UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

 

(Mark One)

 

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

 

For the quarterly period ended June 30,March 31, 20232024

 

OR

 

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

 

For the transition period from _______________ to _______________

 

Commission File Number: 000-24249

 

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

 

Delaware 22-2919486

(State or other jurisdiction of

Incorporation or organization)

 

(I.R.S. Employer

Incorporation or organization)

Identification No.)

 

Waterview Plaza, Suite 310, 2001 Route 46, Parsippany, NJ 07054
(Address of principal executive offices and zip code)
 
(855) 776-6419
(Registrant’s telephone number, including area code)

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

ClassShares Outstanding August 4, 2023May 3, 2024
Common Stock, par value $0.01 per share 4,314,2164,376,398

 

 

 

 

INTERPACE BIOSICENCES, INC.

FORM 10-Q FOR PERIOD ENDED JUNE 30, 2023MARCH 31, 2024

TABLE OF CONTENTS

 

  Page No.
   
 PART I - FINANCIAL INFORMATION 
   
Item 1.Unaudited Interim Condensed Consolidated Financial Statements3
   
 Condensed Consolidated Balance Sheets at June 30, 2023March 31, 2024 (unaudited) and December 31, 202220233
   
 Condensed Consolidated Statements of Operations for the three and six-monththree-month periods ended June 30,March 31, 2024 and 2023 and 2022 (unaudited)4
   
 Condensed Consolidated Statements of Stockholders’ Deficit for the three and six-monththree-month periods ended June 30,March 31, 2024 and 2023 and 2022 (unaudited)5
   
 Condensed Consolidated Statements of Cash Flows for the six-monththree-month periods ended June 30,March 31, 2024 and 2023 and 2022 (unaudited)6
   
 Notes to Unaudited Condensed Consolidated Financial Statements7
   
Item 2.Management’s Discussion and Analysis of Financial Condition and Results of Operations2220
   
Item 3.Quantitative and Qualitative Disclosures About Market Risk3228
   
Item 4.Controls and Procedures3228
   
 PART II - OTHER INFORMATION 
   
Item 1.Legal Proceedings3329
   
Item 1A.Risk Factors3329
   
Item 2.Unregistered Sales of Equity Securities and Use of Proceeds3330
   
Item 3.Defaults Upon Senior Securities3330
   
Item 4.Mine Safety Disclosures3330
   
Item 5.Other Information3330
   
Item 6.Exhibits3331
   
Signatures3432

 

2

PART I. FINANCIAL INFORMATION

 

INTERPACE BIOSCIENCES, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except share and per share data)

 

 June 30, December 31,  March 31, December 31, 
 2023 2022  2024  2023 
 (unaudited)     (unaudited)    
ASSETS             
Current assets:                
Cash and cash equivalents $5,079  $4,828  $2,812  $3,498 
Accounts receivable  5,529   5,032 
Accounts receivable, net of allowance for credit loss of $26 and $0, respectively  5,006   4,983 
Other current assets  2,367   2,294   1,598   1,841 
Total current assets  12,975   12,154   9,416   10,322 
Property and equipment, net  606   480   925   790 
Intangible assets, net  226   861 
Operating lease right of use assets  2,090   2,439   1,756   1,864 
Other long-term assets  45   45   45   45 
Total assets $15,942  $15,979  $12,142  $13,021 
                
LIABILITIES AND STOCKHOLDERS’ DEFICIT                
Current liabilities:                
Accounts payable $1,689  $1,050  $1,363  $1,544 
Accrued salary and bonus  1,127   1,456   878   1,969 
Other accrued expenses  8,391   8,419   8,574   8,201 
Line of credit - current  1,500   2,500 
Note payable at fair value, current  7,498   5,100 
Current liabilities of discontinued operations  858   858   660   660 
Total current liabilities  13,565   14,283   18,973   17,474 
Contingent consideration  231   518 
Operating lease liabilities, net of current portion  1,646   1,848   1,359   1,472 
Note payable at fair value  11,307   11,165   1,343   4,243 
Other long-term liabilities  4,863   4,701   5,072   4,968 
Total liabilities  31,612   32,515   26,747   28,157 
                
Commitments and contingencies (Note 9)  -   - 
Commitments and contingencies (Note 8)  -   - 
               

Redeemable preferred stock, $.01 par value; 5,000,000 shares authorized, 47,000 shares Series B issued and outstanding

  46,536   46,536   46,536   46,536 
                
Stockholders’ deficit:                

Common stock, $.01 par value; 100,000,000 shares authorized; 4,390,826 and 4,367,830 shares issued, respectively; 4,311,414 and 4,296,710 shares outstanding, respectively

  405   405 
Common stock, $.01 par value; 100,000,000 shares authorized; 4,487,157 and 4,447,489 shares issued, respectively; 4,376,398 and 4,351,445 shares outstanding, respectively  406   405 
Additional paid-in capital  187,865   187,516   188,224   188,146 
Accumulated deficit  (248,491)  (249,017)  (247,747)  (248,215)
Treasury stock, at cost (79,412 and 71,120 shares, respectively)  (1,985)  (1,976)
Treasury stock, at cost (110,759 and 96,044 shares, respectively)  (2,024)  (2,008)
Total stockholders’ deficit  (62,206)  (63,072)  (61,141)  (61,672)
Total liabilities and stockholders’ deficit  (30,594)  (30,557)  (34,394)  (33,515)
                
Total liabilities, preferred stock and stockholders’ deficit $15,942  $15,979  $12,142  $13,021 

 

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

 

3

 

INTERPACE BIOSCIENCES, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

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

 

        
 2023 2022 2023 2022  For The Three Months 
 For The Three Months Ended For The Six Months Ended  Ended March 31, 
 June 30, June 30,  2024  2023 
 2023 2022 2023 2022      
Revenue, net $11,026  $7,395  $20,853  $15,318  $10,273  $9,826 
Cost of revenue  4,191   3,565   8,039   6,830   4,202   3,848 
Gross profit  6,835   3,830   12,814   8,488   6,071   5,978 
Operating expenses:                        
Sales and marketing  2,605   2,551   4,947   4,751   2,821   2,342 
Research and development  186   204   335   435   137   149 
General and administrative  2,894   2,983   5,389   5,869   2,239   2,494 
Acquisition related amortization expense  318   317   635   635   -   318 
Change in fair value of contingent consideration  -   (311)  -   (311)
Total operating expenses  6,003   5,744   11,306   11,379   5,197   5,303 
                        
Operating income (loss) from continuing operations  832   (1,914)  1,508   (2,891)
Operating income from continuing operations  874   675 
Interest accretion expense  (31)  36   (66)  (85)  (19)  (35)
Note payable interest  (228)  (210)  (453)  (390)  (197)  (225)
Other (expense) income, net  (174)  37   (156)  198   (82)  19 
Income (loss) from continuing operations before tax  399   (2,051)  833   (3,168)
Income from continuing operations before tax  576   434 
Provision for income taxes  4   16   8   34   4   4 
Income (loss) from continuing operations  395   (2,067)  825   (3,202)
Income from continuing operations  572   430 
                        
Loss from discontinued operations, net of tax  (220)  (1,872)  (299)  (2,984)  (104)  (79)
                        
Net income (loss) $175  $(3,939) $526  $(6,186)
Net income $468  $351 
                        
Basic income (loss) per share of common stock:                        
From continuing operations $0.09  $(0.49) $0.19  $(0.76) $0.13  $0.10 
From discontinued operations  (0.05)  (0.44)  (0.07)  (0.71)  (0.02)  (0.02)
Net income (loss) per basic and diluted share of common stock $0.04  $(0.93) $0.12  $(1.47)
Net income (loss) per basic share of common stock $0.11  $0.08 
                        
Diluted income (loss) per share of common stock:                        
From continuing operations $0.09  $(0.49) $0.19  $(0.76) $0.13  $0.10 
From discontinued operations  (0.05)  (0.44)  (0.07)  (0.71)  (0.02)  (0.02)
Net income (loss) per basic and diluted share of common stock $0.04  $(0.93) $0.12  $(1.47)
Net income (loss) per diluted share of common stock $0.11  $0.08 
                        
Weighted average number of common shares and common share equivalents outstanding:                        
Basic  4,311   4,229   4,309   4,219   4,370   4,307 
Diluted  4,316   4,229   4,313   4,219   4,384   4,308 

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

4

INTERPACE BIOSCIENCES, INC.

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ DEFICIT

(unaudited, in thousands)

 

                                             
          Additional                Additional      
 Common Stock Treasury Stock Paid in Accumulated     Common Stock  Treasury Stock  Paid in  Accumulated    
 Shares Amount Shares Amount Capital Deficit Total 
Balance -December 31, 2021  4,228,169  $403   32,757  $(1,868) $186,106  $(227,059) $(42,418)
                            
Issuance of common stock  44,139   1   -   -   58   -   59 
Treasury stock purchased      -   13,129   (60)  -   -   (60)
Stock-based compensation expense  -   -   -   -   325   -   325 
Net loss  -   -   -   -   -   (2,247)  (2,247)
Balance -March 31, 2022  4,272,308   404   45,886  $(1,928) $186,489  $(229,306) $(44,341)
                            
Issuance of common stock  5,009   -   -   -   -   -   - 
Treasury stock purchased      -   1,483   (6)  -   -   (6)
Stock-based compensation expense  -   -   -   -   334   -   334 
Net loss  -   -   -   -   -   (3,939)  (3,939)
Balance -June 30, 2022  4,277,317  $    404   47,369  $(1,934) $186,823  $(233,245) $(47,952)
                             Shares  Amount  Shares  Amount  Capital  Deficit  Total 
Balance -December 31, 2022  4,367,830  $405   71,120  $(1,976) $187,516  $(249,017) $(63,072)  4,367,830  $405   71,120  $(1,976) $187,516  $(249,017) $(63,072)
                                                        
Issuance of common stock  22,996   -   -   -   -   -   -   22,996   -   -   -   -   -   - 
Treasury stock purchased      -   8,292   (9)  -   -   (9)      -   8,292   (9)  -   -   (9)
Stock-based compensation expense  -   -   -   -   192   -   192   -   -   -   -   192   -   192 
Net income  -   -   -   -   -   351   351   -   -   -   -   -   351   351 
Balance -March 31, 2023  4,390,826  $405   79,412  $(1,985) $187,708  $(248,666) $(62,538)  4,390,826  $405   79,412  $(1,985) $187,708  $(248,666) $(62,538)
Balance, value  4,390,826  $405   79,412  $(1,985) $187,708  $(248,666) $(62,538)
                                                        
Balance -December 31, 2023  4,447,489  $405   96,044  $(2,008) $188,146  $(248,215) $(61,672)
Balance  4,447,489  $405   96,044  $(2,008) $188,146  $(248,215) $(61,672)
                            
Issuance of common stock  39,668   1   -   -   (1)  -   - 
Treasury stock purchased  -   -   14,715   (16)  -   -   (16)
Stock-based compensation expense  -   -   -   -   157   -   157   -   -   -   -   79   -   79 
Net income  -   -   -   -   -   175   175   -   -   -   -   -   468   468 
Net income (loss)  -   -   -   -   -   175   175 
Balance -June 30, 2023  4,390,826  $405   79,412  $(1,985) $187,865  $(248,491) $(62,206)
Balance, value  4,390,826  $405   79,412  $(1,985) $187,865  $(248,491) $(62,206)
Balance -March 31, 2024  4,487,157  $406   110,759  $(2,024) $188,224  $(247,747) $(61,141)
Balance  4,487,157  $406   110,759  $(2,024) $188,224  $(247,747) $(61,141)

 

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

 

5

 

INTERPACE BIOSCIENCES, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited, in thousands)

 

  2023  2022 
` For The Six Months Ended June 30, 
  2023  2022 
       
Cash Flows From Operating Activities        
Net income (loss) $526  $(6,186)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:        
Depreciation and amortization  714   1,571 
Interest accretion expense  66   85 
Amortization of deferred financing fees  28   31 
Stock-based compensation  349   613 
ESPP expense  -   46 
Change in fair value of note payable  142   (160)
Mark to market on warrants  -   (68)
Change in fair value of contingent consideration  -   (311)
Other changes in operating assets and liabilities:        
Accounts receivable  (497)  (288)
Other current assets  (101)  (3)
Operating lease right of use assets  349   549 
Accounts payable  610   794 
Accrued salaries and bonus  (329)  278 
Other accrued expenses  (138)  (654)
Operating lease liabilities  (337)  (541)
Other long-term liabilities  162   72 
Net cash provided by (used in) operating activities  1,544   (4,172)
         
Cash Flows From Investing Activity        
Working capital adjustment on sale of Interpace Pharma Solutions  (117)  - 
Purchase of property and equipment  (176)  (86)
Net cash used in investing activities  (293)  (86)
         
Cash Flows From Financing Activities        
Issuance of common stock, net of expenses  -   59 
Proceeds from convertible debt  -   2,000 
(Payments) borrowings on line of credit  (1,000)  1,000 
Net cash (used in) provided by financing activities  (1,000)  3,059 
         
Net increase (decrease) in cash, cash equivalents and restricted cash  251   (1,199)
Cash, cash equivalents and restricted cash from continuing operations– beginning  4,828   2,922 
Cash, cash equivalents and restricted cash from discontinued operations– beginning  -   392 
Cash, cash equivalents and restricted cash – beginning $4,828  $3,314 
Cash, cash equivalents and restricted cash from continuing operations– ending $5,079  $1,943 
Cash, cash equivalents and restricted cash from discontinued operations– ending  -   172 
Cash, cash equivalents and restricted cash – ending $5,079  $2,115 
         
` For The Three Months Ended March 31, 
  2024  2023 
       
Cash Flows From Operating Activities        
Net income $468  $351 
Adjustments to reconcile net income to net cash (used in) provided by operating activities:        
Depreciation and amortization  52   356 
Interest accretion expense  19   35 
Amortization of deferred financing fees  -   14 
Stock-based compensation  79   192 
Bad debt expense reversal  (100)  - 
Credit loss expense  26   - 
Change in fair value of note payable  98   (33)
Amortization on operating lease right of use asset  108   141 
Other changes in operating assets and liabilities:        
Accounts receivable  (49)  317 
Other current assets  343   107 
Accounts payable  (176)  532 
Accrued salaries and bonus  (1,091)  (568)
Accrued liabilities  176   (290)
Operating lease liabilities  (115)  (100)
Long-term liabilities  104   79 
Net cash (used in) provided by operating activities  (58)  1,133 
         
Cash Flows From Investing Activity        
Purchase of property and equipment  (28)  (65)
Net cash used in investing activities  (28)  (65)
         
Cash Flows From Financing Activities        
Payments made on note payable  (600)  - 
Payments on line of credit  -   (300)
Net cash used in financing activities  (600)  (300)
         
Net (decrease) increase in cash and cash equivalents  (686)  768 
Cash and cash equivalents from continuing operations– beginning  3,498   4,828 
Cash and cash equivalents from discontinued operations– beginning  -   - 
Cash and cash equivalents – beginning $3,498  $4,828 
Cash and cash equivalents from continuing operations– ending $2,812  $5,596 
Cash and cash equivalents from discontinued operations– ending  -   - 
Cash and cash equivalents – ending $2,812  $5,596 

 

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

 

6

 

INTERPACE BIOSCIENCES, INC.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

(Tabular information in thousands, except per share amounts)

 

1. OVERVIEW

 

Nature of Business

 

Interpace Biosciences, Inc. (“Interpace” or the “Company”) is a company that provides molecular diagnostics, bioinformatics and pathology services for evaluation of risk of cancer by leveraging the latest technology in personalized medicine for improved patient diagnosis and management. The Company develops and commercializes genomic tests and related first line assays principally focused on early detection of patients with indeterminate biopsies and at high risk of cancer using the latest technology.

 

2. BASIS OF PRESENTATION

 

The accompanying unaudited interim condensed consolidated financial statements and related notes (the “Interim Financial Statements”) should be read in conjunction with the consolidated financial statements of the Company and its wholly-owned subsidiaries (Interpace Diagnostics Lab Inc., Interpace Diagnostics Corporation, and Interpace Diagnostics, LLC), and related notes as included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022,2023, as filed with the Securities & Exchange Commission (“SEC”) on March 27, 2023April 1, 2024 and as amended on April 28, 2023.26, 2024.

 

The Interim Financial Statements of the Company have been prepared in accordance with generally accepted accounting principles in the United States (“GAAP”) for interim financial reporting and the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. The Interim Financial Statements include all normal recurring adjustments that, in the judgment of management, are necessary for a fair presentation of such interim financial statements. Discontinued operations include the Company’s wholly owned subsidiaries: Group DCA, LLC, InServe Support Solutions; and TVG, Inc., its commercial servicesCommercial Services business unit, which was sold on December 22, 2015 and its Interpace Pharma Solutions Inc. business (“Pharma Solutions”) which was sold on August 31, 2022. All significant intercompany balances and transactions have been eliminated in consolidation. Operating results for the six-monththree-month period ended June 30, 2023March 31, 2024 are not necessarily indicative of the results that may be expected for the fiscal year ending December 31, 2023.2024.

 

3. LIQUIDITY

 

In October 2021, the Company entered into a $7.5 million revolving credit facility with Comerica IncorporatedBank (“Comerica”) (the “Comerica Loan Agreement”). In February 2024, the Company terminated the Comerica Loan Agreement. The Company did not owe anything outstanding on the line of credit at the time of termination and does not owe anything further to Comerica. See Note 17,16, Revolving Line of Credit, for more details.. Also in October 2021, the Company entered into an $8.0 million term loan with BroadOak Fund V, L.P. (“BroadOak”) (the “BroadOak Term“Term Loan”), the proceeds of which were used to repay in full at their maturity the existing secured promissory note with Ampersand Capital Partners (“Ampersand”) (the “Ampersand Note”) and 1315 Capital II, L.P (“1315 Capital”) (the “1315 Capital Note”). In May 2022, the Company entered into a Subordinated Convertible Promissory Note agreement with BroadOak for an additional $2.0 million (the “Convertible Note”), which was converted into a subordinated term loan and was added to the outstanding BroadOak Term Loan balance. The Term Loan has been subsequently amended. See Note 14, 13, Notes Payable,, for more details.

 

7

 

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

Further, alongAlong with many laboratories, the Company may be affected by the Proposed Local Coverage Determination (“LCD”) DL39365, which was posted on June 9, 2022 and is currently under consideration by Novitas.Novitas, the Company’s medical administrator contractor. If finalized, this Proposed LCD, which governs “Genetic Testing for Oncology,” could impact the existing LCDMedicare coverage for one of our molecular tests, PancraGEN®PancraGEN®. On June 5, 2023, the Company announced that CMSNovitas issued the final LCD of Genetic Testing for Oncology (L39365) which establishesif finalized, would have established non-coverage for the Company’s widely used PancraGEN® test effective July 17, 2023. On July 6, 2023, Novitas announced that it was rescinding implementation ofwould not be implementing the final Genetic Testing for Oncology LCD (L39365) so that it will not become effectiveas scheduled on July 17, 2023. Novitas then issued a new virtually identical proposed LCD affecting the same companies and tests and reaching the same conclusions as noted in the previously rescinded LCD on July 27, 2023. TheIn response, the Company has been invited to participateparticipated in a public meeting presentation regardingand submitted detailed written comments supporting the tests in question.use of PancraGEN®. The timing and content of any final implemented LCD is uncertain at this time; the process could potentially take a year or longer from issuance of the updated proposed LCD to reach a conclusion. As a result, the Company is able to continue offering PancraGEN® and the related Point2® fluid chemistry tests for amylase, CEA, and glucose. In the event Novitas ultimately restricts coverage for the PancraGEN® test, the Company’s liquidity could be negatively impacted.

 

For the sixthree months ended June 30, 2023,March 31, 2024, the Company had operating income from continuing operations of $1.50.9 million. As of June 30, 2023,March 31, 2024, the Company had cash and cash equivalents of $5.12.8 million, total current assets of $13.09.4 million and current liabilities of $13.619.0 million. As of August 4, 2023,May 3, 2024, the Company had approximately $4.62.8 million of cash on hand.and cash equivalents.

 

The Company may not generate positive cash flows from operations for the year ending December 31, 2023. The Company intends to meet its ongoing capital needs by using its available cash, as well as through targeted margin improvement; collection of accounts receivable; containment of costs; and the potential use of other financing options and other strategic alternatives. However, if the Company is unable to meet the financial covenants under the Comerica Loan Agreement, the revolving line of credit and notes payable will become due and payable immediately. As of August 1, 2023, the Company had $3.4 million available under the Loan Agreement.

 

The Company continues to explore various strategic alternatives, dilutive and non-dilutive sources of funding, including equity and debt financings, strategic alliances, business development and other sources in order to provide additional liquidity. With the delisting of its common stock from Nasdaq in February 2021, and the possible removal of its common stock from trading on the OTCQX® if it failed to meet minimum market capitalization of $5 million by July 3, 2023, the Company’s ability to raise additional capital on terms acceptable to it has been adversely impacted. There can be no assurance that the Company will be successful in obtaining such funding on terms acceptable to it. The Company was notified in May 2023 that it had met the market capitalization requirements and was cleared to remain on OTCQX®.

 

With the proceeds received from the sale of the Pharma Solutions business, as well as the improvement in operating cash flows associated with the disposition of the Pharma Solutions business, and the Company’s improved operating performance, as of the date of this filing, the Company anticipates that current cash and cash equivalents and forecasted cash receipts will be sufficient to meet its anticipated cash requirements through the next twelve months.months from the date of the filing of this report.

 

8

4. DISCONTINUED OPERATIONS

 

Liabilities classified as discontinued operations as of both June 30, 2023March 31, 2024 and December 31, 20222023 consists of accrued expenses of which $766 ofare liabilities related to the former commercial servicesCommercial Services business unit.

 

The table below presents the significant components of its former Pharma Solutions business unit’s results included within loss from discontinued operations, net of tax in the condensed consolidated statements of operations for the three- and six months ended June 30, 2023March 31, 2024 and 2022.2023.

 

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

 2023 2022 2023 2022  2024 2023 
 For The Three Months Ended For The Six Months Ended  For The Three Months Ended 
 June 30, June 30,  March 31, 
 2023 2022 2023 2022  2024 2023 
              
Revenue, net $-  $1,956  $-  $4,410 
                
Loss from discontinued operations  (137)  (1,820)  (137)  (2,878) $-  $- 
Income tax expense  83   52   162   106   104   79 
Loss from discontinued operations, net of tax $(220) $(1,872) $(299) $(2,984) $(104) $(79)

 

Cash usedThere was no cash flow activity from discontinued operations, operating activities, for the six months ended June 30, 2022 was approximately $2.5 million. Cash used from discontinued operations, operating activities, was $20,000, and investing activities was $0.1 million for the six months ended June 30, 2023. Depreciation and amortization expense within discontinued operations for the three and six-monthsmonths ended June 30, 2022 was $0.4 million and $0.8 million, respectively.March 31, 2024 or March 31, 2023. There was no depreciation and amortization expense for either the three or six months ended June 30, 2023 in discontinued operations.March 31, 2024 or March 31, 2023.

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5. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

 

Accounting Estimates

 

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

 

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Revenue Recognition

 

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

 

For our clinical services, weWe regularly review the ultimate amounts received from the third-party and direct-bill payers and related estimated reimbursement rates and adjust the NRV’s and related contractual allowances accordingly. If actual collections and related NRV’s vary significantly from our estimates, we will adjust the estimates of contractual allowances, which affects net revenue in the period such variances become known. The Company recorded an NRV adjustment of $0.7 million as a reduction of revenue during the second quarter of 2022 to record the impact on revenue recorded during the first quarter of 2022. See Note 3, Liquidity, for more details.

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

 

Financing and Payment

 

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

 

Costs to Obtain or Fulfill a Customer Contract

 

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

 

9

Accounts Receivable

 

The Company’s accounts receivable represent unconditional rights to consideration and are generated using its clinical services and pharma services. The Company’s clinical services are fulfilled upon completion of the test, review and release of the test results. In conjunction with fulfilling these services, the Company bills the third-party payer or direct-bill payer. Contractual adjustments represent the difference between the list prices and the reimbursement rates set by third-party payers, including Medicare, commercial payers, and amounts billed to direct-bill payers. Specific accounts may be written off after several appeals, which in some cases may take longer than twelve months. Pharma services represented, primarily, the performance of laboratory tests in support of clinical trialsThe allowance for pharma services customers. The Company billed these services directly to the customer.credit losses balance was $26,000 and $0 at March 31, 2024 and December 31, 2023, respectively.

 

Leases

 

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

 

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

 

Other Current Assets

 

Other current assets consisted of the following as of June 30, 2023March 31, 2024 and December 31, 2022:2023:

SCHEDULE OF OTHER CURRENT ASSETS

 June 30, 2023 December 31, 2022  March 31,
2024
 December 31,
2023
 
Lab supplies $1,177  $1,224  $1,154  $1,227 
Prepaid expenses  642   390   387   590 
Funds in escrow  500   500 
Other  48   180   57   24 
Total other current assets $2,367  $2,294  $1,598  $1,841 

 

Long-Lived Assets, including Finite-Lived Intangible Assets

 

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

 

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

 

10

Basic and Diluted Net LossIncome (Loss) per Share

 

A reconciliation of the number of shares of common stock, par value $0.01 per share, used in the calculation of basic and diluted lossincome (loss) per share for the three- and six-monthmonth periods ended June 30,March 31, 2024 and 2023 and 2022 is as follows:

 

SCHEDULE OF BASIC AND DILUTED NET LOSS PER SHARE

  2023  2022  2023  2022 
  Three Months Ended  Six Months Ended 
  June 30,  June 30, 
  2023  2022  2023  2022 
Basic weighted average number of common shares  4,311   4,229   4,309   4,219 
Potential dilutive effect of stock-based awards  5   -   4   - 
                 
Diluted weighted average number of common shares  4,316   4,229   4,313   4,219 

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  2024  2023 
  Three Months Ended 
  March 31, 
  2024  2023 
Basic weighted average number of common shares  4,370   4,307 
Potential dilutive effect of stock-based awards  14   1 
Diluted weighted average number of common shares  4,384   4,308 

 

The Company’s Series B RedeemableConvertible Preferred Stock, on an as converted basis into common stock of 7,833,334 shares for the three- and six-monthsmonth periods ended June 30,March 31, 2024 and 2023, and the following outstanding stock-based awards and warrants, were excluded from the computation of the effect of dilutive securities on lossincome (loss) per share for the following periods as they would have been anti-dilutive (rounded to thousands):

 

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

 2023 2022 2023 2022  2024 2023 
 Three Months Ended Six Months Ended  Three Months Ended 
 June 30, June 30,  March 31, 
 2023 2022 2023 2022  2024 2023 
Options  475   641   475   641   288   526 
Restricted stock units (RSUs)  215   351   217   351   207   219 
Warrants  -   63   -   63 
Antidilutive securities excluded from computation of earnings per share  690   1,055   692   1,055 
Anti-dilutive securities  495   745 

 

6.INTANGIBLE ASSETS

The net carrying value of the identifiable intangible assets from all acquisitions as of June 30, 2023 and December 31, 2022 are as follows:

SCHEDULE OF IDENTIFIABLE INTANGIBLE ASSETS CARRYING VALUE

     As of
June 30, 2023
  As of
December 31, 2022
 
  Life  Carrying  Carrying 
  (Years)  Amount  Amount 
          
Asuragen acquisition:           
Thyroid 9  $8,519  $8,519 
RedPath acquisition:           
Pancreas test 7   16,141   16,141 
Barrett’s test 9   6,682   6,682 
            
CLIA Lab 2.3   609   609 
            
Total    $31,951  $31,951 
            
Accumulated Amortization   (31,725)  (31,090)
            
Net Carrying Value    $226  $861 

Amortization expense was approximately $0.3 million for both the three-month periods ended June 30, 2023 and 2022, and $0.6 million for the six-month periods ended June 30, 2023 and 2022, respectively. The remaining amortization expense of $0.2 million will be amortized in 2023.

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7.            FAIR VALUE MEASUREMENTS

 

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

 

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

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

SCHEDULE OF FINANCIAL INSTRUMENT MEASURED ON RECURRING BASIS

  Fair Value Measurements  As of March 31, 2024 Fair Value Measurements 
 As of June 30, 2023 As of June 30, 2023    Fair As of March 31, 2024 
 Amount Fair Value Level 1 Level 2 Level 3  Amount Value Level 1 Level 2 Level 3 
                      
Liabilities:                                        
Contingent consideration:                                        
Asuragen (1) $774  $774  $       -  $        -  $774  $248  $248  $-  $-  $248 
Note payable:                                        
BroadOak loan  10,000   11,307   -   -   11,307   9,400   8,841   -   -   8,841 
 $10,774  $12,081  $-  $-  $12,081  $9,648  $9,089  $-  $-  $9,089 

 

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

 

  Fair Value Measurements 
 As of December 31, 2022 As of December 31, 2022  As of December 31, 2023 Fair Value Measurements 
 Amount Fair Value Level 1 Level 2 Level 3  Carrying Fair As of December 31, 2023 
            Amount Value Level 1 Level 2 Level 3 
Liabilities:                               
Contingent consideration:                                        
Asuragen (1) $1,088  $1,088  $-  $-  $1,088  $453  $453  $-  $-  $453 
Note payable:                                        
BroadOak loan  10,000   11,165   -   -   11,165   10,000   9,343   -   -   9,343 
 $11,088  $12,253  $    -  $    -  $12,253  $10,453  $9,796  $-  $-  $9,796 

 

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

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

 

In connection with the BroadOak loan,Term Loan, the Company records the loan at fair value. The fair value of the loan is determined by a probability-weighted approach regarding the loan’s change in control feature. See Note 14,13, Notes Payable, for more details. The fair value measurement is based on the estimated probability of a change in control and thus represents a Level 3 measurement.

 

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A roll forward of the carrying value of the Contingent Consideration Liability and BroadOak Loanloans to June 30, 2023March 31, 2024 is as follows:

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

     Transferred Accretion/ 

Adjustment

to Fair Value/

   
 December   to Accrued Interest Mark to June 30,          Adjustment   
 31, 2022 Issued Expenses Accrued Market 2023  December 31,
2023
 Payments Reversals Accretion/
Interest
Accrued
 to Fair
Value/
Mark to
Market
 March 31,
2024
 
                          
Asuragen $1,088  $-  $(380) $66  $-  $774  $                453  $-  $(224) $       19  $       -  $248 
                                                
BroadOak loans  11,165       -   -   -   142   11,307   9,343   (600)  -   -   98   8,841 
                                                
 $12,253  $-  $(380) $66  $142  $12,081  $9,796  $(600) $(224) $19  $98  $9,089 

 

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

 

8.            7. LEASES

 

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

 

SCHEDULE OF LEASE RELATED ASSETS AND LIABILITIES

  Classification on the Balance Sheet June 30, 2023  December 31, 2022 
         
Assets          
Operating lease assets Operating lease right of use assets  2,090   2,439 
Total lease assets   $2,090  $2,439 
           
Liabilities          
Current          
Operating lease liabilities Other accrued expenses  443   578 
Total current lease liabilities   $443  $578 
Noncurrent          
Operating lease liabilities Operating lease liabilities, net of current portion  1,646   1,848 
Total long-term lease liabilities    1,646   1,848 
Total lease liabilities   $2,089  $2,426 

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  Classification on the Balance Sheet March 31,
2024
  December 31,
2023
 
         
Assets          
Operating lease assets Operating lease right of use assets  1,756   1,864 
Total lease assets   $1,756  $1,864 
           
Liabilities          
Current          
Operating lease liabilities Other accrued expenses  375   377 
Total current lease liabilities   $375  $377 
Noncurrent          
Operating lease liabilities Operating lease liabilities, net of current portion  1,359   1,472 
Total long-term lease liabilities    1,359   1,472 
Total lease liabilities   $1,734  $1,849 

 

The weighted average remaining lease term for the Company’s operating leases was 4.74.1 years as of June 30, 2023March 31, 2024 and the weighted average discount rate for those leases was 11.811.9%. The Company’s operating lease expenses are recorded within “Cost of revenue” and “General and administrative expenses.”

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The table below reconciles the cash flows to the lease liabilities recorded on the Company’s Condensed Consolidated Balance Sheet as of June 30, 2023:March 31, 2024:

SCHEDULE OF MATURITIES OF OPERATING LEASE LIABILITIES

 Operating Leases  Operating Leases 
2023 - remaining six months $357 
2024  575 
2024 - remaining nine months $446 
2025  450   450 
2026  550   500 
2027-2028  825 
2027  550 
2028  275 
Total minimum lease payments  2,757   2,221 
Less: amount of lease payments representing effects of discounting  668   487 
Present value of future minimum lease payments  2,089   1,734 
Less: current obligations under leases  443   375 
Long-term lease obligations $1,646  $1,359 

 

9.8. COMMITMENTS AND CONTINGENCIES

 

Litigation

 

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

 

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

 

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

 

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10.          9. OTHER ACCRUED EXPENSES

 

Other accrued expenses consisted of the following as of June 30, 2023March 31, 2024 and December 31, 2022:2023:

SCHEDULE OF OTHER ACCRUED EXPENSES

 June 30, 2023 December 31, 2022  March 31,
2024
 December 31,
2023
 
Accrued royalties $5,680  $4,909  $6,837  $6,268 
Contingent consideration  543   569   248   453 
Operating lease liability  443   578   375   377 
Accrued sales and marketing - diagnostics  -   40   55   43 
Accrued lab costs - diagnostics  182   167   82   68 
Accrued professional fees  505   641   334   241 
Taxes payable  222   262   276   261 
Unclaimed property  328   565 
All others  488   688   367   490 
Total other accrued expenses $8,391  $8,419  $8,574  $8,201 

 

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11.          10. STOCK-BASED COMPENSATION

 

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

 

There were no stock option awards issued duringin the sixthree months ended June 30,March 31, 2024 and March 31, 2023. The following table provides the weighted average assumptions used in determining the fair value of the stock option awards granted during the six-month period ended June 30, 2022.

SCHEDULE OF STOCK OPTIONS, VALUATION ASSUMPTIONS

June 30, 2022
Risk-free interest rate1.75%
Expected life6.0 years
Expected volatility129.93%
Dividend yield-

 

The Company recognized approximately $0.20.1 million and $0.30.2 million of stock-based compensation expense within continuing operations during the three-month periods ended June 30,March 31, 2024 and 2023, and 2022, respectively and approximately $0.3 million and $0.6 million for the six-month periods ended June 30, 2023 and 2022, respectively. The following table has a breakout of stock-based compensation expense from continuing operations by line item.

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

  2023  2022  2023  2022 
  Three Months Ended  Six Months Ended 
  June 30,  June 30, 
  2023  2022  2023  2022 
       
Cost of revenue $12  $20  $26  $47 
Sales and marketing  30   42   60   86 
General and administrative*  115   243   263   475 
Total stock compensation expense $157  $305  $349  $608 

*Includes ESPP expense in 2022

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  2024  2023 
  Three Months Ended 
  March 31, 
  2024  2023 
       
Cost of revenue $3  $14 
Sales and marketing  30   30 
General and administrative  46   148 
Total stock compensation expense $79  $192 

 

12.          11. INCOME TAXES

 

Generally, accounting standards require companies to provide for income taxes each quarter based on their estimate of the effective tax rate for the full year. The authoritative guidance for accounting for income taxes allows use of the discrete method when it provides a better estimate of income tax expense. Due to the Company’s valuation allowance position, it is the Company’s position that the discrete method provides a more accurate estimate of income tax expense and therefore income tax expense for the current quarter has been presented using the discrete method. As the year progresses, the Company refines its estimate based on the facts and circumstances by each tax jurisdiction. The following table summarizes income tax expense on lossincome from continuing operations and the effective tax rate for the three- and six-monthmonth periods ended June 30, 2023March 31, 2024 and 2022:2023:

SCHEDULE OF EFFECTIVE INCOME TAX RATE

 2024 2023 
 2023 2022 2023 2022  Three Months Ended 
 Three Months Ended Six Months Ended  March 31, 
 June 30, June 30,  2024 2023 
 2023 2022 2023 2022  (unaudited) 
              
Provision for income tax $4  $16  $8  $34  $4  $4 
Effective income tax rate  1.0%  (0.8)%  1.0%  (1.1)%  0.7%  0.9%

 

Income tax expense for both periods was primarily due to stateTexas franchise taxes.

 

Other long-term liabilities consisted of uncertain tax positions as of June 30, 2023March 31, 2024 and December 31, 2022.2023.

 

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13. 

12. SEGMENT INFORMATION

 

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

 

14.          13. NOTES PAYABLE

 

BroadOak Loan

 

On October 29, 2021, the Company and its subsidiaries entered into the BroadOakTerm Loan, Agreement, providing for a term loan in the aggregate principal amount of $8,000,000 (the “Term Loan”). Funding of the Term Loan took place on November 1, 2021. The Term Loan matureswas scheduled to mature upon the earlier of (i) October 31, 2024 or (ii) the occurrence of a change in control, and bears interest at the rate of 9% per annum. The Term Loan is secured by a security interest in substantially all of the Company’s and its subsidiaries’ assets and iswas subordinate to the Company’s $7,500,000 revolving credit facility with Comerica Bank. See Note 17, 18, Revolving Line of Credit.Credit. The Term Loan had an origination fee of 3% of the Term Loan amount, and a terminal payment equal to (i) 15% of the original principal amount of the Term Loan if the change of control occurs on or prior to the first anniversary of the funding of the Term Loan, (ii) 20% of the original principal amount of the Term Loan if the change of control occurs after the first anniversary but on or prior to the second anniversary of the funding of the Term Loan and (iii) 30% of the original principal amount of the Term Loan if the change of control occurs after the second anniversary of the funding of the Term Loan, or if the Term Loan is repaid on its maturity date.date.

 

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

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

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

 

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

 

BroadOak Convertible NoteOn October 24, 2023, the Company entered into a Second Amendment to Loan and Security Agreement (the “Second Amendment”) with BroadOak. The primary changes to the original Term Loan were as follows:

The Company made a one-time payment in an aggregate amount equal to $2,500,000, on October 30, 2023 and applied the payment in full satisfaction of the $3,000,000 Terminal Payment (as defined in the Term Loan). See above regarding the Terminal Payment.
Effective November 1, 2023, the interest rate under the Term Loan was reduced from 9% to 8% through the maturity date of October 31, 2024 or earlier, upon the occurrence of a change in control (“Loan Maturity Date”).
The Company has the option to request an extension of the Loan Maturity Date in writing no less than sixty days prior to the Loan Maturity Date. If BroadOak agrees to the extension, the Loan Maturity Date would automatically be extended.

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On May 5, 2022,March 29, 2024, the Company issuedentered into a Convertible NoteThird Amendment to Loan and Security Agreement with BroadOak pursuant(the “Third Amendment”). The primary changes to the Second Amendment were as follows:

The maturity date was extended to June 30, 2025.
Beginning April 1, 2024, the Company will make $500,000 monthly payments with the remaining loan balance due on the new maturity date.

The Third Amendment was treated as a debt modification which BroadOak funded an aggregate principal amountis accounted for prospectively. Since the Term Loan is carried at fair value under the fair value option, the Second Amendment did not result in any extinguishment gain or loss upon amendment, and the impact of $2 million (the “Convertible Debt”).the revised terms was incorporated into the Company’s first quarter 2024 fair value calculation.

 

The Convertible Note was to be converted into shares of common stockbalance of the Company in connection with, and upon the consummation of, a private placement transaction pursuant to which the Company would issue common stock to certain investors, and such conversion would be subject to the same terms and conditions (including purchase price per share) applicable to the purchase of common stock of the Company by such investors. Since the private placement transactionloan outstanding at March 31, 2024 was not consummated by August 5, 2022 (the “Maturity Date”), the Convertible Note was converted into an additional term loan advance under the Company’s existing BroadOak Loan Agreement on the Maturity Date. The Convertible Debt bore interest at a fixed rate of $9.09.4% per annum and was unsecured. There were no scheduled amortization payments prior to the Maturity Date. The Convertible Note contained customary representations and warranties and customary events of default. million.

 

The Company entered into a consent letter (the “Comerica Consent”) with Comerica, pursuant to which Comerica consented to the issuance of the Convertible Note, the incurrence of the Convertible Debt and the conversion of the Convertible Debt into common stock of the Company or an additional term loan advance under the BroadOak Loan Agreement.

15.          14. SUPPLEMENTAL CASH FLOW INFORMATION

 

Supplemental Disclosures of Non CashNon-Cash Activities

(in thousands)

SUPPLEMENTAL CASH FLOW INFORMATION

  June 30, 
  2023  2022 
       
Taxes accrued for repurchase of restricted shares $9  $66 
Purchase of property and equipment included in accounts payable  29   34 

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  2024  2023 
  Three Months Ended 
  March 31, 
  2024  2023 
       
Taxes accrued for repurchase of restricted shares $16  $9 
Accrued capital expenditures  164   - 

 

16.          15. MEZZANINE EQUITY

 

Redeemable Preferred Stock

 

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

 

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

 

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Voting

 

On any matter presented to the stockholders of the Company for their action or consideration at any meeting of stockholders of the Company (or by written consent of stockholders in lieu of meeting), each holder of outstanding shares of Series B Preferred Stock will be entitled to cast the number of votes equal to the number of whole shares of the Company’s common stock into which the shares of Series B Preferred Stock held by such holder are convertible as of the record date for determining stockholders entitled to vote on such matter. Except as provided by law or by the Certificate of Designation of Preferences, Rights and Limitations of Series B Convertible Preferred Stock (the “Certificate of Designation”), holders of Series B Preferred Stock will vote together with the holders of common stock as a single class and on an as-converted to common stock basis.

 

Director Designation Rights

 

The Certificate of Designation also provides each Investor with the following director designation rights: for so long such Investor holds at least sixty percent (60%) of the Series B Preferred Stock issued to it on the Issuance Date (as defined therein), such Investor will be entitled to elect two directors to the Company’s Board of Directors (the “Board”), provided that one of the directors qualifies as an “independent director” under Rule 5605(a)(2) of the listing rules of the Nasdaq Stock Market (or any successor rule or similar rule promulgated by another exchange on which the Company’s securities are then listed or designated) (“Independent Director”). However, if at any time such Investor holds less than sixty percent (60%), but at least forty percent (40%), of the Series B Preferred Stock issued to them on the Issuance Date, such Investor would only be entitled to elect one director to the Board. Any director elected pursuant to the terms of the Certificate of Designation may be removed without cause by, and only by, the affirmative vote of the holders of Series B Preferred Stock. A vacancy in any directorship filled by the holders of Series B Preferred Stock may be filled only by vote or written consent in lieu of a meeting of such holders of Series B Preferred Stock or by any remaining director or directors elected by such holders of Series B Preferred Stock.Stock.

On November 15, 2023, Edward Chan, a director designated by 1315 Capital to the Board, provided notice to the Company of his resignation from the Board, effective immediately. Further, on December 7, 2023, Robert Gorman, a director designated by Ampersand to the Board, provided notice to the Company of his resignation as a director and as Chairman of the Board, effective immediately.

 

Conversion

 

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

 

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Mandatory Conversion

 

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

 

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Liquidation

 

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

 

As of June 30, 2023March 31, 2024 and December 31, 2022,2023, there were 47,000 Series B issued and outstanding shares of preferred stock, respectively.

 

17.          16. REVOLVING LINE OF CREDIT

 

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

 

The amount that may be borrowed underOn October 6, 2023, effective September 30, 2023, the Credit Facility isCompany entered into a Fifth Amendment to its Loan and Security Agreement (the “Fifth Amendment to the lowerComerica Loan Agreement”) with Comerica Bank providing for a revolving credit facility of (i) the revolving limit of $7,500,000 (the “Revolving Line”) and (ii) 80% of the Company’s eligible accounts receivable plus an applicable non-formula amount consisting of $2,000,000 of additional availability at close not based upon the Company’s eligible accounts receivable, with such additional availability reducing by $250,000 per quarter beginning with the quarter ending June 30, 2022. Borrowings on the Credit Facility are limitedup to $5,000,000 until 80% of the Company’s and its subsidiaries’ customers are paying into a collection account or segregated governmental account with Comerica. The Revolving Line can also include, at the Company’s option, credit card services with a sublimit of $300,000. Borrowings on the Revolving Line are subject to an interest rate equal to prime plus 0.50%, with prime being the greater of (x) Comerica’s stated prime rate or (y) the sum of (A) the daily adjusting LIBOR rate plus (B) 2.5% per annum. The Company is also required to pay an unused facility fee quarterly in arrears in an amount equal to 0.25% per annum on the average unused but available portion of the Revolving Line for such quarter.

 

The Credit Facility matures on September 30, 2023, and is secured by a first priority lien on substantially all of the assets ofIn February 2024, the Company and its subsidiaries. As of June 30, 2023, the balance of the revolving line was $1.5 million. The Company intends on repaying $0.5 million per month until the balance is paid in full by September 30, 2023.

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The Comerica Loan Agreement contains affirmative and negative restrictive covenants that are applicable whether or not any amounts are outstanding underterminated the Comerica Loan Agreement. These restrictive covenants, which include restrictionsThe Company did not owe anything outstanding on certain mergers, acquisitions, investments, encumbrances, etc., could adversely affect our abilitythe Line at the time of termination and does not owe anything further to conduct our business. The Comerica Loan Agreement also contains financial covenants requiring specified minimum liquidity and minimum revenue thresholds, which the Company was in compliance with as of June 30, 2023, and also contains customary events of default.Comerica.

 

18.          17. RECENT ACCOUNTING STANDARDS

 

Accounting Pronouncements Adopted

 

TheIn August 2020, the FASB issued new guidance under ASC Topic 326, Financial Instruments Credit Losses.ASU 2020-06, Debt – Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging – Contracts in Entity’s Own Equity (Subtopic 815 – 40), (“ASU 2020-06”). ASU 2020-06 simplifies the accounting for certain financial instruments with characteristics of liabilities and equity, including convertible instruments and contracts on an entity’s own equity. The guidance changes the allowance on accounts receivable from an incurred method to an expected method. The CompanyASU 2020-06 amendments are effective for fiscal years beginning after December 15, 2023, and interim periods within those fiscal years. This was adopted ASC Topic 326 on January 1, 2024 and there was no impact upon adoption.

Accounting Pronouncements Pending

In December 2023, and it had no material effectthe FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures. This ASU requires public entities, on an annual basis, to provide disclosure of specific categories in the condensed consolidatedrate reconciliation, as well as disclosure of income taxes paid disaggregated by jurisdiction. ASU 2023-09 is effective for fiscal years beginning after December 15, 2024, with early adoption permitted. The Company is currently evaluating the impact the adoption of this standard on its financial statements.

 

19.          SUBSEQUENT EVENTS

Company Announces Reversal of Previous CMS Decision

On June 5, 2023 the Company had announced that CMS issued the final LCD of Genetic Testing for Oncology (L39365) which established non-coverage for the Company’s widely used PancraGEN® test effective July 17, 2023. On July 6, 2023, Novitas announced that it was rescinding implementation of the Genetic Testing for Oncology LCD (L39365) so that it will not become effective on July 17, 2023. Novitas issued a new proposed LCD affecting the same companies and tests and reaching the same conclusions as noted in the previously rescinded LCD on July 27, 2023. The Company has been invited to participate in a public meeting presentation regarding the tests in question. The timing and content of any final LCD is uncertain at this time; the process could potentially take a year or longer to reach a conclusion. As a result, the Company is able to continue offering PancraGEN® and the related Point2® fluid chemistry tests for amylase, CEA, and glucose.

Appointment of New Chief Financial Officer

On July 24, 2023, the Board appointed Christopher McCarthy, age 32, as Chief Financial Officer of the Company. Mr. McCarthy has served as the Company’s Principal Financial Officer since April 2023. In connection with his appointment as Chief Financial Officer, the Company entered into an employment agreement with Mr. McCarthy on July 31, 2023, effective as of July 24, 2023 (the “Employment Agreement”). Pursuant to the Employment Agreement, the Company agreed to pay to Mr. McCarthy a base salary of $220,000 annually to be paid in accordance with the Company’s payroll practices, with any increase in the sole discretion of the Company’s Compensation and Management Development Committee (the “Compensation Committee”) of the Board. Mr. McCarthy is also eligible to receive additional annual incentive compensation with an annual target of up to 40% of the base salary, paid out in cash, less applicable taxes and deductions and/or stock as determined by the Compensation Committee. The Company has awarded to Mr. McCarthy, under the Company’s 2019 Equity Incentive Plan, as amended, (the “Plan”) and related Form of Restricted Stock Unit Grant Notice and Restricted Stock Unit Agreement under the 2019 Equity Incentive Plan (the “RSU Award Agreement”) a grant of restricted stock units (“RSUs”) with respect to 25,000 shares of the Company’s common stock (such grant, the “RSU Grant”). The RSU Grant vested immediately upon its grant date of July 31, 2023 with respect to 12,500 RSUs and the remaining 12,500 RSUs will vest on the six month anniversary of the date of grant. On July 27, 2024, the Company will grant an additional 25,000 RSU’s to Mr. McCarthy, which will be immediately vested.

The Employment Agreement provides for “at will” employment that may be terminated by Mr. McCarthy or by the Company at any time, and for any reason or for no reason. In the event of termination, Mr. McCarthy will be entitled to retain any equity awards that have vested through the date of termination, subject to the terms and conditions of the applicable equity incentive plan and the applicable award agreement. In the event that Mr. McCarthy’s employment is terminated by the Company without Cause or by Mr. McCarthy for Good Reason (in each case, as defined in the Employment Agreement), then subject to, among other things, Mr. McCarthy’s execution and non-revocation of a release agreement in favor of the Company, Mr. McCarthy would be entitled to salary continuation payments for a period of six months.

2119

 

INTERPACE BIOSCIENCES, INC

 

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

 

FORWARD-LOOKING STATEMENTS

 

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

 

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

 

 we have a history of operating losses prior to fiscal 2023 and our clinical services have generated limited revenue;
   
 our expectations of future revenues, expenditures, capital or other funding requirements;
   
 our reliance on Medicare reimbursement for our clinical services and our being subject to decisions of the Center for Medicare and Medicaid Services (“CMS”) regarding reimbursement and pricing of our clinical services which could have a material adverse effect on our business and financial results;
   
 our ability to continue to perform, bill and receive reimbursement for our PancraGEN® molecular test long-term under the existing local coverage determination (“LCD”), given that such LCD is currently under review by Novitas, Solutions, Inc. (“Novitas”), the Company’s Medicare administrative contractor;
   
 our secured lenders havelender has the right to foreclose on substantially all of our assets if we are unable to timely repay our outstanding obligations;
   
 our dependence on sales and reimbursements from our clinical services for all of our revenue;
   
 the ability to continue to generate sufficient revenue from our clinical service products and other products and/or solutions that we develop in the future is important for our ability to meet our financial and other targets;
   
 our ability to finance our business on acceptable terms in the future, which may limit the ability to grow our business, develop and commercialize products and services, develop and commercialize new molecular clinical service solutions and technologies;
   
 our obligations to make royalty and milestone payments to our licensors;
   
 our dependence on third parties for the supply of some of the materials used in our clinical services tests;

 

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 the potential adverse impact of current and future laws, licensing requirements and governmental regulations upon our business operations, including but not limited to the evolving U.S. regulatory environment related to laboratory developed tests (“LDTs”), pricing of our tests and services and patient access limitations;
   
 our reliance on our sales and marketing activities for future business growth and our ability to continue to expand our sales and marketing activities;
   
 our being subject to the controlling interests of our two private equity investors who control, on an as-converted basis, an aggregate of 64.5%64.2% of our outstanding shares of common stock through their holdings of our Series B Preferred Stock, and this concentration of ownership along with their authority for designation rights for a majority of our directors and their right to approve certain of our actions has a substantial influence on our decisions;
   
 the delisting of our common stock from Nasdaq and subsequent trading on OTCQX®has adversely affected and may continue to adversely affect our common stock and business and financial condition;
   
 geopolitical and other economic and political conditions or events (such as the warwars in Ukraine)Ukraine and Israel/Gaza);
   
 our ability to implement our business strategy; and
   
 the potential impact of existing and future contingent liabilities on our financial condition.

 

Please see Part I – Item 1A – “Risk Factors” in our Annual Report on Form 10-K for the fiscal year ended December 31, 20222023 filed with the SEC on March 27, 2023,April 1, 2024, and as amended on April 28, 2023,26, 2024, as well as other documents we file with the SEC from time-to-time, for other important factors that could cause our actual results to differ materially from our current expectations as expressed in the forward-looking statements discussed in this Form 10-Q. Because of these and other risks, uncertainties and assumptions, you should not place undue reliance on these forward-looking statements. In addition, these statements speak only as of the date of the report in which they are set forth and, except as may be required by law, we undertake no obligation to revise or update publicly any forward-looking statements for any reason.

 

OVERVIEW

 

We are a fully integrated commercial company that provides molecular diagnostics, bioinformatics and pathology services for evaluation of risk of cancer by leveraging the latest technology in personalized medicine for improved patient diagnosis and management. We develop and commercialize genomic tests and related first line assays principally focused on early detection of patients with indeterminate biopsies and at high risk of cancer using the latest technology.

 

Impact of Our Reliance on CMS and Novitas

 

In January 2022, CMS stated they would no longer reimburse for the use of the Company’s ThyGeNEXT® and ThyraMIR® tests when billed together by the same provider/supplier for the same beneficiary on the same date of service. However, on February 28, 2022, the Company announced that the National Correct Coding Initiative (NCCI) program issued a response on behalf of CMS stating that the January 2022 billing policy reimbursement change for ThyGeNEXT® (0245U) and ThyraMIR® (0018U) tests has been retroactively reversed to January 1, 2022. In May 2022, the Company was notified by CMS/NCCI that processing of claims for dates of service after January 1, 2022 would be completed beginning July 1, 2022. However, on June 9, 2022, the Company was notified that Novitas re-priced ThyGeNEXT® (0245U) from $2,919 to $806.59 retroactively effective to January 1, 2022. On July 20, 2022, the Clinical Diagnostic Laboratory Tests (CDLT) Advisory Panel affirmed a gapfill price of $806.59. As a result of the ThyGeNEXT® pricing change, the Company reduced its NRV rates for ThyGeNEXT® Medicare billing to reflect the $806.59 pricing for tests performed during the second quarter of 2022. In addition, in order to reflect the retroactive pricing change to January 1, 2022, the Company recorded an NRV adjustment of $0.7 million during the second quarter of 2022 to reduce revenue recorded during the first quarter of 2022. During July 2022, the Company began implementing cost-savings initiatives including a reduction in headcount and incidental expenses and a freeze on all non-essential travel and hiring. In August 2022, the Company sold its Pharma Solutions business. Effective January 1, 2023, the gapfill price for ThyGeNEXT® was set at $1,266.07.

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Further, alongAlong with many laboratories, we may be affected by the Proposed Local Coverage Determination (“LCD”)LCD DL39365, which was posted on June 9, 2022 with comments extended to September 6, 2022 due to changes made to the related draft and is currently under consideration by our local Medicare Administrative Contractor, Novitas. If finalized, this Proposed LCD, which governs “Genetic Testing for Oncology,” could impact the existing LCDMedicare coverage for one of our molecular tests, PancraGEN®. On June 5, 2023 we announced that CMSNovitas issued the final LCD of Genetic Testing for Oncology (L39365) which, establishesif finalized, would have established non-coverage for the Company’s widely used PancraGEN®test effective July 17, 2023. On July 6, 2023, Novitas announced that it was rescinding implementation ofwould not be implementing the final Genetic Testing for Oncology LCD (L39365) so that it will not become effectiveas scheduled on July 17, 2023. Novitas then issued a new virtually identical proposed LCD affecting the same companies and tests and reaching the same conclusions as noted in the previously rescinded LCD on July 27, 2023. TheIn response, the Company has been invited to participateparticipated in a public meeting presentation regardingand submitted detailed written comments supporting the tests in question.use of PancraGEN®. The timing and content of any final implemented LCD is uncertain at this time; the process could potentially take a year or longer from issuance of the updated proposed LCD to reach a conclusion. As a result, we are able to continue offering PancraGEN®and the related Point2® fluid chemistry tests for amylase, CEA, and glucose. In the event Novitas ultimately restricts coverage for the PancraGEN® test, the Company’s liquidity could be negatively impacted.

 

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Impact of the ongoing military conflict between Russia and Ukraine.Ukraine and the war between Israel and Hamas.

 

In February 2022, Russian military forces invaded Ukraine, and although the length, impact, and outcome of the ongoing war in Ukraine is highly unpredictable, this war has led, and could continue to lead, to significant market and other disruptions, including instability in financial markets, supply chain interruptions, political and social instability, and increases in cyberattacks, intellectual property theft, and espionage. We are actively monitoring the situation in Ukraine and assessing its impact on our business.

 

We have no way to predict the progress or outcome of the war in Ukraine or its impacts in Ukraine, Russia, or Belarus as the war, and any resulting government reactions, are rapidly developing and beyond our control.

Further, on October 7, 2023, Hamas, a U.S. designated Foreign Terrorist Organization, launched terrorist attacks against Israel. Israel then declared war on Hamas and there is currently an armed conflict in Israel and the Gaza Strip and elsewhere in the Middle East. The extent and duration of the war, sanctions,wars in Ukraine and Israel/Gaza expanding geopolitical tensions and any resulting market disruptions could be significant and could potentially have a substantial impact on the global economy and our business for an unknown period of time. Any of the above-mentioned factors could materially adversely affect our business, financial condition, and results of operations.

 

WeU.S. Food and Drug Administration Regulation of LDTs

While subject to oversight by CMS through its enforcement of the Clinical Laboratory Improvement Amendments of 1988 (“CLIA”), the Food and Drug Administration (“FDA”) has claimed regulatory authority over laboratories that produce LDTs, a type of in vitro diagnostic test that is designed, manufactured and used within a single laboratory. The FDA has regulatory responsibility over, among other areas, instruments, test kits, reagents and other devices used in clinical laboratories to perform diagnostic testing in the United States.

Historically, the FDA has exercised enforcement discretion over most LDTs. On April 29, 2024, however, the FDA published a final rule on LDTs, in which FDA outlines its plans to end enforcement discretion for many LDTs in five stages over a four-year period.  In Phase 1 (effective May 6, 2025), clinical laboratories running LDTs will be required to comply with medical device (adverse event) reporting and correction/removal reporting requirements, as well as requirements for maintenance of complaint files under the FDA’s quality systems regulation (QSR).  In Phase 2 (effective May 6, 2026), clinical laboratories will be required to comply with all other device requirements (e.g., registration/listing, labeling, investigational use), except for the remaining QSR requirements and premarket review.  In Phase 3 (effective May 6, 2027), clinical laboratories will be required to comply with all remaining QSR requirements.  In Phase 4 (effective ~November 6, 2027), clinical laboratories will be required to comply with premarket review requirements for high-risk tests (i.e., tests subject to the premarket approval (PMA) requirement).  Finally, in Phase 5 (effective May 6, 2028), clinical laboratories will be required to comply with premarket review requirements for moderate- and low-risk tests (i.e., tests subject to the de novo or 510(k) requirement).

Under the final rule, several types of tests will be eligible for some degree of continued enforcement discretion. For example, LDTs approved by the New York State Department of Health will be exempt from premarket review requirements but will remain subject to the requirements of Phases 1 through 3. Similarly, LDTs first marketed prior to May 6, 2024 that are also monitoring other macro-economicnot subsequently modified, or are modified only in certain limited ways, will be exempt from the premarket review and geopolitical developmentsmost quality systems requirements, but will remain subject to the requirements of Phases 1 and 2. FDA notes, however, that it retains discretion to pursue enforcement action for violations of the Federal Food, Drug and Cosmetic Act at any time and intends to do so when appropriate. FDA further explains that it may update any of the enforcement discretion policies set forth in the final rule as circumstances warrant or if the circumstances that inform those policies change, consistent with FDA’s good guidance practices.

To the extent FDA ultimately regulates certain LDTs, our LDTs may be subject to certain additional regulatory requirements. Complying with the FDA’s requirements can be expensive, time-consuming, and subject us to significant or unanticipated delays. Insofar as we may be required to obtain premarket clearance or approval to perform or continue performing an LDT, we cannot assure you that we will be able to obtain such authorization. Even if we obtain regulatory clearance or approval where required, such authorization may not be for the intended uses that we believe are commercially attractive or are critical to the commercial success of our tests. As a result, the application of the FDA’s requirements to our tests could materially and adversely affect our business, financial condition, and results of operations.

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Failure to comply with applicable requirements could result in a range of enforcement actions by the FDA, such as inflationwarning letters, civil monetary penalties, injunctions, criminal prosecution, recall or seizure, operating restrictions, partial suspension or total shutdown of operations, and cybersecurity risks sodenial of or challenges to applications for clearance or approval, as well as significant adverse publicity.

Legislative proposals have also been introduced that, if enacted, would potentially supersede the final rule. In March 2017, members of Congress posted a discussion draft of “The Diagnostics Accuracy and Innovation Act”. The discussion draft included language that, if enacted, would have established a new regulatory framework for the oversight of in vitro clinical tests (“IVCTs”) which include LDTs. In March 2020, members of Congress introduced “The Verifying Accurate, Leading-edge IVCT Development (VALID) Act.” This bill has been re-introduced in substantially similar forms over the years, and, most recently in March 2023. Under the most recent version of the VALID Act, a risk-based approach would be used to regulate IVCTs while grandfathering many existing IVCTs from certain requirements. Each test will be classified as high-risk, moderate-risk, or low-risk. Pre-market review will be required for high-risk tests. To market a high-risk IVCT, reasonable assurance of analytical and clinical validity for the intended use must be established. Under VALID, a precertification process would be established which will allow a laboratory to establish that the Companyfacilities, methods, and controls used in the development of certain IVCTs meet quality system requirements. If pre-certified, IVCTs falling within the scope of a certification order will not be subject to pre-market review. The new regulatory framework would include quality control and post-market reporting requirements. The FDA would have the authority to withdraw from the market IVCTs if there is a reasonable likelihood that such tests will cause death or serious adverse health consequences (among other criteria). Failure to comply with applicable regulatory requirements could result in enforcement action by the FDA, such as fines, product suspensions, warning letters, recalls, injunctions and other civil and criminal sanctions. However, we cannot predict if this (or any other bill) will be enacted in its current (or any other) form and cannot quantify the effect of such proposals on our business.

Whether via statute, regulation, or sub-regulatory action, any FDA effort to end enforcement discretion for LDTs is likely to continue to be met with resistance by certain sections of industry. We cannot predict the likelihood of success of any such actions, nor can be prepared to react to new developments as they arise.we quantify the effect of such efforts on our business.

 

Revenue Recognition

 

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

 

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

 

Cost of Revenue

 

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

 

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CONDENSED CONSOLIDATED RESULTS OF OPERATIONS

 

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

 

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Condensed

Consolidated Results of Continuing Operations for the Quarter Ended June 30, 2023March 31, 2024 Compared to the Quarter Ended June 30, 2022 (unaudited, inMarch 31, 2023 (in thousands)

 

 Three Months Ended June 30,  Three Months Ended March 31, 
 2023 2023 2022 2022  2024  2024  2023  2023 
    % to     % to     % to     % to 
    revenue     revenue     revenue     revenue 
                  
Revenue, net $11,026   100.0% $7,395   100.0% $10,273   100.0% $9,826   100.0%
Cost of revenue  4,191   38.0%  3,565   48.2%  4,202   40.9%  3,848   39.2%
Gross profit  6,835   62.0%  3,830   51.8%  6,071   59.1%  5,978   60.8%
Operating expenses:                                
Sales and marketing  2,605   23.6%  2,551   34.5%  2,821   27.5%  2,342   23.8%
Research and development  186   1.7%  204   2.8%  137   1.3%  149   1.5%
General and administrative  2,894   26.2%  2,983   40.3%  2,239   21.8%  2,494   25.4%
Acquisition related amortization expense  318   2.9%  317   4.3%  -   0.0%  318   3.2%
Change in fair value of contingent consideration  -   0.0%  (311)  -4.2%
Total operating expenses  6,003   54.4%  5,744   77.7%  5,197   50.6%  5,303   54.0%
                                
Operating income (loss)  832   7.5%  (1,914)  -25.9%
Operating income  874   8.5%  675   6.9%
Interest accretion expense  (31)  -0.3%  36   0.5%  (19)  -0.2%  (35)  -0.4%
Note payable interest  (228)  -2.1%  (210)  -2.8%  (197)  -1.9%  (225)  -2.3%
Other income, net  (174)  -1.6%  37   0.5%
Income (loss) from continuing operations before tax  399   3.6%  (2,051)  -27.7%
Other (expense) income, net  (82)  -0.8%  19   0.2%
Income from continuing operations before tax  576   5.6%  434   4.4%
Provision for income taxes  4   0.0%  16   0.2%  4   0.0%  4   0.0%
Income (loss) from continuing operations  395   3.6%  (2,067)  -28.0%
Income from continuing operations  572   5.6%  430   4.4%
                                
Loss from discontinued operations, net of tax  (220)  -2.0%  (1,872)  -25.3%  (104)  -1.0%  (79)  -0.8%
                                
Net income (loss) $175   1.6% $(3,939)  -53.3%
Net income $468   4.6% $351   3.6%

 

Revenue, net

 

Consolidated revenue,Revenue, net for the three months ended June 30, 2023March 31, 2024 increased by $3.6$0.4 million, or 49%4%, to $11.0$10.3 million, compared to $7.4$9.8 million for the three months ended June 30, 2022.March 31, 2023. The increase in net revenue was largely driven by increased test volumes as compared to the prior year. The three months ended June 30, 2022 was negatively impacted by an NRV adjustment related to a Medicare pricing change of $0.7 million for revenue that was attributable to the first quarter.

 

Cost of revenue

 

Consolidated costCost of revenue for the three months ended June 30, 2023March 31, 2024 was $4.2 million, as compared to $3.6$3.8 million for the three months ended June 30, 2022.March 31, 2023. The increase was primarily due to an increase in employee costs. As a percentage of revenue, cost of revenue was approximately 38%41% for the three months ended June 30, 2023March 31, 2024 and 48%39% for the three months ended June 30, 2022, the percentage decrease being due to the increase in revenue discussed above.March 31, 2023.

 

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Gross profit

 

Consolidated grossGross profit was approximately $6.8$6.1 million for the three months ended June 30, 2023March 31, 2024 and $3.8$6.0 million for the three months ended June 30, 2022.March 31, 2023. The gross profit percentage was approximately 62%59% for the three months ended June 30, 3023March 31, 2024 and 52%61% for the three months ended June 30, 2022. The three months ended June 30, 2022 was negatively impacted by an NRV adjustment related to a Medicare pricing change of $0.7 million for revenue that was attributable to the first quarter.March 31, 2023.

 

Sales and marketing expense

 

Sales and marketing expense was approximately $2.6$2.8 million for both the three months ended June 30, 2023March 31, 2024 and June 30, 2022. As a percentage of revenue, sales$2.3 million for the three months ended March 31, 2023. The increase was primarily attributable to increased headcount and marketing expense decreased to 24% from 35% in the comparable prior year period due to the increase in revenue.related employee costs.

 

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Research and development

 

Research and development expense was approximately $0.2$0.1 million for both the three months ended June 30,March 31, 2024 and March 31, 2023, and June 30, 2022. As a percentage of revenue, research and development expense decreased to 2% from 3% in the comparable prior year period.respectively.

 

General and administrative

 

General and administrative expense was approximately $2.9$2.2 million for the three months ended June 30, 2023March 31, 2024 and $3.0$2.5 million for the three months ended June 30, 2022.March 31, 2023. The three months ended June 30, 2023, included approximately $0.6 milliondecrease can be primarily attributed to a decrease in expenses related to exploring long-term capital structure alternatives.employee-related costs.

 

Acquisition amortization expense

 

During the three months ended June 30,March 31, 2023, and June 30, 2022, we recorded amortization expense of approximately $0.3 million, respectively, which iswas related to intangible assets associated with prior acquisitions.

Change in fair value of contingent consideration

During There was no amortization expense during the three months ended June 30, 2022, there was a $0.3 million decrease in the contingent consideration liability due to the impact of the ThyGeNEXT® pricing change on future projected revenues.March 31, 2024.

 

Operating income (loss)

 

Operating income from continuing operations was $0.8$0.9 million for the three months ended June 30, 2023 as compared to an operating loss of $1.9March 31, 2024 and $0.7 million for the three months ended June 30, 2022.March 31, 2023. The operating income wasfor the three months ended March 31, 2024 can be primarily attributableattributed to the increasedecrease in revenue discussed above.operating expenses during the quarter.

 

Provision for income taxes

 

Income tax expense was approximately $4,000 for the three months ended June 30, 2023March 31, 2024 and $16,000$4,000 for the three months ended June 30, 2022.March 31, 2023.

 

Loss from discontinued operations, net of tax

 

We had a loss from discontinued operations of approximately $0.2$0.1 million for both the three months ended June 30,March 31, 2024 and March 31, 2023, and a loss from discontinued operations of approximately $1.9 million for the three months ended June 30, 2022. The loss from discontinued operations for the three months ended June 30, 2022 included operating losses associated with the former Pharma Solutions unit.

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Condensed Consolidated Results of Continuing Operations for the Six Months Ended June 30, 2023 Compared to the Six Months Ended June 30, 2022 (unaudited, in thousands)

  Six Months Ended June 30, 
  2023  2023  2022  2022 
     % to     % to 
     revenue     revenue 
             
Revenue, net $20,853   100.0% $15,318   100.0%
Cost of revenue  8,039   38.6%  6,830   44.6%
Gross profit  12,814   61.4%  8,488   55.4%
Operating expenses:                
Sales and marketing  4,947   23.7%  4,751   31.0%
Research and development  335   1.6%  435   2.8%
General and administrative  5,389   25.8%  5,869   38.3%
Acquisition related amortization expense  635   3.0%  635   4.1%
Change in fair value of contingent consideration  -   0.0%  (311)  -2.0%
Total operating expenses  11,306   54.2%  11,379   74.3%
                 
Operating income (loss)  1,508   7.2%  (2,891)  -18.9%
Interest accretion expense  (66)  -0.3%  (85)  -0.6%
Note payable interest  (453)  -2.2%  (390)  -2.5%
Other expense, net  (156)  -0.7%  198   1.3%
Income (loss) from continuing operations before tax  833   4.0%  (3,168)  -20.7%
Provision for income taxes  8   0.0%  34   0.2%
Income (loss) from continuing operations  825   4.0%  (3,202)  -20.9%
                 
Loss from discontinued operations, net of tax  (299)  -1.4%  (2,984)  -19.5%
                 
Net income (loss) $526   2.5% $(6,186)  -40.4%

Revenue, net

Consolidated revenue, net for the six months ended June 30, 2023 increased by $5.6 million, or 36%, to $20.9 million, compared to $15.3 million for the three months ended June 30, 2022. The increase in net revenue was largely driven by increased test volumes as compared to the prior year as well as improved collections.

Cost of revenue

Consolidated cost of revenue for the six months ended June 30, 2023 was $8.0 million, as compared to $6.8 million for the six months ended June 30, 2022. As a percentage of revenue, cost of revenue was approximately 39% for the six months ended June 30, 2023 and 45% for the six months ended June 30, 2022, the percentage decrease was due to the increase in revenue discussed above.

Gross profit

Consolidated gross profit was approximately $12.8 million for the six months ended June 30, 2023 and $8.5 million for the six months ended June 30, 2022. The gross profit percentage was approximately 61% for the six months ended June 30, 3023 and 55% for the six months ended June 30, 2022. The increase was primarily due to the increase in revenue discussed above.

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Sales and marketing expense

Sales and marketing expense was approximately $4.9 million for the six months ended June 30, 2023 and $4.8 million for the six months ended June 30, 2022. As a percentage of revenue, sales and marketing expense decreased to 24% from 31% in the comparable prior year period primarily due to the increase in revenue.

Research and development

Research and development expense was $0.3 million for the six months ended June 30, 2023 and $0.4 million for the six months ended June 30, 2022. As a percentage of revenue, research and development expense decreased to 2% from 3% in the comparable prior year period.

General and administrative

General and administrative expense was approximately $5.4 million for the three months ended June 30, 2023 and $5.9 million for the three months ended June 30, 2022. The decrease can be primarily attributed to a decrease in employee compensation costs compared to the prior year.

Acquisition amortization expense

During the six months ended June 30, 2023 and June 30, 2022, we recorded amortization expense of approximately $0.6 million, respectively, which is related to intangible assets associated with prior acquisitions.

Change in fair value of contingent consideration

During the six months ended June 30, 2022, there was a $0.3 million decrease in the contingent consideration liability due to the impact of the ThyGeNEXT® pricing change on future projected revenues.

Operating income (loss)

Operating income from continuing operations was $1.5 million for the six months ended June 30, 2023 as compared to an operating loss of $2.9 million for the six months ended June 30, 2022. The operating income was primarily attributable to the increases in revenue and gross profit discussed above.

Provision for income taxes

Income tax expense was approximately $8,000 for the six months ended June 30, 2023 and $34,000 for the six months ended June 30, 2022. Income tax expense for both periods was primarily driven by minimum state and local taxes.

Loss from discontinued operations, net of tax

We had a loss from discontinued operations of approximately $0.3 million for the six months ended June 30, 2023 and a loss from discontinued operations of approximately $3.0 million for the six months ended June 30, 2022. The loss from discontinued operations for the six months ended June 30, 2022 included operating losses associated with the former Pharma Solutions unit. The loss from discontinued operations for the six months ended June 30, 2023 pertained to state taxes and close out costs associated with Pharma Solutions.respectively.

 

Non-GAAP Financial Measures

 

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

 

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

 

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Reconciliation of Adjusted EBITDA (Unaudited)

($ in thousands)

 

 Three Months Ended Six Months Ended  Three Months Ended 
 June 30,  June 30,  March 31, 
 2023  2022  2023  2022  2024  2023 
Income (loss) from continuing operations (GAAP Basis) $395  $(2,067) $825  $(3,202)
Income from continuing operations (GAAP Basis) $572  $430 
Depreciation and amortization  357   351   714   723   52   356 
Stock-based compensation  157   305   349   608   79   192 
Taxes expense  4   16   8   34   4   4 
Interest accretion expense  31   (36)  66   85   19   35 
Note payable interest  228   210   453   390   197   225 
Mark to market on warrant liability  -   (5)  -   (68)
Interest income  (16)  - 
Change in fair value of note payable  165   (53)  142   (160)  98   (33)
Change in fair value of contingent consideration  -   (311)  -   (311)
Adjusted EBITDA $1,337  $(1,590) $2,557  $(1,901) $1,005  $1,209 

 

LIQUIDITY AND CAPITAL RESOURCES

 

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

The amount that may be borrowed under the Credit Facility is the lower of (i) the revolving limit of $7,500,000 (the “Revolving Line”) and (ii) 80% of the Company’s eligible accounts receivable plus an applicable non-formula amount consisting of $2,000,000 of additional availability at close not based upon the Company’s eligible accounts receivable, with such additional availability reducing by $250,000 per quarter beginning with the quarter ending June 30, 2022. Borrowings on the Credit Facility are limited to $5,000,000 until 80% of the Company’s and its subsidiaries’ customers are paying into a collection account or segregated governmental account with Comerica. The Revolving Line can also include, at the Company’s option, credit card services with a sublimit of $300,000. Borrowings on the Revolving Line are subject to an interest rate equal to prime plus 0.50%, with prime being the greater of (x) Comerica’s stated prime rate or (y) the sum of (A) the daily adjusting LIBOR rate plus (B) 2.5% per annum. The Company is also required to pay an unused facility fee quarterly in arrears in an amount equal to 0.25% per annum on the average unused but available portion of the Revolving Line for such quarter. See Note 17, Revolving Line of Credit, for more details. Comerica has a first priority security interest in substantially all of the Company’s and its subsidiaries’ assets. As of August 1, 2023 the Company owed $1.0 million on the line of credit and had approximately $3.4 million available to borrow on the line. The Company intends to make two additional monthly payments of $0.5 million to have the line of credit paid in full by September 30, 2023.

In addition, also in October 2021, the Company entered into the BroadOaka Loan and Security Agreement with BroadOak, providing for a term loan in the aggregate principal amount of $8,000,000 (the “Term Loan”). Funding of the Term Loan took place on November 1, 2021. The Term Loan matureswas scheduled to mature upon the earlier of (i) October 31, 2024 or (ii) the occurrence of a change in control, and bears interest at the rate of 9% per annum. The Term Loan is secured by a security interest in substantially all of the Company’s and its subsidiaries’ assets and iswas subordinate to the Company’s former $7,500,000 revolving credit facility with Comerica Bank. The Term Loan has an origination fee of 3% of the Term Loan amount, and a terminal payment equal to (i) 15% of the original principal amount of the Term Loan if the change of control occurs on or prior to the first anniversary of the funding of the Term Loan, (ii) 20% of the original principal amount of the Term Loan if the change of control occurs after the first anniversary but on or prior to the second anniversary of the funding of the Term Loan and (iii) 30% of the original principal amount of the Term Loan if the change of control occurs after the second anniversary of the funding of the Term Loan, or if the Term Loan is repaid on its maturity date. Upon receipt of the term loan, the proceeds were used to repay in full at their maturity the notes extended by Ampersand and 1315 Capital discussed above. See Note 14,13, Notes Payable, for more details. In May 2022, the Company issued a Convertible Note to BroadOak, pursuant to which BroadOak funded a term loan in the aggregate principal amount of $2.0 million. See Note 14,13, Notes Payable, for more details.

 

On October 24, 2023, the Company entered into a Second Amendment to the Loan and Security Agreement with BroadOak (the “Second Amendment”). The primary changes to the Term Loan were as follows:

The Company made a one-time payment in an aggregate amount equal to $2,500,000, on October 30, 2023 and applied the payment in full satisfaction of the $3,000,000 Terminal Payment (as defined in the Term Loan). See Note 13, Notes Payable, regarding the Terminal Payment.

Effective November 1, 2023, the interest rate under the Term Loan is to be reduced from 9% to 8% through the maturity date of October 31, 2024 or earlier, upon the occurrence of a change in control (“Loan Maturity Date”).
The Company has the option to request an extension of the Loan Maturity Date in writing no less than sixty days prior to the Loan Maturity Date. If BroadOak agrees to the extension, the Loan Maturity Date would automatically be extended.

On March 29, 2024, the Company entered into a Third Amendment to the Loan and Security Agreement with BroadOak (the “Third Amendment”), extending the loan maturity date to June 30, 2025. The primary changes to the Second Amendment were as follows:

The maturity date was extended to June 30, 2025.
Beginning April 1, 2024, the Company will make $500,000 monthly payments with the remaining loan balance due on the new maturity date.

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

In January 2022, the Company’s registration statement for a rights offering filed with the Securities and Exchange Commission (SEC) became effective; however, the rights offering was subsequently terminated later in January 2022 when the Company announced that the Centers for Medicare & Medicaid Services, or CMS, issued a new billing policy whereby CMS will no longer reimburse for the usebalance of the Company’s ThyGeNEXT® and ThyraMIR® tests when billed together by the same provider/supplier for the same beneficiary on the same date of service. On February 28, 2022, the Company announced that the National Correct Coding Initiative (NCCI) program issued a response on behalf of CMS stating that the January 2022 billing policy reimbursement change for ThyGeNEXT® (0245U) and ThyraMIR® (0018U) tests has been retroactively reversed to January 1, 2022. In May 2022, the Companyloan at March 31, 2024 was notified by CMS/NCCI that processing of claims for dates of service after January 1, 2022 would be completed beginning July 1, 2022. However, on June 9, 2022, the Company was notified that Novitas re-priced ThyGeNEXT® (0245U) from $2,919 to $806.59 retroactively effective to January 1, 2022. On July 20, 2022, the Clinical Diagnostic Laboratory Tests (CDLT) Advisory Panel affirmed a gapfill price for ThyGeNEXT® of $806.59. As a result of the ThyGeNEXT® pricing change, the Company reduced its net realizable value, or NRV rates for ThyGeNEXT® Medicare billing to reflect the $806.59 pricing for tests performed during the second quarter of 2022. In addition, in order to reflect the retroactive pricing change to January 1, 2022, the Company recorded an NRV adjustment of $0.7 million during the second quarter of 2022 to reduce revenue recorded during the first quarter of 2022. Effective January 1, 2023, the gapfill price for ThyGeNEXT® was set at $1,266.07.

On August 31, 2022, the Company closed on the sale of its Pharma Solutions business for a total sale price of $6.2 million after a post-closing working capital adjustment.$9.4 million.

 

For the sixthree months ended June 30, 2023,March 31, 2024, we had operating income from continuing operations of $1.5$0.9 million. As of the sixthree months ended June 30, 2023,March 31, 2024, we had cash and cash equivalents of $5.1$2.8 million, total current assets of $13.0$9.4 million and current liabilities of $13.6$19.0 million. As of August 4, 2023,May 3, 2024, we had approximately $4.6$2.8 million of cash on hand.and cash equivalents.

 

During the sixthree months ended June 30,March 31, 2024, net cash used in operating activities was $0.1 million. The main component of cash used in operating activities was our decrease in accrued salaries and bonus of $1.1 million. During the three months ended March 31, 2023, net cash provided by operating activities was $1.5$1.1 million. The main component of cash provided by operating activities was our net income of $0.5$0.4 million, which includedincluding non-cash expenses of $1.3 million. During the six months ended June 30, 2022, net cash used in operating activities was $4.2 million. The main component of cash used in operating activities was our net loss of $6.2 million which was partially offset by depreciation and amortization expense of $1.6$0.6 million.

 

During the six months ended June 30, 2023,For both periods net cash used in investing activities was $0.3 million and forprimarily related to the six months ended June 30, 2022, net cash used in investing activities was $0.1 million.purchase of lab equipment.

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For the sixthree months ended June 30,March 31, 2024, cash used in financing activities was $0.6 million, which were payments made on the BroadOak loan. For the three months ended March 31, 2023, cash used in financing activities was $1.0$0.3 million, which were payments made on the Revolving Line. For the six months ended June 30, 2022, cash provided from financing activities was $3.1 million, of which $1.0 million was from the drawdown on the Revolving Line and $2.0 million was the Convertible Debt agreement entered into with BroadOak.

 

WeAlthough we did not generate positive cash flows from operations for the yearthree months ending DecemberMarch 31, 2022. We2024, we intend to meet our ongoing capital needs by using our available cash as well as through targeted margin improvement; collection of accounts receivable; containment of costs; and the potential use of other financing options and other strategic alternatives. However, if we are unable to meet the financial covenants under the Comerica Loan Agreement, the revolving line of credit and notes payable will become due and payable immediately. The Company anticipates that current cash and cash equivalents and forecasted cash receipts will be sufficient to meet its anticipated cash requirements through the next twelve months.

 

The Company continues to explore various strategic alternatives, dilutive and non-dilutive sources of funding, including equity and debt financings, strategic alliances, business development and other sources in order to provide additional liquidity. With the Company’s delisting of ourits common stock from Nasdaq in February 2021, and the possible removal of our common stock from trading on the OTCQX® if we had failed to meet minimum market capitalization of $5 million for ten consecutive trading days by July 3, 2023, our ability to raise additional capital on terms acceptable to the Company has been adversely impacted. There can be no assurance that the Company will be successful in obtaining such funding on terms acceptable to the Company. The Company was notified in May 2023 that it had met the market cap requirements and was cleared to remain on OTCQX®.

 

Further, along with many laboratories, we may be affected by the Proposed Local Coverage Determination (“LCD”)LCD DL39365, which was posted on June 9, 2022 and remainsis currently under consideration by our local Medicare Administrative Contractor, NovitasNovitas. If finalized, this Proposed LCD, which governs “Genetic Testing for Oncology,” could impact the existing LCDMedicare coverage for one of our molecular tests, PancraGEN®. On June 5, 2023 we announced that CMSNovitas issued the final LCD of Genetic Testing for Oncology (L39365) which, establishesif finalized, would have established non-coverage for the Company’s widely used PancraGEN®test effective July 17, 2023. On July 6, 2023, Novitas announced that it was rescinding implementation ofwould not be implementing the final Genetic Testing for Oncology LCD (L39365) so that it will not become effectiveas scheduled on July 17, 2023. Novitas then issued a new virtually identical proposed LCD affecting the same companies and tests and reaching the same conclusions as noted in the previously rescinded LCD on July 27, 2023. TheIn response, the Company has been invited to participateparticipated in a public meeting presentation regardingand submitted detailed written comments supporting the tests in question.use of PancraGEN®. The timing and content of any final implemented LCD is uncertain at this time; the process could potentially take a year or longer from issuance of the updated proposed LCD to reach a conclusion. As a result, we are able to continue offering PancraGEN®and the related Point2® fluid chemistry tests for amylase, CEA, and glucose. In the event Novitas ultimately restricts coverage for the PancraGEN® test, the Company’s liquidity could be negatively impacted.

 

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Inflation

 

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

Critical Accounting Estimates

 

See Note 5, Summary of Significant Accounting Policies and Note 18,17, Recent Accounting Standards to the Interim Financial Statements included elsewhere in this Quarterly Report on Form 10-Q for information regarding newly adopted and recent accounting pronouncements. See also Note 1, Nature of Business and Significant Accounting Policies to our financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2022,2023, as amended, for a discussion of our critical accounting policies. There have been no material changes to such critical accounting policies. We believe our most critical accounting policies include accounting for contingent consideration, revenue recognition, intangible and long-lived assets, research and development expenses and stock-based compensation expense.

Off-Balance Sheet Arrangements

None.

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Item 3. Quantitative and Qualitative Disclosures About Market Risk

 

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

 

Item 4. Controls and Procedures

 

Evaluation of Disclosure Controls and Procedures

 

Our management, with the participation of our Chief Executive Officerprincipal executive officer and Chief Financial Officer,principal financial officer evaluated the effectiveness of our disclosure controls and procedures pursuant to Rule 13a-15as of March 31, 2024. The term “disclosure controls and procedures,” as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act, as of the end of the period covered by this Form 10-Q. In designing and evaluating the disclosuremeans controls and other procedures managementof a company that are designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms. Management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving their objectives and management necessarily applies its judgment in evaluating the desired control objectives includingcost-benefit relationship of possible controls and procedures. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information we are required to disclosebe disclosed by a company in the reports that we fileit files or submitsubmits under the Exchange Act is recorded, processed, summarized, and reported within the time periods specified in the SEC rules and forms, and that such information is accumulated and communicated to ourthe company’s management, including our Chief Executive Officerits principal executive and Chief Financial Officer,principal financial officers, as appropriate, to allow timely decisions regarding required disclosure. In addition, management is required to apply its judgment in evaluating the benefits of possible disclosure controls and procedures relative to their costs to implement and maintain.

 

Based on themanagement’s evaluation of the Company’s disclosure controls and procedures, as that term is defined in Rule 13a-15(e) under the Exchange Act the Chief Executive Officerprincipal executive officer and principal financial officer of the Company andhave identified a material weakness in the Chief Financial OfficerCompany’s internal control over financial reporting in the quarterly period ended March 31, 2024 related to the timing of revenue recognition based on the CompanyCompany’s revenue recognition policy, and have concluded that the Company’s disclosure controls and procedures were not effective as of June 30, 2023.March 31, 2024 as a result of such material weakness in the Company’s internal control over financial reporting.

 

Reference should be madeThe Company has adopted a remediation plan, pursuant to our Form 10-K forwhich the year ended December 31, 2022 filed withCompany plans to amend its internal controls to mitigate the SEC on March 27, 2023, as amended, for additional informationmaterial weakness which was identified by management, including by updating its procedures regarding discussionthe testing of revenue recognition, and reviewing the procedures which ensure that revenue is recorded in the period in which it is earned. The Company believes implementation of these processes and appropriate testing of their effectiveness ofwill remediate the material weakness in the Company’s controls and procedures.internal control over financial reporting.

 

Changes in Internal ControlsControl over Financial Reporting

 

ThereOther than the material weakness and the adoption of the remediation plan discussed above, there has been no change in our internal control over financial reporting (as defined in Rule 13a-15(f) and 15d-15(f) under the Exchange Act) that occurred during the quarter covered by this report that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

 

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PART II. OTHER INFORMATION

 

Item 1. Legal Proceedings

 

None.

 

Item 1A. Risk Factors

 

NotIn addition to the other information set forth in this report, you should carefully consider the factors discussed in Part I, Item 1A, “Risk Factors” in our Annual Report on Form 10-K of the Company filed with the SEC on April 1, 2024, as amended, and as updated and supplemented below and in subsequent filings. These risk factors could materially harm our business, operating results and financial condition. Additional factors and uncertainties not currently known to us or that we currently consider immaterial also may materially adversely affect our business, financial condition or future results.

If the FDA implements its plans to regulate LDTs, such activities could have a material adverse effect on our clinical services and/or cause us to incur substantial costs and delays associated with trying to obtain pre-market clearance or approval and comply with applicable pre- and post-market requirements.

Clinical laboratory tests like our clinical services tests are regulated under CLIA as well as by applicable state laws and may also be subject to FDA regulation, depending on how the test is classified. For example, the FDA regulates in vitro diagnostic tests (also called in vitro diagnostics or “IVDs”), specimen collection kits, analyte specific reagents (ASRs), and instruments used in conducting diagnostic testing as medical devices. Most tests offered as LDTs have historically been subject to enforcement discretion by the FDA. LDTs are defined by FDA as IVDs that are intended for clinical use and are designed, manufactured, and used within a single CLIA-certified, high-complexity clinical laboratory.

On April 29, 2024, however, the FDA published a final rule on LDTs, in which FDA outlines its plans to end enforcement discretion for many LDTs in five stages over a four-year period.  In Phase 1 (effective May 6, 2025), clinical laboratories running LDTs will be required to comply with medical device (adverse event) reporting and correction/removal reporting requirements, as well as requirements for maintenance of complaint files under the FDA’s quality systems regulation (QSR).  In Phase 2 (effective May 6, 2026), clinical laboratories will be required to comply with all other device requirements (e.g., registration/listing, labeling, investigational use), except for the remaining QSR requirements and premarket review.  In Phase 3 (effective May 6, 2027), clinical laboratories will be required to comply with all remaining QSR requirements.  In Phase 4 (effective ~November 6, 2027), clinical laboratories will be required to comply with premarket review requirements for high-risk tests (i.e., tests subject to the premarket approval (PMA) requirement).  Finally, in Phase 5 (effective May 6, 2028), clinical laboratories will be required to comply with premarket review requirements for moderate- and low-risk tests (i.e., tests subject to the de novo or 510(k) requirement).

Under the final rule, several types of tests will be eligible for some degree of continued enforcement discretion. For example, LDTs approved by the NYSDOH will be exempt from premarket review requirements but will remain subject to the requirements of Phases 1 through 3. Similarly, LDTs first marketed prior to May 6, 2024 that are not subsequently modified, or are modified only in certain limited ways, will be exempt from the premarket review and most quality systems requirements, but will remain subject to the requirements of Phases 1 and 2. FDA notes, however, that it retains discretion to pursue enforcement action for violations of the FDCA at any time and intends to do so when appropriate. FDA further explains that it may update any of the enforcement discretion policies set forth in the final rule as circumstances warrant or if the circumstances that inform those policies change, consistent with FDA’s good guidance practices. We are actively reviewing the final rule to evaluate its applicability to our operations, and the extent to which we may be required to modify our operations to comply with its requirements.

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If we are required to submit applications to FDA for our currently marketed clinical tests and any tests that we may develop in the future, we may be required to conduct additional studies, which may be time-consuming and costly and could result in our currently marketed tests being withdrawn from the market. Continued compliance with the FDA’s regulations would increase the cost of conducting our clinical services, and subject us to heightened regulation by the FDA and penalties for failure to comply with these requirements. Failure to comply with applicable regulatory requirements can result in enforcement action by the FDA, such as warning letters, civil monetary penalties, injunctions, criminal prosecution, recall or seizure, operating restrictions, partial suspension or total shutdown of operations, and denial of or challenges to applications for clearance, authorization or approval, as well as significant adverse publicity. Any other regulatory or legislative proposals that would increase general FDA oversight of clinical laboratories or LDTs could negatively impact our business if additional requirements are imposed. We are monitoring developments and anticipate that our clinical services products will be able to comply with requirements that are ultimately imposed by the FDA. In the meantime, we maintain our CLIA accreditation and state licenses, which permit the use of LDTs for diagnostic purposes.

If the FDA seeks to enforce the applicable medical device regulations against our clinical services tests, we could be subject to a smallerwide range of penalties and would likely be prohibited from continuing to offer the applicable tests in interstate commerce until we have obtained FDA approval, authorization or clearance through the Premarket Approval (PMA), de novo or 510(k) process, respectively, as applicable. Additionally, we could be subject to enforcement for noncompliance with the FDA’s regulations on marketing and promotional communications, manufacturing, quality and safety standards, labeling, storage, registration and listing, recordkeeping, adverse event reporting, company.and any other regulations applicable to IVDs. Any adverse enforcement action against us may have a material adverse effect on our clinical services and results of operations.

 

Item 2. Unregistered Sales of Equity Securities, and Use of Proceeds and Issuer Purchases of Equity Securities

 

None.

 

Item 3. Defaults Upon Senior Securities

 

None.

 

Item 4. Mine Safety Disclosures

 

None.

 

Item 5. Other Information

 

None.Termination of Comerica Loan Agreement

As previously disclosed on our Current Report on Form 8-K filed with the SEC on October 18, 2021, we entered into the Comerica Loan Agreement with Comerica, providing for a revolving credit facility of up to $7,500,000 (the “Credit Facility”). We could use the proceeds of the Credit Facility for working capital and other general corporate purposes.

On October 6, 2023, effective September 30, 2023, we entered into a Fifth Amendment to its Loan and Security Agreement (the “Fifth Amendment to the Comerica Loan Agreement”) with Comerica providing for a revolving credit facility of up to $5,000,000.

On February 7, 2024, the Company terminated the Comerica Loan Agreement. The Company did not owe anything outstanding on the Line at the time of termination and does not owe anything further to Comerica.

During the three months ended March 31, 2024, none of our directors or officers have adopted or terminated any “Rule 10b5-1 trading arrangement” or “non-Rule 10b5-1 trading arrangement” (each defined in Item 408(a) of Regulation S-K).

Tom Burnell

Tom Burnell, the Company’s Chairman, President and Chief Executive Officer, became an operating team member of 1315 Capital, commencing in September 2023. 1315 Capital is a holder of the Company’s Series B Preferred Stock. Mr. Burnell’s responsibilities as an operating team member include assisting with the review and evaluation of acquisition opportunities.

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Item 6. Exhibits

 

Exhibit No. Description
   
10.13.1Employment Agreement, dated JulyConformed version of Certificate of Incorporation of Interpace Biosciences, Inc., as amended by the Certificate of Amendment, effective January 15, 2020, and the Certificate of Designation of Preferences, Rights and Limitations of Series B Convertible Preferred Stock, filed January 17, 2020, incorporated by reference to Exhibit 3.1 of the Company’s Annual Report on Form 10-K for the year ended December 31, 2023, between Christopher McCarthy2019, filed with the SEC on April 22, 2020, as amended from time to time.
3.2Amended and Restated Bylaws of Interpace Biosciences, Inc., incorporated by reference to Exhibit 10.13.2 of the Company’s Current Report on Form 8-K, filed with the SEC on August 2, 2023.November 14, 2019.
10.1Third Amendment to Loan and Security Agreement by and between BroadOak Fund V, L.P., Interpace Biosciences, Inc., Interpace Diagnostics Corporation, Interpace Diagnostics, LLC and Interpace Pharma Solutions, Inc., dated March 29, 2024, incorporated by reference to Exhibit 10.39 of the Company’s Annual Report on Form 10-K, filed with the SEC on April 1, 2024.
31.1* Certification of Principal Executive Officer Pursuant to Rules 13a-14(a) and 15d-14(a) under the Securities Exchange Act of 1934, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
   
31.2* Certification of Principal Financial Officer Pursuant to Rules 13a-14(a) and 15d-14(a) under the Securities Exchange Act of 1934, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
   
32.1+ Certification of Principal Executive Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
   
32.2+ Certification of Principal Financial Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101.INS Inline XBRL Instance Document – the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
101.SCH Inline XBRL Taxonomy Extension Schema Document.
101.CAL Inline XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF Inline XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB Inline XBRL Taxonomy Extension Label Linkbase Document.
101.PRE Inline XBRL Taxonomy Extension Presentation Linkbase Document.
104 Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibits 101).

 

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

 

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SIGNATURES

 

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

 

Date: AugustMay 9, 20232024Interpace Biosciences, Inc.
 (Registrant)
  
 /s/ Thomas W. Burnell
 Thomas W. Burnell
 President and Chief Executive Officer
 (Principal Executive Officer)
  
Date: AugustMay 9, 20232024/s/ Christopher McCarthy
 

Christopher McCarthy

Chief Financial Officer

 (Principal Financial Officer)

 


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