0001493152-20-011860.txt : 20200626 0001493152-20-011860.hdr.sgml : 20200626 20200626080614 ACCESSION NUMBER: 0001493152-20-011860 CONFORMED SUBMISSION TYPE: 10-Q PUBLIC DOCUMENT COUNT: 82 CONFORMED PERIOD OF REPORT: 20200331 FILED AS OF DATE: 20200626 DATE AS OF CHANGE: 20200626 FILER: COMPANY DATA: COMPANY CONFORMED NAME: INTERPACE BIOSCIENCES, INC. CENTRAL INDEX KEY: 0001054102 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 222919486 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 000-24249 FILM NUMBER: 20991158 BUSINESS ADDRESS: STREET 1: MORRIS CORPORATE CENTER 1, STREET 2: BUILDING C, 300 INTERPACE PARKWAY CITY: PARSIPPANY STATE: NJ ZIP: 07054 BUSINESS PHONE: 412-224-6100 MAIL ADDRESS: STREET 1: MORRIS CORPORATE CENTER 1, STREET 2: BUILDING C, 300 INTERPACE PARKWAY CITY: PARSIPPANY STATE: NJ ZIP: 07054 FORMER COMPANY: FORMER CONFORMED NAME: Interpace Diagnostics Group, Inc. DATE OF NAME CHANGE: 20151223 FORMER COMPANY: FORMER CONFORMED NAME: PDI INC DATE OF NAME CHANGE: 20021113 FORMER COMPANY: FORMER CONFORMED NAME: PROFESSIONAL DETAILING INC DATE OF NAME CHANGE: 19980129 10-Q 1 form10-q.htm

 

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

 

(Mark One)

 

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

 

For the quarterly period ended March 31, 2020

 

OR

 

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

 

For the transition period from _______________ to _______________

 

Commission File Number: 000-24249

 

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

 

Delaware   22-2919486

(State or other jurisdiction of

Incorporation or organization)

 

(I.R.S. Employer

Identification No.)

 

Morris Corporate Center 1, Building C
300 Interpace Parkway, Parsippany, NJ 07054
(Address of principal executive offices and zip code)
 
(855) 776-6419
(Registrant’s telephone number, including area code)
 

 

Securities registered pursuant to Section 12(b) of the Act:
 
Title of each class   Trading Symbol(s)   Name of each exchange on which registered
Common Stock, $0.01 par value per share   IDXG   The Nasdaq Stock Market LLC

 

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

 

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

 

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

 

Large accelerated filer [  ]   Accelerated filer [  ]
Non-accelerated filer [X]   Smaller reporting company [X]
    Emerging Growth Company [  ]

 

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

 

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

 

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

 

Class   Shares Outstanding June 12, 2020
Common Stock, par value $0.01 per share   4,036,595

 

 

 

 

 

 

INTERPACE BIOSICENCES, INC.

FORM 10-Q FOR PERIOD ENDED MARCH 31, 2020

TABLE OF CONTENTS

 

    Page No.
  EXPLANATORY NOTE  
     
  PART I - FINANCIAL INFORMATION  
     
Item 1. Unaudited Interim Condensed Consolidated Financial Statements  
     
  Condensed Consolidated Balance Sheets at March 31, 2020 (unaudited) and December 31, 2019 4
     
  Condensed Consolidated Statements of Operations for the three- month periods ended March 31, 2020 and 2019 (unaudited) 5
     
  Condensed Consolidated Statements of Stockholders’ Equity for the three- month periods ended March31, 2020 and 2019 (unaudited) 6
     
  Condensed Consolidated Statements of Cash Flows for the three-month periods ended March 31, 2020 and 2019 (unaudited) 7
     
  Notes to Unaudited Condensed Consolidated Financial Statements 8
     
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations 26
     
Item 3. Quantitative and Qualitative Disclosures About Market Risk 36
     
Item 4. Controls and Procedures 36
     
  PART II - OTHER INFORMATION  
     
Item 1. Legal Proceedings 36
     
Item 1A. Risk Factors 37
     
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds 37
     
Item 3. Defaults Upon Senior Securities 37
     
Item 4. Mine Safety Disclosures 37
     
Item 5. Other Information 37
     
Item 6. Exhibits 38
     
Signatures 39

 

 2 

 

 

EXPLANATORY NOTE

 

On March 25, 2020, the U.S. Securities and Exchange Commission (the “SEC”) issued an order Release No. 34-88465 (the “Order”) pursuant to its authority under Section 36 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”) granting exemptions from certain provisions of that Act and the rules thereunder related to the reporting and proxy delivery requirements for certain public companies. Interpace Biosciences, Inc. (the “Company”) is filing this Quarterly Report on Form 10-Q for the quarter ended March 31, 2020 in reliance on the Order, permitting a delay in filing due to circumstances related to COVID-19. The Company filed, on May 15, 2020, a Current Report on Form 8-K (the “May 15th 8-K”) indicating its intention to rely on the Order. As stated in the May 15th 8-K, the Company required additional time to finalize this report due to circumstances related to COVID-19, the disease caused by the coronavirus. The effects of COVID-19 have limited the abilities of the Company’s employees to conduct normal business activities. This, in turn, delayed the Company’s ability to prepare this report.

 

 3 

 

 

PART I. FINANCIAL INFORMATION

 

INTERPACE BIOSCIENCES, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except share and per share data)

 

   March 31,   December 31, 
   2020   2019 
   (unaudited)     
ASSETS          
Current assets:          
Cash and cash equivalents  $13,370   $2,321 
Accounts receivable, net of allowance for doubtful accounts of $275 and $25, respectively   9,799    10,197 
Other current assets   4,976    3,851 
Total current assets   28,145    16,369 
Property and equipment, net   6,610    6,814 
Other intangible assets, net   32,470    33,501 
Goodwill   8,433    8,433 
Operating lease right of use assets   2,811    3,892 
Other long-term assets   42    42 
Total assets  $78,511   $69,051 
           
LIABILITIES AND STOCKHOLDERS’ EQUITY          
Current liabilities:          
Accounts payable  $4,456   $4,812 
Accrued salary and bonus   1,865    2,341 
Other accrued expenses   8,639    9,379 
Current liabilities from discontinued operations   766    766 
Total current liabilities   15,726    17,298 
Contingent consideration   2,264    2,391 
Operating lease liabilities, net of current portion   1,384    2,591 
Line of credit   1,200    3,000 
Other long-term liabilities   4,563    4,573 
Total liabilities   25,137    29,853 
           
Commitments and contingencies (Note 8)          
           
Preferred stock, $.01 par value; 5,000,000 shares authorized,          
270 Series A shares issued and outstanding   -    26,172 
47,000 Series B shares issued and outstanding   46,536    - 
           
Stockholders’ equity:          
Common stock, $.01 par value; 100,000,000 shares authorized; 4,055,454 and 3,932,370 shares issued, respectively; 4,043,673 and 3,920,589 shares outstanding, respectively   402    393 
Additional paid-in capital   182,580    182,514 
Accumulated deficit   (174,423)   (168,160)
Treasury stock, at cost (11,781 and 11,781 shares, respectively)   (1,721)   (1,721)
Total stockholders’ equity   6,838    13,026 
Total liabilities and stockholders’ equity  $31,975   $42,879 
           
Total liabilities, preferred stock and stockholders’ equity  $78,511   $69,051 

 

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

 

 4 

 

 

INTERPACE BIOSCIENCES, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

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

 

   Three Months Ended March 31, 
   2020   2019 
         
Revenue, net  $9,200   $6,010 
Cost of revenue (excluding amortization of $1,031 and $813, respectively)   6,113    2,622 
Gross profit   3,087    3,388 
Operating expenses:          
Sales and marketing   2,481    2,411 
Research and development   809    528 
General and administrative   4,887    2,912 
Acquisition related amortization expense   1,031    813 
Total operating expenses   9,208    6,664 
           
Operating loss   (6,121)   (3,276)
Interest accretion   (109)   (129)
Other income (expense), net   47    48 
Loss from continuing operations before tax   (6,183)   (3,357)
Provision for income taxes   15    5 
Loss from continuing operations, net of tax   (6,198)   (3,362)
Less adjustment for preferred stock deemed dividend   (3,033)   - 
Loss from continuing operations attributable to common stockholders   (9,231)   (3,362)
           
Loss from discontinued operations, net of tax   (65)   (57)
           
Net loss attributable to common stockholders  $(9,296)  $(3,419)
           
Basic and diluted loss per share of common stock:          
From continuing operations  $(2.31)  $(0.96)
From discontinued operations   (0.01)   (0.01)
Net loss per basic and diluted share of common stock  $(2.32)  $(0.97)
Weighted average number of common shares and common share equivalents outstanding:          
Basic   4,004    3,515 
Diluted   4,004    3,515 

 

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

 

 5 

 

 

INTERPACE BIOSCIENCES, INC.

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

(unaudited, in thousands)

 

   For The Three Months Ended   For The Three Months Ended 
   March 31, 2020   March 31, 2019 
   Shares   Amount   Shares   Amount 
Common stock:                    
Balance at January 1   3,932   $393    2,877   $287 
Common stock issued   37    1    9    1 
Restricted stock issued   6    -    -    - 
Common stock issued through market sales   80    8    -    - 
Common stock issued through offerings   -    -    933    94 
Balance at March 31   4,055    402    3,819    382 
Treasury stock:                    
Balance at January 1   12    (1,721)   7    (1,680)
Treasury stock purchased   -    -    3    (32)
Balance at March 31   12    (1,721)   10    (1,712)
Additional paid-in capital:                    
Balance at January 1        182,514         175,820 
Common stock issued through offerings, net of expenses        -         5,868 
Extinguishment of Series A Shares        (828)        - 
Beneficial Conversion Feature in connection with Series B Issuance        2,205         - 
Amortization of Beneficial Conversion Feature        (2,205)        - 
Common stock issued through market sales        476         - 
Stock-based compensation expense        418         266 
Balance at March 31        182,580         181,954 
Accumulated deficit:                    
Balance at January 1        (168,160)        (141,489)
Net loss        (6,263)        (3,419)
Adoption of ASC 842        -         55 
Balance at March 31        (174,423)        (144,853)
                     
Total stockholders’ equity       $6,838        $35,771 

  

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

 

 6 

 

 

INTERPACE BIOSCIENCES, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited, in thousands)

 

   For The Three Months Ended March 31, 
   2020   2019 
         
Cash Flows From Operating Activities          
Net loss  $(6,263)  $(3,419)
Adjustments to reconcile net loss to net cash used in operating activities:          
Depreciation and amortization   1,235    873 
Interest accretion   109    129 
Mark to market on warrants   (26)   (3)
Stock-based compensation   418    538 
Bad debt expense   250    - 
Other gains and expenses, net   -    18 
Other changes in operating assets and liabilities:          
Decrease (increase) in accounts receivable   148    (1,738)
(Increase) decrease in other current assets   (1,125)   11 
(Decrease) increase in accounts payable   (356)   93 
(Decrease) increase in accrued salaries and bonus   (476)   325 
(Decrease) increase in accrued liabilities   (1,052)   156 
Increase in long-term liabilities   16    57 
Net cash used in operating activities   (7,122)   (2,960)
           
Cash Flows From Investing Activity          
Purchase of property and equipment   -    (12)
Sale of property and equipment   -    13 
Net cash provided by investing activity   -    1 
           
Cash Flows From Financing Activities          
Issuance of common stock, net of expenses   434    6,015 
Payments on Line of Credit   (1,800)   - 
Issuance of Series B preferred stock, net of expenses   19,537    - 
Net cash provided by financing activities   18,171    6,015 
           
Net increase in cash and cash equivalents   11,049    3,056 
Cash and cash equivalents – beginning   2,321    6,068 
Cash and cash equivalents – ending  $13,370   $9,124 

 

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

 

 7 

 

 

1. OVERVIEW

 

Nature of Business

 

The Company enables personalized medicine, offering specialized services along the therapeutic value chain from early diagnosis and prognostic planning to targeted therapeutic applications and pharma services. The Company provides molecular diagnostics, bioinformatics and pathology services for evaluation of risk of cancer by leveraging the latest technology in personalized medicine for improved patient diagnosis and management. The Company also provides pharmacogenomics testing, genotyping, biorepository and other specialized services to the pharmaceutical and biotech industries. The Company advances personalized medicine by partnering with pharmaceutical, academic, and technology leaders to effectively integrate pharmacogenomics into their 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 COVID-19 pandemic

 

We have taken what we believe are all necessary precautions to safeguard our employees from the Coronavirus (COVID-19) pandemic. We are following the Centers for Disease Control and Prevention’s (“CDC”) guidance and local restrictions. The majority of our employees who do not work in a lab are currently on a telecommunication work arrangement and have generally been able to successfully work remotely. Our labs require in-person staffing and as of the date of this report, we have been able to successfully operate our labs through a combination of social distancing and protective equipment. Our employees in the lab are wearing what we believe is appropriate protective gear. There can be no assurance that key employees will not become ill or that we will able to continue to operate our labs. We have furloughed a number of employees as a result of reductions in customer demand.

 

The extent to which the COVID-19 pandemic impacts our operations is dependent on future developments, which are still highly uncertain and cannot be fully predicted at this time, and include the duration, severity and scope of the outbreak and the actions taken to contain or treat the coronavirus outbreak. In particular, the spread of the coronavirus globally is adversely affecting global economies and financial markets which could materially and adversely impact our operations including, without limitation, the functioning of our laboratories, the availability of supplies including reagents, the progress and data collection of our pharma services, customer demand and travel and employee health and availability.

 

We believe that the COVID-19 pandemic will adversely impact our results of operations, cash flows and financial condition for the second quarter of fiscal 2020 and possibly beyond. Our fiscal 2020 first quarter revenue was impacted by lower than expected clinical service volume throughout March 2020, which we believe has resulted from the temporary reduction in non-essential testing procedures in connection with the COVID-19 pandemic. Our pharma services first quarter revenue increased throughout the first quarter and average daily accessions improved in March 2020 as compared to January and February 2020. However, as of the date of this Report, our overall business is still down approximately 30% from our run rate before the pandemic.

 

We continue to monitor the rapidly evolving situation and guidance from authorities, including federal, state and local public health authorities and may take additional actions based on their recommendations. In these dynamic circumstances, there may be developments outside our control requiring us to adjust our operating plan.

 

 8 

 

 

At this time, we do not anticipate any lab closures beyond temporary work stoppages from time to time to clean and disinfect the labs. Lab supplies including reagents have been secured to mitigate any potential supply chain issues for the foreseeable future and we are not observing any shortages due to supply chain issues. Our third party clinical services billing and collections company has taken steps to continue operations remotely.

 

We are monitoring the situation on a daily basis and have developed contingency plans to potentially mitigate the anticipated adverse financial impact of the COVID-19 pandemic. These contingency plans include significant cost saving actions to offset any volume shortfall and additional action plans to react to further potential declines. While we are continuing to make progress on a regular basis in returning to volumes prior to the pandemic there is, however, no guarantee in the future we will recover the business which has been lost or inactive.

 

2. BASIS OF PRESENTATION

 

The accompanying unaudited interim condensed consolidated financial statements and related notes (the “Interim Financial Statements”) should be read in conjunction with the consolidated financial statements of Interpace Biosciences, Inc. (the “Company” or “Interpace”), and its wholly-owned subsidiaries, Interpace Diagnostics Lab Inc., Interpace Diagnostics Corporation, Interpace Pharma Solutions, Inc. and Interpace Diagnostics, LLC, and related notes as included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, as filed with the SEC on April 22, 2020 and amended on May 29, 2020 (the “Form 10-K”).

 

The condensed Interim Financial Statements of the Company have been prepared in accordance with generally accepted accounting principles in the United States (“GAAP”) for interim financial reporting and the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. The condensed Interim Financial Statements include all normal recurring adjustments that, in the judgment of management, are necessary for a fair presentation of such interim financial statements. Discontinued operations include the Company’s wholly owned subsidiaries: Group DCA, LLC, or Group DCA; InServe Support Solutions; and TVG, Inc. and its Commercial Services (“CSO”) business unit which was sold on December 22, 2015. All significant intercompany balances and transactions have been eliminated in consolidation. Operating results for the three-month period ended March 31, 2020 are not necessarily indicative of the results that may be expected for the fiscal year ending December 31, 2020. All information related to common stock, stock options, restricted stock units, warrants and earnings per share have been retroactively adjusted to give effect to the reverse stock split (1 for 10) that occurred in January 2020.

 

3. LIQUIDITY

 

As of March 31, 2020, the Company had cash and cash equivalents of $13.4 million, net accounts receivable of $9.8 million, total current assets of $28.1 million and total current liabilities of $15.7 million. For the three-months ended March 31, 2020, the Company had a net loss of $6.3 million and cash used in operating activities was $7.1 million.

 

 9 

 

 

We do not expect to generate positive cash flows from operations for the year ending December 31, 2020. We intend to meet our ongoing capital needs by using our available cash, proceeds under the Securities Purchase and Exchange Agreement, additional borrowings under the Line of Credit as well as by increasing our line of credit limit as a result of the additional accounts receivable acquired in July 2019 as part of our acquisition of the Biopharma business of Cancer Genetics, Inc. or CGI, now our pharma services (which requires a modification to the bank agreement and approval by Silicon Valley Bank (“SVB”), revenue growth and margin improvement, collecting accounts receivable, containing costs as well as exploring other financing options. Management believes that the Company has sufficient cash on hand and sufficient access to cash to sustain operations through at least June 30, 2021.

 

In September 2019, we entered into the Equity Distribution Agreement (the “Agreement”) with Oppenheimer & Co. Inc., as sales agent (the “Agent”), pursuant to which we may, from time to time, issue and sell shares of our common stock in an aggregate offering price of up to $4.8 million through the Agent. See Note 16, Equity, for more details. As of March 31, 2020, approximately 178,000 shares of common stock were sold for net proceeds of approximately $0.7 million. As a result of the preferred shares transaction mentioned below, additional shares may no longer be sold under the ATM arrangement without a majority approval by the holders of the preferred shares. See Note 16, Equity, for more detail.

 

In January 2020, we sold 20,000 Series B preferred shares to investors, led by 1315 Capital, for net proceeds of approximately $19.5 million. See Note 16, Equity, for more detail.

 

The Company maintains an up to a $4.0 million secured Line of Credit facility including a 3-year term loan for $850,000 with SVB. The proceeds of the term loan are expected to be used for laboratory capital expenditures and will be repaid monthly. The balance of the Line of Credit is available for working capital purposes as a revolving line of credit and has a three-year term. The borrowing limit of the revolving line of credit is the lower of 80% of the Company’s eligible accounts receivable (as adjusted by SVB) and the aggregate amount of cash collections with respect to accounts receivable during the three prior calendar months. Term loan outstanding amounts incur interest at a rate per annum equal to the greater of the Wall Street Journal Prime Rate (the “Prime Rate”) and 5.00%. Revolving Line outstanding amounts incur interest at a rate per annum equal to the Prime Rate plus 0.5%. As of March 31, 2020, $1.2 million was outstanding and $2.2 million was remaining on the Line of Credit.

 

See Note 1, Overview, regarding the adverse impact of the COVID-19 pandemic on our results of operations, cash flows and financial condition for the second quarter of fiscal 2020 and possibly beyond.

 

During April 2020, the Company applied for various federal stimulus grants and advances made available under Title 1 of the Coronavirus Aid, Relief, and Economic Security (CARES) Act. As of May 1, 2020, we received $2.1 million in advances under the Centers for Medicare & Medicaid Services (CMS) accelerated and advance payment program, as well as a $0.65 million grant from the Department of Health and Human Services (HSS). The CMS advance will be offset against future Medicare billings of the Company, and the HSS grant is subject to certain conditions regarding its use, including developing coronavirus and serology tests. These grants and advances require certain certifications by the Company and impose specific limitations on the use of the proceeds. Based on these restrictions and limitations, the Company is treating the $0.65 million HSS grant as restricted cash until we have clarity on how the funds can be utilized by the Company based on the specific requirements of the HSS.

 

During April and early May 2020, the Company made payments totaling $888,000 to CGI for funds withheld from the Excess Consideration Note to satisfy certain adjustments and indemnification obligations under the Asset Purchase Agreement. The funds used to satisfy this obligation were not included in cash and cash equivalents as of December 31, 2019 and March 31, 2020. These funds and the related liability were included in Other Assets and Other Current Liabilities, respectively, as of those period ends, and the settlement of the liability had no net impact on the Company’s operating cash flow or liquidity.

 

 10 

 

 

As of June 17, 2020 we have approximately $16.2 million of cash on hand. Also as of June 17, 2020, the Company has no further availability on its credit facility, but is in the process of completing an agreement with SVB to expand the credit facility. No assurance can be given that such an expansion agreement will be entered into.

 

4. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

 

Accounting Estimates

 

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

 

Revenue Recognition

 

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

 

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

 

For our pharma services, 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.

 

Deferred Revenue

 

For our pharma services, project level fee revenue is recognized as deferred revenue and recorded at fair value. It represents payments received in advance of services rendered and is recognized ratably over the life of the contract.

 

 11 

 

 

Financing and Payment

 

For non-Medicare claims, our payment terms vary by payer category. Payment terms for direct-payers in our clinical or diagnostics business are typically thirty days and in our pharma services, up to sixty days. Commercial third-party-payers are required to respond to a claim within a time period established by their respective state regulations, generally between thirty to sixty days. However, payment for commercial third-party claims may be subject to a denial and appeal process, which could take up to two years in some instances where multiple appeals are submitted. The Company generally appeals all denials from commercial third-party payers.

 

Costs to Obtain or Fulfill a Customer Contract

 

Sales commissions are expensed when incurred because the amortization period would have been one year or less. These costs are recorded in sales and marketing expense in the condensed consolidated statements of operations.

 

Accounts Receivable

 

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

 

Leases

 

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

 

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

 

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Other Current Assets

 

Other current assets consisted of the following as of March 31, 2020 and December 31, 2019:

 

   March 31, 2020   December 31, 2019 
   (unaudited)     
Lab supply inventory   1,885    1,825 
Prepaid expenses   826    971 
Funds in escrow   888    888 
Due from CGI   1,297    92 
Other   80    75 
Total other current assets  $4,976   $3,851 

 

Long-Lived Assets, including Finite-Lived Intangible Assets

 

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

 

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

 

Basic and Diluted Net Loss per Share

 

A reconciliation of the number of shares of common stock, par value $0.01 per share (the “Common Stock”), used in the calculation of basic and diluted loss per share for the three-month periods ended March 31, 2020 and 2019 is as follows:

 

   Three Months Ended 
   March 31, 
   2020   2019 
    (unaudited) 
Basic weighted average number of common shares   4,004    3,515 
Potential dilutive effect of stock-based awards   -    - 
Diluted weighted average number of common shares   4,004    3,515 

 

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The Company’s Preferred Stock, on an as converted basis of 7,833,334 shares for the three months ended March 31, 2020, and the following outstanding stock-based awards and warrants were excluded from the computation of the effect of dilutive securities on loss per share for the following periods as they would have been anti-dilutive (rounded to thousands):

 

   Three Months Ended 
   March 31, 
   2020   2019 
   (unaudited) 
Options   578    394 
Stock-settled stock appreciation rights (SARs)   -    3 
Restricted stock   6    - 
Restricted stock units (RSUs)   36    61 
Warrants   1,420    1,420 
    2,040    1,878 

 

5. GOODWILL AND OTHER INTANGIBLE ASSETS

 

Goodwill is attributable to the acquisition of our pharma services in July 2019. The carrying value of the intangible assets acquired was $15.6 million, with goodwill of approximately $8.3 million and identifiable intangible assets of approximately $7.3 million. The goodwill balance at March 31, 2020 was $8.4 million. The net carrying value of the identifiable intangible assets from all acquisitions as of March 31, 2020 and December 31, 2019 are as follows:

 

       As of March 31, 2020   As of December 31, 2019 
       (unaudited)     
   Life   Carrying   Carrying 
   (Years)   Amount   Amount 
             
Asuragen acquisition:               
Thyroid   9   $8,519   $8,519 
RedPath acquisition:               
Pancreas test   7    16,141    16,141 
Barrett’s test   9    18,351    18,351 
Pharma services acquisition:               
Trademarks   10    1,600    1,600 
Customer relationships   8    5,700    5,700 
                
CLIA Lab   2.3   $609   $609 
                
Total       $50,920   $50,920 
                
Accumulated Amortization       $(18,450)  $                              (17,419)
                
Net Carrying Value       $32,470   $33,501 

 

The following table displays a roll forward of the carrying amount of goodwill from December 31, 2019 to March 31, 2020:

 

   Carrying 
   Amount 
Balance as of December 31, 2019  $8,433 
Adjustments   - 
Balance as of March 31, 2020  $8,433 

 

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Amortization expense was approximately $1.0 million and $0.8 million for the three-month periods ended March 31, 2020 and 2019, respectively. Estimated amortization expense for the next five years is as follows:

 

2020   2021   2022   2023   2024 
                       
$5,145   $5,781   $3,859   $3,859   $3,149 

 

6. FAIR VALUE MEASUREMENTS

 

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

 

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

 

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

 

   As of March 31, 2020  Fair Value Measurements
   Carrying  Fair  As of March 31, 2020
   Amount  Value  Level 1  Level 2  Level 3
Liabilities:              (unaudited)            
Contingent consideration:                         
Asuragen (1)  $2,866   $2,866   $-   $-   $2,866 
Other long-term liabilities:                         
Warrant liability (2)   55    55    -    -    55 
   $2,921   $2,921   $-   $-   $2,921 

 

   As of December 31, 2019  Fair Value Measurements
   Carrying  Fair  As of December 31, 2019
   Amount  Value  Level 1  Level 2  Level 3
                
Liabilities:                         
Contingent consideration:                         
Asuragen (1)  $2,893   $2,893   $-   $-   $2,893 
Other long-term liabilities:                         
Warrant liability (2)   82    82    -    -    82 
   $2,975   $2,975   $-   $-   $2,975 

 

(1)(2) See Note 9, Accrued Expenses and Long-Term Liabilities

 

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

 

A roll forward of the carrying value of the Contingent Consideration Liability and the Underwriters’ Warrants to March 31, 2020 is as follows:

 

            Cancellation  Adjustment   
            of Obligation/  to Fair Value/   
  

December 31,

2019

  Payments  Accretion 

Conversions

Exercises

 

Mark to

Market

 

March 31,

2020

   (unaudited)
Asuragen  $2,893   $(136)  $109   $     -   $    -   $2,866 
                               
Underwriters Warrants   82    -    -    -    (27)   55 
   $2,975   $(136)  $109   $-   $(27)  $2,921 

 

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

 

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7. LEASES

 

Finance lease assets are included in fixed assets, net of accumulated depreciation.

 

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

 

   Classification on the Balance Sheet  March 31, 2020
      (unaudited)
Assets        
Financing lease assets  Property and equipment, net  $475 
Operating lease assets  Operating lease right of use assets   2,811 
Total lease assets     $3,286 
         
Liabilities        
Current        
Financing lease liabilities  Other accrued expenses  $160 
Operating lease liabilities  Other accrued expenses   1,251 
Total current lease liabilities     $1,411 
Noncurrent        
Financing lease liabilities  Other long-term liabilities   85 
Operating lease liabilities  Operating lease liabilities, net of current portion   1,384 
Total long-term lease liabilities      1,469 
Total lease liabilities     $2,880 

 

The weighted average remaining lease term for the Company’s operating leases was 2.6 years as of March 31, 2020 and the weighted average discount rate for those leases was 6.0%. The Company’s operating lease expenses are recorded within cost of revenue and general and administrative expenses. With respect to the Rutherford lease, in March 2020 the Company delivered a notice of early termination which would terminate the lease in March 2021.

 

The table below reconciles the cash flows to the lease liabilities recorded on the Company’s Condensed Consolidated Balance Sheet as of March 31, 2020:

 

   Operating Leases  Financing Leases
2020   1,189    170 
2021   878    120 
2022   660    13 
2023   250    - 
Total minimum lease payments   2,977    303 
Less: amount of lease payments representing effects of discounting   342    58 
Present value of future minimum lease payments   2,635    245 
Less: current obligations under leases   1,251    160 
Long-term lease obligations  $1,384   $85 

 

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As of March 31, 2020, contractual obligations with terms exceeding one year and estimated minimum future rental payments required by non-cancelable operating leases with initial or remaining lease terms exceeding one year were as follows:

 

          Less than     1 to 3     3 to 5     After  
    Total     1 Year     Years     Years     5 Years  
Operating lease obligations   $ 2,977     $ 1,189     $ 1,538     $ 250     $ -  

 

8. COMMITMENTS AND CONTINGENCIES

 

Litigation

 

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

 

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

 

9. ACCRUED EXPENSES AND LONG-TERM LIABILITIES

 

Other accrued expenses consisted of the following as of March 31, 2020 and December 31, 2019:

 

   March 31, 2020   December 31, 2019 
   (unaudited)     
Accrued royalties  $2,101   $1,934 
Contingent consideration   602    502 
Operating lease liability   1,251    1,321 
Financing lease liability   160    184 
Deferred revenue   354    457 
Payable to CGI   888    888 
Accrued sales and marketing - diagnostics   167    197 
Accrued lab costs - diagnostics   104    163 
Accrued professional fees   1,064    1,399 
Taxes payable   327    403 
Unclaimed property   565    565 
All others   1,056    1,366 
Total other accrued expenses  $8,639   $9,379 

 

Long-term liabilities consisted of the following as of March 31, 2020 and December 31, 2019:

 

   March 31, 2020  December 31, 2019
   (unaudited)   
Warrant liability  $55   $82 
Uncertain tax positions   4,146    4,081 
Deferred revenue   258    269 
Other   104    141 
Total other long-term liabilities  $4,563   $4,573 

 

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10. STOCK-BASED COMPENSATION

 

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

 

The following table provides the weighted average assumptions used in determining the fair value of the stock option awards granted during the three month periods ended March 31, 2020 and 2019.

 

   March 31, 2020  March 31, 2019
   (unaudited)
Risk-free interest rate   1.51%   2.51%
Expected life   6.0 years    6.0 years 
Expected volatility   128.87%   127.81%
Dividend yield   -    - 

 

The Company recognized approximately $0.4 million and $0.5 million of stock-based compensation expense during the three-month periods ended March 31, 2020 and 2019, respectively.

 

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11. INCOME TAXES

 

Generally, accounting standards require companies to provide for income taxes each quarter based on their estimate of the effective tax rate for the full year. The authoritative guidance for accounting for income taxes allows use of the discrete method when it provides a better estimate of income tax expense. Due to the Company’s valuation allowance position, it is the Company’s position that the discrete method provides a more accurate estimate of income tax expense and therefore income tax expense for the current quarter has been presented using the discrete method. As the year progresses, the Company refines its estimate based on the facts and circumstances by each tax jurisdiction. The following table summarizes income tax expense on loss from continuing operations and the effective tax rate for the three-month periods ended March 31, 2020 and 2019:

 

   Three Months Ended
   March 31,
   2020  2019
   (unaudited)
       
Provision for income tax  $15   $5 
Effective income tax rate   (0.2%)   (0.1%)

 

Income tax expense for the three-month periods ended March 31, 2020 and 2019 was primarily due to minimum state and local taxes.

 

The Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”) was enacted in March 2020. The CARES Act includes several U.S. income tax provisions related to, among other things, net operating loss carrybacks, alternative minimum tax credits, modifications to the net interest deduction limitations, and technical amendments regarding the income tax depreciation of qualified improvement property placed in service after December 31, 2017. The CARES Act is not expected to have a material impact on the Company’s financial results.

 

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12. SEGMENT INFORMATION

 

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

 

13. DISCONTINUED OPERATIONS

 

The components of liabilities classified as discontinued operations relate to Commercial Services and consist of the following as of March 31, 2020 and December 31, 2019:

 

   March 31, 2020  December 31, 2019
   (unaudited)   
       
Accrued liabilities   766    766 
Current liabilities from discontinued operations   766    766 
Total liabilities  $766   $766 

 

14. LINE OF CREDIT

 

On November 13, 2018 the Company, Interpace Diagnostics Corporation, and Interpace Diagnostics, LLC entered into a Loan and Security Agreement (the “SVB Loan Agreement”) with SVB, which provides for up to $4.0 million of debt financing consisted of a term loan of up to $850,000 and a revolving line of credit based on its outstanding accounts receivable (the “Revolving Line”) of up to $3.75 million. The ability to use the term loan portion of the SVB Loan Agreement expired in 2019.

 

The amount that may be borrowed under the Revolving Line is the lower of (i) $3.75 million or (ii) 80% of the Company’s eligible accounts receivable (as adjusted by SVB). Revolving Line outstanding amounts incur interest at a rate per annum equal to the Wall Street Journal Prime Rate plus 0.5%. The Company is also required to pay an unused Revolving Line facility fee monthly in arrears in an amount equal to 0.35% per annum of the average unused but available portion of the Revolving Line. The Revolving Line has a maturity date three years from the effective date, or November 13, 2021.

 

As of March 31, 2020, the Company had drawn $1.2 million of the available funds with the Revolving Line and had $2.55 million of remaining availability. As of December 31, 2019, we were in violation of a financial covenant for which we received a waiver from SVB on March 19, 2020. The Company currently is in compliance with all covenants.

 

As of June 17, 2020, the Company has maximized its borrowing under its line of credit facility and therefore has no further availability on its credit facility; however, we are in the process of seeking to expand availability under the credit facility on terms similar to existing terms, but there can be no assurance that such credit line extension will be granted or that it will be granted on commercially reasonable and acceptable terms

 

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15. SUPPLEMENTAL CASH FLOW INFORMATION

 

Supplemental Disclosures of Non Cash Activities

(in thousands)

 

   Three Months Ended 
   March 31, 
   2020   2019 
   (unaudited) 
Operating        
Adoption of ASC 842 - right of use asset  $-   $2,449 
Adoption of ASC 842 - operating lease liability  $-   $(2,536)
Taxes accrued for repurchase of restricted shares  $-   $32 
Financing          
Accrued Financing costs  $314   $53 
Preferred Stock Deemed Dividend  $3,033  $- 

 

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16. EQUITY

 

Preferred Stock Issuance

 

Securities Purchase and Exchange Agreement

 

On January 10, 2020, the Company entered into a Securities Purchase and Exchange Agreement (the “Securities Purchase and Exchange Agreement”) with 1315 Capital II, L.P., (“1315 Capital”), and Ampersand 2018 Limited Partnership (“Ampersand” and, together with 1315 Capital, the “Investors”) pursuant to which the Company agreed to sell to the Investors an aggregate of $20.0 million in Series B convertible preferred stock of the Company, par value $0.01 per share (the “Series B Preferred Stock”), at an issuance price per share of $1,000. Pursuant to the Securities Purchase and Exchange Agreement, 1315 Capital agreed to purchase 19,000 shares of Series B Preferred Stock at an aggregate purchase price of $19.0 million and Ampersand agreed to purchase 1,000 shares of Series B Preferred Stock at an aggregate purchase price of $1.0 million.

 

In addition, the Company agreed to exchange $27.0 million of the Company’s existing Series A convertible preferred stock, par value $0.01 per share, held by Ampersand (the “Series A Preferred Stock”), represented by 270 shares of Series A Preferred Stock with a stated value of $100,000 per share, which represents all of the Company’s issued and outstanding Series A Preferred Stock, for 27,000 newly issued shares of Series B Preferred Stock (such shares of Series B Preferred Stock, the “Exchange Shares” and such transaction, the “Exchange”). Following the Exchange, no shares of Series A Preferred Stock remained designated, authorized, issued or outstanding. The Series B Preferred Stock has a conversion price of $6.00 as compared to a conversion price of $8.00 on the Series A Preferred Stock, but did not include certain rights applicable to the Series A Preferred Stock, including a six-percent (6%) dividend, and a conversion price adjustment for any failure by the Company to achieve a revenue target of $34.0 million in 2020 related to its diagnostics business or a weighted-average anti-dilution adjustment. Under the terms of the Securities Purchase and Exchange Agreement, Ampersand also agreed to waive all dividends and weighted-average anti-dilution adjustments accrued to date on the Series A Preferred Stock.

 

A convertible financial instrument includes a beneficial conversion feature if its conversion price is lower than the Company’s stock price at the commitment date. The Company determined that the sale of the Series B Preferred resulted in a beneficial conversion feature with an intrinsic value of $2.2 million, which the Company recorded as a reduction to additional paid-in capital upon the sale of the Series B Preferred stock. The Company calculated the intrinsic value of the beneficial conversion feature as the difference between the estimated fair value of the common stock on January 15, 2020 of $6.79 per share and the effective conversion price per share of $6.00 multiplied by the number of shares of common stock issuable upon conversion. The Company fully amortized the beneficial conversion feature during the three months ended March 31, 2020 in accordance with GAAP. The beneficial conversion feature resulted in an increase in the loss attributable to common shareholders for the three months ended March 31, 2020 in the Condensed Consolidated Statement of Operations, as it represents a deemed dividend to the preferred shareholders.

 

ATM program

 

On September 20, 2019, the Company entered into an Equity Distribution Agreement (the “Agreement”) with Oppenheimer & Co. Inc., as sales agent (the “Agent”), pursuant to which the Company may, from time to time, issue and sell shares of its Common Stock, at an aggregate offering price of up to $4.8 million (the “Shares”) through the Agent. Under the terms of the Agreement, the Agent may sell the Shares at market prices by any method that is deemed to be an “at the market offering” as defined in Rule 415 under the Securities Act of 1933, as amended.

 

Subject to the terms and conditions of the Agreement, the Agent will use its commercially reasonable efforts to sell the Shares from time to time, based upon the Company’s instructions. The Company has no obligation to sell any of the Shares, and may at any time suspend sales under the Agreement or terminate the Agreement in accordance with its terms. The Company has provided the Agent with customary indemnification rights, and the Agent will be entitled to a fixed commission of 3.0% of the aggregate gross proceeds from the Shares sold. The Agreement contains customary representations and warranties, and the Company is required to deliver customary closing documents and certificates in connection with sales of the Shares. As of March 31, 2020, approximately 178,000 shares have been sold for net proceeds to the Company of approximately $0.7 million.

 

As a result of the January 15, 2020 Securities Purchase and Exchange Agreement, additional Shares may no longer be sold under the ATM arrangement without a majority approval by the holders of the Series B Preferred Stock in accordance with the Amended and Restated Investor Rights Agreement entered into on that date.

 

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17. WARRANTS

 

Warrants outstanding and warrant activity for the three-months ended March 31, 2020 are as follows:

 

Description  Classification  Exercise Price  Expiration Date  Warrants Issued  Warrants Exercised  Warrants Cancelled/ Expired  Balance
December 31,
2019
  Balance
March 31,
2020
                         
Private Placement Warrants, issued January 25, 2017  Equity  $46.90   June 2022   85,500    -    -    85,500    85,500 
RedPath Warrants, issued March 22, 2017  Equity  $46.90   September 2022   10,000    -    -    10,000    10,000 
Underwriters Warrants, issued June 21, 2017  Liability  $13.20   December 2022   57,500    -    (4,000)   53,500    53,500 
Base & Overallotment Warrants, issued June 21, 2017  Equity  $12.50   June 2022   1,437,500    (567,286)   -    870,214    870,214 
Vendor Warrants, issued August 6, 2017  Equity  $12.50   August 2020   15,000    -    -    15,000    15,000 
Warrants issued October 12, 2017  Equity  $18.00   April 2022   320,000    -    -    320,000    320,000 
Underwriters Warrants, issued January 25, 2019  Equity  $9.40   January 2022   65,434    -    -    65,434    65,434 
                                     
               1,990,934    (567,286)   (4,000)   1,419,648    1,419,648 

 

18. RECENT ACCOUNTING PRONOUNCEMENTS

 

Standards not yet effective

 

In December 2019, the FASB issued ASU No. 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes (“ASU 2019-12”). ASU 2019-12 will simplify the accounting for income taxes by removing certain exceptions to the general principles in Topic 740. The amendments also improve consistent application of and simplify GAAP for other areas of Topic 740 by clarifying and amending existing guidance. The amendment is effective for annual periods beginning after December 15, 2020. We do not expect that the requirements of ASU 2017-04 will have a material impact on our consolidated financial statements.

 

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19. SUBSEQUENT EVENTS

 

Federal Stimulus Programs in Connection with Coronavirus Pandemic

 

As of May 1, 2020, we received $2.1 million in advances under the Centers for Medicare & Medicaid Services (CMS) accelerated and advance payment program, as well as a $0.65 million grant from the Department of Health and Human Services (HSS). The CMS advance will be offset against future Medicare billings of the Company, and the HSS grant is subject to certain conditions regarding its use, including developing coronavirus and serology tests. These grants and advances require certain certifications by the Company and impose specific limitations on the use of the proceeds. Based on these restrictions and limitations, the Company is treating the $0.65 million HSS grant as restricted cash until we have clarity on how the funds can be utilized by the Company based on the specific requirements of the HSS. Furthermore, although the Company initially explored the possibility of requesting a loan under the Small Business Administration Paycheck Protection Program, we elected not to complete an application because we are not certain we meet certain criteria of the program.

 

During April and early May 2020, the Company made payments totaling $888,000 to CGI for funds withheld from the Excess Consideration Note to satisfy certain adjustments and indemnification obligations under the Asset Purchase Agreement. The funds used to satisfy this obligation were not included in cash and cash equivalents as of December 31, 2019 and March 31, 2020. These funds and the related liability were included in Other Current Assets and Other Accrued Expenses, respectively, as of those period ends, and the settlement of the liability had no net impact on the Company’s operating cash flow or liquidity.

 

Amendment to Morrisville, North Carolina lease

 

On June 3, 2020, Interpace Pharma Solutions, Inc. (“IPS”), a wholly-owned subsidiary of the Company, entered into an agreement with Southport Business Park Limited Partnership (“the Landlord”) to amend its Morrisville, North Carolina lease effective June 1, 2020 (the “Amendment”). This lease was originally entered into on June 12, 2004 by the Landlord and Cancer Genetics, Inc., the Company’s predecessor-in-interest (the “Original Lease”) and was assigned to the Company on July 15, 2019 (the “Lease Assignment”). The Original Lease together with all amendments, as assigned by the Lease Assignment constitutes the “Lease.” The Company re-affirmed its Guaranty of Lease, dated July 15, 2019, in the Amendment, guaranteeing the obligations of IPS under the Lease.

 

The Amendment provides for an extension of the term of the Lease, which consists of approximately 24,906 square feet utilized by IPS as laboratory and office space to provide its pharma solutions services. The terms of the Lease were set to expire on May 31, 2020. Pursuant to the Amendment, the term of the Lease was extended for ten additional years, commencing on June 1, 2020 and continuing until May 31, 2030 (the “Term”). The minimum rent per rentable square foot pursuant to the Amendment is $14.10 from June 1, 2020 to May 31, 2021, with annual increases of 3%. The minimum rent during the first year under the Amendment is $351,174.60, which is subject to a rent abatement consisting of six months of rent forgiveness totaling $175,587, provided there is no outstanding uncured event of default (as defined in the Lease). The Company shall continue to pay to Landlord additional rent, representing the Company’s proportionate share of any direct expenses, as stipulated in the Lease.

 

Pursuant to the Amendment, the Company has two options to extend the Term for a period of five years each (the “Extended Terms”). Minimum rent during the Extended Terms, if such options are exercised by the Company, is subject to certain “market value” adjustments as provided for in the Amendment. Also pursuant to the Amendment, the Company has the irrevocable right to terminate the Lease on November 30, 2025, as well as on November 30, 2027, providing certain timely notification is given to Landlord, specified events occur (such as a merger or sale of the Company’s business), and specified termination payments are made to Landlord.

 

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

 

FORWARD-LOOKING STATEMENTS

 

This quarterly report on Form 10-Q (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 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:

 

  adverse impact of Coronavirus (COVID-19) pandemic 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;
     
  we have a history of operating losses, and our clinical services and pharma services have generated limited revenue;
     
  we expect to incur net losses for the foreseeable future and may never achieve or sustain profitability;
     
  our limited operating history and the limited revenue generated from our business thus far and fluctuating quarterly and annual revenue and operating results, including as a result of how we recognize revenue;
     
  we depend on sales and reimbursements from our clinical services for more than 50% of our revenue, and we will need to generate sufficient revenue from these and other products and/or solutions that we develop or require to grow our business;
     
  we rely on third parties to process and transmit claims to payers for our clinical services, and any delay, data loss, or other disruption in processing or transmitting could have an adverse effect on our revenue and financial condition;
     
  our ability to utilize our commercial and operating experience to sell our clinical and pharma services;
     
  our ability to compete successfully in the markets our clinical services and pharma services operate in;
     
  our ability to obtain, retain and increase sufficient levels of third party reimbursement for our molecular diagnostic tests in a changing and challenging reimbursement environment, including our current dependence on a concentrated number of third-party payers and the lack of timeliness of their payments, and the potential failure of such payments to ever occur;
     
  our billing practices and those of our third-party billing providers to effectively bill and collect on claims for the sale of our tests;
     
  our revenue recognition is based in part on our estimates for future collections and such estimates may prove to be incorrect;

 

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  a deterioration in the collectability of our accounts receivable could have a material adverse effect on our business, financial condition and results of operations;
     
  our inability to finance our business on acceptable terms in the future may limit our ability to grow our business, develop and commercialize products and services, develop and commercialize new molecular diagnostic solutions and technologies and expand our pharma services;
     
  our ability to comply with financial covenants under our current line of credit facility and comply with our debt obligations and our ability to expand our working capital borrowing base to provide sufficient working capital financing during growth periods;
     
  we have issued convertible preferred stock and may issue additional convertible preferred stock in the future, and the terms of our preferred stock may dilute our common stock;
     
  two private equity firms and their affiliates control, on an as-converted basis, 66% of our fully diluted outstanding shares of common stock through their holdings of Series B Convertible Preferred Stock, par value $0.01 per share (“Series B Preferred Stock”), and this concentration of ownership along with having authority for designation rights for a majority of our directors will have a substantial influence on our decisions;
     
  billing for our clinical services tests is complex, and we must dedicate substantial time and resources to the billing process to be paid for our clinical services;
     
  we depend on a few payers for a significant portion of our revenue for our clinical services, and if one or more significant payers stops providing reimbursement or decreases the amount of reimbursement for our tests, our revenue could decline;
     
  if payers do not provide reimbursement, rescind or modify their reimbursement policies or delay payments for clinical services, our commercial success could be compromised;
     
  developing new tests and related services and solutions includes a lengthy and complex process with uncertain results;
     
  the effect of potential adverse findings resulting from regulatory audits of our billing and payment practices and the impact such results could have on our clinical services;
     
  the demand for our molecular diagnostic tests from physicians and patients;
     
  our products and services continuing to perform as expected;
     
  claims against us for inaccurate results from our molecular diagnostic tests;
     
  our obligations to make royalty and milestone payments to our licensors;
     
  our ability to obtain data and samples to perform sufficient clinical studies to successfully publish data demonstrating the clinical relevance and value of our molecular diagnostic tests, including to support sufficient levels of third party reimbursement;
     
  our dependence on third parties for the supply of some of the materials used in our molecular diagnostic tests and pharma services;
     
  our ability to scale our operations or delays or reagent and supply shortages for our tests and services;
     
  our ability to develop or acquire tests, services or solutions;

 

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  the ability of our clinical services to enter into additional clinical study collaborations with highly regarded institutions;
     
  the effect current and future laws, licensing requirements and regulation have on our business including the changing U.S. Food and Drug Administration environment as it relates to molecular diagnostics and pharma services and laboratory developed tests (LDT’s);
     
  changes in governmental regulations mandating price controls and limitations on patient access to our products and services;
     
  if we fail to comply with Federal, State and foreign laboratory licensing requirements, we could lose the ability to perform our tests or experience disruptions to our business;
     
  legislation reforming the U.S. healthcare system;
     
  a failure to comply with Federal and State laws and regulations pertaining to our payment practices;
     
  our ability to comply with fraud and abuse laws or payer regulations could result in our being excluded from participation in Medicare, Medicaid or other governmental payer programs;
     
  compliance with numerous statutes and regulations pertaining to our business;
     
  the effect of The Eliminating Kickbacks in Recovery Act of 2018 as it potentially impacts our ability to incentivize our sales personnel appropriately;
     
  our ability to realize all of the anticipated benefits of the acquisition of our pharma services or those benefits, if any, taking longer to realize than expected;
     
  if pharmaceutical and biotech companies, universities and contract research organizations performing clinical trials decide not to use our tests and services, we may be unable to generate sufficient revenue to sustain our pharma services;
     
  if we fail to perform our pharma services in accordance with contractual and regulatory requirements, and ethical considerations, we could be subject to significant costs or liability;
     
  our ability to compete in the markets our clinical services operate in;
     
  our ability to attract and retain key employees and management personnel;
     
  our reliance on our sales and marketing forces for future business growth and our ability to continue to expand our sales and marketing forces;
     
  our limited experience in marketing and selling our products;
     
  the ability of our molecular diagnostic tests to compete successfully with physicians and members of the medical community who use traditional methods to diagnose gastrointestinal and endocrine cancers, competitors offering broader product lines outside of the molecular diagnostic testing market and having greater brand recognition than we do, and companies with greater financial resources;
     
  our ability to license rights to use technologies in order to commercialize new products and services;
     
  our involvement in future litigation against us or our ability to collect on judgements found in our favor;
     
  the effect of acts of nature, seasonal results and adverse weather conditions, hurricanes and floods, on our business and our suppliers;

 

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  our use of hazardous materials;
     
  the susceptibility of our information systems to security breaches, loss of data and other disruptions;
     
  catastrophic loss of our laboratories;
     
  our ability to obtain and maintain sufficient qualified laboratory space to meet our processing needs for all of our business as well as our ability to pass regulatory inspections and continue to be Clinical Laboratory Improvement Amendments (“CLIA”) and the College of American Pathologists (“CAP”) certified or accredited;
     
  compliance with the U.S. Foreign Corrupt Practices Act and anti-bribery laws;
     
  our ability to respond to rapid scientific changes in the areas in which we operate;
     
  our compliance with our license agreements and our ability to protect and defend our intellectual property rights;
     
  patent infringement claims against us;
     
  changes in U.S. and global patent law;
     
  tax reform legislation;
     
  stock dilution;
     
  changes in financial accounting standards or practices;
     
  exposure to international law, regulations and risk as a result of international expansion;
     
  we may acquire businesses or assets or make investments in other companies or testing, service or solution technologies that could harm our operating results, dilute our stockholders’ ownership, increase our debts or cause us to incur significant expense;
     
  the impact of contingent liabilities on our financial condition;
     
  the results of any future impairment testing for intangible assets as required under U.S. generally accepted accounting principles (“GAAP”);
     
  our ability to maintain and implement effective internal controls over financial reporting especially as we are consolidating operations;
     
  if our information technology or communications systems fail or we experience a significant interruption in their operation, our reputation, business and results of operations could be materially and adversely affected;
     
  the impact of future issuances of debt, common and preferred shares on stockholders’ interest and stock price;
     
  our ability to report financial results on a timely and accurate basis;
     
  our ability to manage our growth or unexpected declines;
     
  the potential that the temporary equity classification of our preferred stock and other matters may trigger a Nasdaq compliance default in the second or third quarter of 2020 for failure to meet minimum stockholder equity requirements which could result in a delisting of our common stock from Nasdaq leading to a possible reduced stock price; potential difficulty in raising additional capital or debt as well as loss of exemptions from various state securities laws which could hamper action plans to remediate such a Nasdaq compliance default;
     
  uncertainty regarding the regulatory obligations related to our receipt of $650,000 funding for COVID testing;
     
  our ability to rebuild our cost structure in anticipation of volume growth that does not happen as planned;
     
  the potential impact on customers currently in clinical trials in our Rutherford, NJ lab that we are now relocating to North Carolina which may require revalidation in the new site;
     
  the impact of increased costs building expanded laboratory capabilities in North Carolina in anticipation of the move from Rutherford, NJ and the potential loss of customers related to the move;
     
  our ability to efficiently execute and complete the planned laboratory move from Rutherford, NJ to North Carolina on a timely basis within our forecasted costs;
     
  the risk of loss of personnel that are uniquely qualified to perform the breadth of specialty testing and lab applications necessary for developing customized assays in our pharma solutions business; and
     
  the risk related to our sales reps fully reengaging with customers after reducing physical visits by our commercial team during the pandemic.

 

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Please see Part I – Item 1A – “Risk Factors” in our Form 10-K for the fiscal year ended December 31, 2019 filed with the SEC on April 22, 2020, as amended on May 29, 2020, 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 services 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 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 advances 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.

 

During fiscal 2019, in connection with the acquisition of our pharma services, we raised $27 million with Ampersand, a diagnostic laboratory private equity investor. This was followed by raising an additional $20 million in early 2020 led by 1315 Capital, another sophisticated private equity investor. We believe that the combination of our clinical services and acquired pharma services uniquely positions us for growth and expansion in the fast-growing biopharma sector where we can provide our unique diagnostic capabilities to a broad customer base.

 

Impact of COVID-19 pandemic

 

We have taken what we believe are all necessary precautions to safeguard our employees from the Coronavirus (COVID-19) pandemic. We are following CDC guidance and local restrictions. All employees who do not work in a lab have been on a telecommunication work arrangement. Our employees in the lab are wearing what we believe is appropriate protective gear. There can be no assurance that key employees will not become ill or that we will able to continue to operate our labs. We have furloughed a number of employees as a result of reductions in customer demand and we have closed our administrative offices. Our labs require in-person staffing and as of the date of this report, we have been able to successfully operate our labs though a combination of social distancing, managing lab scheduling and protective equipment. Our management, finance staff and sales personnel have generally been able to successfully work remotely. As of June 15, 2020 we began allowing general and administrative staff to return to their respective offices on a limited basis.

 

The extent to which the COVID-19 pandemic impacts our operations continues to depend on future developments, which are highly uncertain and cannot be predicted at this time, and include the duration, severity and scope of the outbreak and the actions taken to contain or treat the coronavirus outbreak. In particular, the continued spread of the coronavirus globally has adversely affecting global economies and financial markets resulting in an economic downturn which could materially and adversely impact our operations including, without limitation, the functioning of our laboratories, the availability of supplies including reagents, the progress and data collection of our pharma services, customer demand and travel and employee health and availability.

 

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We believe that the COVID-19 pandemic will also adversely impact our results of operations, cash flows and financial condition for the second quarter of fiscal 2020 and possibly beyond. Our fiscal 2020 first quarter revenue was impacted by lower than expected clinical service volume throughout March 2020, which we believe has resulted from the temporary reduction in non-essential testing procedures in connection with the COVID-19 pandemic. Further, we did reduce overall costs to match the lower volumes in the labs.

 

However, as of the date of this Report, our overall business is still down approximately 30% from our run rate before the pandemic. We have continued to add resources to support the increased volume consistent with the changing environment. However, as we rebuild our cost structure to support the improved volume, there is risk that the anticipated volume growth will not materialize as planned and we will be required to adjust accordingly.

 

To optimize the pharma services lab operations we are transitioning lab work from Rutherford, NJ to our facility in Morrisville, NC. We will be investing several million dollars to facilitate the move, transfer personnel, build out facilities and validate processes over the next several months. We believe this investment and transition will result in reduced operating costs in the future: however, there is no guarantee we will be as successful with the move or the benefits expected thereof as we currently plan.

 

All of our labs are currently operating and we believe we are appropriately staffed for the volume of work. At this time, we do not anticipate any lab closures beyond temporary work stoppages from time to time to clean and disinfect the labs. Lab supplies including reagents have been secured to mitigate any potential supply chain issues for the foreseeable future and we are not observing any shortages due to supply chain issues. Our third party clinical services billing and collections company has taken steps to continue operations remotely. There have been indications that payer processing may slow down but so far there has been little or no material impact to our collections.

 

As of May 2020, we are in the process of launching a new product line of antibody testing for the COVID-19 virus. Validation is complete; we have acquired acceptable kits and reference samples and are now offering this testing to our employees and customers. The serological, or antibody, test measures the amount of antibodies present in the blood. In response to an infection, such as COVID-19, the body develops an overall immune response to fight the infection. One component of the immune system’s response is the development of antibodies that attach to the virus and help eliminate it. Antibody tests detect the body’s immune response to the infection caused by the virus rather than detecting the virus itself. The FDA has issued guidance allowing companies to market serological tests that have been validated following notification to FDA. Validated antibody tests offered under the policy should, among other things, include in test reports language explaining that negative results do not rule out COVID-19 infection and that follow-up testing with a molecular diagnostic should be considered to rule out infection. There is no guarantee that we will be successful in realizing revenue or benefit from these efforts.

 

Additional Reimbursement Coverage During 2020

 

Reimbursement progress is key for any molecular diagnostic company. We have been successful to date in expanding the reimbursement of our products in 2020. Specifically, the most significant progress we have made regarding payers to date in 2020 is as follows:

 

In February 2020, we announced an increase in Medicare reimbursement for our ThyraMIR® test from $1,800 to $3,000, retroactive to January 1, 2020, reflecting a re-evaluation of the technical and clinical performance of the test relative to other molecular tests in the market and their respective prices.
   
In March 2020, we announced we had entered into a contract with Blue Cross Blue Shield of Massachusetts making ThyGeNEXT® and ThyraMIR® tests covered in-network services for their more than 3 million members in Massachusetts and across New England.

 

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In March 2020, we announced we had entered into a contract with CareFirst Blue Cross Blue Shield, making ThyGeNEXT® and ThyraMIR® tests covered in-network services for their more than 3.3 million members in Maryland, Washington, D.C., and Northern Virginia.
   
In March 2020, we announced we had entered into a contract with Premera Blue Cross, making ThyGeNEXT® and ThyraMIR® tests covered in-network services for their more than 2 million members in Washington State and Alaska.
   
In April 2020, we executed an agreement with Avalon Healthcare Solutions (Avalon), a laboratory benefit manager representing numerous health plans. Our agreement with Avalon offers us in-network status to approximately 5.8 million lives covered by the following health plans: Blue Cross Blue Shield North Carolina, South Carolina, Kansas City and Vermont, and Capital Blue Cross of Central Pennsylvania.
   
In April 2020, we executed a contract with Blue Cross of Idaho making ThyGeNEXT® and ThyraMIR® tests covered in-network services for their more than 576 thousand members.
   
In May 2020, we executed a contract with Blue Cross Blue Shield of Wyoming.

 

Revenue Recognition

 

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

 

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

 

For our pharma services customers, 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.

 

Deferred Revenue

 

For our pharma services, project level fee revenue is recognized as deferred revenue and recorded at fair value. It represents payments received in advance of services rendered and is recognized ratably over the life of the contract.

 

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.

 

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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 March 31, 2020 Compared to the Quarter Ended March 31, 2019 (unaudited, in thousands)

 

   Three Months Ended March 31, 
   2020   2020   2019   2019 
                 
Revenue, net  $9,200    100.0%  $6,010    100.0%
Cost of revenue   6,113    66.4%   2,622    43.6%
Gross profit   3,087    33.6%   3,388    56.4%
Operating expenses:                    
Sales and marketing   2,481    27.0%   2,411    40.1%
Research and development   809    8.8%   528    8.8%
General and administrative   4,887    53.1%   2,912    48.5%
Acquisition related amortization expense   1,031    11.2%   813    13.5%
Total operating expenses   9,208    100.1%   6,664    110.9%
                     
Operating loss   (6,121)   -66.5%   (3,276)   -54.5%
Interest accretion   (109)   -1.2%   (129)   -2.1%
Other income (expense), net   47    0.5%   48    0.8%
Loss from continuing operations before tax   (6,183)   -67.2%   (3,357)   -55.9%
Provision for income taxes   15    0.2%   5    0.1%
Loss from continuing operations   (6,198)   -67.4%   (3,362)   -55.9%
                     
Loss from discontinued operations, net of tax   (65)   -0.7%   (57)   -0.9%
                     
Net loss  $(6,263)   -68.1%  $(3,419)   -56.9%

 

Revenue, net

 

Consolidated revenue, net for the three months ended March 31, 2020 increased by $3.2 million, or 53%, to $9.2 million, compared to $6.0 million for the three months ended March 31, 2019. This increase was principally attributable to our acquisition of our pharma services business in 2019. Our first quarter revenue was impacted by lower than expected clinical service volume throughout March 2020, which we believe has resulted from the temporary reduction in non-essential testing procedures in connection with the COVID-19 pandemic.

 

Cost of revenue

 

Consolidated cost of revenue for the three months ended March 31, 2020 was $6.1 million, as compared to $2.6 million for the three months ended March 31, 2019. As a percentage of revenue, cost of revenue increased to 66% for the three months ended March 31, 2020 as compared to 44% in the comparable same period in 2019. This increase as a percentage of revenue can be primarily attributed to the lower margins associated with pharma services.

 

Gross profit

 

Consolidated gross profit was approximately $3.1 million for the three months ended March 31, 2020 and $3.4 million for the three months ended March 31, 2019. The gross profit percentage decreased from 56% in the first quarter of 2019 to 34% for the first quarter of 2020. This decrease can be attributed to the lower margins associated with pharma services mentioned above and the reduction in net revenue from clinical services.

 

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Sales and marketing expense

 

Sales and marketing expense was $2.5 million for the three months ended March 31, 2020, or 27% as a percentage of net revenue. For the three months ended March 31, 2019, sales and marketing expense was $2.4 million, or 40% as a percentage of net revenue. The increase in sales and marketing expense primarily reflects the addition of sales and marketing costs associated with pharma services.

 

Research and development

 

Research and development expense was $0.8 million for the three months ended March 31, 2020 and $0.5 million for the three months ended March 31, 2019. The increase was primarily attributable to costs associated with the acquired pharma services. As a percentage of revenue, research and development expense stayed the same at approximately 9% in both periods.

 

General and administrative

 

General and administrative expense for the three months ended March 31, 2020 was $4.9 million as compared to $2.9 million for the three months ended March 31, 2019. The increase was primarily attributable to costs associated with the acquired pharma services.

 

Acquisition related amortization expense

 

During the three months ended March 31, 2020 and March 31, 2019, we recorded amortization expense of $1.0 million and $0.8 million, respectively, which is related to intangible assets associated with prior acquisitions. The increase is related to our acquisition of our pharma services in 2019 and the associated intangible assets.

 

Operating loss

 

Operating loss from continuing operations was $6.1 million for the three months ended March 31, 2020 as compared to $3.3 million for the three months ended March 31, 2019. The increase can be attributed to the operating loss associated with our pharma services as well as the reduced revenue and gross profit in our clinical services.

 

Provision for income taxes

 

Income tax expense was approximately $15,000 for the three months ended March 31, 2020 and $5,000 for the three months ended March 31, 2019. 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 both the three months ended March 31, 2020 and March 31, 2019.

 

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LIQUIDITY AND CAPITAL RESOURCES

 

For the three months ended March 31, 2020, we had an operating loss of $6.1 million. As of March 31, 2020, we had cash and cash equivalents of $13.4 million, total current assets of $28.1 million and current liabilities of $15.7 million. Currently, the Company has no further availability on its credit facility, but is in the process of completing an agreement with SVB to expand the credit facility. No assurance can be given that such an expansion agreement will be entered into.

 

During the three months ended March 31, 2020, net cash used in operating activities was $7.1 million. The main component of cash used in operating activities was our net loss of $6.3 million. During the three months ended March 31, 2019, net cash used in operating activities was $3.0 million, all of which was used in continuing operations. The main component of cash used in operating activities during the three months ended March 31, 2019 was the net loss of $3.4 million.

 

For the three months ended March 31, 2020, there was cash provided from financing activities of $18.2 million, $19.5 million which resulted from the issuance of Preferred Stock in January 2020, $0.4 million from sales of common stock, and was partially offset by $1.8 million in a net repayment of funds under our revolving line of credit with SVB. For the three months ended March 31, 2019, there was cash provided from financing activities of $6.0 million which resulted from the issuance of common stock in our underwritten public offering completed in January 2019.

 

In September 2019, we entered into the Equity Distribution Agreement (the “Agreement”) with Oppenheimer & Co. Inc., as sales agent (the “Agent”), pursuant to which we may, from time to time, issue and sell shares of our common stock in an aggregate offering price of up to $4.8 million through the Agent. See Note 16, Equity of the notes to the financial statements for more details. In January 2020, 80,341 shares (as adjusted for the reverse stock split) of common stock were sold for net proceeds of approximately $0.4 million.

 

As of March 31, 2020, the Company had drawn $1.2 million of the $3.75 million of available funds under its Revolving Line with SVB. As of June 17, 2020, we had no funds available on the Revolving Line because we were fully drawn.

 

In January 2020, we sold 20,000 preferred shares to investors, led by 1315 Capital, for net proceeds of approximately $19.5 million; see Note 16, Equity of the footnotes to the financial statements for more detail.

 

As of June 17, 2020, we received $2.1 million in advances under the Centers for Medicare & Medicaid Services (CMS) accelerated and advance payment program, as well as a $0.65 million grant from the Department of Health and Human Services (HSS). The CMS advance will be offset against future Medicare billings of the Company, and the HSS grant is subject to certain conditions regarding its use, including developing coronavirus and serology tests. These grants and advances require certain certifications by the Company and impose specific limitations on the use of the proceeds. Based on these restrictions and limitations, the Company is treating the $0.65 million HSS grant as restricted cash until we have clarity on how the funds can be utilized by the Company based on the specific requirements of the HSS. Furthermore, although the Company initially explored the possibility of requesting a loan under the Small Business Administration Paycheck Protection Program, we elected not to complete an application because we are not certain we meet certain criteria of the program.

 

During April and early May 2020, the Company made payments totaling $888,000 to CGI for funds withheld from the Excess Consideration Note to satisfy certain adjustments and indemnification obligations under the Asset Purchase Agreement. The funds used to satisfy this obligation were not included in cash and cash equivalents as of December 31, 2019 and March 31, 2020. These funds and the related liability were included in Other Assets and Other Current Liabilities, respectively, as of those period ends, and the settlement of the liability had no net impact on the Company’s operating cash flow or liquidity.

 

We do not expect to generate positive cash flows from operations for the year ending December 31, 2020. We intend to meet our ongoing capital needs by using our available cash, proceeds under the Securities Purchase and Exchange Agreement, additional borrowings under the Line of Credit as well as increasing our line of credit limit as a result of the additional accounts receivable acquired in July 2019 as part of our acquisition of pharma services (which requires a modification to the bank agreement and approval by SVB which cannot be assured, revenue growth and margin improvement, collecting accounts receivable, containing costs as well as exploring other financing options. Our planned capital expenditures over the next twelve months currently includes several million dollars to be utilized in consolidating our laboratories, which includes equipment purchases, calibration and testing costs, moving and other related costs, and leasehold improvements. Management believes that the Company has sufficient cash on hand and available to sustain operations through at least June 30, 2021. However, in the event the Company is unable to maintain its Nasdaq listing for its common stock due to a failure to meet minimum stockholder equity requirements due to the classification of its preferred stock as temporary equity, the Company’s ability to raise additional capital may be adversely impacted. Therefore, there is no guarantee that additional capital can be raised to fund our future operations.

 

 35 

 

 

Inflation

 

We do not believe that inflation had a significant impact on our results of operations for the periods presented. On an ongoing basis, we attempt to minimize any effects of inflation on our operating results by controlling operating costs and whenever possible, seeking to insure that billing rates reflect increases in costs due to inflation.

 

Off-Balance Sheet Arrangements

 

None.

 

Item 3. Quantitative and Qualitative Disclosures About Market Risk

 

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

 

Item 4. Controls and Procedures

 

Evaluation of disclosure controls and procedures

 

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of our disclosure controls and procedures pursuant to Rule 13a-15 under the Exchange Act as of the end of the period covered by this Form 10-Q. In designing and evaluating the disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives including that information we are required to disclose in reports that we file or submit under the Exchange Act is recorded, processed, summarized, and reported within the time periods specified in the SEC rules and forms, and that such information is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure. In addition, management is required to apply its judgment in evaluating the benefits of possible disclosure controls and procedures relative to their costs to implement and maintain.

 

Based on the evaluation of the Company’s disclosure controls and procedures, as that term is defined in Rule 13a-15(e) under the Securities Exchange Act of 1934, as amended, the Chief Executive Officer of the Company and the Chief Financial Officer of the Company have concluded that the Company’s disclosure controls and procedures are effective as of March 31, 2020.

 

Reference should be made to our Form 10-K for additional information regarding discussion of the effectiveness of the Company’s controls and procedures.

 

Changes in internal controls

 

There has been no change in our internal control over financial reporting (as defined in Rule 13a-15(f) and 15d-15(f) under the Exchange Act) that occurred during the quarter covered by this report that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

 

PART II. OTHER INFORMATION

 

Item 1. Legal Proceedings

 

None.

 

 36 

 

 

Item 1A. Risk Factors

 

Not applicable as we are a smaller reporting company.

 

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

 

None.

 

Item 3. Defaults Upon Senior Securities

 

None.

 

Item 4. Mine Safety Disclosures

 

None.

 

Item 5. Other Information

 

As disclosed in Item 8.01 of the May 15th 8-K and in the Company’s definitive proxy statement, as filed with the SEC on June 10, 2020 (the “Proxy Statement”), the Company plans to hold its 2020 Annual Meeting of Stockholders (the “2020 Annual Meeting”) on July 9, 2020 at 10:00 a.m., Eastern Time. The 2020 Annual Meeting will be held in a virtual format only, via the Internet, with no physical in-person meeting. Additional details regarding the location via the Internet and matters to be voted on at the 2020 Annual Meeting are available in the Proxy Statement.

 

The Company’s 2019 Annual Meeting of Stockholders (the “2019 Annual Meeting”) was held on October 10, 2019. Because the date of the 2020 Annual Meeting represents a change of more than 30 days from the anniversary date of the 2019 Annual Meeting, the Company disclosed in the May 15th 8-K a new deadline for the submission of stockholder proposals. In accordance with Rule 14a-5(f) of the Exchange Act and consistent with the Amended and Restated ByLaws of the Company, effective November 12, 2019, the Company informed stockholders that a proposal or notice on Schedule 14N under Rule 14a-18 under the Exchange Act (i) intended to be included in the Proxy Statement under Rule 14a-8 under the Exchange Act or (ii) intended to be presented at the 2020 Annual Meeting other than by inclusion in the Proxy Statement, must have been received by the Company on or prior to 5:00 p.m. Eastern Time on May 28, 2020 to be considered timely. Any proposal or nomination received after such date will be considered untimely.

 

 37 

 

 

Item 6. Exhibits

 

Exhibit No.   Description
     
3.1**   Conformed version of Certificate of Incorporation of Interpace Biosciences, Inc., as amended by the Certificate of Amendment, effective January 15, 2020, and the Certificate of Designation of Preferences, Rights and Limitations of Series B Convertible Preferred Stock, filed January 17, 2020, incorporated by reference to Exhibit 3.1 of the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, filed with the SEC on April 22, 2020.
     
10.1   Securities Purchase and Exchange Agreement, dated January 10, 2020, by and among Interpace Biosciences, Inc., 1315 Capital II, L.P. and Ampersand 2018 Limited Partnership, incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K, filed with the SEC on January 14, 2020.
     
10.2   Amended and Restated Investor Rights Agreement, dated as of January 15, 2020, by and among Interpace Biosciences, Inc., 1315 Capital II, L.P. and Ampersand 2018 Limited Partnership, incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K, filed with the SEC on January 17, 2020.
     
10.3   Form of Indemnification Agreement by and between Interpace Biosciences, Inc. and Indemnitee, incorporated by reference to Exhibit 10.2 of the Company’s Current Report on Form 8-K, filed with the SEC on January 17, 2020.
     
10.4#   Employment Agreement, dated as of January 29, 2020, by and between Interpace Biosciences, Inc. and Fred Knechtel, incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K, filed with the SEC on January 31, 2020.
     
10.5#   Severance and Consulting Agreement and General Release, dated January 29, 2020, by and between Interpace Biosciences, Inc. and James Early, incorporated by reference to Exhibit 10.2 of the Company’s Current Report on Form 8-K, filed with the SEC on January 31, 2020.
     
10.6#   First Amendment to Amended and Restated Employment Agreement, dated January 29, 2020, by and between Interpace Biosciences, Inc. and Jack E. Stover, incorporated by reference to Exhibit 10.3 of the Company’s Current Report on Form 8-K, filed with the SEC on January 31, 2020.
     
10.7   Eleventh Amendment to Lease, effective as of June 1, 2020, by and between Southport Business Park Limited Partnership and Interpace Pharma Solutions, Inc., incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K, filed with the SEC on June 9, 2020.
     
10.8*#   Amendment to the Interpace Biosciences, Inc. 2019 Equity Incentive Plan, filed herewith.
     
10.9*#   Form of Interpace Biosciences, Inc. 2019 Equity Incentive Plan Restricted Stock Unit And Restricted Stock Unit Agreement, filed herewith.
     
31.1*   Certification of Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002, filed herewith.
     
31.2*   Certification of Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002, filed herewith.
     
32.1+   Certification of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, furnished herewith.
     
32.2+   Certification of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, furnished herewith.

 

101   The following financial information from this Quarterly Report on Form 10-Q for the fiscal quarter ended March 31, 2020 formatted in XBRL (Extensible Business Reporting Language) and furnished electronically herewith: (i) the Condensed Consolidated Balance Sheets; (ii) the Condensed Consolidated Statements of Operations; (iii) the Condensed Consolidated Statements of Stockholders’ Equity; (iv) the Condensed Consolidated Statements of Cash Flows; and (v) the Notes to Condensed Consolidated Financial Statements.

 

* Filed herewith.

 

  + Exhibits 32.1 and 32.2 are being furnished herewith and shall not be deemed to be “filed” for purposes of Section 18 of the Exchange Act or otherwise subject to the liability of that section, nor shall such exhibits be deemed to be incorporated by reference to any registration statement or other document filed under the Securities Act or the Exchange Act, except as otherwise stated in any such filing.
     
  ** This exhibit is being filed pursuant to Item 601(b)(3)(i) of Regulation S-K which requires a conformed version of the Company’s charter reflecting all amendments in one document. The exhibit reflects the Company’s Certificate of Incorporation, as amended, as amended by the Certificate of Amendment, effective January 15, 2020, and the Certificate of Designation of Preferences, Rights and Limitations of Series B Convertible Preferred Stock, filed January 17, 2020.
  # Denotes compensatory plan, compensation arrangement or management contract.

 

 38 

 

 

SIGNATURES

 

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

 

Date: June 26, 2020 Interpace Biosciences, Inc.
  (Registrant)
   
  /s/ Jack E. Stover
  Jack E. Stover
  President and Chief Executive Officer
  (Principal Executive Officer)
   
Date: June 26, 2020 /s/ Fred Knechtel
  Fred Knechtel
  Chief Financial Officer
  (Principal Financial Officer)
   
Date: June 26, 2020 /s/ Thomas Freeburg
  Thomas Freeburg
  Chief Accounting Officer
  (Principal Accounting Officer)

 

 39 

 

EX-10.8 2 ex10-8.htm

 

Exhibit 10.8

 

AMENDMENT TO THE
INTERPACE BIOSCIENCES, INC. 2019 EQUITY INCENTIVE PLAN

 

The Interpace Biosciences, Inc. 2019 Equity Incentive Plan (the “Plan”) is hereby amended, effective as of the date of adoption of this Amendment by the Board of Directors of Interpace Biosciences, Inc. (the “Company”):

 

1. Section 3(a) of the Plan is amended in its entirety; provided that Section 3(a)(i), as amended, is subject to approval by the Company’s stockholders in accordance with Section 11 of the Plan:

 

(a) Shares Subject to the Plan.

 

(i) Subject to adjustment as provided in Section 3(c) of the Plan, the maximum number of Shares that may be issued in respect of Awards under the Plan is 1,230,000 Shares (the “Plan Limit”), all of which may be issued in respect of Incentive Stock Options. Any Shares issued hereunder may consist, in whole or in part, of authorized and unissued Shares or treasury shares. Any Shares issued by the Company through the assumption or substitution of outstanding grants in connection with the acquisition of another entity shall not reduce the maximum number of Shares available for delivery under the Plan.

 

(ii) Any Shares that are available for issuance under the Interpace Diagnostics Group, Inc. Amended and Restated 2004 Stock Award and Incentive Plan (the “2004 Plan”) as of the Effective Date, and any Shares that become available for issuance under the 2004 Plan following the Effective Date in accordance with the terms of the 2004 Plan (the “Additional Shares”) may be issued to Participants pursuant to the terms of this Plan. The Plan Limit shall be increased by such number of Additional Shares.

 

2. Section 9 of the Plan is amended in its entirety:

 

Section 9. Restricted Stock Units. Subject to the other terms of the Plan, the Committee may grant Restricted Stock Units to eligible individuals and may impose one or more Vesting Conditions on such units. Each Restricted Stock Unit will represent a right to receive from the Company, upon fulfillment of any applicable conditions, one Share. The Award Agreement evidencing a Restricted Stock Unit shall set forth the Vesting Conditions and time of payment with respect to such Award. The Participant shall not have any stockholder rights with respect to the Shares subject to a Restricted Stock Unit Award until that Award vests and the Shares are actually issued thereunder. Subject to the provisions of the applicable Award Agreement or as otherwise determined by the Committee, if a Participant’s service with the Company terminates prior to the Restricted Stock Unit Award vesting in full, any portion of the Participant’s Restricted Stock Units that then remain subject to forfeiture will then be forfeited automatically.

 

*        *        *

 

Except as amended hereby, the terms and conditions of the Plan shall otherwise continue in full force and effect.

 

  Interpace Biosciences, Inc.
     
  By: /s/ Jack E. Stover
  Name: Jack E. Stover
  Title: President and Chief Executive Officer

 

  

 

EX-10.9 3 ex10-9.htm

 

Exhibit 10.9

 

INTERPACE BIOSCIENCES, INC. 2019 EQUITY INCENTIVE PLAN

RESTRICTED STOCK UNIT GRANT NOTICE AND

RESTRICTED STOCK UNIT AGREEMENT

 

Interpace Biosciences, Inc., a Delaware corporation (the “Company”), pursuant to its 2019 Equity Incentive Plan, as amended from time to time (the “Plan”), hereby grants to the individual listed below (“Participant”) an award of the number of Restricted Stock Units set forth below (the “Restricted Stock Units”). The Restricted Stock Units are subject to the terms and conditions set forth in this Restricted Stock Unit Grant Notice (the “Grant Notice”), the Restricted Stock Unit Agreement attached hereto as Exhibit A (the “Agreement”) and the Plan, each of which is incorporated herein by reference. Unless otherwise defined herein, the terms defined in the Plan shall have the same defined meanings in this Grant Notice and the Agreement.

 

Participant: [_________]
Grant Date: [_________]
Total Number of Restricted Stock Units: [_________]
Vesting Schedule: 1/3 of the Restricted Stock Units shall vest on each of the first three anniversaries of the Grant Date

 

By Participant’s signature below, Participant agrees to be bound by the terms and conditions of the Plan, the Agreement and the Grant Notice. Participant has reviewed the Agreement, the Plan and the Grant Notice in their entirety, has had an opportunity to obtain the advice of counsel prior to executing the Grant Notice and fully understands all provisions of the Grant Notice, the Agreement and the Plan.

 

interpace biosciences, INC.   participant
         
                        
Name: Jack Stover   Name:  
Title: CEO      

 

  

 

 

EXHIBIT A

TO RESTRICTED STOCK UNIT GRANT NOTICE

RESTRICTED STOCK UNIT AGREEMENT

 

Pursuant to the Grant Notice to which this Agreement is attached, the Company has granted to Participant Restricted Stock Units under the Plan in an amount set forth in the Grant Notice.

 

1. Award of Restricted Stock Units. In consideration of Participant’s past and/or continued employment with or service to the Company and for other good and valuable consideration, effective as of the Grant Date set forth in the Grant Notice, the Company has granted to Participant the number of Restricted Stock Units set forth in the Grant Notice, upon the terms and conditions set forth in the Grant Notice, the Plan and this Agreement. Each Restricted Stock Unit represents the right to receive one Share at the times and subject to the conditions set forth herein. However, unless and until the Restricted Stock Units have vested, Participant will have no right to the distribution of any Shares subject thereto. Prior to the actual delivery of any Shares, the Restricted Stock Units will represent an unsecured obligation of the Company, payable only from the general assets of the Company.

 

2. Date of Grant. The Restricted Stock Units are granted on the Grant Date.

 

3. Vesting of Restricted Stock Units. The Restricted Stock Units will become vested only in accordance with the terms and provisions of the Plan and this Agreement, as follows:

 

(a) Vesting. Subject to the continued service of the Participant by the Company through the relevant vesting dates, the Restricted Stock Units shall become vested in such amounts and at such times as are set forth in the Grant Notice.

 

(b) Service with Affiliates. Solely for purposes of this Agreement, service with the Company will be deemed to include service with any Affiliate of the Company (for only so long as such entity remains an Affiliate of the Company).

 

(c) Effect of Termination of Service on the Restricted Stock Units. If the Participant’s service terminates or is terminated for any reason, the unvested portion of the Restricted Stock Units shall be forfeited immediately with no further compensation due to the Participant.

 

4. Distribution of Restricted Stock Units.

 

(a) The Restricted Stock Units shall be distributed in Shares (either in book-entry form or otherwise) as soon as administratively practicable following the vesting of the applicable Restricted Stock Unit, and, in any event, within sixty (60) days following such vesting (for the avoidance of doubt, this deadline is intended to comply with the “short-term deferral” exemption from Section 409A of the Code). Notwithstanding the foregoing, the Company may delay a distribution in settlement of Restricted Stock Units if it reasonably determines that such distribution will violate federal securities laws or any other applicable law, provided that such distribution shall be made at the earliest date at which the Company reasonably determines that the making of such distribution will not cause such violation, as required by Proposed Treasury Regulation Section 1.409A-1(b)(4)(ii), and provided further that no distribution shall be delayed under this Section 4(a) if such delay will result in a violation of Section 409A of the Code.

 

(b) All distributions made in Shares shall be made by the Company in the form of whole Shares, and any fractional Share shall be rounded up to the next whole Share for distribution.

 

5. Non-Transferability of Restricted Stock Units. The Restricted Stock Units may not be sold, pledged, assigned, hypothecated, gifted, transferred or disposed of in any manner either voluntarily or involuntarily by operation of law or otherwise, other than by will or by the laws of descent and distribution.

 

  

 

 

6. Investment Representations. The Participant represents and warrants to the Company that the Participant is acquiring the Restricted Stock Units (and upon settlement of the Restricted Stock Units, may be acquiring Shares) for investment for the Participant’s own account, not as a nominee or agent, and not with a view to, or for resale in connection with, any distribution thereof. As a further condition to the settlement of the Restricted Stock Units, the Board may require that certain agreements, undertakings, representations, certificates, legends and/or information or other matters, as the Board may deem necessary or advisable, be executed, agreed to and/or provided to the Company to assure compliance with all such applicable laws or regulations.

 

7. Tax Consequences. The Participant acknowledges that the Company has not advised the Participant regarding the Participant’s income tax liability in connection with the grant of the Restricted Stock Units and that the Company does not guarantee any particular tax treatment. The Participant acknowledges that the Participant has reviewed with the Participant’s own tax advisors the tax treatment of the Restricted Stock Units and is relying solely on those advisors in that regard. The Participant understands that the Participant (and not the Company) will be responsible for the Participant’s own tax liabilities arising in connection with the Restricted Stock Units.

 

8. No Continuation of Service. Neither the Plan nor this Agreement will confer upon the Participant any right to continue in the employment or service of the Company or any of its Affiliates, or limit in any respect the right of the Company or its Affiliates to discharge the Participant at any time, with or without Cause and with or without notice.

 

9. Withholding. The Company is hereby authorized to withhold from any consideration payable or property transferable to the Participant any taxes required to be withheld by applicable law in connection with the grant, vesting or settlement of the Restricted Stock Units or the disposition of the Shares subject to the Restricted Stock Units.

 

10. The Plan. The Participant has received a copy of the Plan, has read the Plan and is familiar with its terms, and hereby accepts the Restricted Stock Units subject to the terms and provisions of the Plan. Pursuant to the Plan, the Board is authorized to interpret the Plan and to adopt rules and regulations not inconsistent with the Plan as it deems appropriate. The Participant hereby agrees to accept as binding, conclusive and final all decisions or interpretations of the Board with respect to questions arising under the Plan, the Grant Notice or this Agreement.

 

11. Entire Agreement. The Grant Notice and this Agreement, together with the Plan, and any other exhibits attached hereto, represents the entire agreement between the parties with respect to the subject matter hereof and supersedes any prior agreement, written or otherwise, relating to the subject matter hereof.

 

12. Amendment. Except as otherwise provided herein, in the Grant Notice or in the Plan, or as would otherwise not have a material adverse effect on the Participant, this Agreement may only be amended by a writing signed by each of the parties hereto.

 

13. Governing Law. This Agreement will be construed in accordance with the laws of the State of Delaware, without regard to the application of the principles of conflicts of laws.

 

14. Execution. The Grant Notice may be executed, including execution by facsimile signature, in one or more counterparts, each of which will be deemed an original, and all of which together shall be deemed to be one and the same instrument.

 

  

 

EX-31.1 4 ex31-1.htm

 

Exhibit 31.1

 

CERTIFICATION PURSUANT TO SECTION 302

OF THE SARBANES-OXLEY ACT OF 2002

 

I, Jack E. Stover, certify that:

 

  1. I have reviewed this Quarterly Report on Form 10-Q for the quarter ended March 31, 2020 of Interpace Biosciences, Inc. (the “registrant”);
     
  2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
     
  3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
     
  4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 

  a. Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
     
  b. Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
     
  c. Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
     
  d. Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

 

  5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

 

  a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
     
  b. Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

Date: June 26, 2020 /s/ Jack E. Stover
  Chief Executive Officer
  (Principal Executive Officer)

 

  

 

EX-31.2 5 ex31-2.htm

 

Exhibit 31.2

 

CERTIFICATION PURSUANT TO SECTION 302

OF THE SARBANES-OXLEY ACT OF 2002

 

I, Fred Knechtel, certify that:

 

  1. I have reviewed this Quarterly Report on Form 10-Q for the quarter ended March 31, 2020 of Interpace Biosciences, Inc. (the “registrant”);
     
  2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
     
  3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
     
  4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 

  a. Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
     
  b. Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
     
  c. Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
     
  d. Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

 

  5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

 

  a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
     
  b. Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

Date: June 26, 2020 /s/ Fred Knechtel
  Chief Financial Officer
  (Principal Financial Officer)

 

  

 

EX-32.1 6 ex32-1.htm

 

Exhibit 32.1

 

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

 

In connection with the Quarterly Report of Interpace Biosciences, Inc. (the “Company”) on form 10-Q for the period ended March 31, 2020 as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Jack E. Stover, as Chief Executive Officer of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, to the best of my knowledge, that:

 

  (1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and
     
  (2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

 

Date: June 26, 2020 /s/ Jack E. Stover
  Chief Executive Officer
  (Principal Executive Officer)

 

  

 

EX-32.2 7 ex32-2.htm

 

Exhibit 32.2

 

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

 

In connection with the Quarterly Report of Interpace Biosciences, Inc. (the “Company”) on form 10-Q for the period ended March 31, 2020 as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Fred Knechtel, as Chief Financial Officer of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, to the best of my knowledge, that:

 

  (1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and
     
  (2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

 

Date: June 26, 2020 /s/ Fred Knechtel
  Chief Financial Officer
  (Principal Financial Officer)

 

  

 

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Warrants (Tables)
3 Months Ended
Mar. 31, 2020
Warrants  
Schedule of Warrants Outstanding and Warrants Activity

Warrants outstanding and warrant activity for the three-months ended March 31, 2020 are as follows:

 

Description   Classification   Exercise Price   Expiration Date   Warrants Issued   Warrants Exercised   Warrants Cancelled/ Expired   Balance
December 31,
2019
  Balance
March 31,
2020
                                 
Private Placement Warrants, issued January 25, 2017   Equity   $ 46.90     June 2022     85,500       -       -       85,500       85,500  
RedPath Warrants, issued March 22, 2017   Equity   $ 46.90     September 2022     10,000       -       -       10,000       10,000  
Underwriters Warrants, issued June 21, 2017   Liability   $ 13.20     December 2022     57,500       -       (4,000 )     53,500       53,500  
Base & Overallotment Warrants, issued June 21, 2017   Equity   $ 12.50     June 2022     1,437,500       (567,286 )     -       870,214       870,214  
Vendor Warrants, issued August 6, 2017   Equity   $ 12.50     August 2020     15,000       -       -       15,000       15,000  
Warrants issued October 12, 2017   Equity   $ 18.00     April 2022     320,000       -       -       320,000       320,000  
Underwriters Warrants, issued January 25, 2019   Equity   $ 9.40     January 2022     65,434       -       -       65,434       65,434  
                                                         
                      1,990,934       (567,286 )     (4,000 )     1,419,648       1,419,648  
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Stock-Based Compensation (Tables)
3 Months Ended
Mar. 31, 2020
Share-based Payment Arrangement [Abstract]  
Schedule of Share-Based Payment Award, Stock Options, Valuation Assumptions

The following table provides the weighted average assumptions used in determining the fair value of the stock option awards granted during the three month periods ended March 31, 2020 and 2019.

 

    March 31, 2020   March 31, 2019
    (unaudited)
Risk-free interest rate     1.51 %     2.51 %
Expected life     6.0 years       6.0 years  
Expected volatility     128.87 %     127.81 %
Dividend yield     -       -  
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Condensed Consolidated Statements of Operations (Unaudited) (Parenthetical) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Income Statement [Abstract]    
Amortization $ 1,031 $ 813
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Liquidity
3 Months Ended
Mar. 31, 2020
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Liquidity
3. LIQUIDITY

 

As of March 31, 2020, the Company had cash and cash equivalents of $13.4 million, net accounts receivable of $9.8 million, total current assets of $28.1 million and total current liabilities of $15.7 million. For the three-months ended March 31, 2020, the Company had a net loss of $6.3 million and cash used in operating activities was $7.1 million.

 

We do not expect to generate positive cash flows from operations for the year ending December 31, 2020. We intend to meet our ongoing capital needs by using our available cash, proceeds under the Securities Purchase and Exchange Agreement, additional borrowings under the Line of Credit as well as by increasing our line of credit limit as a result of the additional accounts receivable acquired in July 2019 as part of our acquisition of the Biopharma business of Cancer Genetics, Inc. or CGI, now our pharma services (which requires a modification to the bank agreement and approval by Silicon Valley Bank (“SVB”), revenue growth and margin improvement, collecting accounts receivable, containing costs as well as exploring other financing options. Management believes that the Company has sufficient cash on hand and sufficient access to cash to sustain operations through at least June 30, 2021.

 

In September 2019, we entered into the Equity Distribution Agreement (the “Agreement”) with Oppenheimer & Co. Inc., as sales agent (the “Agent”), pursuant to which we may, from time to time, issue and sell shares of our common stock in an aggregate offering price of up to $4.8 million through the Agent. See Note 16, Equity, for more details. As of March 31, 2020, approximately 178,000 shares of common stock were sold for net proceeds of approximately $0.7 million. As a result of the preferred shares transaction mentioned below, additional shares may no longer be sold under the ATM arrangement without a majority approval by the holders of the preferred shares. See Note 16, Equity, for more detail.

 

In January 2020, we sold 20,000 Series B preferred shares to investors, led by 1315 Capital, for net proceeds of approximately $19.5 million. See Note 16, Equity, for more detail.

 

The Company maintains an up to a $4.0 million secured Line of Credit facility including a 3-year term loan for $850,000 with SVB. The proceeds of the term loan are expected to be used for laboratory capital expenditures and will be repaid monthly. The balance of the Line of Credit is available for working capital purposes as a revolving line of credit and has a three-year term. The borrowing limit of the revolving line of credit is the lower of 80% of the Company’s eligible accounts receivable (as adjusted by SVB) and the aggregate amount of cash collections with respect to accounts receivable during the three prior calendar months. Term loan outstanding amounts incur interest at a rate per annum equal to the greater of the Wall Street Journal Prime Rate (the “Prime Rate”) and 5.00%. Revolving Line outstanding amounts incur interest at a rate per annum equal to the Prime Rate plus 0.5%. As of March 31, 2020, $1.2 million was outstanding and $2.2 million was remaining on the Line of Credit.

 

See Note 1, Overview, regarding the adverse impact of the COVID-19 pandemic on our results of operations, cash flows and financial condition for the second quarter of fiscal 2020 and possibly beyond.

 

During April 2020, the Company applied for various federal stimulus grants and advances made available under Title 1 of the Coronavirus Aid, Relief, and Economic Security (CARES) Act. As of May 1, 2020, we received $2.1 million in advances under the Centers for Medicare & Medicaid Services (CMS) accelerated and advance payment program, as well as a $0.65 million grant from the Department of Health and Human Services (HSS). The CMS advance will be offset against future Medicare billings of the Company, and the HSS grant is subject to certain conditions regarding its use, including developing coronavirus and serology tests. These grants and advances require certain certifications by the Company and impose specific limitations on the use of the proceeds. Based on these restrictions and limitations, the Company is treating the $0.65 million HSS grant as restricted cash until we have clarity on how the funds can be utilized by the Company based on the specific requirements of the HSS.

 

During April and early May 2020, the Company made payments totaling $888,000 to CGI for funds withheld from the Excess Consideration Note to satisfy certain adjustments and indemnification obligations under the Asset Purchase Agreement. The funds used to satisfy this obligation were not included in cash and cash equivalents as of December 31, 2019 and March 31, 2020. These funds and the related liability were included in Other Assets and Other Current Liabilities, respectively, as of those period ends, and the settlement of the liability had no net impact on the Company’s operating cash flow or liquidity.

 

As of June 17, 2020 we have approximately $16.2 million of cash on hand. Also as of June 17, 2020, the Company has no further availability on its credit facility, but is in the process of completing an agreement with SVB to expand the credit facility. No assurance can be given that such an expansion agreement will be entered into.

XML 18 R14.htm IDEA: XBRL DOCUMENT v3.20.1
Leases
3 Months Ended
Mar. 31, 2020
Leases [Abstract]  
Leases
7. LEASES

 

Finance lease assets are included in fixed assets, net of accumulated depreciation.

 

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

 

    Classification on the Balance Sheet   March 31, 2020
        (unaudited)
Assets            
Financing lease assets   Property and equipment, net   $ 475  
Operating lease assets   Operating lease right of use assets     2,811  
Total lease assets       $ 3,286  
             
Liabilities            
Current            
Financing lease liabilities   Other accrued expenses   $ 160  
Operating lease liabilities   Other accrued expenses     1,251  
Total current lease liabilities       $ 1,411  
Noncurrent            
Financing lease liabilities   Other long-term liabilities     85  
Operating lease liabilities   Operating lease liabilities, net of current portion     1,384  
Total long-term lease liabilities         1,469  
Total lease liabilities       $ 2,880  

 

The weighted average remaining lease term for the Company’s operating leases was 2.6 years as of March 31, 2020 and the weighted average discount rate for those leases was 6.0%. The Company’s operating lease expenses are recorded within cost of revenue and general and administrative expenses. With respect to the Rutherford lease, in March 2020 the Company delivered a notice of early termination which would terminate the lease in March 2021.

 

The table below reconciles the cash flows to the lease liabilities recorded on the Company’s Condensed Consolidated Balance Sheet as of March 31, 2020:

 

    Operating Leases   Financing Leases
2020     1,189       170  
2021     878       120  
2022     660       13  
2023     250       -  
Total minimum lease payments     2,977       303  
Less: amount of lease payments representing effects of discounting     342       58  
Present value of future minimum lease payments     2,635       245  
Less: current obligations under leases     1,251       160  
Long-term lease obligations   $ 1,384     $ 85  

 

As of March 31, 2020, contractual obligations with terms exceeding one year and estimated minimum future rental payments required by non-cancelable operating leases with initial or remaining lease terms exceeding one year were as follows:

 

          Less than     1 to 3     3 to 5     After  
    Total     1 Year     Years     Years     5 Years  
Operating lease obligations   $ 2,977     $ 1,189     $ 1,538     $ 250     $ -  
XML 19 R1.htm IDEA: XBRL DOCUMENT v3.20.1
Document and Entity Information - shares
3 Months Ended
Mar. 31, 2020
Jun. 12, 2020
Document And Entity Information    
Entity Registrant Name INTERPACE BIOSCIENCES, INC.  
Entity Central Index Key 0001054102  
Document Type 10-Q  
Document Period End Date Mar. 31, 2020  
Amendment Flag false  
Current Fiscal Year End Date --12-31  
Entity Current Reporting Status Yes  
Entity Interactive Data Current Yes  
Entity Filer Category Non-accelerated Filer  
Entity Small Business Flag true  
Entity Emerging Growth Company false  
Entity Shell Company false  
Entity Common Stock, Shares Outstanding   4,036,595
Document Fiscal Period Focus Q1  
Document Fiscal Year Focus 2020  
XML 20 R9.htm IDEA: XBRL DOCUMENT v3.20.1
Basis of Presentation
3 Months Ended
Mar. 31, 2020
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Basis of Presentation
2. BASIS OF PRESENTATION

 

The accompanying unaudited interim condensed consolidated financial statements and related notes (the “Interim Financial Statements”) should be read in conjunction with the consolidated financial statements of Interpace Biosciences, Inc. (the “Company” or “Interpace”), and its wholly-owned subsidiaries, Interpace Diagnostics Lab Inc., Interpace Diagnostics Corporation, Interpace Pharma Solutions, Inc. and Interpace Diagnostics, LLC, and related notes as included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, as filed with the SEC on April 22, 2020 and amended on May 29, 2020 (the “Form 10-K”).

 

The condensed Interim Financial Statements of the Company have been prepared in accordance with generally accepted accounting principles in the United States (“GAAP”) for interim financial reporting and the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. The condensed Interim Financial Statements include all normal recurring adjustments that, in the judgment of management, are necessary for a fair presentation of such interim financial statements. Discontinued operations include the Company’s wholly owned subsidiaries: Group DCA, LLC, or Group DCA; InServe Support Solutions; and TVG, Inc. and its Commercial Services (“CSO”) business unit which was sold on December 22, 2015. All significant intercompany balances and transactions have been eliminated in consolidation. Operating results for the three-month period ended March 31, 2020 are not necessarily indicative of the results that may be expected for the fiscal year ending December 31, 2020. All information related to common stock, stock options, restricted stock units, warrants and earnings per share have been retroactively adjusted to give effect to the reverse stock split (1 for 10) that occurred in January 2020.

XML 21 R18.htm IDEA: XBRL DOCUMENT v3.20.1
Income Taxes
3 Months Ended
Mar. 31, 2020
Income Tax Disclosure [Abstract]  
Income Taxes
11. INCOME TAXES

 

Generally, accounting standards require companies to provide for income taxes each quarter based on their estimate of the effective tax rate for the full year. The authoritative guidance for accounting for income taxes allows use of the discrete method when it provides a better estimate of income tax expense. Due to the Company’s valuation allowance position, it is the Company’s position that the discrete method provides a more accurate estimate of income tax expense and therefore income tax expense for the current quarter has been presented using the discrete method. As the year progresses, the Company refines its estimate based on the facts and circumstances by each tax jurisdiction. The following table summarizes income tax expense on loss from continuing operations and the effective tax rate for the three-month periods ended March 31, 2020 and 2019:

 

    Three Months Ended
    March 31,
    2020   2019
    (unaudited)
         
Provision for income tax   $ 15     $ 5  
Effective income tax rate     (0.2 %)     (0.1 %)

 

Income tax expense for the three-month periods ended March 31, 2020 and 2019 was primarily due to minimum state and local taxes.

 

The Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”) was enacted in March 2020. The CARES Act includes several U.S. income tax provisions related to, among other things, net operating loss carrybacks, alternative minimum tax credits, modifications to the net interest deduction limitations, and technical amendments regarding the income tax depreciation of qualified improvement property placed in service after December 31, 2017. The CARES Act is not expected to have a material impact on the Company’s financial results.

XML 22 R52.htm IDEA: XBRL DOCUMENT v3.20.1
Leases - Schedule of Future Minimum Lease Payments Under Non-Cancelable Leases (Details)
$ in Thousands
Mar. 31, 2020
USD ($)
Leases [Abstract]  
Operating lease obligations, Less than 1 Year $ 1,189
Operating lease obligations, 1 to 3 Years 1,538
Operating lease obligations, 3 to 5 Years 250
Operating lease obligations, After 5 Years
Operating lease obligations, Total $ 2,977
XML 23 R56.htm IDEA: XBRL DOCUMENT v3.20.1
Stock-Based Compensation - Schedule of Share-Based Payment Award, Stock Options, Valuation Assumptions (Details)
3 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Share-based Payment Arrangement [Abstract]    
Risk-free interest rate 1.51% 2.51%
Expected life 6 years 6 years
Expected volatility 128.87% 127.81%
Dividend yield 0.00% 0.00%
XML 24 R60.htm IDEA: XBRL DOCUMENT v3.20.1
Line of Credit (Details Narrative) - USD ($)
$ in Thousands
1 Months Ended 3 Months Ended
Nov. 30, 2018
Mar. 31, 2020
Dec. 31, 2019
Nov. 13, 2018
Line of credit   $ 1,200 $ 3,000  
Line of credit outstanding accounts receivable   2,200    
Silicon Valley Bank [Member]        
Line of credit $ 850      
Line of credit outstanding accounts receivable   $ 2,550    
Line of credit facility, description The proceeds of the term loan are expected to be used for laboratory capital expenditures and will be repaid monthly. The balance of the Line of Credit is available for working capital purposes as a revolving line of credit and has a three-year term. The borrowing limit of the revolving line of credit is the lower of 80% of the Company's eligible accounts receivable (as adjusted by SVB) and the aggregate amount of cash collections with respect to accounts receivable during the three prior calendar months. The amount that may be borrowed under the Revolving Line is the lower of (i) $3.75 million or (ii) 80% of the Company's eligible accounts receivable (as adjusted by SVB). Revolving Line outstanding amounts incur interest at a rate per annum equal to the Wall Street Journal Prime Rate plus 0.5%. The Company is also required to pay an unused Revolving Line facility fee monthly in arrears in an amount equal to 0.35% per annum of the average unused but available portion of the Revolving Line. The term loan portion of the SVB Loan Agreement has a maturity date of May 2, 2022, and the Revolving Line has a maturity date three years from the effective date, or November 13, 2021    
Line of credit, percentage 0.50%      
Revolving Line facility fee monthly in arrears, percentage   0.35%    
Line of credit, maturity date   Nov. 13, 2021    
Withdrawn of available funds   $ 1,200    
Silicon Valley Bank [Member] | Prime Rate [Member]        
Line of credit, percentage 5.00% 0.50%    
Loan and Security Agreement [Member] | Silicon Valley Bank [Member]        
Line of credit       $ 4,000
Line of credit outstanding accounts receivable       3,750
Loan and Security Agreement [Member] | Silicon Valley Bank [Member] | Term Loan [Member]        
Line of credit       $ 850
XML 25 R64.htm IDEA: XBRL DOCUMENT v3.20.1
Subsequent Events (Details Narrative) - Subsequent Event [Member] - USD ($)
2 Months Ended
Jun. 03, 2020
May 01, 2020
Apr. 21, 2020
May 31, 2020
Southport Business Park Limited Partnership [Member]        
Subsequent Event [Line Items]        
Lease, description The Amendment provides for an extension of the term of the Lease, which consists of approximately 24,906 square feet utilized by IPS as laboratory and office space to provide its pharma solutions services. The terms of the Lease were set to expire on May 31, 2020. Pursuant to the Amendment, the term of the Lease was extended for ten additional years, commencing on June 1, 2020 and continuing until May 31, 2030 (the "Term"). The minimum rent per rentable square foot pursuant to the Amendment is $14.10 from June 1, 2020 to May 31, 2021, with annual increases of 3%.      
Lease rent increasing percentage 3.00%      
Lease rent forgiveness value $ 175,587      
Southport Business Park Limited Partnership [Member] | Minimum Rent for First Year [Member]        
Subsequent Event [Line Items]        
Minimum lease rent expenses 351,175      
Southport Business Park Limited Partnership [Member] | June 1, 2020 to May 31, 2021 [Member]        
Subsequent Event [Line Items]        
Lease rent, per square foot $ 14      
Centers for Medicare & Medicaid Services [Member]        
Subsequent Event [Line Items]        
Proceeds from loans payable   $ 2,100,000    
Loans payable   2,100,000    
Department of Health and Human Services [Member]        
Subsequent Event [Line Items]        
Proceeds from loans payable     $ 650,000  
Loans payable   650,000    
Department of Health and Human Services (HSS) [Member]        
Subsequent Event [Line Items]        
Loans payable   $ 650,000    
Asset Purchase Agreement [Member]        
Subsequent Event [Line Items]        
Proceeds from loans payable       $ 888,000
XML 26 R47.htm IDEA: XBRL DOCUMENT v3.20.1
Fair Value Measurements - Schedule of Financial Instrument Measured on Recurring Basis (Details) - USD ($)
$ in Thousands
Mar. 31, 2020
Dec. 31, 2019
Reported Value Measurement [Member]    
Warrant liability [1] $ 55 $ 82
Fair value of liabilities [1] 2,921 2,975
Fair Value Measurements [Member]    
Warrant liability [1] 55 82
Fair value of liabilities [1] 2,921 2,975
Level 1 [Member]    
Warrant liability [1]
Fair value of liabilities [1]
Level 2 [Member]    
Warrant liability [1]
Fair value of liabilities [1]
Level 3 [Member]    
Warrant liability [1] 55 82
Fair value of liabilities [1] 2,921 2,975
Asuragen [Member]    
Contingent consideration [1] 2,866 2,893
Asuragen [Member] | Fair Value Measurements [Member]    
Contingent consideration [1] 2,866 2,893
Asuragen [Member] | Level 1 [Member]    
Contingent consideration [1]
Asuragen [Member] | Level 2 [Member]    
Contingent consideration [1]
Asuragen [Member] | Level 3 [Member]    
Contingent consideration [1] $ 2,866 $ 2,893
[1] See Note 9, Accrued Expenses and Long-Term Liabilities
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Goodwill and Other Intangible Assets (Details Narrative) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Dec. 31, 2019
Jul. 15, 2019
Goodwill and Intangible Assets Disclosure [Abstract]        
Intangible assets $ 15,600      
Goodwill 8,433   $ 8,433 $ 8,300
Identifiable intangible assets       $ 7,300
Amortization expense $ 1,000 $ 800    
Estimated amortization expense 5 years      
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Supplemental Cash Flow Information
3 Months Ended
Mar. 31, 2020
Supplemental Cash Flow Elements [Abstract]  
Supplemental Cash Flow Information
15. SUPPLEMENTAL CASH FLOW INFORMATION

 

Supplemental Disclosures of Non Cash Activities

(in thousands)

 

    Three Months Ended  
    March 31,  
    2020     2019  
    (unaudited)  
Operating            
Adoption of ASC 842 - right of use asset   $ -     $ 2,449  
Adoption of ASC 842 - operating lease liability   $ -     $ (2,536 )
Taxes accrued for repurchase of restricted shares   $ -     $ 32  
Financing                
Accrued Financing costs   $ 314     $ 53  
Preferred Stock Deemed Dividend   $ 3,033     $ -  
XML 30 R26.htm IDEA: XBRL DOCUMENT v3.20.1
Subsequent Events
3 Months Ended
Mar. 31, 2020
Subsequent Events [Abstract]  
Subsequent Events
19. SUBSEQUENT EVENTS

 

Federal Stimulus Programs in Connection with Coronavirus Pandemic

 

As of May 1, 2020, we received $2.1 million in advances under the Centers for Medicare & Medicaid Services (CMS) accelerated and advance payment program, as well as a $0.65 million grant from the Department of Health and Human Services (HSS). The CMS advance will be offset against future Medicare billings of the Company, and the HSS grant is subject to certain conditions regarding its use, including developing coronavirus and serology tests. These grants and advances require certain certifications by the Company and impose specific limitations on the use of the proceeds. Based on these restrictions and limitations, the Company is treating the $0.65 million HSS grant as restricted cash until we have clarity on how the funds can be utilized by the Company based on the specific requirements of the HSS. Furthermore, although the Company initially explored the possibility of requesting a loan under the Small Business Administration Paycheck Protection Program, we elected not to complete an application because we are not certain we meet certain criteria of the program.

 

During April and early May 2020, the Company made payments totaling $888,000 to CGI for funds withheld from the Excess Consideration Note to satisfy certain adjustments and indemnification obligations under the Asset Purchase Agreement. The funds used to satisfy this obligation were not included in cash and cash equivalents as of December 31, 2019 and March 31, 2020. These funds and the related liability were included in Other Current Assets and Other Accrued Expenses, respectively, as of those period ends, and the settlement of the liability had no net impact on the Company’s operating cash flow or liquidity.

 

Amendment to Morrisville, North Carolina lease

 

On June 3, 2020, Interpace Pharma Solutions, Inc. (“IPS”), a wholly-owned subsidiary of the Company, entered into an agreement with Southport Business Park Limited Partnership (“the Landlord”) to amend its Morrisville, North Carolina lease effective June 1, 2020 (the “Amendment”). This lease was originally entered into on June 12, 2004 by the Landlord and Cancer Genetics, Inc., the Company’s predecessor-in-interest (the “Original Lease”) and was assigned to the Company on July 15, 2019 (the “Lease Assignment”). The Original Lease together with all amendments, as assigned by the Lease Assignment constitutes the “Lease.” The Company re-affirmed its Guaranty of Lease, dated July 15, 2019, in the Amendment, guaranteeing the obligations of IPS under the Lease.

 

The Amendment provides for an extension of the term of the Lease, which consists of approximately 24,906 square feet utilized by IPS as laboratory and office space to provide its pharma solutions services. The terms of the Lease were set to expire on May 31, 2020. Pursuant to the Amendment, the term of the Lease was extended for ten additional years, commencing on June 1, 2020 and continuing until May 31, 2030 (the “Term”). The minimum rent per rentable square foot pursuant to the Amendment is $14.10 from June 1, 2020 to May 31, 2021, with annual increases of 3%. The minimum rent during the first year under the Amendment is $351,174.60, which is subject to a rent abatement consisting of six months of rent forgiveness totaling $175,587, provided there is no outstanding uncured event of default (as defined in the Lease). The Company shall continue to pay to Landlord additional rent, representing the Company’s proportionate share of any direct expenses, as stipulated in the Lease.

 

Pursuant to the Amendment, the Company has two options to extend the Term for a period of five years each (the “Extended Terms”). Minimum rent during the Extended Terms, if such options are exercised by the Company, is subject to certain “market value” adjustments as provided for in the Amendment. Also pursuant to the Amendment, the Company has the irrevocable right to terminate the Lease on November 30, 2025, as well as on November 30, 2027, providing certain timely notification is given to Landlord, specified events occur (such as a merger or sale of the Company’s business), and specified termination payments are made to Landlord.

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Supplemental Cash Flow Information - Schedule of Supplemental Disclosure of Cash flow Information (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Supplemental Cash Flow Elements [Abstract]    
Adoption of ASC 842 - right of use asset $ 2,449
Adoption of ASC 842 - operating lease liability (2,536)
Taxes accrued for repurchase of restricted shares 32
Accrued Financing costs 314 53
Preferred Stock Deemed Dividend $ 3,033
XML 33 R46.htm IDEA: XBRL DOCUMENT v3.20.1
Goodwill and Other Intangible Assets - Schedule of Future Estimated Amortization Expense (Details)
$ in Thousands
Mar. 31, 2020
USD ($)
Goodwill and Intangible Assets Disclosure [Abstract]  
2020 $ 5,145
2021 5,781
2022 3,859
2023 3,859
2024 $ 3,149
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Summary of Significant Accounting Policies - Schedule of Computation of Dilutive Securities (Details) - shares
3 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Antidilutive Securities Excluded from Computation of Earnings Per Share 2,040,000 1,878,000
Options [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share 578,000 394,000
Stock-Settled Stock Appreciation Rights (SARs) [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share 3,000
Restricted Stock [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share 6,000
Restricted Stock Units (RSUs) [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share 36,000 61,000
Warrants [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share 1,420,000 1,420,000
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Equity
3 Months Ended
Mar. 31, 2020
Equity [Abstract]  
Equity
16. EQUITY

 

Preferred Stock Issuance

 

Securities Purchase and Exchange Agreement

 

On January 10, 2020, the Company entered into a Securities Purchase and Exchange Agreement (the “Securities Purchase and Exchange Agreement”) with 1315 Capital II, L.P., (“1315 Capital”), and Ampersand 2018 Limited Partnership (“Ampersand” and, together with 1315 Capital, the “Investors”) pursuant to which the Company agreed to sell to the Investors an aggregate of $20.0 million in Series B convertible preferred stock of the Company, par value $0.01 per share (the “Series B Preferred Stock”), at an issuance price per share of $1,000. Pursuant to the Securities Purchase and Exchange Agreement, 1315 Capital agreed to purchase 19,000 shares of Series B Preferred Stock at an aggregate purchase price of $19.0 million and Ampersand agreed to purchase 1,000 shares of Series B Preferred Stock at an aggregate purchase price of $1.0 million.

 

In addition, the Company agreed to exchange $27.0 million of the Company’s existing Series A convertible preferred stock, par value $0.01 per share, held by Ampersand (the “Series A Preferred Stock”), represented by 270 shares of Series A Preferred Stock with a stated value of $100,000 per share, which represents all of the Company’s issued and outstanding Series A Preferred Stock, for 27,000 newly issued shares of Series B Preferred Stock (such shares of Series B Preferred Stock, the “Exchange Shares” and such transaction, the “Exchange”). Following the Exchange, no shares of Series A Preferred Stock remained designated, authorized, issued or outstanding. The Series B Preferred Stock has a conversion price of $6.00 as compared to a conversion price of $8.00 on the Series A Preferred Stock, but did not include certain rights applicable to the Series A Preferred Stock, including a six-percent (6%) dividend, and a conversion price adjustment for any failure by the Company to achieve a revenue target of $34.0 million in 2020 related to its diagnostics business or a weighted-average anti-dilution adjustment. Under the terms of the Securities Purchase and Exchange Agreement, Ampersand also agreed to waive all dividends and weighted-average anti-dilution adjustments accrued to date on the Series A Preferred Stock.

 

A convertible financial instrument includes a beneficial conversion feature if its conversion price is lower than the Company’s stock price at the commitment date. The Company determined that the sale of the Series B Preferred resulted in a beneficial conversion feature with an intrinsic value of $2.2 million, which the Company recorded as a reduction to additional paid-in capital upon the sale of the Series B Preferred stock. The Company calculated the intrinsic value of the beneficial conversion feature as the difference between the estimated fair value of the common stock on January 15, 2020 of $6.79 per share and the effective conversion price per share of $6.00 multiplied by the number of shares of common stock issuable upon conversion. The Company fully amortized the beneficial conversion feature during the three months ended March 31, 2020 in accordance with GAAP. The beneficial conversion feature resulted in an increase in the loss attributable to common shareholders for the three months ended March 31, 2020 in the Condensed Consolidated Statement of Operations, as it represents a deemed dividend to the preferred shareholders.

 

ATM program

 

On September 20, 2019, the Company entered into an Equity Distribution Agreement (the “Agreement”) with Oppenheimer & Co. Inc., as sales agent (the “Agent”), pursuant to which the Company may, from time to time, issue and sell shares of its Common Stock, at an aggregate offering price of up to $4.8 million (the “Shares”) through the Agent. Under the terms of the Agreement, the Agent may sell the Shares at market prices by any method that is deemed to be an “at the market offering” as defined in Rule 415 under the Securities Act of 1933, as amended.

 

Subject to the terms and conditions of the Agreement, the Agent will use its commercially reasonable efforts to sell the Shares from time to time, based upon the Company’s instructions. The Company has no obligation to sell any of the Shares, and may at any time suspend sales under the Agreement or terminate the Agreement in accordance with its terms. The Company has provided the Agent with customary indemnification rights, and the Agent will be entitled to a fixed commission of 3.0% of the aggregate gross proceeds from the Shares sold. The Agreement contains customary representations and warranties, and the Company is required to deliver customary closing documents and certificates in connection with sales of the Shares. As of March 31, 2020, approximately 178,000 shares have been sold for net proceeds to the Company of approximately $0.7 million.

 

As a result of the January 15, 2020 Securities Purchase and Exchange Agreement, additional Shares may no longer be sold under the ATM arrangement without a majority approval by the holders of the Series B Preferred Stock in accordance with the Amended and Restated Investor Rights Agreement entered into on that date.

XML 37 R27.htm IDEA: XBRL DOCUMENT v3.20.1
Summary of Significant Accounting Policies (Policies)
3 Months Ended
Mar. 31, 2020
Accounting Policies [Abstract]  
Accounting Estimates

Accounting Estimates

 

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

Revenue Recognition

Revenue Recognition

 

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

 

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

 

For our pharma services, 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.

Deferred Revenue

Deferred Revenue

 

For our pharma services, project level fee revenue is recognized as deferred revenue and recorded at fair value. It represents payments received in advance of services rendered and is recognized ratably over the life of the contract.

Financing and Payment

Financing and Payment

 

For non-Medicare claims, our payment terms vary by payer category. Payment terms for direct-payers in our clinical or diagnostics business are typically thirty days and in our pharma services, up to sixty days. Commercial third-party-payers are required to respond to a claim within a time period established by their respective state regulations, generally between thirty to sixty days. However, payment for commercial third-party claims may be subject to a denial and appeal process, which could take up to two years in some instances where multiple appeals are submitted. The Company generally appeals all denials from commercial third-party payers.

Costs to Obtain or Fulfill a Customer Contract

Costs to Obtain or Fulfill a Customer Contract

 

Sales commissions are expensed when incurred because the amortization period would have been one year or less. These costs are recorded in sales and marketing expense in the condensed consolidated statements of operations.

Accounts Receivable

Accounts Receivable

 

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

Leases

Leases

 

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

 

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

Other Current Assets

Other Current Assets

 

Other current assets consisted of the following as of March 31, 2020 and December 31, 2019:

 

    March 31, 2020     December 31, 2019  
    (unaudited)        
Lab supply inventory     1,885       1,825  
Prepaid expenses     826       971  
Funds in escrow     888       888  
Due from CGI     1,297       92  
Other     80       75  
Total other current assets   $ 4,976     $ 3,851  
Long-lived Assets, Including Finite-lived Intangible Assets

Long-Lived Assets, including Finite-Lived Intangible Assets

 

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

 

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

Basic and Diluted Net Loss Per Share

Basic and Diluted Net Loss per Share

 

A reconciliation of the number of shares of common stock, par value $0.01 per share (the “Common Stock”), used in the calculation of basic and diluted loss per share for the three-month periods ended March 31, 2020 and 2019 is as follows:

 

    Three Months Ended  
    March 31,  
    2020     2019  
      (unaudited)  
Basic weighted average number of common shares     4,004       3,515  
Potential dilutive effect of stock-based awards     -       -  
Diluted weighted average number of common shares     4,004       3,515  

 

 

The Company’s Preferred Stock, on an as converted basis of 7,833,334 shares for the three months ended March 31, 2020, and the following outstanding stock-based awards and warrants were excluded from the computation of the effect of dilutive securities on loss per share for the following periods as they would have been anti-dilutive (rounded to thousands):

 

    Three Months Ended  
    March 31,  
    2020     2019  
    (unaudited)  
Options     578       394  
Stock-settled stock appreciation rights (SARs)     -       3  
Restricted stock     6       -  
Restricted stock units (RSUs)     36       61  
Warrants     1,420       1,420  
      2,040       1,878  
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A0#% M @ Q4#:4#4F5W5: P #Q$ !D ( !P74 'AL+W=O<<" #S"@ &0 M@ $.@0 >&PO=V]R:W-H965T&UL4$L! A0#% @ Q4#:4.S)OUJW @ 7@H !D M ( !(X8 'AL+W=O&PO=V]R M:W-H965T&UL M4$L! A0#% @ Q4#:4$4SS!$, @ _04 !D ( !&PO=V]R:W-H965T.4OKN@$ -(# 9 M " =J1 !X;"]W;W)K&UL4$L! A0#% @ MQ4#:4-";AT[3 0 X 0 !D ( !RY, 'AL+W=O&PO=V]R:W-H965T&UL4$L! A0#% @ Q4#:4 <9"7Q@ P MY \ !D ( !.YL 'AL+W=O[$0% ''P &0 @ '2 MG@ >&PO=V]R:W-H965T&UL4$L! A0#% @ QD#:4+U))&T<9 \7(! !0 M ( !3:< 'AL+W-H87)E9%-T&UL4$L! A0#% @ QD#: M4)SMS3 Q @ ?0D T ( !FPL! 'AL+W-T>6QE&PO=V]R:V)O;VLN>&UL4$L! A0#% @ QD#:4+?0P@\H @ I28 !H M ( !)1,! 'AL+U]R96QS+W=O XML 40 R36.htm IDEA: XBRL DOCUMENT v3.20.1
    Supplemental Cash Flow Information (Tables)
    3 Months Ended
    Mar. 31, 2020
    Supplemental Cash Flow Elements [Abstract]  
    Schedule of Supplemental Disclosure of Cash flow Information

    Supplemental Disclosures of Non Cash Activities

    (in thousands)

     

        Three Months Ended  
        March 31,  
        2020     2019  
        (unaudited)  
    Operating            
    Adoption of ASC 842 - right of use asset   $ -     $ 2,449  
    Adoption of ASC 842 - operating lease liability   $ -     $ (2,536 )
    Taxes accrued for repurchase of restricted shares   $ -     $ 32  
    Financing                
    Accrued Financing costs   $ 314     $ 53  
    Preferred Stock Deemed Dividend   $ 3,033     $ -  
    XML 41 R32.htm IDEA: XBRL DOCUMENT v3.20.1
    Accrued Expenses and Long-Term Liabilities (Tables)
    3 Months Ended
    Mar. 31, 2020
    Accrued Expenses And Long-term Liabilities  
    Schedule of Other Accrued Expenses

    Other accrued expenses consisted of the following as of March 31, 2020 and December 31, 2019:

     

        March 31, 2020     December 31, 2019  
        (unaudited)        
    Accrued royalties   $ 2,101     $ 1,934  
    Contingent consideration     602       502  
    Operating lease liability     1,251       1,321  
    Financing lease liability     160       184  
    Deferred revenue     354       457  
    Payable to CGI     888       888  
    Accrued sales and marketing - diagnostics     167       197  
    Accrued lab costs - diagnostics     104       163  
    Accrued professional fees     1,064       1,399  
    Taxes payable     327       403  
    Unclaimed property     565       565  
    All others     1,056       1,366  
    Total other accrued expenses   $ 8,639     $ 9,379  
    Schedule of Long Term Liabilities

    Long-term liabilities consisted of the following as of March 31, 2020 and December 31, 2019:

     

        March 31, 2020   December 31, 2019
        (unaudited)    
    Warrant liability   $ 55     $ 82  
    Uncertain tax positions     4,146       4,081  
    Deferred revenue     258       269  
    Other     104       141  
    Total other long-term liabilities   $ 4,563     $ 4,573  
    XML 42 R8.htm IDEA: XBRL DOCUMENT v3.20.1
    Overview
    3 Months Ended
    Mar. 31, 2020
    Organization, Consolidation and Presentation of Financial Statements [Abstract]  
    Overview
    1. OVERVIEW

     

    Nature of Business

     

    The Company enables personalized medicine, offering specialized services along the therapeutic value chain from early diagnosis and prognostic planning to targeted therapeutic applications and pharma services. The Company provides molecular diagnostics, bioinformatics and pathology services for evaluation of risk of cancer by leveraging the latest technology in personalized medicine for improved patient diagnosis and management. The Company also provides pharmacogenomics testing, genotyping, biorepository and other specialized services to the pharmaceutical and biotech industries. The Company advances personalized medicine by partnering with pharmaceutical, academic, and technology leaders to effectively integrate pharmacogenomics into their 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 COVID-19 pandemic

     

    We have taken what we believe are all necessary precautions to safeguard our employees from the Coronavirus (COVID-19) pandemic. We are following the Centers for Disease Control and Prevention’s (“CDC”) guidance and local restrictions. The majority of our employees who do not work in a lab are currently on a telecommunication work arrangement and have generally been able to successfully work remotely. Our labs require in-person staffing and as of the date of this report, we have been able to successfully operate our labs through a combination of social distancing and protective equipment. Our employees in the lab are wearing what we believe is appropriate protective gear. There can be no assurance that key employees will not become ill or that we will able to continue to operate our labs. We have furloughed a number of employees as a result of reductions in customer demand.

     

    The extent to which the COVID-19 pandemic impacts our operations is dependent on future developments, which are still highly uncertain and cannot be fully predicted at this time, and include the duration, severity and scope of the outbreak and the actions taken to contain or treat the coronavirus outbreak. In particular, the spread of the coronavirus globally is adversely affecting global economies and financial markets which could materially and adversely impact our operations including, without limitation, the functioning of our laboratories, the availability of supplies including reagents, the progress and data collection of our pharma services, customer demand and travel and employee health and availability.

     

    We believe that the COVID-19 pandemic will adversely impact our results of operations, cash flows and financial condition for the second quarter of fiscal 2020 and possibly beyond. Our fiscal 2020 first quarter revenue was impacted by lower than expected clinical service volume throughout March 2020, which we believe has resulted from the temporary reduction in non-essential testing procedures in connection with the COVID-19 pandemic. Our pharma services first quarter revenue increased throughout the first quarter and average daily accessions improved in March 2020 as compared to January and February 2020. However, as of the date of this Report, our overall business is still down approximately 30% from our run rate before the pandemic.

     

    We continue to monitor the rapidly evolving situation and guidance from authorities, including federal, state and local public health authorities and may take additional actions based on their recommendations. In these dynamic circumstances, there may be developments outside our control requiring us to adjust our operating plan.

     

    At this time, we do not anticipate any lab closures beyond temporary work stoppages from time to time to clean and disinfect the labs. Lab supplies including reagents have been secured to mitigate any potential supply chain issues for the foreseeable future and we are not observing any shortages due to supply chain issues. Our third party clinical services billing and collections company has taken steps to continue operations remotely.

     

    We are monitoring the situation on a daily basis and have developed contingency plans to potentially mitigate the anticipated adverse financial impact of the COVID-19 pandemic. These contingency plans include significant cost saving actions to offset any volume shortfall and additional action plans to react to further potential declines. While we are continuing to make progress on a regular basis in returning to volumes prior to the pandemic there is, however, no guarantee in the future we will recover the business which has been lost or inactive.

    XML 43 R19.htm IDEA: XBRL DOCUMENT v3.20.1
    Segment Information
    3 Months Ended
    Mar. 31, 2020
    Segment Reporting [Abstract]  
    Segment Information
    12. SEGMENT INFORMATION

     

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

    XML 44 R11.htm IDEA: XBRL DOCUMENT v3.20.1
    Summary of Significant Accounting Policies
    3 Months Ended
    Mar. 31, 2020
    Accounting Policies [Abstract]  
    Summary of Significant Accounting Policies
    4. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

     

    Accounting Estimates

     

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

     

    Revenue Recognition

     

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

     

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

     

    For our pharma services, 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.

     

    Deferred Revenue

     

    For our pharma services, project level fee revenue is recognized as deferred revenue and recorded at fair value. It represents payments received in advance of services rendered and is recognized ratably over the life of the contract.

     

    Financing and Payment

     

    For non-Medicare claims, our payment terms vary by payer category. Payment terms for direct-payers in our clinical or diagnostics business are typically thirty days and in our pharma services, up to sixty days. Commercial third-party-payers are required to respond to a claim within a time period established by their respective state regulations, generally between thirty to sixty days. However, payment for commercial third-party claims may be subject to a denial and appeal process, which could take up to two years in some instances where multiple appeals are submitted. The Company generally appeals all denials from commercial third-party payers.

     

    Costs to Obtain or Fulfill a Customer Contract

     

    Sales commissions are expensed when incurred because the amortization period would have been one year or less. These costs are recorded in sales and marketing expense in the condensed consolidated statements of operations.

     

    Accounts Receivable

     

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

     

    Leases

     

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

     

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

      

    Other Current Assets

     

    Other current assets consisted of the following as of March 31, 2020 and December 31, 2019:

     

        March 31, 2020     December 31, 2019  
        (unaudited)        
    Lab supply inventory     1,885       1,825  
    Prepaid expenses     826       971  
    Funds in escrow     888       888  
    Due from CGI     1,297       92  
    Other     80       75  
    Total other current assets   $ 4,976     $ 3,851  

     

    Long-Lived Assets, including Finite-Lived Intangible Assets

     

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

     

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

     

    Basic and Diluted Net Loss per Share

     

    A reconciliation of the number of shares of common stock, par value $0.01 per share (the “Common Stock”), used in the calculation of basic and diluted loss per share for the three-month periods ended March 31, 2020 and 2019 is as follows:

     

        Three Months Ended  
        March 31,  
        2020     2019  
          (unaudited)  
    Basic weighted average number of common shares     4,004       3,515  
    Potential dilutive effect of stock-based awards     -       -  
    Diluted weighted average number of common shares     4,004       3,515  

     

     

    The Company’s Preferred Stock, on an as converted basis of 7,833,334 shares for the three months ended March 31, 2020, and the following outstanding stock-based awards and warrants were excluded from the computation of the effect of dilutive securities on loss per share for the following periods as they would have been anti-dilutive (rounded to thousands):

     

        Three Months Ended  
        March 31,  
        2020     2019  
        (unaudited)  
    Options     578       394  
    Stock-settled stock appreciation rights (SARs)     -       3  
    Restricted stock     6       -  
    Restricted stock units (RSUs)     36       61  
    Warrants     1,420       1,420  
          2,040       1,878  
    XML 45 R4.htm IDEA: XBRL DOCUMENT v3.20.1
    Condensed Consolidated Statements of Operations (Unaudited) - USD ($)
    $ in Thousands
    3 Months Ended
    Mar. 31, 2020
    Mar. 31, 2019
    Income Statement [Abstract]    
    Revenue, net $ 9,200 $ 6,010
    Cost of revenue (excluding amortization of $1,031 and $813, respectively) 6,113 2,622
    Gross profit 3,087 3,388
    Operating expenses:    
    Sales and marketing 2,481 2,411
    Research and development 809 528
    General and administrative 4,887 2,912
    Acquisition related amortization expense 1,031 813
    Total operating expenses 9,208 6,664
    Operating loss (6,121) (3,276)
    Interest accretion (109) (129)
    Other income (expense), net 47 48
    Loss from continuing operations before tax (6,183) (3,357)
    Provision for income taxes 15 5
    Loss from continuing operations, net of tax (6,198) (3,362)
    Less adjustment for preferred stock deemed dividend (3,033)
    Loss from continuing operations attributable to common stockholders (9,231) (3,362)
    Loss from discontinued operations, net of tax (65) (57)
    Net loss attributable to common stockholders $ (9,296) $ (3,419)
    Basic and diluted loss per share of common stock:    
    From continuing operations $ (2.31) $ (0.96)
    From discontinued operations (0.01) (0.01)
    Net loss per basic and diluted share of common stock $ (2.32) $ (0.97)
    Weighted average number of common shares and common share equivalents outstanding:    
    Basic 4,004,000 3,515,000
    Diluted 4,004,000 3,515,000
    XML 46 R15.htm IDEA: XBRL DOCUMENT v3.20.1
    Commitments and Contingencies
    3 Months Ended
    Mar. 31, 2020
    Commitments and Contingencies Disclosure [Abstract]  
    Commitments and Contingencies
    8. COMMITMENTS AND CONTINGENCIES

     

    Litigation

     

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

     

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

    XML 47 R53.htm IDEA: XBRL DOCUMENT v3.20.1
    Accrued Expenses and Long-term Liabilities - Schedule of Other Accrued Expenses (Details) - USD ($)
    $ in Thousands
    Mar. 31, 2020
    Dec. 31, 2019
    Payables and Accruals [Abstract]    
    Accrued royalties $ 2,101 $ 1,934
    Contingent consideration 602 502
    Operating lease liability 1,251 1,321
    Financing lease liability 160 184
    Deferred revenue 354 457
    Payable to CGI 888 888
    Accrued sales and marketing - diagnostics 167 197
    Accrued lab costs - diagnostics 104 163
    Accrued professional fees 1,064 1,399
    Taxes payable 327 403
    Unclaimed property 565 565
    All others 1,056 1,366
    Total other accrued expenses $ 8,639 $ 9,379
    XML 48 R57.htm IDEA: XBRL DOCUMENT v3.20.1
    Income Taxes - Schedule of Effective Income Tax Rate Reconciliation (Details) - USD ($)
    $ in Thousands
    3 Months Ended
    Mar. 31, 2020
    Mar. 31, 2019
    Income Tax Disclosure [Abstract]    
    Provision for income tax $ 15 $ 5
    Effective income tax rate (0.20%) (0.10%)
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    Fair Value Measurements - Schedule of Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation (Details)
    $ in Thousands
    3 Months Ended
    Mar. 31, 2020
    USD ($)
    Beginning Balance $ 2,975
    Payments (136)
    Accretion 109
    Cancellation of Obligation/Conversions Exercises
    Adjustment to Fair Value/Mark to Market (27)
    Ending Balance 2,921
    Underwriter Warrants[Member]  
    Beginning Balance 82
    Payments
    Accretion
    Cancellation of Obligation/Conversions Exercises
    Adjustment to Fair Value/Mark to Market (27)
    Ending Balance 55
    Asuragen [Member]  
    Beginning Balance 2,893
    Payments (136)
    Accretion 109
    Cancellation of Obligation/Conversions Exercises
    Adjustment to Fair Value/Mark to Market
    Ending Balance $ 2,866
    XML 50 R44.htm IDEA: XBRL DOCUMENT v3.20.1
    Goodwill and Other Intangible Assets - Schedule of Identifiable Intangible Assets Carrying Value (Details) - USD ($)
    $ in Thousands
    3 Months Ended
    Mar. 31, 2020
    Dec. 31, 2019
    Finite-lived Intangible Asset, Useful Life (Years) 5 years  
    Finite-lived Intangible Assets, Gross $ 50,920 $ 50,920
    Finite-lived Intangible Assets, Accumulated Amortization (18,450) (17,419)
    Finite-lived Intangible Assets, Net Carrying Value $ 32,470 33,501
    CLIA Lab [Member]    
    Finite-lived Intangible Asset, Useful Life (Years) 2 years 3 months 19 days  
    Finite-lived Intangible Assets, Gross $ 609 609
    Asuragen Acquisition [Member] | Thyroid [Member]    
    Finite-lived Intangible Asset, Useful Life (Years) 9 years  
    Finite-lived Intangible Assets, Gross $ 8,519 8,519
    RedPath Acquisition [Member] | Pancreas Test [Member]    
    Finite-lived Intangible Asset, Useful Life (Years) 7 years  
    Finite-lived Intangible Assets, Gross $ 16,141 16,141
    RedPath Acquisition [Member] | Barrett's Test [Member]    
    Finite-lived Intangible Asset, Useful Life (Years) 9 years  
    Finite-lived Intangible Assets, Gross $ 18,351 18,351
    BioPharma Acquisition [Member] | Trademarks [Member]    
    Finite-lived Intangible Asset, Useful Life (Years) 10 years  
    Finite-lived Intangible Assets, Gross $ 1,600 1,600
    BioPharma Acquisition [Member] | Customer Relationships [Member]    
    Finite-lived Intangible Asset, Useful Life (Years) 8 years  
    Finite-lived Intangible Assets, Gross $ 5,700 $ 5,700
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    Summary of Significant Accounting Policies - Schedule of Other Current Assets (Details) - USD ($)
    $ in Thousands
    Mar. 31, 2020
    Dec. 31, 2019
    Accounting Policies [Abstract]    
    Lab supply inventory $ 1,885 $ 1,825
    Prepaid expenses 826 971
    Funds in escrow 888 888
    Due from CGI 1,297 92
    Other 80 75
    Total other current assets $ 4,976 $ 3,851
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    3 Months Ended
    Mar. 31, 2020
    Dec. 31, 2019
    Warrants Issued 1,990,934  
    Warrants Exercised (567,286)  
    Warrants Cancelled/Expired (4,000)  
    Warrants 1,354,214 1,419,648
    Private Placement Warrants[Member]    
    Description Private Placement Warrants, issued January 25, 2017  
    Classification Equity  
    Exercise Price $ 46.90  
    Expiration Date June 2022  
    Warrants Issued 85,500  
    Warrants Exercised  
    Warrants Cancelled/Expired  
    Warrants 85,500 85,500
    RedPath Warrants[Member]    
    Description RedPath Warrants, issued March 22, 2017  
    Classification Equity  
    Exercise Price $ 46.90  
    Expiration Date September 2022  
    Warrants Issued 10,000  
    Warrants Exercised  
    Warrants Cancelled/Expired  
    Warrants 10,000 10,000
    Underwriter Warrants[Member]    
    Description Underwriters Warrants, issued June 21, 2017  
    Classification Liability  
    Exercise Price $ 13.20  
    Expiration Date December 2022  
    Warrants Issued 57,500  
    Warrants Exercised  
    Warrants Cancelled/Expired (4,000)  
    Warrants 53,500 53,500
    Base & Overallotment Warrants [Member]    
    Description Base & Overallotment Warrants, issued June 21, 2017  
    Classification Equity  
    Exercise Price $ 12.50  
    Expiration Date June 2022  
    Warrants Issued 1,437,500  
    Warrants Exercised (567,286)  
    Warrants Cancelled/Expired  
    Warrants 870,214 870,214
    Vendor Warrants [Member]    
    Description Vendor Warrants, issued August 6, 2017  
    Classification Equity  
    Exercise Price $ 12.50  
    Expiration Date August 2020  
    Warrants Issued 15,000  
    Warrants Exercised  
    Warrants Cancelled/Expired  
    Warrants 15,000 15,000
    Warrants Issued [Member]    
    Description Warrants issued October 12, 2017  
    Classification Equity  
    Exercise Price $ 18.00  
    Expiration Date April 2022  
    Warrants Issued 320,000  
    Warrants Exercised  
    Warrants Cancelled/Expired  
    Warrants 320,000 320,000
    Underwriters Warrants [Member]    
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    Classification Equity  
    Exercise Price $ 9.40  
    Expiration Date January 2022  
    Warrants Issued 65,434  
    Warrants Exercised  
    Warrants Cancelled/Expired  
    Warrants 65,434
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    Line of Credit
    3 Months Ended
    Mar. 31, 2020
    Line of Credit Facility [Abstract]  
    Line of Credit
    14. LINE OF CREDIT

     

    On November 13, 2018 the Company, Interpace Diagnostics Corporation, and Interpace Diagnostics, LLC entered into a Loan and Security Agreement (the “SVB Loan Agreement”) with SVB, which provides for up to $4.0 million of debt financing consisted of a term loan of up to $850,000 and a revolving line of credit based on its outstanding accounts receivable (the “Revolving Line”) of up to $3.75 million. The ability to use the term loan portion of the SVB Loan Agreement expired in 2019.

     

    The amount that may be borrowed under the Revolving Line is the lower of (i) $3.75 million or (ii) 80% of the Company’s eligible accounts receivable (as adjusted by SVB). Revolving Line outstanding amounts incur interest at a rate per annum equal to the Wall Street Journal Prime Rate plus 0.5%. The Company is also required to pay an unused Revolving Line facility fee monthly in arrears in an amount equal to 0.35% per annum of the average unused but available portion of the Revolving Line. The Revolving Line has a maturity date three years from the effective date, or November 13, 2021.

     

    As of March 31, 2020, the Company had drawn $1.2 million of the available funds with the Revolving Line and had $2.55 million of remaining availability. As of December 31, 2019, we were in violation of a financial covenant for which we received a waiver from SVB on March 19, 2020. The Company currently is in compliance with all covenants.

     

    As of June 17, 2020, the Company has maximized its borrowing under its line of credit facility and therefore has no further availability on its credit facility; however, we are in the process of seeking to expand availability under the credit facility on terms similar to existing terms, but there can be no assurance that such credit line extension will be granted or that it will be granted on commercially reasonable and acceptable terms

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    Recent Accounting Pronouncements
    3 Months Ended
    Mar. 31, 2020
    Accounting Changes and Error Corrections [Abstract]  
    Recent Accounting Pronouncements
    18. RECENT ACCOUNTING PRONOUNCEMENTS

     

    Standards not yet effective

     

    In December 2019, the FASB issued ASU No. 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes (“ASU 2019-12”). ASU 2019-12 will simplify the accounting for income taxes by removing certain exceptions to the general principles in Topic 740. The amendments also improve consistent application of and simplify GAAP for other areas of Topic 740 by clarifying and amending existing guidance. The amendment is effective for annual periods beginning after December 15, 2020. We do not expect that the requirements of ASU 2017-04 will have a material impact on our consolidated financial statements.

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    Goodwill and Other Intangible Assets (Tables)
    3 Months Ended
    Mar. 31, 2020
    Goodwill and Intangible Assets Disclosure [Abstract]  
    Schedule of Identifiable Intangible Assets Carrying Value

    The net carrying value of the identifiable intangible assets from all acquisitions as of March 31, 2020 and December 31, 2019 are as follows:

     

              As of March 31, 2020     As of December 31, 2019  
              (unaudited)        
        Life     Carrying     Carrying  
        (Years)     Amount     Amount  
                       
    Asuragen acquisition:                        
    Thyroid     9     $ 8,519     $ 8,519  
    RedPath acquisition:                        
    Pancreas test     7       16,141       16,141  
    Barrett’s test     9       18,351       18,351  
    Pharma services acquisition:                        
    Trademarks     10       1,600       1,600  
    Customer relationships     8       5,700       5,700  
                             
    CLIA Lab     2.3     $ 609     $ 609  
                             
    Total           $ 50,920     $ 50,920  
                             
    Accumulated Amortization           $ (18,450 )   $                               (17,419 )
                             
    Net Carrying Value           $ 32,470     $ 33,501  
    Schedule of Goodwill Carrying Value

    The following table displays a roll forward of the carrying amount of goodwill from December 31, 2019 to March 31, 2020:

     

        Carrying  
        Amount  
    Balance as of December 31, 2019   $ 8,433  
    Adjustments     -  
    Balance as of March 31, 2020   $ 8,433  
    Schedule of Future Estimated Amortization Expense

    Amortization expense was approximately $1.0 million and $0.8 million for the three-month periods ended March 31, 2020 and 2019, respectively. Estimated amortization expense for the next five years is as follows:

     

    2020     2021     2022     2023     2024  
                                         
    $ 5,145     $ 5,781     $ 3,859     $ 3,859     $ 3,149  
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    Condensed Consolidated Statements of Stockholders' Equity (Unaudited) - USD ($)
    $ in Thousands
    Common Stock [Member]
    Treasury Stock [Member]
    Additional Paid-in Capital [Member]
    Accumulated Deficit [Member]
    Total
    Balance at Dec. 31, 2018 $ 287 $ (1,680) $ 175,820 $ (141,489) $ 32,938
    Balance, shares at Dec. 31, 2018 2,877,000 7,000      
    Common stock issued $ 1 1
    Common stock issued, shares 9,000      
    Restricted stock issued
    Restricted stock issued, shares      
    Common stock issued through market sales
    Common stock issued through market sales, shares      
    Common stock issued through offerings $ 94 5,868 5,962
    Common stock issued through offerings, shares 933,000      
    Extinguishment of Series A Shares
    Beneficial Conversion Feature in connection with Series B Issuance
    Amortization of Beneficial Conversion Feature
    Treasury stock purchased $ (32) (32)
    Treasury stock purchased, shares 3,000      
    Stock-based compensation expense 266 266
    Adoption of ASC 842 55 55
    Net loss (3,419) (3,419)
    Balance at Mar. 31, 2019 $ 382 $ (1,712) 181,954 (144,853) 35,771
    Balance, shares at Mar. 31, 2019 3,819,000 10,000      
    Balance at Dec. 31, 2019 $ 393 $ (1,721) 182,514 (168,160) 13,026
    Balance, shares at Dec. 31, 2019 3,932,000 12,000      
    Common stock issued $ 1 1
    Common stock issued, shares 37,000      
    Restricted stock issued
    Restricted stock issued, shares 6,000      
    Common stock issued through market sales $ 8 476 484
    Common stock issued through market sales, shares 80,000      
    Common stock issued through offerings
    Common stock issued through offerings, shares      
    Extinguishment of Series A Shares     (828)   (828)
    Beneficial Conversion Feature in connection with Series B Issuance     2,205   2,205
    Amortization of Beneficial Conversion Feature     (2,205)   (2,205)
    Treasury stock purchased
    Treasury stock purchased, shares      
    Stock-based compensation expense 418 418
    Adoption of ASC 842
    Net loss (6,263) (6,263)
    Balance at Mar. 31, 2020 $ 402 $ (1,721) $ 182,580 $ (174,423) $ 6,838
    Balance, shares at Mar. 31, 2020 4,055,000 12,000      
    XML 58 R13.htm IDEA: XBRL DOCUMENT v3.20.1
    Fair Value Measurements
    3 Months Ended
    Mar. 31, 2020
    Fair Value Disclosures [Abstract]  
    Fair Value Measurements
    6. FAIR VALUE MEASUREMENTS

     

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

     

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

     

     

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

     

        As of March 31, 2020   Fair Value Measurements
        Carrying   Fair   As of March 31, 2020
        Amount   Value   Level 1   Level 2   Level 3
    Liabilities:                      (unaudited)                  
    Contingent consideration:                                        
    Asuragen (1)   $ 2,866     $ 2,866     $ -     $ -     $ 2,866  
    Other long-term liabilities:                                        
    Warrant liability (2)     55       55       -       -       55  
        $ 2,921     $ 2,921     $ -     $ -     $ 2,921  

     

        As of December 31, 2019   Fair Value Measurements
        Carrying   Fair   As of December 31, 2019
        Amount   Value   Level 1   Level 2   Level 3
                         
    Liabilities:                                        
    Contingent consideration:                                        
    Asuragen (1)   $ 2,893     $ 2,893     $ -     $ -     $ 2,893  
    Other long-term liabilities:                                        
    Warrant liability (2)     82       82       -       -       82  
        $ 2,975     $ 2,975     $ -     $ -     $ 2,975  

     

    (1)(2) See Note 9, Accrued Expenses and Long-Term Liabilities

     

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

     

    A roll forward of the carrying value of the Contingent Consideration Liability and the Underwriters’ Warrants to March 31, 2020 is as follows:

     

                    Cancellation   Adjustment    
                    of Obligation/   to Fair Value/    
       

    December 31,

    2019

      Payments   Accretion  

    Conversions

    Exercises

     

    Mark to

    Market

     

    March 31,

    2020

        (unaudited)
    Asuragen   $ 2,893     $ (136 )   $ 109     $      -     $     -     $ 2,866  
                                                     
    Underwriters Warrants     82       -       -       -       (27 )     55  
        $ 2,975     $ (136 )   $ 109     $ -     $ (27 )   $ 2,921  

     

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

    XML 59 R17.htm IDEA: XBRL DOCUMENT v3.20.1
    Stock-Based Compensation
    3 Months Ended
    Mar. 31, 2020
    Share-based Payment Arrangement [Abstract]  
    Stock-Based Compensation
    10. STOCK-BASED COMPENSATION

     

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

     

    The following table provides the weighted average assumptions used in determining the fair value of the stock option awards granted during the three month periods ended March 31, 2020 and 2019.

     

        March 31, 2020   March 31, 2019
        (unaudited)
    Risk-free interest rate     1.51 %     2.51 %
    Expected life     6.0 years       6.0 years  
    Expected volatility     128.87 %     127.81 %
    Dividend yield     -       -  

     

    The Company recognized approximately $0.4 million and $0.5 million of stock-based compensation expense during the three-month periods ended March 31, 2020 and 2019, respectively.

    XML 60 R2.htm IDEA: XBRL DOCUMENT v3.20.1
    Condensed Consolidated Balance Sheets - USD ($)
    $ in Thousands
    Mar. 31, 2020
    Dec. 31, 2019
    Current assets:    
    Cash and cash equivalents $ 13,370 $ 2,321
    Accounts receivable, net of allowance for doubtful accounts of $275 and $25, respectively 9,799 10,197
    Other current assets 4,976 3,851
    Total current assets 28,145 16,369
    Property and equipment, net 6,610 6,814
    Other intangible assets, net 32,470 33,501
    Goodwill 8,433 8,433
    Operating lease right of use assets 2,811 3,892
    Other long-term assets 42 42
    Total assets 78,511 69,051
    Current liabilities:    
    Accounts payable 4,456 4,812
    Accrued salary and bonus 1,865 2,341
    Other accrued expenses 8,639 9,379
    Current liabilities from discontinued operations 766 766
    Total current liabilities 15,726 17,298
    Contingent consideration 2,264 2,391
    Operating lease liabilities, net of current portion 1,384 2,591
    Line of credit 1,200 3,000
    Other long-term liabilities 4,563 4,573
    Total liabilities 25,137 29,853
    Commitments and contingencies (Note 8)
    Preferred stock, $.01 par value; 5,000,000 shares authorized
    Stockholders' equity:    
    Common stock, $.01 par value; 100,000,000 shares authorized; 4,055,454 and 3,932,370 shares issued, respectively; 4,043,673 and 3,920,589 shares outstanding, respectively 402 393
    Additional paid-in capital 182,580 182,514
    Accumulated deficit (174,423) (168,160)
    Treasury stock, at cost (11,781 and 11,781 shares, respectively) (1,721) (1,721)
    Total stockholders' equity 6,838 13,026
    Total liabilities and stockholders' equity 31,975 42,879
    Total liabilities, preferred stock and stockholders' equity 78,511 69,051
    Series A [Member]    
    Current liabilities:    
    Preferred stock, $.01 par value; 5,000,000 shares authorized 26,172
    Series B [Member]    
    Current liabilities:    
    Preferred stock, $.01 par value; 5,000,000 shares authorized $ 46,536
    XML 61 R38.htm IDEA: XBRL DOCUMENT v3.20.1
    Liquidity (Details Narrative) - USD ($)
    1 Months Ended 2 Months Ended 3 Months Ended
    May 01, 2020
    Apr. 21, 2020
    Jan. 31, 2020
    Sep. 30, 2019
    Nov. 30, 2018
    May 31, 2020
    Mar. 31, 2020
    Mar. 31, 2019
    Jun. 17, 2020
    Dec. 31, 2019
    Nov. 30, 2019
    Jul. 31, 2019
    Cash and cash equivalents             $ 13,370,000     $ 2,321,000    
    Accounts receivable, net             9,799,000     10,197,000    
    Total current assets             28,145,000     16,369,000    
    Total current liabilities             15,726,000     17,298,000    
    Net loss             6,263,000 $ 3,419,000        
    Net cash used in operating activities             7,122,000 $ 2,960,000        
    Line of credit facility             1,200,000     $ 3,000,000    
    Line of credit facility, remaining borrowing capacity             2,200,000          
    Public offering generating net proceeds             $ 200,000          
    Sale of common stock             97,817          
    Subsequent Event [Member]                        
    Cash                 $ 16,200,000      
    Silicon Valley Bank [Member]                        
    Line of credit facility         $ 850,000              
    Line of credit facility, remaining borrowing capacity             $ 2,550,000          
    Line of credit facility term loan         3 years              
    Line of credit facility, description         The proceeds of the term loan are expected to be used for laboratory capital expenditures and will be repaid monthly. The balance of the Line of Credit is available for working capital purposes as a revolving line of credit and has a three-year term. The borrowing limit of the revolving line of credit is the lower of 80% of the Company's eligible accounts receivable (as adjusted by SVB) and the aggregate amount of cash collections with respect to accounts receivable during the three prior calendar months.   The amount that may be borrowed under the Revolving Line is the lower of (i) $3.75 million or (ii) 80% of the Company's eligible accounts receivable (as adjusted by SVB). Revolving Line outstanding amounts incur interest at a rate per annum equal to the Wall Street Journal Prime Rate plus 0.5%. The Company is also required to pay an unused Revolving Line facility fee monthly in arrears in an amount equal to 0.35% per annum of the average unused but available portion of the Revolving Line. The term loan portion of the SVB Loan Agreement has a maturity date of May 2, 2022, and the Revolving Line has a maturity date three years from the effective date, or November 13, 2021          
    Line of credit, percentage         0.50%              
    Silicon Valley Bank [Member] | Prime Rate [Member]                        
    Line of credit, percentage         5.00%   0.50%          
    Silicon Valley Bank [Member] | Maximum [Member]                        
    Line of credit facility                     $ 4,000,000  
    Series B Preferred Stock [Member]                        
    Public offering generating net proceeds     $ 19,500,000                  
    Sale of common stock     20,000                  
    Security Purchase and Exchange Agreement [Member]                        
    Line of credit facility                       $ 4,000,000
    Equity Distribution Agreement [Member]                        
    Public offering generating net proceeds       $ 4,800,000                
    ATM Agreement [Member]                        
    Public offering generating net proceeds             $ 700,000          
    Sale of common stock             178,000          
    Centers for Medicare & Medicaid Services [Member] | Subsequent Event [Member]                        
    Loans payable $ 2,100,000                      
    Proceeds from loans payable 2,100,000                      
    Department of Health and Human Services [Member] | Subsequent Event [Member]                        
    Loans payable $ 650,000                      
    Proceeds from loans payable   $ 650,000                    
    Asset Purchase Agreement [Member] | Subsequent Event [Member]                        
    Proceeds from loans payable           $ 888,000            
    Asset Purchase Agreement [Member] | Subsequent Event [Member] | CGI Bio Pharma [Member]                        
    Proceeds from loans payable           $ 888,000            
    XML 62 R34.htm IDEA: XBRL DOCUMENT v3.20.1
    Income Taxes (Tables)
    3 Months Ended
    Mar. 31, 2020
    Income Tax Disclosure [Abstract]  
    Schedule of Effective Income Tax Rate Reconciliation
        Three Months Ended
        March 31,
        2020   2019
        (unaudited)
             
    Provision for income tax   $ 15     $ 5  
    Effective income tax rate     (0.2 %)     (0.1 %)
    XML 63 R30.htm IDEA: XBRL DOCUMENT v3.20.1
    Fair Value Measurements (Tables)
    3 Months Ended
    Mar. 31, 2020
    Fair Value Disclosures [Abstract]  
    Schedule of Financial Instrument Measured on Recurring Basis

    The valuation methodologies used for the Company’s financial instruments measured on a recurring basis at fair value, including the general classification of such instruments pursuant to the valuation hierarchy, is set forth in the tables below:

     

        As of March 31, 2020   Fair Value Measurements
        Carrying   Fair   As of March 31, 2020
        Amount   Value   Level 1   Level 2   Level 3
    Liabilities:                      (unaudited)                  
    Contingent consideration:                                        
    Asuragen (1)   $ 2,866     $ 2,866     $ -     $ -     $ 2,866  
    Other long-term liabilities:                                        
    Warrant liability (2)     55       55       -       -       55  
        $ 2,921     $ 2,921     $ -     $ -     $ 2,921  

     

        As of December 31, 2019   Fair Value Measurements
        Carrying   Fair   As of December 31, 2019
        Amount   Value   Level 1   Level 2   Level 3
                         
    Liabilities:                                        
    Contingent consideration:                                        
    Asuragen (1)   $ 2,893     $ 2,893     $ -     $ -     $ 2,893  
    Other long-term liabilities:                                        
    Warrant liability (2)     82       82       -       -       82  
        $ 2,975     $ 2,975     $ -     $ -     $ 2,975  

     

    (1)(2) See Note 9, Accrued Expenses and Long-Term Liabilities

    Schedule of Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation

    A roll forward of the carrying value of the Contingent Consideration Liability and the Underwriters’ Warrants to March 31, 2020 is as follows:

     

                    Cancellation   Adjustment    
                    of Obligation/   to Fair Value/    
       

    December 31,

    2019

      Payments   Accretion  

    Conversions

    Exercises

     

    Mark to

    Market

     

    March 31,

    2020

        (unaudited)
    Asuragen   $ 2,893     $ (136 )   $ 109     $      -     $     -     $ 2,866  
                                                     
    Underwriters Warrants     82       -       -       -       (27 )     55  
        $ 2,975     $ (136 )   $ 109     $ -     $ (27 )   $ 2,921  
    XML 64 R51.htm IDEA: XBRL DOCUMENT v3.20.1
    Leases - Schedule of Maturities of Operating and Financing Lease Liabilities (Details) - USD ($)
    $ in Thousands
    Mar. 31, 2020
    Dec. 31, 2019
    Leases [Abstract]    
    2020 $ 1,189  
    2021 878  
    2022 660  
    2023 250  
    Total minimum lease payments 2,977  
    Less: amount of lease payments representing effects of discounting 342  
    Present value of future minimum lease payments 2,635  
    Less: current obligations under leases 1,251 $ 1,321
    Long-term lease obligations 1,384 2,591
    2020 170  
    2021 120  
    2022 13  
    2023  
    Total minimum lease payments 303  
    Less: amount of lease payments representing effects of discounting 58  
    Present value of future minimum lease payments 245  
    Less: current obligations under leases 160 $ 184
    Long-term lease obligations $ 85  
    XML 65 R55.htm IDEA: XBRL DOCUMENT v3.20.1
    Stock-Based Compensation (Details Narrative) - USD ($)
    $ in Thousands
    3 Months Ended
    Mar. 31, 2020
    Mar. 31, 2019
    Share-based compensation expense $ 418 $ 538
    Stock Incentive Plan [Member]    
    Share-based compensation arrangement by share-based payment award, description Stock options have been granted with an exercise price equal to the market value of the common stock on the date of grant, expire 10 years from the date they are granted, and generally vested over a one to three-year period for employees and members of the Board. Upon exercise, new shares will be issued by the Company. The Company granted stock options in 2017 which vest monthly over a one-year period. SARs are generally granted with a grant price equal to the market value of the common stock on the date of grant, vest one-third each year on the anniversary of the date of grant and expire five years from the date of grant. The restricted shares and restricted stock units ("RSUs") granted to employees generally have a three-year graded vesting period and are subject to accelerated vesting and forfeiture under certain circumstances. Restricted shares and RSUs granted to Board members generally have a three-year graded vesting period and are subject to accelerated vesting and forfeiture under certain circumstances.  
    XML 66 R59.htm IDEA: XBRL DOCUMENT v3.20.1
    Discontinued Operations - Schedule of Discontinued Operations Amount Recognized in Balance Sheet (Details) - USD ($)
    $ in Thousands
    Mar. 31, 2020
    Dec. 31, 2019
    Discontinued Operations and Disposal Groups [Abstract]    
    Accrued liabilities $ 766 $ 766
    Current liabilities from discontinued operations 766 766
    Total liabilities $ 766 $ 766
    XML 67 R12.htm IDEA: XBRL DOCUMENT v3.20.1
    Goodwill and Other Intangible Assets
    3 Months Ended
    Mar. 31, 2020
    Goodwill and Intangible Assets Disclosure [Abstract]  
    Goodwill and Other Intangible Assets
    5. GOODWILL AND OTHER INTANGIBLE ASSETS

     

    Goodwill is attributable to the acquisition of our pharma services in July 2019. The carrying value of the intangible assets acquired was $15.6 million, with goodwill of approximately $8.3 million and identifiable intangible assets of approximately $7.3 million. The goodwill balance at March 31, 2020 was $8.4 million. The net carrying value of the identifiable intangible assets from all acquisitions as of March 31, 2020 and December 31, 2019 are as follows:

     

              As of March 31, 2020     As of December 31, 2019  
              (unaudited)        
        Life     Carrying     Carrying  
        (Years)     Amount     Amount  
                       
    Asuragen acquisition:                        
    Thyroid     9     $ 8,519     $ 8,519  
    RedPath acquisition:                        
    Pancreas test     7       16,141       16,141  
    Barrett’s test     9       18,351       18,351  
    Pharma services acquisition:                        
    Trademarks     10       1,600       1,600  
    Customer relationships     8       5,700       5,700  
                             
    CLIA Lab     2.3     $ 609     $ 609  
                             
    Total           $ 50,920     $ 50,920  
                             
    Accumulated Amortization           $ (18,450 )   $                               (17,419 )
                             
    Net Carrying Value           $ 32,470     $ 33,501  

     

    The following table displays a roll forward of the carrying amount of goodwill from December 31, 2019 to March 31, 2020:

     

        Carrying  
        Amount  
    Balance as of December 31, 2019   $ 8,433  
    Adjustments     -  
    Balance as of March 31, 2020   $ 8,433  

     

    Amortization expense was approximately $1.0 million and $0.8 million for the three-month periods ended March 31, 2020 and 2019, respectively. Estimated amortization expense for the next five years is as follows:

     

    2020     2021     2022     2023     2024  
                                         
    $ 5,145     $ 5,781     $ 3,859     $ 3,859     $ 3,149  
    XML 68 R7.htm IDEA: XBRL DOCUMENT v3.20.1
    Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
    $ in Thousands
    3 Months Ended
    Mar. 31, 2020
    Mar. 31, 2019
    Cash Flows From Operating Activities    
    Net loss $ (6,263) $ (3,419)
    Adjustments to reconcile net loss to net cash used in operating activities:    
    Depreciation and amortization 1,235 873
    Interest accretion 109 129
    Mark to market on warrants (26) (3)
    Stock-based compensation 418 538
    Bad debt expense 250
    Other gains and expenses, net 18
    Other changes in operating assets and liabilities:    
    Decrease (increase) in accounts receivable 148 (1,738)
    (Increase) decrease in other current assets (1,125) 11
    (Decrease) increase in accounts payable (356) 93
    (Decrease) increase in accrued salaries and bonus (476) 325
    (Decrease) increase in accrued liabilities (1,052) 156
    Increase in long-term liabilities 16 57
    Net cash used in operating activities (7,122) (2,960)
    Cash Flows From Investing Activity    
    Purchase of property and equipment (12)
    Sale of property and equipment 13
    Net cash provided by investing activity 1
    Cash Flows From Financing Activities    
    Issuance of common stock, net of expenses 434 6,015
    Payments on Line of Credit (1,800)
    Issuance of Series B preferred stock, net of expenses 19,537
    Net cash provided by financing activities 18,171 6,015
    Net increase in cash and cash equivalents 11,049 3,056
    Cash and cash equivalents - beginning 2,321 6,068
    Cash and cash equivalents - ending $ 13,370 $ 9,124
    XML 69 R3.htm IDEA: XBRL DOCUMENT v3.20.1
    Condensed Consolidated Balance Sheets (Parenthetical) - USD ($)
    $ in Thousands
    Mar. 31, 2020
    Dec. 31, 2019
    Allowance for doubtful accounts $ 275 $ 25
    Temporary equity, par value $ 0.01 $ 0.01
    Temporary equity, shares authorized 5,000,000 5,000,000
    Common stock, par value $ 0.01 $ 0.01
    Common stock, shares authorized 100,000,000 100,000,000
    Common stock, shares issued 4,055,454 3,932,370
    Common stock, shares outstanding 4,043,673 3,920,589
    Treasury stock, shares 11,781 11,781
    Series A [Member]    
    Temporary equity, shares issued 270 270
    Temporary equity, shares outstanding 270 270
    Series B [Member]    
    Temporary equity, shares issued 47,000 47,000
    Temporary equity, shares outstanding 47,000 47,000
    XML 70 R16.htm IDEA: XBRL DOCUMENT v3.20.1
    Accrued Expenses and Long-Term Liabilities
    3 Months Ended
    Mar. 31, 2020
    Accrued Expenses And Long-term Liabilities  
    Accrued Expenses and Long-Term Liabilities
    9. ACCRUED EXPENSES AND LONG-TERM LIABILITIES

     

    Other accrued expenses consisted of the following as of March 31, 2020 and December 31, 2019:

     

        March 31, 2020     December 31, 2019  
        (unaudited)        
    Accrued royalties   $ 2,101     $ 1,934  
    Contingent consideration     602       502  
    Operating lease liability     1,251       1,321  
    Financing lease liability     160       184  
    Deferred revenue     354       457  
    Payable to CGI     888       888  
    Accrued sales and marketing - diagnostics     167       197  
    Accrued lab costs - diagnostics     104       163  
    Accrued professional fees     1,064       1,399  
    Taxes payable     327       403  
    Unclaimed property     565       565  
    All others     1,056       1,366  
    Total other accrued expenses   $ 8,639     $ 9,379  

     

    Long-term liabilities consisted of the following as of March 31, 2020 and December 31, 2019:

     

        March 31, 2020   December 31, 2019
        (unaudited)    
    Warrant liability   $ 55     $ 82  
    Uncertain tax positions     4,146       4,081  
    Deferred revenue     258       269  
    Other     104       141  
    Total other long-term liabilities   $ 4,563     $ 4,573  
    XML 71 R35.htm IDEA: XBRL DOCUMENT v3.20.1
    Discontinued Operations (Tables)
    3 Months Ended
    Mar. 31, 2020
    Discontinued Operations and Disposal Groups [Abstract]  
    Schedule of Discontinued Operations Amount Recognized in Balance Sheet

    The components of liabilities classified as discontinued operations relate to Commercial Services and consist of the following as of March 31, 2020 and December 31, 2019:

     

        March 31, 2020   December 31, 2019
        (unaudited)    
             
    Accrued liabilities     766       766  
    Current liabilities from discontinued operations     766       766  
    Total liabilities   $ 766     $ 766  
    XML 72 R31.htm IDEA: XBRL DOCUMENT v3.20.1
    Leases (Tables)
    3 Months Ended
    Mar. 31, 2020
    Leases [Abstract]  
    Schedule of Financing and Operating Leases

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

     

        Classification on the Balance Sheet   March 31, 2020
            (unaudited)
    Assets            
    Financing lease assets   Property and equipment, net   $ 475  
    Operating lease assets   Operating lease right of use assets     2,811  
    Total lease assets       $ 3,286  
                 
    Liabilities            
    Current            
    Financing lease liabilities   Other accrued expenses   $ 160  
    Operating lease liabilities   Other accrued expenses     1,251  
    Total current lease liabilities       $ 1,411  
    Noncurrent            
    Financing lease liabilities   Other long-term liabilities     85  
    Operating lease liabilities   Operating lease liabilities, net of current portion     1,384  
    Total long-term lease liabilities         1,469  
    Total lease liabilities       $ 2,880  
    Schedule of Maturities of Operating and Financing Lease Liabilities

    The table below reconciles the cash flows to the lease liabilities recorded on the Company’s Condensed Consolidated Balance Sheet as of March 31, 2020:

     

        Operating Leases   Financing Leases
    2020     1,189       170  
    2021     878       120  
    2022     660       13  
    2023     250       -  
    Total minimum lease payments     2,977       303  
    Less: amount of lease payments representing effects of discounting     342       58  
    Present value of future minimum lease payments     2,635       245  
    Less: current obligations under leases     1,251       160  
    Long-term lease obligations   $ 1,384     $ 85  
    Schedule of Future Minimum Lease Payments Under Non-Cancelable Leases

    As of March 31, 2020, contractual obligations with terms exceeding one year and estimated minimum future rental payments required by non-cancelable operating leases with initial or remaining lease terms exceeding one year were as follows:

     

              Less than     1 to 3     3 to 5     After  
        Total     1 Year     Years     Years     5 Years  
    Operating lease obligations   $ 2,977     $ 1,189     $ 1,538     $ 250     $ -  
    XML 73 R39.htm IDEA: XBRL DOCUMENT v3.20.1
    Summary of Significant Accounting Policies (Details Narrative) - $ / shares
    3 Months Ended
    Mar. 31, 2020
    Dec. 31, 2019
    Accounting Policies [Abstract]    
    Common stock, par value $ 0.01 $ 0.01
    Number preferred stocks on converted basis 7,833,334  
    XML 74 R58.htm IDEA: XBRL DOCUMENT v3.20.1
    Segment Information (Details Narrative)
    3 Months Ended
    Mar. 31, 2020
    Segment
    Segment Reporting [Abstract]  
    Number of segments 1
    XML 75 R50.htm IDEA: XBRL DOCUMENT v3.20.1
    Leases - Schedule of Financing and Operating Leases (Details) - USD ($)
    $ in Thousands
    Mar. 31, 2020
    Dec. 31, 2019
    Financing lease assets $ 475  
    Operating lease assets 2,811  
    Total lease assets 3,286  
    Current financing lease liabilities 160 $ 184
    Current operating lease liabilities 1,251 1,321
    Total current lease liabilities 1,411  
    Noncurrent financing lease liabilities 85  
    Noncurrent operating lease liabilities 1,384 $ 2,591
    Total long-term lease liabilities 1,469  
    Total lease liabilities 2,880  
    Property and Equipment, Net [Member]    
    Financing lease assets 475  
    Operating Lease Right of Use Assets [Member]    
    Operating lease assets 2,811  
    Other Accrued Expenses [Member]    
    Current financing lease liabilities 160  
    Current operating lease liabilities 1,251  
    Operating Lease Liabilities [Member]    
    Noncurrent financing lease liabilities 85  
    Noncurrent operating lease liabilities $ 1,384  
    XML 76 R54.htm IDEA: XBRL DOCUMENT v3.20.1
    Accrued Expenses and Long-term Liabilities - Schedule of Long Term Liabilities (Details) - USD ($)
    $ in Thousands
    Mar. 31, 2020
    Dec. 31, 2019
    Payables and Accruals [Abstract]    
    Warrant liability $ 55 $ 82
    Uncertain tax positions 4,146 4,081
    Deferred revenue 258 269
    Other 104 141
    Total other long-term liabilities $ 4,563 $ 4,573
    XML 77 R45.htm IDEA: XBRL DOCUMENT v3.20.1
    Goodwill and Other Intangible Assets - Schedule of Goodwill Carrying Valuel (Details)
    $ in Thousands
    3 Months Ended
    Mar. 31, 2020
    USD ($)
    Goodwill and Intangible Assets Disclosure [Abstract]  
    Balance Beginning $ 8,433
    Adjustments
    Balance Ending $ 8,433
    XML 78 R41.htm IDEA: XBRL DOCUMENT v3.20.1
    Summary of Significant Accounting Policies - Schedule of Basic and Diluted Net Loss Per Share (Details) - shares
    3 Months Ended
    Mar. 31, 2020
    Mar. 31, 2019
    Accounting Policies [Abstract]    
    Basic weighted average number of common shares 4,004,000 3,515,000
    Potential dilutive effect of stock-based awards
    Diluted weighted average number of common shares 4,004,000 3,515,000
    XML 79 R49.htm IDEA: XBRL DOCUMENT v3.20.1
    Leases (Details Narrative)
    Jan. 02, 2019
    Leases [Abstract]  
    Operating lease term 2 years 7 months 6 days
    Weighted average discount rate leases percentage 6.00%
    XML 80 R62.htm IDEA: XBRL DOCUMENT v3.20.1
    Equity (Details Narrative) - USD ($)
    $ / shares in Units, $ in Thousands
    1 Months Ended 3 Months Ended
    Jan. 15, 2020
    Jan. 10, 2020
    Jan. 31, 2020
    Mar. 31, 2020
    Mar. 31, 2019
    Sep. 20, 2019
    Preferred stock aggregate value       $ 1 $ 1  
    Preferred stock dividend percentage       6.00%    
    Stock issued       178,000    
    Sale of net proceeds       $ 700    
    Series B Preferred Stock [Member]            
    Preferred stock adjusted conversion $ 6.00          
    Company achieve revenue target     $ 34,000      
    Intrinsic value of beneficial conversion feature $ 2,200          
    Intrinsic value of effective conversion price per share $ 6.79          
    Series B [Member]            
    Aggregate of shares issued       27,000    
    Preferred stock adjusted conversion       $ 6.00    
    Series A [Member]            
    Preferred stock par/stated value       $ 0.01    
    Aggregate of shares issued       270    
    Preferred shares stated value       $ 100,000    
    Preferred stock adjusted conversion       $ 8.00    
    Security Purchase and Exchange Agreement [Member] | Series B Convertible Preferred Stock [Member]            
    Preferred stock aggregate value   $ 20,000        
    Security Purchase and Exchange Agreement [Member] | Series B [Member]            
    Preferred stock par/stated value   $ 0.01        
    Issuance price of Preferred Stock   $ 1,000        
    Security Purchase and Exchange Agreement [Member] | Series B [Member] | 1315 Capital [Member]            
    Preferred stock aggregate value   $ 19,000        
    Aggregate of shares issued   19,000        
    Security Purchase and Exchange Agreement [Member] | Series B [Member] | Ampersand 2018 Limited Partnership [Member]            
    Preferred stock aggregate value   $ 1,000        
    Aggregate of shares issued   1,000        
    Equity Distribution Agreement [Member]            
    Aggregate offering price           $ 4,800
    Fixed percentage of commission           3.00%
    XML 81 R28.htm IDEA: XBRL DOCUMENT v3.20.1
    Summary of Significant Accounting Policies (Tables)
    3 Months Ended
    Mar. 31, 2020
    Accounting Policies [Abstract]  
    Schedule of Other Current Assets

    Other current assets consisted of the following as of March 31, 2020 and December 31, 2019:

     

        March 31, 2020     December 31, 2019  
        (unaudited)        
    Lab supply inventory     1,885       1,825  
    Prepaid expenses     826       971  
    Funds in escrow     888       888  
    Due from CGI     1,297       92  
    Other     80       75  
    Total other current assets   $ 4,976     $ 3,851  
    Schedule of Basic and Diluted Net Loss Per Share

    A reconciliation of the number of shares of common stock, par value $0.01 per share (the “Common Stock”), used in the calculation of basic and diluted loss per share for the three-month periods ended March 31, 2020 and 2019 is as follows:

     

        Three Months Ended  
        March 31,  
        2020     2019  
          (unaudited)  
    Basic weighted average number of common shares     4,004       3,515  
    Potential dilutive effect of stock-based awards     -       -  
    Diluted weighted average number of common shares     4,004       3,515  
    Schedule of Computation of Dilutive Securities

    The following outstanding stock-based awards and warrants were excluded from the computation of the effect of dilutive securities on loss per share for the following periods as they would have been anti-dilutive (rounded to thousands):

     

        Three Months Ended  
        March 31,  
        2020     2019  
        (unaudited)  
    Options     578       394  
    Stock-settled stock appreciation rights (SARs)     -       3  
    Restricted stock     6       -  
    Restricted stock units (RSUs)     36       61  
    Warrants     1,420       1,420  
          2,040       1,878  
    XML 82 R20.htm IDEA: XBRL DOCUMENT v3.20.1
    Discontinued Operations
    3 Months Ended
    Mar. 31, 2020
    Discontinued Operations and Disposal Groups [Abstract]  
    Discontinued Operations
    13. DISCONTINUED OPERATIONS

     

    The components of liabilities classified as discontinued operations relate to Commercial Services and consist of the following as of March 31, 2020 and December 31, 2019:

     

        March 31, 2020   December 31, 2019
        (unaudited)    
             
    Accrued liabilities     766       766  
    Current liabilities from discontinued operations     766       766  
    Total liabilities   $ 766     $ 766  
    XML 83 R24.htm IDEA: XBRL DOCUMENT v3.20.1
    Warrants
    3 Months Ended
    Mar. 31, 2020
    Warrants  
    Warrants
    17. WARRANTS

     

    Warrants outstanding and warrant activity for the three-months ended March 31, 2020 are as follows:

     

    Description   Classification   Exercise Price   Expiration Date   Warrants Issued   Warrants Exercised   Warrants Cancelled/ Expired   Balance
    December 31,
    2019
      Balance
    March 31,
    2020
                                     
    Private Placement Warrants, issued January 25, 2017   Equity   $ 46.90     June 2022     85,500       -       -       85,500       85,500  
    RedPath Warrants, issued March 22, 2017   Equity   $ 46.90     September 2022     10,000       -       -       10,000       10,000  
    Underwriters Warrants, issued June 21, 2017   Liability   $ 13.20     December 2022     57,500       -       (4,000 )     53,500       53,500  
    Base & Overallotment Warrants, issued June 21, 2017   Equity   $ 12.50     June 2022     1,437,500       (567,286 )     -       870,214       870,214  
    Vendor Warrants, issued August 6, 2017   Equity   $ 12.50     August 2020     15,000       -       -       15,000       15,000  
    Warrants issued October 12, 2017   Equity   $ 18.00     April 2022     320,000       -       -       320,000       320,000  
    Underwriters Warrants, issued January 25, 2019   Equity   $ 9.40     January 2022     65,434       -       -       65,434       65,434  
                                                             
                          1,990,934       (567,286 )     (4,000 )     1,419,648       1,419,648