You should read the following discussion and analysis of our financial condition
and results of operations together with our consolidated financial statements
and the related notes thereto included in Item 8 under the heading "Financial
Statements and Supplementary Data". Some of the information contained in this
discussion and analysis or set forth elsewhere in this Form 10-K contains
forward-looking statements that involve risks and uncertainties, including
statements regarding our expected financial results in future periods. The words
"anticipates," "believes," "could," "estimates," "expects," "intends," "may,"
"might," "plans," "projects," "will," "would," and similar expressions are
intended to identify forward-looking statements, although not all
forward-looking statements contain these identifying words. We may not actually
achieve the plans, intentions or expectations disclosed in our forward-looking
statements and you should not place undue reliance on our forward-looking
statements. Actual results or events could differ materially from the plans,
intentions and expectations disclosed in the forward-looking statements that we
make. You should read the "Risk Factors" section of this Form 10-K for a
discussion of important factors that could cause actual results to differ
materially from the results described in or implied by the forward-looking
statements contained in the following discussion and analysis. We do not assume
any obligation to update any forward-looking statements.



Overview



We are a novel bioelectric medicine company committed to health innovation that
improves and potentially extends the lives of patients. We are pursuing
regulatory clearance from the FDA to market our first product, our proprietary
CellFX™ System. The CellFX System utilizes its patented Nano-Pulse Stimulation™
(NPS™) technology to treat a variety of applications for which an optimal
solution remains unfulfilled. NPS is a proprietary technology that delivers
nanosecond duration pulses of high amplitude electrical energy to non-thermally
clear targeted cells while sparing adjacent non-cellular tissue. The
cell-specific effects of NPS technology have been validated in a series of
completed and ongoing clinical studies.



We have incurred substantial operating losses and have used cash in our
operating activities since inception. Based on our current operating plan, we
believe we do not have sufficient cash and cash equivalents on hand to support
current operations for at least twelve months from the date that our audited
consolidated financial statements included elsewhere in this Annual Report on
Form 10-K were issued. To finance our operations beyond that point, we will need
to raise additional capital, which cannot be assured. We have concluded that
this circumstance raises substantial doubt about our ability to continue as a
going concern for at least twelve months from the date that our audited
consolidated financial statements included elsewhere in this Annual Report on
Form 10-K were issued. As such, we plan to seek to raise capital from time to
time this year through future debt or equity financings to fund our future
operations and remain as a going concern including by pursuing a  proposed
rights offering, seeking to raise net proceeds of approximately $30 million
assuming such rights offering is fully subscribed. There is no assurance that
the rights offering will be successful, or that additional financing will be
available when needed or that management will be able to obtain financing on
terms acceptable to us.



Plan of Operation


We plan to establish ourselves as a medical therapy company with a local, non-thermal, and drug-free treatment platform that initiates cell death in targeted tissue by a process of cell signaling and also induces an adaptive immune response to the targeted tissue. In order to accomplish this, we plan to:

· Improve our technology by continuing our research and product development

efforts. We expect to develop interchangeable tissue applicators to target

different tissue types that will leverage the novel characteristics of our


    technology platform.



· Further explore and understand the benefits of NPS technology platform with the

objectives of broadening the currently planned cosmetic and therapeutic

applications and identifying new applications. We anticipate that results of

our clinical studies will enable us to recognize certain unmet medical needs


    that may be addressed by our technology.



· Continue to protect and expand our intellectual property portfolio with respect

to NPS technology, which we expect will increase our ability to deter

competitors and position our company for favorable licensing and partnering


    opportunities.



· Partner with medical or biomedical device companies for certain applications

which we anticipate may accelerate product development and acceptance into

target market areas and allow us to gain the sales and marketing advantages of


    the distribution infrastructure.




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Critical Accounting Policies and Significant Judgments





The discussion and analysis of financial condition and results of operations is
based upon our consolidated financial statements, which have been prepared in
accordance with the rules and regulations of the SEC. Certain accounting
policies and estimates are particularly important to the understanding of our
financial position and results of operations and require the application of
significant judgment by management or can be materially affected by changes from
period to period in economic factors or conditions that are outside of the
company's control. As a result, these issues are subject to an inherent degree
of uncertainty. In applying these policies, management uses its judgment to
determine the appropriate assumptions to be used in the determination of certain
estimates. Those estimates are based on our historical operations, future
business plans and the projected financial results, the terms of existing
contracts, trends in the industry and information available from other outside
sources.



Long-Lived Assets



We review long-lived assets, consisting of property and equipment and intangible
assets, for impairment at each fiscal year end or when events or changes in
circumstances indicate the carrying value of these assets may exceed their
current fair values. Recoverability of assets to be held and used is measured by
a comparison of the carrying amount of an asset to the estimated undiscounted
future cash flows expected to be generated by the asset. If the carrying amount
of an asset exceeds its estimated future cash flows, an impairment charge is
recognized for the amount by which the carrying amount of the asset exceeds the
fair value of the assets. Assets to be disposed of are separately presented in
the consolidated balance sheet, reported at the lower of the carrying amount or
fair value less costs to sell, and are no longer depreciated.



Goodwill



We record goodwill when the consideration paid in a business acquisition exceeds
the fair value of the net tangible assets and the identified intangible assets
acquired. We review goodwill for impairment at least annually or whenever
changes in circumstances indicate that the carrying value of the goodwill may
not be recoverable based on the fair value of the reporting units. If events or
circumstances do not indicate that the fair value of a reporting unit is below
its carrying amount, goodwill is not considered impaired and no further testing
is required. If further testing is required, we perform a two step-process. The
first step involves comparing the fair value of the reporting unit to its
carrying value, including goodwill. If the carrying value of the reporting unit
exceeds its fair value, the second step of the test is performed by comparing
the carrying value of the goodwill in the reporting unit to its implied fair
value. An impairment charge is recognized for the excess of the carrying value
of goodwill over its implied fair value. For the purpose of impairment testing,
we have determined that the Company has one reporting unit. To date, there has
been no impairment of goodwill.



Stock-Based Compensation



We periodically issue stock options to officers, directors, employees and
consultants for services rendered. Such issuances vest and expire according to
terms established at the issuance date. Stock-based payments to officers,
directors and employees, including grants of employee stock options, are
recognized in the financial statements based on their fair values. Stock option
grants, which are generally time vested, are measured at the grant date fair
value and charged to operations on a straight-line basis over the vesting
period. We estimate the grant date fair value of stock options, using the
Black-Scholes option-pricing model.



The Black-Scholes option-pricing model requires the use of highly subjective
assumptions which determine the fair value of stock-based awards. The
assumptions used in our option-pricing model represent management's best
estimates. These estimates are complex, involve a number of variables,
uncertainties and assumptions and the application of management's judgment, so
that they are inherently subjective. If factors change and different assumptions
are used, our stock-based compensation expense could be materially different in
the future.



Income Taxes


We account for income taxes using the asset and liability method, whereby deferred tax assets and liability account balances are determined based on differences between the financial reporting and tax bases of assets and liabilities, and are measured using the enacted rates and laws that will be in effect when the differences are expected to reverse.





We provide a valuation allowance to reduce its deferred tax assets to the amount
that is more likely than not to be realized. If we determine that we would be
able to realize deferred tax assets in the future in excess of the recorded
amount, an adjustment



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to the deferred tax assets would be credited to operations in the period such
determination was made. Likewise, should we determine that we would not be able
to realize all or part of its deferred tax assets in the future, an adjustment
to the deferred tax assets would be charged to operations in the period such
determination was made.



We account for uncertainties in income tax law under a comprehensive model for
the financial statement recognition, measurement, presentation and disclosure of
uncertain tax positions taken or expected to be taken in income tax returns as
prescribed by Financial Accounting Standards Board (FASB) issued Accounting
Standards Codification (ASC) 740-10 - Accounting for Uncertainty in Income
Taxes. The tax effects of a position are recognized only if it is
"more-likely-than-not" to be sustained by the taxing authority as of the
reporting date. If the tax position is not considered "more-likely-than-not" to
be sustained, then no benefits of the position are recognized.



We are subject to U.S. federal income taxes and income taxes in California. As
our net operating losses have yet to be utilized, previous tax years remain open
to examination by federal authorities and other jurisdictions in which we
currently operate or have operated in the past. We are not currently under
examination by any tax authority.



Components of Results of Operations





Operating Expenses



We generally recognize operating expenses as general and administrative costs
and research and development costs, as well as non-cash amortization of
intangible assets. Our operating expenses also include non-cash components
related to depreciation and amortization of property and equipment and
stock-based compensation costs, which are allocated, as appropriate, to general
and administrative costs and research and development costs.



· General and administrative expenses consist of salaries and related expenses

for executive, finance, legal, human resources, information technology and

administrative personnel, professional fees, patent filing fees and costs,

insurance costs and other general corporate expenses. We expect general and

administrative expenses to increase in the future as we hire personnel and

incur additional costs to support the expansion of our research and development

activities and our operation as a public company, including higher legal,


    accounting, insurance, compliance, compensation and other costs.



· Research and development expenses consist of salaries and related expenses and

consulting costs related to the design, development and enhancement of our

potential future products, prototypes material and devices, including rent. We

expect research and development costs to increase in the future as we initiate

additional clinical trials, continue development and enhancement of our CellFX


    System and pursue commercial applications of our NPS technology.




Results of Operations



Comparison of the Years ended December 31, 2019 and 2018





Our consolidated statements of operations as discussed herein are presented
below:







                                                   Year Ended
                                                  December 31,
(in thousands)                                 2019         2018       $ Change
Revenue                                     $        -   $         -   $       -
Operating expenses:
General and administrative                     22,327        20,045       2,282
Research and development                       24,961        17,253       7,708
Amortization of intangible assets                 666           665           1
Total operating expenses                       47,954        37,963       9,991
Other income (expense):
Interest income                                   983           446         537
Other expense                                        -          (28)         28
Total other income                                983           418         565
Loss from operations, before income taxes     (46,971)      (37,545)     (9,426)
Income tax benefit                                   -             -           -
Net loss                                    $ (46,971)   $  (37,545)   $ (9,426)






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General and Administrative



General and administrative expenses consist of salaries and related expenses for
executives, marketing, sales, finance, legal, human resources, information
technology and administrative personnel. General and administrative expenses
increased by $2.3 million to $22.3 million in 2019 from $20.0 million in 2018
due primarily to $1.2 million of increased headcount related expenses and $1.1
million of increased corporate insurance policy and Delaware franchise tax
expense due to our expanded operational infrastructure. General and
administrative expenses are expected to increase during 2020 with the buildout
of additional operational infrastructure to support the anticipated
commercialization of our CellFX System in the aesthetic dermatology market.



Research and Development



Research and development expenses consist of salaries and related expenses for
research and development personnel, clinical trials professional fees and
consulting costs related to the design, development and enhancement of our
potential future products, engineering prototypes supplies and pre-commercial
manufacturing supplies. Research and development expenses increased by $7.7
million to $25.0 million in 2019 from $17.3 million in 2018 due primarily to
$3.7 million of increased headcount related expenses, $1.4 million of increased
clinical trial and sponsored research related expense from the Company's
expanded clinical studies of NPS technology including the treatment of sebaceous
hyperplasia, seborrheic keratosis, warts, and other general benign lesions, $1.7
million of increased engineering and manufacturing supplies and consulting
expenses in support of continued development of the CellFX System capabilities
and pre-commercial supply chain,  $0.5 million of increased CellFX
ecommerce system development and facility expenses from the expansion of our
Hayward facility, and $0.4 million of increased travel expenses.



Other Income (Expense)



Other income increased by approximately $0.6 million to $1.0 million in 2019
from $0.4 million due primarily to higher interest income earned as a result of
higher average monthly investment balances.



Comparison of the Years ended December 31, 2018 and 2017





Refer to Item 7. Management's Discussion and Analysis of Financial Condition and
Results of Operations located in our 10-K for the fiscal year ended December 31,
2018, filed on March 14, 2019, for the discussion of the comparison of the
fiscal year ended December 31, 2018 to the fiscal year ended December 31, 2017,
the earliest of the three fiscal years presented in the consolidated financial
statements.




Liquidity and Capital Resources





To date, we have not generated any revenues from product sales. Since inception,
we have funded our business plan through the issuance of equity securities and
grants from governmental agencies. We intend to invest in research and
development to develop commercially viable products and to assess the
feasibility of potential future products. Additionally, we expect that our
general and administrative expenses will increase as we continue to incur
substantial incremental costs associated with being a public company.



In December 2018, we completed a rights offering pursuant to which we sold an
aggregate of 3,581,148 shares of our common stock, par value $0.001 per share,
at a price per share of $12.57 per share, for net proceeds of approximately
$44.8 million.



Our consolidated statements of cash flows as discussed herein are presented
below:






                                                       Year Ended December 31,
(in thousands)                                    2019          2018          2017
Net cash used in operating activities          $  (34,174)   $  (23,896)   $  (11,087)
Net cash provided by (used in) investing
activities                                     $  (10,112)   $   26,117    $  (22,998)
Net cash provided by financing activities      $       82    $   45,496    $   35,382
Net increase (decrease) in cash and cash
equivalents                                    $  (44,204)   $   47,717    $    1,297




At December 31, 2019, we had cash, cash equivalents and investments of $25.4
million. Our independent registered public accounting firm has issued a "going
concern" opinion, meaning that there is substantial doubt we can continue as an
ongoing business for the next twelve months from the date that our audited
consolidated financial statements included elsewhere



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on this Annual Report on Form 10-K were issued unless we obtain additional capital. To date, we have not generated any revenue. As a result, we have incurred significant operating losses in each year since our inception and we expect to continue to incur additional losses for the next several years.





We plan to raise additional capital in the future, including by pursuing a
proposed rights offering, which was approved by our board of directors in
February 2020, seeking to raise net proceeds of approximately $30 million
assuming such rights offering is fully subscribed. There is no assurance that
the rights offering will be successful, or that additional financing will be
available when needed or that management will be able to obtain financing on
terms acceptable to us.



These expectations are based on our current operating and financing plans which
are subject to change. Until we are able to generate sustainable product
revenues at profitable levels, we expect to finance our future cash needs
through public or private equity offerings, debt financings or corporate
collaboration and licensing arrangements. Such additional funds may not be
available on terms acceptable to us or at all. If we raise funds by issuing
equity or equity-linked securities, the ownership of certain of our stockholders
will be diluted and the holders of new equity securities may have priority
rights over our existing stockholders. If adequate funds are not available, we
may be required to curtail operations significantly or to obtain funds by
entering into agreements on unattractive terms. Our inability to raise capital
could have a material adverse effect on our business, financial condition and
results of operations.



Operating Activities


During 2019, we used cash of $34.2 million in operating activities. The difference between cash used in operating activities and net loss consisted primarily of stock-based compensation, depreciation and amortization, increased accounts payable and accrued expenses.





During 2018, we used cash of $23.9 million in operating activities. The
difference between cash used in operating activities and net loss consisted
primarily of stock-based compensation, depreciation and amortization, increased
accounts payable and accrued expenses, partially offset by increased prepaid
expenses and decreased deferred rent.



Investing Activities


During 2019, we used cash of $10.1 million for investing activities, of which $9.5 million was used for the net purchases of investments and $0.6 million for property and equipment.





During 2018, cash provided from investing activities of $26.1 million from the
sale of investments of $24.9 million and $41.8 million of cash proceeds from the
maturities of investments, partially offset by $40.3 million cash used for the
purchase of investments and $0.3 million cash used for the purchase of property
and equipment.



Financing Activities


During 2019, cash provided from financing activities was $0.1 million in connection with the proceeds from stock option exercises and employee stock purchases offset by tax payments withheld for the vesting of restricted stock units.

During 2018, cash provided from financing activities was $45.5 million due to net proceeds from our rights offering and the issuance of common stock in connection with the exercise of stock options and warrants and our employee stock purchase plan.

Comparison of the Years ended December 31, 2018 and 2017





Refer to Item 7. Management's Discussion and Analysis of Financial Condition and
Results of Operations located in our 10-K for the fiscal year ended December 31,
2018, filed on March 14, 2019, for the discussion of the comparison of the
fiscal year ended December 31, 2018 to the fiscal year ended December 31, 2017,
the earliest of the three fiscal years presented in the consolidated financial
statements.



Contractual Obligations


Frank Reidy Research Center Agreement

As provided for in the license agreement with ODURF and EVMS, effective on November 6, 2014, we sponsored certain approved research activities at ODURF's Frank Reidy Research Center under a sponsored research agreement. In June 2017,





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we agreed to sponsor $0.7 million in research from July 1, 2017 to June 30,
2018. In August 2018, we agreed to sponsor $0.8 million in research from
September 1, 2018 to August 1, 2019. In September 2019, we agreed to sponsor
$0.8 million in research from October 1, 2019 to September 1, 2020. These
sponsored researches were funded through monthly payments made upon ODURF
certifying, to our reasonable satisfaction, that ODURF has met its obligations
pursuant to the specified task order and statement of work. The principal
investigator may transfer funds with the budget as needed with our approval so
long as the obligations of ODURF under the task order and statement of work
remain unchanged and unimpaired. During the years ended December 31, 2019, 2018,
and 2017, we incurred costs relating to the sponsored research agreement equal
to $0.9 million, $0.7 million and $0.8 million, respectively. As of December 31,
2019, $0.6 million remained payable under this agreement.



In addition, during 2017, we agreed to provide $0.3 million in research funding
to researchers affiliated with ODURF and EVMS matching funds made available to
those researchers by the Virginia Biosciences Health Research Corporation. Our
sponsorship affords access to certain intellectual property, if any, developed
during the project. As of December 31, 2019, no amount remained available under
this agreement.



Operating Lease



We lease approximately 29,000 square feet of premises located in Hayward,
California, which is used for our corporate headquarters and principal operating
facility. The term of the original lease included 15,700 square feet for 62
months and commenced on July 1, 2017. During May 2019, we entered into an
amendment to the lease which amended the existing lease and provided for a total
expansion of the premises to approximately 50,300 square feet and an option to
extend the term of the lease. Approximately 13,300 square feet of the 34,600
square feet expansion was occupied in November 2019 during the first phase, the
remaining approximately 21,300 square feet will be occupied in the second phase.
The amended lease can be extended up to seven years.



Under the original lease agreement, the landlord provided $2.1 million allowance
for tenant improvements, which was recorded as deferred rent at the inception of
the lease term. Future minimum lease payment are net of amortization of tenant
improvement allowance. The following table summarizes our contractual
obligations as of December 31, 2019 (in thousands):






                                                           Payments Due by Period
                                                                                                  More Than 5
(in thousands)                   Total      Less Than 1 Year     1 to 3 Years     3 to 5 Years       Years
Operating leases               $ 10,988    $             647    $       2,057    $       2,227    $     6,057

Off-Balance Sheet Arrangements

At December 31, 2019, we did not have any transactions, obligations or relationships that could be considered off-balance sheet arrangements.





In the ordinary course of business, we enter into standard indemnification
arrangements. Pursuant to these arrangements, we indemnify, hold harmless, and
agree to reimburse the indemnified parties for losses suffered or incurred by
the indemnified party in connection with any trade secret, copyright, patent or
other intellectual property infringement claim by any third party with respect
to its technology, or from claims relating to our performance or non-performance
under a contract. The maximum potential amount of future payments we could be
required to make under these agreements is not determinable because it involves
claims that may be made against us in future periods, but have not yet been
made. To date, we have not incurred costs to defend lawsuits or settle claims
related to these indemnification agreements.



We also enter and have entered into indemnification agreements with our
directors and officers that may require us to indemnify them against liabilities
that arise by reason of their status or service as directors or officers, except
as prohibited by applicable law. In addition, we may have obligations to hold
harmless and indemnify third parties involved with our fundraising efforts and
their respective affiliates, directors, officers, employees, agents or other
representatives against any and all losses, claims, damages and liabilities
related to claims arising against such parties pursuant to the terms of
agreements entered into between us and such third parties in connection with
such fundraising efforts. No liability associated with such indemnification
agreements has been recorded as of December 31, 2019.



JOBS Act Accounting Election



Under the JOBS Act, emerging growth companies can delay adopting new or revised
accounting standards issued subsequent to the enactment of the JOBS Act until
such time as those standards apply to private companies. We have



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irrevocably elected not to avail ourselves of this exemption from new or revised
accounting standards and, therefore, we will be subject to the same new or
revised accounting standards as other public companies that are not emerging
growth companies.


Trends, Events and Uncertainties





Research and development of new technologies are, by their nature,
unpredictable. Although we undertake development efforts with commercially
reasonable diligence, there can be no assurance that the net proceeds from our
financings will be sufficient to enable us to develop our technology to the
extent needed to generate future sales to sustain our operations. If we do not
continue to have enough funds to sustain our operations, we will consider other
options to continue our path to commercialization of NPS technology platform,
including, but not limited to, additional financing through follow-on stock
offerings, debt financings, or co-development agreements and /or other
alternatives.



We cannot assure investors that our technology will be adopted or that we will
ever achieve sustainable revenues sufficient to support our operations. Even if
we are able to generate revenues, there can be no assurances that we will be
able to achieve profitability or positive operating cash flows. There can be no
assurances that we will be able to secure additional financing in the future on
acceptable terms or at all. If cash resources are insufficient to satisfy our
ongoing cash needs, we would be required to scale back or discontinue our
technology and product development programs, or obtain funds, if available,
although there can be no assurances, through the sale, licensing or strategic
alliances that could require us to relinquish rights to our technology and
intellectual property, or to curtail, suspend or discontinue our operations
entirely.



Other than as discussed above and elsewhere in this Annual Report on Form 10-K,
we are not currently aware of any trends, events or uncertainties that are
likely to have a material effect on our financial condition in the near term,
although it is possible that new trends or events may develop in the future that
could have a material effect on our financial condition.





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