UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

 

(Mark One)

 

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the quarterly period ended March 31, 20222023

 

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: 000-24249

 

Interpace Biosciences, Inc.
(Exact name of registrant as specified in its charter)

 

Delaware 22-2919486

(State or other jurisdiction of

Incorporation or organization)

 

(I.R.S. Employer

Identification No.)

 

Morris Corporate Center 1, Building C
300 Interpace ParkwayWaterview Plaza, Suite 310, 2001 Route 46, Parsippany, NJ 07054
(Address of principal executive offices and zip code)
 
(855) 776-6419
(Registrant’s telephone number, including area code)

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class Trading Symbol(s) Name of each exchange on which registered
None N//A N/A

 

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 ☒ No ☐

 

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). YesNo ☐No☐

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer”, “accelerated filer”, “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer ☐ Accelerated filer ☐
Non-accelerated filer Smaller reporting company
  Emerging Growth Company

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

 

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

 

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date:

 

Class Shares Outstanding May 6, 20225, 2023
Common Stock, par value $0.01 per share 4,229,9394,311,414

 

 

 

INTERPACE BIOSICENCES, INC.

FORM 10-Q FOR PERIOD ENDED MARCH 31, 20222023

TABLE OF CONTENTS

 

  

Page

No.

   
 PART I - FINANCIAL INFORMATION 
   
Item 1.Unaudited Interim Condensed Consolidated Financial Statements3
   
 Condensed Consolidated Balance Sheets at March 31, 20222023 (unaudited) and December 31, 202120223
   
 Condensed Consolidated Statements of Operations for the three- monththree-month periods ended March 31, 20222023 and 20212022 (unaudited)4
   
 Condensed Consolidated Statements of Stockholders’ Deficit for the three- monththree-month periods ended March 31, 20222023 and 20212022 (unaudited)5
   
 Condensed Consolidated Statements of Cash Flows for the three- monththree-month periods ended March 31, 20222023 and 20212022 (unaudited)6
   
 Notes to Unaudited Condensed Consolidated Financial Statements7
   
Item 2.Management’s Discussion and Analysis of Financial Condition and Results of Operations2422
  
Item 3.Quantitative and Qualitative Disclosures About Market Risk3229
   
Item 4.Controls and Procedures3229
   
 PART II - OTHER INFORMATION 
   
Item 1.Legal Proceedings3230
  
Item 1A.Risk Factors3230
   
Item 2.Unregistered Sales of Equity Securities and Use of Proceeds3230
   
Item 3.Defaults Upon Senior Securities3330
   
Item 4.Mine Safety Disclosures3330
   
Item 5.Other Information3330
   
Item 6.Exhibits3330
   
Signatures3431

 

2

PART I. FINANCIAL INFORMATION

INTERPACE BIOSCIENCES, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except share and per share data)

 

 March 31, December 31,  March 31, December 31, 
 2022 2021  2023  2022 
 (unaudited)     (unaudited)    
ASSETS                
Current assets:                
Cash and cash equivalents $2,850  $3,064  $5,596  $4,828 
Restricted cash  250   250 
Accounts receivable, net of allowance for doubtful accounts of $72 and $72, respectively  7,241   6,158 
Accounts receivable  4,715   5,032 
Other current assets  2,777   2,694   2,173   2,294 
Total current assets  13,118   12,166   12,484   12,154 
Property and equipment, net  6,145   6,349   506   480 
Other intangible assets, net  6,751   7,287   544   861 
Goodwill  8,433   8,433 
Operating lease right of use assets  3,760   4,032   2,298   2,439 
Other long-term assets  151   160   45   45 
Total assets $38,358  $38,427  $15,877  $15,979 
                
LIABILITIES AND STOCKHOLDERS’ DEFICIT                
Current liabilities:                
Accounts payable $3,951  $2,694  $1,582  $1,050 
Accrued salary and bonus  3,461   3,024   888   1,456 
Other accrued expenses  8,692   9,198   8,323   8,419 
Current liabilities from discontinued operations  766   766 
Line of credit - current  2,200   2,500 
Current liabilities of discontinued operations  858   858 
Total current liabilities  16,870   15,682   13,851   14,283 
Contingent consideration  1,345   1,383   368   518 
Operating lease liabilities, net of current portion  2,928   3,154   1,748   1,848 
Line of credit  2,500   1,500 
Note payable at fair value  7,835   7,942   11,132   11,165 
Other long-term liabilities  4,685   4,648   4,780   4,701 
Total liabilities  36,163   34,309   31,879   32,515 
                
Commitments and contingencies (Note 8)  -    -  
Commitments and contingencies (Note 9)  -   - 
                
Preferred stock, $.01 par value; 5,000,000 shares authorized, 47,000 shares Series B issued and outstanding  46,536   46,536 
Redeemable preferred stock, $.01 par value; 5,000,000 shares authorized, 47,000 shares Series B issued and outstanding  46,536   46,536 
                
Stockholders’ deficit:                
Common stock, $.01 par value; 100,000,000 shares authorized; 4,272,308 and 4,228,169 shares issued, respectively; 4,226,422 and 4,195,412 shares outstanding, respectively  404   403 
Common stock, $.01 par value; 100,000,000 shares authorized; 4,390,826 and 4,367,830 shares issued, respectively; 4,311,414 and 4,296,710 shares outstanding, respectively  405   405 
Additional paid-in capital  186,489   186,106   187,708   187,516 
Accumulated deficit  (229,306)  (227,059)  (248,666)  (249,017)
Treasury stock, at cost (45,886 and 32,757 shares, respectively)  (1,928)  (1,868)
Treasury stock, at cost (79,412 and 71,120 shares, respectively)  (1,985)  (1,976)
Total stockholders’ deficit  (44,341)  (42,418)  (62,538)  (63,072)

Total liabilities and stockholders’ deficit

 $

(8,178

) $

(8,109

)  (30,659)  (30,557)
        

Total liabilities, preferred stock and stockholders’ deficit

 $

38,358

  $

38,427

  $15,877  $15,979 

 

The accompanying notes are an integral part of these condensed consolidated financial statements

 

3

 

INTERPACE BIOSCIENCES, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(unaudited, in thousands, except for per share data)

 

 2023  2022 
 2022  2021  For The Three Months 
 Three Months Ended March 31,  Ended March 31, 
 2022  2021  2023  2022 
          
Revenue, net $10,377  $9,833  $9,826  $7,923 
Cost of revenue (excluding amortization of $536 and $1,112, respectively)  5,384   5,316 
Cost of revenue  3,848   3,265 
Gross profit  4,993   4,517   5,978   4,658 
Operating expenses:                
Sales and marketing  2,416   2,351   2,342   2,200 
Research and development  299   637   149   231 
General and administrative  3,690   2,979   2,494   2,886 
Transition expense  85   1,253 
Acquisition related amortization expense  536   1,112   318   318 
Total operating expenses  7,026   8,332   5,303   5,635 
                
Operating loss  (2,033)  (3,815)
Operating income (loss) from continuing operations  675   (977)
Interest accretion expense  (121)  (135)  (35)  (121)
Related party interest  -   (92)
Note payable interest  (180)  -   (225)  (180)
Other income (expense), net  159   (96)
Loss from continuing operations before tax  (2,175)  (4,138)
Other income, net  19   161 
Income (loss) from continuing operations before tax  434   (1,117)
Provision for income taxes  18   15   4   18 
Loss from continuing operations  (2,193)  (4,153)
Income (loss) from continuing operations  430   (1,135)
                
Loss from discontinued operations, net of tax  (54)  (54)  (79)  (1,112)
                
Net loss $(2,247) $(4,207)
Net income (loss) $351  $(2,247)
                
Basic and diluted loss per share of common stock:        
Basic income (loss) per share of common stock:        
From continuing operations $(0.52) $(1.02) $0.10  $(0.27)
From discontinued operations  (0.01)  (0.01)  (0.02)  (0.26)
Net loss per basic and diluted share of common stock $(0.53) $(1.03)
Net income (loss) per basic and diluted share of common stock $0.08  $(0.53)
        
Diluted income (loss) per share of common stock:        
From continuing operations $0.10  $(0.27)
From discontinued operations  (0.02)  (0.26)
Net income (loss) per basic and diluted share of common stock $0.08  $(0.53)
        
Weighted average number of common shares and common share equivalents outstanding:                
Basic  4,208   4,089   4,307   4,208 
Diluted  4,208   4,089   4,308   4,208 

 

The accompanying notes are an integral part of these condensed consolidated financial statements

 

4

INTERPACE BIOSCIENCES, INC.

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ DEFICIT

(unaudited, in thousands)

 

  Shares  Amount  Shares  Amount 
  For The Three Months Ended  For The Three Months Ended 
  March 31, 2022  March 31, 2021 
  Shares  Amount  Shares  Amount 
Common stock:                
Balance at January 1  4,228  $403   4,075  $402 
Balance at January 1  4,228  $403   4,075  $402 
Common stock issued  35   1   9   - 
Common stock issued  35   1   9   - 
Restricted stock issued  -   -   12   - 
Restricted stock issued  -   -   12   - 
Common stock issued through ESPP  9   -   36   - 
Common stock issued through ESPP  9   -   36   - 
Balance at March 31  4,272   404   4,132   402 
Balance at March 31  4,272   404   4,132   402 
Treasury stock:                
Balance at January 1  33   (1,868)  20   (1,773)
Treasury stock purchased  13   (60)  -   - 
Treasury stock purchased  13   (60)  -   - 
Balance at March 31  46   (1,928)  20   (1,773)
Additional paid-in capital:                
Balance at January 1      186,106       184,404 
Common stock issued      58       108 
Stock-based compensation expense      325       286 
Balance at March 31      186,489       184,798 
Accumulated deficit:                
Balance at January 1      (227,059)      (212,116)
Net loss      (2,247)      (4,207)
Balance at March 31      (229,306)      (216,323)
                 
Beginning balance      -       - 
Net loss      -       - 
Total stockholders’ deficit     $(44,341)     $(32,896)
Ending balance     $(44,341)     $(32,896)
  Shares  Amount  Shares  Amount  Capital  Deficit  Total 
              Additional       
  Common Stock  Treasury Stock  Paid in  Accumulated    
  Shares  Amount  Shares  Amount  Capital  Deficit  Total 
Balance -December 31, 2021  4,228,169  $403   32,757  $(1,868) $186,106  $(227,059) $(42,418)
                             
Issuance of common stock  44,139   1   -   -   58   -   59 
Treasury stock purchased      -   13,129   (60)  -   -   (60)
Stock-based compensation expense  -   -   -   -   325   -   325 
Net loss  -   -   -   -   -   (2,247)  (2,247)
Balance -March 31, 2022  4,272,308  $404  45,886  $(1,928) $186,489  $(229,306) $(44,341)
                             
Balance -December 31, 2022  4,367,830  $405   71,120  $(1,976) $187,516  $(249,017) $(63,072)
Balance, value  4,367,830  $405   71,120  $(1,976) $187,516  $(249,017) $(63,072)
                             
Issuance of common stock  22,996   -   -   -   -   -   - 
Treasury stock purchased      -   8,292   (9)  -   -   (9)
Stock-based compensation expense  -   -   -   -   192   -   192 
Net income  -   -   -   -   -   351   351 
Net income (loss)  -   -   -   -   -   351   351 
Balance -March 31, 2023  4,390,826  $405   79,412  $(1,985) $187,708  $(248,666) $(62,538)
Balance, value  4,390,826  $405   79,412  $(1,985) $187,708  $(248,666) $(62,538)

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

5

INTERPACE BIOSCIENCES, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited, in thousands)

 

  2022  2021 
` 

For The Three Months Ended March 31,

 
  2022  2021 
       
Cash Flows From Operating Activities        
Net loss $(2,247) $(4,207)
Adjustments to reconcile net loss to net cash used in operating activities:        
Depreciation and amortization  781   1,532 
Interest accretion expense  121   135 
Bad debt (recovery) expense  -   (140)
Mark to market on warrants  (63)  41 
Amortization of deferred financing fees  10   - 
Amortization of loan costs  -   52 
Interest - note payable  -   92 
Stock-based compensation  302   259 
ESPP expense  23   27 
Change in fair value of note payable  (107)  - 
Change in fair value of contingent consideration  -   (57)
Other gains and expenses, net  -   (3)
Changes in operating assets and liabilities:        
(Increase) decrease in accounts receivable  (1,083)  317 
Increase in other current assets  (83)  (253)
Increase in other long-term assets  (1)  - 
Increase (decrease) in accounts payable  1,235   (1,534)
Increase (decrease) in accrued salaries and bonus  377   (988)
Decrease in accrued liabilities  (556)  (293)
Increase in long-term liabilities  37   14 
Net cash used in operating activities  (1,254)  (5,006)
         
Cash Flows From Investing Activity        
Purchase of property and equipment  (19)  - 
Sale of property and equipment  -   39 
Net cash (used in) provided by investing activities  (19)  39 
         
Cash Flows From Financing Activities        
Issuance of common stock, net of expenses  59   108 
Loan proceeds - related parties  -   5,000 
Financing fees - related party  -   (74)
Borrowings on line of credit  1,000   - 
Net cash provided by financing activities  1,059   5,034 
         
Net (decrease) increase in cash, cash equivalents and restricted cash  (214)  67 
Cash, cash equivalents and restricted cash – beginning  3,314   3,372 
Cash, cash equivalents and restricted cash – ending $3,100  $3,439 
  2023  2022 
` For The Three Months Ended March 31, 
  2023  2022 
       
Cash Flows From Operating Activities        
Net income (loss) $351  $(2,247)
Adjustments to reconcile net income (loss) to net cash used in operating activities:        
Depreciation and amortization  356   781 
Interest accretion expense  35   121 
Amortization of deferred financing fees  14   10 
Stock-based compensation  192   302 
ESPP expense  -   23 
Change in fair value of note payable  (33)  (107)
Mark to market on warrants  -   (63)
Other changes in operating assets and liabilities:        
Accounts receivable  317   (1,083)
Other current assets  107   (83)
Other long-term assets  -   (1)
Accounts payable  532   1,235 
Accrued salaries and bonus  (568)  377 
Accrued liabilities  (249)  (556)
Long-term liabilities  79   37 
Net cash provided by (used in) operating activities  1,133   (1,254)
         
Cash Flows From Investing Activity        
Purchase of property and equipment  (65)  (19)
Net cash used in investing activities  (65)  (19)
         
Cash Flows From Financing Activities        
Issuance of common stock, net of expenses  -   59 
(Payments) borrowings on line of credit  (300)  1,000 
Net cash (used in) provided by financing activities  (300)  1,059 
         
Net increase (decrease) in cash, cash equivalents and restricted cash  768   (214)
Cash, cash equivalents and restricted cash from continuing operations– beginning  4,828   2,922 
Cash, cash equivalents and restricted cash from discontinued operations– beginning  -   392 
Cash, cash equivalents and restricted cash – beginning $4,828  $3,314 
Cash, cash equivalents and restricted cash from continuing operations– ending $4,828  $2,813 
Cash, cash equivalents and restricted cash from discontinued operations– ending  -   287 
Cash, cash equivalents and restricted cash – ending $5,596  $3,100 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

6

 

INTERPACE BIOSCIENCES, INC.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

(Tabular information in thousands, except per share amounts)

1.OVERVIEW

1.OVERVIEW

 

Nature of Business

 

Interpace Biosciences, Inc. (“Interpace” or the “Company”) enables personalized medicine, offering specialized services along the therapeutic value chain from early diagnosis and prognostic planning to targeted therapeutic applications and pharma services. The Companyis a company that provides molecular diagnostics, bioinformatics and pathology services for evaluation of risk of cancer by leveraging the latest technology in personalized medicine for improved patient diagnosis and management. The Company also provides pharmacogenomics testing, genotyping, biorepositorydevelops and other specialized services tocommercializes genomic tests and related first line assays principally focused on early detection of patients with indeterminate biopsies and at high risk of cancer using the pharmaceutical and biotech industries. The Company advances personalized medicine by partnering with pharmaceutical, academic, and technology leaders to effectively integrate pharmacogenomics into their drug development and clinical trial programs.latest technology.

 

COVID-19 pandemic2.

BASIS OF PRESENTATION

The COVID-19 pandemic, together with related precautionary measures, continues to impact portions of the regions in which we operate. These regions are attempting to address the COVID-19 pandemic in varying ways, including stay-at-home orders, temporarily closing businesses, restricting gatherings, restricting travel, and mandating social distancing and face coverings. The level and nature of the disruption caused by COVID-19 is unpredictable, may be cyclical and long-lasting and may vary from location to location.

 

The continuing impact that the COVID-19 pandemic will have on our operations, including duration, severity and scope, remains highly uncertain and cannot be fully predicted at this time. While we believe we have generally recovered from the adverse impact that the COVID-19 pandemic had on our business during 2020, we believe that the COVID-19 pandemic could continue to adversely impact our results of operations, cash flows and financial condition in the future.

We continue to monitor the COVID-19 pandemic and the guidance that is being provided by relevant federal, state and local public health authorities and may take additional actions based upon their recommendations. It is possible that we may have to make adjustments to our operating plans in reaction to developments that are beyond our control.

Lab closures experienced thus far by the Company have consisted of periodic, temporary work stoppages to clean and disinfect the labs. However, this could change in the future based upon conditions caused by the pandemic. Inflation and supply chain disruptions, whether caused by restrictions or slowdowns in shipping or logistics, increases in demand for certain goods used in our operations, or otherwise, could impact our operations in the near term. For the foreseeable future, however, we do not anticipate supply chain shortages of critical supplies.

We have contingency plans in place and will continue to monitor and update them in order to mitigate pandemic-related, adverse financial impacts upon our business.

Transition costs

Transition expenses are primarily related to the Rutherford, New Jersey lab closing and subsequent move to Morrisville, North Carolina, which was completed during the first half of Fiscal 2021, as well as other cost-saving initiatives consisting primarily of reductions in headcount and the implementation of a new laboratory information system. To optimize the operations of laboratory operations within our pharma services, we transitioned activities from the Rutherford facility to our Morrisville facility. The transition included the transfer of personnel, expansion of the Morrisville facility and validation of transferred processes.

7

2.BASIS OF PRESENTATION

The accompanying unaudited interim condensed consolidated financial statements and related notes (the “Interim Financial Statements”) should be read in conjunction with the consolidated financial statements of the Company and its wholly-owned subsidiaries (Interpace Diagnostics Lab Inc., Interpace Diagnostics Corporation, Interpace Pharma Solutions, Inc. and Interpace Diagnostics, LLC), and related notes as included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2021,2022, as filed with the Securities & Exchange Commission (“SEC”) on March 31, 202227, 2023 and as amended on April 29, 2022.28, 2023.

 

The condensed Interim Financial Statements of the Company have been prepared in accordance with generally accepted accounting principles in the United States (“GAAP”) for interim financial reporting and the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. The condensed Interim Financial Statements include all normal recurring adjustments that, in the judgment of management, are necessary for a fair presentation of such interim financial statements. Discontinued operations include the Company’s wholly owned subsidiaries: Group DCA, LLC, InServe Support Solutions; and TVG, Inc. and, its Commercial Services business unit which was sold on December 22, 2015.2015 and its Interpace Pharma Solutions business (“Pharma Solutions”) which was sold on August 31, 2022. All significant intercompany balances and transactions have been eliminated in consolidation. Operating results for the three-month period ended March 31, 20222023 are not necessarily indicative of the results that may be expected for the fiscal year ending December 31, 2022.

3.GOING CONCERN

The accompanying consolidated financial statements have been prepared on a basis that assumes that the Company will continue as a going concern and that contemplates the continuity of operations, the realization of assets and the satisfaction of liabilities and commitments in the normal course of business. Accordingly, the accompanying consolidated financial statements do not include any adjustments relating to the recoverability and classification of recorded asset amounts or amounts of liabilities that might result from the outcome of this uncertainty.2023.

 

For3.GOING CONCERN

In October 2021, the three months ended March 31, 2022, we had an operating loss ofCompany entered into a $2.0 million. As of March 31, 2022, we had cash, cash equivalents and restricted cash of $3.1 million, total current assets of $13.1 million and current liabilities of $16.9 million. As of May 6, 2022, we had approximately $3.77.5 million revolving credit facility with Comerica Incorporated (“Comerica”) (the “Comerica Loan Agreement”). See Note 17, Revolving Line of cash on hand, excluding restricted cash.Credit, for more details. Also in October 2021, the Company entered into an $8.0 million term loan with BroadOak Fund V, L.P. (“BroadOak”) (the “BroadOak Term Loan”), the proceeds of which were used to repay in full at their maturity the existing secured promissory note with Ampersand Capital Partners (“Ampersand”) (the “Ampersand Note”) and 1315 Capital II, L.P (“1315 Capital”) (the “1315 Capital Note”). In May 2022, the Company entered into a Subordinated Convertible Promissory Note agreement with BroadOak for an additional $2.0 million (the “Convertible Note”), which was converted into a subordinated term loan and was added to the outstanding BroadOak Term Loan balance. See Note 14, Notes Payable, for more details.

7

 

In January 2022, the Company’s registration statement for a rights offering filed with the Securities and Exchange Commission (SEC) became effective; however, the rights offering was subsequently terminated later in January 2022 when the Company announced that the Centers for Medicare & Medicaid Services, or CMS, issued a new billing policy whereby CMS will no longer reimburse for the use of the Company’s ThyGeNEXT® and ThyraMIR® tests when billed together by the same provider/supplier for the same beneficiary on the same date of service. OnHowever, on February 28, 2022, the Company announced that the National Correct Coding Initiative (NCCI) program issued a response on behalf of CMS stating that the January 2022 billing policy reimbursement change for ThyGeNEXT®(0245U) and ThyraMIR® (0018U) tests has been retroactively reversed to January 1, 2022. CMS is currently reimbursingIn May 2022, the Company for one of its two thyroid tests, and has agreed to retroactively reimburse for the second test once they have completed their internal administrative adjustments. We have beenwas notified by CMS/NCCI that processing of claims for dates of service after January 1, 2022 willwould be completed beginning July 1, 2022. However, on June 9, 2022, the Company was notified that our local Medicare Administrator Contractor, Novitas re-priced ThyGeNEXT® (0245U) from $2,919 to $806.59 retroactively effective to January 1, 2022. On July 20, 2022 the Clinical Diagnostic Laboratory Tests (CDLT) Advisory Panel affirmed a gapfill price for ThyGeNEXT® of $806.59. As a result of the ThyGeNEXT® pricing change, the Company reduced its net realizable value, or NRV rates, for ThyGeNEXT® Medicare billing to reflect the $806.59 pricing for tests performed during the second quarter of 2022. In addition, in order to reflect the retroactive pricing change to January 1, 2022, the Company recorded an NRV adjustment of $0.7 million during the second quarter of 2022 to reduce revenue recorded during the first quarter of 2022. Effective January 1, 2023, the gapfill price for ThyGeNEXT® was set at $1,266.07.

Further, along with many laboratories, the Company may be affected by the Proposed Local Coverage Determination (“LCD”) DL39365, which was posted on June 9, 2022 and is currently under consideration by Novitas. If finalized, this Proposed LCD, which governs “Genetic Testing for Oncology,” could impact the existing LCD for one of our molecular tests, PancraGEN®. If Novitas restricts coverage for PancraGEN®, the Company’s liquidity could be negatively impacted beginning in Fiscal 2023.

For the three months ended March 31, 2023, the Company had operating income from continuing operations of $0.7 million. As of the date of this filing,March 31, 2023, the Company has not yet realized the full cash collection benefit of current and retroactive Thyroid testing and such cash collections may be temporarily reduced or delayed until we resolved the matter with CMS. As of the date of this filing, the Company currently anticipates that currenthad cash and cash equivalents will be insufficient to meet its anticipated cash requirements through the next twelve months. These factors raise substantial doubt about the Company’s ability to continue as a going concern.

8

On January 7, 2021, the Company entered into secured promissory notes in the amount of $35.6 million, total current assets of $12.5 million and current liabilities of $213.9 million. As of May 8, 2023, the Company had approximately $6.7 million with Ampersand (“Ampersand Note”) and 1315 Capital (“1315 Capital Note”), respectively. See Note 14, Notes Payable, of the notes to the financial statements. On May 10, 2021, the Company amended the Ampersand Note to increase the principal amount to $4.5 million and amended the 1315 Capital Note to increase the principal amount to $3.0 million. The maturity dates of the Notes were the earlier of (a) June 30, 2021 and (b) the datecash on which all amounts become due upon the occurrence of any event of default as defined in the Notes. On June 24, 2021, the Company and Ampersand amended the Ampersand Note to change its maturity date to the earlier of (a) August 31, 2021 and (b) the date on which all amounts become due upon the occurrence of any event of default as defined in the Ampersand Note. On June 25, 2021, the Company and 1315 Capital amended the 1315 Capital Note to change its maturity date in a similar manner. On August 31, 2021, the Company and Ampersand amended the Ampersand Note to change its maturity date to the earlier of (a) September 30, 2021 and (b) the date on which all amounts become due upon the occurrence of any event of default as defined in the Ampersand Note. On August 31, 2021, the Company and 1315 Capital amended the 1315 Capital Note to change its maturity date in a similar manner.hand.

 

On September 29, 2021, theThe Company and Ampersand amended the Ampersand Note to change its maturity date to the earlier of (a) October 31, 2021 and (b) the date on which all amounts become due upon the occurrence of any event of default as defined in the Ampersand Note. On September 29, 2021, the Company and 1315 Capital amended the 1315 Capital Note to change its maturity date in a similar manner.

In October 2021, the Company entered into a $7.5 million revolving credit facility with Comerica. See Note 18, Revolving Line of Credit, for more details. In addition, also in October 2021, the Company entered into the $8.0 million BroadOak Term Loan, the proceeds of which were used to repay in full at their maturity the notes extended by Ampersand and 1315 Capital discussed above. See Note 14, Notes Payable, for more details. In May 2022, the Company entered into a term loan with BroadOak for an additional $2.0 million. See Note 20, Subsequent Events, for more details.

Although the Company is targeting to achieve Adjusted EBITDA and cash flow breakeven during Fiscal 2022, we may not generate positive cash flows from operations for the year ending December 31, 2022. We intend2023. The Company intends to meet ourits ongoing capital needs by using ourits available cash and availability under the Comerica Loan Agreement, as well as through revenue growth andtargeted margin improvement; collection of accounts receivable; containment of costs; and the potential use of other financing options.options and other strategic alternatives. However, if we arethe Company is unable to meet the financial covenants under the Comerica Loan Agreement, the revolving line of credit and notes payable will become due and payable immediately. As of May 1, 2023, the Company had $2.2 million available under the Loan Agreement.

 

In January 2022, the Company’s registration statement for a rights offering filed with the Securities and Exchange Commission (SEC) became effective; however, the rights offering was subsequently terminated in January 2022. The Company is currently exploringcontinues to explore various strategic alternatives, dilutive and non-dilutive sources of funding, including equity and debt financings, strategic alliances, business development and other sources in order to provide additional liquidity and expand the business through acquisitions or other strategic transactions.liquidity. With the Company’s delisting of its common stock from Nasdaq in February 2021, and the possible removal of its common stock from trading on the OTCQX® if it fails to meet minimum market capitalization of $5 million by July 3, 2023, the Company’s ability to raise additional capital on terms acceptable to the Companyit has been adversely impacted. There can be no assurance that the Company will be successful in obtaining such funding on terms acceptable to the Company.it.

 

The Company’s consolidated financial statements assumes the Company will continue as a going concern. Its ability to continue as a going concern depends on having working capital for vendor payments, meeting short-term obligations on other accrued liabilities, and amongst other requirements, making interest payments on its debt obligations. Without positive operating margins and sufficient working capital and the ability to meet its debt obligations, our business will be jeopardized and we may not be able to continue in our current structure, if at all. Under these circumstances, the Company would likely have to consider other options, such as selling assets, raising additional debt or equity capital, cutting costs or otherwise reducing our cash requirements, or negotiating with our creditors to restructure our applicable obligations. With the proceeds received from the sale of the Pharma Solutions business, as well as the expected improvement in future operating cash flows associated with the disposition, as of the date of this filing, the Company anticipates that current cash and cash equivalents and forecasted cash receipts will be sufficient to meet its anticipated cash requirements through the next twelve months.

4.SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES8

4.DISCONTINUED OPERATIONS

Liabilities classified as discontinued operations as of both March 31, 2023 and December 31, 2022 consists of accrued expenses of which $766 of liabilities related to the former Commercial Services business unit.

The table below presents the significant components of its former Pharma Solutions business unit’s results included within loss from discontinued operations, net of tax in the condensed consolidated statements of operations for the three- months ended March 31, 2023 and 2022.

SCHEDULE OF COMPONENTS OF ASSETS AND LIABILITIES AND REVENUE CLASSIFIED AS DISCONTINUED OPERATIONS

  2023  2022 
  For The Three Months Ended 
  March 31, 
  2023  2022 
    
Revenue, net $-  $2,454 
         
Loss from discontinued operations  -   (1,058)
Income tax expense  79   54 
Loss from discontinued operations, net of tax $(79) $(1,112)

Cash used from discontinued operations, operating activities, for the three months ended March 31, 2022 was approximately $1.1 million. There was no cash flow activity from discontinued operations for the three months ended March 31, 2023. Depreciation and amortization expense within discontinued operations for the three months ended March 31, 2022 was $0.4 million. There was no depreciation and amortization expense for the three months ended March 31, 2023.

5.SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

 

Accounting Estimates

 

The preparation of condensed consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts of assets and liabilities reported and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Management’s estimates are based on historical experience, facts and circumstances available at the time, and various other assumptions that are believed to be reasonable under the circumstances. Significant estimates include accounting for valuation allowances related to deferred income taxes, contingent consideration, allowances for doubtful accounts, revenue recognition, unrecognized tax benefits, and asset impairments involving other intangible assets. The Company periodically reviews these matters and reflects changes in estimates in earnings as appropriate. Actual results could materially differ from those estimates.

 

9

Revenue Recognition

 

Our clinical servicesWe derive itsour revenues from the performance of its proprietary assays or tests. The Company’s performance obligation is fulfilled upon the completion, review and release of test results to the customer. The Company subsequently bills third-party payers or direct-bill payers for the tests performed. Under Accounting Standards Codification 606, revenue is recognized based on the estimated transaction price or net realizable value, (“NRV”), which is determined based on historical collection rates by each payer category for each proprietary test offered by the Company. To the extent the transaction price includes variable consideration, for all third party and direct-bill payers and proprietary tests, the Company estimates the amount of variable consideration that should be included in the transaction price using the expected value method based on historical experience.

 

For our clinical services, weWe regularly review the ultimate amounts received from the third-party and direct-bill payers and related estimated reimbursement rates and adjust the NRV’s and related contractual allowances accordingly. If actual collections and related NRV’s vary significantly from our estimates, we will adjust the estimates of contractual allowances, which affects net revenue in the period such variances become known.

 

For our pharmaPharma Solutions services, project level activities, including study setup and project management, arewere satisfied over the life of the contract while performance-related obligations arewere satisfied at a point in time as the Company processes samples delivered by the customer. Revenues arewere recognized at a point in time when the test results or other deliverables are reported to the customer.

9

Financing and Payment

 

For non-Medicare claims, our payment terms vary by payer category. Payment terms for direct-payers in our clinical services are typically thirty days and in our pharma services, up to sixty days. Commercial third-party-payers are required to respond to a claim within a time period established by their respective state regulations, generally between thirty to sixty days. However, payment for commercial third-party claims may be subject to a denial and appeal process, which could take up to two years in some instances where multiple appeals are submitted. The Company generally appeals all denials from commercial third-party payers. We bill Medicare directly for tests performed for Medicare patients and must accept Medicare’s fee schedule for the covered tests as payment in full.

 

Costs to Obtain or Fulfill a Customer Contract

 

Sales commissions are expensed in the period in which they have been earned. These costs are recorded in sales and marketing expense in the condensed consolidated statements of operations.

 

Accounts Receivable

 

The Company’s accounts receivable represent unconditional rights to consideration and are generated using its clinical services and pharmaPharma Solutions services. The Company’s clinical services are fulfilled upon completion of the test, review and release of the test results. In conjunction with fulfilling these services, the Company bills the third-party payer or direct-bill payer. Contractual adjustments represent the difference between the list prices and the reimbursement rates set by third-party payers, including Medicare, commercial payers, and amounts billed to direct-bill payers. Specific accounts may be written off after several appeals, which in some cases may take longer than twelve months. Pharma services represent, primarily, the performance of laboratory tests in support of clinical trials for pharma services customers. The Company bills these services directly to the customer.

10

 

Leases

 

The Company determines if an arrangement contains a lease in whole or in part at the inception of the contract. Right-of-use (“ROU”) assets represent the Company’s right to use an underlying asset for the lease term while lease liabilities represent our obligation to make lease payments arising from the lease. All leases with terms greater than twelve months result in the recognition of a ROU asset and a liability at the lease commencement date based on the present value of the lease payments over the lease term. Unless a lease provides all of the information required to determine the implicit interest rate, we use our incremental borrowing rate based on the information available at the commencement date in determining the present value of the lease payments. We use the implicit interest rate in the lease when readily determinable.

 

Our lease terms include all non-cancelable periods and may include options to extend (or to not terminate) the lease when it is reasonably certain that we will exercise that option. Leases with terms of twelve months or less at the commencement date are expensed on a straight-line basis over the lease term and do not result in the recognition of an asset or liability. See Note 7,8, Leases.

10

Other Current Assets

 

Other current assets consisted of the following as of March 31, 20222023 and December 31, 2021:2022:

SCHEDULE OF OTHER CURRENT ASSETS 

 March 31, 2022 December 31, 2021  March 31, 2023 December 31, 2022 
 (unaudited)   
Lab supply inventory $2,059  $1,786 
Lab supplies $1,174  $1,224 
Prepaid expenses  610   800   327   390 
Funds in escrow  500   500 
Other  108   108   172   180 
Total other current assets $2,777  $2,694  $2,173  $2,294 

 

Long-Lived Assets, including Finite-Lived Intangible Assets

 

Finite-lived intangible assets are stated at cost less accumulated amortization. Amortization of finite-lived acquired intangible assets is recognized on a straight-line basis, using the estimated useful lives of the assets of approximately two years to ten years in acquisition-related amortization expense in the condensed consolidated statements of operations.

 

The Company reviews the recoverability of long-lived assets and finite-lived intangible assets whenever events or changes in circumstances indicate that the carrying value of such assets may not be recoverable. If the sum of the expected future undiscounted cash flows is less than the carrying amount of the asset, an impairment loss is recognized by reducing the recorded value of the asset to its fair value measured by future discounted cash flows. This analysis requires estimates of the amount and timing of projected cash flows and, where applicable, judgments associated with, among other factors, the appropriate discount rate. Such estimates are critical in determining whether any impairment charge should be recorded and the amount of such charge if an impairment loss is deemed to be necessary.

 

Basic and Diluted Net Loss per Share

 

A reconciliation of the number of shares of common stock, par value $0.01 per share, used in the calculation of basic and diluted loss per share for the three-monththree- month periods ended March 31, 20222023 and 20212022 is as follows:

SCHEDULE OF BASIC AND DILUTED NET LOSS PER SHARE 

  2022  2021 
  Three Months 
  Ended March 31, 
  2022  2021 
  (unaudited) 
Basic weighted average number of common shares  4,208   4,089 
Potential dilutive effect of stock-based awards  -   - 
Diluted weighted average number of common shares  4,208   4,089 

11

  2023  2022 
  Three Months Ended 
  March 31, 
  2023  2022 
Basic weighted average number of common shares  4,307   4,208 
Potential dilutive effect of stock-based awards  1   - 
Diluted weighted average number of common shares  4,308   4,208 

 

The Company’s Series B Convertible Preferred Stock, on an as converted basis into common stock of 7,833,334 shares for the three- monthsmonth periods ended March 31, 2023 and 2022, and the following outstanding stock-based awards and warrants, were excluded from the computation of the effect of dilutive securities on loss per share for the following periods as they would have been anti-dilutive (rounded to thousands):

SCHEDULE OF ANTI-DILUTIVE SECURITIES EXCLUDED FROM COMPUTATION OF EARNINGS PER SHARE

 Three Months  2023 2022 
 Ended March 31,  Three Months Ended 
 2022 2021  March 31, 
 (unaudited)  2023 2022 
Options  641   1,061   526   641 
Restricted stock units (RSUs)  319   395   219   319 
Warrants  1,339   1,405   -   1,339 
  2,299   2,861 
Antidilutive securities excluded from computation of earnings per share  745   2,299 

6.GOODWILL AND OTHER INTANGIBLE ASSETS

5.GOODWILL AND OTHER INTANGIBLE ASSETS

 

Goodwill is attributable to the acquisition of our pharma services in July 2019. The carrying value of the intangible assets acquired was $15.6 million, with goodwill of approximately $8.3 million and identifiable intangible assets of approximately $7.3 million. The goodwill balance at March 31, 2022 was $8.4 million. The net carrying value of the identifiable intangible assets from all acquisitions within continuing operations as of March 31, 20222023 and December 31, 20212022 are as follows:

SCHEDULE OF IDENTIFIABLE INTANGIBLE ASSETS CARRYING VALUE 

 (Years) Amount Amount 
   

As of March 31, 2022

 

As of December 31, 2021

    

As of March 31,

2023

 

As of

December 31,

2022

 
 Life Carrying Carrying  Life Carrying Carrying 
 (Years) Amount Amount  (Years) Amount Amount 
   (unaudited)          
Asuragen acquisition:                 
Thyroid  9  $8,519  $8,519  9 $8,519  $8,519 
RedPath acquisition:                     
Pancreas test  7   16,141   16,141  7  16,141   16,141 
Barrett’s test  9   6,682   6,682  9  6,682   6,682 
BioPharma acquisition:           
Trademarks  10   1,600   1,600 
Customer relationships  8   5,700   5,700 
                                           
CLIA Lab  2.3   609   609  2.3  609   609 
                     
Total    $39,251  $39,251    $31,951  $31,951 
                     
Accumulated Amortization     (32,500)  (31,964)    (31,407)  (31,090)
                     
Net Carrying Value    $6,751  $7,287    $544  $861 

 

Amortization expense from continuing operations was approximately $0.50.3 million and $1.1 million for both the three-month periods ended March 31, 2023 and 2022, and 2021, respectively. EstimatedThe remaining amortization expense for the remainder of 2022 and the next four years is as follows:$0.5 million will be amortized in 2023.

SCHEDULE OF FUTURE ESTIMATED AMORTIZATION EXPENSE

2022  2023  2024  2025  2026 
              
$1,607  $1,734  $873  $873  $873 

12

 

The following table displays a roll forward of the carrying amount of goodwill from December 31, 2021 to March 31, 2022:7.FAIR VALUE MEASUREMENTS

SCHEDULE OF GOODWILL CARRYING VALUE

  Carrying 
  Amount 
Balance as of December 31, 2021 $8,433 
Adjustments  - 
Balance as of March 31, 2022 $8,433 

6.FAIR VALUE MEASUREMENTS

 

Cash and cash equivalents, accounts receivable and accounts payable approximate fair value due to their relative short-term nature. The Company’s financial liabilities reflected at fair value in the condensed consolidated financial statements include contingent consideration, warrant liability and note payable. Fair value is the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. In determining fair value, the Company uses various methods including market, income and cost approaches. Based on these approaches, the Company often utilizes certain assumptions that market participants would use in pricing the asset or liability, including assumptions about risk and/or the risks inherent in the inputs to the valuation technique. These inputs can be readily observable, market-corroborated, or generally unobservable inputs. The Company utilizes valuation techniques that maximize the use of observable inputs and minimize the use of unobservable inputs. Based upon observable inputs used in the valuation techniques, the Company is required to provide information according to the fair value hierarchy. The fair value hierarchy ranks the quality and reliability of the information used to determine fair values into three broad levels as follows:

 

 Level 1:Valuations for assets and liabilities traded in active markets from readily available pricing sources for market transactions involving identical assets or liabilities.
 Level 2:Valuations for assets and liabilities traded in less active dealer or broker markets. Valuations are obtained from third-party pricing services for identical or similar assets or liabilities.
   
 Level 3:Valuations incorporate certain assumptions and projections in determining the fair value assigned to such assets or liabilities.

 

1312

 

In instances where the determination of the fair value measurement is based on inputs from different levels of the fair value hierarchy, the level in the fair value hierarchy within which the entire fair value measurement falls is based on the lowest level input that is significant to the fair value measurement in its entirety. The Company’s assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the asset or liability. The valuation methodologies used for the Company’s financial instruments measured on a recurring basis at fair value, including the general classification of such instruments pursuant to the valuation hierarchy, is set forth in the tables below:

SCHEDULE OF FINANCIAL INSTRUMENT MEASURED ON RECURRING BASIS

  Amount  Value  Level 1  Level 2  Level 3 
  As of March 31, 2022  Fair Value Measurements 
  Carrying  Fair  As of March 31, 2022 
  Amount  Value  Level 1  Level 2  Level 3 
        (unaudited)       
Liabilities:                    
Contingent consideration:                    
Asuragen (1) $1,833  $1,833  $-  $-  $1,833 
Asuragen (1)(2) $1,833  $1,833  $-  $-  $1,833 
Other accrued expenses:                    
Warrant liability (2)  8   8   -   -   8 
Warrant liability (1)(2)  8   8   -   -   8 
Note payable:                    
BroadOak loan  7,835   7,835   -   -   7,835 
Fair value of liabilities  $9,676  $9,676  $-  $-  $9,676 

  Amount  Value  Level 1  Level 2  Level 3 
  As of December 31, 2021  Fair Value Measurements 
  Carrying  Fair  As of December 31, 2021 
  Amount  Value  Level 1  Level 2  Level 3 
Liabilities:                    
Contingent consideration:                    
Asuragen (1) $1,871  $1,871  $-  $-  $1,871 
Contingent consideration(1)(2) $1,871  $1,871  $-  $-  $1,871 
Other accrued expenses:                    
Warrant liability (2)  71   71   -   -   71 
Warrant liability (1)(2)  71   71   -   -   71 
Note payable:                    
BroadOak loan  7,942   7,942   -   -   7,942 
Notes payable  7,942   7,942   -   -   7,942 
Fair value of liabilities  $9,884  $9,884  $-  $-  $9,884 
  As of March 31, 2023  Fair Value Measurements 
     Fair  As of March 31, 2023 
  Amount  Value  Level 1  Level 2  Level 3 
                
Liabilities:                    
Contingent consideration:                    
Asuragen (1) $933  $933  $-  $-  $933 
Note payable:                    
BroadOak loan  10,000   11,132   -   -   11,132 
  $10,933  $12,065  $-  $-  $12,065 

 

(1)(2)See Note 9,10, Other Accrued Expenses

  As of December 31, 2022  Fair Value Measurements 
     Fair  As of December 31, 2022 
  Amount  Value  Level 1  Level 2  Level 3 
                
Liabilities:                    
Contingent consideration:                    
Asuragen (1) $1,088  $1,088  $-  $-  $1,088 
Note payable:                    
BroadOak loan  10,000   11,165   -   -   11,165 
  $11,088  $12,253  $-  $-  $12,253 

(1)See Note 10, Other Accrued Expenses and Long-Term Liabilities

 

In connection with the acquisition of certain assets from Asuragen, Inc., the Company recorded contingent consideration related to contingent payments and other revenue-based payments. The Company determined the fair value of the contingent consideration based on a probability-weighted income approach derived from revenue estimates. The fair value measurement is based on significant inputs not observable in the market and thus represents a Level 3 measurement.

 

In connection with the BroadOak loan, the Company records the loan at fair value. The fair value of the loan is determined by a probability-weighted approach regarding the loan’s change in control feature. See Note 14, Notes Payable, for more details. The fair value measurement is based on the estimated probability of a change in control and thus represents a Level 3 measurement.

 

1413

 

A roll forward of the carrying value of the Contingent Consideration Liability 2017 Underwriters’ Warrants and BroadOak Loanloans to March 31, 20222023 is as follows:

SCHEDULE OF FAIR VALUE, ASSETS MEASURED ON RECURRING BASIS, UNOBSERVABLE INPUT RECONCILIATION

           Adjustment    
        Accretion/  to Fair Value/    
  

December 31,

2021

  Earned  Interest Accrued  Mark to Market  March 31, 2022 
  (unaudited) 
Asuragen $1,871  $(159) $121  $-  $1,833 
                     
Underwriters Warrants  71   -   -   (63)  8 
                     
BroadOak Loan  7,942   -   -   (107)  7,835 
  $9,884  $(159) $121  $(170) $9,676 
            Adjustment    
  December 31,     

Transferred

to Accrued

  

Accretion/

Interest

  

to Fair

Value/

Mark to

  March 31, 
  2022  Issued  Expenses  Accrued  Market  2023 
                   
Asuragen $1,088  $         -  $(190) $35  $-  $933 
                         
BroadOak loans  11,165   -   -   -   (33)  11,132 
                         
  $12,253  $-  $(190) $35  $(33) $12,065 

 

Certain of the Company’s non-financial assets, such as other intangible assets, and goodwill, are measured at fair value on a nonrecurring basis when there is an indicator of impairment and recorded at fair value only when an impairment charge is recognized.

 

7.

8.LEASES

Finance lease assets are included in fixed assets, net of accumulated depreciation.

 

The table below presents the lease-related assets and liabilities recorded in the Condensed Consolidated Balance Sheet:

SCHEDULE OF FINANCINGLEASE RELATED ASSETS AND OPERATING LEASESLIABILITIES

 Classification on the Balance Sheet March 31, 2022  Classification on the Balance Sheet March 31, 2023  December 31, 2022 
  (unaudited)      
Assets              
Financing lease assets Property and equipment, net $620 
Operating lease assets Operating lease right of use assets  3,760  Operating lease right of use assets  2,298   2,439 
Total lease assets   $4,380  $2,298  $2,439 
              
Liabilities              
Current              
Financing lease liabilities Other accrued expenses $70 
Operating lease liabilities Other accrued expenses  542   578 
Operating lease liabilities Other accrued expenses  999  Other accrued expenses  542   578 
Total current lease liabilities   $1,069    $542  $578 
Noncurrent              
Financing lease liabilities Other long-term liabilities  41 
Operating lease liabilities Operating lease liabilities, net of current portion  2,928  Operating lease liabilities, net of current portion  1,748   1,848 
Total long-term lease liabilities  2,969     1,748   1,848 
Total lease liabilities   $4,038  $2,290  $2,426 

 

The weighted average remaining lease term for the Company’s operating leases was 6.34.8 years as of March 31, 20222023 and the weighted average discount rate for those leases was 6.511.8%. The Company’s operating lease expenses are recorded within “Cost of revenue” and “General and administrative expenses.”

 

1514

 

The table below reconciles the cash flows to the lease liabilities recorded on the Company’s Condensed Consolidated Balance Sheet as of March 31, 2022:2023:

SCHEDULE OF MATURITIES OF OPERATING AND FINANCING LEASE LIABILITIES

 Operating Leases  Financing Leases  Operating Leases 
2022 $961  $58 
2023  897   60 
2023 - remaining nine months $627 
2024  567   -   575 
2025  402   -   450 
2026-2030  1,924     
2026  550 
2027-2028  825 
Total minimum lease payments  4,751   118   3,027 
Less: amount of lease payments representing effects of discounting  824   7   737 
Present value of future minimum lease payments  3,927   111   2,290 
Less: current obligations under leases  999   70   542 
Long-term lease obligations $2,928  $41  $1,748 

In April 2023, the Company entered into a lease termination agreement with its Parsippany landlord. See Note 19, Subsequent Events, for more detail.

 

As of March 31, 2022, contractual obligations with terms exceeding one year and estimated minimum future rental payments required by non-cancelable operating leases with initial or remaining lease terms exceeding one year were as follows:9.COMMITMENTS AND CONTINGENCIES

SCHEDULE OF FUTURE MINIMUM LEASE PAYMENTS UNDER NON-CANCELABLE LEASES

     Less than  1 to 3  3 to 5  After 
  Total  1 Year  Years  Years  5 Years 
Operating lease obligations $4,751  $961  $1,464  $816  $1,510 
Total $4,751  $961  $1,464  $816  $1,510 

8.COMMITMENTS AND CONTINGENCIES

 

Litigation

 

From time to time, the Company may become involved in various lawsuits and legal proceedings which arise in the ordinary course of business. When the Company is aware of a claim or potential claim, it assesses the likelihood of any loss or exposure. If it is probable that a loss will result and the amount of the loss can be reasonably estimated, the Company will record a liability for the loss. In addition to the estimated loss, the recorded liability includes probable and estimable legal costs associated with the claim or potential claim. Litigation is subject to inherent uncertainties, and an adverse result in these or other matters may arise from time to time that may harm the Company’s business. There is no pending litigation involving the Company at this time.

 

Due to the nature of the businesses in which the Company is engaged, it is subject to certain risks. Such risks include, among others, risk of liability for personal injury or death to persons using products or services that the Company promotes or commercializes. There can be no assurance that substantial claims or liabilities will not arise in the future due to the nature of the Company’s business activities. There is also the risk of employment related litigation and other litigation in the ordinary course of business.

 

The Company could also be held liable for errors and omissions of its employees in connection with the services it performs that are outside the scope of any indemnity or insurance policy. The Company could be materially adversely affected if it were required to pay damages or incur defense costs in connection with a claim that is outside the scope of an indemnification agreement; if the indemnity, although applicable, is not performed in accordance with its terms; or if the Company’s liability exceeds the amount of applicable insurance or indemnity.

 

1615

 

9.ACCRUED EXPENSES AND LONG-TERM LIABILITIES

10.OTHER ACCRUED EXPENSES

 

Other accrued expenses consisted of the following as of March 31, 20222023 and December 31, 2021:2022:

 SCHEDULE OF OTHER ACCRUED EXPENSES

 March 31, 2022 December 31, 2021 
 (unaudited)    March 31, 2023 December 31, 2022 
Accrued royalties $4,116  $3,890  $5,293  $4,909 
Contingent consideration  488   488   565   569 
Operating lease liability  999   1,041   542   578 
Financing lease liability  70   79 
Deferred revenue  31   40 
Interest payable  62   120 
Warrant liability  8   71 
Accrued sales and marketing - diagnostics  63   47   -   40 
Accrued lab costs - diagnostics  185   228   156   167 
Accrued professional fees  707   932   512   641 
Taxes payable  269   245   279   262 
Unclaimed property  565   565   447   565 
All others  1,129   1,452   529   688 
Total other accrued expenses $8,692  $9,198  $8,323  $8,419 

Long-term liabilities consisted of the following as of March 31, 2022 and December 31, 2021:11.STOCK-BASED COMPENSATION

SCHEDULE OF LONG TERM LIABILITIES

  March 31, 2022  December 31, 2021 
  (unaudited)    
Uncertain tax positions $4,631  $4,577 
Deferred revenue  13   13 
Other  41   58 
Total other long-term liabilities $4,685  $4,648 

10.STOCK-BASED COMPENSATION

 

Historically, stock options have been granted with an exercise price equal to the market value of the common stock on the date of grant, with expiration 10 years from the date they are granted, and generally vest over a one to three-year period for employees and members of the Board. Upon exercise, new shares will be issued by the Company. The restricted shares and restricted stock units (“RSUs”) granted to Board members and employees generally have a three-year graded vesting period and are subject to accelerated vesting and forfeiture under certain circumstances.circumstances.

 

The following table provides the weighted average assumptions used in determining the fair value of the stock option awards granted during the three-month periodsperiod ended March 31, 2022 and 2021.2022. There were no stock option awards issued in the three months ended March 31, 2023.

 

SCHEDULE OF STOCK OPTIONS, VALUATION ASSUMPTIONS

  March 31, 2022  March 31, 2021 
   (unaudited) 
Risk-free interest rate  1.76%  0.78%
Expected life  6.0 years   6.0 years 
Expected volatility  129.93%  134.79%
Dividend yield  -   - 

17March 31, 2022
Risk-free interest rate1.75%
Expected life6.0 years
Expected volatility129.93%
Dividend yield-

During March 2021, the Company granted 312,500 stock options with an exercise price of $6.00 and 152,500 RSUs. The market value of the Company’s common stock was $5.00 at the grant date of these awards. The Company recognized approximately $0.30.2 million and $0.3 million of stock-based compensation expense within continuing operations during the three-month periods ended March 31, 20222023 and 2021,2022, respectively. The following table has a breakout of stock-based compensation expense from continuing operations by line item.

SCHEDULE OF SHARE-BASED COMPENSATION ARRANGEMENTS BY SHARE-BASED PAYMENT AWARD

 2023 2022 
 Three Months Ended  Three Months Ended 
 March 31,  March 31, 
 2022 2021  2023 2022 
 (unaudited)     
Cost of revenue $27  $48  $14  $27 
Sales and marketing  44   47   30   44 
Research and development  -   35   -   - 
General and administrative*  254   156 
General and administrative*  148   232 
Total stock compensation expense $325  $286  $192  $303 

  

*Includes ESPP expense in 2022

 

16

 

11.INCOME TAXES

12.INCOME TAXES

 

Generally, accounting standards require companies to provide for income taxes each quarter based on their estimate of the effective tax rate for the full year. The authoritative guidance for accounting for income taxes allows use of the discrete method when it provides a better estimate of income tax expense. Due to the Company’s valuation allowance position, it is the Company’s position that the discrete method provides a more accurate estimate of income tax expense and therefore income tax expense for the current quarter has been presented using the discrete method. As the year progresses, the Company refines its estimate based on the facts and circumstances by each tax jurisdiction. The following table summarizes income tax expense on lossincome (loss) from continuing operations and the effective tax rate for the three-monththree- month periods ended March 31, 20222023 and 2021:2022:

SCHEDULE OF EFFECTIVE INCOME TAX RATE

 2022 2021 
 Three Months Ended  2023 2022 
 March 31,  Three Months Ended 
 2022 2021  March 31, 
 (unaudited)  2023 2022 
          
Provision for income tax $18  $15  $4  $18 
Effective income tax rate  (0.8%)  (0.4%)  0.9%  (1.6%)

Income tax expense for both the three-month periods ended March 31, 2022 and 2021 was primarily due to minimum state and localTexas franchise taxes.

 

12.SEGMENT INFORMATION

Other long-term liabilities consisted of uncertain tax positions as of March 31, 2023 and December 31, 2022.

13.SEGMENT INFORMATION

 

We operate under 1one segment which is the business of developing and selling clinical and pharma services.

 

13.DISCONTINUED OPERATIONS

14.NOTES PAYABLE

The components of liabilities classified as discontinued operations consist of the following as of March 31, 2022 and December 31, 2021:

 SCHEDULE OF DISCONTINUED OPERATIONS

  March 31, 2022  December 31, 2021 
  (unaudited)    
       
Accrued liabilities  766   766 
Current liabilities from discontinued operations  766   766 
Total liabilities $766  $766 

18

The table below presents the significant components of CSO’s results included within loss from discontinued operations, net of tax in the condensed consolidated statements of operations for the three-months ended March 31, 2022 and 2021.

  2022  2021 
  Three Months Ended 
  March 31, 
  2022  2021 
  (unaudited) 
Income from discontinued operations, before tax $-  $- 
Income tax expense  54   54 
Loss from discontinued operations, net of tax $(54) $(54)

14.NOTES PAYABLE

BroadOak Loan

 

On October 29, 2021, the Company and its subsidiaries entered into athe BroadOak Loan and Security Agreement, (the “BroadOak Loan Agreement”) with BroadOak, providing for a term loan in the aggregate principal amount of $8,000,000 (the “Term Loan”). Funding of the Term Loan took place on November 1, 2021. The Term Loan matures upon the earlier of (i) October 31, 2024 or (ii) the occurrence of a change in control, and bears interest at the rate of 9% per annum. The Term Loan is secured by a security interest in substantially all of the Company’s and its subsidiaries’ assets and is subordinate to the Company’s $7,500,000 revolving credit facility with Comerica Bank. See Note 17, Revolving Line of Credit. The Term Loan had an origination fee of 3% of the Term Loan amount, and a terminal payment equal to (i) 15% of the original principal amount of the Term Loan if the change of control occurs on or prior to the first anniversary of the funding of the Term Loan, (ii) 20% of the original principal amount of the Term Loan if the change of control occurs after the first anniversary but on or prior to the second anniversary of the funding of the Term Loan and (iii) 30% of the original principal amount of the Term Loan if the change of control occurs after the second anniversary of the funding of the Term Loan, or if the Term Loan is repaid on its maturity date.date.

 

The BroadOak Loan Agreement contains affirmative and negative restrictive covenants that are applicable from and after the date of the Term Loan advance. These restrictive covenants, which include restrictions on certain mergers, acquisitions, investments, encumbrances, etc., could adversely affect our ability to conduct our business. The BroadOak Loan Agreement also contains customary events of default.

17

 

In connection with the BroadOak Loan Agreement, the Company and its subsidiaries entered into that certain First Amendment to Loan and Security Agreement and Consent with Comerica, dated as of November 1, 2021 (the “Comerica Amendment”), pursuant to which Comerica consented to the Company’s and its subsidiaries’ entry into the BroadOak Loan Agreement, and amended that certain Loan and Security Agreement among Comerica, the Company and its subsidiaries (the “Comerica Loan Agreement”) to, among other things, permit the indebtedness, liens and encumbrances contemplated by the BroadOak Loan Agreement.

 

As a condition for BroadOak to extend the Term Loan to the Company and its subsidiaries, the Company’s existing creditor, Comerica, and BroadOak entered into that certain Subordination and Intercreditor Agreement, dated as of November 1, 2021, pursuant to which BroadOak agreed to subordinate all of the indebtedness and obligations of the Company and its subsidiaries owing to BroadOak to all of the indebtedness and obligations of the Company and its subsidiaries owing to Comerica (the “Intercreditor Agreement”). BroadOak further agreed to subordinate all of its respective security interests in assets or property of the Company and its subsidiaries to Comerica’s security interests in such assets or property. The Intercreditor Agreement provides that it is solely for the benefit of BroadOak and Comerica and is not for the benefit of the Company or any of its subsidiaries.

 

19

The Company concluded that the Note met the definition of a “recognized financial liability” which is an acceptable financial instrument eligible for the fair value option under ASC 825-10-15-4, and did not meet the definition of any of the financial instruments listed within ASC 825-10-15-5 that are not eligible for the fair value option. The Note is not convertible and does not have any component recorded to shareholders’ equity. Accordingly, the Company elected the fair value option for the Note.

 

Related Party Secured PromissoryBroadOak Convertible Note

 

On January 7, 2021,May 5, 2022, the Company entered into secured promissory notes in theissued a Convertible Note to BroadOak, pursuant to which BroadOak funded an aggregate principal amount of $3 million and $2 million with Ampersand and 1315 Capital, respectively. On May 10, 2021, the Company amended the Ampersand Note to increase the principal amount to $4.5 million and amended the 1315 Capital Note to increase the principal amount to $3.0 million. The maturity dates of the Notes were the earlier of (a) June 30, 2021 and (b) the date on which all amounts become due upon the occurrence of any event of default as defined in the Notes. On June 24, 2021, the Company and Ampersand amended the Ampersand Note to change its maturity date to the earlier of (a) August 31, 2021 and (b) the date on which all amounts become due upon the occurrence of any event of default as defined in the Ampersand Note. On June 25, 2021, the Company and 1315 Capital amended the 1315 Capital Note to change its maturity date in a similar manner. On August 31, 2021, the Company and Ampersand amended the Ampersand Note to change its maturity date to the earlier of (a) September 30, 2021 and (b) the date on which all amounts become due upon the occurrence of any event of default as defined in the Ampersand Note. On August 31, 2021, the Company and 1315 Capital amended the 1315 Capital Note to change its maturity date in a similar manner.(the “Convertible Debt”).

 

On September 29, 2021,The Convertible Note was to be converted into shares of common stock of the Company in connection with, and Ampersand amendedupon the Ampersand Noteconsummation of, a private placement transaction pursuant to change its maturity datewhich the Company would issue common stock to certain investors, and such conversion would be subject to the earliersame terms and conditions (including purchase price per share) applicable to the purchase of (a) October 31, 2021 and (b) the date on which all amounts become due upon the occurrencecommon stock of any event of default as defined in the Ampersand Note. On September 29, 2021, the Company by such investors. Since the private placement transaction was not consummated by August 5, 2022 (the “Maturity Date”), the Convertible Note was converted into an additional term loan advance under the Company’s existing BroadOak Loan Agreement on the Maturity Date. The Convertible Debt bore interest at a fixed rate of 9.0% per annum and 1315 Capital amendedwas unsecured. There were no scheduled amortization payments prior to the 1315 CapitalMaturity Date. The Convertible Note to change its maturity date in a similar manner.contained customary representations and warranties and customary events of default.

 

The Company usedentered into a) a consent letter (the “Comerica Consent”) with Comerica, pursuant to which Comerica consented to the proceedsissuance of the BroadOak Term Loan discussed above to repay in full at their maturity all outstanding indebtednessConvertible Note, the incurrence of the Convertible Debt and the conversion of the Convertible Debt into common stock of the Company or an additional term loan advance under the promissory notes with Ampersand, dated January 7, 2021 and as last amended on September 29, 2021, in the amount of $4.5 million, and 1315 Capital, dated January 7, 2021 and as last amended on September 29, 2021, in the amount of $3 million, respectively.BroadOak Loan Agreement.

2018

 

15.SUPPLEMENTAL CASH FLOW INFORMATION

15. SUPPLEMENTAL CASH FLOW INFORMATION

 

Supplemental Disclosures of Non Cash Activities

(in thousands)

 

SUPPLEMENTAL CASH FLOW INFORMATION

  2022  2021 
  Three Months Ended 
  March 31, 
  2022  2021 
       
Operating        
Taxes accrued for repurchase of restricted shares $60  $- 
         
Investing        
Accrued capital expenditures $22  $- 
         
Financing        
         
Accrued financing costs $-  $123 

16.EQUITY
  Three Months Ended 
  March 31, 
  2023  2022 
       
Taxes accrued for repurchase of restricted shares $9  $60 
Accrued capital expenditures  -   22 

 

16. MEZZANINE EQUITY

Redeemable Preferred Stock Issuance: Securities Purchase and Exchange Agreement

 

On January 10, 2020, the Company entered into a Securities Purchase and Exchange Agreement (the “Securities Purchase and Exchange Agreement”) with 1315 Capital and Ampersand (collectively, the “Investors”) pursuant to which the Company agreed to sell to the Investors an aggregate of $20.0 million in Series B Preferred Stock of the Company, at an issuance price per share of $1,000. Pursuant to the Securities Purchase and Exchange Agreement, 1315 Capital agreed to purchase 19,000 shares of Series B Preferred Stock at an aggregate purchase price of $19.0 million and Ampersand agreed to purchase 1,000 shares of Series B Preferred Stock at an aggregate purchase price of $1.0 million.

 

In addition, the Company agreed to exchange $27.0 million of the Company’s existing Series A convertible preferred stock, par value $0.01 per share, held by Ampersand (the “Series A Preferred Stock”), represented by 270 shares of Series A Preferred Stock with a stated value of $100,000 per share, which represents all of the Company’s issued and outstanding Series A Preferred Stock, for 27,000 newly issued shares of Series B Preferred Stock (such shares of Series B Preferred Stock, the “Exchange Shares” and such transaction, the “Exchange”). Following the Exchange, no shares of Series A Preferred Stock remained designated, authorized, issued or outstanding. The Series B Preferred Stock has a conversion price of $6.00.

 

In April 2020,Voting

On any matter presented to the stockholders of the Company entered into support agreements with eachfor their action or consideration at any meeting of stockholders of the Series B Investors, pursuant to which Ampersand and 1315 Capital, respectively, consented to, and agreed to vote (by proxy or otherwise)Company (or by written consent of stockholders in lieu of meeting), alleach holder of outstanding shares of Series B Preferred Stock registered in its name or beneficially owned by it and/or over which it exercises voting control aswill be entitled to cast the number of votes equal to the number of whole shares of the date ofCompany’s Common Stock into which the Support Agreement and any other shares of Series B Preferred Stock legally or beneficially held or acquired by such holder are convertible as of the record date for determining stockholders entitled to vote on such matter. Except as provided by law or by the Certificate of Designation of Preferences, Rights and Limitations of Series B Convertible Preferred Stock (the “Certificate of Designation”), holders of Series B Preferred Stock will vote together with the holders of Common Stock as a single class and on an as-converted to Common Stock basis.

Director Designation Rights

The Certificate of Designation also provides each Investor afterwith the datefollowing director designation rights: for so long such Investor holds at least sixty percent (60%) of the Support AgreementSeries B Preferred Stock issued to it on the Issuance Date (as defined therein), such Investor will be entitled to elect two directors to the Company’s Board of Directors (the “Board”), provided that one of the directors qualifies as an “independent director” under Rule 5605(a)(2) of the listing rules of the Nasdaq Stock Market (or any successor rule or oversimilar rule promulgated by another exchange on which it exercises voting control, in favorthe Company’s securities are then listed or designated) (“Independent Director”). However, if at any time such Investor holds less than sixty percent (60%), but at least forty percent (40%), of any Fundamental Action desiredthe Series B Preferred Stock issued to them on the Issuance Date, such Investor would only be taken by the Company as determined byentitled to elect one director to the Board. For purposes of each Support Agreement, “Fundamental Action” means any action proposedAny director elected pursuant to be taken by the Company and set forth in Section 4(d)(i), 4(d)(ii), 4(d)(v), 4(d)(vi), 4(d)(viii) or 4(d)(ix)terms of the Certificate of Designation may be removed without cause by, and only by, the affirmative vote of the holders of Series B Preferred Stock. A vacancy in any directorship filled by the holders of Series B Preferred Stock may be filled only by vote or written consent in lieu of a meeting of such holders of Series B Preferred Stock or Section 8.5.1.1, 8.5.1.2, 8.5.1.5, 8.5.1.6, 8.5.1.8by any remaining director or 8.5.1.9directors elected by such holders of Series B Preferred Stock.

19

Conversion

The Certificate of Designation provides that from and after the Issuance Date and subject to the terms of the AmendedCertificate of Designation, each share of Series B Preferred Stock is convertible, at any time and Restated Investor Rights Agreement.from time to time, at the option of the holder into a number of shares of Common Stock equal to dividing the amount equal to the greater of the Stated Value of such Series B Preferred Stock, plus any dividends declared but unpaid thereon, or such amount per share as would have been payable had each such share been converted into Common Stock immediately prior to a liquidation, by six dollars ($6.00) (subject to adjustment in the event of any stock dividend, stock split, combination, or other similar recapitalization affecting such shares). The support agreement betweenaggregate number of shares of Common Stock that may be issued through conversion of all of the New Investment Shares and Exchange Shares is 7,833,334 shares (subject to appropriate adjustment in the event of any stock dividend, stock split, combination or other similar recapitalization affecting such shares).

Mandatory Conversion

If the Company consummates the sale of shares of Common Stock to the public in a firm-commitment underwritten public offering pursuant to an effective registration statement under the Securities Act pursuant to which the price of the Common Stock in such offering is at least equal to twelve dollars ($12.00) (subject to adjustment in the event of any stock dividend, stock split, combination, or other similar recapitalization affecting such shares) and such offering does not include warrants (or any other convertible security) and results in at least $25,000,000.00 in proceeds, net of the underwriting discount and commissions, to the Company, and Ampersand was terminated by mutual agreementthe Common Stock continues to be listed for trading on July 9, 2020; however, the support agreement enteredNasdaq Capital Market or another exchange, all outstanding shares of Series B Preferred Stock will automatically be converted into shares of Common Stock, at the then effective Series B Conversion Ratio (as defined in the Certificate of Designation).

Liquidation

Upon any voluntary or involuntary liquidation, dissolution or winding up of the Company or Deemed Liquidation (as defined in the Certificate of Designation) (a “Liquidation”), the holders of shares of Series B Preferred Stock then outstanding will be entitled to be paid out of the assets of the Company available for distribution to its stockholders (on a pari passu basis with 1315 Capital remains in effect. During October 2021, Ampersandthe holders of any class or series of preferred stock ranking on liquidation on a parity with the Series B Preferred Stock), and 1315 Capital provided consentbefore any payment will be made to the Companyholders of Common Stock or any other class or series of preferred stock ranking on liquidation junior to enterthe Series B Preferred Stock by reason of their ownership thereof, an amount per share of Series B Preferred Stock equal to the greater of (i) the Stated Value of such share of Series B Preferred Stock, plus any dividends declared but unpaid thereon, or (ii) such amount per share as would have been payable had each such share been converted into the Comerica Loan Agreement and the BroadOak Term Loan.Common Stock immediately prior to such Liquidation.

 

As of March 31, 20222023 and December 31, 2021,2022, there were 47,000 Series B issued and outstanding shares of preferred stock, respectively.

 

21

17.REVOLVING LINE OF CREDIT

17.WARRANTS

Warrants outstanding and warrant activity for the three-months ended March 31, 2022 are as follows:

SCHEDULE OF WARRANTS OUTSTANDING AND WARRANTS ACTIVITY

Description Classification Exercise Price  Expiration Date Warrants Issued  

Balance

December 31,

2021

  Warrants Cancelled/ Expired  

Balance

March 31,

2022

 
                    
Private Placement Warrants, issued January 25, 2017 Equity $46.90  June 2022  85,500   85,500   -   85,500 
RedPath Warrants, issued March 22, 2017 Equity $46.90  September 2022  10,000   10,000   -   10,000 
Underwriters Warrants, issued June 21, 2017 Liability $13.20  December 2022  57,500   53,500   -   53,500 
Base & Overallotment Warrants, issued June 21, 2017 Equity $12.50  June 2022  1,437,500   870,214   -   870,214 
Warrants issued October 12, 2017 Equity $18.00  April 2022  320,000   320,000   -   320,000 
Underwriters Warrants, issued January 25, 2019 Equity $9.40  January 2022  65,434   65,434   (65,434)  - 
                         
           1,975,934   1,404,648   (65,434)  1,339,214 

The weighted average exercise price of the warrants is $16.30 and the weighted average remaining contractual life is approximately 0.2 years.

18.REVOLVING LINE OF CREDIT

 

On October 13, 2021, the Company and its subsidiaries entered into athe Comerica Loan and Security Agreement (the “Comerica Loan Agreement”) with Comerica, Bank (“Comerica”), providing for a revolving credit facility of up to $7,500,000 (the “Credit Facility”). The Company may use the proceeds of the Credit Facility for working capital and other general corporate purposes.

 

20

The amount that may be borrowed under the Credit Facility is the lower of (i) the revolving limit of $7,500,000(the (the “Revolving Line”) and (ii) 80% of the Company’s eligible accounts receivable plus an applicable non-formula amount consisting of $2,000,000 of additional availability at close not based upon the Company’s eligible accounts receivable, with such additional availability reducing by $250,000 per quarter beginning with the quarter ending June 30, 2022. Borrowings on the Credit Facility are limited to $5,000,000 until 80%80% of the Company’s and its subsidiaries’ customers are paying into a collection account or segregated governmental account with Comerica. The Revolving Line can also include, at the Company’s option, credit card services with a sublimit of $300,000. Borrowings on the Revolving Line are subject to an interest rate equal to prime plus 0.50%, with prime being the greater of (x) Comerica’s stated prime rate or (y) the sum of (A) the daily adjusting LIBOR rate plus (B) 2.5% per annum. The Company is also required to pay an unused facility fee quarterly in arrears in an amount equal to 0.25% per annum on the average unused but available portion of the Revolving Line for such quarter.

 

22

The Credit Facility matures on September 30, 2023, and is secured by a first priority lien on substantially all of the assets of the Company and its subsidiaries. As of March 31, 2022,2023, the balance of the revolving line was $2.52.2 million.

 

The Comerica Loan Agreement contains affirmative and negative restrictive covenants that are applicable whether or not any amounts are outstanding under the Comerica Loan Agreement. These restrictive covenants, which include restrictions on certain mergers, acquisitions, investments, encumbrances, etc., could adversely affect our ability to conduct our business. The Comerica Loan Agreement also contains financial covenants requiring specified minimum liquidity and minimum revenue thresholds, which the Company was in compliance with as of March 31, 2023, and also contains customary events of default. In April 2022, Comerica waived certain covenants specifically relating to the Company receiving financial statements with a going concern comment or qualification,qualification. In April 2022 and August 2022, Comerica waived certain covenants specifically relating to failure to maintain bank accounts outside of Comerica in an aggregate amount not to exceed $0.5million during the transition period.

Additionally, in August 2022, Comerica waived certain covenants relating to failure to segregate collections made from government account debtors from collections made from all other account debtors and customers.

18.RECENT ACCOUNTING STANDARDS

As a condition for Comerica to extend the Credit Facility to the Company and its subsidiaries, the Company’s existing creditors, Ampersand and 1315 Capital (the “Existing Creditors”), entered into that certain Subordination Agreement, dated as of October 13, 2021, pursuant to which each Existing Creditor agreed to subordinate all of the indebtedness and obligations of the Company and its subsidiaries owing to such Existing Creditor to all of the indebtedness and obligations of the Company and its subsidiaries owing to Comerica (the “Subordination Agreement”). Each Existing Creditor further agreed to subordinate all of its respective security interests in assets or property of the Company and its subsidiaries to Comerica’s security interests in such assets or property. The Subordination Agreement provides that it is solely for the benefit of Comerica and each of the Existing Creditors and is not for the benefit of the Company or any of its subsidiaries.

19.RECENT ACCOUNTING STANDARDS

 

Accounting Pronouncements Pending AdoptionAdopted

The FASB issued new guidance under ASC Topic 326, Financial Instruments Credit Losses. The guidance changes the allowance on accounts receivable from an incurred method to an expected method. The Company adopted ASC Topic 326 on January 1, 2023 and it had no material effect on the condensed consolidated financial statements.

19.SUBSEQUENT EVENTS

Termination of Parsippany Lease

 

In February 2020,April 2023, the FASB issued ASU 2020-02, Financial Instruments-Credit Losses (Topic 326) and Leases (Topic 842) - Amendments to SEC Paragraphs Pursuant to SEC Staff Accounting Bulletin No. 119 and Update to SEC Section on Effective Date Related to Accounting Standards Update No. 2016-02, Leases (Topic 842) which amends the effective dateCompany entered into a lease termination agreement with its Parsippany, NJ landlord terminating its lease as of April 30, 2023. The original term of the original pronouncement for smaller reporting companies. ASU 2016-13 and its amendments will be effective for the Company for interim and annual periods in fiscal years beginning after December 15, 2022.lease was through November 2023. The Company believes the adoption will modify the way the Company analyzes financial instruments, but it does not anticipatehad to pay a material impact on resultstermination fee of operations. The Company is in the process of determining the effects adoption will have on its consolidated financial statements.approximately $26,000.

 

In August 2020, the FASB issued ASU 2020-06, Debt – Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging – Contracts in Entity’s Own Equity (Subtopic 815 – 40), (“ASU 2020-06”). ASU 2020-06 simplifies the accounting for certain financial instruments with characteristics of liabilities and equity, including convertible instruments and contracts on an entity’s own equity. The ASU2020-06 amendments are effective for fiscal years beginning after December 15, 2023, and interim periods within those fiscal years. Early adoption is permitted, but no earlier than fiscal years beginning after December 15, 2020, including interim periods within those fiscal years. The Company does not expect this will have any impact on its consolidated financial statements.

20.

SUBSEQUENT EVENTS

BroadOak Convertible Note

On May 5, 2022, the Company issued a Subordinated Convertible Promissory Note (the “Convertible Note”) to BroadOak, pursuant to which BroadOak funded a term loan in the aggregate principal amount of $2 million (the “Convertible Debt”). The Company will use the proceeds of the Convertible Debt for general corporate purposes and working capital. 

The Convertible Note will be converted into shares of common stock of the Company in connection with, and upon the consummation of, a private placement transaction pursuant to which the Company will issue common stock to certain investors, and such conversion will be subject to the same terms and conditions (including purchase price per share) applicable to the purchase of common stock of the Company by such investors. If such private placement transaction is not consummated on or prior to August 5, 2022 (the “Maturity Date”), then the Convertible Note will be converted into an additional term loan advance under the Company’s existing BroadOak Loan Agreement on the Maturity Date and will thereafter be subject to the terms of the definitive financing agreements for the BroadOak Loan Agreement until repaid in accordance with the terms thereof.  The Convertible Debt bears interest at a fixed rate of interest equal to 9.0% per annum and is unsecured. There are no scheduled amortization payments prior to the Maturity Date. The Convertible Note contains customary representations and warranties and customary events of default. 

In connection with the issuance of the Convertible Note, on May 5, 2022, the Company and its subsidiaries entered into a) a consent letter (the “Comerica Consent”) with Comerica, pursuant to which Comerica consented to the issuance of the Convertible Note, the incurrence of the Convertible Debt and the conversion of the Convertible Debt into common stock of the Company or an additional term loan advance under the BroadOak Loan Agreement in accordance with the terms of the Convertible Note, and b) a First Amendment to Loan and Security Agreement and Consent (the “BroadOak Amendment”) with BroadOak, pursuant to which, among other things, BroadOak consented to the issuance of the Convertible Note, the incurrence of the Convertible Debt and the conversion of the Convertible Debt into common stock of the Company or an additional term loan advance under the BroadOak Loan Agreement in accordance with the terms of the Convertible Note.

The Convertible Debt is subordinated in right of payment to all of the indebtedness and obligations of the Company owing to Comerica under the Company’s existing senior secured credit facility with Comerica. In connection with the issuance of the Convertible Note, on May 5, 2022, the Company, BroadOak and Comerica entered into a First Amendment to Subordination and Intercreditor Agreement (the “Intercreditor Amendment”), pursuant to which, among other things, BroadOak agreed that the Convertible Debt is subordinated to all of the indebtedness and obligations of the Company owing to Comerica on the same terms and conditions applicable to the indebtedness and obligations of the Company under the BroadOak Loan Agreement. 

2321

INTERPACE BIOSCIENCES, INC

 

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

 

FORWARD-LOOKING STATEMENTS

 

This quarterly report on Form 10-Q contains “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Statements that are not historical facts, including statements about our plans, objectives, beliefs and expectations, are forward-looking statements. Forward-looking statements include statements preceded by, followed by or that include the words “believes,” “expects,” “anticipates,” “plans,” “estimates,” “intends,” “projects,” “should,” “could,” “may,” “will” or similar words and expressions. These forward-looking statements are contained throughout this Form 10-Q.

 

Forward-looking statements are only predictions and are not guarantees of future performance. These statements are based on current expectations and assumptions involving judgments about, among other things, future economic, competitive and market conditions and future business decisions, all of which are difficult or impossible to predict accurately and many of which are beyond our control. These predictions are also affected by known and unknown risks, uncertainties and other factors that may cause our actual results to be materially different from those expressed or implied by any forward-looking statement. Many of these factors are beyond our ability to control or predict. Our actual results could differ materially from the results contemplated by these forward-looking statements due to a number of factors. Such factors include, but are not limited to, the following:

 

 the substantial doubt about our ability to continue aswe have a going concern due to our history of operating losses declining cash position and other liquidity factors, which in the absence of additional short term financing may cause us to cease or scale back operations;
the effect of the Coronavirus (COVID-19) pandemic which has materially and adversely affected our business and financial results, particularly during portions of 2020, due to the slowdown in demand for our clinical services and pharma services, a reduction in samples received and testing volume and delayed third party collections and other factors and which may continue to have an adverse effect on our future business;generated limited revenue;
   
 our expectations of future revenues, expenditures, capital or other funding requirements;
   
 our reliance on Medicare reimbursement for our clinical services and our being subject to decisions of the CentersCenter for Medicare and Medicaid Services (“CMS”) regarding reimbursement and pricing of our clinical services which could have a material adverse effect on our business and financial results;
our ability to continue to perform, bill and receive reimbursement for our PancraGEN molecular test under the existing local coverage determination (“LCD”), given that such LCD is currently under review by Novitas Solutions, Inc. (“Novitas”), the Company’s Medicare administrative contractor;
   
 our secured lenders have the right to foreclose on substantially all of our assets if we are unable to timely repay our outstanding obligations;
   
 our dependence on sales and reimbursements from our clinical services for more than 50%all of our revenue;
the ability to continue to generate sufficient revenue from theseour clinical service products and other products and/or solutions that we develop in the future is important for our ability to meet our financial and other targets;

24

our revenue recognition is based, in part, on our estimates for future collections and such estimates may prove to be incorrect;
 our ability to finance our business on acceptable terms in the future, which may limit the ability to grow our business, develop and commercialize products and services, develop and commercialize new molecular clinical service solutions and technologies and expand our pharma services offerings;technologies;

 our obligations to make royalty and milestone payments to our licensors;
   
 our dependence on third parties for the supply of some of the materials used in our clinical and pharma services tests;

 the potential adverse impact of current and future laws, licensing requirements and governmental regulations upon our business operations, including but not limited to the evolving U.S. regulatory environment related to laboratory developed tests (“LDTs”), pricing of our tests and services and patient access limitations;
   
 our reliance on our sales and marketing activities for future business growth and our ability to continue to expand our sales and marketing activities;
   
 our being subject to the controlling interests of our two private equity investors who control, on an as-converted basis, an aggregate of 64.5% of our outstanding shares of common stock through their holdings of our Series B Preferred Stock, and this concentration of ownership along with their authority for designation rights for a majority of our directors and their right to approve certain of our actions has a substantial influence on our decisions;
the delisting of our common stock from Nasdaq and subsequent trading on OTCQX® as well as the possible removal of our common stock from trading on the OTCQX® if we fail to meet minimum market capitalization of $5 million for ten consecutive trading days by July 3, 2023 has adversely affected and may continue to adversely affect our common stock and business and financial condition;
geopolitical and other economic and political conditions or events (such as the war in Ukraine);
our ability to implement our business strategy; and
   
 the potential impact of existing and future contingent liabilities on our financial condition.

 

Please see Part I – Item 1A – “Risk Factors” in our Annual Report on Form 10-K for the fiscal year ended December 31, 20212022 filed with the SEC on March 31, 2022,27, 2023, and as amended on April 28, 2023, as well as other documents we file with the SEC from time-to-time, for other important factors that could cause our actual results to differ materially from our current expectations as expressed in the forward-looking statements discussed in this Form 10-Q. Because of these and other risks, uncertainties and assumptions, you should not place undue reliance on these forward-looking statements. In addition, these statements speak only as of the date of the report in which they are set forth and, except as may be required by law, we undertake no obligation to revise or update publicly any forward-looking statements for any reason.

 

OVERVIEW

 

We are an emerging leader in enabling precision medicine principally in oncology by offering specialized services along the therapeutic value chain from early diagnosis and prognostic planning to targeted therapeutic applications through our clinical and pharma services. Through our clinical services, we enable physicians to personalize the clinical management of each individual patient by providing genomic information to better diagnose, monitor and inform cancer treatment. Our clinical services provide clinically usefula fully integrated commercial company that provides molecular diagnostic tests,diagnostics, bioinformatics and pathology services for evaluatingevaluation of risk of cancer by leveraging the latest technology in personalized medicine for improved patient diagnosis and management. Through our pharma services, weWe develop and commercialize and provide molecular- and biomarker-basedgenomic tests and servicesrelated first line assays principally focused on early detection of patients with indeterminate biopsies and provide companies with customized solutions for patient stratification and treatment selection through an extensive suiteat high risk of molecular and biomarker-based testing services, DNA and RNA extraction and customized assay development and trial design consultation. Our pharma services provide pharmacogenomics testing, genotyping, biorepository and other specialized services tocancer using the pharmaceutical and biotech industries and advance personalized medicine by partnering with pharmaceutical, academic and technology leaders to effectively integrate pharmacogenomics into drug development and clinical trial programs with the goals of delivering safer, more effective drugs to market more quickly, and improving patient care.latest technology.

 

Impact of Our Reliance on CMS and Novitas

In January 2022, CMS stated they would no longer reimburse for the use of the Company’s ThyGeNEXT®ThyGeNEXT® and ThyraMIR®tests when billed together by the same provider/supplier for the same beneficiary on the same date of service. However, on February 28, 2022, the Company announced that the National Correct Coding Initiative (NCCI) program issued a response on behalf of CMS stating that the January 2022 billing policy reimbursement change for ThyGeNEXT® (0245U) and ThyraMIR® (0018U) tests has been retroactively reversed to January 1, 2022. CMS is currently reimbursingIn May 2022, the Company for one of its two thyroid tests, and has agreed to retroactively reimburse for the second test once they have completed their internal administrative adjustments. We have beenwas notified by CMS/NCCI that processing of claims for dates of service after January 1, 2022 willwould be completed beginning July 1, 2022. However, on June 9, 2022, the Company was notified that Novitas re-priced ThyGeNEXT® (0245U) from $2,919 to $806.59 retroactively effective to January 1, 2022. On July 20, 2022, the Clinical Diagnostic Laboratory Tests (CDLT) Advisory Panel affirmed a gapfill price of $806.59. As a result of the ThyGeNEXT® pricing change, the Company will continuereduced its NRV rates for ThyGeNEXT® Medicare billing to reflect the $806.59 pricing for both tests accordingperformed during the second quarter of 2022. In addition, in order to its LCD as originally set by Novitas. As ofreflect the date of this filing,retroactive pricing change to January 1, 2022, the Company has not yet realizedrecorded an NRV adjustment of $0.7 million during the full cash collection benefitsecond quarter of current2022 to reduce revenue recorded during the first quarter of 2022. During July 2022, the Company began implementing cost-savings initiatives including a reduction in headcount and retroactive Thyroid testingincidental expenses and such cash collections may be temporarily reduced or delayed until we resolvea freeze on all non-essential travel and hiring. In August 2022, the matter with CMS.Company sold its Pharma Solutions business. Effective January 1, 2023, the gapfill price for ThyGeNEXT® was set at $1,266.07.

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Further, in Mayalong with many laboratories, we may be affected by the Proposed Local Coverage Determination (“LCD”) DL39365, which was posted on June 9, 2022 CMS published its preliminary gap-fill fee pricing rateswith comments extended to September 6, 2022 due to changes made to the related draft and is currently under consideration by our local Medicare Administrative Contractor, Novitas. If finalized, this Proposed LCD, which are scheduled to go into effect in January 2023 and are likely to affectgoverns “Genetic Testing for Oncology,” could impact the rates we are allowed to bill payersexisting LCD for ThyGeNEXTone of our molecular tests, PancraGEN®. This determination decreases the Medicare reimbursementIf Novitas restricts coverage for ThyGeNext™ (0245U). However, the reimbursement rate for other payer groups mayPancraGEN®, our liquidity could be increased.  The overall impact of the CMS determination may have an adverse impact on the Company’s business and financial resultsnegatively impacted beginning in Fiscal 2023.

Impact of COVID-19 Pandemic

The COVID-19 pandemic, together with related precautionary measures, continues to impact portions of the regions in which we operate. These regions are attempting to address the COVID-19 pandemic in varying ways, including stay-at-home orders, temporarily closing businesses, restricting gatherings, restricting travel, and mandating social distancing and face coverings. The level and nature of the disruption caused by COVID-19 is unpredictable, may be cyclical and long-lasting and may vary from location to location.

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The continuing impact that the COVID-19 pandemic will have on our operations, including duration, severity and scope, remains highly uncertain and cannot be fully predicted at this time. While we believe we have generally recovered from the adverse impact that the COVID-19 pandemic had on our business during 2020, we believe that the COVID-19 pandemic could continue to adversely impact our results of operations, cash flows and financial condition in the future.

We continue to monitor the COVID-19 pandemic and the guidance that is being provided by relevant federal, state and local public health authorities and may take additional actions based upon their recommendations. It is possible that we may have to make adjustments to our operating plans in reaction to developments that are beyond our control.

Lab closures experienced thus far by the Company have consisted of periodic, temporary work stoppages to clean and disinfect the labs; however, this could change in the future based upon conditions caused by the pandemic. Inflation and supply chain disruptions, whether caused by restrictions or slowdowns in shipping or logistics, increases in demand for certain goods used in our operations, or otherwise, could impact our operations in the near term. For the foreseeable future, however, we do not anticipate supply chain shortages of critical supplies.

We have contingency plans in place and will continue to monitor and update them in order to mitigate pandemic-related, adverse financial impacts upon our business.

 

Impact of the ongoing military conflict between Russia and Ukraine.

In late February 2022, RussiaRussian military forces invaded Ukraine, significantly amplifying already existing geopolitical tensions among Russiaand although the length, impact, and outcome of the ongoing war in Ukraine is highly unpredictable, this war has led, and could continue to lead, to significant market and other countries in the region and in the west,disruptions, including the U.S. Russia’s invasion, the responses of countries and political bodies to Russia’s actions, the larger overarching tensions, and Ukraine’s military response and the potential for wider conflict have resultedinstability in financial market volatilitymarkets, supply chain interruptions, political and capital markets disruption, potentially increasingsocial instability, and increases in magnitude,cyberattacks, intellectual property theft, and couldespionage. We are actively monitoring the situation in Ukraine and assessing its impact on our business.

We have severe adverse effects on regionalno way to predict the progress or outcome of the war in Ukraine or its impacts in Ukraine, Russia, or Belarus as the war, and global economic marketsany resulting government reactions, are rapidly developing and international relations.beyond our control. The extent and duration of the military action,war, sanctions, and resulting market disruptions are impossible to predict, but could be substantial.significant and could potentially have a substantial impact on the global economy and our business for an unknown period of time. Any of the above-mentioned factors could materially adversely affect our business, financial condition, and results of operations.

 

Following Russia’s actions, various countries, includingWe are also monitoring other macro-economic and geopolitical developments such as inflation and cybersecurity risks so that the U.S., Canada and the United Kingdom,Company can be prepared to react to new developments as well as the European Union, issued broad-ranging economic sanctions against Russia. Such sanctions included, among other things, a prohibition on doing business with certain Russian companies, officials and oligarchs; a commitment by certain countries and the European Union to remove selected Russian banks from the Society for Worldwide Interbank Financial Telecommunications (SWIFT) electronic banking network that connects banks globally; a ban on Russian oil and gas imports to the U.S.; and restrictive measures to prevent the Russian Central Bank from undermining the impact of the sanctions. The current sanctions (and potential further sanctions in response to continued Russian military activity) and other actions may have adverse effects on regional and global economic markets and lead to instability and lack of liquidity in capital markets, potentially making it more difficult for us to obtain additional funds and increasing the volatility of our stock price. Any of the abovementioned factors could affect our business, prospects, financial condition, and operating results.they arise.

 

Revenue Recognition

 

Clinical services derive its revenues from the performance of its proprietary assays or tests. Our performance obligation is fulfilled upon completion, review and release of test results to the customer, at which time we bill third-party payers or direct-bill payers for the tests performed. Under Accounting Standards Codification 606, revenue is recognized based upon the estimated transaction price or net realizable value (“NRV”), which is determined based on historical collection rates by each payer category for each proprietary test offered. To the extent that the transaction price includes variable consideration, for all third party and direct-bill payers and proprietary tests, we estimate the amount of variable consideration that should be included in the transaction price using the expected value method based on historical experience.

 

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The ultimate amounts received from the third-party and direct-bill payers and related estimated reimbursement rates are regularly reviewed and we adjust the NRV’s and related contractual allowances accordingly. If actual collections and related NRV’s vary significantly from our estimates, we adjust the estimates of contractual allowances, which affects net revenue in the period such variances become known.

 

With respect to our pharma services, customer performance obligations are satisfied at a point in time as the Company processes samples delivered by the customer. Project level activities, including study setup and project management, are satisfied over the life of the contract. Revenues are recognized at a point in time when the test results or other deliverables are reported to the customer.

Cost of Revenue

 

Cost of revenue consists primarily of the costs associated with operating our laboratorieslaboratory and other costs directly related to our tests. Personnel costs, which constitute the largest portion of cost of services, include all labor-related costs, such as salaries, bonuses, fringe benefits and payroll taxes for laboratory personnel. Other direct costs include, but are not limited to, laboratory supplies, certain consulting expenses, royalty expenses, and facility expenses.

Transition costs

Transition expenses are primarily related to the Rutherford, New Jersey lab closing and subsequent move to Morrisville, North Carolina, which was completed during the first half of Fiscal 2021, as well as other cost-saving initiatives consisting primarily of reductions in headcount and the implementation of a new laboratory information system. To optimize the operations of laboratory operations within our pharma services, we transitioned activities from the Rutherford facility to our Morrisville facility. The transition included the transfer of personnel, expansion of the Morrisville facility and validation of transferred processes.

2724

CONDENSED CONSOLIDATED RESULTS OF OPERATIONS

 

The following table sets forth, for the periods indicated, certain statements of operations data. The trends illustrated in this table may not be indicative of future results.

Condensed Consolidated Results of Continuing Operations for the Quarter Ended March 31, 20222023 Compared to the Quarter Ended March 31, 2021 (unaudited, in2022 (in thousands)

 

 Three Months Ended March 31, Three Months Ended March 31, 
 2022  2022  2021  2021  2023 2023 2022 2022 
    % to     % to     % to     % to 
    revenue     revenue     revenue     revenue 
                  
Revenue, net $10,377   100.0% $9,833   100.0% $9,826   100.0% $7,923   100.0%
Cost of revenue  5,384   51.9%  5,316   54.1%  3,848   39.2%  3,265   41.2%
Gross profit  4,993   48.1%  4,517   45.9%  5,978   60.8%  4,658   58.8%
Operating expenses:                                
Sales and marketing  2,416   23.3%  2,351   23.9%  2,342   23.8%  2,200   27.8%
Research and development  299   2.9%  637   6.5%  149   1.5%  231   2.9%
General and administrative  3,690   35.6%  2,979   30.3%  2,494   25.4%  2,886   36.4%
Transition expense  85   0.8%  1,253   12.7%
Acquisition related amortization expense  536   5.2%  1,112   11.3%  318   3.2%  318   4.0%
Total operating expenses  7,026   67.7%  8,332   84.7%  5,303   54.0%  5,635   71.1%
                                
Operating loss  (2,033)  -19.6%  (3,815)  -38.8%
Operating income (loss)  675   6.9%  (977)  -12.3%
Interest accretion expense  (121)  -1.2%  (135)  -1.4%  (35)  -0.4%  (121)  -1.5%
Related party interest  -   0.0%  (92)  -0.9%
Note payable interest  (180)  -1.7%  -   0.0%  (225)  -2.3%  (180)  -2.3%
Other income (expense), net  159   1.5%  (96)  -1.0%
Loss from continuing operations before tax  (2,175)  -21.0%  (4,138)  -42.1%
Other income, net  19   0.2%  161   2.0%
Income (loss) from continuing operations before tax  434   4.4%  (1,117)  -14.1%
Provision for income taxes  18   0.2%  15   0.2%  4   0.0%  18   0.2%
Loss from continuing operations  (2,193)  -21.1%  (4,153)  -42.2%
Income (loss) from continuing operations  430   4.4%  (1,135)  -14.3%
                                
Loss from discontinued operations, net of tax  (54)  -0.5%  (54)  -0.5%  (79)  -0.8%  (1,112)  -14.0%
                                
Net loss $(2,247)  -21.7% $(4,207)  -42.8%
Net income (loss) $351   3.6% $(2,247)  -28.4%

Revenue, net

 

Consolidated revenue,Revenue, net for the three months ended March 31, 20222023 increased by $0.5$1.9 million, or 6%24%, to $10.4$9.8 million, compared to $9.8$7.9 million for the three months ended March 31, 2021.2022. The increase in net revenue was largely driven by increased volume for our clinical services.test volumes as compared to the prior year.

 

Cost of revenue

 

Consolidated costCost of revenue for the three months ended March 31, 20222023 was $5.4$3.8 million, as compared to $5.3$3.3 million for the three months ended March 31, 2021.2022. As a percentage of revenue, cost of revenue was approximately 52%39% for the three months ended March 31, 20222023 and 54%41% for the three months ended March 31, 2021, the2022. The percentage decrease was due to the increase in revenue discussed above.for the quarter.

 

Gross profit

 

Consolidated grossGross profit was approximately $5.0$6.0 million for the three months ended March 31, 20222023 and $4.5$4.7 million for the three months ended March 31, 2021.2022. The gross profit percentage was approximately 48%61% for the three months ended March 31, 30222023 and 46%59% for the three months ended March 31, 2021.2022.

 

2825

 

Sales and marketing expense

 

Sales and marketing expense was approximately $2.4$2.3 million for the three months ended March 31, 20222023 and $2.4$2.2 million for the three months ended March 31, 2021.2022. As a percentage of revenue, sales and marketing expense decreased to 23%24% from 24%28% in the comparable prior year period.period due to the increase in revenue.

 

Research and development

 

Research and development expense was $0.3$0.1 million for the three months ended March 31, 20222023 and $0.6$0.2 million for the three months ended March 31, 2021 due to a delay in research and development projects in 2022. As a percentage of revenue, research and development expense decreased to 3%2% from 7%3% in the comparable prior year period. The decrease can be primarily attributed to the timing of projects entered into in 2023 as compared to the prior year quarter.

 

General and administrative

 

General and administrative expense was approximately $3.7$2.5 million for the three months ended March 31, 20222023 and $3.0$2.9 million for the three months ended March 31, 2021.2022. The increasedecrease can be primarily attributed to an increasea decrease in employee compensation costs and an increase in professional fees.

Transition expense

Transition expense was approximately $0.1 million for the three months ended March 31, 2022 and $1.3 million for the three months ended March 31, 2021. In 2021, these expenses were related to the Rutherford, NJ lab closing and subsequent move to North Carolina as well as other cost-saving initiatives. In 2022, these expenses were related to laboratory information management system implementation costs.

 

Acquisition amortization expense

 

During both the three months ended March 31, 20222023 and March 31, 2021,2022, we recorded amortization expense of approximately $0.5 million and $1.1$0.3 million, respectively, which is related to intangible assets associated with prior acquisitions.

 

Operating lossincome (loss)

 

Operating lossincome from continuing operations was $2.0$0.7 million for the three months ended March 31, 20222023 as compared to $3.8an operating loss $1.0 million for the three months ended March 31, 2021.2022. The lower operating loss wasincome for the three months ended March 31, 2023 can be primarily attributableattributed to the reductionincrease in transition expenses discussed above.revenue during the quarter.

 

Provision for income taxes

 

Income tax expense was approximately $4,000 for the three months ended March 31, 2023 and $18,000 for the three months ended March 31, 2022 and $15,000 for the three months ended March 31, 2021. Income tax expense for both periods was primarily driven by minimum state and local taxes.2022.

 

Loss from discontinued operations, net of tax

 

We had a loss from discontinued operations of approximately $0.1 million for the three months ended March 31, 20222023 and a loss from discontinued operations of approximately $0.1$1.1 million for the three months ended March 31, 2021.2022. The loss from discontinued operations for the three months ended March 31, 2022 included losses associated with the former Pharma Solutions unit.

Non-GAAP Financial Measures

 

In addition to the United States generally accepted accounting principles, or GAAP, results provided throughout this document, we have provided certain non-GAAP financial measures to help evaluate the results of our performance. We believe that these non-GAAP financial measures, when presented in conjunction with comparable GAAP financial measures, are useful to both management and investors in analyzing our ongoing business and operating performance. We believe that providing the non-GAAP information to investors, in addition to the GAAP presentation, allows investors to view our financial results in the way that management views financial results.

 

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In this Quarterly Report on Form 10-Q, we discuss Adjusted EBITDA, a non-GAAP financial measure. Adjusted EBITDA is a metric used by management to measure cash flow of the ongoing business. Adjusted EBITDA is defined as income or loss from continuing operations, plus depreciation and amortization, acquisition related expenses, transition expenses, noncashnon-cash stock based compensation, interest and taxes, and other non-cash expenses including asset impairment costs, bad debt expense, loss on extinguishment of debt, goodwill impairment and change in fair value of contingent consideration,notes payable and warrant liability. The table below includes a reconciliation of this non-GAAP financial measure to the most directly comparable GAAP financial measure.

 

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Reconciliation of Adjusted EBITDA (Unaudited)

($ in thousands)

 

 Three Months Ended  Three Months Ended 
 March 31,  March 31, 
 2022  2021  2023  2022 
Loss from continuing operations (GAAP Basis) $(2,193) $(4,153)
Bad debt (recovery) expense  -   (140)
Transition expenses  85   1,253 
Income (loss) from continuing operations (GAAP Basis) $430  $(1,135)
Depreciation and amortization  781   1,532   356   371 
Stock-based compensation  325   286   192   303 
Tax expense  18   15 
Taxes expense  4   18 
Interest accretion expense  121   135   35   121 
Financing interest and related costs  180   144 
Note payable interest  225   180 
Mark to market on warrant liability  (63)  41   -   (63)
Change in fair value of note payable  (107)  -   (33)  (107)
Change in fair value of contingent consideration  -   (57)
Adjusted EBITDA $(853) $(944) $1,209  $(312)

LIQUIDITY AND CAPITAL RESOURCES

 

For the three months ended March 31, 2022, we had an operating loss of $2.0 million. As of March 31, 2022, we had cash and cash equivalents of $2.9 million, net of restricted cash, total current assets of $12.9 million, net of restricted cash, and current liabilities of $16.9 million. As of May 6, 2022, we had approximately $3.7 million of cash on hand, net of restricted cash.

During the three months ended March 31, 2022, net cash used in operating activities was $1.3 million. The main component of cash used in operating activities was our net loss of $2.2 million, partially offset by an increase in accounts payable of $1.2 million. During the three months ended March 31, 2021, net cash used in operating activities was $5.0 million. The main component of cash used in operating activities was our net loss of $4.2 million.

For the three months ended March 31, 2022, cash provided from financing activities was $1.1 million, of which $1.0 million was from the drawdown on the revolving line of credit. See Note 14, Notes Payable, of the notes to the financial statements. For the three months ended March 31, 2021, cash provided from financing activities was $5.0 million, of which $4.9 million were the net proceeds from the Company’s secured promissory notes with Ampersand and 1315. See Note 14, Notes Payable, of the notes to the financial statements.

In October 2021, the Company and its subsidiarieswe entered into athe Comerica Loan and Security Agreement (the “Comerica Loan Agreement”) with Comerica, Bank (“Comerica”), providing for a revolving credit facility of up to $7,500,000 (the “Credit Facility”). The Company may useis using the proceeds of the Credit Facility for working capital and other general corporate purposes.

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The amount that may be borrowed under the Credit Facility is the lower of (i) the revolving limit of $7,500,000 (the “Revolving Line”) and (ii) 80% of the Company’s eligible accounts receivable plus an applicable non-formula amount consisting of $2,000,000 of additional availability at close not based upon the Company’s eligible accounts receivable, with such additional availability reducing by $250,000 per quarter beginning with the quarter ending June 30, 2022. Borrowings on the Credit Facility are limited to $5,000,000 until 80% of the Company’s and its subsidiaries’ customers are paying into a collection account or segregated governmental account with Comerica. The Revolving Line can also include, at the Company’s option, credit card services with a sublimit of $300,000. Borrowings on the Revolving Line are subject to an interest rate equal to prime plus 0.50%, with prime being the greater of (x) Comerica’s stated prime rate or (y) the sum of (A) the daily adjusting LIBOR rate plus (B) 2.5% per annum. The Company is also required to pay an unused facility fee quarterly in arrears in an amount equal to 0.25% per annum on the average unused but available portion of the Revolving Line for such quarter. See Note 18,17, Revolving Line of Credit, for more details. Comerica has a first priority security interest in substantially all of the Company’s and its subsidiaries’ assets. As of May 1, 2023 the Company owed $2.1 million on the line of credit and had approximately $2.2 million available to borrow on the line.

 

In addition, also in October 2021, the Company entered into athe BroadOak Loan and Security Agreement (the “BroadOak Loan Agreement”) with BroadOak, providing for a term loan in the aggregate principal amount of $8,000,000 (the “Term Loan”). Funding of the Term Loan took place on November 1, 2021. The Term Loan matures upon the earlier of (i) October 31, 2024 or (ii) the occurrence of a change in control, and bears interest at the rate of 9% per annum. The Term Loan is secured by a security interest in substantially all of the Company’s and its subsidiaries’ assets and is subordinate to the Company’s recently established $7,500,000 revolving credit facility with Comerica Bank. The Term Loan has an origination fee of 3% of the Term Loan amount, and a terminal payment equal to (i) 15% of the original principal amount of the Term Loan if the change of control occurs on or prior to the first anniversary of the funding of the Term Loan, (ii) 20% of the original principal amount of the Term Loan if the change of control occurs after the first anniversary but on or prior to the second anniversary of the funding of the Term Loan and (iii) 30% of the original principal amount of the Term Loan if the change of control occurs after the second anniversary of the funding of the Term Loan, or if the Term Loan is repaid on its maturity date. Upon receipt of the term loan, the proceeds were used to repay in full at their maturity the notes extended by Ampersand and 1315 Capital discussed above. See Note 14, Notes Payable,for more details. In May 2022, the Company issued a Convertible Note to BroadOak, pursuant to which BroadOak funded a term loan in the aggregate principal amount of $2.0 million. See Note 20,14, Subsequent EventsNotes Payable, for more details. The Company will use the proceeds of the Convertible Debt for general corporate purposes and working capital.

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The BroadOak Loan Agreement contains affirmative and negative restrictive covenants, including restrictions on certain mergers, acquisitions, investments and encumbrances which could adversely affect our ability to conduct our business. The BroadOak Loan Agreement also contains customary events of default. The Comerica Loan Agreement contains affirmative and negative restrictive covenants that are applicable whether or not any amounts are outstanding under the Comerica loan agreement. These restrictive covenants, which include restrictions on certain mergers, acquisitions, investments, encumbrances, etc., could adversely affect our ability to conduct our business. The Comerica Loan Agreement also contains financial covenants requiring specified minimum liquidity and minimum revenue thresholds and also contains customary events of default. However, if we are unable to meet the financial covenants under the Comerica Loan Agreement, the revolving line of credit and notes payable will become due and payable immediately.

 

AlthoughIn January 2022, the Company’s registration statement for a rights offering filed with the Securities and Exchange Commission (SEC) became effective; however, the rights offering was subsequently terminated later in January 2022 when the Company is targetingannounced that the Centers for Medicare & Medicaid Services, or CMS, issued a new billing policy whereby CMS will no longer reimburse for the use of the Company’s ThyGeNEXT® and ThyraMIR® tests when billed together by the same provider/supplier for the same beneficiary on the same date of service. On February 28, 2022, the Company announced that the National Correct Coding Initiative (NCCI) program issued a response on behalf of CMS stating that the January 2022 billing policy reimbursement change for ThyGeNEXT® (0245U) and ThyraMIR® (0018U) tests has been retroactively reversed to achieve Adjusted EBITDAJanuary 1, 2022. In May 2022, the Company was notified by CMS/NCCI that processing of claims for dates of service after January 1, 2022 would be completed beginning July 1, 2022. However, on June 9, 2022, the Company was notified that Novitas re-priced ThyGeNEXT® (0245U) from $2,919 to $806.59 retroactively effective to January 1, 2022. On July 20, 2022 the Clinical Diagnostic Laboratory Tests (CDLT) Advisory Panel affirmed a gapfill price for ThyGeNEXT® of $806.59. As a result of the ThyGeNEXT® pricing change, the Company reduced its net realizable value, or NRV rates for ThyGeNEXT® Medicare billing to reflect the $806.59 pricing for tests performed during the second quarter of 2022. In addition, in order to reflect the retroactive pricing change to January 1, 2022, the Company recorded an NRV adjustment of $0.7 million during the second quarter of 2022 to reduce revenue recorded during the first quarter of 2022. Effective January 1, 2023, the gapfill price for ThyGeNEXT® was set at $1,266.07.

On August 31, 2022, the Company closed on the sale of its Pharma Solutions business for a total sale price of $6.2 million after a post-closing working capital adjustment.

For the three months ended March 31, 2023, we had operating income from continuing operations of $0.7 million. As of the three months ended March 31, 2023, we had cash and cash flow breakeven during Fiscalequivalents of $5.6 million, total current assets of $12.5 million and current liabilities of $13.9 million. As of May 8, 2023, we had approximately $6.7 million of cash on hand.

During the three months ended March 31, 2023, net cash provided by operating activities was $1.1 million. The main component of cash provided by operating activities was our net income of $0.4 million, including non-cash expenses of $0.6 million. During the three months ended March 31, 2022, we maynet cash used in operating activities was $1.3 million. The main component of cash used in operating activities was our net loss of $2.2 million which was partially offset by an increase in accounts payable of $1.2 million.

For both periods net cash used in investing activities was primarily related to the purchase of lab equipment.

For the three months ended March 31, 2023, cash used in financing activities was $0.3 million, which were payments made on the Revolving Line. For the three months ended March 31, 2022, cash provided from financing activities was $1.1 million, of which $1.0 million was from the drawdown on the Revolving Line. See Note 17, Revolving Line of Credit, for more details.

We did not generate positive cash flows from operations for the year ending December 31, 2022. We intend to meet our ongoing capital needs by using our available cash and availability under the Comerica Loan Agreement, as well as through revenue growth andtargeted margin improvement; collection of accounts receivable; containment of costs; and the potential use of other financing options.options and other strategic alternatives. However, if we are unable to meet the financial covenants under the Comerica Loan Agreement, the revolving line of credit and notes payable will become due and payable immediately. The Company anticipates that current cash and cash equivalents and forecasted cash receipts will be sufficient to meet its anticipated cash requirements through the next twelve months.

 

In January 2022, the Company’s registration statement for a rights offering filed with the Securities and Exchange Commission become effective; however, the rights offering was subsequently terminated in January 2022.

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The Company is currently exploringcontinues to explore various strategic alternatives, dilutive and non-dilutive sources of funding, including equity and debt financings, strategic alliances, business development and other sources in order to provide additional liquidity and expand the business through acquisitions or other strategic transactions.liquidity. With the Company’s delisting of our common stock from Nasdaq in February 2021 itsand the possible removal of our common stock from trading on the OTCQX® if we fail to meet minimum market capitalization of $5 million for ten consecutive trading days by July 3, 2023, our ability to raise additional capital on terms acceptable to the Company washas been adversely impacted. There can be no assurance that the Company will be successful in obtaining such funding on terms acceptable to the Company or at all.Company.

 

AsFurther, along with many laboratories, we may be affected by the Proposed Local Coverage Determination (“LCD”) DL39365, which was posted on June 9, 2022 and is currently under consideration by our local Medicare Administrative Contractor, Novitas If finalized, this Proposed LCD, which governs “Genetic Testing for Oncology,” could impact the existing LCD for one of our molecular tests, PancraGEN®. If Novitas restricts coverage for PancraGEN®, our liquidity could be negatively impacted in the datesecond half of this Report, the Company currently anticipates that current cash and cash equivalents will be insufficient to meet its anticipated cash requirements through the next twelve months. These factors raise substantial doubt about the Company’s ability to continue as a going concern.Fiscal 2023.

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Inflation

 

We do not believe that inflation had a significant impact on our results of operations for the periods presented. However, inflation and supply chain disruptions, whether caused by restrictions or slowdowns in shipping or logistics, increases in demand for certain goods used in our operations, or otherwise, could impact our operations in the near term.

 

Off-Balance Sheet ArrangementsCritical Accounting Estimates

 

None.See Note 5, Summary of Significant Accounting Policies and Note 18, Recent Accounting Standards to the Interim Financial Statements included elsewhere in this Quarterly Report on Form 10-Q for information regarding newly adopted and recent accounting pronouncements. See also Note 1, Nature of Business and Significant Accounting Policies to our financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2022, as amended, for a discussion of our critical accounting policies. There have been no material changes to such critical accounting policies. We believe our most critical accounting policies include accounting for contingent consideration, revenue recognition, intangible and long-lived assets, research and development expenses and stock-based compensation expense.

Item 3. Quantitative and Qualitative Disclosures About Market Risk

 

As a smaller reporting company, we are electing scaled disclosure reporting obligations and therefore are not required to provide the information requested by this Item.

 

Item 4. Controls and Procedures

 

Evaluation of Disclosure Controls and Procedures

 

Our management, with the participation of our Chief Executive Officer and ChiefPrincipal Financial Officer, evaluated the effectiveness of our disclosure controls and procedures pursuant to Rule 13a-15 under the Exchange Act as of the end of the period covered by this Form 10-Q. In designing and evaluating the disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives including that information we are required to disclose in reports that we file or submit under the Exchange Act is recorded, processed, summarized, and reported within the time periods specified in the SEC rules and forms, and that such information is accumulated and communicated to our management, including our Chief Executive Officer and ChiefPrincipal Financial Officer, as appropriate, to allow timely decisions regarding required disclosure. In addition, management is required to apply its judgment in evaluating the benefits of possible disclosure controls and procedures relative to their costs to implement and maintain.

 

Based on the evaluation of the Company’s disclosure controls and procedures, as that term is defined in Rule 13a-15(e) under the Exchange Act the Chief Executive Officer of the Company and the ChiefPrincipal Financial Officer of the Company have concluded that the Company’s disclosure controls and procedures were effective as of March 31, 2022.2023.

 

Reference should be made to our Form 10-K for the year ended December 31, 20212022 filed with the SEC on March 31, 202227, 2023, as amended, for additional information regarding discussion of the effectiveness of the Company’s controls and procedures.

 

Changes in Internal Controls

 

There has been no change in our internal control over financial reporting (as defined in Rule 13a-15(f) and 15d-15(f) under the Exchange Act) that occurred during the quarter covered by this report that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

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PART II. OTHER INFORMATION

 

Item 1. Legal Proceedings

None.

 

Item 1A. Risk Factors

 

Not applicable as we are a smaller reporting company.

 

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

 

None.

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Item 3. Defaults Upon Senior Securities

 

None.

 

Item 4. Mine Safety Disclosures

 

None.

 

Item 5. Other Information

None.

Item 6. Exhibits

 

Exhibit No. Description
   
3.131.1* Conformed versionCertification of CertificatePrincipal Executive Officer Pursuant to Rules 13a-14(a) and 15d-14(a) under the Securities Exchange Act of Incorporation of Interpace Biosciences, Inc.,1934, as amended by the Certificate of Amendment, effective January 15, 2020, and the Certificate of Designation of Preferences, Rights and Limitations of Series B Convertible Preferred Stock, filed January 17, 2020, incorporated by referenceAdopted Pursuant to Exhibit 3.1Section 302 of the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, filed with the SEC on April 22, 2020, as amended from time to time.Sarbanes-Oxley Act of 2002.
   
3.2Amended and Restated Bylaws of Interpace Biosciences, Inc., incorporated by reference to Exhibit 3.2 of the Company’s Current Report on Form 8-K, filed with the SEC on November 14, 2019.
10.1*Agreement, dated January 21, 2022, between Dr. Vijay Aggarwal and Interpace Biosciences, Inc., incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K, filed with the SEC on January 27, 2022.
31.131.2* Certification of Chief ExecutivePrincipal Financial Officer Pursuant to Rules 13a-14(a) and 15d-14(a) under the Securities Exchange Act of 1934, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002, filed herewith.
31.2Certification of Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002, filed herewith.2002.
   
32.1+ Certification of ChiefPrincipal Executive Officer pursuantPursuant to 18 U.S.C. Section 1350, as adopted pursuantAdopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, furnished herewith.2002.
   
32.2+ Certification of ChiefPrincipal Financial Officer pursuantPursuant to 18 U.S.C. Section 1350, as adopted pursuantAdopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, furnished herewith.2002.
   
101101.INS The following financial information from this Quarterly Report on Form 10-Q forInline XBRL Instance Document – the fiscal quarter ended March 31, 2022 formattedinstance document does not appear in the Interactive Data File because its XBRL (Extensible Business Reporting Language)tags are embedded within the Inline XBRL document.
101.SCHInline XBRL Taxonomy Extension Schema Document.
101.CALInline XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEFInline XBRL Taxonomy Extension Definition Linkbase Document.
101.LABInline XBRL Taxonomy Extension Label Linkbase Document.
101.PREInline XBRL Taxonomy Extension Presentation Linkbase Document.
104Cover Page Interactive Data File (formatted as Inline XBRL and furnished electronically herewith: (i) the Condensed Consolidated Balance Sheets; (ii) the Condensed Consolidated Statements of Operations; (iii) the Condensed Consolidated Statements of Stockholders’ Deficit; (iv) the Condensed Consolidated Statements of Cash Flows; and (v) the Notes to Condensed Consolidated Financial Statements.contained in Exhibits 101).

 

 +Exhibits 32.1 and 32.2 are being furnished herewith and shall not be deemed to be “filed” for purposes of Section 18 of the Exchange Act or otherwise subject to the liability of that section, nor shall such exhibits be deemed to be incorporated by reference to any registration statement or other document filed under the Securities Act or the Exchange Act, except as otherwise stated in any such filing.
   
 *&Denotes compensatory plan, compensation arrangement or management contract.
*The schedules and exhibits to this Exhibit have been omitted. The Company agrees to furnish a copy of the omitted schedules and exhibits to the Securities and Exchange Commission on a supplemental basis upon its request.

 

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SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

 

Date: May 16, 202212, 2023Interpace Biosciences, Inc.
 (Registrant)
  
 /s/ Thomas W. Burnell
 Thomas W. Burnell
 President and Chief Executive Officer
 (Principal Executive Officer)
  
Date: May 16, 202212, 2023/s/ Thomas FreeburgChristopher McCarthy
 Thomas Freeburg
Chief Financial OfficerChristopher McCarthy
 (Principal Financial Officer)

 

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