FORWARD-LOOKING STATEMENTS

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

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





  ? the substantial doubt about our ability to continue as a going concern due to
    our history of operating losses, declining cash position and other liquidity
    factors, which in the absence of additional short term financing is causing us
    to reduce headcount and other expenses and may cause us to cease or scale back
    operations; without sufficient working capital and the ability to meet our
    debt obligations, our business will be jeopardized and we may not be able to
    continue in our current structure, if at all. Under these circumstances, we
    would likely have to consider other options, such as selling assets, raising
    additional debt or equity capital, cutting costs or otherwise reducing our
    cash requirements, or negotiating with our creditors to restructure our
    applicable obligations, including the potential filing of a petition for
    relief under the United States Bankruptcy Code;

  ? the effect of the Coronavirus (COVID-19) pandemic which has materially and
    adversely affected our business and financial results, particularly during
    portions of 2020, due to the slowdown in demand for our clinical services and
    pharma services, a reduction in samples received and testing volume and
    delayed third party collections and other factors and which may continue to
    have an adverse effect on our future business;

  ? 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 Centers 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, the reduction
    in reimbursement for our ThyGeNEXT® test is expected to have an approximate
    $5.0 million impact to Fiscal 2022 revenues;

  ? our secured lenders have the right to foreclose on substantially all of our
    assets if we are unable to timely repay our outstanding obligations;

  ? our dependence on sales and reimbursements from our clinical services for more
    than 50% of our revenue; the ability to continue to generate sufficient
    revenue from these 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 revenue recognition is based, in part, on our estimates for future
    collections which may prove to be incorrect with the changes in reimbursement
    rates for ThyGeNEXT® by Medicare causing us to revise our NRV's which will
    reduce revenues in future periods;

  ? our ability to finance our business on acceptable terms in the future, which
    may limit the ability to grow our business, develop and commercialize products
    and services, develop and commercialize new molecular clinical service
    solutions and technologies and expand our pharma services offerings;




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  ? our obligations to make royalty and milestone payments to our licensors;

  ? our dependence on third parties for the supply of some of the materials used
    in our clinical and pharma services tests;

  ? the potential adverse impact of current and future laws, licensing
    requirements and governmental regulations upon our business operations,
    including but not limited to the evolving U.S. regulatory environment related
    to laboratory developed tests ("LDTs"), pricing of our tests and services and
    patient access limitations;

  ? our reliance on our sales and marketing activities for future business growth
    and our ability to continue to expand our sales and marketing activities;

  ? our 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, 2021 filed with the SEC on March 31, 2022, as well as other documents we file with the SEC from time-to-time, for other important factors that could cause our actual results to differ materially from our current expectations as expressed in the forward-looking statements discussed in this Form 10-Q. Because of these and other risks, uncertainties and assumptions, you should not place undue reliance on these forward-looking statements. In addition, these statements speak only as of the date of the report in which they are set forth and, except as may be required by law, we undertake no obligation to revise or update publicly any forward-looking statements for any reason.





OVERVIEW


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





Impact of Our Reliance on CMS



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. The Company estimates the ThyGeNEXT pricing change will negatively impact Fiscal 2022 revenue by approximately $5.0 million. 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. The Company is targeting an overall reduction of approximately $2.7 million in expenses year-over year by December 31, 2022.





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Impact of COVID-19 Pandemic


There continues to be widespread impact from the COVID-19 pandemic. Beginning in the first quarter of 2021, there has been a trend in many parts of the world of increasing availability and administration of vaccines against COVID-19, as well as an easing of restrictions on social, business, travel and government activities and functions. On the other hand, infection rates and regulations continue to fluctuate in various regions and there are ongoing global impacts resulting from the pandemic, including challenges and increases in costs for logistics and supply chains. We have also previously been affected by temporary laboratory closures, employment and compensation adjustments and impediments to administrative activities. The level and nature of the disruption caused by COVID-19 is unpredictable, may be cyclical and long-lasting and may vary from location to location.

In addition, we have experienced and are experiencing varying levels of inflation resulting in part from various supply chain disruptions, increased shipping and transportation costs, increased raw material and labor costs and other disruptions caused by the COVID-19 pandemic and general global economic conditions.

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

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

Impact of the ongoing military conflict between Russia and Ukraine.

In late February 2022, Russia invaded Ukraine, significantly amplifying already existing geopolitical tensions among Russia and other countries in the region and in the west, including the U.S. Russia's invasion, the responses of countries and political bodies to Russia's actions, the larger overarching tensions, and Ukraine's military response and the potential for wider conflict have resulted in financial market volatility and capital markets disruption, potentially increasing in magnitude, and could have severe adverse effects on regional and global economic markets and international relations. The extent and duration of the military action, sanctions and resulting market disruptions, including inflation, are impossible to predict, but could be substantial.

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





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Revenue Recognition


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

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

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





Cost of Revenue



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





Transition costs


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





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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.





Condensed Consolidated Results of Continuing Operations for the Quarter Ended
June 30, 2022 Compared to the Quarter Ended June 30, 2021 (unaudited, in
thousands)



                                                  Three Months Ended June 30,
                                      2022           2022            2021           2021
                                                     % to                           % to
                                                    revenue                        revenue

Revenue, net                       $    9,351           100.0 %   $   11,155           100.0 %
Cost of revenue                         5,850            62.6 %        5,800            52.0 %
Gross profit                            3,501            37.4 %        5,355            48.0 %
Operating expenses:
Sales and marketing                     2,774            29.7 %        2,776            24.9 %
Research and development                  267             2.9 %          424             3.8 %
General and administrative              3,907            41.8 %        3,326            29.8 %
Transition expense                         61             0.7 %          858             7.7 %
Gain on DiamiR transaction                  -             0.0 %         (235 )          -2.1 %
Acquisition related amortization
expense                                   535             5.7 %        1,112            10.0 %
Change in fair value of
contingent consideration                 (311 )          -3.3 %            -             0.0 %
Total operating expenses                7,233            77.4 %        8,261            74.1 %

Operating loss                         (3,732 )         -39.9 %       (2,906 )         -26.1 %
Interest accretion expense                 36             0.4 %         (135 )          -1.2 %
Related party interest                      -             0.0 %         (163 )          -1.5 %
Note payable interest                    (210 )          -2.2 %            -             0.0 %
Other income (expense), net                35             0.4 %         (168 )          -1.5 %
Loss from continuing operations
before tax                             (3,871 )         -41.4 %       (3,372 )         -30.2 %
Provision for income taxes                 16             0.2 %           16             0.1 %

Loss from continuing operations (3,887 ) -41.6 % (3,388 ) -30.4 %



Loss from discontinued
operations, net of tax                    (52 )          -0.6 %          (58 )          -0.5 %

Net loss                           $   (3,939 )         -42.1 %   $   (3,446 )         -30.9 %




Revenue, net


Consolidated revenue, net for the three months ended June 30, 2022 decreased by $1.8 million, or 16%, to $9.4 million, compared to $11.2 million for the three months ended June 30, 2021. The decrease in net revenue was largely driven by the NRV adjustment related to the Medicare pricing change on ThyGeNEXT®. The pricing adjustment was retroactive to January 1, 2022 and the impact was approximately $0.7 million for revenue that was attributable to the first quarter.





Cost of revenue



Consolidated cost of revenue for the three months ended June 30, 2022 was $5.9 million, as compared to $5.8 million for the three months ended June 30, 2021. As a percentage of revenue, cost of revenue was approximately 63% for the three months ended June 30, 2022 and 52% for the three months ended June 30, 2021, the percentage increase was due to the decrease in revenue discussed above.





Gross profit


Consolidated gross profit was approximately $3.5 million for the three months ended June 30, 2022 and $5.4 million for the three months ended June 30, 2021. The gross profit percentage was approximately 37% for the three months ended June 30, 3022 and 48% for the three months ended June 30, 2021.





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Sales and marketing expense

Sales and marketing expense was approximately $2.8 million for the three months ended June 30, 2022 and $2.8 million for the three months ended June 30, 2021. As a percentage of revenue, sales and marketing expense increased to 30% from 25% in the comparable prior year period due to the decrease in revenue.





Research and development


Research and development expense was $0.3 million for the three months ended June 30, 2022 and $0.4 million for the three months ended June 30, 2021. As a percentage of revenue, research and development expense decreased to 3% from 4% in the comparable prior year period.





General and administrative


General and administrative expense was approximately $3.9 million for the three months ended June 30, 2022 and $3.3 million for the three months ended June 30, 2021. The increase can be primarily attributed to an increase in employee compensation costs and an increase in professional fees.





Transition expense


Transition expense was approximately $0.1 million for the three months ended June 30, 2022 and $0.9 million for the three months ended June 30, 2021. In 2021, these expenses were related to the Rutherford, NJ lab closing and subsequent move to North Carolina as well as other cost-saving initiatives, primarily reductions in headcount. In 2022, these expenses were related to laboratory information management system implementation costs.

Acquisition amortization expense

During the three months ended June 30, 2022 and June 30, 2021, we recorded amortization expense of approximately $0.5 million and $1.1 million, respectively, which is related to intangible assets associated with prior acquisitions.

Change in fair value of contingent consideration

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.





Operating loss


Operating loss from continuing operations was $3.7 million for the three months ended June 30, 2022 as compared to $2.9 million for the three months ended June 30, 2021. The higher operating loss was primarily attributable to the reduction in revenue discussed above.





Provision for income taxes



Income tax expense was approximately $16,000 for the three months ended June 30, 2022 and $16,000 for the three months ended June 30, 2021. 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 $0.1 million for the three months ended June 30, 2022 and a loss from discontinued operations of approximately $0.1 million for the three months ended June 30, 2021.





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Condensed Consolidated Results of Continuing Operations for the Six Months Ended
June 30, 2022 Compared to the Six Months Ended June 30, 2021 (unaudited, in
thousands)



                                                   Six Months Ended June 30,
                                      2022           2022            2021           2021
                                                     % to                           % to
                                                    revenue                        revenue

Revenue, net                       $   19,728           100.0 %   $   20,989           100.0 %
Cost of revenue                        11,234            56.9 %       11,116            53.0 %
Gross profit                            8,494            43.1 %        9,873            47.0 %
Operating expenses:
Sales and marketing                     5,190            26.3 %        5,128            24.4 %
Research and development                  566             2.9 %        1,060             5.1 %
General and administrative              7,597            38.5 %        6,362            30.3 %
Transition expense                        146             0.7 %        2,111            10.1 %
Gain on DiamiR transaction                  -             0.0 %         (235 )          -1.1 %
Acquisition related amortization
expense                                 1,071             5.4 %        2,224            10.6 %
Change in fair value of
contingent consideration                 (311 )          -1.6 %          (57 )          -0.3 %
Total operating expenses               14,259            72.3 %       16,593            79.1 %

Operating loss                         (5,765 )         -29.2 %       (6,720 )         -32.0 %
Interest accretion expense                (85 )          -0.4 %         (270 )          -1.3 %
Related party interest                      -             0.0 %         (308 )          -1.5 %
Note payable interest                    (390 )          -2.0 %            -             0.0 %
Other income (expense), net               194             1.0 %         (212 )          -1.0 %
Loss from continuing operations
before tax                             (6,046 )         -30.6 %       (7,510 )         -35.8 %
Provision for income taxes                 34             0.2 %           31             0.1 %

Loss from continuing operations (6,080 ) -30.8 % (7,541 ) -35.9 %



Loss from discontinued
operations, net of tax                   (106 )          -0.5 %         (112 )          -0.5 %

Net loss                           $   (6,186 )         -31.4 %   $   (7,653 )         -36.5 %




Revenue, net


Consolidated revenue, net for the six months ended June 30, 2022 decreased by $1.3 million, or 6%, to $19.7 million, compared to $21.0 million for the three months ended June 30, 2021. The decrease in net revenue was largely driven by the NRV adjustment related to the Medicare pricing change on ThyGeNEXT® discussed above.





Cost of revenue



Consolidated cost of revenue for the six months ended June 30, 2022 was $11.2 million, as compared to $11.1 million for the six months ended June 30, 2021. As a percentage of revenue, cost of revenue was approximately 57% for the six months ended June 30, 2022 and 53% for the six months ended June 30, 2021, the percentage increase was due to the decrease in revenue discussed above.





Gross profit


Consolidated gross profit was approximately $8.5 million for the six months ended June 30, 2022 and $9.9 million for the six months ended June 30, 2021. The gross profit percentage was approximately 43% for the six months ended June 30, 3022 and 47% for the six months ended June 30, 2021. The decrease was a result of the NRV pricing adjustment discussed above.





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Sales and marketing expense

Sales and marketing expense was approximately $5.2 million for the six months ended June 30, 2022 and $5.1 million for the six months ended June 30, 2021. As a percentage of revenue, sales and marketing expense increased to 26% from 24% in the comparable prior year period primarily due to the decrease in revenue.





Research and development


Research and development expense was $0.6 million for the six months ended June 30, 2022 and $1.1 million for the six months ended June 30, 2021. As a percentage of revenue, research and development expense decreased to 3% from 5% in the comparable prior year period.





General and administrative


General and administrative expense was approximately $7.6 million for the three months ended June 30, 2022 and $6.3 million for the three months ended June 30, 2021. The increase can be primarily attributed to an increase in employee compensation costs and an increase in professional fees.





Transition expense


Transition expense was approximately $0.1 million for the six months ended June 30, 2022 and $2.1 million for the six months ended June 30, 2021. In 2021, these expenses were related to the Rutherford, NJ lab closing and subsequent move to North Carolina as well as other cost-saving initiatives, primarily reductions in headcount. In 2022, these expenses were related to laboratory information management system implementation costs.

Acquisition amortization expense

During the six months ended June 30, 2022 and June 30, 2021, we recorded amortization expense of approximately $1.1 million and $2.2 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 and a $0.1 million decrease for the six months ended June 30, 2021.





Operating loss


Operating loss from continuing operations was $5.8 million for the six months ended June 30, 2022 as compared to $6.7 million for the six months ended June 30, 2021. The lower operating loss was primarily attributable to the reduction in transition expenses discussed above.





Provision for income taxes


Income tax expense was approximately $34,000 for the six months ended June 30, 2022 and $31,000 for the six months ended June 30, 2021. 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 $0.1 million for the six months ended June 30, 2022 and a loss from discontinued operations of approximately $0.1 million for the six months ended June 30, 2021.





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





                 Reconciliation of Adjusted EBITDA (Unaudited)

                                ($ in thousands)



                                       Three Months Ended             Six Months Ended
                                            June 30,                      June 30,
                                      2022            2021           2022           2021
Loss from continuing operations
(GAAP Basis)                       $    (3,887 )   $   (3,388 )   $   (6,080 )   $   (7,541 )
Bad debt (recovery) expense                  -              -              -           (140 )
Transition expenses                         61            858            146          2,111
Depreciation and amortization              790          1,411          1,571          2,943
Stock-based compensation                   334            551            659            837
Tax expense                                 16             16             34             31
Interest accretion expense                 (36 )          135             85            270
Financing interest and related
costs                                      210            163            390            308
Gain on DiamiR transaction                   -           (235 )            -           (235 )
Mark to market on warrant
liability                                   (5 )          168            (68 )          209
Change in fair value of note
payable                                    (53 )            -           (160 )            -
Change in fair value of
contingent consideration                  (311 )            -           (311 )          (57 )
Adjusted EBITDA                    $    (2,881 )   $     (321 )   $   (3,734 )   $   (1,264 )

LIQUIDITY AND CAPITAL RESOURCES

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

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

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





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

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

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. 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 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. 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.

For the six months ended June 30, 2022, we had an operating loss of $5.8 million. As of June 30, 2022, we had cash and cash equivalents of $1.9 million, net of restricted cash, total current assets of $11.0 million, net of restricted cash, and current liabilities of $18.4 million. As of August 5, 2022, we had approximately $2.0 million of cash on hand, net of restricted cash.

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, partially offset by depreciation and amortization expense of $1.6 million. During the six months ended June 30, 2021, net cash used in operating activities was $6.8 million. The main component of cash used in operating activities was our net loss of $7.7 million.

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 of credit and $2.0 million was the Convertible Debt agreement entered into with BroadOak. See Note 14, Notes Payable, for more details. For the six months ended June 30, 2021, cash provided from financing activities was $7.5 million, of which $7.4 million were the net proceeds from the Company's secured promissory notes with Ampersand and 1315. See Note 14, Notes Payable, for more details.

We will not generate positive cash flows from operations for the year ending December 31, 2022. We intend to meet our ongoing capital needs by using our available cash and availability under the Comerica Loan Agreement, as well as through targeted revenue growth and 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 is currently exploring 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 from Nasdaq in February 2021, its 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.





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Management has determined that certain factors raise substantial doubt about our ability to continue as a going concern. As of the date of this filing, the Company currently anticipates that current cash and cash equivalents will be insufficient to meet its anticipated cash requirements through the next twelve months. These factors include inadequate liquidity to sustain operations, our substantial debts, margin deterioration and volatility, and historic net losses. Our consolidated financial statements assume we will continue as a going concern and do not include any adjustments that might result from the outcome of this uncertainty. Our ability to continue as a going concern depends on having working capital for vendor payments, meeting short-term obligations on other accrued liabilities, and amongst other requirements, making interest payments on our debt obligations. Without positive operating margins and sufficient working capital and the ability to meet our debt obligations, our business will be jeopardized and we may not be able to continue in our current structure, if at all. Under these circumstances, we would likely have to consider other options, such as selling assets, raising additional debt or equity capital, cutting costs or otherwise reducing our cash requirements, or negotiating with our creditors to restructure our applicable obligations, including the potential filing of a petition for relief under the United States Bankruptcy Code (the "Bankruptcy Code"). Such a filing would subject us to the risks and uncertainties associated with bankruptcy filing proceedings and may place investors in our stock at significant risk of losing some or all of their investment. In a bankruptcy, holders of our common stock will be subordinated to our Series B Preferred Stock, which is likely to increase the risk of total loss of investment for holders of our common stock. A bankruptcy filing by us could cause a material adverse effect on our business, financial condition, results of operations and liquidity.





Inflation



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

Off-Balance Sheet Arrangements

None.

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