18, 2011 in the amount of $4,000, and , 3) escalating annual purchase minimums to
maintain exclusivity. Upon occurrence of an event that materially and adversely affects Zimmers ability to distribute the Implants, Zimmer may be entitled to certain refund rights with respect to the Upfront Payment and the then current Annual
Exclusivity Fee, where such refund would be in an amount limited by a formula specified in the Agreement that is based substantially on the number of days from the occurrence of such event to the date that it is cured by the Company to the
satisfaction of Zimmer. Both the Upfront Payment and the Initial Annual Exclusivity Fee have been deferred and are being recognized as other revenues based on Zimmers anticipated annual purchases over the term of the agreement.

Exclusive License Agreement with AthersysOn September 10, 2010, the Company entered into an Exclusive License
Agreement with Athersys, pursuant to which Athersys will provide RTI access to its MAPC technologies to develop and commercialize MAPC technology-based biologic implants for the certain orthopedic applications. In consideration for the Exclusive
License, the Company will pay Athersys the following: 1) a non-refundable $3,000 license fee, payable in three time-based $1,000 installments, the first of which was paid upon execution of the agreement, and the remaining two payments expected
within the next 18 months, 2) payment of $2,000 contingent upon successful achievement of certain development milestones which the Company believes is reasonably probable, and 3) up to $32,500 contingent upon achievement of certain cumulative
revenue milestones in future years. In addition, the Company will pay Athersys royalties from the distribution of implants under a tiered royalty structure based on achievement of certain cumulative revenue milestones. The term of the Exclusive
License Agreement is the longer of five years, or the remaining life of any patent or trade secret. The asset is being expensed on a straight-line basis over the life of the asset.

Distribution Agreement with DavolOn July 13, 2009, the Company and Davol amended their previous distribution
agreement with TMI for human dermis implants. Under the amended agreement, 1) Davol paid the Company $8,000 in non-refundable fees for exclusive distribution rights for the distribution to the breast reconstruction market until July 13, 2019,
2) the exclusive worldwide distribution agreement related to the hernia market was extended to July 13, 2019, and 3) Davol agreed to pay the Company certain additional exclusive distribution rights fees contingent upon the achievement of
certain revenue milestones by Davol during the duration of the contract. In the fourth quarter of 2010, Davol paid the first revenue milestone payment of $3,500. The $8,000 and $3,500 exclusivity payments have been deferred and are being recognized
as other revenue on a straight-line basis over ten years, the initial term of the contract, and the remaining term of the contract, respectively.

Distribution Agreement with ZimmerOn May 14, 2007, the Company entered into an exclusive distribution agreement with Zimmer with an initial term of ten years, relating to certain
new bone graft substitutes implants. As part of the agreement, Zimmer made payments to the Company totaling $5,000 for the aforementioned exclusive distribution rights, and has to maintain certain minimum order volumes beginning in 2010. The $5,000
exclusivity payment has been deferred and is being recognized as other revenue on a straight-line basis over the initial term of the contract. The contract provides for repayment, on a pro rata basis, of the exclusivity payments during the initial
contract term for specific events of non-performance, as defined in the agreement. The agreement also includes automatic two-year renewal terms, as well as buy-out provisions by both parties upon proper notice of cancellation.

LeasesThe Company leases certain facilities, items of office equipment and vehicles under non-cancelable operating
lease arrangements expiring on various dates through 2016. The facility leases generally contain renewal options and escalation clauses based upon increases in the lessors operating expenses



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and other charges. The Company anticipates that most of these leases will be renewed or replaced upon expiration. At December 31, 2010, the aggregate future minimum lease payments under all
non-cancelable lease agreements were as follows:

Future minimum lease commitments under non-cancelable operating leases as of
December 31, 2010 are as follows:



|                |  |                 |       | 
|--------------- |  | --------------- | ----- | 
|                |  | OperatingLeases |      
|2011            |  | $               | 1,575 | 
|2012            |  |                 | 1,156 | 
|2013            |  |                 | 644   | 
|2014            |  |                 | 106   | 
|2015 and beyond |  |                 | 31    | 
|                |  |                 |       | 
|                |  | $               | 3,512 | 
|                |  |                 |       | 

Rent expense for the years ended December 31, 2010, 2009, and 2008 was $1,019, $1,222, and $1,542,
respectively, and is included as a component of marketing, general and administrative expenses.

19.    Legal and
Regulatory Actions

The Company is, from time to time, involved in litigation relating to claims arising out of its
operations in the ordinary course of business. The Company believes that none of these claims that were outstanding as of December 31, 2010 will have a material adverse impact on its financial position or results of operations.

The Company and Medtronic Sofamor Danek, USA, Inc. (MSD), a subsidiary of Medtronic, Inc., (Medtronic), have
filed claims against each other with the American Arbitration Association related to events stemming from the actions of Biomedical Tissue Services, Ltd. (BTS), an unaffiliated company recovery agency, and the subsequent voluntary recall
of allografts processed by the Company from tissue originating from BTS (the Allografts). MSD seeks indemnification from the Company for its legal fees, costs and expenses allegedly incurred during the defense of cases brought by
recipients of Allografts. The Company denies that it is obligated to indemnify MSD in respect of the Allografts. In the same proceeding, the Company is seeking damages from MSD due to actions taken by MSD during the recall process. Among other
allegations, the Company alleges that MSDs actions were negligent and in breach of the contractual agreements between the Company and MSD. The proceeding is currently in its initial stages and the probability of a favorable or unfavorable
outcome to the Company is unknown at this time. However, while the Company believes its defenses and counterclaims are meritorious, the ultimate resolution of the matters, which is expected to occur within nine months, could adversely impact the
Companys business, financial condition or results of operations.

The Companys accounting policy is to accrue for
legal costs as they are incurred.



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20.    Segment Data

The Company processes human and bovine animal tissue and distributes the tissue through various distribution channels. The Companys
lines of business are comprised primarily of five product categories: sports medicine, spine, dental, surgical specialties, BGS and general orthopedic. The following table presents revenues from tissue distribution, and other revenues and percentage
of our revenues for the years ended December 31, 2010, 2009 and 2008:



|                               |  |                         |         |  |      |  |       |         |  |   |         |  |  |  |       |   |  |   |         |  |  |  |       |  
|------------------------------ |  | ----------------------- | ------- |  | ---- |  | ----- | ------- |  | - | ------- |  |  |  | ----- | - |  | - | ------- |  |  |  | ----- | -
|                               |  | Year Ended December 31, |        
|                               |  | 2010                    |         |  | 2009 |  |       | 2008(1) | 
|                               |  | (In thousands)          |        
|Fees from tissue distribution: |  |                         |         |  |      |  |       |         |  |   |         |  |  |  |       |   |  |   |         |  |  |  |       |  
|Sports medicine                |  | $                       | 45,065  |  |      |  | 27.1  | %       |  | $ | 39,533  |  |  |  | 24.0  | % |  | $ | 36,330  |  |  |  | 24.8  | %
|Spine                          |  |                         | 33,906  |  |      |  | 20.4  | %       |  |   | 41,087  |  |  |  | 25.0  | % |  |   | 41,817  |  |  |  | 28.5  | %
|Dental                         |  |                         | 29,746  |  |      |  | 17.9  | %       |  |   | 29,985  |  |  |  | 18.2  | % |  |   | 27,365  |  |  |  | 18.7  | %
|Surgical specialties           |  |                         | 26,871  |  |      |  | 16.2  | %       |  |   | 26,278  |  |  |  | 16.0  | % |  |   | 15,350  |  |  |  | 10.5  | %
|BGS and general orthopedic     |  |                         | 25,413  |  |      |  | 15.3  | %       |  |   | 23,161  |  |  |  | 14.1  | % |  |   | 20,024  |  |  |  | 13.6  | %
|Other revenues                 |  |                         | 5,170   |  |      |  | 3.1   | %       |  |   | 4,483   |  |  |  | 2.7   | % |  |   | 5,749   |  |  |  | 3.9   | %
|                               |  |                         |         |  |      |  |       |         |  |   |         |  |  |  |       |   |  |   |         |  |  |  |       |  
|Total revenues                 |  | $                       | 166,171 |  |      |  | 100.0 | %       |  | $ | 164,527 |  |  |  | 100.0 | % |  | $ | 146,635 |  |  |  | 100.0 | %
|                               |  |                         |         |  |      |  |       |         |  |   |         |  |  |  |       |   |  |   |         |  |  |  |       |  
|Domestic revenues              |  | $                       | 147,943 |  |      |  | 89.0  | %       |  | $ | 141,275 |  |  |  | 85.9  | % |  | $ | 126,957 |  |  |  | 86.6  | %
|International revenues         |  |                         | 18,228  |  |      |  | 11.0  | %       |  |   | 23,252  |  |  |  | 14.1  | % |  |   | 19,678  |  |  |  | 13.4  | %
|                               |  |                         |         |  |      |  |       |         |  |   |         |  |  |  |       |   |  |   |         |  |  |  |       |  
|Total revenues                 |  | $                       | 166,171 |  |      |  | 100.0 | %       |  | $ | 164,527 |  |  |  | 100.0 | % |  | $ | 146,635 |  |  |  | 100.0 | %
|                               |  |                         |         |  |      |  |       |         |  |   |         |  |  |  |       |   |  |   |         |  |  |  |       |  



|(1) | Includes results
of Tutogen Medical, Inc. beginning on February 28, 2008.
|--- | -------------------------------------------------------------------------

For the years ended December 31, 2010,
2009 and 2008, the Company derived approximately 18%, 22% and 24%, respectively, of its total revenues from Medtronic.

For
the years ended December 31, 2010, 2009 and 2008, the Company derived approximately 15%, 22% and 19% respectively, of its total revenues from Zimmer.

For the years ended December 31, 2010, 2009 and 2008, the Company derived approximately 11%, 14% and 13%, respectively, of its total revenues from foreign distribution.

As of December 31, 2010, the Company had $32,520 of net property, plant and equipment located domestically, and $10,826 of net
property, plant and equipment located at its processing facility in Germany.

21.    Quarterly Results of Operations
(Unaudited)

The following table sets forth the results of operations for the periods indicated:



|                                    |  |               |        |   |              |   |        |                   |  |   |                  |   |  |   |        | 
|----------------------------------- |  | ------------- | ------ | - | ------------ | - | ------ | ----------------- |  | - | ---------------- | - |  | - | ------ | 
|                                    |  | March 31,2010 |        |   | June 30,2010 |   |        | September 30,2010 |  |   | December 31,2010 |  
|Quarter Ended:                      |  |               |        |   |              |   |        |                   |  |   |                  |   |  |   |        | 
|Revenues                            |  | $             | 37,779 |   |              | $ | 41,180 |                   |  | $ | 41,836           |   |  | $ | 45,376 | 
|Gross profit                        |  |               | 17,057 |   |              |   | 18,858 |                   |  |   | 19,886           |   |  |   | 20,202 | 
|Net (loss) income                   |  |               | (54    | ) |              |   | 948    |                   |  |   | (133,059         | ) |  |   | 2,766  | 
|Net income (loss) per common share: |  |               |        |   |              |   |        |                   |  |   |                  |   |  |   |        | 
|Basic                               |  | $             |       |   |              | $ | 0.02   |                   |  | $ | (2.43            | ) |  | $ | 0.05   | 
|Diluted                             |  | $             |       |   |              | $ | 0.02   |                   |  | $ | (2.43            | ) |  | $ | 0.05   | 



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During 2010, the Company experienced an increase in fees from tissue distribution in the
sports medicine and BGS and general orthopedic product categories and a decrease in its spine product category. Sports medicine, BGS and general orthopedic product categories were positively impacted by increases in unit volumes, favorable product
distribution mixes and increased market penetration through our direct distribution force both domestically and internationally. The Companys dental product category was affected by a new exclusive distribution agreement with our exclusive
dental distributor which changed distributions from a marketing fee structure to a transfer fee structure. The Companys spine product category was negatively impacted by a $6,000 inventory reduction from our largest spine distributor in the
first half of 2010. In addition, the Company experienced an increase in the other revenue category during 2010. The increase in the other revenue category was affected by higher deferred revenue amortization resulting from exclusivity payments from
our dental and surgical specialty distributors received in the fourth quarter of 2010, which favorably impacted gross margin. During the third quarter of 2010, the Company recorded a goodwill impairment of $134,681.

The following table sets forth the results of operations for the periods indicated:



|                             |  |               |        |  |              |   |        |                   |  |   |                  |  |  |   |        | 
|---------------------------- |  | ------------- | ------ |  | ------------ | - | ------ | ----------------- |  | - | ---------------- |  |  | - | ------ | 
|                             |  | March 31,2009 |        |  | June 30,2009 |   |        | September 30,2009 |  |   | December 31,2009 | 
|Quarter Ended:               |  |               |        |  |              |   |        |                   |  |   |                  |  |  |   |        | 
|Revenues                     |  | $             | 38,623 |  |              | $ | 41,131 |                   |  | $ | 42,813           |  |  | $ | 41,960 | 
|Gross profit                 |  |               | 18,151 |  |              |   | 18,799 |                   |  |   | 20,614           |  |  |   | 19,929 | 
|Net income                   |  |               | 1,032  |  |              |   | 1,021  |                   |  |   | 2,313            |  |  |   | 1,489  | 
|Net income per common share: |  |               |        |  |              |   |        |                   |  |   |                  |  |  |   |        | 
|Basic                        |  | $             | 0.02   |  |              | $ | 0.02   |                   |  | $ | 0.04             |  |  | $ | 0.03   | 
|Diluted                      |  | $             | 0.02   |  |              | $ | 0.02   |                   |  | $ | 0.04             |  |  | $ | 0.03   | 

During 2009, the
Company experienced an increase in fees from tissue distribution in the sports medicine, dental, surgical specialties, BGS and general orthopedic product categories, and a decrease in its spine product category. Sports medicine and surgical
specialties product categories were positively impacted by increases in unit volumes and favorable product distribution mixes. The increases in the dental, BGS and general orthopedic product categories were primarily attributable to twelve months of
revenue on products added in the TMI acquisition versus ten months in 2008. Gross margin increased as a result of higher revenues.

22.    Subsequent Events

The Company evaluated subsequent events as of the issuance date of the financial statements, February 22, 2011, and identified no subsequent events as defined by ASC 855 Subsequent Events.



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RTI BIOLOGICS, INC. AND SUBSIDIARIES

Schedule II

Valuation and Qualifying Accounts

Years Ended December 31, 2010, 2009 and 2008

(Dollars in thousands)



|                                      |  |                              |        |  |                             |   |       |                                                      |  |   |                        |   |  |   |        | 
|------------------------------------- |  | ---------------------------- | ------ |  | --------------------------- | - | ----- | ---------------------------------------------------- |  | - | ---------------------- | - |  | - | ------ | 
|Description                           |  | Balance atBeginning ofPeriod |        |  | Charged toCosts andExpenses |   |       | Deductions-Write-offs,Payments orOtherAdjustments(1) |  |   | Balance atEnd ofPeriod |  
|For the year ended December 31, 2010: |  |                              |        |  |                             |   |       |                                                      |  |   |                        |   |  |   |        | 
|Allowance for doubtful accounts       |  | $                            | 1,103  |  |                             | $ | 48    |                                                      |  | $ | 961                    |   |  | $ | 190    | 
|Allowance for product returns         |  |                              | 193    |  |                             |   | 118   |                                                      |  |   | 11                     |   |  |   | 300    | 
|Allowance for obsolescence            |  |                              | 12,131 |  |                             |   | 2,107 |                                                      |  |   | 2,726                  |   |  |   | 11,513 | 
|For the year ended December 31, 2009: |  |                              |        |  |                             |   |       |                                                      |  |   |                        |   |  |   |        | 
|Allowance for doubtful accounts       |  |                              | 1,231  |  |                             |   | 92    |                                                      |  |   | 220                    |   |  |   | 1,103  | 
|Allowance for product returns         |  |                              | 504    |  |                             |   | 117   |                                                      |  |   | 428                    |   |  |   | 193    | 
|Allowance for obsolescence            |  |                              | 16,826 |  |                             |   | 1,940 |                                                      |  |   | 6,635                  |   |  |   | 12,131 | 
|For the year ended December 31, 2008: |  |                              |        |  |                             |   |       |                                                      |  |   |                        |   |  |   |        | 
|Allowance for doubtful accounts       |  |                              | 232    |  |                             |   | 311   |                                                      |  |   | (688                   | ) |  |   | 1,231  | 
|Allowance for product returns         |  |                              | 363    |  |                             |   | 327   |                                                      |  |   | 186                    |   |  |   | 504    | 
|Allowance for obsolescence            |  |                              | 10,734 |  |                             |   | 2,372 |                                                      |  |   | (3,720                 | ) |  |   | 16,826 | 



|(1) | Other adjustments include the balances acquired as part of the acquisition of TMI on February 27, 2008.
|--- | -------------------------------------------------------------------------------------------------------



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SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly
authorized.



|                  |  |  |  |                     |  |     |  |                                     
|----------------- |  |  |  | ------------------- |  | --- |  | ------------------------------------
|February 22, 2011 |  |  |  | RTI BIOLOGICS, INC.
|                  |  |  |  |                    
|                  |  |  |  |                     |  | By: |  | /s/ Brian K. Hutchison              
|                  |  |  |  |                     |  |     |  | Brian K. Hutchison                  
|                  |  |  |  |                     |  |     |  | Chairman and Chief Executive Officer

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf
of the registrant and in the capacities and on the dates indicated.



|                                              |  |                                                                     |  |                  
|--------------------------------------------- |  | ------------------------------------------------------------------- |  | -----------------
|Signature                                     |  | Title                                                               |  | Date             
|                                              |  |                                                                    
|/s/ Brian K. Hutchison Brian K. Hutchison     |  | Chairman, and Chief Executive Officer (Principal Executive Officer) |  | February 22, 2011
|                                              |  |                                                                    
|/s/ Robert P. Jordheim Robert P. Jordheim     |  | Executive Vice President and Chief Financial Officer                |  | February 22, 2011
|                                              |  |                                                                    
|/s/ Philip R. Chapman Philip R. Chapman       |  | Director                                                            |  | February 22, 2011
|                                              |  |                                                                    
|/s/ Peter F. Gearen Peter F. Gearen           |  | Director                                                            |  | February 22, 2011
|                                              |  |                                                                    
|/s/ Michael J. Odrich Michael J. Odrich       |  | Director                                                            |  | February 22, 2011
|                                              |  |                                                                    
|/s/ Gregory P. Rainey Gregory P. Rainey       |  | Director                                                            |  | February 22, 2011
|                                              |  |                                                                    
|/s/ Dean H. Bergy Dean H. Bergy               |  | Director                                                            |  | February 22, 2011
|                                              |  |                                                                    
|/s/ Julianne M. Bowler Julianne M. Bowler     |  | Director                                                            |  | February 22, 2011
|                                              |  |                                                                    
|/s/ Roy D. Crowninshield Roy D. Crowninshield |  | Director                                                            |  | February 22, 2011
|                                              |  |                                                                    
|/s/ Udo Henseler Udo Henseler                 |  | Director                                                            |  | February 22, 2011
|                                              |  |                                                                    
|/s/ Adrian J.R. Smith Adrian J.R. Smith       |  | Director                                                            |  | February 22, 2011



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##### Table of Contents

EXHIBIT INDEX



|              |  |                                                                                                                                                                                                                                                                                    
|------------- |  | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
|ExhibitNumber |  | Description                                                                                                                                                                                                                                                                        
|3.1           |  | Amended and Restated Certificate of Incorporation of RTI Biologics, Inc.1                                                                                                                                                                                                          
|              | 
|3.2           |  | Bylaws.2                                                                                                                                                                                                                                                                           
|              | 
|4.3           |  | Specimen Stock Certificate.3                                                                                                                                                                                                                                                       
|              | 
|10.1*         |  | Omnibus Stock Option Plan.3                                                                                                                                                                                                                                                        
|              | 
|10.2*         |  | Year 2000 Compensation Plan.3                                                                                                                                                                                                                                                      
|              | 
|10.3*         |  | RTI Biologics, Inc. 2004 Equity Incentive Plan.4                                                                                                                                                                                                                                   
|              | 
|10.4*         |  | Form of Nonqualified Stock Option Grant Agreement.5                                                                                                                                                                                                                                
|              | 
|10.5*         |  | Form of Incentive Stock Option Grant Agreement.5                                                                                                                                                                                                                                   
|              | 
|10.6          |  | License Agreement, dated November 24, 2008, between RTI Biologics, Inc. and LifeNet Health, Inc. 6                                                                                                                                                                                
|              | 
|10.7          |  | Credit Agreement, dated January 28, 2008, between RTI Biologics, Inc. and Mercantile Bank.6                                                                                                                                                                                        
|              | 
|10.8          |  | First Amendment to the Credit Agreement, dated June 11, 2009, between RTI Biologics, Inc. and Mercantile Bank.7                                                                                                                                                                    
|              | 
|10.9*         |  | RTI Biologics, Inc. 2010 Equity Incentive Plan.8                                                                                                                                                                                                                                   
|              | 
|10.10         |  | Second Amendment to the Credit Agreement, dated July 21, 2010, between RTI Biologics, Inc. and Mercantile Bank.19                                                                                                                                                                  
|              | 
|10.11         |  | Exclusive Distribution Agreement between RTI Biologics, Inc. and Zimmer Dental Inc., dated as of September 3, 2010 and effective as of September 30, 2010. 10                                                                                                                     
|              | 
|23.1          |  | Consent of Independent Registered Public Accounting Firm.                                                                                                                                                                                                                          
|              | 
|31.1          |  | Certification of Brian K. Hutchison, Chairman and Chief Executive Officer, pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.                                                                                                                                              
|              | 
|31.2          |  | Certification of Robert P. Jordheim, Executive Vice President and Chief Financial Officer, pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.                                                                                                                              
|              | 
|32.1          |  | Certification of Brian K. Hutchison, Chairman and Chief Executive Officer, pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, regarding the information contained in RTI
Biologics, Inc.s Annual Report on Form 10-K for the year ended December 31, 2010.                
|              | 
|32.2          |  | Certification of Robert P. Jordheim, Executive Vice President and Chief Financial Officer, pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, regarding the information
contained in RTI Biologics, Inc.s Annual Report on Form 10-K for the year ended December 31, 2010.



|1 | Incorporated by reference to our Current Report on Form 8-K filed February 29, 2008.
|- | ------------------------------------------------------------------------------------

|2 | Incorporated by reference to our Current Report on Form 8-K filed August 4, 2008.
|- | ---------------------------------------------------------------------------------

|3 | Incorporated by reference to our Registration Statement on Form S-1 (File No. 333-35756).
|- | -----------------------------------------------------------------------------------------

|4 | Incorporated by reference to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2004.
|- | ---------------------------------------------------------------------------------------------------

|5 | Incorporated by reference to our Annual Report on Form 10-K for the year ended December 31, 2004.
|- | -------------------------------------------------------------------------------------------------

|6 | Incorporated by reference to our Annual Report on Form 10-K for the year ended December 31, 2008.
|- | -------------------------------------------------------------------------------------------------

|7 | Incorporated by reference to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2009.
|- | ---------------------------------------------------------------------------------------------------

|8 | Incorporated by reference to our Proxy Statement on Form DEF 14A filed March 18, 2010
|- | -------------------------------------------------------------------------------------

|9 | Incorporated by reference to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2010.
|- | ---------------------------------------------------------------------------------------------------

|10 | Incorporated by reference to our Quarterly Report on Form 10-Q for the quarter ended September 30, 2010.
|-- | --------------------------------------------------------------------------------------------------------

| | Confidential treatment requested as to certain portions, which portions were omitted and filed separately with the Commission.
|- | ------------------------------------------------------------------------------------------------------------------------------

|* | Indicates a management contract or any compensatory plan, contract, or arrangement.
|- | -----------------------------------------------------------------------------------