Table of Contents

 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
 
 
FORM 10-Q
 
 
 
(Mark One)
ýQUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2017March 31, 2019
Or
 
¨TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from                     to                     
Commission file number 001-35817
 
CANCER GENETICS, INC.
(Exact name of registrant as specified in its charter)
 
 
 
Delaware 04-3462475
(State or other jurisdictionOther Jurisdiction of
incorporationIncorporation or organization)Organization
 
(I.R.S. Employer
Identification No.)
201 Route 17 North 2nd Floor
Rutherford, NJ
201 Route 17 North 2nd Floor Rutherford, NJ
07070
Address of Principal Executive OfficesZip Code

(201) 528-9200
(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)Registrant’s Telephone Number, Including Area Code
 
 






Former Name, Former Address and Former Fiscal Year, if Changed Since Last Report
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading symbolName of exchange on which registered
Common Stock, $0.0001 par value per shareCGIXNASDAQ Capital Market
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  ý    No  ¨
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes  ý    No  ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
 
Large accelerated filer ¨  Accelerated filer ¨
    
Non-accelerated filer 
¨ (Do not check if a smaller reporting company)
x
  Smaller reporting company x
       
    Emerging growth company x¨
       
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. x¨
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).    Yes  ¨    No  ý
As of November 6, 2017,May 14, 2019, there were 24,253,83157,816,037 shares of common stock, par value $0.0001 of Cancer Genetics, Inc. outstanding.
 

CANCER GENETICS, INC. AND SUBSIDIARIES
TABLE OF CONTENTS
 
 
   
Item 1. 
 
 
Consolidated Statements of Operations and Other Comprehensive Loss
 
 
   
Item 2.
   
Item 3.
   
Item 4.
  
 
   
Item 1.
   
Item 1A.
   
Item 2.
   
Item 3.
   
Item 4.
   
Item 5.
   
Item 6.
  
  


PART I — FINANCIAL INFORMATION 
Item 1.    Financial Statements (Unaudited)
Cancer Genetics, Inc. and Subsidiaries
Consolidated Balance Sheets (Unaudited)
(in thousands, except par value)
September 30,
2017
 December 31,
2016
March 31,
2019
 December 31,
2018
ASSETS      
CURRENT ASSETS      
Cash and cash equivalents$4,807
 $9,502
$697
 $161
Accounts receivable, net of allowance for doubtful accounts of 2017 $2,277; 2016 $1,38715,797
 11,748
Accounts receivable, net of allowance for doubtful accounts of $3,4627,292
 7,038
Other current assets2,881
 2,174
2,344
 2,148
Total current assets23,485
 23,424
10,333
 9,347
FIXED ASSETS, net of accumulated depreciation6,009
 4,738
3,821
 4,056
OTHER ASSETS      
Operating lease right-of-use assets2,422
 
Restricted cash300
 300
350
 350
Patents and other intangible assets, net of accumulated amortization8,356
 1,503
3,917
 4,004
Investment in joint venture247
 268
92
 92
Goodwill14,158
 12,029
17,257
 17,257
Other1,415
 172
300
 300
Total other assets24,476
 14,272
24,338
 22,003
Total Assets$53,970
 $42,434
$38,492
 $35,406
LIABILITIES AND STOCKHOLDERS’ EQUITY      
CURRENT LIABILITIES      
Accounts payable and accrued expenses$9,314
 $8,148
$11,561
 $13,067
Obligations under capital leases, current portion271
 109
Operating lease liabilities1,086
 
Obligations under finance leases, current portion321
 330
Deferred revenue109
 789
2,604
 2,173
Line of credit2,000
 
2,414
 2,621
Term note, current portion
 2,000
Term note6,000
 6,000
Convertible note, net2,778
 2,481
Advance from NovellusDx, Ltd., net1,500
 535
Other derivatives55
 86
Total current liabilities11,694
 11,046
28,319
 27,293
Term note4,936
 2,654
Obligations under capital leases726
 374
Obligations under finance leases294
 379
Operating lease liabilities, non-current1,542
 
Deferred rent payable and other181
 290

 305
Warrant liability4,167
 2,018
255
 248
Deferred revenue, long-term1,130
 428
403
 379
Total Liabilities22,834
 16,810
30,813
 28,604
STOCKHOLDERS’ EQUITY      
Preferred stock, authorized 9,764 shares, $0.0001 par value, none issued
 

 
Common stock, authorized 100,000 shares, $0.0001 par value, 24,252 and 18,936 shares issued and outstanding at September 30, 2017 and December 31, 2016, respectively2
 2
Common stock, authorized 100,000 shares, $0.0001 par value, 56,276 and 27,726 shares issued and outstanding at March 31, 2019 and December 31, 2018, respectively6
 3
Additional paid-in capital158,068
 139,576
170,022
 164,455
Accumulated other comprehensive (loss)(1) 
Accumulated other comprehensive income (loss)(16) 60
Accumulated (deficit)(126,933) (113,954)(162,333) (157,716)
Total Stockholders’ Equity31,136
 25,624
7,679
 6,802
Total Liabilities and Stockholders’ Equity$53,970
 $42,434
$38,492
 $35,406

See Notes to Unaudited Consolidated Financial Statements.

Cancer Genetics, Inc. and Subsidiaries
Consolidated Statements of Operations and Other Comprehensive Loss (Unaudited) 
(in thousands, except per share amounts)
Three Months Ended September 30, Nine Months Ended September 30,Three Months Ended March 31,
2017 2016 2017 20162019 2018
Revenue$8,028
 $6,750
 $21,598
 $19,819
$6,839
 $7,667
Cost of revenues4,588
 4,444
 12,831
 12,832
4,637
 5,082
Gross profit3,440
 2,306
 8,767
 6,987
2,202
 2,585
Operating expenses:          
Research and development981
 1,594
 3,080
 4,806
454
 681
General and administrative4,346
 3,701
 11,352
 11,677
3,309
 5,260
Sales and marketing1,301
 1,054
 3,437
 3,731
1,108
 1,591
Merger costs249
 
Total operating expenses6,628
 6,349
 17,869
 20,214
5,120
 7,532
Loss from operations(3,188) (4,043) (9,102) (13,227)(2,918) (4,947)
Other income (expense):          
Interest expense(350) (111) (797) (344)(1,725) (239)
Interest income10
 4
 37
 21
2
 21
Change in fair value of acquisition note payable105
 18
 (114) 119

 17
Change in fair value of other derivatives31
 
Change in fair value of warrant liability2,790
 712
 (3,927) 729
(7) 692
Other expense
 (325) (46) (325)
Total other (expense)2,555
 298
 (4,847) 200
Loss before income taxes(633) (3,745) (13,949) (13,027)
Income tax (benefit)
 
 (970) 
Total other income (expense)(1,699) 491
Net (loss)$(633) $(3,745) $(12,979) $(13,027)$(4,617) $(4,456)
Basic net (loss) per share$(0.03) $(0.23) $(0.65) $(0.88)
Diluted net (loss) per share$(0.15) $(0.23) $(0.65) $(0.88)
Basic weighted-average shares outstanding21,577
 16,519
 20,059
 14,868
Diluted weighted-average shares outstanding22,359
 16,519
 20,059
 14,868
Basic and diluted net (loss) per share$(0.09) $(0.16)
Basic and diluted weighted-average shares outstanding48,933
 27,049
          
Net (loss)(633) (3,745) (12,979) (13,027)$(4,617) $(4,456)
Foreign currency translation (loss)(1) 
 (1) 
(76) (20)
Comprehensive (loss)(634) (3,745) (12,980) (13,027)$(4,693) $(4,476)
See Notes to Unaudited Consolidated Financial Statements.

Cancer Genetics, Inc. and Subsidiaries
Consolidated Statements of Changes in Stockholders’ Equity (Unaudited)
(in thousands)

  Three Months Ended March 31, 2019
  Common Stock Additional
Paid-in
Capital
 Accumulated Other Comprehensive Income (Loss) Accumulated
Deficit
 Total
  Shares Amount 
Balance, December 31, 2018 27,726
 $3
 $164,455
 $60
 $(157,716) $6,802
Stock based compensation—employees 
 
 158
 
 
 158
Issuance of common stock - 2019 Offerings, net 28,550
 3
 5,409
 
 
 5,412
Unrealized loss on foreign currency translation 
 
 
 (76) 
 (76)
Net loss 
 
 
 
 (4,617) (4,617)
Balance, March 31, 2019 56,276
 $6
 $170,022
 $(16) $(162,333) $7,679

  Three Months Ended March 31, 2018
  Common Stock Additional
Paid-in
Capital
 Accumulated Other Comprehensive Income Accumulated
Deficit
 Total
  Shares Amount 
Balance, December 31, 2017 27,754
 $3
 $161,527
 $69
 $(134,834) $26,765
Stock based compensation—employees (24) 
 274
 
 
 274
Transition adjustment for adoption of Accounting Standards Codification Topic 606 
 
 
 
 (2,509) (2,509)
Unrealized loss on foreign currency translation 
 
 
 (20) 
 (20)
Net loss 
 
 
 
 (4,456) (4,456)
Balance, March 31, 2018 27,730
 $3
 $161,801
 $49
 $(141,799) $20,054


Cancer Genetics, Inc. and Subsidiaries
Consolidated Statements of Cash Flows (Unaudited) 
(in thousands)

Nine Months Ended September 30,Three Months Ended March 31,
2017 20162019 2018
CASH FLOWS FROM OPERATING ACTIVITIES      
Net (loss)$(12,979) $(13,027)$(4,617) $(4,456)
Adjustments to reconcile net (loss) to net cash (used in) operating activities:      
Depreciation1,436
 1,502
270
 429
Amortization234
 260
86
 135
Provision for bad debts890
 8

 464
Stock-based compensation1,395
 1,538
158
 274
Change in fair value of acquisition note payable114
 (119)
Change in fair value of warrant liability3,927
 (729)
Amortization of debt issuance costs51
 9
Amortization of discount on debt134
 
Loss in equity method investment21
 45
Loss on extinguishment of debt78
 
Change in fair value of warrant liability, acquisition note payable and other derivatives(24) (709)
Amortization of discount of debt and debt issuance costs1,060
 
Interest added to Convertible Note202
 
Loss in equity-method investment
 2
Changes in:      
Accounts receivable(4,029) (7,066)(254) (160)
Other current assets(606) (67)(274) (143)
Operating lease right-of-use assets221
 
Other non-current assets251
 (9)
 (5)
Accounts payable, accrued expenses and deferred revenue(1,057) 372
(1,051) (279)
Operating lease liabilities(242) 
Deferred rent payable and other(109) (16)
 (24)
Net cash (used in) operating activities(10,249) (17,299)(4,465) (4,472)
CASH FLOWS FROM INVESTING ACTIVITIES      
Purchase of fixed assets(1,192) (345)(32) (221)
Patent costs(73) (127)
 (32)
Purchase of cost method investment(200) 
Acquisition of vivoPharm, Pty Ltd., net of cash acquired(656) 
Net cash (used in) investing activities(2,121) (472)(32) (253)
CASH FLOWS FROM FINANCING ACTIVITIES      
Principal payments on capital lease obligations(170) (101)
Proceeds from warrant exercises1,827
 
Proceeds from option exercises7
 
Proceeds from offerings of common stock with derivative warrants, net of certain offering costs
 9,962
Principal payments on finance lease obligations(94) (86)
Proceeds from offerings of common stock, net of certain offering costs5,412
 
Proceeds from borrowings on Silicon Valley Bank line of credit2,000
 
4,915
 
Proceeds from Partners for Growth IV, L.P. term note6,000
 
Proceeds from Aspire Capital common stock purchases, net of certain offering costs2,965
 
Principal payments on Silicon Valley Bank term note(4,667) (833)
Payment of debt issuance costs and loan fees(287) 
Net cash provided by financing activities7,675
 9,028
Net (decrease) in cash and cash equivalents(4,695) (8,743)
CASH AND CASH EQUIVALENTS   
Repayment of borrowings on Silicon Valley Bank line of credit(5,122) (627)
Net cash provided by (used in) financing activities5,111
 (713)
Effect of foreign exchange rates on cash and cash equivalents and restricted cash(78) (32)
Net increase (decrease) in cash and cash equivalents and restricted cash536
 (5,470)
CASH AND CASH EQUIVALENTS AND RESTRICTED CASH   
Beginning9,502
 19,459
511
 9,891
Ending$4,807
 $10,716
$1,047
 $4,421
   
SUPPLEMENTAL CASH FLOW DISCLOSURE      
Cash paid for interest$633
 $250
$304
 $245
SUPPLEMENTAL DISCLOSURE OF NONCASH INVESTING AND FINANCING ACTIVITIES      
Fixed assets acquired through capital lease arrangements$567
 $
$
 $150
Derivative warrants issued with debt1,004
 
Acquisition of vivoPharm business9,856
 

See Notes to Unaudited Consolidated Financial Statements.

Notes to Unaudited Consolidated Financial Statements

Note 1.     Organization, Description of Business, Basis of Presentation, Acquisition2019 Offerings, Forbearance Agreements, Standstill Agreements, Recently Adopted Accounting Standard, and Recent Accounting Pronouncements

We are an emerging leader in the field ofenabling precision medicine enablingin oncology by providing multi-disciplinary diagnostic and data solutions, facilitating individualized therapies in the field of oncology through our diagnostic products andtests, services and molecular markers. We develop, commercialize and provide molecular- and biomarker-based tests and services, including proprietary preclinical oncology and immuno-oncology services, that enable biotech and pharmaceutical companies engaged in oncology and immuno-oncology trials to better select candidate populations and reduce adverse drug reactions by providing information regarding genomic and molecular factors influencing subject responses to therapeutics. Through our clinical services, we enable physicians to personalize the clinical management of each individual patient by providing genomic information to better diagnose, monitor and inform cancer treatment and that enable biotech and pharmaceutical companies engaged in oncology trials to better select candidate populations and reduce adverse drug reactions by providing information regarding genomic factors influencing subject responses to therapeutics.treatment. We have a comprehensive, disease-focused oncology testing portfolio.portfolio, and extensive set of anti-tumor referenced data based on predictive xenograft and syngeneic tumor models. Our tests and techniques target a wide range of cancers,indications, covering nineall ten of the top ten cancers in prevalence in the United States, with additional unique capabilities offered by our FDA-cleared Tissue of Origin® test for identifying difficult to diagnose tumor types or poorly differentiated metastatic disease. Following the acquisition of vivoPharm, Pty Ltd. (“vivoPharm”), as discussed in more detail below, we provide contract research services, focused primarily on unique specialized studies to guide drug discovery and development programs in the oncology and immune-oncologyimmuno-oncology fields.

We were incorporated in the State of Delaware on April 8, 1999 and currently have offices and state-of-the-art laboratories located in California, New Jersey, North Carolina, Pennsylvania, Shanghai (China), Victoria (Australia) and Hyderabad (India).Australia. Our laboratories comply with the highest regulatory standards as appropriate for the services they deliver including CLIA, CAP, and NY State, California State and NABL (India).State. Our services are built on a foundation of world-class scientific knowledge and intellectual property in solid and blood-borne cancers, as well as strong academic relationships with major cancer centers such as Memorial Sloan-Kettering, Mayo Clinic, and the National Cancer Institute. We offer preclinical services such as predictive tumor models, human orthotopic xenografts and syngeneic immuno-oncology relevant tumor models in our Hershey PA facility, and a leader in the field of immuno-oncology preclinical services in the United States. This service is supplemented with GLP toxicology and extended bioanalytical services in our Australian based facility in Bundoora VIC.

Basis of Presentation

The accompanying unaudited condensed financial statements of the Company have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”) for interim financial information and with the instructions for interim reporting as prescribed by the Securities and Exchange Commission. Accordingly, they do not include all of the information and footnotes required by accounting principles generally accepted in the United States of America for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary to make the financial statements not misleading have been included. As such, the information included in this quarterly report on Form 10-Q should be read in conjunction with the audited consolidated financial statements as of and for the year ended December 31, 2016,2018, filed with the Securities and Exchange Commission on March 23, 2017.April 16, 2019. The consolidated balance sheet as of December 31, 2016,2018, included herein was derived from the audited financial statements as of that date, but does not include all disclosures including notes required by GAAP. Interim financial results are not necessarily indicative of the results that may be expected for any future interim period or for the year ending December 31, 2017.
Foreign Currency Translation2019.

DuringDerivative Liabilities

The Company evaluates its debt and equity issuances to determine if those contracts or embedded components of those contracts qualify as derivatives requiring separate recognition in the three months ended September 30, 2017, we startedCompany’s financial statements. The result of this accounting for our foreign currency translationtreatment is that the fair value of the embedded derivative is marked-to-market each balance sheet date and recorded as a liability and the change in fair value is recorded in other comprehensive income (loss). Assets and(expense) in the consolidated results of operations. In circumstances where there are multiple embedded instruments that are required to be bifurcated, the bifurcated derivative instruments are accounted for as a single, compound derivative instrument. The classification of derivative instruments, including whether such instruments should be recorded as liabilities recorded in foreign currencies are translatedor as equity, is reassessed at the exchangeend of each reporting period. Equity instruments that are initially classified as equity that become subject to reclassification are reclassified to liability at the fair value of the instrument on the reclassification date. Derivative instrument liabilities are classified in the balance sheet as current or non-current based on whether or not net-cash settlement of the derivative instrument is expected within twelve months of the balance sheet date.


When the Company has determined that the embedded conversion options should not be bifurcated from their host instruments, the Company records, when necessary, discounts to convertible notes for the intrinsic value of conversion options embedded in debt instruments based upon the differences between the fair value of the underlying common stock at the commitment date of the note transaction and the effective conversion price embedded in the note. Debt discounts under these arrangements are amortized over the term of the related debt to their stated date of redemption and are classified in interest expense in the consolidated results of operations.

2019 Offerings

On January 9, 2019, we entered into an underwriting agreement with H.C. Wainwright & Co., LLC (“H.C. Wainwright”), relating to an underwritten public offering of 13,333,334 shares of our common stock for $0.225 per share. We received proceeds from the offering of approximately $2,437,000, net of expenses and discounts of approximately $563,000. We also issued warrants to purchase 933,334 shares of common stock to H.C. Wainwright in connection with this offering. The warrants are exercisable for five years from the date of issuance at a per share price of $0.2475.

On January 26, 2019, we issued 15,217,392 shares of common stock at a public offering price of $0.23 per share. We received proceeds from the offering of approximately $2,975,000, net of expenses and discounts of approximately $525,000. We also issued warrants to purchase 1,065,217 shares of common stock to the underwriter, H.C. Wainwright, in connection with this offering. The warrants are exercisable for five years from the date of issuance at a per share price of $0.253.

The January 9, 2019 and January 26, 2019 offerings will be referred to collectively as the “2019 Offerings.” As disclosed in Note 13, certain of our directors and executive officers purchased shares in the 2019 Offerings at the public offering price.

Forbearance Agreements

On January 16, 2019, we entered into forbearance agreements with both Partners for Growth IV, L.P. (“PFG”) and Silicon Valley Bank (“SVB”) that among other things, (i) required us to comply with certain milestones in connection with a potential strategic transaction satisfactory to PFG and SVB with an anticipated closing date of on or before April 15, 2019 (the “Milestones”), and (ii) provided for PFG and SVB’s forbearance of their respective rights and remedies resulting from existing and stated potential events of default under the $6.0 million term note (“PFG Term Note”) and SVB asset-based line of credit (“ABL”) until the earlier of (a) the occurrence of an additional event of default or (b) February 15, 2019; provided such date was to automatically extend to (1) February 28, 2019 and then to (2) April 15, 2019 so long as we were in compliance with the Milestones required as of such dates. In addition, the ABL interest rate was increased to 2.25% over the Wall Street Journal prime rate, and the maturity date was extended until April 15, 2019. While the expired forbearance agreements with PFG and SVB acknowledged that we were and anticipated that we would be in violation of certain financial and other covenants of the ABL and the PFG Term Note as of December 31, 2018, January 31, 2019, February 28, 2019 and March 31, 2019, the ABL is currently past its maturity date. We are in discussions with SVB and PFG about possible extensions of the forbearance agreements and of the maturity of the ABL as part of the overall strategic process.

Standstill Agreements

On February 15, 2019, we entered into a standstill agreement with Iliad Research and Trading, L.P. (“Iliad”), related to the $2,625,000 convertible promissory note dated July 17, 2018 (“Convertible Note”) described further in Note 6. The standstill agreement, among other things, provided that Iliad will not seek to redeem any portion of the Convertible Note until April 15, 2019 (the “Standstill”) and increased the outstanding balance of the Convertible Note by approximately $202,000, representing a fee to Iliad for such Standstill. In May 2019, we entered into a second standstill agreement with Iliad (“Second Standstill”). The Second Standstill provides that Iliad will not seek to redeem any portion of the Convertible Note until May 31, 2019. In consideration for the Second Standstill, we agreed to adjust the conversion price on the first $1,250,000 of our debt to Iliad from $0.80 to $0.2273. The Standstill and Second Standstill are referred to collectively as the Standstill Agreements. In May 2019, Iliad converted $350,000 of the Convertible Note balance into 1,539,815 shares of our common stock at a conversion price of $0.2273 per share.

Advance from NovellusDx, Ltd.

On September 18, 2018, we entered into an agreement and plan of merger (“Merger Agreement”) with NovellusDx, Ltd. (“NDX”). In connection with signing the Merger Agreement, NDX loaned us $1,500,000 (“Advance from NDX”). Interest accrued on the outstanding balance at 10.75% per annum until we terminated the Merger Agreement on December 15, 2018. As a result of the termination, the Advance from NDX, plus interest thereon, became due and payable on March 15, 2019. The Company and NDX are currently negotiating a possible resolution or settlement of the Advance from NDX.

Recently Adopted Accounting Standards

In February 2016, the Financial Accounting Standards Board (“FASB”) issued guidance codified in Accounting Standards Codification (“ASC”) 842, Leases, which supersedes the guidance in former ASC 840, Leases, to increase transparency and comparability among organizations by requiring recognition of right-of-use assets and lease liabilities on the balance sheet date. Revenue and expenses are translated at average ratesdisclosure of exchange prevailing duringkey information about leasing arrangements (with the year. Translation adjustments for prior periods haveexception of short-term leases).
In July 2018, the FASB issued Accounting Standards Update (“ASU”) 2018-11 to the existing transition guidance that allows entities to recognize a cumulative-effect adjustment to the opening balance of accumulated deficit in the period of adoption. Effective January 1, 2019, we adopted ASC 842 using this new transition guidance. The comparative information has not been presented,restated and continues to be reported under the accounting standard in effect for those periods.
We have elected to use the package of practical expedients, which allows us to not (1) reassess whether any expired or existing contracts are considered or contain leases; (2) reassess the lease classification for any expired or existing leases; and (3) reassess the initial direct costs for any existing leases. We did not elect the hindsight practical expedient, which permits entities to use hindsight in determining the lease term and assessing impairment.
The most significant impact of adopting ASC 842 is related to the recognition of right-of-use assets and lease liabilities for operating leases. Our accounting for finance leases remains substantially unchanged. The adoption of ASC 842 had no impact on our consolidated statements of operations or total cash flows from operations.
The cumulative effect of the changes made to our consolidated January 1, 2019 balance sheet for the adoption of ASC 842 were as they are not material.follows (in thousands):
  As of December 31, 2018 Adjustment for Adoption of ASC 842 As of January 1, 2019
ASSETS      
Operating lease right-of-use assets $
 $2,643
 $2,643
Other current assets 2,148
 (78) 2,070
  $2,148
 $2,565
 $4,713
LIABILITIES      
Operating lease liabilities $
 $1,080
 $1,080
Deferred rent payable and other 305
 (305) 
Operating lease liabilities, non-current 
 1,790
 1,790
  $305
 $2,565
 $2,870

LiquidityRecent Accounting Pronouncements

In August 2018, the FASB issued ASU 2018-15, Intangibles - Goodwill and Other-Internal-Use Software (Subtopic 350-40): Customer's Accounting for Implementation Costs Incurred in a Cloud Computing Arrangement That Is a Service Contract, which clarifies the accounting for implementation costs in cloud computing arrangements. The update will become effective for interim and annual periods beginning after December 15, 2019 and may be adopted either retrospectively or prospectively. Early adoption is permitted. We plan to adopt this standard prospectively. We are currently evaluating the impact that adoption of this ASU will have on our consolidated financial statements and whether or not to early adopt.

In January 2017, the FASB issued ASU 2017-04, Intangibles - Goodwill and Other (Topic 350): Simplifying the Accounting for Goodwill Impairment,” which removes the requirement to perform a hypothetical purchase price allocation to measure goodwill impairment. A goodwill impairment will now be the amount by which a reporting unit’s carrying value exceeds its fair value, not to exceed the carrying amount of goodwill. ASU 2017-04 is effective for annual periods beginning after December 15, 2019, and interim periods within those annual periods. Early adoption is permitted and applied prospectively. We do not expect ASU 2017-04 to have a material impact on our consolidated financial statements.

Note 2. Going Concern

At September 30, 2017,March 31, 2019, our cash position and history of losses required management to assesassess our ability to continue operating as a going concern, according to FASB Accounting Standards Update No. 2014-15,ASC 205-40, Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern (“ASU 2014-15”). Management evaluated

Concern. The Company does not have sufficient cash at March 31, 2019 to fund normal operations beyond the historynext three months from the date of this report. In addition, while the expired forbearance agreements with PFG and operational losses to have a material effect on ourSVB acknowledged that we were and anticipated that we would be in violation of certain financial and other covenants of the ABL and the PFG Term Note as of December 31, 2018, January 31, 2019, February 28, 2019 and March 31, 2019, the ABL is currently past its maturity date. We are in discussions with SVB and PFG about possible extensions of the forbearance agreements and of the maturity of the ABL as part of the overall strategic process. The Company’s ability to continue as a going concern unless we take actionsis dependent on the Company’s ability to alleviate those conditions. Our primary sourcesextend the forbearance agreements and the term of liquidity have been funds generated from ourthe ABL, raise additional equity or debt financings and equity financings. We have reduced, and plancapital or spin-off non-core assets to raise additional cash. These factors raise substantial doubt about the Company's ability to continue reducing, ouras a going concern.

Net cash used in operating expenses,activities was $4.5 million and expect to grow our revenue in 2017$4.5 million for the three months ended March 31, 2019 and beyond,2018, respectively, and have also increased our cash collections from our customers and third-party payors and plan to continue to improve our cash collection results.
Management believes that its existingthe Company had unrestricted cash and cash equivalents taken together with the borrowings availableof $0.7 million at March 31, 2019, an increase from the Silicon Valley Bank line$0.2 million at December 31, 2018. The Company has negative working capital at March 31, 2019 of credit and the common stock purchase agreement with Aspire Capital Fund, LLC (described in Note 3), will be sufficient$18.0 million.

The Company currently requires a significant amount of additional capital to fund the Company's operations for at least the next twelve months after filing this quarterly report on Form 10-Q.

Acquisition of vivoPharm
On August 15, 2017, we purchased all of the outstanding stock of vivoPharm, withand pay its principal place of business in Victoria, Australia, in a transaction valued at approximately $1.2 million in cash, $9.5 million in the Company's common stock based on the closing price of the stock on August 15, 2017, plus an estimated settlement of $345,000 for excess working capital in accounts payable, and accrued expenses inits ability to continue as a going concern is dependent upon its ability to raise such additional capital and achieve profitability. Raymond James & Associates, Inc. continues to assist us with evaluating strategic options. Such options could include raising more capital, the accompanying balance sheet. The Company has deposited in escrow 20%sale of the stock consideration until the expirationCompany or another type of twelve months from the closing datestrategic partnership. We have reduced our cost of sales and operating expenses by migrating our California laboratory services to serve as the initial source for any indemnification claimsNew Jersey and adjustments. The Company had an estimated $150,000 in transaction costs associated with the purchase of vivoPharm, which were expensedNorth Carolina during the threethird quarter of 2018, and nine months ended September 30, 2017.
Priorwe are continuing to the acquisition, vivoPharm was a contract research organization (“CRO”)pursue strategies to reduce our operating costs. We can provide no assurances that specialized in planning and conducting unique, specialized studies to guide drug discovery and development programs with a concentration in oncology and immuno-oncology. The transaction is being accounted for using the acquisition method of accounting for business combinations in accordance with GAAP. Under this method, the total consideration transferred to consummate the acquisition is being allocated to the identifiable tangible and intangible assets acquired and liabilities assumed based on their respective fair values as of the closing date of the acquisition. The acquisition method of accounting requires extensive use of estimates and judgments to allocate the consideration transferred to the identifiable tangible and intangible assets acquired and liabilities assumed. Accordingly, the allocation of the consideration transferred is preliminary andour current actions will be adjusted upon completionsuccessful or that additional sources of financing with be available to us on favorable terms, if at all. If the final valuation ofCompany is not able to raise such additional capital on a timely basis or on favorable terms, the assets acquired and liabilities assumed. The final valuation is expectedCompany may need to be completed as soon as practicable but no later than twelve months after the closing date of the acquisition.scale back or, in extreme cases, discontinue its operations or liquidate its assets.

The estimated allocation of the purchase price as of August 15, 2017 consists of the following (in thousands):
Cash $544
Accounts receivable 905
Lab supplies 1,258
Prepaid expenses and other current assets 101
Fixed assets 949
Intangible assets 7,014
Goodwill 2,129
Accounts payable and accrued expenses (913)
Deferred revenue (814)
Obligations under capital leases (117)
Total purchase price $11,056

The following table provides certain pro formaconsolidated financial information forstatements do not include any adjustments that might be necessary should the Company be unable to continue as if the acquisition of vivoPharm discussed above occurred on January 1, 2016 (in thousands except per share amounts):
 Three Months Ended September 30 Nine Months Ended September 30,
 2017 2016 2017 2016
Revenue$9,069
 $7,958
 $25,335
 $23,595
Net loss(976) (3,919) (13,788) (13,596)
        
Basic net loss per share$(0.04) $(0.20) $(0.61) $(0.76)
Diluted net loss per share(0.16) (0.20) (0.61) (0.76)

The pro forma numbers above are derived from historical numbers of the Company and vivoPharm. Over time the operations of vivoPharm will be integrated into the operations of the Company. At the current time, we do not have enough information to prepare a reliable estimate of any possible changes.

The results of operations for the three and nine months ended September 30, 2017 include the operations of vivoPharm from August 15, 2017, which accounted for approximately $794,000 of the Company’s consolidated Discovery Services revenue.

The net income of vivoPharm that is included in the Company’s results of operations for the three and nine months ended September 30, 2017 was approximately $380,000.
Recent Accounting Pronouncements
In May 2014, the Financial Accounting Standards Board (“FASB��) issued Accounting Standards Update 2014-09, Revenue from Contracts with Customers (Topic 606) (“ASU 2014-09”), requiring an entity to recognize the amount of revenue to which it expects to be entitled for the transfer of promised goods or services to customers. As issued and amended, ASU 2014-09 will replace most existing revenue recognition guidance in U.S. GAAP when it becomes effective and permits the use of either a full retrospective or retrospective with cumulative effect transition method. The updated standard becomes effective for the Company in the first quarter of fiscal year 2018. Early adoption is permitted in the first quarter of fiscal year 2017. The Company believes its Biopharma Service and Discovery Service revenues will be affected by the new standard. The Company is presently evaluating all of its contracts for performance obligations and variable consideration provisions that may affect the timing of revenue recognition subsequent to ASU 2014-09’s adoption. The Company expects to adopt the new standard on January 1, 2018, using the modified retrospective approach, which involves applying the new standard to all contracts initiated on or after the effective date and recording an adjustment to opening equity for pre-existing contracts that have remaining obligations as of the effective date.going concern.

Note 2.3.     Revenue and Accounts Receivable

Revenue by service type for the three and nine months ended September 30, 2017March 31, 2019 and 20162018 is comprised of the following (in thousands): 

Three Months Ended September 30, Nine Months Ended September 30,Three Months Ended March 31,
2017 2016 2017 20162019 2018
Biopharma Services$4,168
 $3,805
 11,175
 $11,374
$3,964
 $3,658
Clinical Services2,880
 2,687
 8,887
 7,685
1,353
 2,342
Discovery Services980
 258
 1,536
 760
1,522
 1,667
$8,028
 $6,750
 $21,598
 $19,819
$6,839
 $7,667

Discovery Services revenue for the three months ended March 31, 2018 includes approximately $239,000 of revenue from our India subsidiary that was sold in April 2018.

Accounts receivable by service type at September 30, 2017March 31, 2019 and December 31, 20162018 consists of the following (in thousands): 


September 30,
2017
 December 31,
2016
Biopharma Services$3,702
 $3,683
Clinical Services13,072
 8,972
Discovery Services1,300
 480
Allowance for doubtful accounts(2,277) (1,387)

$15,797
 $11,748

Allowance for Doubtful Accounts (in thousands)
Balance, December 31, 2016$1,387
Bad debt expense890
Balance, September 30, 2017$2,277

March 31,
2019
 December 31,
2018
Biopharma Services$3,967
 $3,692
Clinical Services5,906
 6,031
Discovery Services881
 777
Allowance for doubtful accounts(3,462) (3,462)

$7,292
 $7,038

Revenue for Biopharma Services are customized solutions for patient stratificationproviding information regarding genomic and treatment selection through an extensive suite of DNA-based testing services.molecular factors influencing subject responses to therapeutics. Biopharma Services are billed to pharmaceutical and biotechnology companies. Clinical Services are tests performed to provide information on diagnosis prognosis and theranosis of cancers to guide patient management. TheseClinical Services tests can be billed to Medicare, another third party insurer or the referring community hospital or other healthcare facility.

facility, or directly to patients. Discovery Services are services that provide the tools and testing methods for companies and researchers seeking to identify new DNA-based biomarkers for disease. The breakdown of our Clinical Services revenue (as a percent of total revenue) is as follows:


 Three Months Ended September 30, Nine Months Ended September 30,
 2017 2016 2017 2016
Medicare11% 14% 14% 13%
Other insurers19% 21% 22% 20%
Other healthcare facilities6% 5% 5% 6%
 36% 40% 41% 39%

  Three Months Ended March 31,
  2019 2018
Medicare 5% 9%
Other third party payors 15% 21%
  20% 30%
We have historically derived a significant portion of our revenue from a limited number of test ordering sites, although the test ordering sites that generate a significant portion of our revenue have changed from period to period.sites. Test ordering sites account for all of our Clinical Services along with a portion of the Biopharma Services revenue. Our test ordering sites are largely hospitals, cancer centers, reference laboratories, physician offices and biopharmaceutical companies. Oncologists and pathologists at these sites order the tests on behalf of the needs of their oncology patients or as part of a clinical trial sponsored by a biopharmaceutical company in which the patient is being enrolled. We generally do not have formal, long-term written agreements with such test ordering sites, and, as a result, we may lose a significant test ordering site at any time.time, except with biopharmaceutical companies.

The top five test ordering sites during the three months ended September 30, 2017 and 2016 accounted for approximately 45% and 39% of our testing volumes, respectively. During the three months ended September 30, 2017, there was one biopharmaceutical company which accounted for approximately 11% of our total revenue. During the three months ended September 30, 2016, there was one biopharmaceutical company which accounted for approximately 18% of our total revenue.Remaining Performance Obligations:

The top five test ordering sites duringServices offered under the nine months ended September 30, 2017Biopharma and 2016 accountedDiscovery Services frequently take time to complete under their respective contacts. These times vary depending on specific contract arrangements including the length of the study and how samples are delivered to us for processing. In the case of Clinical Services and Discovery Services, the duration of performance obligations is less than one year. As of March 31, 2019, the Company had approximately 40% and 31% of our testing volumes, respectively. During$36.8 million in remaining performance obligations in the nine months ended September 30, 2017, there was one biopharmaceutical company which accounted for approximately 11% of our total revenue. DuringBiopharma Services area. We expect to recognize the nine months ended September 30, 2016, there was one biopharmaceutical company which accounted for approximately 10% of our total revenue.remaining performance obligations over the next two years.

Note 3.    Common Stock Purchase Agreement with Aspire Capital

On August 14, 2017, we entered into a Common Stock Purchase Agreement (the “Purchase Agreement”) with Aspire Capital Fund, LLC, an Illinois limited liability company (“Aspire Capital”), which provides that Aspire Capital is committed to purchase up to an aggregate of $16.0 million of our common stock (the “Purchase Shares”) from time to time over the term of the Purchase Agreement. Aspire Capital made an initial purchase of 1,000,000 Purchase Shares (the “Initial Purchase”) at a purchase price of $3.00 per share on the commencement date of the agreement.

After the commencement date, on any business day over the 24-month term of the Purchase Agreement, we have the right, in our sole discretion, to present Aspire Capital with a purchase notice (each, a “Purchase Notice”) directing Aspire Capital to purchase up to 33,333 Purchase Shares per business day, provided that Aspire Capital will not be required to buy Purchase Shares pursuant to a Purchase Notice that was received by Aspire Capital on any business day on which the last closing trade price of our common stock on the NASDAQ Capital Market is below $3.00. The Company and Aspire Capital also may mutually agree to increase the number of shares that may be sold to as much as an additional 2,000,000 Purchase Shares per business day. The purchase price per Purchase Share will be $3.00. As consideration for entering into the Purchase Agreement, we issued 320,000 shares of our common stock to Aspire Capital (“Commitment Shares”).

The number of Purchase Shares covered by and timing of each Purchase Notice are determined by us, at our sole discretion. The aggregate number of shares that we can sell to Aspire Capital under the Purchase Agreement may in no case exceed 3,938,213 shares of our common stock (which is equal to approximately 19.9% of the common stock outstanding on the date of the Purchase Agreement), including the 320,000 Commitment Shares and the 1,000,000 Initial Purchase Shares, unless shareholder approval is obtained to issue additional shares.

Our net proceeds will depend on several factors, including the frequency of our sales of Purchase Shares to Aspire Capital and the frequency at which the last closing trade price of our common stock is below $3.00, subject to a maximum of $16.0 million in gross proceeds, including the Initial Purchase. Our delivery of Purchase Notices will be made subject to market conditions, in light of our capital needs from time to time and under the limitations contained in the Purchase Agreement. We currently intend to use the net proceeds from sales of Purchase Shares for general corporate purposes and working capital requirements.

As of September 30, 2017, the Company has sold 1,000,000 shares under this agreement at $3.00 per share, resulting in proceeds of approximately $2,965,000, net of offering costs of approximately $35,000. The Company has also issued 320,000 shares as consideration for entering into the Purchase Agreement. The Company has not deferred any offering costs associated with this

agreement.

Note 4.     Earnings Per Share

For purposes of this calculation, stock warrants, outstanding stock options, convertible debt and unvested restricted shares are considered common stock equivalents using the treasury stock method, and are the only such equivalents outstanding.

Basic net loss and diluted net loss per share data For all periods presented, all common stock equivalents outstanding were computed as follows (in thousands except per share data):

 Three Months Ended September 30, Nine Months Ended September 30,
 2017 2016 2017 2016
Numerator:       
Net (loss) for basic earnings per share$(633) $(3,745) $(12,979) $(13,027)
Change in fair value of warrant liability2,790
 
 
 
Net (loss) for diluted earnings per share$(3,423) $(3,745) $(12,979) $(13,027)
Denominator:       
Weighted-average basic common shares outstanding21,577
 16,519
 20,059
 14,868
Assumed conversion of dilutive securities:       
Common stock purchase warrants782
 
 
 
Potentially dilutive common shares782
 
 
 
Denominator for diluted earnings per share – adjusted weighted-average shares22,359
 16,519
 20,059
 14,868
Basic net (loss) per share$(0.03) $(0.23) $(0.65) $(0.88)
Diluted net (loss) per share$(0.15) $(0.23) $(0.65) $(0.88)
        
The above table includes adjustments to diluted earnings per share in accordance with FASB Accounting Standards Codification (“ASC”) 260. The adjustments were required for the three months ended September 30, 2017 as the derivative warrants were dilutive and the change in fair value of the derivative warrants was a gain.anti-dilutive.

The following table summarizes equivalent units outstanding that were excluded from the earnings per share calculation because their effects were anti-dilutive (in thousands):

Three Months Ended September 30, Nine Months Ended September 30,Three Months Ended March 31,
2017 2016 2017 20162019 2018
Common stock purchase warrants4,163
 7,145
 6,574
 7,145
12,053
 10,055
Stock options2,816
 2,128
 2,816
 2,128
2,290
 2,534
Convertible note3,767
 
Advance from NovellusDx, Ltd.2,690
 
Restricted shares of common stock115
 73
 115
 73
28
 683
7,094
 9,346
 9,505
 9,346
20,828
 13,272

Note 5. SaleLeasing Arrangements

Operating Leases

We lease our laboratory, research facility and administrative office space under various operating leases. We also lease office and scientific equipment under various finance leases.

We determine if an arrangement is a lease at inception. Operating leases are included in operating lease right-of-use (“ROU”) assets, operating lease liabilities, and operating lease liabilities, non-current on our consolidated balance sheets. Finance leases are included in fixed assets, net of Netaccumulated depreciation and obligations under finance leases.


ROU assets represent our right to use an underlying asset for the lease term and lease liabilities represent our obligation to make lease payments arising from the lease. Operating Losses

On February 22, 2017,lease ROU assets and operating lease liabilities are recognized based on the present value of the future minimum lease payments over the lease term at the commencement date. As our leases do not provide an implicit rate, we sold $18,177,059use our incremental borrowing rate based on the information available at the commencement date in determining the present value of gross Statelease payments. Our incremental borrowing rate was determined by adjusting our secured borrowing interest rate for the longer-term nature of New Jersey NOL’s relating toour leases. Our variable lease payments primarily consist of maintenance and other operating expenses from our real estate leases. Variable lease payments are excluded from the 2014ROU assets and 2015 tax years for approximately $876,000 as well as $167,572 of state researchlease liabilities and development tax credits. The sale resultedare recognized in the net receipt byperiod in which the Companyobligation for those payments is incurred. As our leases do not provide an implicit rate, we use our incremental borrowing rate based on the information available at the commencement date in determining the present value of approximately $970,000. This figurelease payments. The operating lease ROU asset also includes all costsany lease payments made and expenses associatedexcludes lease incentives incurred. Our lease terms may include options to extend or terminate the lease when it is reasonably certain that we will exercise that option. Lease expense for minimum lease payments is recognized on a straight-line basis over the lease term.

We have lease agreements with lease and non-lease components. We have elected to account for these lease and non-lease components as a single lease component. We are also electing not to apply the salerecognition requirements to short-term leases of these state tax attributestwelve months or less and instead will recognize lease payments as deducted fromexpense on a straight-line basis over the gross sales pricelease term.

The components of $1,043,517.lease expense were as follows for the three months ended March 31, 2019 (in thousands):

Operating lease cost $276
Short-term lease cost 24
Variable lease cost 62
Total lease expense $362

Other supplemental information related to leases was as follows for the three months ended March 31, 2019:

Weighted average remaining lease term (in years)
Operating leases3.18
Weighted average discount rate
Operating leases7.87%

We did not enter into any new leases that met scope during the three months ended March 31, 2019.

At March 31, 2019, future estimated minimum lease payments under non-cancelable operating leases were as follows (in thousands):

2019 (remaining 9 months) $860
2020 966
2021 598
2022 563
2023 94
Total minimum lease payments 3,081
Less amount representing interest 453
Total $2,628

Note 6. Financing

Term NotesNote and Line of Credit


On March 22, 2017, we refinanced our debt with Silicon Valley Bank (“SVB”), by repaying the outstanding term loan (“SVB Term Note”), which was scheduled to mature in April 2019, and entered into a new two year asset-based revolving line of

credit agreement.agreement (“ABL”) with SVB. The new SVB credit facility providesprovided for an asset-based line of credit (“ABL”)ABL for an amount not to exceed the lesser of (a) $6.0 million or (b) 80% of eligible accounts receivable plus the lesser of 50% of the net collectible value of third party accounts receivable or three (3) times the average monthly collection amount of third party accounts receivable over the previous quarter. The ABL requiresrequired monthly interest payments at the Wall Street Journal prime rate plus 1.50% (5.75% at September 30, 2017) and matureswas scheduled to mature on March 22, 2019. We paid to SVB a $30,000 commitment fee at closing and willalso pay a fee of 0.25% per year on the average unused portion of the ABL. In August 2018, the maximum borrowings were reduced from $6.0 million to $3.0 million. In January 2019, the interest rate was adjusted to the Wall Street Journal prime rate plus 2.25% (7.75% at March 31, 2019) and the maturity date was extended through April 15, 2019, subject to the Company satisfying certain milestones of the forbearance agreement discussed in Note 1. At September 30, 2017,March 31, 2019, we have borrowed $2.0borrowings of approximately $2.4 million on the ABL.

We concurrently entered into the PFG Term Note, which is a new three year $6.0 million term loan agreement (“PFG Term Note”) with Partners for Growth IV, L.P. (“PFG”).agreement. The PFG Term Note is an interest only loan with the full principal and any outstanding interest due at maturity on March 22, 2020. Interest is payable monthly at a rate of 11.5% per annum, with the possibility of reducing to 11.0% in 2018 based on achieving certain financial milestones set forth by PFG.annum. We may prepay the PFG Term Note in whole or part at any time without penalty. We paidAt March 31, 2019, the principal amount of the PFG a commitment fee of $120,000 at closing.Term Note was $6,000,000.


Both loan agreements require us to comply with certain financial covenants, including minimum adjusted EBITDA, revenue and liquidity covenants, and restrict us from, among other things, paying cash dividends, incurring debt and entering into certain transactions without the prior consent of the lenders. Repayment of amounts borrowed under the new loan agreements may be accelerated if an event of default occurs, which includes, among other things, a violation of such financial covenants and negative covenants.
While the expired forbearance agreements with PFG and SVB acknowledged that we were and anticipated that we would be in violation of certain financial and other covenants of the ABL and the PFG Term Note as of December 31, 2018, January 31, 2019, February 28, 2019 and March 31, 2019, the ABL is currently past its maturity date. We are in discussions with SVB and PFG about possible extensions of the forbearance agreements and of the maturity of the ABL as part of the overall strategic process. During the three months ended March 31, 2019, the Company incurred approximately $167,000 of lender fees associated with the forbearance agreements that were expensed due to prior and expected future violations of the covenants.

Our obligations to SVB under the ABL facility are secured by a first priority security interest on substantially all of our assets, and our obligations under the PFG Term Note are secured by a second priority security interest subordinated to the SVB lien.

Convertible Note

On July 17, 2018, the Company entered into the Convertible Note, pursuant to which the Company issued a convertible promissory note to an institutional accredited investor in the initial principal amount of $2,625,000. The Company received consideration of $2,500,000, reflecting an original issue discount of $100,000, a beneficial conversion feature discount of approximately $328,000 and expenses payable by the Company of $25,000. The Convertible Note has an 18 month term and carries interest at 10% per annum. The note is convertible into shares of the Company’s common stock at a conversion price of $0.80 per share (“Conversion Price”) upon five trading days’ notice, subject to certain adjustments (standard dilution) and ownership limitations specified in the Convertible Note. In connectionMay 2019, the conversion price was reduced to $0.2273 for $1,250,000 of the balance of the Convertible Note; the remainder is still convertible at $0.80.

Prior to the Standstill Agreements, the investor could redeem any portion of the Convertible Note upon five trading days’ notice, beginning January 17, 2019, subject to a maximum monthly redemption amount of $650,000, with the Company having the option to pay such redemptions in cash, the Company’s common stock at the Conversion Price, or by a combination thereof, subject to certain conditions, including that the stock price is $1.00 per share or higher. After taking into consideration the Standstill Agreements, Iliad cannot request a monthly redemption until June 1, 2019. The Company may prepay the outstanding balance of the Convertible Note, in part or in full, at a 10% premium to par value if prior to the one year anniversary of the date of issuance and at par if prepaid thereafter. At maturity, the Company may pay the outstanding balance in cash, the Company’s common stock at the Conversion Price, or by a combination thereof, subject to certain conditions. The note provides that in the event of default, the lender may, at its option, elect to increase the outstanding balance applying the default effect (defined as outstanding balance at date of default multiplied by 15% plus outstanding amount) by providing written notice to the Company. In addition, the interest rate increases to 22% upon default. The default effect and default interest rate provisions qualify as embedded derivatives with an estimated fair value of $55,000 at March 31, 2019.

The Convertible Note is the general unsecured obligation of the Company and is subordinated in right of payment to the ABL and PFG Term Note. The following is a summary of the Convertible Note we issued seven year warrants tobalance at March 31, 2019 (in thousands):


Convertible Note, net of discounts of $46$2,781
Less unamortized debt issuance costs3
Convertible Note, net$2,778

In May 2019, Iliad converted $350,000 of the lenders to purchase an aggregate of 443,262Convertible Note balance into 1,539,815 shares of our common stock at an exercise$0.2273 per share.

Advance from NDX

On September 18, 2018, we entered into the Merger Agreement with NDX. In connection with signing the Merger Agreement, NDX loaned us $1,500,000. Interest accrued on the outstanding balance at 10.75% per annum until we terminated the Merger Agreement on December 15, 2018. As a result of the termination, the Advance from NDX, plus interest thereon, became due and payable on March 15, 2019. The termination was a specified event of default, so on December 15, 2018, the interest rate was increased to 21%. The default also gives NDX the right to convert all, but not less than all, of the outstanding balance into shares of the Company’s common stock at a conversion price of $2.82$0.606 per share. The numberAt March 31, 2019, the principal balance of warrants may be reduced by 20% subject to us achieving certain financial milestones set forth by PFG.the Advance from NDX was $1,500,000.

The followingAdvance from NDX is a summarythe general unsecured obligation of long-term debt (in thousands):
 September 30, 2017 December 31, 2016
SVB Term Note, repaid in 2017$
 $4,667
PFG Term Note, net of discount of $8655,135
 
Less unamortized debt issuance costs199
 13
Term notes, net4,936
 4,654
Less current maturities
 2,000
Long-term portion$4,936
 $2,654
    
At September 30, 2017, the principal amountCompany and is subordinated in right of payment to the ABL and PFG Term Note, provided that NDX has asserted that its obligation to standstill under its subordination agreements will not be applicable at a time when the Company attains certain levels of $6,000,000 is due in 2020.unrestricted cash, as a result of the Company having improperly terminated the Merger Agreement. The Company does not believe it improperly terminated the Merger Agreement. The Company and NDX are currently negotiating a possible resolution or settlement of the Advance from NDX.

Note 7. Capital Stock

2019 Offerings

On January 9, 2019, we entered into an underwriting agreement with H.C. Wainwright & Co., LLC (“H.C. Wainwright”), relating to an underwritten public offering of 13,333,334 shares of our common stock for $0.225 per share. We received proceeds from the offering of approximately $2,437,000, net of expenses and discounts of approximately $563,000.

On January 26, 2019, we issued 15,217,392 shares of common stock at a public offering price of $0.23 per share. We received proceeds from the offering of approximately $2,975,000, net of expenses and discounts of approximately $525,000.

In May 2019, Iliad converted $350,000 of the Convertible Note into an aggregate of 1,539,815 shares of our common stock at a conversion price of $0.2273 per share.

Note 7.8. Stock-Based Compensation

We have two equity incentive plans: the 2008 Stock Option Plan (the “2008 Plan”) and the 2011 Equity Incentive Plan (the “2011 Plan”, and together with the 2008 Plan, the “Stock Option Plans”). The Stock Option Plans are meant to provide additional incentive to officers, employees and consultants to remain in our employment. Options granted are generally exercisable for up to 10 years. Effective April 9, 2018, the Company cannot issue additional options from the 2008 Plan.

At September 30, 2017, 391,317March 31, 2019, 730,051 shares remain available for future awards under the 2011 Plan and 134,354 shares remain available for future awards under the 2008 Plan.

A summary of employee and non-employee stock option activity for the ninethree months ended September 30, 2017March 31, 2019 is as follows:

 Options Outstanding 
Weighted-
Average
Remaining
Contractual
Term (in years)
 
Aggregate
Intrinsic
Value
(in thousands)
 
Number of
Shares
(in thousands)
 
Weighted-
Average
Exercise
Price
 
Outstanding January 1, 20172,198
 $9.09
 7.04 $
Granted860
 2.87
    
Exercised(3) 2.23
    
Cancelled or expired(239) 10.80
    
Outstanding September 30, 20172,816
 $7.05
 7.19 $367
Exercisable September 30, 20171,533
 $9.54
 5.69 $76
 Options Outstanding 
Weighted-
Average
Remaining
Contractual
Term (in years)
 
Aggregate
Intrinsic
Value
(in thousands)
 
Number of
Shares
(in thousands)
 
Weighted-
Average
Exercise
Price
 
Outstanding January 1, 20193,004
 $5.77
 5.70 $
Granted95
 0.44
    
Cancelled or expired(809) 8.00
    
Outstanding March 31, 20192,290
 $4.76
 7.13 $
Exercisable March 31, 20191,189
 $7.94
 5.42 $

Aggregate intrinsic value represents the difference between the fair value of our common stock and the exercise price of outstanding, in-the-money options. During the three and nine months ended September 30, 2017, the Company received approximately $2,500 and $6,500, respectively, from the exercise of options.

As of September 30, 2017,March 31, 2019, total unrecognized compensation cost related to non-vested stock options granted to employees was $2,865,963$780,553 which we expect to recognize over the next 2.323.20 years.

As of September 30, 2017, total unrecognized compensation cost related to non-vested stock options granted to non-employees was $12,625 which we expect to recognize over the next 0.25 years. The estimate of unrecognized non-employee compensation is based on the fair value of the non-vested options as of September 30, 2017.

The fair value of options granted to employees is estimated on the grant date using the Black-Scholes option valuation model. This valuation model requires us to make assumptions and judgments about the variables used in the calculation, including the expected term (the period of time that the options granted are expected to be outstanding), the volatility of our common stock, a risk-free interest rate, and expected dividends. To the extent actual forfeitures differ from the estimates, the differenceForfeitures will be recorded as a cumulative adjustment in the period estimates are revised.when they occur. No compensation cost is recorded for options that do not vest. We use the simplified calculation of expected life described in the SEC’s Staff Accounting Bulletin No. 107, Share-Based Payment, and volatility is based on the historical volatility of our common stock. The risk-free rate is based on the U.S. Treasury yield curve in effect at the time of grant for periods corresponding with the expected life of the option. We use an expected dividend yield of zero, as we do not anticipate paying any dividends in the foreseeable future. Forfeitures will be recorded when they occur.

The following table presents the weighted-average assumptions used to estimate the fair value of options granted to employees during the periods presented:
 Three Months Ended September 30, Nine Months Ended September 30,
 2017 2016 2017 2016
Volatility75.28% 74.30% 74.60% 74.30%
Risk free interest rate1.92% 1.17% 1.97% 1.17%
Dividend yield0.00% 0.00% 0.00% 0.00%
Term (years)5.73
 5.92
 5.90
 5.92
Weighted-average fair value of options granted during the period1.91
 1.30
 1.89
 1.30

In May 2014, we issued 200,000 options to our Director, Raju Chaganti, with an exercise price of $15.89. See Note 12 for additional information. The following table presents the weighted-average assumptions used to estimate the fair value of options reaching their measurement date for non-employees during the periods presented:

Three Months Ended September 30, Nine Months Ended September 30,Three Months Ended March 31,
2017 2016 2017 20162019
Volatility74.39% 72.97% 76.06% 74.50%90.15%
Risk free interest rate2.17% 1.46% 2.19% 1.43%2.54%
Dividend yield0.00% 0.00% 0.00% 0.00%0.00%
Term (years)6.64
 7.64
 6.89
 7.89
6.32
Weighted-average fair value of options granted during the period$0.34

Restricted stock awards have been granted to employees, directors and consultants as compensation for services. At September 30, 2017,March 31, 2019, there was $383,829$34,285 of unrecognized compensation cost related to non-vested restricted stock granted to employees and directors; we expect to recognize the cost over 1.500.44 years.

The following table summarizes the activities for our non-vested restricted stock awards for the ninethree months ended September 30, 2017:March 31, 2019:
 Non-vested Restricted Stock Awards
 Number of
Shares
(in thousands)
 Weighted-Average Grant Date Fair Value
Non-vested at January 1, 201780
 $6.30
Granted65
 3.29
Vested(30) 8.30
Non-vested at September 30, 2017115
 $4.09
 Non-vested Restricted Stock Awards
 Number of
Shares
(in thousands)
 Weighted-Average Grant Date Fair Value
Non-vested at January 1, 201929
 $3.43
Cancelled(1) 6.30
Non-vested at March 31, 201928
 $3.33


The following table presents the effects of stock-based compensation related to stock option and restricted stock awards to employees and non-employees on our Consolidated Statements of Operations and Other Comprehensive Loss during the periods presented (in thousands):
Three Months Ended September 30, Nine Months Ended September 30,Three Months Ended March 31,
2017 2016 2017 20162019 2018
Cost of revenues$122
 $83
 $250
 $219
$28
 $91
Research and development11
 45
 110
 140
8
 15
General and administrative356
 356
 949
 1,095
116
 158
Sales and marketing30
 30
 86
 84
6
 10
Total stock-based compensation$519
 $514
 $1,395
 $1,538
$158
 $274

Note 8.9. Warrants

On March 22, 2017,January 14, 2019, we issued seven year933,334 warrants to PFG and certain of its affiliates to purchase an aggregate of 443,262 shares of our common stock at an exercise price$0.2475 per share. The warrants are immediately exercisable and expire on January 9, 2024. On January 31, 2019 we issued 1,065,217 warrants to purchase common stock at $0.253 per share. These warrants are immediately exercisable and expire on January 26, 2024. All of $2.82 per share,these warrants were issued in conjunction with our debt refinancing described in Note 5. The number of warrants may be reduced by 20% subject to us achieving certain financial milestones set forth by PFG. The warrants can be net settled in common stock using the average 90-trading day price of our common stock. These warrants are defined in the table below as 2017 Debt derivative warrants.

During the three and nine months ended September 30, 2017, the Company received approximately $56,000 and $1,827,000, respectively, from shareholders who exercised warrants to purchase 25,000 and 811,900 shares of common stock, respectively, at $2.25. In addition, on March 28, 2017, warrant holders exercised warrants to purchase 90,063 shares of common stock at an exercise price of $2.25 per share using the net issuance exercise method whereby 45,162 shares were surrendered as payment in full of the exercise price resulting in a net issuance of 44,901 shares.2019 Offerings.

The following table summarizes the warrant activity for the ninethree months ended September 30, 2017March 31, 2019 (in thousands, except exercise price): 

Issued With / ForExercise
Price
 Warrants
Outstanding
January 1,
2017
 2017 Warrants Issued 2017 Warrants Exercised Warrants Outstanding September 30, 2017Exercise
Price
 Warrants
Outstanding
January 1,
2019
 2019 Warrants Issued Warrants Outstanding March 31, 2019
Non-Derivative Warrants:                
Financing$10.00
  243
 
 
 243
$10.00
  243
 
 243
Financing15.00
  361
 
 
 361
15.00
  276
 
 276
Debt guarantee15.00
  109
 
 
 109
2015 Offering5.00
  3,450
 
 
 3,450
5.00
  3,450
 
 3,450
2017 Debt0.92

443
 
 443
2019 Offering0.2475
 
 933
 933
2019 Offering0.253
 
 1,065
 1,065
Total non-derivative warrants6.42
C4,163
 
 
 4,163
3.86
B4,412
 1,998
 6,410
Derivative Warrants:                
2016 Offerings2.25
A2,870
 
 (902) 1,968
2.25
A1,968
 
 1,968
2017 Debt2.82
B
 443
 
 443
2017 Offering2.35
A3,500
 
 3,500
2017 Offering2.50
A175
 
 175
Total derivative warrants2.35
C2,870
 443
 (902) 2,411
2.32
B5,643
 
 5,643
Total$4.93
C7,033
 443
 (902) 6,574
$3.14
B10,055
 1,998
 12,053

AThese warrants are subject to fair value accounting and contain a contingent net cash settlement feature. See Note 10.
BThese warrants are subject to fair value accounting and contain a net settlement provision that uses the 90-trading day price of our common stock. These warrants are subject to a 20% reduction if certain financial milestones are met.
CWeighted-average exercise prices are as of September 30, 2017.March 31, 2019.

Note 9.10. Fair Value of Warrants

The following table summarizes the derivative warrant activity subject to fair value accounting for the ninethree months ended September 30, 2017March 31, 2019 (in thousands):

Issued with/forFair value of
warrants
outstanding as of
December 31, 2016
 Fair value
of warrants
issued
 Fair value
of warrants exercised
 Change in
fair value
of warrants
 Fair value of
warrants
outstanding as of
September 30, 2017
Fair value of warrants
outstanding as of
December 31, 2018
 Change in fair
value of warrants
 Fair value of warrants
outstanding as of
March 31, 2019
2016 Offerings$2,018
 $
 $(2,782) $4,107
 $3,343
$225
 $30
 $255
2017 Debt
 1,004
 
 (180) 824
2017 Offering23
 (23) 
$2,018
 $1,004
 $(2,782) $3,927
 $4,167
$248
 $7
 $255

The derivative warrants issued as part of the 2016 Offerings are valued using a probability-weighted Binomial model, while the derivative warrants issued as part ofin conjunction with the 2017 Debt refinancingOffering are valued using a Monte CarloBlack-Scholes model. The following tables summarize the assumptions used in computing the fair value of derivative warrants subject to fair value accounting at the date of issue or exercise during the three and nine months ended September 30, 2017 and 2016, and at September 30, 2017March 31, 2019 and December 31, 2016.2018.

Issued During the Exercised During the       
2016 OfferingsThree Months Ended September 30, 2016Nine Months Ended September 30, 2016 Three Months Ended September 30, 2017Nine Months Ended September 30, 2017 As of September 30, 2017 As of December 31, 2016As of March 31, 2019 As of December 31, 2018
Exercise price$2.25
$2.25
 $2.25
$2.25
 $2.25
 $2.25
$2.25
 $2.25
Expected life (years)5.50
5.50
 4.30
4.78
 4.33
 5.06
2.83
 3.08
Expected volatility73.28%74.36% 74.20%76.24% 75.07% 72.82%108.55% 100.51%
Risk-free interest rate1.21%1.30% 1.81%1.94% 1.92% 1.93%2.21% 2.46%
Expected dividend yield%% %% % %% %


2017 DebtIssued During the Nine Months Ended September 30, 2017 As of September 30, 2017
2017 OfferingAs of March 31, 2019 As of December 31, 2018
Exercise price$2.82
 $2.82
$2.36
 $2.36
Expected life (years)7.00
 6.48
0.19
 0.44
Expected volatility74.61% 74.07%62.86% 172.5%
Risk-free interest rate2.22% 2.16%2.44% 2.56%
Expected dividend yield% %% %

Note 10.11. Fair Value Measurements

Fair value is 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. The Fair Value Measurements and Disclosures Topic of the FASB ASC requires the use of valuation techniques that are consistent with the market approach, the income approach and/or the cost approach. Inputs to valuation techniques refer to the assumptions that market participants would use in pricing the asset or liability. Inputs may be observable, meaning those that reflect the assumptions market participants would use in pricing the asset or liability developed based on market data obtained from independent sources, or unobservable, meaning those that reflect our own assumptions about the assumptions market participants would use in pricing the asset or liability developed based on the best information available in the circumstances. In that regard, the Topic establishes a fair value hierarchy for valuation inputs that give the highest priority to quoted prices in active markets for identical assets or liabilities and the lowest priority to unobservable inputs. The fair value hierarchy is as follows:

Level 1: Quoted prices (unadjusted) for identical assets or liabilities in active markets that we have the ability to access as of the measurement date.

Level 2: Significant other observable inputs other than Level 1 prices such as quoted prices for similar assets or liabilities, quoted prices in markets that are not active, or other inputs that are observable or can be corroborated by observable market data.

Level 3: Significant unobservable inputs that reflect our own assumptions about the assumptions that market participants would use in pricing an asset or liability.

The following table summarizes the financial liabilities measured at fair value on a recurring basis segregated by the level of valuation inputs within the fair value hierarchy utilized to measure fair value (in thousands):
September 30, 2017March 31, 2019
Total Quoted Prices in
Active Markets for
Identical Assets
(Level 1)
 Significant Other
Observable
Inputs
(Level 2)
 Significant
Unobservable
Inputs
(Level 3)
Total Quoted Prices in
Active Markets for
Identical Assets
(Level 1)
 Significant Other
Observable
Inputs
(Level 2)
 Significant
Unobservable
Inputs
(Level 3)
Warrant liability$4,167
 $
 $
 $4,167
$255
 $
 $
 $255
Note payable228
 
 
 228
20
 
 
 20
Other derivatives55
 
 
 55
$4,395
 $
 $
 $4,395
$330
 $
 $
 $330
              
December 31, 2016December 31, 2018
Total Quoted Prices in
Active Markets for
Identical Assets
(Level 1)
 Significant Other
Observable
Inputs
(Level 2)
 Significant
Unobservable
Inputs
(Level 3)
Total Quoted Prices in
Active Markets for
Identical Assets
(Level 1)
 Significant Other
Observable
Inputs
(Level 2)
 Significant
Unobservable
Inputs
(Level 3)
Warrant liability$2,018
 $
 $
 $2,018
$248
 $
 $
 $248
Note payable114
 
 
 114
20
 
 
 20
Other derivatives86
 $
 $
 86
$2,132
 $
 $
 $2,132
$354
 $
 $
 $354
       

At March 31, 2019 and December 31, 2018, the Company had a liability payable to VenturEast from a prior acquisition. The ultimate payment to VenturEast will be the fair value of 84,278 shares of our common stock at the time of payment. The value of the note payable to VenturEast was determined using the fair value of our common stock. During the three months ended

September 30, 2017 and 2016, March 31, 2018, we recognizedrecorded a gain of approximately $105,000 and $18,000, respectively,$17,000 due to the change in value of the note. DuringNo adjustment was required during the ninethree months ended September 30, 2017 and 2016, we recognized a lossMarch 31, 2019, as the closing price of approximately $114,000 and a gain of approximately $119,000, respectively, due toour common stock on March 31, 2019 was the change in value of the note.same as it was on December 31, 2018.

At September 30, 2017,March 31, 2019, the warrant liability consists of stock warrants issued as part of the 2016 Offerings and 2017 Offering that contain contingent redemption features and warrants issued as part of the debt refinancing outlined in Note 6.net settlement features. In accordance with derivative accounting for warrants, we calculated the fair value of these warrants and the assumptions used are described in Note 9,10, “Fair Value of Warrants.” During the three months ended September 30, 2017 and 2016, we recognized gains of approximately $2,790,000 and $712,000, respectively, on the derivative warrants due to the decrease in our stock price. During the nine months ended September 30, 2017,March 31, 2019, we recognized a loss of approximately $3,927,000$7,000 on the derivative warrants. During the three months ended March 31, 2018, we recorded a gain of approximately $692,000 on the derivative warrants primarily due to changes in our stock price. During the nine months ended September 30, 2016, we recorded a gain of approximately $712,000 on the derivative warrants due to changes in our stock price. During the nine months ended September 30, 2016, we also recorded a gain of approximately $17,000 due to the expiration of derivative warrants outstanding at December 31, 2015.

Realized and unrealized gains and losses related to the change in fair value of the VenturEast note, and warrant liability and other derivatives are included in other income (expense) on the Consolidated Statements of Operations.Operations and Other Comprehensive Loss.

The following table summarizes the activity of the note payable to VenturEast and of our derivative warrants and other derivatives, which waswere measured at fair value using Level 3 inputs (in thousands):
 Note Payable Warrant
 to VenturEast Liability
Fair value at December 31, 2016$114
 $2,018
Fair value of warrants issued
 1,004
Fair value of warrants exercised
 (2,782)
Change in fair value114
 3,927
Fair value at September 30, 2017$228
 $4,167
 Note Payable Warrant Other
 to VenturEast Liability Derivatives
Fair value at December 31, 2018$20
 $248
 $86
Change in fair value
 7
 (31)
Fair value at March 31, 2019$20
 $255
 $55

Note 11.12. Joint Venture Agreement

In November 2011, we entered into an affiliation agreement with the Mayo Foundation for Medical Education and Research (“Mayo”), subsequently amended. Under the agreement, we formed a joint venture with Mayo in May 2013 to focus on developing oncology diagnostic services and tests utilizing next generation sequencing. The joint venture is a limited liability

company, with each party initially holding fifty percent of the issued and outstanding membership interests of the new entity (the “JV”).

The agreement requires aggregate capital contributions by us of up to $6.0 million, of which $2.0 million has been paid to date. The timing of the remaining installments is subject to the JV's achievement of certain operational milestones agreed upon by the board of governors of the JV. In exchange for its membership interest, Mayo’s capital contribution takes the form of cash, staff, services, hardware and software resources, laboratory space and instrumentation, the fair market value of which will be approximately equal to $6.0 million. Mayo’s continued contribution will also be conditioned upon the JV’s achievement of certain milestones. We are in the process of winding down the JV.

During the three months ended March 31, 2019, there was no activity in the JV. Our share of the JV’s net loss was approximately $2,000 and $18,000 for the three months ended September 30, 2017 and 2016, and approximately $21,000 and $45,000 for the nine months ended September 30, 2017 and 2016, respectively,March 31, 2018, and is included in research and development expense on the Consolidated Statements of Operations.Operations and Other Comprehensive Loss. We have a net receivable due from the JV of approximately $10,000 at September 30, 2017,March 31, 2019, which is included in other assets in the Consolidated Balance Sheets.

The joint venture is considered a variable interest entity under ASC 810-10, but we are not the primary beneficiary as we do not have the power to direct the activities of the JV that most significantly impact its performance. Our evaluation of ability to impact performance is based on our equal board membership and voting rights and day-to-day management functions which are performed by the Mayo personnel.

Note 12.13. Related Party Transactions


We havehad a consulting agreement with Equity Dynamics, Inc. (“EDI”), an entity controlled by the Chairman of our Board of Directors, John Pappajohn, effective April 1, 2014 through August 31, 2018, pursuant to which EDI receivesreceived a monthly fee of $10,000. Total expenses for each of the three months ended September 30, 2017 and 2016March 31, 2018 were $30,000. Total expenses for each of the nine months ended September 30, 2017 and 2016 were $90,000. As of September 30, 2017,March 31, 2019, we owed EDI $20,000.$70,000.

As described in Note 1, the Company closed two public offerings in January 2019, in which various executives and directors purchased shares at the public offering price. On January 14, 2019, John Pappajohn, John Roberts, our President and Chief Executive Officer, and Geoffrey Harris, a Director, purchased 1,000,000 shares, 100,000 shares and 100,000 shares, respectively, at the public offering price of $0.225 per share. On January 31, 2019, John Pappajohn, John Roberts, Edmund Cannon, a Director, and M. Glenn Miles, our Chief Financial Officer, purchased 1,000,000 shares, 185,436 shares, 43,479 shares and 150,000 shares, respectively, at the public offering price of $0.23 per share.

Note 14. Contingencies

On April 5, 2018 and April 12, 2018, purported stockholders of the Company filed nearly identical putative class action lawsuits in the U.S. District Court for the District of New Jersey, against the Company, Panna L. Sharma, John A. Roberts, and Igor Gitelman, captioned Ben Phetteplace v. Cancer Genetics, Inc. et al., No. 2:18-cv-05612 and Ruo Fen Zhang v. Cancer Genetics, Inc. et al., No. 2:18-06353, respectively. The complaints alleged violations of Sections 10(b) and 20(a) of the Securities Exchange Act of 1934 and SEC Rule 10b-5 based on allegedly false and misleading statements and omissions regarding our business, operational, and financial results. The lawsuits sought, among other things, unspecified compensatory damages in connection with purchases of our stock between March 23, 2017 and April 2, 2018, as well as interest, attorneys’ fees, and costs. On August 28, 2018, the Court consolidated the two actions in one action captioned In 2010,re Cancer Genetics, Inc. Securities Litigation (the “Securities Litigation”) and appointed shareholder Randy Clark as the lead plaintiff. On October 30, 2018, the lead plaintiff filed an amended complaint, adding Edward Sitar as a defendant and seeking, among other things, compensatory damages in connection with purchases of CGI stock between March 10, 2016 and April 2, 2018. On December 31, 2018, Defendants filed a motion to dismiss the amended complaint for failure to state a claim. The Company is unable to predict the ultimate outcome of the Securities Litigation and therefore cannot estimate possible losses or ranges of losses, if any.

In addition, on June 1, 2018, September 20, 2018, and September 25, 2018, purported stockholders of the Company filed nearly identical derivative lawsuits on behalf of the Company in the U.S. District Court for the District of New Jersey against the Company (as a nominal defendant) and current and former members of the Company’s Board of Directors and current and former officers of the Company. The three cases are captioned: Bell v. Sharma et al., No. 2:18-cv-10009-CCC-MF, McNeece v. Pappajohn et al., No. 2:18-cv-14093, and Workman v. Pappajohn, et al., No. 2:18-cv-14259 (the “Derivative Litigation”). The complaints allege claims for breach of fiduciary duty, violations of Section 14(a) of the Securities Exchange Act of 1934 (premised upon alleged omissions in the Company’s 2017 proxy statement), and unjust enrichment, and allege that the individual defendants failed to implement and maintain adequate controls, which resulted in ineffective disclosure controls and

procedures, and conspired to conceal this alleged failure. The lawsuits seek, among other things, damages and/or restitution to the Company, appropriate equitable relief to remedy the alleged breaches of fiduciary duty, and attorneys’ fees and costs. On November 9, 2018, the Court in the Bell v. Sharma action entered a stipulation filed by the parties staying the Bell action until the Securities Litigation is dismissed, with prejudice, and all appeals have been exhausted; or the defendants’ motion to dismiss in the Securities Litigation is denied in whole or in part; or either of the parties in the Bell action gives 30 days’ notice that they no longer consent to the stay. On December 10, 2018, the parties in the McNeece action filed a stipulation that is substantially identical to the Bell stipulation. On February 1, 2019, the Court in the Workman action granted a stipulation that is substantially identical to the Bell stipulation. The Company is unable to predict the ultimate outcome of the Derivative Litigation and therefore cannot estimate possible losses or ranges of losses, if any.

Note 15. Subsequent Events

Sale of NOL’s

On April 4, 2019, we sold $11,638,516 of gross State of New Jersey NOL’s relating to the 2017 tax year as well as $71,968 of state research and development tax credits. The sale resulted in the net receipt by the Company of approximately $512,000. This figure includes all costs and expenses associated with the sale of these state tax attributes as deducted from the gross sales price of approximately $521,000.

Second Standstill

On May 3, 2019, we entered into a three-year consulting agreementthe Second Standstill with Dr. Chaganti, which was subsequently renewed through December 31, 2016 pursuantIliad. The Second Standstill provides that Iliad will not seek to which Dr. Chaganti received $5,000 per month for providing consulting and technical support services. Pursuant to the termsredeem any portion of the renewed consulting agreement, Dr. Chaganti receivedConvertible Note until May 31, 2019. In consideration for the Second Standstill, we agreed to adjust the conversion price on the first $1,250,000 of our debt to Iliad from $0.80 to $0.2273. The remaining balance will still be convertible at $0.80 per share. On May 6, 2019 and May 8, 2019, Iliad converted an option to purchase 200,000aggregate of $350,000 of the Convertible Note balance into 1,539,815 shares of our common stock at $0.2273 per share.

Nasdaq Notifications

Our common stock is listed on the Nasdaq Capital Market. In order to maintain that listing, we must satisfy minimum financial and other requirements including, without limitation, a purchaserequirement that our closing bid price be at least $1.00 per share and that we hold an annual meeting of stockholders within twelve months of the end of our fiscal year. In addition, on January 29, 2019, the Company received written notice from the Listing Qualifications Staff of The Nasdaq Stock Market (“Nasdaq”) notifying the Company that it was required to seek stockholder approval of the execution of the NDX Credit Agreement, under which the Company was advanced $1,500,000, the outstanding balance of which, including interest, is convertible, at the option of NDX, into shares of common stock at a conversion price of $15.89$0.606 per share, vesting over a period of four years. Total non-cash stock-based compensation recognized underdue to the consulting agreementpotential for the three months ended September 30, 2017 and 2016 was $12,625 and $7,125, respectively. Total non-cash stock-based compensation recognized underCompany, upon a conversion of such outstanding balance, with interest, to be required to issue common stock at a discount to the consultingmarket price of the common stock on the day of execution of such agreement forin excess of 20% of the nine months ended September 30, 2017 and 2016 was $62,125 and $32,750, respectively. Alsopre-transaction outstanding shares of common stock, pursuant to Nasdaq Listing Rule 5635(d) (the “Approval Requirement”).

Nasdaq’s notice had no immediate effect on the consulting agreement, Dr. Chaganti assigned to us all rights to any inventions which he may invent during the course of rendering consulting services to us. In exchange for this assignment, if the USPTO issues a patent for an invention on which Dr. Chaganti is listed as an inventor, we are required to pay Dr. Chaganti (i) a one-time payment of $50,000 and (ii) 1% of any net revenues we receive from any licensed saleslisting of the invention. Incommon stock on the first quarter of 2016, we paid Dr. Chaganti $50,000Nasdaq Capital Market. Under Nasdaq Listing Rule 5810(c)(2)(C), the Company had 45 calendar days from January 29, 2019 to submit to Nasdaq a plan to regain compliance with the Approval Requirement, which the Company submitted on March 15, 2019, and which was recognized as an expense in fiscal 2015 when one patent was issued.
Note 13. Contingenciesapproved on May 15, 2019, subject to the Company’s shareholders approving the potential issuances to Novellus at the annual meeting of shareholders currently scheduled for May 31, 2019, or the Company otherwise curing the deficiency on or before May 31, 2019. There can be no assurance that the shareholders will approve such issuances.

InOn January 3, 2019, we received written notice from the normal courseListing Qualifications Staff Nasdaq notifying us that we no longer comply with Nasdaq Listing Rule 5620(a) due to our failure to hold an annual meeting of business,stockholders within twelve months of the Company may become involved in various claims and legal proceedings. Inend of our fiscal year ended December 31, 2017 (the “Annual Meeting Requirement”). We had 45 calendar days from January 3, 2019, or until February 19, 2019, to submit to Nasdaq a plan to regain compliance with the opinion of management, the ultimate liability or disposition thereof is not expectedAnnual Meeting Requirement, which we submitted on February 19, 2019. On May 15, 2019, Nasdaq accepted our plan subject to have a material adverse effectour holding our annual meeting on our financial condition, results of operations, or liquidity.May 31, 2019.

On November 13, 2018, we received a written notice from Nasdaq indicating that we were not in compliance with the minimum bid price requirement for continued listing on the Nasdaq Capital Market. We had 180 calendar days in which to regain compliance, or until May 13, 2019, which we did not do. On May 15, 2019, Nasdaq granted us an additional 180 days within which to regain compliance.


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

As used herein, the “Company,” “CGI,” “we,” “us,” “our” or similar terms, refer to Cancer Genetics, Inc. and its wholly owned subsidiaries:subsidiaries at March 31, 2019: Cancer Genetics Italia, S.r.l., Gentris, LLC, and BioServe Biotechnologies (India) Private Limited,vivoPharm Pty, Ltd, except as expressly indicated or unless the context otherwise requires. The following Management’s Discussion and Analysis of Financial Condition and Results of Operations (“MD&A”) is intended to help facilitate an understanding of our financial condition and our historical results of operations for the periods presented. This MD&A should be read in conjunction with the audited consolidated financial statements and notes thereto included in our annual report on Form 10-K filed with the SEC on March 23, 2017.April 16, 2019. This MD&A may contain forward-looking statements that involve risks and uncertainties. See “Cautionary Note Regarding Forward-Looking Statements” below.

Overview

We are an emerging leader in the field ofenabling precision medicine enablingin oncology by providing multi-disciplinary diagnostic and data solutions, facilitating individualized therapies in the field of oncology through our diagnostic products andtests, services and molecular markers. We develop, commercialize and provide molecular- and biomarker-based tests and services, that enable physicians to personalize the clinical management of each individual patient by providing genomic information to better diagnose, monitorincluding proprietary preclinical oncology and inform cancer treatment andimmuno-oncology services, that enable biotech and pharmaceutical companies engaged in oncology trials to better select candidate populations and reduce adverse drug reactions by providing information regarding genomic factors influencing subject responses to therapeutics. Through our clinical services, we enable physicians to personalize the clinical management of each individual patient by providing genomic information to better diagnose, monitor and inform cancer treatment. We have a comprehensive, disease-focused oncology testing portfolio.portfolio, and an extensive set of anti-tumor referenced data based on predictive xenograft and syngeneic tumor models. Our tests and techniques target a wide range of cancers,indications, covering nineall ten of the top ten cancers in prevalence in the United States, with additional unique capabilities offered by our FDA-cleared Tissue of Origin® test for identifying difficult to diagnose tumor types or poorly differentiated metastatic disease. Following the acquisition of vivoPharm Pty Ltd (“vivoPharm”) we provide contract research services, focused primarily on unique specialized studies to guide drug discovery and development programs in the oncology and immuno-oncology fields.

Our vision is to become the oncology diagnostics partner for biopharmaceuticalWe are currently executing a strategy of partnering with pharmaceutical and biotech companies and clinicians as oncology diagnostic specialists by participating in the entire care continuum from benchsupporting therapeutic discovery, development and patient care. Pharmaceutical and biotech companies are increasingly attracted to bedside. Wework with us to provide molecular profiles on clinical trial participants. Similarly, we believe the diagnosticsoncology industry is undergoing a rapid evolution in its approach to oncologydiagnostic, prognostic and treatment outcomes (theranostic) testing, embracing precision medicine and individualized testing as a means to drive higher standards of patient treatment and disease management. Similarly, biopharmaceutical companies are increasingly engaging companies such as ours to provide information on clinical trial participants' molecularThese profiles in order tomay help identify biomarker and genomic variations that may be responsible for differing responses to pharmaceuticals, and particularly to oncology drugs,therapies, thereby increasing the efficiency of trials while lowering related costs. We believe tailored therapeuticsand combination therapies can revolutionize oncology medicinecare through molecular- and biomarker-based testing services, enabling physicians and researchers to target the factors that make each patient and disease unique.

Our services are performed at our state-of-the-art laboratories locatedWe believe the next shift in New Jersey, Pennsylvania, North Carolina, California, Shanghai (China), Victoria (Australia),cancer management will bring together testing capabilities for germline, or inherited mutations, and Hyderabad (India). Our laboratories comply withsomatic mutations that arise in tissues over the highest regulatory standardscourse of a lifetime. We have created a unique position in the industry by providing both targeted somatic analysis of tumor sample cells alongside germline analysis of an individual's non-cancerous cells' molecular profile as we attempt to continue achieving milestones in precision medicine.

as appropriate for the services they deliver including CLIA, CAP, NY State, California State and NABL (India). Our services are built on a foundation of world-class scientific knowledge and intellectual property in solid and blood-borne cancers, as well as strong academic relationships with major cancer centers such as Memorial Sloan-Kettering, Mayo Clinic, and the National Cancer Institute.

Our clinical offerings include our portfolio of proprietary tests targeting hematological, urogenital and HPV-associated cancers, in conjunction with ancillary non-proprietary tests. Our proprietary tests target cancers that are difficult to prognose and predict treatment outcomes through currently available mainstream techniques. We provide our proprietary tests and services, along with a comprehensive range of non-proprietary oncology-focused tests and laboratory services, to oncologists and pathologists at hospitals, cancer centers, and physician offices, as well as biotech and pharmaceutical companies to support their clinical trials. Our proprietary tests are based principally on our expertise in specific cancer types, test development methodologies and proprietary algorithms correlating genetic events with disease specific information. Our portfolio primarily includes comparative genomic hybridization (CGH) microarrays and next generation sequencing (NGS) panels, gene expression tests, and DNA fluorescent in situ hybridization (FISH) probes.

The non-proprietary testing services we offer are focused in part on specific oncology categories where we are developing our proprietary tests. We believe that there is significant synergy in developing and marketing a complete set of tests and services that are disease focused and delivering those tests and services in a comprehensive manner to help with treatment decisions.

The insight that we develop in delivering the non-proprietary services are often leveraged in the development of our proprietary programs and now increasingly in the validation of our proprietary programs, such as MatBA and Focus::NGS.

We
Net cash used in operating activities was $4.5 million and $4.5 million for the three months ended March 31, 2019 and 2018, respectively, and the Company had unrestricted cash and cash equivalents of $0.7 million at March 31, 2019, an increase from $0.2 million at December 31, 2018. The Company has negative working capital at March 31, 2019 of $18.0 million.

The Company currently requires a significant amount of additional capital to fund operations and pay its accounts payable, and its ability to continue as a going concern is dependent upon its ability to raise such additional capital and achieve profitability. If the Company is not able to raise such additional capital on a timely basis or on favorable terms, the Company may need to scale back or, in extreme cases, discontinue its operations or liquidate its assets.

While we have implemented an aggressive consolidation strategy to reduce our operating costs in 2018 and the first quarter of 2019, including the closure of our California laboratory and facility, we expect to continue to incur significantmaterial losses for the near future. We incurred losses of $15.8$20.4 million and $20.2$20.9 million for fiscal years ended December 31, 20162018 and 2015,2017, respectively, and $13.0$4.6 million for the ninethree months ended September 30, 2017. 

March 31, 2019. As of September 30, 2017,March 31, 2019, we had an accumulated deficit of $126.9$162.3 million. We need to raise additional capital or execute on our plans to execute a strategic transaction. There can be no assurance that additional capital will be available to us on acceptable terms, if at all, or that we will complete a strategic transaction. In addition, we are in default of certain financial covenants in our credit agreements with our senior lenders and our ABL matured on April 15, 2019. While the expired forbearance agreements with PFG and SVB acknowledging that we were and anticipating that we would be in violation of certain financial and other covenants of the ABL and the PFG Term Note as of December 31, 2018, January 31, 2019, February 28, 2019 and March 31, 2019, the ABL is currently past its maturity date. We are in discussions with SVB and PFG about possible extensions of the forbearance agreements and of the maturity of the ABL as part of the overall strategic process.

Acquisitions2019 Offerings

On August 15, 2017,In January 2019, we purchased all closed two public offerings and issued an aggregate of the outstanding stock28,550,726 shares of vivoPharm, with its principal place of business in Victoria, Australia, in a transaction valued at approximately $1.2 million in cash, $9.5 million in the Company's common stock based on the closing pricefor approximately $5.4 million, net of the stock on August 15, 2017, plus an estimated accrued settlementexpenses and discounts of $345,000 for excess working capital.approximately $1.1 million. The Company has depositedalso issued 1,998,551 warrants to its underwriters in escrow 20% of the stock consideration until the expiration of twelve months from the closing date to serve as the initial source for any indemnification claims and adjustments.

vivoPharm is a contract research organization (“CRO”) that specializes in planning and conducting unique, specialized studies to guide drug discovery and development programsconjunction with a concentration in oncology and immuno-oncology. These studies range from early compound selection to developing comprehensive sets of in vitro and in vivo data, as needed for FDA Investigational New Drug (“IND”) applications. vivoPharm has developed industry recognized capabilities in early phase development and discovery, especially in immuno-oncology models, tumor micro-environment studies, specialized pharmacology services, and PDx (patient derived xenograft) model studies that support basic discovery, preclinical and phase 1 clinical trials.

vivoPharm maintains three international locations, enabling the company to access global market opportunities. The headquarters in Victoria, Australia, specializes in safety and toxicology studies, including mammalian, genetic and in vitro, along with bioanalytical services including immune-analytical capabilities. vivoPharm’s U.S. based lab, located at the Hershey Center for Applied Research in Hershey, Pennsylvania, primarily focuses on screening and efficacy testing for a wide range of pharmaceutical and chemical products. The third location, in Munich, Germany, hosts project management and marketing personnel. Further, vivoPharm brings to CGI an additional 38 employees, 16 of which are located in the U.S. and 17 in Australia, with expertise in early stage discovery services and pre-clinical testing.

vivoPharm’s studies have been utilized to support over 200 IND submissions to date across a range of therapeutic indications, including lymphomas, leukemia, GI-cancers, liver cancer, pancreatic cancer, non-small cell lung cancer, and other non-cancer rare diseases. vivoPharm is presently serving over forty biotechnology and pharmaceutical companies across five continents in over 55 studies and trials with highly specialized development, clinical and preclinical research. Over the past 10 years, vivoPharm has also generated an extensive library of human xenograft and syngeneic tumor models, including subcutaneous, orthotopic and metastatic models.


vivoPharm’s specialized tumor and disease models, toxicology and pharmacology services and animal imaging capabilities provide CGI opportunities to deepen its relationships with existing biopharma customers through additional discovery and downstream molecular work, while also furthering CGI’s previously announced initiative aimed at early-phase drug repurposing and drug rescue programs.these offerings.

Key Factors Affecting our Results of Operations and Financial Condition

Our overall long-term growth plan is predicated on our ability to develop and commercialize our proprietary tests, penetrateor acquire technology solutions to accelerate the penetration into the Biopharma community to achieve more revenue supporting clinical trials and develop and penetrate the Indian market.commercialize unique or proprietary services and tests to achieve sustainable organic growth. Our unique and proprietary tests include CGH microarrays, NGS panels, and DNA FISH probes. We continue to develop additional proprietary tests. To facilitate market adoption of our proprietary tests, we anticipate having to successfully complete additional studies with clinical samples and publish our results in peer-reviewed scientific journals. Our ability to complete such studies is dependent upon our ability to leverage our collaborative relationships with pharmaceutical and biotechnology companies and leading institutions to facilitate our research and obtain data for our quality assurance and test validation efforts.

We believe that the factors discussed in the following paragraphs have had and are expected to continue to have a material impact on our results of operations and financial condition.

Revenues

Our revenue is primarily generated through our ClinicalBiopharma Services, Discovery Services and BiopharmaClinical Services. Clinical Services can be billed to Medicare, another third party insurer or the referring community hospital or other healthcare facility or patients in accordance with state and federal law. Biopharma Services are billed to the customer directly. While we have agreements with our Biopharma clients, volumes from these clients are subject to the progression and continuation of the clinical trials which can impact testing volume. We also derive revenue from Discovery Services, which are services provided in the development of new compounds testing assays and methods.methods and include pre-clinical toxicology and efficacy studies. Discovery Services are billed directly to the customer. Our Clinical Services can be billed to Medicare, another third party insurer or the referring community hospital or other healthcare facility, or patients in accordance with state and federal law.

We have historically derived a significant portion of our revenue from a limited number of test ordering sites, although the test ordering sites that generate a significant portion of our revenue have changed from period to period. Test ordering sites account for all of our Clinical Services revenue along with a portion of the Biopharma Services revenue. Our test ordering sites are hospitals, cancer centers, reference laboratories, physician offices, and biopharmaceuticalpharmaceutical and biotechnology companies. Oncologists and pathologists at these sites order the tests on behalf of the needs of their oncology patients or as part of a clinical trial sponsored by a biopharmaceuticalpharmaceutical or biotechnology company in which the patient is being enrolled.

The top five test ordering sites during the three months ended September 30, 2017 and 2016 accounted for approximately 45% and 39% of our testing volumes, respectively. During the three months ended September 30, 2017, one Biopharma client accounted for approximately 11% of our revenue. During the three months ended September 30, 2016, one Biopharma client accounted for approximately 18% of our revenue.

The top five test ordering sites during the nine months ended September 30, 2017 and 2016 accounted for approximately 40% and 31% of our testing volumes, respectively. During the nine months ended September 30, 2017, there was one biopharmaceutical company which accounted for approximately 11% of our total revenue. During the nine months ended September 30, 2016, there was one biopharmaceutical company which accounted for approximately 10% of our total revenue.

We receive revenue for our Clinical Services from Medicare, other insurance carriers and other healthcare facilities. Some of our customers choose, generally at the beginning of our relationship, to pay for laboratory services directly as opposed to having patients (or their insurers) pay for those services and providing us with the patients’ insurance information. A hospital may elect to be a direct bill customer and pay our bills directly, or may provide us with patient information so that their patients pay our bills, in which case we generally expect payment from their private insurance carrier or Medicare. In a few instances, we have arrangements where a hospital may have two accounts with us, so that certain tests are billed directly to the hospital, and certain tests are billed to and paid by a patient’s insurer. The billing arrangements generally are dictated by our customers and in accordance with state and federal law.

For the three months ended September 30, 2017,March 31, 2019, Medicare and other third party payors accounted for approximately 11%5% and 15% of our total revenue, other insurance accounted for approximately 19% of our total revenue and other healthcare facilities accounted for 6% of our total revenue. For the nine months ended September 30, 2017, Medicare accounted for approximately 14% of our total revenue, other insurance accounted for approximately 22% of our total revenue and other healthcare facilities accounted for 5% of our total revenue. On average, we generate less revenue per test from other healthcare facilities billed directly, than from other insurance payers. respectively.

Cost of Revenues

Our cost of revenues consists principally of internal personnel costs, including non-cash stock-based compensation, laboratory consumables, shipping costs, overhead and other direct expenses, such as specimen procurement and third party validation studies. We are pursuing various strategies to reduce and control our cost of revenues, including automating our processes through more efficient technology and attempting to negotiate improved terms with our suppliers. With our three acquisitions in 2014 and 2015,Overall, we have made significant progress with integrating our resources and services and leveraging enterprise wide purchasing power to gain supplier discounts, in an effort to reduce costs. With our acquisition of vivoPharm in the third quarter of 2017, we are working to integrate its business and reduce costs. We will continue to assess other possible advantages to help us improve our cost structure.structure, including other consolidations of operations and further reductions in headcount.

Operating Expenses

We classify our operating expenses into threefour categories: research and development, sales and marketing, and general and administrative.administrative, and merger costs. Our operating expenses principally consist of personnel costs, including non-cash stock-based compensation, facility costs, outside services, laboratory consumables and overhead, development costs, marketing program costs and legal and accounting fees.

Research and Development Expenses.We incur research and development expenses principally in connection with our efforts to develop our proprietary tests. Our primary research and development expenses consist of direct personnel costs, laboratory equipment and consumables and overhead expenses. In 2013, we entered into a joint venture with the Mayo Foundation for Medical Education and Research, with a focus on developing oncology diagnostic services and tests utilizing next generation sequencing. These efforts have continued. All research and development expenses are charged to operations in the periods they are incurred.

General and Administrative Expenses. General and administrative expenses consist principally of personnel-related expenses, professional fees, such as legal, accounting and business consultants, occupancy costs, bad debt and other general expenses. We have experienced decreasesincurred increases in our general and administrative expenses butand anticipate only modest increases as we expand our business operations.

Sales and Marketing ExpensesExpenses.. Our sales and marketing expenses consist principally of personnel and related overhead costs for our sales team and their support personnel, travel and entertainment expenses, and other selling costs including sales collaterals and trade shows. We expect our sales and marketing expenses to increasedecrease as we expand into newexisting geographies and add newcustomize clinical tests and services.

Merger Costs. In the pursuit of various strategic options for the Company, legal and other professional costs are incurred while evaluating, negotiating, executing and implementing merger and acquisition alternatives. While this expense is a non-recurring cost, until such time as we complete a strategic transaction, we expect to incur these expenses in the near term.

Seasonality

Our business experiences decreased demand during spring vacation season, summer months and the December holiday season when patients are less likely to visit their health care providers. We expect this trend in seasonality to continue for the foreseeable future.

Results of Operations

Three Months Ended September 30, 2017March 31, 2019 and 20162018

The following table sets forth certain information concerning our results of operations for the periods shown: 

Three Months Ended September 30, ChangeThree Months Ended March 31, Change
(dollars in thousands)2017 2016 $ %2019 2018 $ %
Revenue$8,028
 $6,750
 $1,278
 19 %$6,839
 $7,667
 $(828) (11)%
Cost of revenues4,588
 4,444
 144
 3 %4,637
 5,082
 (445) (9)%
Research and development expenses981
 1,594
 (613) (38)%454
 681
 (227) (33)%
General and administrative expenses4,346
 3,701
 645
 17 %3,309
 5,260
 (1,951) (37)%
Sales and marketing expenses1,301
 1,054
 247
 23 %1,108
 1,591
 (483) (30)%
Merger costs249
 
 249
 N/A
Loss from operations(3,188) (4,043) 855
 (21)%(2,918) (4,947) 2,029
 (41)%
Interest income (expense)(340) (107) (233) 218 %
Interest income (expense), net(1,723) (218) (1,505) 690 %
Change in fair value of acquisition note payable105
 18
 87
 483 %
 17
 (17) (100)%
Change in fair value of other derivatives31
 
 31
 N/A
Change in fair value of warrant liability2,790
 712
 2,078
 292 %(7) 692
 (699) (101)%
Other expense
 (325) 325
 (100)%
Net (loss)$(633) $(3,745) $3,112
 (83)%$(4,617) $(4,456) $(161) 4 %

Non-GAAP Financial Information

In addition to disclosing financial results in accordance with United States generally accepted accounting principles (“GAAP”), the table below contains non-GAAP financial measures that we believe are helpful in understanding and comparing our past financial performance and our future results. The non-GAAP financial measures disclosed by the Company exclude the non- operating changes in the fair value of derivative instruments. These non-GAAP financial measures should not be considered a substitute for, or superior to, financial measures calculated in accordance with GAAP, and the financial results calculated in accordance with GAAP and reconciliations from these results should be carefully evaluated. Management believes that these non-GAAP measures provide useful information about the Company’s core operating results and thus are appropriate to enhance the overall understanding of the Company’s past financial performance and its prospects for the future. The non-GAAP financial measures in the table below include adjusted net (loss) and the related adjusted basic and diluted net (loss) per share amounts.

Reconciliation from GAAP to Non-GAAP Results (in thousands, except per share amounts):
 Three Months Ended September 30, Three Months Ended March 31,
 2017 2016 2019 2018
Reconciliation of net (loss):        
Net (loss) $(633) $(3,745) $(4,617) $(4,456)
Adjustments:        
Change in fair value of acquisition note payable (105) (18) 
 (17)
Change in fair value of other derivatives (31) 
Change in fair value of warrant liability (2,790) (712) 7
 (692)
Adjusted net (loss) $(3,528) $(4,475) $(4,641) $(5,165)
Reconciliation of basic net (loss) per share:    
Basic net (loss) per share $(0.03) $(0.23)
Reconciliation of basic and diluted net (loss) per share:    
Basic and diluted net (loss) per share $(0.09) $(0.16)
Adjustments to net (loss) (0.13) (0.04) 
 (0.03)
Adjusted basic net (loss) per share $(0.16) $(0.27)
Basic weighted-average shares outstanding 21,577
 16,519
Reconciliation of diluted net (loss) per share:    
Diluted net (loss) per share $(0.15) $(0.23)
Adjustments to net (loss) (0.01) (0.04)
Adjusted diluted net (loss) per share $(0.16) $(0.27)
Diluted weighted-average shares outstanding 22,359
 16,519
Adjusted basic and diluted net (loss) per share $(0.09) $(0.19)
Basic and diluted weighted-average shares outstanding 48,933
 27,049

Adjusted net (loss) decreased 21%10% to $3.5$4.6 million during the three months ended September 30, 2017, downMarch 31, 2019, from an adjusted net (loss) of $4.5$5.2 million during the three months ended September 30, 2016.March 31, 2018. Adjusted basic net (loss) per share decreased 41% to $0.16 during the three months ended September 30, 2017, down from $0.27 during the three months ended September 30,

2016. Adjustedand diluted net (loss) per share decreased 41%53% to $0.16$0.09 during the three months ended September 30, 2017, downMarch 31, 2019 from $0.27$0.19 during the three months ended September 30, 2016.March 31, 2018.

RevenueRevenues

The breakdown of our revenue is as follows:
 Three Months Ended September 30, Change
 2017 2016    
(dollars in thousands)$ % $ % $ %
Biopharma Services$4,168
 52% $3,805
 56% $363
 10%
Clinical Services2,880
 36% 2,687
 40% 193
 7%
Discovery Services980
 12% 258
 4% 722
 280%
Total Revenue$8,028
 100% $6,750
 100% $1,278
 19%

Revenue increased 19%, or $1.3 million, to $8.0 million for the three months ended September 30, 2017, fromMarch 31, 2019 and 2018 is as follows:

 Three Months Ended March 31, Change
 2019 2018    
(dollars in thousands)$ % $ % $ %
Biopharma Services3,964
 58% $3,658
 48% $306
 8 %
Clinical Services1,353
 20% 2,342
 30% (989) (42)%
Discovery Services1,522
 22% 1,667
 22% (145) (9)%
Total Revenue$6,839
 100% $7,667
 100% $(828) (11)%

Revenue decreased 11%, or $0.8 million, to $6.8 million for the three months ended September 30, 2016, principally due to an increase in Discovery Services of $0.7March 31, 2019, from $7.7 million and an increase in our Biopharma Services of $0.4 million. Our average revenue per test decreased to $376 per test for the three months ended September 30, 2017 from $397 per test for the three months ended September 30, 2016,March 31, 2018, principally due to the additionala decrease in Clinical Services volume from our Los Angeles facility, which yields lower average revenue per test. Test volume increasedof $1.0 million, partially offset by 11% from 12,348 tests for the three months ended September 30, 2016 to 13,726 tests for the three months ended September 30, 2017.an increase in Biopharma Services of $0.3 million.

Revenue from Biopharma Services increased 10%8%, or $0.4$0.3 million, to $4.2$4.0 million for the three months ended September 30, 2017,March 31, 2019, from $3.8$3.7 million for the three months ended September 30, 2016March 31, 2018 due to completing more studies from its top ten customers.the ongoing delivery of our services under existing contracts and the continued demand for our services. Revenue from Clinical Services customers increaseddecreased by $0.2$1.0 million, or 7%42%, compared tofor the three months ended September 30, 2016,March 31, 2019 due to increased clinical test volume.the reduction in number of direct sales personnel and the elimination of certain tests from our testing requisition forms. Revenue from Discovery Services increased 280%decreased 9%, or $0.7$0.1 million, during the three months ended September 30, 2017March 31, 2019 due to the acquisitionsale of vivoPharm,our India subsidiary in April 2018, which accounted for $0.8$0.2 million of our Discovery Services revenue during the increase.three months ended March 31, 2018.

Cost of Revenues

Cost of revenues increased 3%, or $0.1decreased $0.4 million to $4.6 million for the three months ended September 30, 2017,March 31, 2019 from $5.1 million for the three months ended March 31, 2018, principally due to increaseddecreased payroll and benefit costs of $0.2$0.4 million and decline in facility costs and depreciation of $0.1 million each, all of which are primarily due to the migration of our California lab services to our New Jersey and North Carolina locations in the third quarter of 2018. These decreases were offset, in part, by reducedincreases in lab supplies and shipping costs of supplies used in our testing facilities of $0.1 million.million each. Gross margin improveddeclined to 43%32% during the three months ended September 30, 2017 upMarch 31, 2019 from 34% forduring the three months ended September 30, 2016.March 31, 2018, due to lower revenue in the comparable periods and an increase in lab supplies and shipping costs.

Operating Expenses

Research and development expenses decreased 38%33%, or $0.6$0.2 million, to $1.0$0.5 million for the three months ended September 30, 2017,March 31, 2019, from $0.7 million for the three months ended March 31, 2018, principally due to reduced lab supplies usage and payroll and benefit costs of $0.1 million each due to the shift in our staffing costs as we reduced the amount of research and development initiatives and concentrated our staff on the delivery of our services. Given the current financial condition of the Company, we are limiting our spending for research and development expenses to our most promising projects.

General and administrative expenses decreased 37%, or $2.0 million, to $3.3 million for the three months ended March 31, 2019, from $5.3 million for the three months ended March 31, 2018, principally due to decreased payroll and benefit costs of $1.2 million and declines in rent expense and depreciation and amortization of $0.1 million each, all of which are primarily due to the migration of our California lab services to our New Jersey and North Carolina locations in the third quarter of 2018. In addition, our bad debt expense decreased by $0.5 million.

Sales and marketing expenses decreased 30%, or $0.5 million, to $1.1 million for the three months ended March 31, 2019, from $1.6 million for the three months ended September 30, 2016,March 31, 2018, principally due to a $0.3 million decrease indecreased payroll and benefit costs of $0.4 million and a $0.3 million decrease in lab supplies used to validate new diagnostic testsdecreased travel, meals and perform certain research and development projects.entertainment costs of $0.1 million.

General and administrative expenses increased 17%, or $0.6Merger costs of $0.2 million to $4.3 millionwere incurred for the three months ended September 30, 2017, from $3.7 million for the three months ended September 30, 2016,March 31, 2019 principally due to an increase in our bad debt reservethe evaluation and pursuit of $0.7 million and an increase in payroll and other benefits of $0.3 million, offset by a $0.2 million decrease in facility costs resulting from the elimination of building management fees at our North Carolina location and decreased professional fees and taxes of $0.1 million each.

Sales and marketing expenses increased 23%, or $0.2 million, to $1.3 million for the three months ended September 30, 2017, from $1.1 million for the three months ended September 30, 2016, principally due to increased compensation costs of $0.3 million and offset by decreased facility costs of $0.1 million.strategic options.

Interest Income (Expense)

Net interest expense increased 218%690%, or $0.2 million, to $0.3$1.5 million, during the three months ended September 30, 2017March 31, 2019 principally due to the higher effective interest rateamortization of the discount on our refinanced debt.debt and debt issuance costs on the Advance from NovellusDx, Ltd. and the Convertible Note of $1.1 million. We also incurred $0.2 million of standstill fees in conjunction with the Convertible Note standstill agreement and an aggregate $0.2 million of forbearance fees associated with the forbearance agreements with SVB and PFG.

Change in Fair Value of Acquisition Note Payable

The change in fair value of note payable resulted in approximately $105,000 and $18,000 of non-cash income for the three months ended September 30, 2017 and 2016, respectively. The fair value of the note representing part of the purchase price for BioServe decreased during the three months ended September 30, 2017 and 2016 as a consequence of a decrease in our stock price.

Change in Fair Value of Warrant Liability

Changes in fair value of some of our common stock warrants may impact our quarterly results.  Accounting rules require us to record certain of our warrants as a liability, measure the fair value of these warrants each quarter and record changes in that value in earnings. As a result of changes in our volatility expectations, we recognized non-cash expense of $7,000 for the three months ended March 31, 2019, as opposed to a non-cash income of $0.7 million during the three months ended March 31, 2018 that resulted from a decrease in our stock price, we recognized non-cash income of $2.8 million and $0.7 million for the three months ended September 30, 2017 and 2016, respectively. In the future, if our stock price increases, with all other factors being equal, we would record a non-cash charge as a result of changes in the fair value of our common stock warrants. Alternatively, if the stock price decreases, with all other factors being equal, we may record non-cash income.

Other Expense

During the three months ended September 30, 2016, we expensed $0.3 million of offering costs associated with the derivative warrants issued in the 2016 Offerings. 

Nine Months Ended September 30, 2017 and 2016

The following table sets forth certain information concerning our results of operations for the periods shown: 
 Nine Months Ended September 30, Change
(dollars in thousands)2017 2016 $ %
Revenue$21,598
 $19,819
 $1,779
 9 %
Cost of revenues12,831
 12,832
 (1)  %
Research and development expenses3,080
 4,806
 (1,726) (36)%
General and administrative expenses11,352
 11,677
 (325) (3)%
Sales and marketing expenses3,437
 3,731
 (294) (8)%
Loss from operations(9,102) (13,227) 4,125
 (31)%
Interest income (expense)(760) (323) (437) 135 %
Change in fair value of acquisition note payable(114) 119
 (233) (196)%
Change in fair value of warrant liability(3,927) 729
 (4,656) (639)%
Other income(46) (325) 279
 (86)%
Loss before income taxes(13,949) (13,027) (922) 7 %
Income tax provision (benefit)(970) 
 (970) n/a
Net (loss)$(12,979) $(13,027) $48
  %

Non-GAAP Financial Information

In addition to disclosing financial results in accordance with United States generally accepted accounting principles (“GAAP”), the table below contains non-GAAP financial measures that we believe are helpful in understanding and comparing our past financial performance and our future results. The non-GAAP financial measures disclosed by the Company exclude the non- operating changes in the fair value of derivative instruments. These non-GAAP financial measures should not be considered a substitute for, or superior to, financial measures calculated in accordance with GAAP, and the financial results calculated in accordance with GAAP and reconciliations from these results should be carefully evaluated. Management believes that these non-GAAP measures provide useful information about the Company’s core operating results and thus are appropriate to enhance the overall understanding of the Company’s past financial performance and its prospects for the future. The non-GAAP financial measures in the table below include adjusted net (loss) and the related adjusted basic and diluted net (loss) per share amounts.

Reconciliation from GAAP to Non-GAAP Results (in thousands, except per share amounts):

  Nine Months Ended September 30,
  2017 2016
Reconciliation of net (loss):    
Net (loss) $(12,979) $(13,027)
Adjustments:    
Change in fair value of acquisition note payable 114
 (119)
Change in fair value of warrant liability 3,927
 (729)
Adjusted net (loss) $(8,938) $(13,875)
Reconciliation of basic and diluted net (loss) per share:    
Basic and diluted net (loss) per share $(0.65) $(0.88)
Adjustments to net (loss) 0.20
 (0.05)
Adjusted basic and diluted net (loss) per share $(0.45) $(0.93)
Basic and diluted weighted-average shares outstanding 20,059
 14,868

Adjusted net (loss) decreased 36% to $8.9 million during the nine months ended September 30, 2017, down from an adjusted net (loss) of $13.9 million during the nine months ended September 30, 2016. Adjusted basic and diluted net (loss) per share decreased 52% to $0.45 during the nine months ended September 30, 2017, down from $0.93 during the nine months ended September 30, 2016.

The breakdown of our revenue is as follows:
 Nine Months Ended September 30, Change
 2017 2016    
(dollars in thousands)$ % $ % $ %
Biopharma Services11,175
 52% $11,374
 57% $(199) (2)%
Clinical Services8,887
 41% 7,685
 39% 1,202
 16 %
Discovery Services1,536
 7% 760
 4% 776
 102 %
Total Revenue$21,598
 100% $19,819
 100% $1,779
 9 %

Revenue increased 9%, or $1.8 million, to $21.6 million for the nine months ended September 30, 2017, from $19.8 million for the nine months ended September 30, 2016, principally due to an increase of $1.2 million in our Clinical Services and an increase in Discovery Services of $0.8 million, offset by a decrease of $0.2 million in our Biopharma Services. Our average revenue per test decreased to $378 per test for the nine months ended September 30, 2017 from $408 per test for the nine months ended September 30, 2016, principally due to the additional Clinical Services volume from our Los Angeles facility, which yields lower average revenue per test. Test volume increased by 12% from 36,156 tests for the nine months ended September 30, 2016 to 40,451 tests for the nine months ended September 30, 2017.

Revenue from Biopharma Services decreased 2%, or $0.2 million, to $11.2 million for the nine months ended September 30, 2017, from $11.4 million for the nine months ended September 30, 2016 due to completing fewer studies for its top ten customers. Revenue from Clinical Services customers increased by $1.2 million, or 16%, for the nine months ended September 30, 2017 due to increased volume in our clinical services laboratory operations in Los Angeles. Revenue from Discovery Services increased 102%, or $0.8 million, during the nine months ended September 30, 2017 due to our acquisition of vivoPharm, which accounted for all of the increase.

Cost of Revenues

Cost of revenues remained steady for the nine months ended September 30, 2017 and 2016. While lab supplies and facility costs both increased by $0.2 million during the nine months ended September 30, 2017, depreciation of equipment and outsourced labor decreased by $0.1 million and $0.2 million, respectively, during the nine months ended September 30, 2017. In addition, our shipping costs declined by $0.1 million during the nine months ended September 30, 2017. Gross margin improved to 41% during the nine months ended September 30, 2017 from 35% during the nine months ended September 30, 2016, as we continue to rationalize our cost structure from prior acquisitions and introduce greater efficiency in our laboratory operations.


Operating Expenses

Research and development expenses decreased 36%, or $1.7 million, to $3.1 million for the nine months ended September 30, 2017, from $4.8 million for the nine months ended September 30, 2016, principally due to reduced payroll and benefit costs of $0.7 million, decreased lab supplies of $0.7 million and reduced facility costs of $0.2 million.

General and administrative expenses decreased 3%, or $0.3 million, to $11.4 million for the nine months ended September 30, 2017, from $11.7 million for the nine months ended September 30, 2016, principally due to decreased facility costs of $0.6 million, decreased professional fess of $0.2 million, decreased miscellaneous expenses of $0.2 million and decreased franchise and property taxes of $0.2 million, partially offset by an increase in our bad debt reserve of $0.9 million.

Sales and marketing expenses decreased 8%, or $0.3 million, to $3.4 million for the nine months ended September 30, 2017, from $3.7 million for the nine months ended September 30, 2016, principally due to reduced travel and entertainment expenses of $0.2 million and decreased facility costs of $0.2 million.

Interest Income (Expense)

Net interest expense increased 135%, or $0.4 million, principally due to recognizing a loss on extinguishment of debt of $0.1 million in March 2017 and the higher effective interest rate on our refinanced debt.

Change in Fair Value of Acquisition Note Payable

The change in fair value of note payable resulted in $0.1 million in non-cash expense for the nine months ended September 30, 2017, as compared to non-cash income of $0.1 million for the nine months ended September 30, 2016. The fair value of the note representing part of the purchase price for BioServe increased during the nine months ended September 30, 2017 as a consequence of a increase in our stock price.

Change in Fair Value of Warrant Liability

Changes in fair value of some of our common stock warrants may impact our quarterly results.  Accounting rules require us to record certain of our warrants as a liability, measure the fair value of these warrants each quarter and record changes in that value in earnings. As a result of an increase in our stock price, we recognized non-cash expense of $3.9 million for the nine months ended September 30, 2017. In the future, if our stock price increases, we would record a non-cash charge as a result of changes in the fair value of our common stock warrants. Consequently, we may be exposed to non-cash charges, or we may record non-cash income, as a result of this warrant exposure in future periods.

We recognized non-cash income of $0.7 million during the nine months ended September 30, 2016 due to changes in the fair value of the warrants issued in the 2016 Offerings and the expiration of other unexercised warrants.

Other Expense

During the nine months ended September 30, 2017 and 2016, we expensed $46,000 and $0.3 million of issuance costs associated with the derivative warrants issued as part of the 2017 debt refinancing and the 2016 Offerings, respectively.

Liquidity and Capital Resources

Sources of Liquidity

Our primary sources of liquidity have been funds generated from our debt financings and equity financings. In addition, we have generated funds from the following sources: (i) cash collections from customers and (ii) cash received from the sale of state NOL’s.In January 2019, we closed two public offerings and issued an aggregate of28,550,726 shares of common stock for approximately $5.4 million, net of expenses and discounts of approximately $1.1 million. On April 4, 2019, we sold $11.6 million of gross State of New Jersey NOL’s relating to the 2017 tax year as well as $0.1 million of state research and development tax credits. The sale resulted in the net receipt by the Company of approximately $0.5 million.

In general, our primary uses of cash are providing for operating expenses, working capital purposes and servicing debt. As of
September 30, 2017, we have up to $4.0 million of available borrowings from our line of credit with Silicon Valley Bank, and we are able to sell shares to Aspire Capital.

Aspire Capital


On August 14, 2017, we entered into a Common Stock Purchase Agreement (the “Purchase Agreement”) with Aspire Capital Fund, LLC, an Illinois limited liability company (“Aspire Capital”), which provides that Aspire Capital is committed to purchase up to an aggregate of $16.0 million of our common stock (the “Purchase Shares”) from time to time over the term of the Purchase Agreement. Aspire Capital made an initial purchase of 1,000,000 Purchase Shares (the “Initial Purchase”) at a purchase price of $3.00 per share on the commencement date of the agreement.

After the commencement date, on any business day over the 24-month term of the Purchase Agreement, we have the right, in our sole discretion, to present Aspire Capital with a purchase notice (each, a “Purchase Notice”) directing Aspire Capital to purchase up to 33,333 Purchase Shares per business day, provided that Aspire Capital will not be required to buy Purchase Shares pursuant to a Purchase Notice that was received by Aspire Capital on any business day on which the last closing trade price of our common stock on the NASDAQ Capital Market is below $3.00. The Company and Aspire Capital also may mutually agree to increase the number of shares that may be sold to as much as an additional 2,000,000 Purchase Shares per business day. The purchase price per Purchase Share will be $3.00. As consideration for entering into the Purchase Agreement, we issued 320,000 shares of our common stock to Aspire Capital (“Commitment Shares”).

The number of Purchase Shares covered by and timing of each Purchase Notice are determined by us, at our sole discretion. The aggregate number of shares that we can sell to Aspire Capital under the Purchase Agreement may in no case exceed 3,938,213 shares of our common stock (which is equal to approximately 19.9% of the common stock outstanding on the date of the Purchase Agreement), including the 320,000 Commitment Shares and the 1,000,000 Initial Purchase Shares, unless shareholder approval is obtained to issue additional shares.

Our net proceeds will depend on several factors, including the frequency of our sales of Purchase Shares to Aspire Capital and the frequency at which the last closing trade price of our common stock is below $3.00, subject to a maximum of $16.0 million in gross proceeds, including the Initial Purchase. Our delivery of Purchase Notices will be made subject to market conditions, in light of our capital needs from time to time and under the limitations contained in the Purchase Agreement. We currently intend to use the net proceeds from sales of Purchase Shares for general corporate purposes and working capital requirements.

As of September 30, 2017, the Company has sold 1,000,000 shares under this agreement at $3.00 per share, resulting in proceeds of approximately $2,965,000, net of offering costs of approximately $35,000. The Company has also issued 320,000 shares as consideration for entering into the Purchase Agreement. The Company has not deferred any offering costs associated with this agreement.

Cash Flows

Our net cash flow from operating, investing and financing activities for the periods below were as follows:
Nine Months Ended 
 September 30,
Three Months Ended 
 March 31,
(in thousands)2017 20162019 2018
Cash provided by (used in):      
Operating activities$(10,249) $(17,299)$(4,465) $(4,472)
Investing activities(2,121) (472)(32) (253)
Financing activities7,675
 9,028
5,111
 (713)
Net (decrease) in cash and cash equivalents$(4,695) $(8,743)
Effect of foreign currency exchange rates on cash and cash equivalents and restricted cash(78) (32)
Net increase (decrease) in cash and cash equivalents and restricted cash$536
 $(5,470)

We had cash and cash equivalents and restricted cash of $4.8$1.0 million at September 30, 2017,March 31, 2019, and $9.5$0.5 million at December 31, 2016.2018.

The $4.7$0.5 million increase in cash and cash equivalents and restricted cash for the three months ended March 31, 2019, principally resulted from net proceeds from the 2019 Offerings of $5.4 million, offset, in part by net cash used in operations of $4.5 million.

The $5.5 million decrease in cash and cash equivalents and restricted cash for the ninethree months ended September 30, 2017,March 31, 2018, principally resulted from net cash used in operations of $10.2 million, principal payments made on the Silicon Valley Bank term note of $4.7 million and fixed asset additions of $1.2 million, partially offset by proceeds from the exercise of warrants of $1.8 million, net proceeds from the sale of stock to Aspire Capital of $3.0 million, proceeds from refinancing our debt of $6.0 million and borrowings on our line of credit of $2.0$4.5 million.

The $8.7 million decrease in cash and cash equivalents for the nine months ended September 30, 2016, principally resulted from $17.3 million of net cash used in operations, partially offset by $10.0 million of net proceeds from the 2016 Offerings.

At September 30, 2017,March 31, 2019, we had total indebtedness of $8.0$12.7 million, excluding capitalfinance lease obligations.

Cash Used in Operating Activities

Net cash used in operating activities was $10.2$4.5 million for the ninethree months ended September 30, 2017.March 31, 2019. We used $4.7 million in net cash to fund our core operations, which included $0.6 million in cash paid for interest. We incurred additional uses of cash when adjusting for working capital items as follows: a net increase in accounts receivable of $4.0 million, an increase in other current assets of $0.6 million, a net decrease in accounts payable, accrued expenses and deferred revenue of $1.1 million and a decrease in deferred rent payable and other of $0.1 million, offset by a decrease in other assets of $0.3 million.

For the nine months ended September 30, 2016, we used $17.3 million in operating activities. We used $10.5$2.9 million in net cash to fund our core operations, which included $0.3 million in cash paid for interest. We incurred additional uses of cash when adjusting for working capital items as follows: a net decrease in accounts payable, accrued expenses and deferred revenue of $1.1 million, a net reduction in operating lease liabilities of $0.2 million, a net increase in accounts receivable of $7.1$0.3 million, and a net increase in other current assets of $0.3 million, offset, in part by a decrease in operating lease right-of-use assets of $0.2 million.

For the three months ended March 31, 2018, we used $4.5 million in operating activities. We used $3.9 million in net cash to fund our core operations, which included $0.2 million in cash paid for interest. We incurred additional uses of cash when adjusting for working capital items as follows: a net increase in accounts receivable of $0.2 million, an increase in other current assets of $0.1 million offset byand a net increasedecrease in accounts payable, accrued expenses and deferred revenue of $0.4$0.3 million.

Cash Used in Investing Activities

Net cash used inprovided by investing activities was $2.1 million$32,000 for the ninethree months ended September 30, 2017March 31, 2019 and principally resulted from the purchase of fixed assets of $1.2 million, patent costs of $0.1 million, net cash paid to acquire vivoPharm of $0.7 million and investing $0.2 million in a cost method investment.assets.

Net cash used in investing activities was $0.5$0.3 million for the ninethree months ended September 30, 2016March 31, 2018 and principally resulted from the purchase of fixed assets of $0.3 million and patent costs of $0.1 million.assets.

Cash Provided by Financing Activities

Net cash provided by financing activities was $7.7$5.1 million for the ninethree months ended September 30, 2017March 31, 2019 and principally resulted from proceeds received from warrants exercised of $1.8 million,net proceeds from the sale2019 Offerings of stock to Aspire Capital of $3.0$5.4 million, offset by a net of certain offering costs, proceeds from refinancing our debt of $6.0 million and proceeds from borrowing $2.0 millionreduction in borrowings on our line of credit, offset by principal payments made on our Silicon Valley Bank term note of $4.7 million, capital lease paymentsABL of $0.2 million and debt issuance costs and loan feesprincipal payments on finance lease obligations of $0.3 million related to our refinanced debt.$0.1 million.

Net cash provided byused in financing activities was $9.0$0.7 million for the ninethree months ended September 30, 2016March 31, 2018 and principally resulted from proceeds received in the 2016 Offeringsrepayment of $10.0borrowings on our ABL of $0.6 million offset byand principal payments made on the bank term note of $0.8 million and capitalfinance lease paymentsobligations of $0.1 million.

Capital Resources and Expenditure Requirements

We expect to continue to incur material operating losses in the near future. It may take several years, if ever, to achieve positive operational cash flow. We may need to raise additional capital to fund our current operations, to repay certain outstanding indebtedness and to fund expansion of our business to meet our long-term business objectives through public or private equity offerings, debt financings, borrowings or strategic partnerships coupled with an investment in our company or a combination thereof. If we raise additional funds through the issuance of convertible debt securities, or other debt securities, these securities could be secured and could have rights senior to those of our common stock. In addition, any new debt incurred by the Company could impose covenants that restrict our operations and increase our interest expense. The issuance of any new equity securities will also dilute the interest of our current stockholders. Given the risks associated with our business, including our unprofitable operating history and our ability to develop additional proprietary tests, additional capital may not be available when needed on acceptable terms, or at all. If adequate funds are not available, we willmay need to curbsell off non-core assets, further consolidate or, in extreme cases, discontinue our expansion plansoperations or limitliquidate our researchassets. In January 2019, we entered into forbearance agreements with PFG and developmentSVB acknowledging that we were and anticipating we would be in violation of certain financial and other covenants of the ABL and the PFG Term Note as of December 31, 2018, January 31, 2019, February 28, 2019 and March 31, 2019. These agreements, among other things, (i) required us to comply with certain milestones in connection with a potential strategic transaction satisfactory to PFG and SVB with an anticipated closing date of on or before April 15, 2019 (the “Milestones”), (ii) provided for PFG and SVB’s forbearance of their respective rights and remedies resulting from existing and stated potential events of default under the PFG Term Note and ABL until the earlier of (a) the occurrence of an additional event of default or (b) February 15, 2019; provided such date was to be automatically extended to (1) February 28, 2019 and then to (2) April 15, 2019 so long as we were in compliance with the Milestones required as of such dates and (iii) extended the maturity date of the ABL until April 15, 2019. Under the terms of the forbearance agreement, we can borrow up to $3 million. On March 31, 2019, the outstanding balance on the ABL was $2.4 million based on eligible accounts receivable. In addition, the forbearance agreements have now expired and the ABL is currently past its maturity date. We are in discussions with SVB and PFG about possible extensions of the forbearance agreements and of the maturity of the ABL as part of the overall strategic process.

Net cash used in operating activities which would have a material adverse impact on our business prospectswas $4.5 million for each of the three months ended March 31, 2019 and results2018, and the Company had unrestricted cash and cash equivalents of operations.$0.7 million at March 31, 2019, an increase from $0.2 million at December 31, 2018. The Company has negative working capital at March 31, 2019 of $18.0 million.

We do not believe that our current cash taken together with the borrowings available from the Silicon Valley Bank line of credit and the common stock purchase agreement with Aspire Capital Fund, LLC, will support operations for at leastbeyond the next 12three months from the date of this report. We continue to explore opportunities forreport unless we raise additional equity or debt financing, andcapital or spin-off non-core assets to raise additional cash. We have hired Raymond James & Associates Inc. as our financial advisor to assist with evaluating strategic alternatives. Such alternatives could include raising more capital, the sale of the Company or another type of strategic partnership. There is no assurance that the review of

strategic alternatives will result in the Company changing its business plan, pursuing any particular transaction, if any, or, if it pursues any such transaction, that it will be completed.

Meanwhile we are taking steps to improve our operating cash flow. We can provide no assurances that our current actions will be successful or that any additional sources of financing will be available to us on favorable terms, if at all, when needed. Our forecast of the period of time through which our current financial resources will be adequate to support ourcash position, recurring losses from operations and negative cash flows from operations raise substantial doubt about our ability to continue as a going concern, and as a result, our independent registered public accounting firm included an explanatory paragraph in its report on our financial statements as of and for the costsyear ended December 31, 2018 with respect to supportthis uncertainty. This going concern opinion, and any future going concern opinion, could materially limit our generalability to raise additional capital. The perception that we may not be able to continue as a going concern may cause customers, potential partners or investors to choose not to deal with us due to concerns about our ability to meet our contractual and administrative, sales and marketing and research and development activities are forward-looking statements and involve risks and uncertainties.

We expectfinancial obligations. If we cannot continue as a going concern, our sales and marketing, research and development and other general and administrative expenses to increase as we continue to expandstockholders may lose their entire investment in our business.common stock.

Our forecast of the period of time through which our current financial resources will be adequate to support our operations and our expected operating expenses are forward-looking statements and involve risks and uncertainties. Actual results could vary materially and negatively as a result of a number of factors, including:
 
our ability to extend our forbearance agreements and the ABL;
our ability to secure financing and the amount thereof;
our ability to achieve revenue growth and profitability;
the costs for funding the operations we recently acquired and our ability to realize anticipated benefits from the vivoPharm acquisition;
our ability to improve efficiency of billing and collection processes;
our ability to obtain approvals for our new diagnostic tests;
our ability to execute on our marketing and sales strategy for our tests and CRO services and gain acceptance of our tests and CRO services in the market;
our ability to obtain adequate reimbursement from governmental and other third-party payors for our tests and services;
the costs, scope, progress, results, timingour ability to maintain our present customer base and outcomesobtain new customers;
our ability to clinically validate our pipeline of the clinical trials of tests currently in development;
our ability to obtain approvals for our new diagnostic tests;
the costs of operating and enhancing our laboratory facilities;
our ability to succeed with our cost control initiative;
the timingour ability to satisfy US (FDA) and international regulatory regiments with respect to our tests and services, many of which are new and the costs involved in regulatory compliance, particularly if the regulations change;still evolving;
the costs of maintaining, expanding and protecting our intellectual property portfolio, including potential litigation costs and liabilities;
our ability to manage the costs of manufacturing our tests;
our rate of progress in, and cost of research and development activities associated with, products in research and early development;
the effect of competing technological and market developments;
costs related to expansion;
our ability to secure financing and the amount thereof; and
other risks and uncertainties discussed in our annual report on Form 10-K for the year ended December 31, 2016,2018, as updated in this quarterly report on Form 10-Q and other reports, as applicable, we file with the Securities and Exchange Commission.

We expectThe consolidated financial statements for the three months ended March 31, 2019 were prepared on the basis of a going concern, which contemplates that our operating expenses may slightly increase as a result of our purchase of vivoPharm, but at a lesser rate than the expected increase in revenue. We expect our capital expendituresCompany will slightly increasebe able to realize assets and discharge liabilities in the future as we expand ournormal course of business. We planAccordingly, they do not give effect to increase our sales and marketing headcountadjustments that would be necessary should the Company be required to promote our new clinical tests and services andliquidate its assets.  The ability of the Company to expand into new geographiesmeet its obligations, and to continue our research and development expenditures associated with performing work with research collaborators, to expand our pipeline and to perform work associated with our research collaborations. For example, in 2011 we entered into an affiliation agreement to formas a joint venture with the Mayo Foundation for Medical Education and Research pursuant to which we made an initial $1.0 million capital contribution in October 2013 and $1.0 million in the third quarter of 2014. We may make additional capital contributions of up to $4.0 million, subject to the joint venture entity’s achievement of certain operational milestones. Until we can generate a sufficient amount of revenues to finance our cash requirements, which we may never do, we will need to raise additional capital to fund our operations.

Subject togoing concern is dependent upon the availability of financing, we may use significant cash to fund acquisitions.

In March 2017, we entered into a new linefuture funding and the continued growth in revenues.  The consolidated financial statements do not include any adjustments that might result from the outcome of credit with Silicon Valley Bank and refinanced our term note with a new lender, Partners for Growth. See Note 6 of Notes to Unaudited Consolidated Financial Statements included in Item 1 of this quarterly report on Form 10-Q. In August 2017, we entered into a common stock purchase agreement with Aspire Capital Fund, LLC. See Note 3 of Notes to Unaudited Consolidated Financial Statements included in Item 1 of this quarterly report on Form 10-Q.these uncertainties.

Income Taxes

Over the past several years we have generated operating losses in all jurisdictions in which we may be subject to income taxes. As a result, we have accumulated significant net operating losses and other deferred tax assets. Because of our history of losses and the uncertainty as to the realization of those deferred tax assets, a full valuation allowance has been recognized. We do not expect to report a benefit related to the deferred tax assets until we have a history of earnings, if ever, that would support the realization of our deferred tax assets. Utilization of these net operating loss carryforwards is subject to limitation due to ownership changes that may delay the utilization of a portion of the carryforwards.

Off-Balance Sheet Arrangements

Since inception, we have not engaged in any off-balance sheet activities as defined in Item 303(a)(4) of Regulation S-K.

Critical Accounting Policies and Significant Judgment and Estimates

Our management’sManagement’s discussion and analysis of financial condition and results of operations is based on our consolidated financial statements, which have been prepared in accordance with U.S. GAAP. The preparation of our consolidated financial statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenue and expenses and related disclosure of contingent assets and liabilities. On an ongoing basis, we evaluate our estimates based on historical experience and make various assumptions, which management believes to be reasonable under the circumstances, which form the basis for judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions.

Section 107 of the JOBS Act provides that an “emerging growth company can take advantage of the extended transition period provided in Section 7(a)(2)(B) of the Securities Act for complying with new or revised accounting standards. In other words, an “emerging growth company” can delay the adoption of certain accounting standards until those standards would otherwise apply to private companies. However, we have chosen to “opt out” of such extended transition period, and as a result, we will comply with new or revised accounting standards on the relevant dates on which adoption of such standards is required for non-emerging growth companies. Section 107 of the JOBS Act provides that our decision to opt out of the extended transition period for complying with new or revised accounting standards is irrevocable.

The notes to our audited consolidated financial statements in our annual report on Form 10-K for the year ended December 31, 20162018 contain a summary of our significant accounting policies. The adoption of ASC 842 is discussed in Note 1 of Notes to Unaudited Consolidated Financial Statements included in Item 1 of this quarterly report on Form 10-Q. We consider the following accounting policies critical to the understanding of the results of our operations:
 
Revenue recognition;
Accounts receivable and bad debts;
Warrant liabilities and other derivatives;
Stock-based compensation;
Income taxes; and
Warrant liability.Impairment of intangibles and long-lived assets.

Cautionary Note Regarding Forward-Looking Statements

Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995

This report on Form 10-Q contains forward-looking statements made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995 under Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Forward-looking statements include all statements that are not historical facts. In some cases, you can identify forward-looking statements by terms such as “may,” “will,” “should,” “could,” “would,” “expects,” “plans,” “anticipates,” “believes,” “estimates,” “projects,” “predicts,” “potential,” or the negative of those terms, and similar expressions and comparable terminology intended to identify forward-looking statements. These statements reflect our current views with respect to future events. There are a number of important factors that could cause the actual results to differ materially from those expressed in any forward-looking statement made by us. These factors include, but are not limited to:

our ability to extend our forbearance agreements and the ABL;
our ability to secure financing and the amount thereof;
our ability to achieve profitability by increasing sales ofrevenue growth and profitability;
the costs for funding the operations we recently acquired and our laboratory tests and services andability to continually develop and commercialize novel and innovative diagnostic tests and services for cancer patients;realize anticipated benefits from the vivoPharm acquisition;
our ability to improve efficiency of billing and collection processes;
with respectour ability to execute on our Clinical Services, marketing and sales strategy for our tests and gain acceptance of our tests in the market;
our ability to obtain adequate reimbursement from governmental and other third-party payors for our tests and services;
our ability to maintain our present customer base and obtain new customers;
our ability to clinically validate our pipeline of tests currently in development;
the costs of operating and enhancing our ability to execute on our marketing and sales strategy for our tests and CRO services and gain acceptance of our tests and CRO services in the market;laboratory facilities;
our ability to keep pacesucceed with rapidly advancing market and scientific developments;our cost control initiative;
our ability to satisfy U.S. (including FDA)US (FDA) and international regulatory requirementsregiments with respect to our tests and services, many of which are new and still evolving;
our ability to raise additional capital to meetobtain approvals for our liquidity needs;new diagnostic tests;
competition from clinical laboratory services companies, tests currently available or new tests that may emerge;the costs of maintaining, expanding and protecting our intellectual property portfolio, including potential litigation costs and liabilities;
our ability to maintain our clinical collaborations and enter into new collaboration agreements with highly regarded organizations inmanage the cancer field so that, among other things, we have access to thought leaders in the field and to a robust numbercosts of samples to validatemanufacturing our tests;

our ability to maintain our present customer basethe effect of competing technological and obtain new customers;
potential product liability or intellectual property infringement claims;
our dependency on third-party manufacturers to supply or manufacture our products;
our ability to attract and retain a sufficient number of scientists, clinicians, sales personnel and other key personnel with extensive experience in oncology, who are in short supply;
our ability to obtain or maintain patents or other appropriate protection for the intellectual property in our proprietary tests and services;
our dependency on the intellectual property licensed to us or possessed by third parties;
our ability to expand internationally and launch our tests in emerging markets, such as India and Brazil;
our ability to adequately support future growth;market developments; and
the risk factors discussed in our annual report on Form 10-K for the year ended December 31, 2016,2018, as updated in this quarterly report on Form 10-Q and other reports, as applicable, that we file with the Securities and Exchange Commission.

Given these uncertainties, you should not place undue reliance on these forward-looking statements. These forward-looking statements represent our estimates and assumptions only as of the date of this quarterly report on Form 10-Q and, except as required by law, we undertake no obligation to update or review publicly any forward-looking statements, whether as a result of new information, future events or otherwise after the date of this quarterly report on Form 10-Q. You should read this quarterly report on Form 10-Q and the documents referenced herein and filed as exhibits completely and with the understanding that our actual future results may be materially different from what we expect.

Item 3.        Quantitative and Qualitative Disclosures About Market Risk

Not applicable.

Item 4.        Controls and Procedures

Evaluation of Disclosure Controls and Procedures

We evaluated, under the supervision and with the participation of the principal executive officer and principal financial officer, the effectiveness of the design and operation of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities and Exchange Act of 1934 (“Exchange Act”), as amended, as of September 30, 2017,March 31, 2019, the end of the period covered by this report on Form 10-Q. Based on this evaluation, our President and Chief Executive Officer (principal executive officer) and our Chief OperatingFinancial Officer (principal financial officer) have concluded that our disclosure controls and procedures were not effective at the reasonable assurance level at September 30, 2017.March 31, 2019 because of the material weakness in the Company’s internal control over financial reporting that existed at December 31, 2018 that has not been fully remediated by the end of the period covered by this quarterly report on Form 10-Q. 

Disclosure controls and procedures are designed to provide reasonable assurance that information required to be disclosed by us in the reports that we file or submit under the Exchange Act (i) is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms, and (ii) is accumulated and communicated to management, including the principal executive officer and principal financial officer, as appropriate, to allow timely decisions regarding required disclosures. In designing and evaluating the disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives. Due to the inherent limitations of control systems, not all misstatements may be detected. These inherent limitations include the realities that judgments in decision-making can be faulty and that breakdowns can occur because of a simple error or mistake. Additionally, controls can be circumvented by the individual acts of some persons, by collusion of two or more people, or by management override of the control. Controls and procedures can only provide reasonable, not absolute, assurance that the above objectives have been met.

Changes in Internal Control over Financial Reporting

ThereOur internal control policies changed during the three months ended March 31, 2019 to accommodate the implementation of ASC 606 and specifically its effect on the different customer types within Clinical Services in part for a legacy location as well as the practical recording of the relevant accounts receivable and subsequent cash receipts.

During the quarter ended March 31, 2019, we finalized enhancements and modifications to existing internal controls and procedures to ensure compliance with new leasing guidance in accordance with ASC 842. These changes to our control environment were completed in the first quarter of 2019.

Other than changes to accommodate the implementation of ASC 606 and ASC 842, and the remediation activities discussed below, there were no changes in our internal control over financial reporting during the three months ended September 30, 2017March 31, 2019 that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.

Material Weakness in Internal Control over Financial Reporting

Subsequent to the evaluation made in connection with filing our annual report on Form 10-K for the year ended December 31, 2018, management has begun the process of remediation of the material weakness. The further remediation is being conducted due to latency effects associated with the ASC 606 implementation as well as a legacy location that involves design changes to our internal controls over revenue recognition. In 2019, management plans to include additional reconciliations between its general ledger and billing systems to enhance its remediation efforts. We believe these actions to be sufficient to remediate the

identified material weakness and to enhance our internal control over financial reporting. However, the new enhanced controls have not operated long enough to conclude at the time of this filling that the material weakness was fully remediated. The Company expects this deficiency to be corrected by the end of 2019.


PART II — OTHER INFORMATION
Item 1.        Legal Proceedings

In the normal courseOn April 5, 2018 and April 12, 2018, purported stockholders of business, the Company may become involvedfiled nearly identical putative class action lawsuits in various claimsthe U.S. District Court for the District of New Jersey, against the Company, Panna L. Sharma, John A. Roberts, and legal proceedings. Igor Gitelman, captioned Ben Phetteplace v. Cancer Genetics, Inc. et al., No. 2:18-cv-05612 and Ruo Fen Zhang v. Cancer Genetics, Inc. et al., No. 2:18-06353, respectively. The complaints alleged violations of Sections 10(b) and 20(a) of the Securities Exchange Act of 1934 and SEC Rule 10b-5 based on allegedly false and misleading statements and omissions regarding our business, operational, and financial results. The lawsuits sought, among other things, unspecified compensatory damages in connection with purchases of our stock between March 23, 2017 and April 2, 2018, as well as interest, attorneys’ fees, and costs. On August 28, 2018, the Court consolidated the two actions in one action captioned In re Cancer Genetics, Inc. Securities Litigation (the “Securities Litigation”) and appointed shareholder Randy Clark as the opinionlead plaintiff. On October 30, 2018, the lead plaintiff filed an amended complaint, adding Edward Sitar as a defendant and seeking, among other things, compensatory damages in connection with purchases of management,CGI stock between March 10, 2016 and April 2, 2018. On December 31, 2018, Defendants filed a motion to dismiss the amended complaint for failure to state a claim. The Company is unable to predict the ultimate liabilityoutcome of the Securities Litigation and therefore cannot estimate possible losses or disposition thereofranges of losses, if any.

In addition, on June 1, 2018, September 20, 2018, and September 25, 2018, purported stockholders of the Company filed nearly identical derivative lawsuits on behalf of the Company in the U.S. District Court for the District of New Jersey against the Company (as a nominal defendant) and current and former members of the Company’s Board of Directors and current and former officers of the Company. The three cases are captioned: Bell v. Sharma et al., No. 2:18-cv-10009-CCC-MF, McNeece v. Pappajohn et al., No. 2:18-cv-14093, and Workman v. Pappajohn, et al., No. 2:18-cv-14259 (the “Derivative Litigation”). The complaints allege claims for breach of fiduciary duty, violations of Section 14(a) of the Securities Exchange Act of 1934 (premised upon alleged omissions in the Company’s 2017 proxy statement), and unjust enrichment, and allege that the individual defendants failed to implement and maintain adequate controls, which resulted in ineffective disclosure controls and procedures, and conspired to conceal this alleged failure. The lawsuits seek, among other things, damages and/or restitution to the Company, appropriate equitable relief to remedy the alleged breaches of fiduciary duty, and attorneys’ fees and costs. On November 9, 2018, the Court in the Bell v. Sharma action entered a stipulation filed by the parties staying the Bell action until the Securities Litigation is not expecteddismissed, with prejudice, and all appeals have been exhausted; or the defendants’ motion to havedismiss in the Securities Litigation is denied in whole or in part; or either of the parties in the Bell action gives 30 days’ notice that they no longer consent to the stay. On December 10, 2018, the parties in the McNeece action filed a material adverse effect on our financial condition, resultsstipulation that is substantially identical to the Bell stipulation. On February 1, 2019, the Court in the Workman action granted a stipulation that is substantially identical to the Bell stipulation. The Company is unable to predict the ultimate outcome of operations,the Derivative Litigation and therefore cannot estimate possible losses or liquidity.ranges of losses, if any.

Item 1A.    Risk Factors

Except as set forth below, thereThere have been no material changes to the risk factors disclosed in Part 1, Item 1A, of our annual report on Form 10-K for the year ended December 31, 2016.2018 except as noted below:

Risks RelatedWe have a history of net losses; we expect to incur net losses in the vivoPharm Acquisitionfuture, and we may never achieve sustained profitability.

Any acquisition exposesWe have historically incurred substantial net losses. We incurred losses of $20.4 million and $20.8 million for fiscal years ended December 31, 2018 and 2017, respectively, and $4.7 million for the first quarter of fiscal 2019. From our inception in April 1999 through March 31, 2019, we had an accumulated deficit of $162.3 million. We expect losses to continue, which will continue to have, an adverse effect on our working capital, total assets and stockholders’ equity. We are unable to predict when we will become profitable, and we may never become profitable. Even if we do achieve profitability, we may not be able to sustain or increase profitability on a companyquarterly or annual basis. Our inability to additional risks.achieve and then maintain profitability would negatively affect our business, financial condition, results of operations and cash flows.

Acquisitions may entail numerous risks for Cancer Genetics, including:

competing claims for capital resources;
uncertaintyOur recurring losses from operations have raised substantial doubt regarding our ability to retain and grow relationships with vivoPharm’s key customers;
difficulties in assimilating acquired operations, technologies or products; and
diversion of management’s attention from our core business.continue as a going concern.

Our failureAt December 31, 2018, our cash position and history of losses required management to successfully completeassess our ability to continue operating as a going concern, according to Financial Accounting Standards Board Accounting Standards Update No. 2014-15, Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern (“ASU 2014-15”). We did not have sufficient cash at December 31, 2018 to fund normal operations for the integrationnext twelve months, and do not have sufficient cash at March 31, 2019. In

addition, we have been in violation of vivoPharm couldcertain financial covenants under our debt agreements. While our lenders have historically agreed to forbear from exercising all of their rights and remedies resulting from existing and potential defaults, our ability to continue as a material adverse effectgoing concern is dependent on our business, financial condition and operating results.

Failure of the vivoPharm acquisitionability to achieve potential benefits could harm the business and operating results of the combined company.negotiate new forbearance conditions, raise additional equity or debt capital and/or spin-off non-core assets to raise additional cash. These factors raise substantial doubt about our ability to continue as a going concern.

We expect thathave hired Raymond James & Associates, Inc. as our financial advisor to assist with evaluating strategic alternatives. Such alternatives could include raising more capital, the acquisitionsale of the vivoPharm businessesCompany or another type of strategic partnership. We can provide no assurances that our current actions will resultbe successful or that additional sources of financing with be available to us on favorable terms, if at all.

The consolidated financial statements do not include any adjustments that might be necessary should the Company be unable to continue as a going concern.

We are in potential benefitsdefault of financial covenants in the credit agreements with our senior lenders, which were subject to forbearance agreements that expired on April 15, 2019, and our asset- based revolving line of credit agreement matured on April 15, 2019.

We have been in violation of certain of the financial and other covenants under our asset-based revolving line of credit agreement (“ABL”) with Silicon Valley Bank (“SVB”) and our term loan agreement (the “Term Loan”) with Partners for Growth IV, L.P. (“PFG”). On August 20, and November 19, 2018, the Company received waivers from its senior lenders for the combined company,covenant violations.

On January 16, 2019, we entered into a Forbearance and Fifth Amendment to Amended and Restated Loan and Security Agreement (the “Forbearance and Amendment”) with SVB, further amending the expansionABL, and a Forbearance Agreement and Modification No. 4 to Loan and Security Agreement (the “Forbearance and Modification”) with PFG, further amending the Term Loan.

The Forbearance and Amendment agreements with SVB and PFG, among other things, required us to comply with certain milestones in connection with progressing towards a potential strategic transaction satisfactory to our lenders with an anticipated closing date of on or before April 15, 2019 (the “Milestones”).

The Company did not close on a strategic transaction on or before April 15, 2019. While the forbearance agreements have expired and the ABL is currently past its maturity date, our lenders have not demanded payment, and we are in discussions with SVB and PFG about possible extensions of the numberforbearance agreements and geographic coveragethe maturity date of our sales and marketing team, stronger penetration into new biotechnology customers, an extended portfolio of capabilities which will differentiate us in the markets we serve, advancing our strategy of bench-to-bedside services, and bolstering our growthABL, along with further milestones to be achieved with respect to a global customer base of biopharma partners.strategic process. No assurance can be given that the Company will be able to successfully negotiate further extensions and milestones with SVB and PFG.

We currently have limited funds and we will achieveneed to raise additional capital to fund our operations.
We will need to raise additional financing to fund our operations. At March 31, 2019, we had unrestricted cash and cash equivalents of $0.7 million. Net cash used in operating activities was $12.6 million and $13.6 million for the years ended December 31, 2018 and 2017, respectively, and $4.5 million in the first quarter of 2019. We have continued to have negative cash flow in the second quarter of 2019, and we have limited availability under our asset-based revolving line of credit agreement with Silicon Valley Bank.

The Company has retained Raymond James & Associates, Inc. as a financial advisor to assist the Company in its evaluation of a broad range of financial and strategic alternatives to enhance shareholder value, including additional capital raising transactions, or the potential sale or merger of the Company, disposition of non-core assets, or another type of strategic partnership. There is no assurance that the review of strategic alternatives will result in the Company changing its business plan, pursuing any particular transaction, if any, or, allif it pursues any such transaction, that it will be completed. The Company does not expect to make further public comment regarding the strategic review until the Board of these potential benefits. Even ifDirectors has approved a specific transaction or otherwise deems disclosure of significant developments is appropriate.

We believe that our current cash and availability under our revolving line of credit, together with the Offering Proceeds, will support operations for approximately three months from the date of this report, assuming we are able to achievenegotiate an extension of the maturity date of the ABL and an extension of the forbearances with SVB and PFG. We can provide no assurances that any additional sources of these potential benefits, we cannot predict with certainty when the benefits will occur, or to the extent to which they actuallyfinancing will be achieved. For example,available to us on favorable terms, if at all, when needed. Our forecast of the benefitsperiod of time through which our current financial resources will be adequate to support our operations and the costs to support our general and administrative, sales and marketing and research and development activities are forward-looking statements and involve risks and uncertainties. Absent sufficient additional financing, we may be unable to remain a going concern.

We are not currently in compliance with the continued listing requirements for the Nasdaq Capital Market. If we do not regain compliance and continue to meet the continued listing requirements, our common stock may be delisted from the acquisition may be offset by costs incurred in integratingNasdaq Capital Market, which could affect the businesses. The failuremarket price and liquidity for our common stock and reduce our ability to achieve anticipated benefits could harm the business, financial condition and operating results of the combined company.raise additional capital.

IfOur common stock is listed on the market for the combined company’s tests and services does not experience significant growth or if the combined company’s tests and services do not achieve broad acceptance, the combined company’s operations will suffer.

Cancer Genetics cannot accurately predict the future growth rate or the size of the market for the combined company’s tests and services. The expansion of this market depends on a number of factors, such as:

the results of clinical trials;
the cost, performance and reliability of the combined company’s tests and services, and the tests and services offered by competitors;
customers’ perceptions regarding the benefits of the combined company’s test and services;
customers’ satisfaction with our tests and services; and
marketing efforts and publicity regarding our tests and services.

If the combined company is unableNasdaq Capital Market. In order to manage growth in its business, its prospects may be limited and its future results of operations may be adversely affected.

Any significant expansion such as the acquisition of vivoPharm may strain the combined company’s managerial,maintain that listing, we must satisfy minimum financial and other resources. Ifrequirements including, without limitation, a requirement that our closing bid price be at least $1.00 per share and that we hold an annual meeting of stockholders within twelve months of the combined companyend of our fiscal year. In addition, on January 29, 2019, the Company received written notice from the Listing Qualifications Staff of The Nasdaq Stock Market (“Nasdaq”) notifying the Company that it was required to seek stockholder approval of the execution of the Novellus Credit Agreement, under which the Company was advanced $1.5 million, the outstanding balance of which, including interest, is unableconvertible, at the option of Novellus, into shares of common stock at a conversion price of $0.606 per share, due to manage its growth, its business, operating results and financial condition couldthe potential for the Company, upon a conversion of such outstanding balance, with interest, to be adversely affected. The combined company will needrequired to improve continually its operations, financial and otherissue common stock at a discount to the market price of the common stock on the day of execution of such agreement in excess of 20% of the pre-transaction outstanding shares of common stock, pursuant to Nasdaq Listing Rule 5635(d) (the “Approval Requirement”).

internal systemsNasdaq’s notice had no immediate effect on the listing of the common stock on the Nasdaq Capital Market. Under Nasdaq Listing Rule 5810(c)(2)(C), the Company had 45 calendar days from January 29, 2019 to manage its growth effectively,submit to Nasdaq a plan to regain compliance with the Approval Requirement, which the Company submitted on March 15, 2019, and anywhich was approved on May 15, 2019, subject to the Company’s shareholders approving the potential issuances to Novellus at the annual meeting of shareholders currently scheduled for May 31, 2019, or the Company otherwise curing the deficiency on or before May 31, 2019. There can be no assurance that the shareholders will approve such issuances.

On January 3, 2019, we received written notice from the Listing Qualifications Staff Nasdaq notifying us that we no longer comply with Nasdaq Listing Rule 5620(a) due to our failure to do so may leadhold an annual meeting of stockholders within twelve months of the end of our fiscal year ended December 31, 2017 (the “Annual Meeting Requirement”). We had 45 calendar days from January 3, 2019, or until February 19, 2019, to inefficiencies and redundancies, and result in reduced growth prospects and diminished operational results.submit to Nasdaq a plan to regain compliance with the Annual Meeting Requirement, which we submitted on February 19, 2019. On May 15, 2019, Nasdaq accepted our plan subject to our holding our annual meeting on May 31, 2019.

OperatingOn November 13, 2018, we received a written notice from Nasdaq indicating that we were not in multiple countries requirescompliance with the minimum bid price requirement for continued listing on the Nasdaq Capital Market. We had 180 calendar days in which to regain compliance, or until May 13, 2019, which we did not do. On May 15, 2019, Nasdaq granted us an additional 180 days within which to comply with different legal and regulatory requirements.regain compliance.

Other laws applicableWe intend to monitor the closing bid price of our common stock and consider our available options to resolve our noncompliance with the minimum bid price requirement. To that end, we have submitted for approval by our stockholders a proposal to grant discretionary authority to our international business include local clinical, employment, tax, privacy, data security, environmentalboard of directors to amend our certificate of incorporation to effect a reverse split of our outstanding shares of common stock within a range of 5-for-1 to 30-for-1, with the exact reverse split ratio to be decided and intellectual property protection laws and regulations. These requirements may differ significantly frompublicly announced by the requirements applicableboard of directors prior to the effective time of the amendment to our business incertificate of incorporation. There can be no assurance that our shareholders will grant our board the U.S. and may require resourcesdiscretionary authority to accommodate, and may result in decreased operational efficiencies and performance. As these laws continueeffect a reverse split or that we otherwise will be able to evolve and if we expand to more jurisdictions or acquire new businesses,regain compliance will become more complex and expensive, and the risk of non-compliance will increase.

Compliance with complex foreign and U.S. laws and regulations that apply to our international operations increases our cost of doing business abroad, and violation of these laws or regulations may interfere with our ability to offer our tests and services competitively in one or more countries, expose us or our employees to fines and penalties, and result in the limitation or prohibition of our conduct of business.

The potential loss or delay of our large contracts or of multiple contracts could adversely affect our results.

Most of our Discovery Services clients can terminate our contracts upon 30 to 90 days notice. These clients may delay, terminate or reduce the scope of our contracts for a variety of reasons beyond our control, including but not limited to:

decisions to forego or terminate a particular clinical trial;
lack of available financing, budgetary limits or changing priorities;
actions by regulatory authorities;
production problems resultings in shortages of the drug being tested;
failure of products being tested to satisfy safety requirements or efficacy criteria;
unexpected or undesired clinical results for products;
shift of business to a competitor or internal resources; or
shut down of manufacturing facilities.

As a result, contract terminations, delays and alterations are a possible outcome in our Discovery Services business. In the event of termination, our contracts often provide for fees for winding down the project, but these fees may not be sufficient for us to maintain our margins, and termination may result in lower resource utilization rates. In addition, we may not realize the full benefits of our backlog of contractually committed services if our clients cancel, delay or reduce their commitments under our contracts with them, which may occur if, among other things, a client decides to shift its business to a competitor or revoke our status as a preferred provider. Thus, the loss or delay of a large contract or the loss or delay of multiple contracts could adversely affect our revenues and profitability. We believe the risk of loss or delay of multiple contracts potentially has greater effect where we are party to broader partnering arrangements with global biopharmaceutical companies.

Our financial results may be adversely affected if we underprice our contracts, overrun our cost estimates or fail to receive approval for or experience delays in documenting change orders.

Most of our Discovery Services contracts are either fee for service contracts or fixed-fee contracts. Our past financial results have been, and our future financial results may be, adversely impacted if we initially underprice our contracts or otherwise overrun our cost estimates and are unable to successfully negotiate a change order. Change orders typically occur when the scope of work we perform needs to be modified from that originally contemplated by our contract with the client. Modifications can occur, for example, when there is a change in a key clinical trial assumption or parameter or a significant change in timing. Where we are not successful in converting out-of-scope work into change orders under our current contracts, we bear the cost of the additional work. Such underpricing, significant cost overruns or delay in documentation of change orders could have a material adverse effect on our business, results of operations, financial condition or cash flows.minimum bid price requirement.

If we fail to performregain compliance with the minimum bid requirement, the Annual Meeting Requirement or the Approval Requirement or to meet the other applicable continued listing requirements for the Nasdaq Capital Market in the future and Nasdaq determines to delist our services in accordance with contractual requirements, regulatory standardscommon stock, the delisting could adversely affect the market price and ethical considerations, we could be subject to significant costs or liability and our reputation could be harmed.

In connection with our Discovery Services business, we contract with biopharmaceutical companies to provide specialized services to assist them in planning and conducting unique, specialized studies to guide drug discovery and development programs with a concentration in oncology and immuno-oncology. Our services include monitoring clinical trials, data and laboratory analysis, electronic data capture and other related services. Such services are complex and subject to contractual requirements, regulatory standards and ethical considerations. If we fail to perform our services in accordance with these

requirements, regulatory agencies may take action against us for failure to comply with applicable regulations governing clinical trials. Clients may also bring claims against us for breachliquidity of our contractual obligations. Any such action could have a material adverse effect on our results of operations, financial conditioncommon stock and reputation.

Such consequences could arise if, among other things, the following occur:

Improper performance of our services. The performance of clinical development services is complex and time-consuming. For example, we may make mistakes in conducting a clinical trial that could negatively impact or obviate the usefulness of the clinical trial or cause the results of the clinical trial to be reported improperly. If the clinical trial results are compromised, we could be subject to significant costs or liability, which could have an adverse impact onreduce our ability to performraise additional capital. In addition, if our services. As examples:

non-compliance generally could resultcommon stock is delisted from Nasdaq and the trading price remains below $5.00 per share, trading in our common stock might also become subject to the terminationrequirements of ongoing clinical trials or sales and marketing projects or the disqualification of data for submission to regulatory authorities;
compromise of data from a particular clinical trial, such as failure to verify that informed consent was obtained from patients, could require us to repeat the clinical trialcertain rules promulgated under the terms of our contract at no further cost to our client, but at a substantial cost to us; and
breach of a contractual term could result in liability for damages or termination of the contract.

While we endeavor to contractually limit our exposure to such risks, improper performance of our services could have an adverse effect on our financial condition, damage our reputation and result in the cancellation of current contractsExchange Act, which require additional disclosure by or failure to obtain future contracts from the affected client or other clients.

Investigation of clients. From time to time, one or more of our clients are audited or investigated by regulatory authorities or enforcement agencies with respect to regulatory compliance of their clinical trials, programs or the marketing and sale of their drugs. In these situations, we have often provided services to our clients with respect to the clinical trials, programs or activities being audited or investigated, and we are called upon to respond to requests for information by the authorities and agencies. There is a risk that either our clients or regulatory authorities could claim that we performed our services improperly or that we are responsible for clinical trial or program compliance. If our clients or regulatory authorities make such claims against us and prove them, we could be subject to damages, fines or penalties. In addition, negative publicity regarding regulatory compliance of our clients’ clinical trials, programs or drugs could have an adverse effect on our business and reputation.

Security breaches and unauthorized use of our IT systems and information, or the IT systems or information in the possession of our vendors, could expose us, our clients, our data suppliers or others to risk of loss.

We rely upon the security of our computer and communications systems infrastructure to protect us from cyberattacks and unauthorized access. Cyberattacks can include malware, computer viruses, hacking or other significant disruption of our computer, communications and related systems. Although we take steps to manage and avoid these risks and to prevent their recurrence, our preventive and remedial actions may not be successful. Such attacks, whether successful or unsuccessful, could result in our incurring costs related to, for example, rebuilding internal systems, defending against litigation, responding to regulatory inquiries or actions, paying damages or fines, or taking other remedial steps with respect to third parties. Publicity about vulnerabilities and attempted or successful incursions could damage our reputation with clients and data suppliers and reduce demand for our services.

We also store proprietary and sensitive informationbroker-dealers in connection with our business, which could be compromised byany trade involving a cyberattack. To the extent that any disruption or security breach results in a loss or damage to our data, an inappropriate disclosure of proprietary or sensitive information, an inability to access data sources, or an inability to process data or provide our offerings to our clients, it could cause significant damage to our reputation, affect our relationships with our data suppliers and clients (including loss of suppliers and clients), lead to claims against us and ultimately harm our business. We may be required to incur significant costs to alleviate, remedy or protect against damage caused by these disruptions or security breaches in the future. We may also face inquiry or increased scrutiny from government agenciesstock defined as a result“penny stock” (generally, any equity security not listed on a national securities exchange or quoted on Nasdaq that has a market price of any such disruption or breach. While we have insurance coverage for certain instances of a cyber security breach, our coverage may not be sufficient if we suffer a significant attack or multiple attacks. Any such breach or disruption could have a material adverse effect on our operating results and our reputation as a provider of mission-critical services.

Some of our vendors have significant responsibility for the security of certain of our data centers and computer-based platforms. Also, our data suppliers have responsibility for security of their own computer and communications environments. These third parties face risks relating to cyber security similar to ours, which could disrupt their businesses and therefore materially impact ours. Accordingly, we areless than $5.00 per share, subject to any flaw in or breaches to their computer and communications systems

or those that they operate for us, which could result in a material adverse effect on our business, operations and financial results.

Current and proposed laws and regulations regarding the protection of personal data could result in increased risks of liability or increased cost to us or could limit our service offerings.

The confidentiality, collection, use and disclosure of personal data, including clinical trial patient-specific information, are subject to governmental regulation generally in the country that the personal data were collected or used. For example, United States federal regulations under Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and as amended in 2014 by the Health Information Technology for Economic and Clinical Health (“HITECH”) Act, require individuals’ written authorization, in addition to any required informed consent, before Protected Health Information may be used for research. We are both directly and indirectly affected by the privacy provisions surrounding individual authorizations because many investigators with whom we are involved in clinical trials are directly subject to them as a HIPAA “covered entity” and because we obtain identifiable health information from third parties that are subject to such regulations. As there are some instances where we are a HIPAA “business associate” of a “covered entity,” we can also be directly liable for mishandling protected health information. Under HIPAA’s enforcement scheme, we can be subject to up to $1.5 million in annual civil penalties for each HIPAA violation.

In the EU personal data includes any information that relates to an identified or identifiable natural person with health information carrying additional obligations, including obtaining the explicit consent from the individual for collection, use or disclosure of the information. In addition, we are subject to EU rules with respect to cross-border transfers of such data out of the EU. The United States, the EU and its member states, and other countries where we have operations, such as Japan, South Korea, Malaysia, the Philippines, Russia and Singapore, continue to issue new privacy and data protection rules and regulations that relate to personal data and health information. Failure to comply with certain certification/registration and annual re-certification/registration provisions associated with these data protection and privacy regulations and rules in various jurisdictions, or to resolve any serious privacy complaints, could subject us to regulatory sanctions, criminal prosecution or civil liability. Federal, state and foreign governments are contemplating or have proposed or adopted additional legislation governing the collection, possession, use or dissemination of personal data, such as personal health information, and personal financial data as well as security breach notification rules for loss or theft of such data. Additional legislation or regulation of this type might, among other things, require us to implement new security measures and processes or bring within the legislation other personal data, each of which may require substantial expenditures or limit our ability to offer some of our services. Additionally, if we violate applicable laws, regulations or duties relating to the use, privacy or security of personal data, we could be subject to civil liability or criminal prosecution, be forced to alter our business practices and suffer reputational harm.exceptions).

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

Not applicable.

Item 3.        Defaults Upon Senior Securities


Not applicable.

Item 4.        Mine Safety Disclosures

Not applicable.

Item 5.        Other Information

Not applicable.

Item 6.        Exhibits

See the Index to Exhibits following the signature page hereto, which Index to Exhibits is incorporated herein by reference.



SIGNATURE

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.
 
      Cancer Genetics, Inc.
      (Registrant)
    
Date: November 13, 2017/s/    Panna L. Sharma        
Panna L. Sharma
President and Chief Executive Officer
(Principal Executive Officer)
Date: November 13, 2017May 20, 2019     /s/ John A. Roberts
      John A. Roberts
      
President and Chief OperatingExecutive Officer
(Principal FinancialExecutive Officer)
       
Date: November 13, 2017May 20, 2019     /s/ Igor GitelmanM. Glenn Miles
      Igor GitelmanM. Glenn Miles
      
Chief AccountingFinancial Officer
(Principal Financial and Accounting Officer)

INDEX TO EXHIBITS
 
Exhibit
No.
  Description
   
2.1***4.1 
   
4.14.2 
   
10.1 
10.2
10.3
10.4
   
31.1  
  
31.2 
  
32.1  
  
32.2 
  
101  
The following materials from the Registrant’s quarterly report on Form 10-Q for the quarter ended September 30, 2017,March 31, 2019, formatted in XBRL (eXtensible Business Reporting Language): (i) Consolidated Balance Sheet at September 30, 2017March 31, 2019 (unaudited) and December 31, 2016,2018, (ii) Consolidated Statements of Operations and Other Comprehensive Loss for the three and nine month periods ended September 30, 2017March 31, 2019 and 20162018 (unaudited), (iii) Consolidated Statements of Stockholders’ Equity for the three month periods ended March 31, 2019 and 2018 (unaudited), (iv) Consolidated Statements of Cash Flows for the ninethree month periods ended September 30, 2017March 31, 2019 and 20162018 (unaudited) and (iv)(v) Notes to Consolidated Financial Statements (unaudited)
   
* Filed herewith.
** Furnished herewith.
***The schedules and exhibits to the Stock Purchase Agreement have been omitted from this filing pursuant to Item 601(b)(2) of Regulation S-K under the Securities Act of 1933, as amended. Cancer Genetics agrees to furnish as a supplement a copy of any omitted schedules or exhibits to the Stock Purchase Agreement to the Securities and Exchange Commission upon request, provided that Cancer Genetics may request confidential treatment for any schedule or exhibit so furnished.
 



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