UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
FORM 10-Q
 
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 
FOR THE QUARTERLY PERIOD ENDED September 30, 2018March 31, 2019
 
OR
 
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
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 001-34600
 
TENAX THERAPEUTICS, INC.
(Exact name of registrant as specified in its charter)
 
Delaware 26-2593535
(State of incorporation) (I.R.S. Employer Identification No.)
 
ONE Copley Parkway, Suite 490, Morrisville, North Carolina 27560
(Address of principal executive offices)
 
(919) 855-2100
(Registrant’s telephone number, including area code)
 
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 during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes   ☒     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 filerAccelerated filer
Non-Accelerated filerSmaller 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 by Rule 12b-2 of the Exchange Act).    Yes   ☐     No   ☒
 
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, $0.0001 par value per shareTENXThe Nasdaq Stock Market LLC
As of November 12, 2018,May 10, 2019, the registrant had outstanding 1,465,4966,193,229 shares of Common Stock.
 

 
 
 
TABLE OF CONTENTS
 
  PAGE
PART I. FINANCIAL INFORMATION 
Condensed Consolidated Financial Statements3
  
3
 
4
 
5
56
 
67
Management’s Discussion and Analysis of Financial Condition and Results of Operations17
Quantitative and Qualitative Disclosures About Market Risk2623
Controls and Procedures2723
   
PART II. OTHER INFORMATION 
Item 1.Legal Proceedings28
Risk Factors2824
24
2824
Exhibits2824
 

 
PART I - FINANCIAL INFORMATION
 
ITEMITEM 1. 
CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
 
TENAXTENAX THERAPEUTICS, INC.
 
CONDENSED CONSOLIDATED BALANCE SHEETS
 
 
September 30,
2018
 
 
December 31,
2017
 
 
March 31,
2019
 
 
December 31,
2018
 
 
(Unaudited)
 
 
 
 
 
(Unaudited)
 
 
 
 
ASSETS
 
 
 
 
 
 
Current assets
 
 
 
 
 
 
Cash and cash equivalents
 $3,347,183 
 $1,604,810 
 $10,322,205 
 $12,367,321 
Marketable securities
  1,509,117 
  6,122,400 
  501,627 
  494,633 
Accounts receivable
  - 
  50,171 
Prepaid expenses
  284,857 
  285,512 
  367,129 
  458,286 
Total current assets
  5,141,157 
  8,062,893 
  11,190,961 
  13,320,240 
Marketable securities
  296,349 
  1,809,428 
Right to use asset
  246,887 
  - 
Property and equipment, net
  8,178 
  9,945 
  10,462 
  8,525 
Other assets
  8,435 
  8,435 
Total assets
 $5,454,119 
 $9,890,701 
 $11,456,745 
 $13,337,200 
    
    
LIABILITIES AND STOCKHOLDERS’ EQUITY
    
    
Current liabilities
    
    
Accounts payable
 $392,482 
 $611,861 
 $596,809 
 $749,814 
Accrued liabilities
  104,300 
  363,306 
  417,366 
  815,855 
Warrant liabilities
  19,376 
  33,673 
Total current liabilities
  516,158 
  1,008,840 
  1,014,175 
  1,565,669 
Lease liability
  102,730 
  - 
Total liabilities
  516,158 
  1,008,840 
  1,116,905 
  1,565,669 
    
    
Commitments and contingencies; see Note 6
    
    
    
Commitments and contingencies; see Note 5
    
Stockholders' equity
    
    
Common stock, par value $.0001 per share; authorized 400,000,000 shares; issued and outstanding 1,465,496 and 1,411,840, respectively
  147 
  141 
Preferred stock, undesignated, authorized 4,818,654 shares; respectively, See Note 6
    
Series A Preferred stock, par value $.0001, issued 5,181,346 shares; outstanding 554,603 and 2,854,593, respectively
  55 
  285 
Common stock, par value $.0001 per share; authorized 400,000,000 shares; issued and outstanding 6,154,434 and 3,792,249, respectively
  615 
  379 
Additional paid-in capital
  223,029,293 
  222,397,198 
  239,728,883 
  239,572,094 
Accumulated other comprehensive loss
  (9,981)
  (16,193)
Accumulated other comprehensive gain
  1,805 
  516 
Accumulated deficit
  (218,081,498)
  (213,499,285)
  (229,391,518)
  (227,801,743)
Total stockholders’ equity
  4,937,961 
  8,881,861 
  10,339,840 
  11,771,531 
Total liabilities and stockholders' equity
 $5,454,119 
 $9,890,701 
 $11,456,745 
 $13,337,200 

The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.


 
TENAX THERAPEUTICS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS

 
 
Three months ended March 31,
 
 
 
2019
 
 
2018
 
 
 
(Unaudited)
 
 
(Unaudited)
 
 
 
 
 
 
 
 
Operating expenses
 
 
 
 
 
 
General and administrative
  1,179,009 
  1,164,466 
Research and development
  482,767 
  58,588 
Total operating expenses
  1,661,776 
  1,223,054 
 
    
    
Net operating loss
  1,661,776 
  1,223,054 
 
    
    
Other income
  (44,331)
  (30,087)
Net loss
 $1,617,445 
 $1,192,967 
 
    
    
Unrealized (gain) loss on marketable securities
  (1,289)
  10,857 
Total comprehensive loss
 $1,616,156 
 $1,203,824 
 
    
    
Net loss per share, basic and diluted
 $(0.33)
 $(0.84)
Weighted average number of common shares outstanding, basic and diluted
  4,887,075 
  1,422,866 

The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.


TENAX THERAPEUTICS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY
(Unaudited)

 
 
    Preferred Stock
 
 
    Common Stock
 
 
 Additional paid-in
 
 
 Accumulated other comprehensive
 
 
 Accumulated
 
 
 Total stockholders'
 
 
 
 Number of Shares
 
 
 Amount
 
 
 Number of Shares
 
 
 Amount
 
 
 capital
 
 
 gain (loss)
 
 
 deficit
 
 
 equity
 
Balance at December 31, 2017
  - 
 $- 
  1,411,840 
 $141 
 $222,397,198 
 $(16,193)
 $(213,499,285)
 $8,881,861 
Compensation on options and restricted stock issued
    
    
  25,600 
  3 
  209,442 
    
    
  209,445 
Common stock issued for services rendered
    
    
  10,241 
  1 
  100,361 
    
    
  100,362 
Fractional shares of common stock due to reverse stock split
    
    
  5,995 
    
    
    
    
  - 
Unrealized gain on marketable securities
    
    
    
    
    
  (10,857)
    
  (10,857)
Net loss
    
    
    
    
    
    
  (1,192,967)
  (1,192,967)
Balance at March 31, 2018
  - 
 $- 
  1,453,676 
 $145 
 $222,707,001 
 $(27,050)
 $(214,692,252)
 $7,987,844 
 
    
    
    
    
    
    
    
    
 
    
    
    
    
    
    
    
    
 
    
    
    
    
    
    
    
    
Balance at December 31, 2018
  2,854,593 
 $285 
  3,792,249 
 $379 
 $239,572,094 
 $516 
 $(227,801,743)
 $11,771,531 
Compensation on options and restricted stock issued
    
    
  12,195 
  1 
  60,294 
    
    
  60,295 
Common stock issued for convertible preferred stock
  (2,299,990)
  (230)
  2,299,990 
  230 
    
    
    
  - 
Exercise of warrants
    
    
  50,000 
  5 
  96,495 
    
    
  96,500 
Adoption of ASC Topic 842: Leases
    
    
    
    
    
    
  27,670 
  27,670 
Unrealized gain on marketable securities
    
    
    
    
    
  1,289 
    
  1,289 
Net loss
    
    
    
    
    
    
  (1,617,445)
  (1,617,445)
Balance at March 31, 2019
  554,603 
 $55 
  6,154,434 
 $615 
 $239,728,883 
 $1,805 
 $(229,391,518)
 $10,339,840 

The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.


TENAX THERAPEUTICS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

 
 
Three months ended March 31,
 
 
 
2019
 
 
2018
 
 
 
(Unaudited)
 
 
(Unaudited)
 
 
 
 
 
 
 
 
CASH FLOWS FROM OPERATING ACTIVITIES
 
 
 
 
 
 
Net Loss
 $(1,617,445)
 $(1,192,967)
Adjustments to reconcile net loss to net cash used in operating activities
    
    
Depreciation and amortization
  1,114 
  2,575 
Amortization of right to use asset
  24,823 
  - 
Loss (gain) on disposal of property and equipment
  522 
  - 
Issuance and vesting of compensatory stock options and warrants
  60,295 
  70,588 
Issuance of common stock as compensation
  - 
  138,858 
Issuance of common stock for services rendered
  - 
  100,362 
Amortization of premium on marketable securities
  (475)
  47,093 
Changes in operating assets and liabilities
    
    
Accounts receivable, prepaid expenses and other assets
  91,157 
  (40,143)
Accounts payable and accrued liabilities
  (668,915)
  (684,831)
Long term portion of lease liability
  (23,887)
  - 
Net cash used in operating activities
  (2,132,811)
  (1,558,465)
 
    
    
CASH FLOWS FROM INVESTING ACTIVITIES
    
    
Purchase of marketable securities
  (70,231)
  - 
Sale of marketable securities
  65,000 
  2,950,000 
Purchase of property and equipment
  (3,574)
  (3,105)
Net cash provided by investing activities
  (8,805)
  2,946,895 
 
    
    
CASH FLOWS FROM FINANCING ACTIVITIES
    
    
Proceeds from the exercise of warrants
  96,500 
  - 
Net cash provided by financing activities
  96,500 
  - 
 
    
    
Net change in cash and cash equivalents
  (2,045,116)
  1,388,430 
Cash and cash equivalents, beginning of period
  12,367,321 
  1,604,810 
Cash and cash equivalents, end of period
 $10,322,205 
 $2,993,240 
The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.
 
3

  
TENAXTENAX THERAPEUTICS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS
 
 
Three months ended September 30,
 
 
Nine months ended September 30,
 
 
 
2018
 
 
2017
 
 
2018
 
 
2017
 
 
 
(Unaudited)
 
 
(Unaudited)
 
 
(Unaudited)
 
 
(Unaudited)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Operating expenses
 
 
 
 
 
 
 
 
 
 
 
 
General and administrative
 $1,191,577 
 $1,056,447 
 $3,933,768 
 $4,295,336 
Research and development
  362,628 
  253,973 
  732,365 
  3,528,338 
Total operating expenses
  1,554,205 
  1,310,420 
  4,666,133 
  7,823,674 
 
    
    
    
    
Net operating loss
  1,554,205 
  1,310,420 
  4,666,133 
  7,823,674 
 
    
    
    
    
Other income
  (23,400)
  (76,226)
  (83,920)
  (327,725)
Net loss
 $1,530,805 
 $1,234,194 
 $4,582,213 
 $7,495,949 
 
    
    
    
    
Unrealized (gain)/loss on marketable securities
  (6,515)
  (3,767)
  (6,212)
  (12,969)
Total comprehensive loss
 $1,524,290 
 $1,230,427 
 $4,576,001 
 $7,482,980 
 
    
    
    
    
Net loss per share, basic and diluted
 $(1.05)
 $(0.87)
 $(3.17)
 $(5.32)
Weighted average number of common shares outstanding, basic and diluted
  1,462,191 
  1,411,828 
  1,446,377 
  1,410,226 
The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.
4
TENAX THERAPEUTICS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
 
 
Nine months ended September 30,
 
 
 
2018
 
 
2017
 
 
 
(Unaudited)
 
 
(Unaudited)
 
 
 
 
 
 
 
 
CASH FLOWS FROM OPERATING ACTIVITIES
 
 
 
 
 
 
Net Loss
 $(4,582,213)
 $(7,495,949)
Adjustments to reconcile net loss to net cash used in operating activities
    
    
Depreciation and amortization
  7,574 
  10,599 
Issuance and vesting of compensatory stock options and warrants
  255,962 
  426,837 
Issuance of common stock as compensation
  136,921 
  79,525 
Issuance of common stock for services rendered
  75,271 
  - 
Change in the fair value of warrants
  (14,297)
  (190,014)
Amortization of premium on marketable securities
  82,574 
  158,209 
Changes in operating assets and liabilities
    
    
Accounts receivable, prepaid expenses and other assets
  75,917 
  1,323,018 
Accounts payable and accrued liabilities
  (339,529)
  (5,170,671)
Net cash used in operating activities
  (4,301,820)
  (10,858,446)
 
    
    
CASH FLOWS FROM INVESTING ACTIVITIES
    
    
Purchase of marketable securities
  - 
  (299,172)
Sale of marketable securities
  6,050,000 
  2,930,082 
Purchase of property and equipment
  (5,807)
  (4,536)
Net cash provided by investing activities
  6,044,193 
  2,626,374 
 
    
    
Net change in cash and cash equivalents
  1,742,373 
  (8,232,072)
Cash and cash equivalents, beginning of period
  1,604,810 
  9,995,955 
Cash and cash equivalents, end of period
 $3,347,183 
 $1,763,883 
The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.
5
TENAX THERAPEUTICS, INC.
 
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited)
 
NOTE 1. DESCRIPTION OF BUSINESS
 
Tenax Therapeutics, Inc. (the “Company”) was originally formed as a New Jersey corporation in 1967 under the name Rudmer, David & Associates, Inc., and subsequently changed its name to Synthetic Blood International, Inc. On June 17, 2008, the stockholders of Synthetic Blood International approved the Agreement and Plan of Merger dated April 28, 2008, between Synthetic Blood International and Oxygen Biotherapeutics, Inc., a Delaware corporation. Oxygen Biotherapeutics was formed on April 17, 2008 by Synthetic Blood International to participate in the merger for the purpose of changing the state of domicile of Synthetic Blood International from New Jersey to Delaware. Certificates of Merger were filed with the states of New Jersey and Delaware and the merger was effective June 30, 2008. Under the Plan of Merger, Oxygen Biotherapeutics was the surviving corporation and each share of Synthetic Blood International common stock outstanding on June 30, 2008 was converted to one share of Oxygen Biotherapeutics common stock. On September 19, 2014, the Company changed its name to Tenax Therapeutics, Inc.
 
On October 18, 2013, the Company created a wholly owned subsidiary, Life Newco, Inc., a Delaware corporation (“Life Newco”), to acquire certain assets of Phyxius Pharma, Inc., a Delaware corporation (“Phyxius”) pursuant to an Asset Purchase Agreement, dated October 21, 2013 (the “Asset Purchase Agreement”), by and among the Company, Life Newco, Phyxius and the stockholders of Phyxius (the “Phyxius Stockholders”). As further discussed in Note 5 below, on November 13, 2013, under the terms and subject to the conditions of the Asset Purchase Agreement, Life Newco acquired certain assets, including a license granting Life Newco an exclusive, sublicenseable right to develop and commercialize pharmaceutical products containing levosimendan, 2.5 mg/ml concentrate for solution for infusion / 5ml vial in the United States and Canada.
 
NOTE 2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
 
Basis of Presentation
 
The accompanying unaudited condensed consolidated financial statements include all adjustments (consisting of normal and recurring adjustments) necessary for a fair presentation of these financial statements. The condensed consolidated balance sheet at December 31, 20172018 has been derived from the Company’s audited consolidated financial statements included in its Annual Report on Form 10-K for the period ended December 31, 2017.2018. Certain footnote disclosures normally included in financial statements prepared in accordance with accounting principles generally accepted in the United States (“GAAP”) have been condensed or omitted pursuant to Article 8 of Regulation S-X of the Securities and Exchange Commission (“SEC”) rules and regulations. Operating results for the three- and nine-month periodsthree-month period ended September 30, 2018March 31, 2019 are not necessarily indicative of results for the full year or any other future periods. As such, it is suggested that these condensed consolidated financial statements be read in conjunction with the consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the period ended December 31, 2017.2018.
Reclassifications

Certain prior period amounts in the accompanying condensed consolidated financial statements have been reclassified to conform to current period presentation. The Company adjusted certain previously reported financial statements to reflect the adoption of ASU 2017-11 during the year ended December 31, 2018. The Company has determined the impact of the adjustment on its condensed consolidated financial statements for the three months ended March 31, 2019 not to be material.
 
Reverse Stock Split
 
The Company initiated a 1-for-20 reverse stock split effective February 23, 2018. All shares and per share amounts in these condensed consolidated financial statements and notes thereto have been retroactively adjusted to give effect to the reverse stock split.
 
Going Concern
 
Management believes the accompanying condensed consolidated financial statements have been prepared in conformity with GAAP, which contemplate continuation of the Company as a going concern. The Company has an accumulated deficit of $218,081,498,$229,391,518 at September 30, 2018March 31, 2019 and $213,499,285$227,801,743 at December 31, 2017,2018 and used cash in operations of $4,301,820$2,132,811 and $10,858,446$1,558,465 during the ninethree months ended September 30,March 31, 2019 and 2018, and 2017, respectively. The Company requires substantial additional funds to complete clinical trials and pursue regulatory approvals. Management is actively seeking additional sources of equity and/or debt financing; however, there is no assurance that any additional funding will be available.
 


In view of the matters described above, recoverability of a major portion of the recorded asset amounts shown in the accompanying September 30, 2018March 31, 2019 balance sheet is dependent upon continued operations of the Company, which in turn is dependent upon the Company’s ability to meet its financing requirements on a continuing basis, to maintain present financing, and to generate cash from future operations. These factors, among others, raise substantial doubt about the Company’s ability to continue as a going concern. The condensed consolidated financial statements do not include any adjustments relating to the recoverability and classification of recorded asset amounts or amounts and classification of liabilities that might be necessary should the Company be unable to continue in existence.

 
Use of Estimates
 
In preparing the unaudited condensed consolidated financial statements, management is required to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the dates of the unaudited condensed consolidated financial statements and the reported amounts of revenue and expenses during the reporting periods. Actual results could differ from these estimates and the operating results for the interim periods presented are not necessarily indicative of the results expected for the full year.
 
On an ongoing basis, management reviews its estimates to ensure that these estimates appropriately reflect changes in the Company’s business and new information as it becomes available. If historical experience and other factors used by management to make these estimates do not reasonably reflect future activity, the Company’s results of operations and financial position could be materially impacted.
 
Principles of Consolidation
 
The accompanying condensed consolidated financial statements include the accounts and transactions of the Company and Life Newco, Inc. All material intercompany transactions and balances have been eliminated in consolidation.
 
Liquidity and Management’s Plan
 
At September 30, 2018,March 31, 2019, the Company had cash and cash equivalents, including the fair value of its marketable securities, of approximately $5.2$10.8 million. The Company used $4.3$2.1 million of cash for operating activities during the ninethree months ended September 30, 2018March 31, 2019 and had stockholders’ equity of $4.9$10.3 million, versus $8.9$11.8 million at December 31, 2017.2018.
 
The Company expects to continue to incur expenses related to development of levosimendan for pulmonary hypertension and other potential indications, as well as identifying and developing other potential product candidates. Based on its resources at September 30, 2018,March 31, 2019, the Company believes that it has sufficient capital to fund its planned operations through the first quarter of calendar year 2019.2020. However, the Company will need substantial additional financing in order to fund its operations beyond such period and thereafter until it can achieve profitability, if ever. The Company depends on its ability to raise additional funds through various potential sources, such as equity and debt financing, or to license its product candidates to another pharmaceutical company. The Company will continue to fund operations from cash on hand and through sources of capital similar to those previously described. The Company cannot assure that it will be able to secure such additional financing, or if available, that it will be sufficient to meet its needs.
 
To the extent that the Company raises additional funds by issuing shares of its common stock or other securities convertible or exchangeable for shares of common stock, stockholders will experience dilution, which may be significant. In the event the Company raises additional capital through debt financings, the Company may incur significant interest expense and become subject to covenants in the related transaction documentation that may affect the manner in which the Company conducts its business. To the extent that the Company raises additional funds through collaboration and licensing arrangements, it may be necessary to relinquish some rights to its technologies or product candidates or grant licenses on terms that may not be favorable to the Company. Any or all of the foregoing may have a material adverse effect on the Company’s business and financial performance.
 
Net Loss per Share
 
Basic net loss per share, which excludes antidilutive securities, is computed by dividing net loss by the weighted-average number of common shares outstanding for that particular period. In contrast, diluted net loss per share considers the potential dilution that could occur from other equity instruments that would increase the total number of outstanding shares of common stock. Such amounts include shares potentially issuable under outstanding options, restricted stock and warrants.
 
The following outstanding options, warrants and restricted stock were excluded from the computation of basic and diluted net loss per share for the periods presented because including them would have had an anti-dilutive effect.
 
 
Nine months ended September 30,
 
 
Three months ended March 31,
 
 
2018
 
 
2017
 
 
2019
 
 
2018
 
 
 
 
 
 
 
Warrants to purchase common stock
  10,640,718 
  120,773 
Convertible preferred shares outstanding
  554,603 
  - 
Options to purchase common stock
  241,744 
  189,558 
  241,735 
  188,744 
Warrants to purchase common stock
  120,773 
  120,773
Restricted stock
  19,914 
  - 

Leases
 

The Company determines if an arrangement includes a lease at inception. Operating leases are included in operating lease right-of-use assets, other current liabilities, and long-term lease liabilities in the Company’s consolidated balance sheet as of March 31, 2019. Right-of-use assets represent the Company’s right to use an underlying asset for the lease term and lease liabilities represent the Company’s obligation to make lease payments arising from the lease. Operating lease right-of-use assets and liabilities are recognized at the lease commencement date based on the present value of lease payments over the lease term. In determining the net present value of lease payments, the Company uses the incremental borrowing rate based on the information available at the lease commencement date. The operating lease right-of-use assets also include any lease payments made and exclude lease incentives. The Company’s leases may include options to extend or terminate the lease which are included in the lease term when it is reasonably certain that the Company will exercise any such option. Lease expense is recognized on a straight-line basis over the expected lease term. The Company has elected to account for leases with an initial term of 12 months or less similar to previous guidance for operating leases, under which the Company will recognize those lease payments in the consolidated statements of operations and comprehensive loss on a straight-line basis over the lease term.
Prior period amounts continue to be reported in accordance with the Company’s historic accounting under previous lease guidance, see “Recent Accounting Pronouncements” below, for more information about the impact of the adoption of the new lease standard.
 
Recent Accounting Pronouncements
 
The SEC has released SEC Final Rule Release No. 33-10532 Disclosure Update and Simplification, which adopts amendments to certain disclosure requirements that have become redundant, duplicative, overlapping, outdated, or superseded, in light of other SEC disclosure requirements, GAAP, or changes in the information environment. The amendments also refer certain SEC disclosure requirements that overlap with but require information incremental to GAAP to In June 2016, the Financial Accounting Standards Board (“FASB”) for potential incorporation into GAAP. The amendments are intended to facilitate the disclosure of information to investors and simplify compliance without significantly altering the total mix of information provided to investors. These amendments are part of an initiative by the Division of Corporation Finance to review disclosure requirements applicable to issuers to consider ways to improve the requirements for the benefit of investors and issuers. The amendments became effective on November 5, 2018 and did not have a material impact to the Company.
In June 2018, the FASB issued an accounting standard that provides guidance that aligns the accounting for share-based payment awards issued to employees and nonemployees. Under the new guidance, the existing employee guidance will apply to nonemployee share-based transactions. The cost of nonemployee awards will continue to be recorded as if the grantor had paid cash for the goods or services. In addition, the contractual term will be able to be used in lieu of an expected term in the option-pricing model for nonemployee awards. Equity-classified share-based payment awards issued to nonemployees will now be measured on the grant date, and, for performance conditions, compensation cost associated with the award will be recognized when achievement of the performance condition is probable, rather than upon achievement of the performance condition. The new guidance also clarifies that any share-based payment awards issued to customers should be evaluated under ASC 606, Revenue from Contracts with Customers. The standard will be effective for interim and annual reporting periods beginning after December 15, 2018. Early adoption is permitted. The Company does not believe adoption of this standard will have a material impact on its condensed consolidated financial statements and related disclosures.
In July 2017, the FASB issued an accounting standard that changes the classification analysis of certain equity-linked financial instruments (or embedded features) with down round features. When determining whether certain financial instruments should be classified as liabilities or equity instruments, a down round feature no longer precludes equity classification when assessing whether the instrument is indexed to an entity’s own stock. The amendments also clarify existing disclosure requirements for equity-classified instruments. As a result, a freestanding equity-linked financial instrument (or embedded conversion option) no longer would be accounted for as a derivative liability at fair value as a result of the existence of a down round feature. The standard will be effective on January 1, 2019. Early adoption is permitted, including adoption in an interim period. The Company does not believe adoption of this standard will have a material impact on its condensed consolidated financial statements and related disclosures.
In January 2017, the FASB issued an accounting standard that provides guidance for evaluating whether transactions should be accounted for as acquisitions (or disposals) of assets or businesses. The guidance provides a screen to determine when an integrated set of assets and activities, or a set, does not qualify to be a business. The screen requires that when substantially all of the fair value of the gross assets acquired (or disposed of) is concentrated in an identifiable asset or a group of similar identifiable assets, the set is not a business. If the screen is not met, the guidance requires a set to be considered a business to include, at a minimum, an input and a substantive process that together significantly contribute to the ability to create outputs and removes the evaluation as to whether a market participant could replace the missing elements. The standard became effective on January 1, 2018 and was adopted on a prospective basis. The Company’s adoption of this standard did not have a material impact on its condensed consolidated financial statements and related disclosures.
In August 2016, the FASB issued an accounting standard that clarifies how companies present and classify certain cash receipts and cash payments in the statement of cash flows where diversity in practice exists. The standard became effective in the Company’s first quarter of fiscal 2018. The Company’s adoption of this standard did not have a material impact on its condensed consolidated financial statements and related disclosures.
In June 2016, the FASB issued an accounting standard that amends how credit losses are measured and reported for certain financial instruments that are not accounted for at fair value through net income. This standard requires that credit losses be presented as an allowance rather than as a write-down for available-for-sale debt securities and will be effective for interim and annual reporting periods beginning January 1, 2020, with early adoption permitted, but not earlier than annual reporting periods beginning January 1, 2019. A modified retrospective approach is to be used for certain parts of this guidance, while other parts of the guidance are to be applied using a prospective approach. The Company does not believe adoption of this standard will have a material impact on its condensed consolidated financial statements and related disclosures.
 
In May 2014, the FASB issued an accounting standard that supersedes nearly all existing revenue recognition guidance under GAAP. The standard is principles-based and provides a five-step model to determine when and how revenue is recognized. The core principle of the standard is that revenue should be recognized when a company transfers promised goods or services to customers in an amount that reflects the consideration to which the Company expects to be entitled in exchange for those goods or services. In March 2016, the FASB issued a standard to clarify the implementation guidance on principal versus agent considerations, and in April 2016, the FASB issued a standard to clarify the implementation guidance on identifying performance obligations and licensing. The standard also requires disclosure of qualitative and quantitative information surrounding the amount, nature, timing and uncertainty of revenues and cash flows arising from contracts with customers. In July 2015, the FASB agreed to defer the effective date of the standard from annual periods beginning after December 15, 2016, to annual periods beginning after December 15, 2017. Early application prior to the original effective date was not permitted. The standard permits the use of either the retrospective or cumulative effect transition method. The Company reviewed its current accounting policies and practices to assess the impact of the guidance on its business processes. Based on this evaluation, the adoption of this standard did not have a material impact on its condensed consolidated financial statements and related disclosures.

In February 2016, the FASB issued an accounting standard intended to improve financial reporting regarding leasing transactions. The standard will require the Company to recognize on its balance sheet the assets and liabilities for the rights and obligations created by all leased assets. The standard will also require it to provide enhanced disclosures designed to enable users of financial statements to understand the amount, timing, and uncertainty of cash flows arising from all leases, operating and capital, with lease terms greater than 12 months. The standard is effective for financial statements beginning after December 15, 2018, and interim periods within those annual periods. Early adoption is permitted. The Company is currently evaluating the impact that this standard will have on its condensed consolidated financial statements and related disclosures.
 
InThe Company adopted this standard on January 2016,1, 2019, using the FASB issued an accounting standard that will enhance the Company’s reporting for financial instruments. The standard is effective for financial statements issued for annual periods beginning after December 15, 2017, and interim periods within those annual periods. Earlier adoption is permitted for interim and annual reporting periodsrequired modified-retrospective approach as of the beginningeffective date. The Company will elect the package of practical expedients permitted under the transition guidance within the new standard, which among other things, allows it to carryforward the historical lease classification. The Company will make an accounting policy election to account for leases with an initial term of 12 months or less similar to previous guidance for operating leases, under which the Company will recognize those lease payments in the consolidated statements of operations and comprehensive loss on a straight-line basis over the lease term. Results for the year ended December 31, 2018 continue to be reported in accordance with historical accounting under previous lease guidance, the FASB Accounting Standards Codification (“ASC”) Topic 840: Leases (Topic 840).



The Company recorded a net reduction of $27,670 to opening accumulated deficit as of January 1, 2019, due to the cumulative impact of adopting the new leasing standard, with the impact relating to a change in the classification of the fiscal year of adoption.Company’s office space. The Company’s adoption of thisthe lease standard did not have a material impact on the Company’s condensed consolidated balance sheets. The table below summarizes the impact of adopting the new standard on its condensed consolidated financial statements and related disclosures.balance sheet as of January 1, 2019.
 
 
 
As Previously Reported
 
 
New Lease Standard Adjustment
 
 
As Adjusted
 
Operating lease right-of-use asset
 $- 
 $271,710 
 $271,710 
Operating lease liabilites
 $- 
 $271,710 
 $271,710 
Deferred lease liabilities
 $27,670 
 $(27,670)
 $- 

NOTE 3:3. FAIR VALUE
 
The Company determines the fair value of its financial assets and liabilities in accordance with the FASB Accounting Standards Codification (“ASC”)ASC 820 Fair Value Measurements. The Company'sCompany’s balance sheet includes the following financial instruments: cash and cash equivalents, investments in marketable securities, and warrant liabilities. The Company considers the carrying amount of its cash and cash equivalents to approximate fair value due to the short-term nature of these instruments.
 
Accounting for fair value measurements involves a single definition of fair value, along with a conceptual framework to measure fair value, with a fair value defined as “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.” The fair value measurement hierarchy consists of three levels:
 
Level one
Quoted market prices in active markets for identical assets or liabilities;
Level two
Inputs other than level one inputs that are either directly or indirectly observable;observable, and
Level three
Unobservable inputs developed using estimates and assumptions,assumptions; which are developed by the reporting entity and reflect those assumptions that a market participant would use.
 
The Company applies valuation techniques that (1) place greater reliance on observable inputs and less reliance on unobservable inputs and (2) are consistent with the market approach, the income approach and/or the cost approach, and include enhanced disclosures of fair value measurements in the Company’s condensed consolidated financial statements.
 
Investments in Marketable Securities
 
The Company classifies all of its investments as available-for-sale. Unrealized gains and losses on investments are recognized in comprehensive income/(loss), unless an unrealized loss is considered to be other than temporary, in which case the unrealized loss is charged to operations. The Company periodically reviews its investments for other than temporary declines in fair value below cost basis and whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. The Company believes the individual unrealized losses represent temporary declines primarily resulting from interest rate changes. Realized gains and losses are reflected in other income in the Ccondensed Consolidated Statementsconsolidated statements of Comprehensive Losscomprehensive loss and are determined using the specific identification method with transactions recorded on a settlement date basis. Investments with original maturities at date of purchase beyond three months and which mature at or less than 12 months from the balance sheet date are classified as current. Investments with a maturity beyond 12 months from the balance sheet date are classified as long-term. At September 30, 2018,March 31, 2019, the Company believes that the costs of its investments are recoverable in all material respects.
 


The following table summarizes the fair value of the Company’s investments by type. The estimated fair value of the Company’s fixed income investments is classified as Level 2 in the fair value hierarchy as defined in U.S. GAAP. These fair values are obtained from independent pricing services which utilize Level 2 inputs:
 
 
 
September 30, 2018
 
 
 
Amortized Cost
 
 
Accrued Interest
 
 
Gross Unrealized Gains
 
 
Gross Unrealized Losses
 
 
Estimated Fair Value
 
Corporate debt securities
 $1,802,485 
 $12,962 
 $- 
 $(9,981)
 $1,805,466 
 
 
March 31, 2019
 
 
 
Amortized Cost
 
 
Accrued Interest
 
 
Gross Unrealized Gains
 
 
Gross Unrealized losses
 
 
Estimated Fair Value
 
Obligations of U.S. Government and its agencies
 $98,757 
 $428 
 $751 
 $- 
 $99,936 
Corporate debt securities
  398,200 
  2,437 
  1,118 
  (64)
  401,691 
Total investments
 $496,957 
 $2,865 
 $1,869 
 $(64)
 $501,627 
 

The following table summarizes the scheduled maturity for the Company’s investments at September 30, 2018March 31, 2019 and December 31, 2017.2018.
 
 
September 30,
2018
 
 
December 31,
2017
 
 
March 31,
2019
 
 
December 31,
2018
 
Maturing in one year or less
 $1,509,117 
 $6,122,400 
 $501,627 
 $494,633 
Maturing after one year through three years
  296,349 
  1,809,428 
  - 
Total investments
 $1,805,466 
 $7,931,828 
 $501,627 
 $494,633 
 
Warrant liability
On July 23, 2013, the Company issued common stock warrants in connection with the issuance of Series C 8% Preferred Stock (the “Series C Warrants”). As part of the offering, the Company issued 137,668 warrants at an exercise price of $52.00 per share and contractual term of 6 years. On November 11, 2013, the Company satisfied certain contractual obligations pursuant to the Series C offering which caused certain “down-round” price protection clauses in the outstanding warrants to become effective on that date. In accordance with ASC 815-40-35-9, the Company reclassified these warrants as a current liability and recorded a warrant liability of $1,380,883, which represents the fair market value of the warrants at that date. The initial fair value recorded as warrants within stockholders’ equity of $233,036 was reversed and the subsequent changes in fair value are recorded as a component of other expense.
Financial assets or liabilities are considered Level 3 when their fair values are determined using pricing models, discounted cash flow methodologies or similar techniques and at least one significant model assumption or input is unobservable. The Series C Warrants are measured using the Monte Carlo valuation model which is based, in part, upon inputs for which there is little or no observable market data, requiring the Company to develop its own assumptions.  The assumptions used in calculating the estimated fair value of the warrants represent the Company’s best estimates; however, these estimates involve inherent uncertainties and the application of management judgment.  As a result, if factors change and different assumptions are used, the warrant liabilities and the change in estimated fair value of the warrants could be materially different.
Inherent in the Monte Carlo valuation model are assumptions related to expected stock-price volatility, expected life, risk-free interest rate and dividend yield.  The Company estimates the volatility of its common stock based on historical volatility that matches the expected remaining life of the warrants.  The risk-free interest rate is based on the U.S. Treasury zero-coupon yield curve on the grant date for a maturity similar to the expected remaining life of the warrants.  The expected life of the warrants is assumed to be equivalent to their remaining contractual term.  The dividend rate is based on the historical rate, which the Company anticipates to remain at zero.
The Monte Carlo model is used for the Series C Warrants to appropriately value the potential future exercise price adjustments triggered by the anti-dilution provisions. This requires Level 3 inputs which are based on the Company’s estimates of the probability and timing of potential future financings and fundamental transactions.  The other assumptions used by the Company are summarized in the following table for the Series C Warrants that were outstanding as of September 30, 2018 and December 31, 2017:
Series C Warrants
 
September 30,
2018
 
 
December 31,
2017
 
Closing stock price
 $5.26 
 $9.80 
Expected dividend rate
  0%
  0%
Expected stock price volatility
  90.00%
  81.26%
Risk-free interest rate
  2.50%
  1.83%
Expected life (years)
  0.81 
  1.56 

As of September 30, 2018, the fair value of the warrant liability was $19,376. The Company recorded a gain of $5,175 and $14,297 for the change in fair value as a component of other income on the condensed consolidated statements of comprehensive loss for the three and nine months ended September 30, 2018, respectively.
As of September 30, 2018, there were 12,035 Series C Warrants outstanding.
The following tables summarize information regarding assets and liabilities measured at fair value on a recurring basis as of September 30, 2018March 31, 2019 and December 31, 2017:2018:
 
 
 
 
 
 Fair Value Measurements at Reporting Date Using
 
 
 
 
 
 Fair Value Measurements at Reporting Date Using
 
 
 Balance as of
September 30,
2018
 
 
 Quoted prices in Active Markets for Identical Securities (Level 1)
 
 
Significant Other Observable Inputs (Level 2)
 
 
 Significant Unobservable Inputs (Level 3)
 
 
 Balance as of
March 31,
2019
 
 
 Quoted prices in Active Markets for Identical Securities (Level 1)
 
 
Significant Other Observable Inputs (Level 2)
 
 
 Significant Unobservable Inputs (Level 3)
 
Current Assets
 
 
 
 
 
 
Cash and cash equivalents
 $3,347,183 
 $- 
 $10,322,205 
 $- 
Marketable securities
 $1,509,117 
 $- 
 $1,509,117 
 $- 
 $501,627 
 $- 
 $501,627 
 $- 
    
Long-term Assets
    
Marketable securities
 $296,349 
 $- 
 $296,349 
 $- 
    
Current Liabilities
    
Warrant liabilities
 $19,376 
 $- 
 $19,376 
 
 
 
 
 
 Fair Value Measurements at Reporting Date Using
 
 
 
 
 
 Fair Value Measurements at Reporting Date Using
 
 
 Balance as of
December 31,
2017
 
 
 Quoted prices in Active Markets for Identical Securities (Level 1)
 
 
Significant Other Observable Inputs (Level 2)
 
 
 Significant Unobservable Inputs (Level 3)
 
 
 Balance as of
December 31,
2018
 
 
 Quoted prices in Active Markets for Identical Securities (Level 1)
 
 
Significant Other Observable Inputs (Level 2)
 
 
 Significant Unobservable Inputs (Level 3)
 
Current Assets
 
 
 
 
 
 
Cash and cash equivalents
 $1,604,810 
 $- 
 $12,367,321 
 $- 
Marketable securities
 $6,122,400 
 $- 
 $6,122,400 
 $- 
 $494,633 
 $- 
 $494,633 
 $- 
    
Long-term Assets
    
Marketable securities
 $1,809,428 
 $- 
 $1,809,428 
 $- 
    
Current Liabilities
    
Warrant liabilities
 $33,673 
 $- 
 $33,673 
  


There were no significant transfers between levels duringin the three and nine months ended September 30, 2018.March 31, 2019.
 

NOTE 4. BALANCE SHEET COMPONENTS
 
Property and equipment, net
 
Property and equipment consist of the following as of September 30, 2018March 31, 2019 and December 31, 2017:2018:
 
 
September 30,
2018
 
 
December 31,
2017
 
 
March 31,
2019
 
 
December 31,
2018
 
Office furniture and fixtures
 $130,192 
Computer equipment and software
  100,167 
  96,593 
Laboratory equipment
 $354,861 
  - 
  354,861 
Computer equipment and software
  94,804 
  88,998 
Office furniture and fixtures
  130,192 
  579,857 
  574,051 
  230,359 
  581,646 
Less: Accumulated depreciation
  (571,679)
  (564,106)
  (219,897)
  (573,121)
 $8,178 
 $9,945 
 $10,462 
 $8,525 
 
Depreciation expense was approximately $2,000$1,000 and $3,000 for the three months ended September 30,March 31, 2019 and 2018, and 2017, respectively, and approximately $8,000 and $11,000 for the nine months ended September 30, 2018 and 2017, respectively.
 
Accrued liabilities
 
Accrued liabilities consist of the following as of September 30, 2018March 31, 2019 and December 31, 2017:2018:
 
 
September 30,
2018
 
 
December 31,
2017
 
 
March 31,
2019
 
 
December 31,
2018
 
Operating costs
 $56,345 
 $39,252 
 $197,219 
 $244,456 
Lease liability
  145,093 
 $- 
Employee related
  47,955 
  324,054 
  75,054 
  571,399 
 $104,300 
 $363,306 
 $417,366 
 $815,855 
 
NOTE 5. COMMITMENTS AND CONTINGENCIES
Leases
As described further in “NOTE 2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES” above, the Company adopted ASC 842 as of January 1, 2019. Prior period amounts have not been adjusted and continue to be reported in accordance with the Company’s historic accounting under ASC 840.
In January 2011, the Company entered into the Lease with Concourse Associates, LLC for office facilities located at the premises in Morrisville, North Carolina (the “Lease”).  The Lease was amended in August 2015 to extend the term for the 5,954 square foot rental.  The current term began on March 1, 2016 and continues for 64 months to June 30, 2021. Rent payments began on July 1, 2016, following the conclusion of a four-month rent abatement period.  The Company has two five-year options to extend the Lease and a one-time option to terminate the Lease thirty-six months after the commencement of the initial term if no additional space (“Expansion Space”) became available; none of these optional periods have been considered in the determination of the right-of-use asset or the lease liability for the Lease as the Company did not consider it reasonably certain that it would exercise any such options.  The Lease further provides that the Company is obligated to pay to landlord certain variable costs, including taxes and operating expenses. The Company also has a right of first offer to lease the Expansion Space, of no less than 1,000 square feet, as that additional space becomes available adjacent to the premises over the remainder of the initial term of the Lease, at the same rate per square foot as the current premises, with an extension of the term of sixty additional months starting at the commencement date of acquiring the Expansion Space.



The Company performed an evaluation of its other contracts with customers and suppliers in accordance with ASC 842 and determined that, except for the Lease described above, none of the Company’s contracts contain a lease.
The balance sheet classification of our lease liabilities was as follows:
March 31,
2019
December 31,
2018
Current portion included in accrued liabilities
$145,093
$-
Long term lease liability
102,730
-
$247,823
$-

As of March 31, 2019, the maturities of our operating lease liabilities were as follows:
Year ending December 31,
 
 
 
2019
  88,953 
2020
  121,084 
2021
  61,803 
Total lease payments
 $271,840
 
Less: Imputed interest
 (24,017
)
Operating lease liability
 $247,823
 

Operating lease liabilities are based on the net present value of the remaining Lease payments over the remaining Lease term. In determining the present value of lease payments, the Company used the incremental borrowing rate based on the information available at the Lease commencement date. As of March 31, 2019, the remaining Lease term is 2.25 years and the discount rate used to determine the operating lease liability was 8.0%.  For the three months ending March 31, 2019, the Company paid $29,647 in total lease expenses, including $651 for common area maintenance charges.
  
Simdax license agreement
 
On November 13, 2013, the Company acquired, through its wholly owned subsidiary, Life Newco, that certain License Agreement (the “License”), dated September 20, 2013 by and between Phyxius and Orion Corporation, a global healthcare company incorporated under the laws of Finland (“Orion”), and that certain Side Letter, dated October 15, 2013 by and between Phyxius and Orion. The License grants the Company an exclusive, sublicenseable right to develop and commercialize pharmaceutical products containing levosimendan (the “Product”) in the United States and Canada (the “Territory”) from Orion.  Pursuant to the License, the Company must use Orion’s “Simdax®” trademark to commercialize the Product.  The License also grants to the Company a right of first refusal to commercialize new developments of the Product, including developments as to the formulation, presentation, means of delivery, route of administration, dosage or indication.  Orion’s ongoing role under the License includes sublicense approval, serving as the sole source of manufacture, holding a first right to enforce intellectual property rights in the Territory, and certain regulatory participation rights.  Additionally, the Company must grant back to Orion a broad non-exclusive license to any patents or clinical trial data related to the Product developed by the Company under the License.  The License has a fifteen (15) year term, provided, however, that the License will continue after the end of the fifteen yearfifteen-year term in each country in the Territory until the expiration of Orion’s patent rights in the Product in such country.  

 
Pursuant to the terms of the License, the Company paid to Orion a non-refundable up-front payment in the amount of $1.0 million.  The License also includes the following development milestones for which the Company shall make non-refundable payments to Orion no later than twenty-eight (28) days after the occurrence of the applicable milestone event: (i) $2.0 million upon the grant of FDA approval, including all registrations, licenses, authorizations and necessary approvals, to develop and/or commercialize the Product in the United States; and (ii) $1.0 million upon the grant of regulatory approval for the Product in Canada. Once commercialized, the Company is obligated to make certain non-refundable commercialization milestone payments to Orion, aggregating up to $13.0 million, contingent upon achievement of certain cumulative net sales amounts in the Territory.  The Company must also pay Orion tiered royalties based on net sales of the Product in the Territory made by the Company and its sublicensees. After the end of the term of the License, the Company must pay Orion a royalty based on net sales of the Product in the Territory for as long as Life Newco sells the Product in the Territory.
 


As of September 30, 2018,March 31, 2019, the Company has not met any of the developmental milestones and, accordingly, has not recorded any liability for the contingent payments due to Orion.
 
NOTE 6. STOCKHOLDERS’ EQUITY
 
Preferred Stock
 
Under the Company’s Certificate of Incorporation, the Board of Directors is authorized, without further stockholder action, to provide for the issuance of up to 10,000,000 shares of preferred stock, par value $0.0001 per share, in one or more series, to establish from time to time the number of shares to be included in each such series, and to fix the designation, powers, preferences and rights of the shares of each such series and the qualifications, limitations and restrictions thereof.
Series A Stock
On December 11, 2018, the Company closed its underwritten offering of 5,181,346 units for net proceeds of approximately $9 million. Each unit consists of (a) one share of the Company’s Series A convertible preferred stock, par value $0.0001 per share (the “Series A Stock”), (b) a two-year warrant to purchase one share of common stock at an exercise price of $1.93 (the “Series 1 Warrants”), and (c) a five-year warrant to purchase one share of common stock at an exercise price of $1.93 (the “Series 2 Warrants”). In accordance with ASC 480, the estimated fair-value of $1,800,016 for the beneficial conversion feature was recognized as a deemed dividend on the Series A Stock during the year ended December 31, 2018.
The table below sets forth a summary of the designation, powers, preferences and rights of the Series A Stock.
 Conversion
Subject to the ownership limitations described below, the Series A Stock is convertible at any time at the option of the holder into shares of the Company’s common stock at a conversion ratio determined by dividing the stated value of the Series A Stock by a conversion price of $1.93 per share. The conversion price is subject to adjustment in the case of stock splits, stock dividends, combinations of shares and similar recapitalization transactions.
Until such time that 85% of the aggregate number of shares of Series A Stock issued to all holders on the original issue date have been converted to common stock, the Series A Stock has full ratchet price-based anti-dilution protection, subject to customary carve-outs, in the event of a down-round financing at a price per share below the conversion price of the Series A Stock. If during any 30 consecutive trading days (a “Measurement Period”) the volume weighted average price of the Company’s common stock exceeds 300% of the then-effective conversion price of the Series A Stock and the daily dollar trading volume for each trading day during such period exceeds $175,000, the anti-dilution protection in the Series A Stock will expire and cease to apply. Additionally, subject to certain exceptions, at any time after the issuance of the Series A Stock, and subject to the beneficial ownership limitations described below, the Company has the right to cause each holder of the Series A Stock to convert all or part of such holder’s Series A Stock in the event that (i) the volume weighted average price of the Company’s common stock for any Measurement Period exceeds 300% of the initial conversion price of the Series A Stock (subject to adjustment for forward and reverse stock splits, recapitalizations, stock dividends and similar transactions), (ii) the average daily trading volume for such Measurement Period exceeds $175,000 per trading day and (iii) the holder is not in possession of any information that constitutes or might constitute, material non-public information which was provided by the Company.
The Company will not affect any conversion of the Series A Stock, nor shall a holder convert its shares of Series A Stock, to the extent that such conversion would cause the holder to have acquired, through conversion of the Series A Stock or otherwise, beneficial ownership of a number shares of common stock in excess of 4.99% (or, at the election of the holder prior to the issuance of any shares of Series A Stock, 9.99%) of the common stock outstanding after giving effect to such exercise.
Dividends
In the event the Company pays dividends on its shares of common stock, the holders of the Series A Stock will be entitled to receive dividends on shares of Series A Stock equal, on an as-if-converted basis, to and in the same form as paid on the common stock. No other dividends will be paid on the shares of Series A Stock.
Liquidation
Upon any liquidation, dissolution or winding up of the Company after payment or provision for payment of debts and other liabilities of the Company, the holders of Series A Stock shall be entitled to be paid out of the assets of the Company available for distribution to its stockholders an amount equal to the amount that a holder of common stock would receive if the Series A Stock were fully converted to common stock, which amounts will be paid pari passu with all holders of common stock.
Voting rights
Shares of Series A Stock will generally have no voting rights, except as required by law and except that the consent of holders of a majority of the then outstanding Series A Stock will be required to amend the terms of the Series A Stock or to take other action that adversely affects the rights of the holders of Series A Stock.



During the year ended December 31, 2018, 2,326,753 shares of Series A Stock were converted into 2,326,753 shares of common stock. As of September 30,December 31, 2018, nothere were 2,854,593 shares of preferred stock are designated,Series A Stock outstanding.
During the three months ended March 31, 2019, an additional 2,299,990 shares of Series A Stock were converted into 2,299,990 shares of common stock. As of March 31, 2019, there were 554,603 shares of Series A Stock outstanding, which represents approximately 11% of the aggregate number of shares of Series A Stock issued or outstanding.to all holders on the original issue date.
In accordance with the Series A Stock Certificate of Designations, following the conversion of 85% of the aggregate number of shares of Series A Stock issued to all holders on the original issue date, the full ratchet price-based anti-dilution protection in the event of a down-round financing at a price per share below the conversion price of the Series A Stock is no longer in effect for the remaining shares.
 
Common Stock
 
The Company’s Certificate of Incorporation authorizes it to issue 400,000,000 shares of $0.0001 par value common stock. As of September 30, 2018,March 31, 2019, there were 1,465,4966,154,434 shares of common stock issued and outstanding.
 
Warrants
 
As of September 30, 2018,March 31, 2019, the Company had 120,773has 10,640,718 warrants outstanding. There was noThe following table summarizes the Company’s warrant activity for the ninethree months ended September 30, 2018.March 31, 2019.
 
 
Warrants
 
 
Weighted Average Exercise Price
 
Outstanding at December 31, 2018
  10,690,718 
 $2.45 
Exercised
  (50,000)
  1.93 
Outstanding at March 31, 2019
  10,640,718 
 $2.45 

On March 14, 2019, the Company received $96,500 and issued 50,000 shares of common stock upon the exercise of its outstanding Series 1 Warrants.
 
2016 Stock Incentive Plan
 
In June 2016, the Company adopted the 2016 Stock Incentive Plan (the “2016 Plan”).  Under the 2016 Plan, with the approval of the Compensation Committee of the Board of Directors, the Company may grant stock options, stock appreciation rights, restricted stock, restricted stock units, performance shares, performance units, cash-based awards or other stock-based awards. On June 16, 2016, the Company’s stockholders approved the 2016 Plan and authorized for issuance under the 2016 Plan a total of 150,000 shares of common stock. As of September 30, 2018,March 31, 2019, the Company had 50,000 stock options outstanding and 100,000 shares of common stock available for grant under the 2016 Plan.
The following table summarizes the shares available for grant There was no stock option activity under the 2016 Plan for the ninethree months ended September 30, 2018:
Shares Available for Grant
Balances, at December 31, 2017
150,000
Options granted
(50,000)
Balances, at September 30, 2018
100,000
2016 Plan Stock Options
Stock options granted under the 2016 Plan may be either incentive stock options (“ISOs”), or nonqualified stock options (“NSOs”). ISOs may be granted only to employees. NSOs may be granted to employees, consultants and directors. Stock options under the 2016 Plan may be granted with a term of up to ten years and at prices no less than fair market value at the time of grant. Stock options granted generally vest over three to four years.

The following table summarizes the outstanding stock options under the 2016 Plan for the nine months ended September 30, 2018:
 
 
Outstanding Options
 
 
 
Number of Shares
 
 
Weighted Average Exercise Price
 
Balances, at December 31, 2017
  - 
 $- 
Options granted
  50,000 
 $6.10 
Balances, at September 30, 2018
  50,000 
 $6.10 
March 31, 2019.
 
The Company chose the “straight-line” attribution method for allocating compensation costs of each stock option over the requisite service period using the Black-Scholes Option Pricing Model to calculate the grant date fair value.
 
The Company recorded compensation expense for these stock options grants of $29,732$29,731 and $59,463$0, for the three and nine months ended September 30,March 31, 2019 and 2018, respectively.
 
As of September 30, 2018,March 31, 2019, there were unrecognized compensation costs of approximately $189,744$122,933 related to non-vested stock option awards under the 2016 Plan that will be recognized on a straight-line basis over the weighted average remaining vesting period of 2.171.67 years.
 


1999 Amended Stock Plan
 
In October 2000, the Company adopted the 1999 Stock Plan, as amended and restated on June 17, 2008 (the “1999 Plan”). Under the 1999 Plan, with the approval of the Compensation Committee of the Board of Directors, the Company maycould grant stock options, restricted stock, stock appreciation rights and new shares of common stock upon exercise of stock options. On March 13, 2014, the Company’s stockholders approved an amendment to the 1999 Plan which increased the number of shares of common stock authorized for issuance under the 1999 Plan to a total of 200,000 shares, up from 15,000 previously authorized. On September 15, 2015, the Company’s stockholders approved an additional amendment to the 1999 Plan which increased the number of shares of common stock authorized for issuance under the 1999 Plan to a total of 250,000 shares, up from 200,000 previously authorized. The 1999 Plan expired on June 17, 2018 and no new grants may be made under that plan after that date. However, unexpired awards granted under the 1999 Plan remain outstanding and subject to the terms of the 1999 Plan.
 
1999 Plan Stock Options
 
Stock options granted under the 1999 Plan may be either incentive stock options (“ISOs”), or nonqualified stock options (“NSOs”). ISOs or NSOs. ISOs maycould be granted only to employees. NSOs maycould be granted to employees, consultants and directors. Stock options under the 1999 Plan maycould be granted with a term of up to ten years and at prices no less than fair market value for ISOs and no less than 85% of the fair market value for NSOs. Stock options granted generally vest over one to three years.
 
The following table summarizesAs of March 31, 2019, the outstandingCompany has 191,735 stock options outstanding under the 1999 Plan. There was no stock option activity under the 1999 Plan for the ninethree months ended September 30, 2018:
 
 
Outstanding Options
 
 
 
Number of Shares
 
 
Weighted Average Exercise Price
 
Balances, at December 31, 2017
  188,744 
 $95.24 
Options granted
  3,000 
 $6.23 
Options cancelled
  - 
 $- 
Balances, at September 30, 2018
  191,744 
 $93.85 

March 31, 2019.
 
The Company chose the “straight-line” attribution method for allocating compensation costs of each stock option over the requisite service period using the Black-Scholes Option Pricing Model to calculate the grant date fair value.
 
The Company recorded compensation expense for these stock options grants of $62,564$30,564 and $196,499$70,588 for the three and nine months ended September 30,March 31, 2019 and 2018, respectively.
 
As of September 30, 2018,March 31, 2019, there were unrecognized compensation costs of approximately $178,962$110,275 related to non-vested stock option awards under the 1999 Plan that will be recognized on a straight-line basis over the weighted average remaining vesting period of 1.120.97 years. Additionally, there were unrecognized compensation costs of approximately $5.9 million related to non-vested stock option awards under the 1999 Plan subject to performance-based vesting milestones with a weighted average remaining life of 1.51.0 years. As of September 30, 2018,March 31, 2019, none of these milestones have been achieved.
The Company used the following assumptions to estimate the fair value of options granted under its stock option plans for the nine months ended September 30, 2018 and 2017:
 
 
For the nine months ended September 30,
 
 
 
2018
 
 
2017
 
Risk-free interest rate (weighted average)
  2.85%
  2.19%
Expected volatility (weighted average)
  102.38%
  99.59%
Expected term (in years)
  7 
  7 
Expected dividend yield
  0.00%
  0.00%
Risk-Free Interest RateThe risk-free interest rate assumption was based on U.S. Treasury instruments with a term that is consistent with the expected term of the Company’s stock options.
Expected VolatilityThe expected stock price volatility for the Company’s common stock was determined by examining the historical volatility and trading history for its common stock over a term consistent with the expected term of its options.
Expected TermThe expected term of stock options represents the weighted average period the stock options are expected to remain outstanding. It was calculated based on the Company’s historical experience with its stock option grants.
Expected Dividend YieldThe expected dividend yield of 0% is based on the Company’s history and expectation of dividend payouts. The Company has not paid and does not anticipate paying any dividends in the near future.
ForfeituresStock compensation expense recognized in the statements of operations for the nine months ended September 30, 2018 and 2017 is based on awards ultimately expected to vest, and it has been reduced for estimated forfeitures. ASC 718 requires forfeitures to be estimated at the time of grant and revised, if necessary, in subsequent periods if actual forfeitures differ from those estimates. Forfeitures were estimated based on the Company’s historical experience.

 
Restricted Stock Grants
 
The following table summarizes the restricted stock grantsactivity under the 1999 Plan for the ninethree months ended September 30, 2018March 31, 2019.
 
 
 
Outstanding Restricted Stock Grants
 
 
 
Number of Shares
 
 
Weighted Average Grant Date Fair Value
 
Balances, at December 31, 2017
  - 
 $- 
Restricted stock granted
  85,900 
 $5.82 
Restricted stock vested
  (37,420)
 $5.69 
Restricted stock cancelled
  (28,566)
 $5.66 
Balances, at September 30, 2018
  19,914 
 $6.29 
 
 
Outstanding Restricted Stock Grants
 
 
 
Number of Shares
 
 
Weighted Average Grant Date Fair Value
 
Balances, at December 31, 2018
  19,914 
 $6.29 
Restricted stock vested
  (12,195)
 $6.28 
Restricted stock cancelled
  (7,719)
 $6.27 
Balances, at March 31, 2019
  - 
 $- 
 
The Company recordeddid not record compensation expense for these restricted stock grants of approximately $63,000 and $188,000 for the three and nine months ended September 30, 2018, respectively.March 31, 2019.
 
As of September 30, 2018,March 31, 2019, there was approximately $63,000 ofno unrecognized compensation costs related to the non-vested restricted stock grants.
 

  
ITEMITEM 2. 
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
 
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, or the Securities Act, and Section 21E of the Securities Exchange Act of 1934, as amended, or the Exchange Act, which are subject to the “safe harbor” created by those sections. Forward-looking statements are based on our management’s beliefs and assumptions and on information currently available to them. In some cases you can identify forward-looking statements by words such as “may,” “will,” “should,” “could,” “would,” “expects,” “plans,” “anticipates,” “believes,” “estimates,” “projects,” “predicts,” “potential” and similar expressions intended to identify forward-looking statements. Examples of these statements include, but are not limited to, statements regarding: the implications of interim or final results of our clinical trials, the progress of our research programs, including clinical testing, the extent to which our issued and pending patents may protect our products and technology, our ability to identify new product candidates, the potential of such product candidates to lead to the development of commercial products, our anticipated timing for initiation or completion of our clinical trials for any of our product candidates, our future operating expenses, our future losses, our future expenditures for research and development, our ability to raise capital and the sufficiency of our cash resources. Our actual results could differ materially from those anticipated in these forward-looking statements for many reasons, including the risks faced by us and described in Part II, Item 1A of this Quarterly Report on Form 10-Q, Part I, Item 1A of our Annual Report on Form 10-K, and our other filings with the Securities and Exchange Commission, or SEC. You should not place undue reliance on these forward-looking statements, which apply only as of the date of this Quarterly Report on Form 10-Q. You should read this Quarterly Report on Form 10-Q completely and with the understanding that our actual future results may be materially different from those we expect. Except as required by law, we assume no obligation to update these forward-looking statements, whether as a result of new information, future events or otherwise.
 
The following discussion and analysis should be read in conjunction with the unaudited condensed consolidated financial statements and notes thereto included in Part I, Item 1 of this Quarterly Report on Form 10-Q and with the audited consolidated financial statements and related notes thereto included as part of our Annual Report on Form 10-K for the year ended December 31, 2017.2018.
 
All references in this Quarterly Report to “Tenax Therapeutics”, “we”, “our” and “us” means Tenax Therapeutics, Inc.
 
Overview
 
Strategy
 
We are a specialty pharmaceutical company focused on identifying, developing and developingcommercializing products that address cardiovascular and pulmonary diseases withof high unmet medical needs.need. Our principal business objective is to identify, develop and commercialize novel therapeutic products for disease indications that represent significant areas of clinical need and commercial opportunity. Our lead product is levosimendan, which was acquired in an asset purchase agreement with Phyxius Pharma, Inc., or Phyxius. Levosimendan is a calcium sensitizer developed for intravenous use in hospitalized patients with acutely decompensated heart failure. The treatment is currently approved in more than 60 countries for this indication and not available in the United States or Canada.indication.
 
The European Society of Cardiology, or the ESC, recommends levosimendan as a preferable agent over dobutamine to reverse the effect of beta blockade if it is thought to be contributing to hypotension. The ESC guidelines also state that levosimendan is not appropriate for patients with systolic blood pressure less than 85mmHg or in patients in cardiogenic shock unless it is used in combination with other inotropes or vasopressors. Other unique properties of levosimendan include sustained efficacy through the formation of a long acting metabolite, lack of impairment of diastolic function, and evidence of better compatibility with beta blockers than dobutamine.dobutamine
 
We are currently developingconducting a Phase 2 clinical trial of levosimendan in North America for the treatment of patients with pulmonary hypertension associated with heart failure with preserved ejection fraction, or PH-HFpEF.  PH-HFpEF is defined hemodynamically by a pulmonary artery pressure, or mPAP, ≥25 mmHg, a pulmonary capillary wedge pressure, or PCWP, >15 mmHg, and a diastolic pressure gradient, or diastolic PAP – PCWP, >7mmHg. Pulmonary hypertension in these patients initially develops from a passive backward transmission of elevated filling pressures from left-sided heart failure. These mechanical components of pulmonary venous congestion may trigger pulmonary vasoconstriction, decreased nitric oxide availability, increased endothelin expression, desensitization to natriuretic peptide induced vasodilation, and vascular remodeling.  Finally, these changes often lead to advanced pulmonary vascular disease, increased right ventricle, or RV, afterload, and RV failure.
 
PH-HFpEF is a common form of pulmonary hypertension with an estimated US prevalence exceeding 1.5 million patients. Currently, no pharmacologic therapies are approved for treatment of PH-HFpEF.  Despite the fact that many therapies have been studied in PH-HFpEF patients, including therapies approved to treat pulmonary arterial hypertension patients, no therapies have been shown to be effective in treating PH-HFpEF patients.
 

  
Published pre-clinical and clinical studies indicate that levosimendan may provide important benefits to patients with pulmonary hypertension. Data from these published trials indicate that levosimendan may reduce pulmonary vascular resistance and improve important cardiovascular hemodynamics such as reduced pulmonary capillary wedge pressure in patients with pulmonary hypertension. In addition, several published studies provide evidence that levosimendan may improve right ventricular dysfunction which is a common comorbidity in patients with pulmonary hypertension. While none of these studies have focused specifically on PH-HFpEF patients, the general hemodynamic improvements in these published studies of various types of pulmonary hypertension provide an indication that levosimendan may be beneficial in PH-HFpEF patients.
 
In March 2018, we met with the United States Food and Drug Administration, or FDA, to discuss development of levosimendan in PH-HFpEF patients. The FDA was in agreementagreed with our planned Phase 2 design, patient entry criteria, and endpoints. The study may be conducted under the existing investigational new drug application with no additional nonclinical studies required to support full development. The FDA recognized there were no approved drug therapies to treat PH-HFpEF patients and acknowledged this provided an opportunity for a limited Phase 3 clinical program. This topic will be discussed further at the End-of-Phase 2 Meeting following completion of the planned Phase 2 study in PH-HFpEF patients. We plan to begin enrollmentinitiated the first of our expected 10-12 clinical sites in November 2018, and the Phase 2 trialfirst of 36 patients was enrolled in the fourth quarter of 2018.study in March 2019.
 
ThirdFirst Quarter 20182019 Highlights
 
The following summarizes certain key financial measures for the three months ended September 30, 2018:March 31, 2019:
 
Cash and cash equivalents, including the fair-value of our marketable securities, were $5.2$10.8 million at September 30, 2018.March 31, 2019.
Our net loss from operations was $1.6 million for the thirdfirst quarter of fiscal 20182019 compared to $1.3$1.2 million for the three months ended September 30, 2017.March 31, 2018.
Net cash used in operating activities was $1.6$2.1 million and $1.3$1.6 million for the three months ended September 30,March 31, 2019 and 2018, and 2017, respectively.
 
Opportunities and Trends
We initiated the Phase 2 trial for levosimendan and activated the initial site in the fourth quarter of 2018. The trial is a multi-center, double-blind placebo-controlled study and is currently being conducted in six targeted major medical centers in North America.  The trial is enrolling pulmonary hypertension patients with heart failure and preserved ejection fractions. We enrolled our first patient on March 11, 2019, and we anticipate enrollment will continue through the end of 2019.
 
As we focus on the development of levosimendan,our existing product candidate, we also continue to position ourselves to execute upon licensing and other partnering opportunities. To do so, we will need to continue to maintain our strategic direction, manage and deploy our available cash efficiently and strengthen our collaborative research development and partner relationships.
 
During the remainder of calendar year 2018,2019, we are focused on the following initiatives:
 
Working with collaborators and partners to accelerate product development, reduce our development costs, and broaden our commercialization capabilities;
Gaining regulatory approval for the continued development and commercialization of levosimendanour product candidate in the United States; and
Identifying new products or product candidates for potential acquisitions.
 
Financial Overview
 
Results of Operations- Comparison of the Three Months Ended September 30,March 31, 2019 and 2018 and 2017
 
General and Administrative Expenses
 
General and administrative expenses consist primarily of compensation for executive, finance, legal and administrative personnel, including stock-based compensation. Other general and administrative expenses include facility costs not otherwise included in research and development expenses, legal and accounting services, other professional services, and consulting fees. General and administrative expenses and percentage changes for the three months ended September 30,March 31, 2019 and 2018, and 2017, respectively, are as follows:
 

  
 
Three months ended September 30,
 
 

 
 
Three months ended March 31,
 
 
Increase/ (Decrease)
 
 
% Increase/ (Decrease)
 
 
2018
 
 
2017
 
 
 Increase/ (Decrease)
 
 
 % Increase/ (Decrease)
 
 
2019
 
 
2018
 
 
 
 
Personnel costs
 $719,870 
 $599,289 
 $120,581 
  20%
 $713,482 
 $606,480 
 $107,002 
  18%
Legal and professional fees
  289,893 
  284,470 
  5,423 
  2%
  321,282 
  426,573 
  (105,291)
  (25)%
Other costs
  144,333 
  136,096 
  8,237 
  6%
  107,458 
  93,157 
  14,301 
  15%
Facilities
  35,720 
  34,024 
  1,696 
  5%
  36,787 
  38,256 
  (1,469)
  (4)%
Depreciation and amortization
  1,761 
  2,568 
  (807)
  (31)%
 
Personnel costs:
 
Personnel costs increased approximately $121,000$107,000 for the three months ended September 30, 2018March 31, 2019 compared to the same period in the prior year. This increase was due primarily to the hiringsalary of ourthe CEO not incurred in the currentprior year, as well as an increasepartially offset by a reduction in the recognized expense for the vesting of approximately $29,000 in recognized costs for stock-based compensationoutstanding stock options in the current period as compared to the same period in the prior year.
 
Legal and professional fees:
 
Legal and professional fees consist of the costs incurred for legal fees, accounting fees, recruiting costs, consulting fees recruiting costs and investor relations services, as well as fees paid to our Board of Directors. Legal and professional fees increaseddecreased approximately $5,000$105,000 for the three months ended September 30, 2018March 31, 2019 compared to the same period in the prior year. This increasedecrease was due primarily to decreases in costs incurred for legal fees, recruiting fees, and Board of Directors costs, partially offset by an increase in costs incurred for legal fees and investor relations fees, partially offset by decreases in costs incurred for consulting fees and fees paid to our Board of Directors, including the vested value of stock option grants.relations.
 
  -
Legal fees increaseddecreased approximately $31,000$71,000 in the current period. This increasedecrease was due primarily to an increase inthe costs incurred for the filings associated with levosimendan intellectual property, partially offset by a decrease in costs incurred in supportour Special Meeting of the Board of Directors Strategic Alternatives CommitteeStockholders in the current period as compared to same period of the prior year.
Investor relations fees increased approximately $43,000 in the current period. This increase was due primarily to additional fees paid to investor relations firms and conference fees and travel costsyear that were not incurred in the same period of the prior year.current period.
  -
ConsultingRecruiting costs decreased approximately $54,000$28,000 in the current period. This decrease was due primarily to the fees paid to third-party recruiting firms for FDA and Health Canada submissions as well as costs incurred in support of the Board of Directors Strategic Alternatives Committee in the prior year thatwhich were not incurred in the current period.
  -
Board of Directors fees decreased in the current period by approximately $16,000.$14,000. This decrease was due primarily tothe transition of a member of the Board of Directors accepting the position ofdirector to CEO and a reduction in the recognized expense for the vesting of outstanding stock options awarded in the current period as compared to the recognized expense for stock options awarded in the same period of the prior year.
 
Other costs:
 
Other costs include costs incurred for travel, supplies, insurance, depreciation and other miscellaneous charges. The approximately $8,000$14,000 increase in other costs for the three months ended September 30, 2018March 31, 2019 compared to the same period in the prior year was due primarily to approximately $30,000 in relocation costs, an increase of approximately $15,000increases in travel related costs andpartially offset by an increase of approximately $10,000overall decrease in insurancebank fees, supplies expenses, and other miscellaneous charges partially offset by a decrease of approximately $47,000 in franchise taxes paid in the current period as compared to the same period in the prior year.
 
Facilities:
 
Facilities expenses include costs paid for rent and utilities at our corporate headquarters in North Carolina. Facilities expenses remained relatively consistent for the three months ended September 30, 2018 and 2017.

Depreciation and Amortization:
Depreciation and amortization costs remained relatively consistent for the three months ended September 30, 2018March 31, 2019 and 2017.2018.
 
Research and Development Expenses 
 
Research and development expenses include, but are not limited to, (i) expenses incurred under agreements with clinical research organizations, or CROs, and investigative sites, which conduct our clinical trials and a substantial portion of our pre-clinical studies; (ii) the cost of manufacturing and supplying clinical trial materials; (iii) payments to contract service organizations, as well as consultants; (iv) employee-related expenses, which include salaries and benefits; and (v) facilities, depreciation and other allocated expenses, which include direct and allocated expenses for rent and maintenance of facilities and equipment, depreciation of leasehold improvements, equipment, laboratory and other supplies. All research and development expenses are expensed as incurred. Research and development expenses and percentage changes for the three months ended September 30,March 31, 2019 and 2018, and 2017, respectively, are as follows:
 
 
 
Three months ended September 30,
 
 

 
 

 
 
 
2018
 
 
2017
 
 
 Increase/ (Decrease)
 
 
 % Increase/ (Decrease)
 
Clinical and preclinical development
 $310,158 
 $226,225 
 $83,933 
  37%
Personnel costs
  48,329 
  25,993 
  22,336 
  86%
Consulting
  2,900 
  - 
  2,900 
 %
Other costs
  1,241 
  1,755 
  (514)
  (29)%

  
 
 
Three months ended March 31,
 
 
Increase/ (Decrease)
 
 
% Increase/ (Decrease)
 
 
 
2019
 
 
2018
 
 
 
 
 
 
 
Clinical and preclinical development
 $419,597 
 $29,897 
 $389,700 
  1303%
Personnel costs
  58,585 
  24,565 
  34,020 
  138%
Consulting
  1,800 
  2,034 
  (234)
  (12)%
Other costs
  2,785 
  2,092 
  693 
  33%

Clinical and preclinical development:
 
Clinical and preclinical development costs include, primarily, the costs associated with our Phase 3 LEVO-CTS2 HELP clinical trial for levosimendan, which was completedinitiated during fiscal year 2017 and the costs associated with our Phase 2 PH-HFpEF clinical trial which we plan to initiate in the fourth quarter of the current fiscal year.2018. The increase of approximately $84,000$390,000 in clinical and preclinical development costs for the three months ended September 30, 2018March 31, 2019 compared to the same period in the prior year was primarily due to an increase of approximately $274,000 in costs associated with initiating the Phase 2 PH-HFpEF clinical trial in the current period and approximately $36,000 in preclinical costs associated with formulation development of levosimendan, partially offset by a decrease of approximately $226,000 inincreased expenditures for CRO costs to manage the Phase 3 LEVO-CTS2 HELP clinical trial, as well as an increase in the same period of the prior year that were not incurred in the current period.direct costs associated with clinical drug delivery, clinical site activations and enrolled patient costs.
 
Personnel costs:
 
Personnel costs increased approximately $22,000 in$34,000 for the current period duethree months ended March 31, 2019 compared to headcount increases to manage the Phase 2 PH-HFpEF clinical trial which were not incurred in the same period in the prior year, primarily due to an increase in headcount in the current period as compared to the same period in the prior year.
Other costs:
Other costs remained relatively consistent for the three months ended March 31, 2019 and 2018.
 
Consulting fees:
 
Consulting fees remained relatively consistent for the three months ended September 30,March 31, 2019 and 2018 and 2017.
Other costs:
Other costs remained relatively consistent for the three months ended September 30, 2018 and 2017.
 
The process of conducting preclinical studies and clinical trials necessary to obtain approval from the FDA is costly and time consuming. The probability of success for each product candidate and clinical trial may be affected by a variety of factors, including, among other things, the quality of the product candidate’s early clinical data, investment in the program, competition, manufacturing capabilities and commercial viability. As a result of the uncertainties discussed above, uncertainty associated with clinical trial enrollment and risks inherent in the development process, we are unable to determine the duration and completion costs of current or future clinical stages of our product candidates or when, or to what extent, we will generate revenues from the commercialization and sale of any of our product candidates. Development timelines, probability of success and development costs vary widely. We are currently focused on developing our most advanced product candidate, levosimendan; however, we will need substantial additional capital in the future in order to complete the development and potential commercialization of levosimendan, and to continue with the development of other potential product candidates.
 

Other income and expense, net
 
Other income and expense include non-operating income and expense items not otherwise recorded in our condensed consolidated statement of comprehensive loss. These items include, but are not limited to, changes in the fair value of financial assets and derivative liabilities, interest income earned and fixed asset disposals. Other income for the three months ended September 30,March 31, 2019 and 2018, and 2017, respectively, is as follows:
 
 
 
Three months ended September 30,
 
 

 
 
 
2018
 
 
2017
 
 
 (Increase)/ Decrease
 
Other income, net
 $(23,400)
 $(76,226)
 $52,826 
 
 
Three months ended March 31,
 
 
(Increase)/ Decrease
 
 
 
2019
 
 
2018
 
 
 
 
Other income, net
 $(44,331)
 $(30,087)
 $(14,244)
  


Other income decreasedincreased approximately $53,000$14,000 for the three months ended September 30, 2018March 31, 2019 compared to the same period in the prior year. This decreaseincrease is due primarily to the change in fair value of our Series C warrant derivative liability in the current period and a reductionan increase in the interest earned on our investment in marketable securities.
 
During the three months ended September 30, 2018, we recorded a derivative gain of approximately $5,000 which compared to a derivative gain of approximately $36,000 for the same period in the prior year. These charges to income are derived from the free-standing Series C warrants which are measured at their fair market value each period using the Monte Carlo simulation model.
During the three months ended September 30, 2018,March 31, 2019, we recorded interest income of approximately $17,000$43,000 from our investments in marketable securities. This income is derived from approximately $20,000$42,000 in bond interest paid and approximately $1,000 in fair-value adjustments measured for the period, which compares to approximately $77,000 in bond interest paid, partially offset by approximately $3,000 in charges for amortization of premiums paid and fair-value adjustments measured each period, which compares to approximately $84,000 in bond interest paid, partially offset by approximately $44,000 in charges for amortization of premiums paid and fair-value adjustments during the same period in the prior year.
Results of Operations- Comparison of the Nine Months Ended September 30, 2018 and 2017
General and Administrative Expenses
General and administrative expenses and percentage changes for the nine months ended September 30, 2018 and 2017, respectively, are as follows:
 
 
Nine months ended September 30,
 
 

 
 

 
 
 
2018
 
 
2017
 
 
 Increase/ (Decrease)
 
 
 % Increase/ (Decrease)
 
Personnel costs
 $2,311,185 
 $2,510,569 
 $(199,384)
  (8)%
Legal and professional fees
  1,134,868 
  1,324,424 
  (189,556)
  (14)%
Other costs
  372,468 
  347,585 
  24,883 
  7%
Facilities
  108,919 
  104,850 
  4,069 
  4%
Depreciation and amortization
  6,328 
  7,908 
  (1,580)
  (20)%
Personnel costs:
Personnel costs decreased approximately $199,000 for the nine months ended September 30, 2018 compared to the same period in the prior year. This decrease was due primarily to the payment of $430,000 in severance costs in the prior year, partially offset by and an overall increase in salaries and benefits paid of approximately $11,000, an increase of approximately $168,000 in bonuses paid and an increase of approximately $50,000 in recognized costs for stock-based compensation in the current period as compared to the same period in the prior year.

Legal and professional fees:
Legal and professional fees decreased approximately $190,000 for the nine months ended September 30, 2018 compared to the same period in the prior year. This decrease was due primarily to decreases in costs incurred for auditing fees, consulting fees, and the vested value of stock option grants to our Board of Directors, partially offset by an increase in costs incurred for legal fees and investor relations fees.
Audit and accounting fees decreased approximately $7,000 in the current period. This decrease was due primarily to the reduction in audit fees associated with our transition to “smaller reporting company” filer status for our fiscal year ended December 31, 2017 as compared to the same period in the prior year.
Consulting costs decreased approximately $209,000 in the current period. This decrease was due primarily to the fees paid to third-party firms for FDA and other regulatory submissions and costs incurred to support the Board of Directors Strategic Alternatives Committee in the prior year that were not incurred in the current period.
Board of Directors fees decreased in the current period by approximately $47,000. This decrease was due primarily to a member of the Board of Directors accepting the position of CEO in the current period, and a reduction in the recognized expense for the vesting of stock options awarded in the current period as compared to the recognized expense for stock options awarded in the same period of the prior year.
Legal fees increased approximately $39,000 in the current period. This increase was due primarily to the costs incurred for the filings associated with our Special Meeting of Stockholders and costs incurred in support of the Board of Directors Strategic Alternatives Committee in the current period that were not incurred in the prior year, as well as an increase in costs associated with levosimendan intellectual property in the current period as compared to same period of the prior year.
Investor relations fees increased approximately $34,000 in the current period. This increase was due primarily to the costs associated with our Special Meeting of Stockholders in the current period that were not incurred in the prior year.
Other costs:
The approximately $25,000 increase in other costs for the nine months ended September 30, 2018 compared to the same period in the prior year was due primarily to increases of approximately $43,000 in travel related costs, approximately $30,000 in relocation costs and approximately $12,000 in insurance costs, partially offset by an approximately $60,000 decrease in franchise taxes paid in the current period as compared to the same period in the prior year.
Facilities:
Facilities expenses remained relatively consistent for the nine months ended September 30, 2018 and 2017.
Depreciation and Amortization:
Depreciation and amortization costs remained relatively consistent for the nine months ended September 30, 2018 and 2017.
Research and Development Expenses 
Research and development expenses and percentage changes for the nine months ended September 30, 2018 and 2017, respectively, are as follows:
 
 
Nine months ended September 30,
 
 

 
 

 
 
 
2018
 
 
2017
 
 
 Increase/ (Decrease)
 
 
 % Increase/ (Decrease)
 
Clinical and preclinical development
 $594,000 
 $3,230,215 
 $(2,636,215)
  (82)%
Personnel costs
  122,340 
  177,615 
  (55,275)
  (31)%
Other costs
  9,991 
  7,572 
  2,419 
  32%
Consulting
  6,034 
  112,936 
  (106,902)
  (95)%

Clinical and preclinical development:
The decrease of approximately $2.6 million in clinical and preclinical development costs for the nine months ended September 30, 2018 compared to the same period in the prior year, was primarily due to a decrease of approximately $3.2 million in CRO costs to manage the Phase 3 LEVO-CTS clinical trial, partially offset by an increase of approximately $531,000 in costs associated with initiating the Phase 2 PH-HFpEF clinical trial and approximately $36,000 in preclinical costs associated with formulation development of levosimendan.
Personnel costs:
Personnel costs decreased approximately $55,000 for the nine months ended September 30, 2018 compared to the same period in the prior year, primarily due to a reduction in headcount in the current period as compared to the same period in the prior year.
Other costs:
Other costs remained relatively consistent for the nine months ended September 30, 2018 and 2017.
Consulting fees:
Consulting fees decreased approximately $107,000 for the nine months ended September 30, 2018 compared to the same period in the prior year, primarily due to a decrease in fees paid to third-party consulting firms for services provided for report-writing and regulatory submissions in support of our Phase 3 LEVO-CTS clinical trial in the prior year which were not incurred in the current period.
Other income and expense, net
Other income for the nine months ended September 30, 2018 and 2017, respectively, is as follows:
 
 
Nine months ended September 30,
 
 

 
 
 
2018
 
 
2017
 
 
 (Increase)/ Decrease
 
Other income
 $(83,920)
 $(327,725)
 $243,805 
Other income decreased approximately $244,000 for the nine months ended September 30, 2018 compared to the same period in the prior year. This decrease is due primarily to the change in fair value of our Series C warrant derivative liability in the current period and a reduction in the interest earned on our investment in marketable securities.
During the nine months ended September 30, 2018, we recorded a derivative gain of approximately $14,000 which compared to a derivative gain of approximately $190,000 for the same period in the prior year. These charges to income are derived from the free-standing Series C warrants which are measured at their fair market value each period using the Monte Carlo simulation model.
During the nine months ended September 30, 2018, we recorded interest income of approximately $68,000 from our investments in marketable securities. This income is derived from approximately $150,000 in bond interest paid, partially offset by approximately $83,000 in charges for amortization of premiums paid and fair-value adjustments measured each period, which compares to approximately $288,000 in bond interest paid, partially offset by approximately $158,000$47,000 in charges for amortization of premiums paid and fair-value adjustments during the same period in the prior year.
 
Liquidity, Capital Resources and Plan of Operation
 
We have incurred losses since our inception, and as of September 30, 2018,March 31, 2019 we had an accumulated deficit of approximately $218$229 million. We will continue to incur losses until we generate sufficient revenue to offset our expenses, and we anticipate that we will continue to incur net losses for at least the next several years. We expect to incur increased expenses related to our development and potential commercialization of levosimendan for pulmonary hypertension and other potential indications, as well as identifying and developing other potential product candidates and, as a result, we will need to generate significant net product sales, royalty and other revenues to achieve profitability.
 

Liquidity
 
We have financed our operations since September 1990 through the issuance of debt and equity securities and loans from stockholders. We had total current assets of $5,141,157$11,190,961 and $8,062,893$13,320,240 and working capital of $4,624,999$10,176,786 and $7,054,053$11,754,571 as of September 30, 2018March 31, 2019 and December 31, 2017,2018, respectively. Based on our working capital and the value of our investments in marketable securities at September 30, 2018,March 31, 2019, we believe we have sufficient capital to fund our operations through the first quarter of calendar year 2019.2020.
 
We will need substantial additional capital in the future in order to continue the development of levosimendan and to fund the development and commercialization of other future product candidates. Until we can generate a sufficient amount of product revenue, if ever, we expect to finance future cash needs through public or private equity offerings, debt financings or corporate collaboration and licensing arrangements. Such funding may not be available on favorable terms, if at all. In the event we are unable to obtain additional capital, we may delay or reduce the scope of our current research and development programs and other expenses.
 
To the extent that we raise additional funds by issuing equity securities, our stockholders may experience additional significant dilution, and debt financing, if available, may involve restrictive covenants. To the extent that we raise additional funds through collaboration and licensing arrangements, it may be necessary to relinquish some rights to our technologies or our product candidates or grant licenses on terms that may not be favorable to us. We may seek to access the public or private capital markets whenever conditions are favorable, even if we do not have an immediate need for additional capital.
 
Cash Flows
 
The following table shows a summary of our cash flows for the ninethree months ended September 30, 2018March 31, 2019 and 2017:2018:
 
 
Nine months ended September 30,
 
 
Three months ended March 31,
 
 
2018
 
 
2017
 
 
2019
 
 
2018
 
Net cash used in operating activities
 $(4,301,820)
 $(10,858,446)
 $(2,132,811)
 $(1,558,465)
Net cash provided by investing activities
  6,044,193 
  2,626,374 
Net cash (used in) provided by investing activities
  (8,805)
  2,946,895 
Net cash provided by financing activities
  96,500 
  - 
 
Net cash used in operating activities.  Net cash used in operating activities was approximately $4.3$2.1 million for the ninethree months ended September 30, 2018March 31, 2019 compared to net cash used in operating activities of approximately $10.9$1.6 million for the ninethree months ended September 30, 2017.March 31, 2018. The decreaseincrease in cash used for operating activities was due primarily to a decreasean increase in our accrued costs related to the Phase 32 clinical trial for levosimendan in the current period as compared to the same period in the prior year.period.
 


Net cash (used in) provided by investing activities. Net cash provided byused in investing activities was approximately $6.0 million$9,000 for the ninethree months ended September 30, 2018March 31, 2019 compared to approximately $2.6$2.9 million provided for the ninethree months ended September 30, 2017.March 31, 2018. The increasedecrease in cash provided by investing activities was primarily due to an increasea decrease in the sale of marketable securities in the current period.
Net cash provided by financing activities. Net cash provided by financing activities was approximately $97,000 for the three months ended March 31, 2019 compared to $0 for the three months ended March 31, 2018. The increase in cash provided by financing activities was due to an exercise of warrants in the current period.
 
Operating Capital and Capital Expenditure Requirements
 
Our future capital requirements will depend on many factors that include, but are not limited to the following:
 
the initiation, progress, timing and completion of clinical trials for our product candidates and potential product candidates;
the outcome, timing and cost of regulatory approvals and the regulatory approval process;
delays that may be caused by changing regulatory requirements;
the number of product candidates that we pursue;
the costs involved in filing and prosecuting patent applications and enforcing and defending patent claims;
the timing and terms of future in-licensing and out-licensing transactions;
the cost and timing of establishing sales, marketing, manufacturing and distribution capabilities;
the cost of procuring clinical and commercial supplies of our product candidates;
the extent to which we acquire or invest in businesses, products or technologies; and
the possible costs of litigation.
 

We believe that our existing cash and cash equivalents, along with our investment in marketable securities, will be sufficient to fund our projected operating requirements through the first quarter of calendar year 2019.2020. We will need substantial additional capital in the future in order to complete the development and commercialization of levosimendan and to fund the development and commercialization of other future product candidates. Until we can generate a sufficient amount of product revenue, if ever, we expect to finance future cash needs through public or private equity offerings, debt financings or corporate collaboration and licensing arrangements. Such funding may not be available on favorable terms, if at all. In the event we are unable to obtain additional capital, we may delay or reduce the scope of our current research and development programs and other expenses.
 
To the extent that we raise additional funds by issuing equity securities, our stockholders may experience additional significant dilution, and debt financing, if available, may involve restrictive covenants. To the extent that we raise additional funds through collaboration and licensing arrangements, it may be necessary to relinquish some rights to our technologies or our product candidates or grant licenses on terms that may not be favorable to us. We may seek to access the public or private capital markets whenever conditions are favorable, even if we do not have an immediate need for additional capital.
 
Critical Accounting Policies and Significant Judgments and Estimates
 
Our condensed consolidated financial statements have been prepared in accordance with GAAP. The preparation of these financial statements requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements, as well as the expenses during the reporting periods. These items are monitored and analyzed by us for changes in facts and circumstances, and material changes in these estimates could occur in the future. We base our estimates on historical experience and on various other factors that we believe are reasonable under the circumstances, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Changes in estimates are reflected in reported results for the period in which they become known. Actual results may differ materially from these estimates under different assumptions or conditions. For information regarding our critical accounting policies and estimates, please refer to “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Summary of Significant Accounting Policies” contained in our Annual Report on Form 10-K for the year ended December 31, 2017.2018. During the ninethree months ended September 30, 2018,March 31, 2019, there were no material changes to the critical accounting policies previously disclosed in that report.
 
Recent Accounting Pronouncements
The SEC has released SEC Final Rule Release No. 33-10532 Disclosure Update and Simplification, which adopts amendments to certain disclosure requirements that have become redundant, duplicative, overlapping, outdated, or superseded, in light of other SEC disclosure requirements, GAAP, or changes in the information environment. The amendments also refer certain SEC disclosure requirements that overlap with but require information incremental to GAAP to the Financial Accounting Standards Board, or the FASB, for potential incorporation into GAAP. The amendments are intended to facilitate the disclosure of information to investors and simplify compliance without significantly altering the total mix of information provided to investors. These amendments are part of an initiative by the Division of Corporation Finance to review disclosure requirements applicable to issuers to consider ways to improve the requirements for the benefit of investors and issuers. The amendments became effective on November 5, 2018 and did not have a material impact on our condensed consolidated financial statements and related disclosures.
In June 2018, the FASB issued an accounting standard that provides guidance that aligns the accounting for share-based payment awards issued to employees and nonemployees. Under the new guidance, the existing employee guidance will apply to nonemployee share-based transactions. The cost of nonemployee awards will continue to be recorded as if the grantor had paid cash for the goods or services. In addition, the contractual term will be able to be used in lieu of an expected term in the option-pricing model for nonemployee awards. Equity-classified share-based payment awards issued to nonemployees will now be measured on the grant date, and, for performance conditions, compensation cost associated with the award will be recognized when achievement of the performance condition is probable, rather than upon achievement of the performance condition. The new guidance also clarifies that any share-based payment awards issued to customers should be evaluated under ASC 606, Revenue from Contracts with Customers. The standard will be effective for interim and annual reporting periods beginning after December 15, 2018. Early adoption is permitted. We do not believe adoption of this standard will have a material impact on our condensed consolidated financial statements and related disclosures.
In July 2017, the FASB issued an accounting standard that changes the classification analysis of certain equity-linked financial instruments (or embedded features) with down round features. When determining whether certain financial instruments should be classified as liabilities or equity instruments, a down round feature no longer precludes equity classification when assessing whether the instrument is indexed to an entity’s own stock. The amendments also clarify existing disclosure requirements for equity-classified instruments. As a result, a freestanding equity-linked financial instrument (or embedded conversion option) no longer would be accounted for as a derivative liability at fair value as a result of the existence of a down round feature. The standard will be effective on January 1, 2019. Early adoption is permitted, including adoption in an interim period. We do not believe adoption of this standard will have a material impact on our condensed consolidated financial statements and related disclosures.
In January 2017, the FASB issued an accounting standard that provides guidance for evaluating whether transactions should be accounted for as acquisitions (or disposals) of assets or businesses. The guidance provides a screen to determine when an integrated set of assets and activities, or a set, does not qualify to be a business. The screen requires that when substantially all of the fair value of the gross assets acquired (or disposed of) is concentrated in an identifiable asset or a group of similar identifiable assets, the set is not a business. If the screen is not met, the guidance requires a set to be considered a business to include, at a minimum, an input and a substantive process that together significantly contribute to the ability to create outputs and removes the evaluation as to whether a market participant could replace the missing elements. The standard became effective on January 1, 2018 and was adopted on a prospective basis. Adoption of this standard did not have a material impact on our condensed consolidated financial statements and related disclosures.

In August 2016, the FASB issued an accounting standard that clarifies how companies present and classify certain cash receipts and cash payments in the statement of cash flows where diversity in practice exists. The standard is effective in our first quarter of fiscal 2018. Adoption of this standard did not have a material impact on our condensed consolidated financial statements and related disclosures.
 
In June 2016, the FASB issued an accounting standard that amends how credit losses are measured and reported for certain financial instruments that are not accounted for at fair value through net income. This standard will require that credit losses be presented as an allowance rather than as a write-down for available-for-sale debt securities and will be effective for interim and annual reporting periods beginning January 1, 2020, with early adoption permitted, but not earlier than annual reporting periods beginning January 1, 2019. A modified retrospective approach is to be used for certain parts of this guidance, while other parts of the guidance are to be applied using a prospective approach. We do not believe adoption of this standard will have a material impact on our condensed consolidated financial statements and related disclosures.
 
In May 2014, the FASB issued an accounting standard that supersedes nearly all existing revenue recognition guidance under GAAP. The standard is principles-based and provides a five-step model to determine when and how revenue is recognized. The core principle of the standard is that revenue should be recognized when a company transfers promised goods or services to customers in an amount that reflects the consideration to which we expect to be entitled in exchange for those goods or services. In March 2016, the FASB issued a standard to clarify the implementation guidance on principal versus agent considerations, and in April 2016, the FASB issued a standard to clarify the implementation guidance on identifying performance obligations and licensing. The standard also requires disclosure of qualitative and quantitative information surrounding the amount, nature, timing and uncertainty of revenues and cash flows arising from contracts with customers. In July 2015, the FASB agreed to defer the effective date of the standard from annual periods beginning after December 15, 2016, to annual periods beginning after December 15, 2017. Early application prior to the original effective date was not permitted. The standard permits the use of either the retrospective or cumulative effect transition method. We reviewed our current accounting policies and practices to assess the impact of the guidance on our business processes. Based on this evaluation, the adoption of this standard did not have a material impact on our condensed consolidated financial statements and related disclosures.
  
In February 2016, the FASB issued an accounting standard intended to improve financial reporting regarding leasing transactions. The standard will require us to recognize on our balance sheet the assets and liabilities for the rights and obligations created by all leased assets. The standard will also require us to provide enhanced disclosures designed to enable users of financial statements to understand the amount, timing, and uncertainty of cash flows arising from all leases, operating and capital, with lease terms greater than 12 months. The standard is effective for financial statements beginning after December 15, 2018, and interim periods within those annual periods. Early adoption is permitted.
We are currently evaluating the impact thatadopted this standard will have on our condensed consolidated financial statements and related disclosures.
In January 2016,1, 2019, using the FASB issued an accounting standard that will enhance our reporting for financial instruments. The standard is effective for financial statements issued for annual periods beginning after December 15, 2017, and interim periods within those annual periods. Earlier adoption is permitted for interim and annual reporting periodsrequired modified-retrospective approach as of the beginningeffective date. We plan to elect the package of practical expedients permitted under the transition guidance within the new standard, which among other things, allows us to carryforward the historical lease classification. We plan to make an accounting policy election to account for leases with an initial term of 12 months or less similar to previous guidance for operating leases, under which we intend to recognize those lease payments in the consolidated statements of operations and comprehensive loss on a straight-line basis over the lease term. Results for the year ended December 31, 2018 continue to be reported in accordance with historical accounting under previous lease guidance, ASC Topic 840: Leases (Topic 840).

We recorded a net reduction of $27,670 to opening accumulated deficit as of January 1, 2019, due to the cumulative impact of adopting the new leasing standard, with the impact relating to a change in the classification of our office space. The adoption of the fiscal year of adoption. Adoption of thislease standard did not have a material impact on our condensed consolidated financial statements and related disclosures.balance sheets.
 
Contractual Obligations
 
There have been no material changes, outside of the ordinary course of business, to our contractual obligations as previously disclosed in our Annual Report on Form 10-K for the year ended December 31, 2017.2018.
 
Off-Balance Sheet Arrangements
 
Since our inception, we have not engaged in any off-balance sheet arrangements, including the use of structured finance, special purpose entities or variable interest entities.
 
ITEM
ITEM 3. 
QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
 
Not applicable.
 

ITEM 4. 
ITEM 4.    CONTROLS AND PROCEDURES
 
Evaluation of Disclosure Controls and Procedures
 
As required by paragraph (b) of Rules 13a-15 and 15d-15 promulgated under the Exchange Act, our management, including our Interim Chief Executive Officer and Chief Financial Officer, conducted an evaluation as of the end of the period covered by this report, of the effectiveness of our disclosure controls and procedures as defined in Exchange Act Rule 13a-15(e) and 15d-15(e). Based on that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective as of September 30, 2018,March 31, 2019, the end of the period covered by this report in that they provide reasonable assurance that the information we are required to disclose in the reports we file or submit under the Exchange Act is recorded, processed, summarized and reported within the time periods required by the SEC and is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate to allow timely decisions regarding required disclosure.
 
Changes in Internal Control over Financial Reporting
 
There were no significant changes in our internal control over financial reporting during our most recently completed fiscal quarter that hashave materially affected, or is reasonably likely to materially affect, our internal control over financial reporting. We routinely review our internal controls over financial reporting and from time to time make changes intended to enhance the effectiveness of our internal control over financial reporting. We will continue to evaluate the effectiveness of our disclosure controls and procedures and internal controls over financial reporting on an ongoing basis and will take action as appropriate.
 

 
PART II – OTHER INFORMATION
 
ITEMITEM 1. 
LEGAL PROCEEDINGS
 
There are no material pending legal proceedings to which we are a party or to which any of our property is subject.
 
ITEMITEM 1A. 
RISK FACTORS
 
The risks we face have not materially changed from those disclosed in our Annual Report on Form 10-K for the year ended December 31, 2017.2018.
 
ITEMITEM 2. 
UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
 
Repurchases of Common Stock
 
The following table lists all repurchases during the three months ended September 30, 2018March 31, 2019 of any of our securities registered under Section 12 of the Exchange Act by or on behalf of us or any affiliated purchaser.
 
Issuer Purchases of Equity Securities
   
 
 
 
Period
 
Total Number of Shares Purchased (1)
 
 
Average Price Paid per Share (2)
 
 
Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs
 
 
Approximate Dollar Value of Shares that May Yet Be Purchased Under the Plans or Programs
 
 
Total Number of Shares Purchased (1) 
 
 
 Average Price Paid per Share (2)
 
 
Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs 
 
 
Approximate Dollar Value of Shares that May Yet Be Purchased Under the Plans or Programs 
 
July 1, 2018 - July 31, 2018
  8,325 
 $6.25 
  - 
 $- 
August 1, 2018 - August 31, 2018
  - 
 $- 
  - 
 $- 
September 1, 2018 - September 30, 2018
  - 
 $- 
  - 
 $- 
Januray 1, 2019 - January 31, 2019
  8,424 
 $6.23 
  - 
 $- 
February 1, 2019 - February 28, 2019
  - 
 $- 
  - 
 $- 
March 1, 2019 - March 31, 2019
  - 
 $- 
  - 
 $- 
Total
  8,325 
 $6.25 
  - 
 $- 
  8,424 
 $6.23 
  - 
 $- 
 
(1)
Represents shares repurchased in connection with tax withholding obligations under the 1999 Amended Stock Plan, as amended from time to time, or the 1999 Plan.
(2)
Represents the average price paid per share for the shares repurchased in connection with tax withholding obligations under the 1999 Amended Stock Plan.
 
ITEMITEM 6. 
EXHIBITS
 
The following exhibits are being filed herewith and are numbered in accordance with Item 601 of Regulation S-K:
 
No.
 
Description
 
 
 
 
Certification of Chief Executive Officer Pursuant to Section 302 of the Sarbanes Oxley Act of 2002. *
 
Certification of Chief Financial Officer Pursuant to Section 302 of the Sarbanes Oxley Act of 2002. *
 
Certification of Chief Executive Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. *
 
Certification of Chief Financial Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. *
101.INS
 
XBRL Instance Document
101.SCH
 
XBRL Taxonomy Extension Schema Document
101.CAL
 
XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF
 
XBRL Taxonomy Extension Definition Linkbase Document
101.LAB
 
XBRL Taxonomy Extension Label Linkbase Document
101.PRE
 
XBRL Taxonomy Extension Presentation Linkbase Document
*            
Filed herewith
 

 
SIGNATURESSIGNATURES
 
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: November 14, 2018May 15, 2019
 
 TENAX THERAPEUTICS, INC. 
    

By:  
/s/ Michael B. Jebsen   
 
  
Michael B. Jebsen
President and Chief Financial Officer
(On behalf of the Registrant and as Principal Financial Officer)

 
 
 
 

 
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