We develop and commercialize point-of-care diagnostic tests used for the rapid
detection and diagnosis of infectious diseases, including sexually transmitted
disease, insect vector and tropical disease, COVID-19 and other viral and
bacterial infections, enabling expedited treatment.

Our product portfolio is based upon our proprietary DPP technology, a diagnostic
platform that provides high-quality, cost-effective results in 15 to 20 minutes
using fingertip blood, nasal swabs and other sample types. The DPP technology
platform addresses the rapid diagnostic test market, which includes infectious
diseases, cardiac markers, cholesterol and lipids, pregnancy and fertility, and
drugs of abuse. Compared with traditional lateral flow technology, the DPP
technology platform can provide enhanced sensitivity and specificity, advanced
multiplexing capabilities and, with the DPP Micro Reader, quantitative results.

We target the market for rapid diagnostic test solutions for infectious
diseases, which is driven by the high prevalence of infectious diseases
globally, an increase in the geriatric population, growing demand for rapid test
results, and advancements in multiplexing. We have a broad portfolio of
infectious disease products, which prior to 2020 were focused principally on
sexually transmitted disease and fever and tropical disease. In February 2020 we
began the process to leverage the DPP technology platform to address the acute
and escalating need for diagnostic testing. We are continuing to pursue or have
pursued:

• an emergency use authorization, or EUA, from the U.S. Food and Drug

Administration, or FDA, as well as 510(k) clearance from the FDA, for the DPP

SARS-CoV-2 Antigen test system;

• an EUA from the FDA for the DPP Respiratory Panel; and

• a Clinical Laboratory Improvement Amendment ("CLIA"), waiver from the FDA for

the DPP HIV-Syphilis test system, which was received in February 2023.





Our products are sold globally, directly and through distributors, to medical
laboratories and hospitals, governmental and public health entities,
nongovernmental organizations, medical professionals, and retail establishments.
We continue to seek to expand our commercial distribution channels.

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Pending Merger with Biosynex SA



The Company has entered into a Merger Agreement with Biosynex and Purchaser.
Pursuant to the Merger Agreement, on February 14, 2023, the Purchaser commenced
the Offer to purchase all of the issued and outstanding Shares for a purchase
price of $0.45 per share, net to the seller in cash, without interest and
subject to any required tax withholding. On March 15, 2023, Biosynex announced
an extension of the Offer until 6:00 p.m., New York City time, on March 28,
2023. Subsequently, on March 29, 2023, Biosynex announced an extension of the
Offer until 6:00 p.m., New York City time, on April 12, 2023.

If the conditions to the Offer are satisfied and the Offer closes, Purchaser
would acquire all remaining Chembio shares by a merger of Purchaser with and
into Chembio, with Chembio surviving the Merger as a wholly-owned indirect
subsidiary of Biosynex. At the Effective Time, each Share issued and outstanding
immediately prior to the Effective Time (including shares paid to holders of
vested Chembio restricted stock units) will be converted into the right to
receive $0.45 per share. Stock options that are outstanding immediately prior to
the Effective Time will automatically terminate for no consideration.

The Merger Agreement and the transactions contemplated thereby, including the
Merger, were unanimously approved by the Company's Board of Directors.
Completion of the Merger is subject to certain customary conditions as set forth
in the Merger Agreement and the successful completion of the Offer. There can be
no assurance that the Merger will be consummated on the terms described above or
at all.

The foregoing description of the Merger Agreement and the transactions
contemplated thereby, including the Offer, does not purport to be complete and
is subject to, and qualified in its entirety by reference to, the full text of
the Merger Agreement, which has been filed as Exhibit 2.1 to our Current Report
on Form 8-K filed with the SEC on January 31, 2023.

Likely Default Under Credit Agreement



On September 3, 2019, we and certain of our subsidiaries, as guarantors, entered
into the Credit Agreement and Guaranty (the "Credit Agreement") with Perceptive
Credit Holdings II, LP (the "Lender"), under which we received a $20.0 million
senior secured term loan that was drawn in full on September 4, 2019. The Credit
Agreement is secured by a first priority lien on substantially all of our
property and assets. The Credit Agreement contains financial covenants requiring
that we (a) maintain aggregate unrestricted cash of not less than $3.0 million
at all times, and (b) achieve specified minimum total revenue requirements for
the twelve months preceding each quarter end.

The Credit Agreement has a September 3, 2023 maturity date, and we do not
currently believe that replacement debt or equity financing arrangements are or
will be available to us or, if available to us, will be on acceptable terms. We
do not believe that we will be in compliance with the minimum revenue covenant
in the Credit Agreement for the four fiscal quarters ended March 31, 2023. Our
Lender has previously informed us that it will not agree to any restructuring of
the Credit Agreement, and as a result we may be forced to pursue a bankruptcy or
restructuring proceeding when the debt matures (or earlier if the lender
accelerates following a breach of the minimum total revenue covenant) or pursue
a transaction or financing arrangement that could be dilutive to stockholders.

Going Concern Considerations



The Company continued to experience market, clinical trial and regulatory
complications in seeking to develop and commercialize a portfolio of COVID-19
test systems during the continuing, but evolving, uncertainty resulting from
COVID­19. For the year ended December 31, 2022, the Company also continued to
incur significant operating losses and significant expenses in connection with
pending legal matters (see Note 12 - Commitments, Contingencies, and
Concentrations: Litigation).

The Company performed an assessment to determine whether there were conditions
or events that, considered in the aggregate, raised substantial doubt about the
Company's ability to continue as a going concern within one year after the
filing date of this report, when the accompanying financial statements are being
issued. Initially, this assessment did not consider the potential mitigating
effect of management's plans that had not been fully implemented. Because, as
described below, substantial doubt was determined to exist as the result of this
initial assessment, management then assessed the mitigating effect of its plans
to determine if it is probable that the plans (1) would be effectively
implemented within one year after the filing date of this report, when the
accompanying financial statements are being issued and (2) when implemented,
would mitigate the relevant conditions or events that raise substantial doubt
about the Company's ability to continue as a going concern.

The Company achieved revenue growth in recent years while profitability has not
been at levels as expected. It has taken steps including investments in
automation to mitigate headwinds such as labor availability, volatile capacity
planning and implementation of operational efficiency targets to proactively
monitor production with the overarching goal of profitable growth. The Company
undertook measures to increase its total revenues and improve its liquidity
position by continuing to develop the Global Competitiveness Program. The main
pillars of the Global Competitiveness Program include the following:

• Focus on higher margin business in growth markets

• Lower manufacturing costs

• Reduce infrastructure costs


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• Strategic review of non-core businesses and assets





The Company's execution of its plans continue to depend, however, on factors and
uncertainties that are beyond the Company's control, or that may not be
addressable on terms acceptable to the Company or at all. The Company considered
in particular how:

• The ongoing healthcare and economic impacts of COVID-19 on the global customer

base for the Company's non­COVID-19 products continue to negatively affect the

timing and rate of recovery of the Company's revenues from those products.





The Company further considered how these factors and uncertainties could impact
its ability over the next year to meet the obligations specified in the Credit
Agreement with the Lender. Those obligations include covenants requiring: i)
minimum cash balance of $3.0 million and ii) minimum total revenue amounts for
the twelve months preceding each quarter end. The minimum total revenue
requirements are $48.8 million for the twelve months ending March 31, 2023 and
$50.1 million for the twelve months ending June 30, 2023.  We do not believe
that we will comply with the minimum total revenue covenant for the twelve
months ended March 31, 2023. Upon an event of default under the Credit
Agreement, the Lender could elect to declare all amounts outstanding thereunder,
together with accrued interest, to be immediately due and payable. Furthermore,
all remaining principal and interest is due on or before September 3, 2023.
There can be no assurance that the Company would have sufficient liquidity to
fund payment of the amounts that would be due under the Credit Agreement or
that, if such liquidity were not available, the Company would be successful in
raising additional capital on acceptable terms, or at all, or in completing any
other endeavor to continue to be financially viable and continue as a going
concern. The Company's inability to raise additional capital on acceptable terms
in the near future, whether for purposes of funding payments required under the
Credit Agreement or providing additional liquidity needed for its operations,
could have a material adverse effect on its business, prospects, results of
operations, liquidity and financial condition and would likely result in the
Company being forced to seek protection under a bankruptcy proceeding.

Accordingly, management determined the Company could not be certain that the
Company's plans and initiatives would be effectively implemented within one year
after the filing date of this report, when the accompanying financial statements
are being issued. Without giving effect to increasing product revenue in the
near future, the proposed merger with Biosynex or executing other mitigating
plans, many of which are beyond the Company's control, it is unlikely that the
Company will be able to generate sufficient cash flows to meet its required
financial obligations, including its debt service and other obligations due to
third parties. The existence of these conditions raises substantial doubt about
the Company's ability to continue as a going concern for the twelve-month period
following the date on which the accompanying consolidated financial statements
are being issued.

The accompanying consolidated financial statements have been prepared assuming
the Company will continue as a going concern, which contemplates continuity of
operations, realization of assets and the satisfaction of liabilities in the
normal course of business for the twelve-month period following the date the
accompanying consolidated financial statements are issued. As such, the
accompanying consolidated financial statements do not include any adjustments
relating to the recoverability and classification of assets and their carrying
amounts, or the amount and classification of liabilities that may result should
the Company be unable to continue as a going concern.

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Consolidated Results of Operations



The results of operations for the years ended December 31, 2022 and 2021 were as
follows:

                                                         Year Ended December 31,
                                                              (in thousands)
                                                    2022                         2021

TOTAL REVENUES                             $  49,522           100 %    $  47,818           100 %

COSTS AND EXPENSES:
Cost of product sales                         38,578            78 %       34,496            72 %
Research and development expenses              7,068            14 %       12,487            26 %
Selling, general and administrative
expenses                                      24,278            49 %       24,841            52 %
Impairment, restructuring, severance and
related costs                                  3,236             7 %        7,048            15 %
TOTAL OPERATING COST AND EXPENSES             73,160                       78,872

LOSS FROM OPERATIONS                         (23,638 )                    (31,054 )

INTEREST (EXPENSE) / INCOME AND OTHER
INCOME                                           382                       (2,912 )

LOSS BEFORE INCOME TAXES                     (23,256 )                    (33,966 )

Income tax (expense) / benefit                   (34 )                         62
NET LOSS                                   $ (23,290 )         (47 %)   $ (33,904 )         (71 %)


Percentages in the table reflect the percent of total revenues.

Total Revenues



Total revenues during 2022 were $49.5 million, an increase of $1.7 million, or
3.6%, compared to 2021. The increase in total revenues reflected a $12.4
million, or 36%, increase in net product sales, which was principally comprised
of higher sales in the United States and Africa, offset by a decrease in
government grant revenue of $9.7 million related to the completion of the BARDA
$12.7 million agreement in 2021.

Gross Product Margin



Cost of product sales is primarily comprised of material, labor, manufacturing
overhead, depreciation and amortization, and freight and distribution costs.
Gross product margin is net product sales less cost of product sales, and gross
product margin percentage is gross product margin as a percentage of net product
sales.

Gross product margin increased by $8.3 million, or 3,433% compared to 2021. The following schedule calculates gross product margin:



                                             For the years ended December 31           Favorable/
                                                2022                   2021          (unfavorable)       % Change
                                                      (in thousands)
Net product sales                           $        47,092       $        34,737      $      12,355             36 %
Less: Cost of product sales                         (38,578 )             (34,496 )           (4,082 )           12 %
Gross product margin                        $         8,514       $           241      $       8,273          3,433 %
Gross product margin %                                   18 %                   1 %



In 2022, we continued to invest in automation in order to reduce our reliance on
manual labor and improve our product margins. The $8.3 million increase in gross
product margin resulted from favorable product margins related to the impact of
geographic mix on average selling price.

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Research and Development

This category includes costs incurred for clinical and regulatory affairs and other research and development, as follows:



                                            For the years ended December 31          Favorable/
                                               2022                  2021          (unfavorable)       % Change
                                                     (in thousands)
Clinical and regulatory affairs             $       1,637       $         5,109      $       3,472              68 %
Other research and development                      5,431                 7,378              1,947              26 %
Total research and development              $       7,068       $        12,487      $       5,419              43 %



The overall decrease in total research and development costs for 2022 as
compared to 2021 was primarily associated to decreased clinical trial costs and
other R&D costs related to the BARDA $12.7 million agreement which was completed
on December 2, 2021. Total research and development costs incurred for the year
ended 2022 were primarily related to ongoing projects in our new product
pipeline.

Selling, General and Administrative Expense



Selling, general and administrative expenses include administrative expenses,
sales and marketing costs (including commissions), and other corporate items.
The $0.6 million, or 2%, decrease in selling, general and administrative
expenses for 2022 as compared to 2021 primarily reflected decrease in
professional fees, commissions and recruiting fees.

Impairment, Restructuring, Severance and Related Costs



Impairment, restructuring, severance and related costs include an impairment
loss of $3.0 million during the first quarter of 2022 as a result of an
impairment of goodwill due to the substantial decrease in our share price at
March 31, 2022. The low price per share value at March 31, 2022 caused our book
value to exceed our fair value. During the year ended 2022, $0.2 million of
severance cost was recorded.

During 2021, $7.0 million of impairment, restructuring, severance and related
costs was incurred, of which $5.9 million was related to the write-off of
intangible assets, net leasehold improvements, and net right-of-use assets for
leases associated with our Malaysian operations, and a write down of
finite-lived intangible assets and goodwill, $1.1 million was related to
restructuring matters and $0.1 million was related to severance charges.

Interest (Expense) / Income and Other Income



Interest (expense) / income and other income was principally comprised of
interest expense (net of interest income) offset by $3.2 million cash receipt
for the Employee Retention Credit (ERC) that we qualified for in the second and
third quarter of 2021. Interest expense decreased by $0.1 million for 2022 as
compared to 2021, due to the interest paid on the term loan debt we incurred in
September 2019 as a result of repayment of principal starting in September 2022.

Income Tax Benefit



For 2022 we recognized a tax expense of $0.04 million primarily attributable to
state taxes, compared to a tax benefit of $.01 million recorded in 2021. As of
December 31, 2022 and 2021, the Company recorded a full valuation allowance
against its net deferred tax assets.

Liquidity and Capital Resources

Our cash and cash equivalents totaled $18.2 million at December 31, 2022, a decrease of $10.6 million from $28.8 million at December 31, 2021. We are obligated to maintain aggregate unrestricted cash of not less than $3,000,000 at all times under a covenant in the Credit Agreement.



During the year ended December 31, 2022, we funded our business operations,
including capital expenditures and working capital requirements, principally
from cash and cash equivalents, using $14 million of cash. We also issued and
sold 6,466,191 shares of common stock for net proceeds of $4.3 million pursuant
to the ATM agreement.

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Additionally, the Merger Agreement with Biosynex contains certain termination
rights for Biosynex and us.  Upon termination of the Merger Agreement under
specified circumstances, we may be required to pay Biosynex a termination fee of
$850,000.

Factors and considerations with respect to our liquidity raised substantial
doubt as to our ability to continue as a going concern through one year after
the filing date of this report, when the accompanying financial statements are
being issued. See "Likely Default Under Credit Agreement" and "Going Concern
Considerations" above.

We have considered how the uncertainties around the delivery of the full number
of tests covered by customer orders may be affected by limitations of our
staffing, supply chain and liquidity and other matters outside our control. We
further considered how those uncertainties could impact our ability to meet the
obligations specified in the Credit Agreement over the next twelve months, which
include (a) a covenant requiring minimum total revenues for the twelve months
preceding each quarter end and (b) an obligation requiring the payment of
principal installments, commencing with the payment of $300,000 on September 30,
2022. The minimum total revenue requirements are $48.8 million for the twelve
months ending March 31, 2023 and $50.1 million for the twelve months ending June
30, 2023.  We do not believe that we will comply with the minimum total revenue
covenant for the twelve months ended March 31, 2023. Upon an event of default
under the Credit Agreement, the Lender could elect to declare all amounts
outstanding thereunder, together with accrued interest, to be immediately due
and payable. Furthermore, all remaining principal and interest is due on or
before September 3, 2023. There can be no assurance that we would have
sufficient liquidity to fund payment of the amounts that would be due under the
Credit Agreement or that, if such liquidity were not available, we would be
successful in raising additional capital on acceptable terms, or at all, or in
completing any other endeavor to continue to be financially viable and continue
as a going concern. Our inability to raise additional capital on acceptable
terms or to otherwise generate cash in the near future, whether for purposes of
funding payments required under the Credit Agreement or providing additional
liquidity needed for our operations, could have a material adverse effect on our
business, prospects, results of operations, liquidity and financial condition
and would likely result in the Company being forced to seek protection under a
bankruptcy proceeding.

We cannot be certain that our plans and initiatives would be effectively
implemented within one year after the filing date of this report, when the
accompanying financial statements are being issued. Without giving effect to the
prospect of raising additional capital pursuant to our at-the-market offering or
likewise, increasing product revenue in the near future, the proposed merger
with Biosynex or executing other mitigating plans, many of which are beyond our
control, it is unlikely that we will be able to generate sufficient cash flows
to meet our required financial obligations, including our debt service and other
obligations due to third parties. The existence of these conditions raises
substantial doubt about our ability to continue as a going concern for the
twelve-month period following the filing date of this report, when the
accompanying financial statements are being issued.

Please see Note 2 to the accompanying financial statements for additional
information regarding our going concern assessment in connection with the
accompanying financial statements. You are urged to read carefully the
information provided in "Because of our liquidity limitations, we have concluded
there is a substantial doubt about our ability to continue as a going concern
and we may require additional capital to fund our operations, which capital may
not be available to us on acceptable terms or at all." "The failure to comply
with the terms of the Credit Agreement could result in a default under its terms
and, if uncured, could result in action against our pledged assets and dilution
of our stockholders" under Part I, Item 1A, "Risk Factors" of this report.

On April 5, 2022, we received notification from the Listing Qualifications
Department of The Nasdaq Stock Market, or Nasdaq, stating that the Company did
not comply with the minimum $1.00 bid price requirement for continued listing
set forth in Nasdaq Listing Rule 5550(a)(2) (the "Bid Price Requirement"). In
accordance with Nasdaq listing rules, the Company was afforded 180 calendar days
(until October 3, 2022) to regain compliance with the Bid Price Requirement. On
October 4, 2022, the Company received written notice from Nasdaq stating that,
although the Company had not regained compliance with the Bid Price Requirement
by October 3, 2022, in accordance with Nasdaq Listing Rule 5810(c)(3)(A), the
Company is eligible for an additional 180 calendar day period, or until April 3,
2023, to regain compliance with the Bid Price Requirement. To regain compliance,
the closing bid price of the Company's common stock must meet or exceed $1.00
per share for a minimum of ten consecutive business days during this additional
180-day period, all as described in more detail in the Current Reports on Form
8-K filed with the SEC on April 7, 2022 and October 4, 2022. The closing price
of our common stock was $0.39 on March 24, 2023. We do not believe that we will
regain compliance with the Bid Price Requirement by the April 3, 2023 deadline,
and there can be no assurance that we will ever be able to do so. Given the
current trading price of our common stock, it is likely that we will receive a
delisting notification from Nasdaq. The existence of the pending deficiency
letter could, materially impair our ability to raise capital. Moreover, if we
were unable to regain compliance with the Bid Price Requirement, our common
stock would likely then trade only in the over-the-counter market and the market
liquidity of our common stock could be adversely affected and its market price
could decrease. If our common stock were to trade on the over-the-counter
market, selling our common stock could be more difficult because smaller
quantities of shares would likely be bought and sold, transactions could be
delayed, and we could face significant material adverse consequences, including:
a limited availability of market quotations for our securities; reduced
liquidity with respect to our securities; a determination that our shares are a
"penny stock," which will require brokers trading in our securities to adhere to
more stringent rules, possibly resulting in a reduced level of trading activity
in the secondary trading market for our securities; a reduced amount of news and
analyst coverage; and a decreased ability to issue additional securities or
obtain additional financing in the future. These factors could result in lower
prices and larger spreads in the bid and ask prices for our common stock and
would substantially impair our ability to raise additional funds and could
result in a loss of institutional investor interest and fewer development
opportunities for us.


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We currently intend to retain all available funds and any future earnings for
use in the operation of our business and do not anticipate paying any cash
dividends. We have not entered into, and do not expect to enter into,
investments for trading or speculative purposes. Our accounts receivable,
accounts payable and inventory balances fluctuate from period to period, which
affects our cash flow from operating activities. The amounts of these
fluctuations vary depending on cash collections, client mix, raw material lead
times, the mix of vendor terms, the timing of shipment of our products and the
invoicing of our research and development activities. As of December 31, 2022,
we did not have any off-balance sheet arrangements, as defined in Item
303(a)(4)(ii) of Regulation S-K under the Securities Exchange Act of 1934.

We continually evaluate our liquidity requirements, capital needs and
availability of capital resources based on our operating needs and our planned
growth initiatives. Our future working capital needs will depend on many
factors, including the rate of our business and revenue growth, the availability
and cost of human, material and other resources required to build and deliver
products in accordance with our existing or future product orders, the timing of
our continuing automation of U.S. manufacturing, and the timing of our
investment in research and development as well as sales and marketing. If we are
unable to increase our revenues and manage our expenses in accordance with our
operating plan, we may need to reduce the level or slow the timing of the growth
plans contemplated by our operating plan, which would likely curtail or delay
the growth in our business contemplated by our operating plan and could impair
or defer our ability to achieve profitability and generate cash flow, or to seek
to raise additional funds through debt or equity financing, strategic
relationships, or other arrangements. There can be no assurance that we would be
able to complete any proposed financing on terms acceptable to us, or at all, or
that we otherwise will be successful in any of our other endeavors to continue
to be financially viable and continue as a going concern. Our inability to raise
additional capital on acceptable terms could have a material adverse effect on
our business, prospects, results of operations, liquidity and financial
condition. If we were to raise additional funds through the issuance of equity
or convertible securities, the issuance could result in substantial dilution to
existing stockholders, and the holders of those new securities may have rights,
preferences and privileges senior to those of the holders of common stock.
Furthermore, any decline in the market price of our common stock could make it
more difficult for us to sell equity or equity-related securities in the future
at a time and price that we deem appropriate.

Sources of Funds

Equity and Equity-Related Securities. On July 19, 2021, we and Craig­Hallum
Capital Group LLC, or Craig-Hallum, entered into the ATM Agreement, pursuant to
which we may sell from time to time, at our option, up to an aggregate of
$60,000,000 of shares of common stock through Craig­Hallum, as sales agent. Any
sales of shares made pursuant to the ATM Agreement will be made pursuant to our
shelf registration statement on Form S­3 (File No. 333­254261) and the related
prospectus previously declared effective by the SEC on May 5, 2021, as
supplemented by a prospectus supplement dated July 19, 2021 that we filed with
the SEC, pursuant to Rule 424(b)(5) under the Securities Act, on July 19, 2021,
as such prospectus supplement may be amended or supplemented from time to time.

Prior to any sale of shares of common stock under the ATM Agreement, we may
deliver a sales notice to Craig-Hallum that will set the parameters for such
sale, including the number of shares to be issued and sold, the time period
during which such sale is requested to be made, any limitation on the number of
shares that may be sold in any one trading day and any minimum price below which
sales may not be made. Under the ATM Agreement, Craig-Hallum is required to use
commercially reasonable efforts consistent with its normal trading and sales
practices to sell shares in accordance with the terms of the ATM Agreement and
any applicable sales notice.

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Subject to the terms and conditions of the ATM Agreement, Craig-Hallum may sell
any shares of common stock only by methods deemed to be an "at the market"
offering as defined in Rule 415 under the Securities Act, including sales made
directly through the Nasdaq Capital Market, by means of ordinary brokers'
transactions, in negotiated transactions, to or through a market maker other
than on an exchange or otherwise, at market prices prevailing at the time of
sale, at prices related to such prevailing market prices, or at negotiated
prices and/or any other method permitted by law. If any sale of shares pursuant
to the ATM Agreement is not made directly on the Nasdaq Capital Market or any
other existing trading market for common stock at market prices at the time of
sale, including a sale to Craig-Hallum acting as principal or a sale in a
privately negotiated transaction, we must file a prospectus supplement
describing the terms of such sale, the number of shares sold, the price of the
shares, the applicable compensation, and such other information as may be
required pursuant to Rules 424 and 430B under the Securities Act, as applicable,
within the time required by Rule 424 under the Securities Act.

Under the terms of the ATM Agreement, we are to pay Craig-Hallum a placement fee
of 3.5% of the gross sales price of shares of common stock sold, unless
Craig-Hallum acts as principal, in which case we may sell the shares to
Craig-Hallum as principal at a price we agree upon with Craig-Hallum. We are
obligated to reimburse Craig-Hallum for certain expenses incurred in connection
with the ATM Agreement, and we have provided Craig-Hallum with customary
indemnification and contribution rights with respect to certain liabilities,
including liabilities under the Securities Act and the Securities Exchange Act
of 1934.

We are currently subject to General Instruction I.B.6 to Form S-3, or the baby shelf rule, and the amount of funds we can raise through primary public offerings of securities in any twelve-month period using our existing registration statement on Form S-3 is limited to one-third of the aggregate market value of the voting and non-voting common equity held by non-affiliates.



The offering of shares of common stock pursuant to the ATM Agreement will
terminate upon the earliest of (a) the sale of all of the shares registered for
purposes of the offering pursuant to the ATM Agreement, (b) our mutual written
agreement with Craig-Hallum, (c) written notice from Craig-Hallum, in its sole
discretion, to us, and (d) five business days' prior written notice from us, in
our sole discretion, to Craig-Hallum.

As of the filing date of this report, we have issued and sold pursuant to the
ATM Agreement a total of 16,175,5195 shares of common stock at a volume-weighted
average price of $2.81 per share for gross proceeds of $45.4 million and net
proceeds, after giving effect to placement fees and other transaction costs, of
$43.1 million. Additional shares of common stock may be issued and sold pursuant
to the ATM Agreement, but we cannot provide any assurance that will be able to
issue any additional shares under the ATM Agreement at an acceptable price or at
all.  Furthermore, any such sales shall be subject to the Baby Shelf Rule.

Credit Agreement. The following description summarizes certain key provisions of the Credit Agreement:

• Principal Amount. The Credit Agreement provides for a $20,000,000 senior

secured term loan credit facility, which was drawn in full on September 4,

2019. Under the terms of the Credit Agreement, we may use the proceeds (i) for

general working capital purposes and other permitted corporate purposes, (ii)

to refinance certain of our existing indebtedness and (iii) to pay fees, costs

and expenses incurred in connection with the Credit Agreement, including the

Lender's closing cost amount of $550,000, which was netted from the proceeds,


  and a financing fee of $600,000 (3.0% of gross proceeds) payable to
  Craig-Hallum Capital Group LLC, our financial advisor for the financing.


• Interest Rate. Principal outstanding under the Credit Agreement bears interest

at a rate per annum equal to the sum of (a) the greater of the one-month London

Interbank Offered Rate and 2.5% plus (b) 8.75%. At any time at which an event

of default (as described under "-Default Provisions" below) has occurred and is

continuing, the interest rate will increase by 4.0%. Accrued interest is

payable on a monthly basis. On December 31, 2022, the interest rate was 12.88%.

• Scheduled Repayment. No principal repayments were due prior to September 30,

2022. The Company did not elect to prepay principal as described under

"-Optional Prepayment" below and an event of default as described under

"-Default Provisions" below did not occur. Principal installments in the amount

of $300,000 are payable on the last day of each of the eleven months from

September 2022 through July 2023, and all remaining principal is payable at

maturity on September 3, 2023. We also have certain obligations under the

Credit Agreement which include covenants requiring: i) the minimum cash balance

of $3.0 million and ii) minimum total revenue amounts for the twelve months

preceding each quarter end. The minimum total revenue requirements are $48,8

million for the twelve months ending March 31, 2023 and $50.1 million for the

twelve months ending June 30, 2023. We do not believe that we will comply with

the minimum total revenue covenant for the twelve months ended March 31, 2023.

A breach of the minimum total revenue covenant or any other covenant in the

Credit Agreement would result in a default under the Credit Agreement and the

Lender could elect to declare all amounts outstanding thereunder, together with


  accrued interest, to be immediately due and payable.



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• Optional Prepayment. We may prepay outstanding principal from time to time,

subject to payment of a premium on the prepaid principal amount equal to 10%

through September 3, 2020, 8% from September 4, 2020 through September 3, 2021,

and 4% from September 4, 2021 through September 3, 2022. No premium will be due

with respect to any prepayment made on or after September 4, 2022.

• Guarantees. Our subsidiaries Chembio Diagnostic Systems Inc. and Chembio

Diagnostics Malaysia Sdn Bhd. have guaranteed, and the Lender from time to time

may require our other subsidiaries to guarantee, our obligations under the


  Credit Agreement.



• Security. Our obligations under the Credit Agreement are secured by a first

priority, perfected lien on substantially all of our property and assets,

including our equity interests in our subsidiaries. Our subsidiary Chembio

Diagnostic Systems Inc. has secured its guarantee of our Credit Agreement

obligations with a lien on substantially all of its assets, and the Lender from

time to time may require Chembio Diagnostics Malaysia Sdn Bhd. and any of our

other subsidiaries that has guaranteed our Credit Agreement obligations to do


  the same.



• Representations and Warranties; Financial and Other Covenants. In the Credit

Agreement we made customary representations and warranties as well as customary

affirmative and negative covenants, including covenants limiting additional

indebtedness, liens, guarantees, mergers and acquisitions, substantial asset

sales, investments and loans, sale and leasebacks, transactions with

affiliates, and fundamental changes. The Credit Agreement also contains

financial covenants requiring that (i) we maintain aggregate unrestricted cash

of not less than $3,000,000 at all times and (ii) we achieve specified minimum

rolling four-quarter ("last twelve month") total revenue amounts as of

September 30, 2019 and the last day of each calendar quarter thereafter. The

minimum total revenue requirements are $48.8 million for the twelve months

ending March 31, 2023, and $50.1 million for the twelve months ending June 30,

2023. We do not believe that we will comply with the minimum total revenue

covenant for the twelve months ended March 31, 2023. The minimum total revenue

amounts were developed for purposes of the Credit Agreement and do not reflect

the internal estimates and plans used by our management and board of directors

to understand and evaluate our operating performance, to establish budgets, and

to establish operational goals for managing our business. We therefore do not

believe that the covenant requirements provide useful information to investors

or others in enhancing an understanding of our future prospects.

• Default Provisions. The Credit Agreement provides for customary events of

default, including events of default based on non-payment of amounts due under

the Credit Agreement, defaults on other debt, misrepresentations, covenant

breaches, changes of control, insolvency, bankruptcy and the occurrence of a

material adverse effect on our company. Upon an event of default resulting from

a voluntary or involuntary proceeding for bankruptcy, insolvency or

receivership, the amounts outstanding under the Credit Agreement will become

immediately due and payable and the Lender's commitments will be automatically

terminated. Upon the occurrence and continuation of any other event of default,


  the Lender may accelerate payment of all obligations and terminate its
  commitments under the Credit Agreement.



Research and Development Awards. Under a contract we entered into with the CDC,
effective September 1, 2022, a total of up to $3.2 million of awards are
available to assist us in developing a rapid POC Syphilis Diagnostic Test using
the Company's DPP Technology.  Of the total awards available under this
contract, we recognized government grant income totaling $0.6 million during the
year ended December 31, 2022.

Working Capital. The following table sets forth selected working capital
information:

                                             December 31, 2022
Cash and cash equivalents                                18,179
Accounts receivable, net                                  6,536
Inventories, net                                          7,715
Insurance receivable                                     12,186
Prepaid expenses and other current assets                 3,835
Total current assets                                     48,451
Less: Total current liabilities                         (39,300 )
Working capital                                           9,151



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Our cash and cash equivalents at December 31, 2022, were held for working
capital purposes. We currently intend to retain all available funds in excess of
required minimum cash balance related to the Credit Agreement and any future
earnings for use in the operation of our business and do not anticipate paying
any cash dividends. We have not entered into, and do not expect to enter into,
investments for trading or speculative purposes. Our accounts receivable and
inventory balances fluctuate from period to period, which affects our cash flow
from operating activities. Fluctuations vary depending on cash collections,
client mix, raw material lead times, the mix of vendor terms, and the timing of
shipment of our products and the invoicing of our research and development
activities.

Uses of Funds



Cash Flow Used in Operating Activities. Our operations used $12.7 million of
cash during the year ended December 31, 2022, primarily due to the net loss
adjusted for non-cash items of $14.7 million. Those uses of cash were the result
of $4.8 million decrease in accounts receivable, a $4.6 million decrease in
inventory, and $14.0 million increase in Prepaid and other current assets,
offset in part by a $6.6 million increase in accounts payable and other accrued
liabilities.

Credit Agreement. Principal installments in the amount of $300,000 are payable
under the Credit Agreement on the last day of each of the eleven months from
September 2022 through July 2023, and all remaining principal is payable at
maturity on September 3, 2023. Upon an event of default under the Credit
Agreement, the Lender could elect to declare all amounts outstanding thereunder,
together with accrued interest, to be immediately due and payable, as further
described "-Sources of Funds-Credit Agreement-Default Provisions" above. In
addition, we could determine to prepay from time to time outstanding principal
under the Credit Agreement (see "-Sources of Funds-Credit Agreement-Optional
Prepayment" above) or to make other payments under the Credit Agreement that may
not be then due or otherwise required under the Credit Agreement, although, as
of the date of the filing of this report, we do not intend to make any such
prepayments or other payments.

Capital Expenditures. Our capital expenditures totaled $1.5 million in the year
ended December 31, 2022, all of which related to investments in automated
manufacturing equipment, facilities, and other fixed assets. As of December 31,
2022, we had capital purchase obligations of $0.01 million related to additional
automated manufacturing equipment, with payments expected to come due during
2023 based on vendor performance milestones.

Significant Accounting Policies and Critical Accounting Estimates



Our significant accounting policies are described in Note 2 - Significant
Accounting Policies to the audited consolidated financial statements included
herein. Certain of our accounting policies require the application of
significant judgment by management in selecting the appropriate assumptions for
calculating financial estimates. By their nature, these judgments are subject to
an inherent degree of uncertainty. These judgments are based on our historical
experience, terms of existing contracts, our evaluation of trends in the
industry, information provided by our customers and information available from
other outside sources, as appropriate. We consider an accounting estimate to be
critical if (a) it requires us to make assumptions about matters that were
uncertain at the time we were making the estimate and (b) changes in the
estimate or different estimates that we could have selected would have had a
material impact on our financial condition or results of operations.

The following listing is not intended to be a comprehensive list of all of our
accounting policies.  In many cases, the accounting treatment of a particular
transaction is specifically dictated by accounting principles generally accepted
in the United States, with no need for management's judgment in their
application. There are also areas in which management's judgment in selecting
any viable alternative would not produce a materially different result.

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Revenue Recognition



We recognize revenue for product sales in accordance with Financial Accounting
Standards Board Accounting Standards Codification, or ASC, 606, Revenue from
Contracts with Customers. Revenues from product sales are recognized when the
customer obtains control of our product, which occurs at a point in time,
typically upon tendering to the customer. We expense incremental costs of
obtaining a contract as and when incurred because the expected amortization
period of the asset that it would have recognized is one year or less or the
amount is immaterial. Freight and distribution activities on products are
performed after the customer obtains control of the goods. We have made an
accounting policy election to account for shipping and handling activities that
occur either when or after goods are tendered to the customer as a fulfillment
activity, and therefore recognizes freight and distribution expenses in cost of
product sales. We exclude certain taxes from the transaction price (e.g., sales,
value added and some excise taxes).

Estimates of variable consideration and the determination of whether to include
estimated amounts in the transaction price are based on all information
(historical, current, and forecasted) that is reasonably available to us, taking
into consideration the type of customer, the type of transaction, market events
and trends, and the specific facts and circumstances of each arrangement.

For applicable contracts, we recognize revenue from research and development,
milestone and grant revenues when earned.  Grants are invoiced after expenses
are incurred. Revenues from projects or grants funded in advance are deferred
until earned. For certain collaborative research projects, we recognize revenue
by defining milestones at the inception of the agreement and applying judgment
and estimates in recognizing revenue for relevant contracts.

From time to time the Company engages in bill-and-hold arrangements, whereby the
Company manufactures and sells its product and at the customer's request stores
the product at the Company's warehouse. Even though the product remains in the
Company's possession, a sale is recognized at the point in time when the
customer obtains control of the product. Control is transferred to the customer
in bill and hold transactions when: customer acceptance specifications have been
met, legal title has transferred, the customer has a present obligation to pay
for the product and the risk and rewards of ownership have transferred to the
customer.  Additionally, all the following bill and hold criteria would have to
be met in order for control to be transferred to the customer:

(a) The reason for the bill-and-hold arrangement must be substantive (for
example, the customer has requested the arrangement).
(b) The product must be identified separately as belonging to the customer.
(c) The product currently must be ready for physical transfer to the customer.
(d) The entity cannot have the ability to use the product or to direct it to
another customer.

Goodwill

We periodically review goodwill for impairment indicators. We review goodwill
for impairment annually in the fourth quarter or more frequently if events or
changes in circumstances indicate that goodwill might be impaired. We perform
the goodwill impairment review at the reporting unit level. We perform a
qualitative assessment of whether it is more likely than not that a reporting
unit's fair value is less than its carrying amount. If not, no further goodwill
impairment testing is performed. If so, we perform the step discussed hereafter.
Our qualitative assessment involves significant estimates, assumptions, and
judgments, including, macroeconomic conditions, industry and market conditions,
our financial performance, reporting unit specific events and changes in our
share price.

If the fair value of the reporting unit is greater than its carrying amount,
goodwill is not considered to be impaired. We would recognize an impairment
charge for the amount by which the carrying amount exceeds the reporting unit's
fair value, provided the impairment charge does not exceed the total amount of
goodwill allocated to the reporting unit.

The company operates as a single operating segment and has one reporting unit.
During the year ended December 31, 2022, the Company performed a quantitative
analysis and determined that the carrying value exceeded its fair value and
recorded a goodwill impairment charge of $3.0 million.

Recently Issued Accounting Pronouncements



Refer to Note 2 - Significant Accounting Policies to the audited consolidated
financial statements included herein for a complete description of recent
accounting standards that we have not yet been required to implement which may
be applicable to our operations. Additionally, the significant accounting
standards that have been adopted during the year ended December 31, 2022 are
described.

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