10-Q

Table Of Contents

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

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

For the quarterly period ended September 30, 2016 

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 001-36200

________________________

OXFORD IMMUNOTEC GLOBAL PLC

(Exact name of registrant as specified in its charter)

England and Wales	98-1133710
(State or other jurisdiction of	(I.R.S. Employer Identification No.)
incorporation or organization)
94C Innovation Drive, Milton Park, Abingdon OX14 4RZ, United Kingdom	Not Applicable
(Address of Principal Executive Offices)	(Zip Code)

+44 (0)1235 442780

(Registrant’s Telephone Number, Including Area Code)

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.

Yes ☒    No ☐

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted 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 and post such files).

Yes ☒No ☐

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

Large accelerated filer ☐ Accelerated filer ☒ Non-accelerated filer ☐  (Do not check if a smaller reporting company) Smaller reporting company ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).

Yes☐ No☒

As of October 26, 2016, there were 22,602,044 Ordinary Shares, nominal value £0.006705, of Oxford Immunotec Global PLC outstanding.

Oxford Immunotec Global PLC

Form 10-Q

Quarterly Period Ended September 30, 2016

TABLE OF CONTENTS

PART I – FINANCIAL INFORMATION
Item 1.	Financial Statements:
	Condensed consolidated balance sheets as of September 30, 2016 (unaudited) and December 31, 2015	4
	Condensed consolidated statements of operations (unaudited) for the three and nine months ended September 30, 2016 and 2015	5
	Condensed consolidated statements of other comprehensive loss (unaudited) for the three and nine months ended September 30, 2016 and 2015	6
	Condensed consolidated statements of cash flows (unaudited) for the nine months ended September 30, 2016 and 2015	7
	Notes to the unaudited condensed consolidated financial statements	8
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	18
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	32
Item 4.	Controls and Procedures	32
PART II – OTHER INFORMATION
Item 1.	Legal Proceedings	33
Item 1A.	Risk Factors	33
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	33
Item 3.	Defaults Upon Senior Securities	33
Item 4.	Mine Safety Disclosures	33
Item 5.	Other Information	33
Item 6.	Exhibits	33
Signatures		34

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Special note regarding forward-looking statements

This Quarterly Report on Form 10-Q, and exhibits hereto, contains or incorporates by reference estimates, predictions, opinions, projections and other statements that may be interpreted as “forward-looking statements” within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended, or the Exchange Act. The forward-looking statements are contained principally in Part I, Item 2, “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” and Part II, Item 1A, “Risk Factors,” but are also contained elsewhere in this Quarterly Report. In some cases, you can identify forward-looking statements by the words “may,” “might,” “will,” “would,” “could,” “should,” “intend,” “plan,” “contemplate,” “expect,” “anticipate,” “believe,” “estimate,” “predict,” “project,” “target,” “potential,” “continue,” and “ongoing” and other comparable expressions intended to identify statements about the future, although not all forward-looking statements contain these identifying words. These statements involve substantial known and unknown risks, uncertainties and other factors that may cause our actual results, level of activity, performance or achievements to differ materially from those currently anticipated. Forward-looking statements are neither historical facts nor assurances of future performance. Although we believe that we have a reasonable basis for each forward-looking statement contained in this Quarterly Report, we caution you that these statements are based on a combination of facts and factors currently known by us and our expectations of the future, about which we cannot be certain and that involve substantial risks and uncertainties. Such risks and uncertainties include, but are not limited to:

● our history of losses, our ability to achieve or sustain profitability and our ability to manage our growth;

● our ability to further develop, commercialize and achieve market acceptance of our current and future products;

● our ability to obtain regulatory body clearance to market any of our products;

● our ability to successfully develop and complete the acquired in process research and development, or IPR&D, program and profitably commercialize the underlying product candidates before our competitors develop and commercialize similar products, or at all;

● continued demand for diagnostic products for tuberculosis and the development of new market opportunities;

● our ability to compete successfully and to maintain and expand our sales network;

● decisions by insurers and other third party payors with respect to coverage and reimbursement;

● our dependence on certain of our customers, suppliers and service providers;

● disruptions to our business, including disruptions at our laboratories and manufacturing facilities;

● our ability to effectively use our current financial resources and our ability to obtain additional capital resources;

● the integrity and uninterrupted operation of our information technology and storage systems;

● the impact of currency fluctuations on our business;

● our ability to make successful acquisitions or investments and to manage the integration of such acquisitions or investments;

● our ability to retain key members of our management;

● the impact of taxes on our business, including our ability to use net operating losses;

● the impact of legislative and regulatory developments, including healthcare reform, on our business;

● the impact of product liability, intellectual property and commercial litigation on our business;

● our ability to comply with Securities and Exchange Commission, or SEC, reporting, antifraud, anti-corruption, environmental, health and safety laws and regulations;

● our ability to maintain our licenses to sell our products around the world, including in countries such as China and the United States, or U.S., and in the several U.S. states requiring licensure;

● our ability to protect and enforce our intellectual property rights;

● our status as an emerging growth company and as an English company listing ordinary shares in the U.S.;

● the volatility of the price of our shares, substantial future sales of our shares and the fact that we do not pay dividends;

● the impact of anti-takeover provisions under United Kingdom, or U.K., law and our articles of association; and

● the impact of global economic and political developments, including the referendum to leave the European Union, passed by the U.K. on June 23, 2016, on our business.

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You should refer to Part I, Item 1A, “Risk Factors” in our 2015 Annual Report on Form 10-K for a discussion of other important factors that may cause our actual results to differ materially from those expressed or implied by our forward-looking statements. As a result of these factors, we cannot assure you that the forward-looking statements in this Quarterly Report will prove to be accurate. Further, if our forward-looking statements prove to be inaccurate, the inaccuracy may be material. In light of the significant uncertainties in these forward-looking statements, you should not regard these statements as a representation or warranty by us that we will achieve our objectives and plans in any specified time frame, or at all. The forward-looking statements in this Quarterly Report represent our views only as of the date of this Quarterly Report. Subsequent events and developments may cause our views to change. While we may elect to update these forward-looking statements at some point in the future, we undertake no obligation to publicly update any forward-looking statements, except as required by law. You should, therefore, not rely on these forward-looking statements as representing our views as of any date subsequent to the date of this Quarterly Report.

Where you can find more information

We file annual, quarterly and current reports, proxy statements and other information with the SEC. You can inspect, read and copy these reports, proxy statements and other information at the SEC’s Public Reference Room, which is located at 100 F Street, N.E., Washington, D.C. 20549. You can obtain information regarding the operation of the SEC’s Public Reference Room by calling the SEC at 1-800-SEC-0330. The SEC also maintains a website at www.sec.gov that makes available reports, proxy statements and other information regarding issuers that file electronically.

We make available free of charge on our corporate website at www.oxfordimmunotec.com (in the “Investors” section) copies of materials we file with, or furnish to, the SEC. By referring to our corporate website, www.oxfordimmunotec.com, we do not incorporate such website or its contents into this Quarterly Report.

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PART I – FINANCIAL INFORMATION

Item 1. Financial Statements

Oxford Immunotec Global PLC

Condensed consolidated balance sheets

(in thousands, except share and per share data)	September 30, 2016			December 31, 2015
	(unaudited)
Assets
Current assets:
Cash and cash equivalents	$	37,324		$	83,715
Accounts receivable, net		15,139			7,058
Inventory, net		7,313			7,099
Prepaid expenses and other assets		2,212			3,592
Total current assets		61,988			101,464
Restricted cash, non-current		200			80
Property and equipment, net		7,185			6,284
In-process research and development		11,031			1,782
Goodwill		2,691			45
Other intangible assets, net		9,648			179
Other assets		144			18
Total assets	$	92,887		$	109,852
Liabilities and shareholders’ equity
Current liabilities:
Accounts payable	$	2,254		$	3,799
Accrued liabilities		11,314			9,949
Deferred income		53			1,654
Current portion of loans payable		82			79
Total current liabilities		13,703			15,481
Long-term portion of loans payable		323			386
Contingent purchase price consideration		1,502			1,293
Total liabilities		15,528			17,160
Commitments and contingencies (Note 2)
Shareholders’ equity:
Ordinary shares, £0.006705 nominal value; 36,183,293 shares authorized at September 30, 2016 and December 31, 2015, and 22,581,222 and 22,549,488 shares issued and outstanding at September 30, 2016 and December 31, 2015, respectively		243			243
Additional paid-in capital		247,875			244,033
Accumulated deficit		(163,798	)		(146,307	)
Accumulated other comprehensive loss		(6,961	)		(5,277	)
Total shareholders’ equity		77,359			92,692
Total liabilities and shareholders’ equity	$	92,887		$	109,852

See accompanying notes to these unaudited condensed consolidated financial statements.

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Oxford Immunotec Global PLC

Condensed consolidated statements of operations

(unaudited)

	Three months ended September 30,						Nine months ended September 30,
(in thousands, except share and per share data)	2016			2015			2016			2015
Revenue:
Product	$	9,713		$	8,310		$	27,144		$	22,045
Service		16,396			9,634			35,229			23,952
Total revenue		26,109			17,944			62,373			45,997
Cost of revenue:
Product		3,616			3,757			10,421			9,712
Service		7,887			4,312			17,853			11,514
Total cost of revenue		11,503			8,069			28,274			21,226
Gross profit		14,606			9,875			34,099			24,771
Operating expenses:
Research and development		3,592			3,187			10,009			8,392
Sales and marketing		8,794			7,381			26,665			22,549
General and administrative		6,466			4,137			16,200			11,788
Total operating expenses		18,852			14,705			52,874			42,729
Loss from operations		(4,246	)		(4,830	)		(18,775	)		(17,958	)
Other (expense) income:
Interest expense, net		(54	)		(19	)		(88	)		(53	)
Foreign exchange gains (losses)		470			476			1,707			(33	)
Other (expense) income		(106	)		(64	)		(243	)		50
Loss before income taxes		(3,936	)		(4,437	)		(17,399	)		(17,994	)
Income tax expense		60			46			92			94
Net loss	$	(3,996	)	$	(4,483	)	$	(17,491	)	$	(18,088	)
Net loss per share attributable to ordinary shareholders—basic and diluted	$	(0.18	)	$	(0.20	)	$	(0.78	)	$	(0.84	)
Weighted-average shares used to compute net loss attributable to ordinary shareholders—basic and diluted		22,365,349			22,259,840			22,333,911			21,619,375

See accompanying notes to these unaudited condensed consolidated financial statements.

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Oxford Immunotec Global PLC

Condensed consolidated statements of other comprehensive loss

(unaudited)

	Three months ended September 30,						Nine months ended September 30,
(in thousands)	2016			2015			2016			2015
Net loss	$	(3,996	)	$	(4,483	)	$	(17,491	)	$	(18,088	)
Other comprehensive income (loss), net of taxes:
Foreign currency translation adjustment, net of taxes		(411	)		(394	)		(1,684	)		(375	)
Other comprehensive income (loss), net of taxes		(411	)		(394	)		(1,684	)		(375	)
Total comprehensive loss	$	(4,407	)	$	(4,877	)	$	(19,175	)	$	(18,463	)

See accompanying notes to these unaudited condensed consolidated financial statements.

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Oxford Immunotec Global PLC

Condensed consolidated statements of cash flows

(unaudited)

	Nine months ended September 30,
(in thousands)	2016			2015
Cash flows from operating activities
Net loss	$	(17,491	)	$	(18,088	)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization		2,067			1,533
Intangible asset impairment charge		—			385
Share-based compensation expense		3,827			2,582
Change in fair value of contingent purchase price consideration		172			148
Changes in operating assets and liabilities:
Accounts receivable, net		(8,659	)		(721	)
Inventory, net		(782	)		(162	)
Prepaid expenses and other assets		1,177			12
Accounts payable		(1,235	)		770
Accrued liabilities		1,882			922
Deferred income		(1,505	)		(258	)
Net cash used in operating activities		(20,547	)		(12,877	)
Cash flows from investing activities
Purchases of property and equipment		(2,351	)		(2,466	)
Purchases of intangible assets		—			(45	)
Cash paid for acquisition		(22,200	)		—
(Increase) decrease in restricted cash		(120	)		200
Net cash used in investing activities		(24,671	)		(2,311	)
Cash flows from financing activities
Proceeds from issuance of ordinary shares		—			53,762
Proceeds from exercise of share options		15			14
Payments on loan		(59	)		(107	)
Net cash (used in) provided by financing activities		(44	)		53,669
Effect of exchange rate changes on cash and cash equivalents		(1,129	)		(163	)
Net (decrease) increase in cash and cash equivalents, excluding restricted cash		(46,391	)		38,318
Cash and cash equivalents at beginning of period		83,715			50,165
Cash and cash equivalents at end of period	$	37,324		$	88,483

See accompanying notes to these unaudited condensed consolidated financial statements.

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Oxford Immunotec Global PLC

Notes to Unaudited Condensed Consolidated Financial Statements

September 30, 2016

1. Business and basis of presentation

Description of business

Oxford Immunotec Global PLC, or the Company, is a global, high-growth diagnostics company focused on developing and commercializing proprietary tests for the management of underserved immune-regulated conditions. The Company’s first product is the TSPOT^®.TB test, which is used to test for tuberculosis infection. The T-SPOT.TB test has been approved for sale in over 50 countries, including the United States, where it has received pre-market approval from the Food and Drug Administration; Europe, where it has obtained a CE mark; and Japan and China. The Company’s second product line is a range of assays for tick-borne diseases, such as Lyme disease, obtained through the acquisitions of Imugen, Inc., or Imugen, and Immunetics, Inc., or Immunetics. The T-SPOT.CMV test and the T-SPOT.PRT test are part of the Company’s third product line focused on the transplantation market. In addition to these three product lines, the Company has additional active development programs in other immune-regulated conditions.

Unaudited interim financial statements

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles for interim financial information and with 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 generally accepted accounting principles for complete financial statements. In the opinion of management, the interim condensed consolidated financial statements reflect all adjustments, of a normal recurring nature, necessary for a fair statement of the financial position at September 30, 2016, the results of operations for the three and nine-month periods ended September 30, 2016 and 2015, and the cash flows for the nine-month periods ended September 30, 2016 and 2015. Interim results are not necessarily indicative of results for a full year.

The consolidated balance sheet presented as of December 31, 2015, has been derived from the audited consolidated financial statements as of that date. The consolidated financial statements and notes included in this report should be read in conjunction with the 2015 consolidated financial statements and notes included in the Company’s Annual Report on Form 10-K, as filed with the Securities and Exchange Commission on March 1, 2016, or the Company’s 2015 Form 10-K.

Note 1 to the consolidated financial statements included in the Company’s 2015 Form 10-K describes the significant accounting estimates and policies used in preparation of the consolidated financial statements. There have been no material changes in the Company’s significant accounting policies during the three and nine-month periods ended September 30, 2016.

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Recent accounting pronouncements

In May 2014, the Financial Accounting Standards Board, or FASB, issued Accounting Standards Update, or ASU, 2014-09, Revenue from Contracts with Customers, or ASU 2014-09, or Topic 606, which converges the FASB and the International Accounting Standards Board standards on revenue recognition. Under ASU 2014-09, a company should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the company expects to be entitled in exchange for those goods or services. This guidance will be effective for the Company for annual and interim periods beginning after December 15, 2017. Early adoption is permitted for annual and interim periods beginning after December 15, 2016. The guidance allows for either “full retrospective” adoption, meaning the standard is applied to all of the periods presented, or “modified retrospective” adoption, meaning the standard is applied only to the most current period presented in the financial statements. The Company is currently evaluating ASU 2014-09 and has not yet determined how it may impact the Company’s financial position or results of operations and related disclosures.

In April 2016, the FASB issued ASU 2016-10, Identifying Performance Obligations and Licensing, or ASU 2016-10, which amends the guidance in ASU 2014-09 with respect to certain implementation issues on identifying performance obligations and accounting for licenses of intellectual property. The new guidance permits companies to either apply the requirements retrospectively to all prior periods presented, or apply the requirements in the year of adoption through a cumulative adjustment. The Company is currently evaluating ASU 2016-10 and has not yet determined how it may impact the Company’s financial position or results of operations and related disclosures.

In May 2016, the FASB issued ASU 2016-11, Rescission of SEC Guidance Because of Accounting Standards Updates 2014-09 and 2014-16 Pursuant to Staff Announcements at the March 3, 2016 EITF Meeting, or ASU 2016-11. ASU 2016-11 rescinds certain SEC Staff Observer comments that are codified in Topic 605, Revenue Recognition, and Topic 932, Extractive Activities — Oil and Gas, effective upon adoption of Topic 606, Revenue from Contracts with Customers. Specifically, registrants should not rely on the following SEC Staff Observer comments upon adoption of Topic 606: (a) Revenue and Expense Recognition for Freight Services in Process, (b) Accounting for Shipping and Handling Fees and Costs, (c) Accounting for Consideration Given by a Vendor to a Customer (including Reseller of the Vendor’s Products) and (d) Accounting for Gas-Balancing Arrangements (that is, use of the “entitlements method”). In addition, as a result of the amendments in Update 2014-16, the SEC staff is rescinding its SEC Staff Announcement, “Determining the Nature of a Host Contract Related to a Hybrid Instrument Issued in the Form of a Share under Topic 815,” effective concurrently with Update 2014-16. The Company is currently evaluating ASU 2016-11 and has not yet determined how it may impact the Company’s financial position or results of operations and related disclosures.

In May 2016, the FASB issued ASU 2016-12, Narrow-Scope Improvements and Practical Expedients, or ASU 2016-12. ASU 2016-12 amends guidance in Topic 606 on collectibility, presentation of sales taxes, noncash consideration and transition and are intended to address implementation issues that were raised by stakeholders and provide additional practical expedients. The effective date for this update is the same as the effective date for ASU 2014-09. The Company is currently evaluating ASU 2016-12 and has not yet determined how it may impact the Company’s financial position or results of operations and related disclosures.

In August 2014, the FASB issued ASU 2014-15, Presentation of Financial Statements - Going Concern, or ASU 2014-15. ASU 2014-15 will be effective for fiscal years and interim periods beginning after December 15, 2016 and early application is permitted. ASU 2014-15 requires that management evaluate at each annual and interim reporting period whether there is a substantial doubt about an entity’s ability to continue as a going concern within one year of the date that the financial statements are issued. The Company does not expect that the application of ASU 2014-15 will have an impact on the presentation of its results of operations, financial position or disclosures.

In April 2015, the FASB issued ASU 2015-05, Customer’s Accounting for Fees Paid in a Cloud Computing Arrangement, or ASU 2015-05. ASU 2015-05 amends existing accounting guidance to provide explicit guidance related to a customer’s accounting for fees paid in a cloud computing arrangement. Under the guidance, cloud computing arrangements that include a software license would be accounted for consistent with the acquisition of other software licenses. Conversely, cloud computing arrangements that do not include a software license would be accounted for as a service contract. The Company adopted ASU 2015-05 effective January 1, 2016 and there was no impact on the presentation of its results of operations, financial position or disclosures.

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In July 2015, the FASB issued ASU 2015-11, Simplifying the Measurement of Inventory, or ASU 2015-11. ASU 2015-11 requires that an entity should measure inventory within the scope of ASU 2015-11 at the lower of cost and net realizable value. Net realizable value is the estimated selling prices in the ordinary course of business, less reasonably predictable costs of completion, disposal, and transportation. This guidance will be effective for the Company for annual and interim periods beginning after December 15, 2016. The amendments in ASU 2015-11 are to be applied prospectively with earlier application permitted as of the beginning of an interim or annual reporting period. The Company is currently evaluating ASU 2015-11 and has not yet determined how it may impact the Company’s financial position or results of operations and related disclosures.

In February 2016, the FASB issued ASU 2016-02, Leases, or ASU 2016-02. ASU 2016-02 requires lessees to put most leases on their balance sheets but recognize expenses on their income statements in a manner similar to current accounting. The guidance also eliminates real estate-specific provisions for all entities. The new guidance will be effective for the Company for annual and interim periods beginning after December 15, 2018. Early adoption is permitted. The Company is currently evaluating ASU 2016-02 and has not yet determined how it may impact its financial position or results of operations and related disclosures.

In March 2016, the FASB issued ASU 2016-09, Improvements to Employee Share-Based Payment Accounting, or ASU 2016-09. ASU 2016-09 is intended to simplify several areas of accounting for share-based compensation arrangements, including the income tax impact, classification on the statement of cash flows and forfeitures. The new guidance will be effective for the Company for annual and interim periods beginning after December 15, 2016. Early adoption is permitted. The Company does not expect ASU 2016-09 to have a material impact on the presentation of its results of operations, financial position or disclosures.

In June 2016, the FASB issued ASU 2016-13, Financial Instruments-Credit Losses, or ASU 2016-13. ASU 2016-13 requires a financial asset (or a group of financial assets) measured at amortized cost basis to be presented at the net amount expected to be collected. Under current Generally Accepted Accounting Principles, or GAAP, a company only considered past events and current conditions in measuring an incurred loss. Under ASU 2016-13, the information that a company must consider is broadened in developing an expected credit loss estimate for assets measured either collectively or individually. The use of forecasted information incorporates more timely information in the estimate of expected credit loss. The new guidance will be effective for the Company for annual and interim periods beginning after December 15, 2019. Early adoption is permitted for annual and interim periods beginning after December 15, 2018. The Company does not expect ASU 2016-13 to have a material impact on the presentation of its results of operations, financial position or disclosures.

In August 2016, the FASB issued ASU 2016-15, Classification of Certain Cash Receipts and Cash Payments, or ASU 2016-15. ASU 2016-15 is intended to reduce the diversity in practice in how certain cash receipts and cash payments are presented and classified in the statement of cash flows. The new guidance will be effective for the Company for annual and interim periods beginning after December 15, 2017. Early adoption is permitted, including adoption in an interim period. The Company is currently evaluating ASU 2016-15 and has not yet determined how it may impact its statement of cash flows.

Under the U.S. Jumpstart our Business Startups Act, or the JOBS Act, emerging growth companies that become public can delay adopting new or revised accounting standards until such time as those standards apply to private companies. The Company irrevocably elected not to avail itself of this exemption from new or revised accounting standards and, therefore, it is subject to the same new or revised accounting standards as public companies that are not emerging growth companies.

2. Fair value measurement

As a basis for determining the fair value of certain of the Company’s financial instruments, the Company utilizes a three-tier value hierarchy, which prioritizes the inputs used in measuring fair value as follows:

Level I—Observable inputs such as quoted prices in active markets for identical assets or liabilities.

Level II—Observable inputs, other than Level I prices, such as quoted prices for similar assets or liabilities, quoted prices in markets that are not active or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.

Level III—Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.

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This hierarchy requires the Company to use observable market data, when available, and to minimize the use of unobservable inputs when determining fair value. The carrying amount of certain of the Company’s financial instruments, including cash, accounts receivable, prepaid expenses and other assets, accounts payable, and accrued liabilities approximate fair value due to their short maturities.

Assets and liabilities measured at fair value are classified in their entirety based on the lowest level of input that is significant to the fair value measurement. The Company’s assessment of the significance of a particular input to the entire fair value measurement requires management to make judgments and consider factors specific to the asset or liability.

The following tables present information about the balances of liabilities measured at fair value on a recurring basis and indicate the fair value hierarchy of the valuation techniques utilized to determine such fair value. In general, fair values determined by Level 1 inputs utilize quoted prices (unadjusted) in active markets for identical assets or liabilities. Fair values determined by Level 2 inputs utilize data points that are observable such as quoted prices, interest rates, and yield curves. Fair values determined by Level 3 inputs are unobservable data points for the asset or liability, and include situations where there is little, if any, market activity for the asset or liability. The Company did not have any financial assets measured at fair value on a recurring basis.

			Fair value measurements at September 30, 2016 using
(in thousands)	September 30, 2016		Quoted prices in active markets for identical assets (Level 1)		Significant other observable inputs (Level 2)		Significant unobservable inputs (Level 3)
Liabilities:
Contingent purchase price consideration	$	1,502	$	—	$	—	$	1,502
Total	$	1,502	$	—	$	—	$	1,502

			Fair value measurements at December 31, 2015 using
(in thousands)	December 31, 2015		Quoted prices in active markets for identical assets (Level 1)		Significant other observable inputs (Level 2)		Significant unobservable inputs (Level 3)
Liabilities:
Contingent purchase price consideration	$	1,293	$	—	$	—	$	1,293
Total	$	1,293	$	—	$	—	$	1,293

On July 31, 2014, the Company acquired substantially all of the assets of Boulder Diagnostics, Inc., or Boulder, a privately owned company developing immunology-based assays for autoimmune and inflammatory conditions/diseases. The terms of the purchase agreement included contingent purchase price consideration consisting of future potential milestone payments totaling up to $6.1 million at any time on or prior to July 31, 2024. The milestone payments are for the completion of studies related to acquired technologies, development of diagnostic test kits, patient enrollment in an Institutional Review Board approved study, issuance of patents, and approvals or clearances by the U.S. Food and Drug Administration, or FDA. The fair value of future potential milestone payments was determined based upon a probability weighted analysis of expected future milestone payments to be made to the seller, which are considered as Level 3 inputs.

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The following tables provide summaries of changes in the fair value of the Company's Level 3 financial liabilities for the three and nine-month periods ended September 30, 2016:

(in thousands)	Three months ended September 30, 2016		Nine months ended September 30, 2016
Balance – beginning	$	1,428	$	1,293
Change in fair value of contingent purchase price consideration		60		172
Foreign currency adjustment		14		37
Balance – ending	$	1,502	$	1,502

The change in fair value of the contingent purchase price consideration is included in research and development expense.

3. Accounts receivable, net

Accounts receivable, net, consisted of the following as of:

(in thousands)	September 30, 2016			December 31, 2015
Accounts receivable	$	15,916		$	7,372
Less allowance for uncollectible accounts receivable		(777	)		(314	)
Accounts receivable, net	$	15,139		$	7,058

4. Inventory, net

Inventory, net consisted of the following as of:

(in thousands)	September 30, 2016		December 31, 2015
Raw materials	$	4,110	$	3,925
Finished goods		3,203		3,174
Inventory, net	$	7,313	$	7,099

Inventory, net includes $805,000 in inventory related to the Company’s magnetic bead process, which is being reimplemented in our Memphis lab.

5. Goodwill and acquired intangible assets

The following table sets forth the changes in the carrying amount of goodwill for the nine months ended September 30, 2016 (in thousands):

Balance at December 31, 2015	$	45
Foreign currency adjustment		1
Imugen acquisition (Note 10)		2,645
Balance at September 30, 2016	$	2,691

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Acquired intangible assets consisted of the following as of September 30, 2016 and December 31, 2015:

	As of September 30, 2016
(in thousands)	Amortization period (years)			Gross carrying amount		Accumulated Amortization		Net carrying amount
Boulder in-process research and development		Indefinite		$	1,831	$	—	$	1,831
Imugen in-process research and development		Indefinite			9,200		—		9,200
Imugen technology - clinical		15			5,100		85		5,015
Imugen customer relationships		10			2,700		68		2,632
Imugen trademarks / trade names		16			1,900		30		1,870
Other	5	-	10		665		534		131
Total				$	21,396	$	717	$	20,679

	As of December 31, 2015
(in thousands)	Amortization period (years)			Gross carrying amount		Accumulated Amortization		Net carrying amount
Boulder in-process research and development		Indefinite		$	1,782	$	—	$	1,782
Imugen in-process research and development		Indefinite			—		—		—
Imugen technology - clinical		15			—		—		—
Imugen customer relationships		10			—		—		—
Imugen trademarks / trade names		16			—		—		—
Other	5	-	10		758		579		179
Total				$	2,540	$	579	$	1,961

The weighted average amortization period of our finite-lived intangible assets is 13.5 years. Amortization expense related to acquired intangible assets is estimated at $0.2 million for the remainder of 2016 and $0.7 million per year for 2017 through 2021.

The acquired in-process research and development, or IPR&D, assets include $1.8 million related to assays for Lyme disease and gout that were acquired in conjunction with the Boulder acquisition and $9.2 million for in-process research and development acquired in conjunction with the Imugen acquisition.

IPR&D acquired in a business combination is capitalized at fair value and is subject to impairment testing at least annually until the underlying project is completed. Once the project is completed, the carrying value of IPR&D is amortized over the estimated useful life of the asset. Post-acquisition research and development expenses related to the acquired IPR&D are expensed as incurred.

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6. Accrued liabilities

Accrued liabilities consisted of the following as of:

(in thousands)	September 30, 2016		December 31, 2015
Employee related expenses	$	5,311	$	4,478
Royalties		2,879		3,498
Clinical trials		1,221		442
Professional services		481		333
Sales and use taxes payable		279		193
Rent		85		56
Market research		83		26
Inventory		78		85
Other accrued liabilities		897		838
Total accrued liabilities	$	11,314	$	9,949

7. Share option and equity incentive plan

The impact on the Company’s results of operations from share-based compensation was as follows:

	Three months ended September 30,				Nine months ended September 30,
(in thousands)	2016		2015		2016		2015
Cost of revenue	$	28	$	147	$	15	$	386
Research and development		162		56		394		166
Sales and marketing		490		302		1,385		725
General and administrative		688		489		2,033		1,305
Total share-based compensation	$	1,368	$	994	$	3,827	$	2,582

In November 2013, in connection with the Company’s initial public offering, the Company adopted the 2013 Share Incentive Plan, or the 2013 Plan, which provides for the grant of share options, restricted shares, restricted share units, or RSUs, and other share-based awards to employees, officers, directors and consultants of the Company.

During the three month period ended September 30, 2016, the Company did not award any share options. During the nine month period ended September 30, 2016, the Company granted to certain employees 722,964 share options with exercise prices ranging from $8.65 to $11.86 per share under the 2013 Plan. The weighted-average grant date fair value related to share options granted under the 2013 Plan during the nine month period ended September 30, 2016 was $4.47 per share. Share options generally vest based on the grantee’s continued service with the Company during a specified period following the vesting start date or, in rare instances, based on the achievement of performance or other conditions as determined by the Board of Directors, and expire after ten years.

During the three month period ended September 30, 2016, the Company did not award any RSUs. During the nine month period ended September 30, 2016, the Company awarded to certain employees 108,361 RSUs with a weighted average grant date fair value of $10.21 per share under the 2013 Plan. The RSUs vest based on the grantee’s continued service with the Company during a specified period following grant as follows: 40% on the second anniversary of the vesting start date; 30% on the third anniversary of the vesting start date; and 30% on the fourth anniversary of the vesting start date. Share-based compensation expense for these restricted shares is calculated based on the grant date market price of the shares and is being recognized over the vesting period.

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For the three month period ended September 30, 2016, the Company incurred shared-based compensation expense related to share options and restricted shares/RSUs of $844,000 and $524,000, respectively. For the three month period ended September 30, 2015, the Company incurred shared-based compensation expense related to share options and restricted shares/RSUs of $636,000 and $358,000, respectively.

For the nine month period ended September 30, 2016, the Company incurred shared-based compensation expense related to share options and restricted shares/RSUs of $2.4 million and $1.4 million, respectively. For the nine month period ended September 30, 2015, the Company incurred shared-based compensation expense related to share options and restricted shares/RSUs of $1.7 million and $841,000, respectively.

As of September 30, 2016, there was $5.8 million and $3.9 million of total unrecognized compensation cost related to unvested share options and restricted shares/RSUs, respectively. These costs are expected to be recognized over weighted-average periods of 2.5 years for share options and 2.1 years for restricted shares/RSUs.

8. Share capital

On January 29, 2015, the Company entered into an underwriting agreement relating to the public offering, or the Offering, of 4,255,319 ordinary shares, nominal value £0.006705, or the Shares, at an offering price to the public of $11.75 per Share, or the Offering Price. The underwriters agreed to purchase the Shares from the Company pursuant to an underwriting agreement at a price of $11.045 per share. Under the terms of the underwriting agreement, the Company granted the underwriters a 30-day option to purchase up to an additional 638,297 shares, or the Option Shares, at the Offering Price, less underwriting discounts and commissions. On January 30, 2015, the underwriters exercised their option to purchase the Option Shares in full. The total proceeds to the Company from the sale of the Shares and the Option Shares were approximately $57.5 million and the Company received net proceeds of approximately $53.8 million after deducting underwriting discounts and commissions and aggregate offering expenses payable by the Company. The Offering closed on February 4, 2015.

During the first nine months of 2016, 31,734 ordinary shares were issued upon the exercise of options. As of September 30, 2016, there were 36,183,293 ordinary shares authorized and 22,581,222 ordinary shares issued and outstanding.

9. Net loss per share

The following numbers of outstanding ordinary share options and unvested restricted shares and unvested RSUs were excluded from the computation of diluted net loss per share for the periods presented because their effect would have been anti-dilutive:

	Three months ended September 30,				Nine months ended September 30,
	2016		2015		2016		2015
Options to purchase ordinary shares		1,062,920		1,119,303		1,062,784		1,119,397
Unvested restricted shares		138,040		253,740		138,040		253,740
Unvested restricted share units		212,901		108,563		212,901		108,563

10. Acquisition

On July 1, 2016, the Company acquired substantially all of the assets of Imugen, a privately owned Massachusetts corporation focused on the development and performance of testing for tick-borne diseases. The assets acquired primarily relate to Imugen’s proprietary testing technology and its Clinical Laboratory Improvements Amendment, or CLIA, approved and College of American Pathologists, or CAP, approved laboratory in Norwood, Massachusetts.

The consideration for the acquisition of Imugen consisted of $22.2 million in cash. A portion of the purchase price has been placed in escrow to serve as security for potential indemnification claims. The Company filed the required financial statements (including pro forma financial statements) relating to the acquisition on a Form 8-K/A on September 9, 2016.

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The acquisition of Imugen was accounted for under the acquisition method of accounting and the purchase price allocation was provisionally prepared during the third quarter of 2016. While the Company is close to finalization of the purchase price accounting, it has recorded provisional amounts for the assets acquired (no liabilities were assumed), based upon their estimated fair values at the date of the business acquisition. These provisional amounts may be adjusted as necessary during the measurement period (up to one year from the acquisition date) while the accounting is finalized and the Company has revised property and equipment to $655,000 from $876,000. The Company paid approximately $475,000 in transaction costs associated with this transaction, which is included in general and administrative expense in the statement of operations.

The table below summarizes the purchase price of the Imugen acquisition and the fair value of identified assets acquired at the acquisition date (in thousands):

Assets acquired:
Property and equipment	$	655
In-process research and development		9,200
Technology - clinical		5,100
Customer relationships		2,700
Trademarks / trade names		1,900
Total assets acquired		19,555
Add: Goodwill		2,645
Total consideration transferred	$	22,200

On the date of the acquisition, the fair value of acquired intangible assets was determined to be $18.9 million using primarily the excess earnings method with significant inputs that are not observable, including estimates of the timing and cost required for product approval, revenue growth, gross margin, operating expenses and a discount rate of approximately 22%. We consider these intangible assets to be Level 3 fair value assets due to the significant estimates and assumptions used by management in establishing the estimated fair value.

Goodwill of approximately $2.6 million represents the excess of the purchase price of the acquired business over the fair value of the underlying net tangible and identifiable intangible assets and represents the expected synergistic benefits of the transaction, which relate to an increase in future revenues for the Company as a result of leveraging Imugen’s systems and expertise of its employees. The goodwill is also related to the knowledge and experience of the workforce in place. Goodwill and in-process research and development are indefinite-lived intangible assets and are not amortized. Rather, they are reviewed for impairment at least annually. There was no evidence of any impairments at September 30, 2016 and there were no impairment charges during the quarter ended September 30, 2016. Goodwill is deductible for tax purposes over 15 years.

Actual results of operations acquired from Imugen are included in the unaudited condensed consolidated interim financial statements from the date of the acquisition, including revenues in the amount of $4.1 million for the quarter ended September 30, 2016 and income from operations of $1.1 million for the quarter ended September 30, 2016.

The unaudited pro forma condensed consolidated statement of operations of the Company, set forth below, gives effect to the Company’s acquisition of Imugen, using the acquisition method as if it occurred on January 1, 2015. These amounts are not necessarily indicative of the consolidated results of operations for future years or actual results that would have been realized had the acquisition occurred as of the beginning of each such year:

	Pro Forma
	Three months ended September 30,						Nine months ended September 30,
(in thousands, except share and per share data)	2016			2015			2016			2015
Total revenues	$	26,109		$	22,656		$	67,679		$	54,555
Net loss	$	(3,996	)	$	(2,661	)	$	(17,491	)	$	(18,580	)
Net loss per share—basic and diluted	$	(0.18	)	$	(0.12	)	$	(0.78	)	$	(0.86	)
Weighted average shares outstanding—basic and diluted		22,365,349			22,259,840			22,333,911			21,619,375

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The Company did not have any material, nonrecurring pro forma adjustments directly attributable to the acquisition in the above pro forma results.

Pro forma results include the historical results of the Company and Imugen, and adjustments primarily relating to the amortization of identifiable intangible assets acquired over estimated useful economic lives with a weighted-average amortization period of approximately 14 years, and the elimination of tax expense incurred by Imugen prior to the acquisition.

In 2016, the Company incurred $475,000 of acquisition-related costs. These costs are included in general and administrative expense in the Company’s condensed consolidated statement of operations for the nine months ended September 30, 2016 and are reflected in the pro forma net loss for the nine months ended September 30, 2016 in the above table.

11. Subsequent events

On October 4, 2016, the Company entered into an agreement with MidCap Financial, or the MidCap agreement, that provides the Company with $40 million in debt financing, comprised of both a term loan and a revolving line of credit. The MidCap agreement provides the Company with a term loan of $30 million, which matures five years from closing. The term loan accrues interest at a rate of LIBOR plus 7.60% with interest only payments for the first 24 months, with the ability to extend to 48 months subject to certain conditions, before the loan begins to amortize. The MidCap agreement also provides the Company with a revolving line of credit of up to $10 million, which matures five years from closing. The revolving line of credit accrues interest at a rate of LIBOR plus 4.45%. Based on certain conditions, both the term loan and revolving line of credit may be increased by an additional $10 million for a total of $60 million.

On October 12, 2016, the Company acquired Immunetics, a Massachusetts based diagnostics company focused on developing specialized tests for infectious diseases, including tick-borne diseases, such as Lyme disease. Total consideration was comprised of $6 million in cash and up to an additional $6 million in cash payable on the achievement of certain revenue thresholds and pipeline related milestones over the next three years.

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

This management’s discussion and analysis of financial condition and results of operations contains forward-looking statements that involve risks and uncertainties. Please see “Special note regarding forward-looking statements” in this Quarterly Report on Form 10-Q for a discussion of the uncertainties, risks and assumptions associated with these statements. You should read the following discussion and analysis of our financial condition and results of operations in conjunction with our condensed consolidated financial statements and the related notes to those statements included elsewhere in this Quarterly Report. In addition to our historical condensed consolidated financial information, the following discussion contains forward-looking statements that reflect our plans, estimates, beliefs and expectations. Our actual results and the timing of events could differ materially from those discussed in these forward-looking statements. Factors that could cause or contribute to these differences include those discussed below and in the Company’s 2015 Form 10-K, particularly in Part I, Item 1A, “Risk Factors.”

Overview

Oxford Immunotec Global PLC is a global, high-growth diagnostics company focused on developing and commercializing proprietary tests for the management of underserved immune-regulated conditions. Our proprietary T-SPOT^® technology platform allows us to measure the responses of specific immune cells to inform the diagnosis, prognosis and monitoring of patients with immune-regulated conditions. Our current development activities are principally focused on four areas: chronic infections, transplantation, autoimmune and inflammatory disease and immune-oncology. We believe these areas are particularly attractive for the development of diagnostic tests because they involve large patient populations and chronic conditions that present the opportunity for both initial diagnosis and additional testing to monitor the conditions. These immune-regulated conditions also tend to be characterized by wide variation in presentation and progression and often require expensive therapies, making diagnostic tests that can better categorize patients and inform treatment pathways particularly useful. We believe the sensitivity of our T-SPOT technology platform, which can measure T cell and innate immune cell responses at a single cell level, well positions us to bring new insights into the diagnosis, prognosis and monitoring of immune-regulated conditions.

The initial product we have developed using our T-SPOT technology platform is our T-SPOT.TB test, which is used to test for tuberculosis, or TB, infection. Our T-SPOT.TB test has been approved for sale in over 50 countries, including the United States, where we have received premarket approval, or PMA, from the Food and Drug Administration, or FDA; Europe, where we have obtained a CE mark; and Japan and China. Interferon-gamma release assays, or IGRAs, such as our T-SPOT.TB test have been included in clinical guidelines for TB testing in at least 34 countries, including the United States, several European countries and Japan. In addition, we have established reimbursement for our test in the United States, as well as a Current Procedural Terminology, or CPT, code that is unique to our test. Outside the United States, we have established reimbursement in several countries where reimbursement applies, including Japan, Switzerland and Germany. We have also established the cost-effectiveness of our test in several published studies.

In 2015, we announced the availability of two additional tests using the T-SPOT technology platform. The T-SPOT.CMV test, which is used to test cell mediated immunity to cytomegalovirus, or CMV, and the T-SPOT.PRT test, which is a panel of reactive T cells, became available in the United States as laboratory developed tests from our Clinical Laboratory Improvements Amendment, or CLIA, certified and College of American Pathologists, or CAP, accredited service laboratory in the first and fourth quarters of 2015, respectively. The T-SPOT.CMV and T-SPOT.PRT tests were CE marked in the European Union during the second and fourth quarters of 2015, respectively. The T-SPOT.CMV test measures the strength of a patient’s cellular immune response to CMV specific antigens and provides information that may be useful in informing management strategies of patients at risk of CMV infection and disease, such as transplant patients. The T-SPOT.PRT test assesses a solid organ transplant candidate's T cell response to foreign tissue, or alloreactivity, and may help clinicians identify patients at increased risk of T cell mediated rejection post-transplant. While we are enthusiastic about the potential utility that the T-SPOT.CMV and T-SPOT.PRT tests may provide in transplant medicine, we are taking a measured approach to market introduction as we await the results of two pivotal clinical studies, which completed enrollment during the third quarter of 2016. The minimal revenue earned on the T-SPOT.CMV and T-SPOT.PRT tests through September 30, 2016 reflects our measured approach to market introduction.

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On July 1, 2016, we acquired substantially all of the assets of Imugen, Inc., or Imugen, a privately owned Massachusetts corporation specializing in the development and performance of testing for tick-borne diseases, including Lyme disease. Using proprietary technology, our tests for tick-borne diseases inform the diagnosis, prognosis and monitoring of tick-borne diseases, which if left untreated can become chronic infections.

On October 12, 2016, we acquired Immunetics, Inc., or Immunetics,  a privately owned Massachusetts corporation focused on developing specialized tests for infectious diseases, including tick-borne diseases, such as Lyme disease. Total consideration consisted of $6 million in cash and up to an additional $6 million in cash payable on the achievement of certain revenue thresholds and pipeline related milestones over the next three years.

Given the overlap in call points with our current TB business, we expect to leverage our existing sales and marketing infrastructure to increase tick-borne disease testing revenue growth over time.

We also expect to offer our existing T-SPOT.TB test from our Norwood Massachusetts laboratory acquired in conjunction with the Imugen acquisition, thereby increasing testing capacity, allowing for optimized logistics and providing risk mitigation through service redundancy.

We also have several active development programs pertaining to new potential tests. The programs seek to exploit our T cell and innate immune measuring technology and span each of our four focus areas. Our development pipeline includes an assay to assess the overall competence of the T cell side of the immune system, products targeting autoimmune and inflammatory diseases, such as gout and Lyme disease, and an assay informing the efficacy of biologic therapies. We also continue to explore applications of our T-SPOT technology platform in the immune-oncology space. These products are in earlier stages of development. Product development activities are inherently uncertain, and there can be no assurance that we will be able to successfully develop or obtain regulatory body clearance to market any of our products, or if we obtain clearances that we will successfully commercialize any of our products. In addition, we may terminate our development efforts with respect to one or more of our products under development at any time, including before or during clinical trials. Since Imugen and Immunetics also come with product pipelines, we will work to prioritize and consolidate the Company’s overall research and development programs.

On October 4, 2016, we entered into a credit agreement with MidCap Financial Funding. The credit agreement consists of a 60 month, $30 million term loan and a $10 million revolving line of credit, both of which mature on September 30, 2021. The availability of funds under the revolving line of credit is based upon the Company’s eligible accounts receivable and eligible inventory. In accordance with the terms of the revolving line of credit, the Company is required to maintain a minimum drawn balance of no less than 30% of availability. Based on certain conditions, both the term loan and revolving line of credit may be increased by an additional $10 million for a total of $60 million.

We have incurred significant losses from inception and as of September 30, 2016 had an accumulated deficit of $163.8 million. We anticipate that our operating losses will continue for the next few years as we continue to invest to grow our customer base and invest in research and development to expand our product portfolio. Our revenue for the three months ended September 30, 2016 was $26.1 million and for the three months ended September 30, 2015 was $17.9 million. Our revenue for the nine months ended September 30, 2016 was $62.4 million and for the nine months ended September 30, 2015 was $46.0 million. Our net loss for the three months ended September 30, 2016 was $4.0 million and for the three months ended September 30, 2015 was $4.5 million. Our net loss for the nine months ended September 30, 2016 was $17.5 million and for the nine months ended September 30, 2015 was $18.1 million.

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Financial operations overview 

The United Kingdom, or U.K., voted to leave the European Union through the Referendum of the United Kingdom’s Membership of the European Union, which passed on June 23, 2016, commonly referred to as the “Brexit”. While the full effects of the Brexit will not be known for some time, the Brexit could cause disruptions to and create uncertainty surrounding our business. The most immediate effect of the Brexit was seen through significant volatility in global stock markets and currency exchange rate fluctuations that resulted in the strengthening of the U.S. Dollar against the U.K. Pound Sterling. For example, the exchange rate as of September 30, 2016, was $1.29713/£1. This compares with the rate as of June 23, 2016 of $1.48192/£1, for a decrease in the U.K. Pound Sterling of 12.5%.

The weaker U.K. Pound Sterling means that revenues earned in U.K. Pounds Sterling translate to lower reported U.S. Dollar revenues. The weaker U.K. Pound Sterling also means that expenses incurred in U.K. Pounds Sterling translate to lower reported U.S. Dollar expenses.

Revenue

We generate revenue from sales associated with our T-SPOT technology platform via our direct sales force and also through distributors. Our T-SPOT.TB test is our first commercialized product based on this technology. In addition, with the July 1, 2016 acquisition of Imugen, we generate revenue from the performance of tests for tick-borne diseases, including Lyme disease.

Revenue mix

We currently offer our T-SPOT.TB test as both an in vitro diagnostic kit and a service. In the former, we sell test kits and associated accessories to distributors for resale and directly to institutions and laboratories that perform TB testing. In the latter, we have established clinical testing laboratories in the United States and the United Kingdom, where we perform our T-SPOT.TB test on samples sent to us by customers. In these markets, we have found that many customers prefer to send samples to us rather than perform their own analysis on-site.

Our U.S. business derived 97% and 96% of its revenue from our service offering, as opposed to kit sales, for the three months ended September 30, 2016 and 2015, respectively. Our U.S. business derived 96% of its revenue from our service offering for each of the nine-month periods ended September 30, 2016 and 2015. These results reflect our experience that U.S. customers prefer to send IGRA tests out for processing and analysis rather than run them in-house. For the majority of our U.S. customers in the hospital and public health segments, TB testing programs are funded primarily from institutional budgets. We receive payment from these customers according to our pre-negotiated prices. For other segments of the U.S. market (notably, for example, the physicians’ office segment) third-party reimbursement is often available to cover the cost of our T-SPOT.TB test. In addition, results for 2016 include revenue from operations acquired from Imugen, which is 100% U.S. service revenue.

Outside the United States, we derived 93% and 92% of our revenue from the sale of our in vitro diagnostic kits and associated accessories for the three months ended September 30, 2016 and 2015, respectively. These sales also represented 93% and 92% of our revenue for the nine-month periods ended September 30, 2016 and 2015, respectively. For the majority of our customers outside the United States, we primarily negotiate pricing directly with our customers; our prices are influenced to some degree by the mechanism and level of funding our customers receive for performing tests for TB infection.

	Three months ended September 30,				Nine months ended September 30,
(in thousands)	2016		2015		2016		2015
Revenue
Product	$	9,713	$	8,310	$	27,144	$	22,045
Service		16,396		9,634		35,229		23,952
Total revenue	$	26,109	$	17,944	$	62,373	$	45,997

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Revenue by geography

We have a direct sales force in the United States, certain European countries and Japan and market development personnel in China and Korea. In parts of the world where we do not maintain a direct sales force, we market and sell our products through distributors. As a result, our revenue is denominated in multiple currencies. We intend to expand our sales force globally and establish additional distributor relationships outside of our direct markets to better access these international markets.

The following table reflects product revenue by geography (United States, Europe and rest of world, or Europe and ROW, and Asia) and as a percentage of total product revenue, based on the billing address of our customers. Revenue from operations acquired from Imugen is included in the United States revenue for the three months ended September 30, 2016.

	Three months ended September 30,
(in thousands, except percentages)	2016				2015
Revenue
United States	$	16,170	62	%	$	9,300	52	%
Europe and ROW		1,756	7	%		1,653	9	%
Asia		8,183	31	%		6,991	39	%
Total revenue	$	26,109	100	%	$	17,944	100	%

	Nine months ended September 30,
(in thousands, except percentages)	2016				2015
Revenue
United States	$	34,696	56	%	$	22,971	50	%
Europe and ROW		5,316	8	%		5,312	12	%
Asia		22,361	36	%		17,714	38	%
Total revenue	$	62,373	100	%	$	45,997	100	%

Cost of revenue and operating expenses

Cost of revenue and gross margin

Cost of revenue consists of direct labor expenses, including employee benefits and share-based compensation expenses, overhead expenses, material costs, cost of laboratory supplies, freight costs, royalties paid under license agreements, depreciation of laboratory equipment and leasehold improvements and, in 2015, the U.S. medical device excise tax. The U.S. Consolidated Appropriations Act of 2016, signed into law on December 18, 2015, includes a two year moratorium on the medical device excise tax imposed by Internal Revenue Code section 4191. Thus, the medical device excise tax does not apply to our U.S. sales during the period from January 1, 2016 through December 31, 2017.

We expect our overall cost of revenue to increase as we continue to increase our volume of kits manufactured and tests performed. However, we also believe that through these increased volumes, we can achieve certain efficiencies in our manufacturing and laboratory operations that could help maintain or improve our overall margins.

During the three months ended September 30, 2016 and 2015, our cost of revenue represented 44% and 45%, respectively, of our total revenue. For the nine months ended September 30, 2016 and 2015, our cost of revenue represented 45% and 46%, respectively, of our total revenue.

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	Three months ended September 30,				Nine months ended September 30,
(in thousands)	2016		2015		2016		2015
Cost of revenue
Product	$	3,616	$	3,757	$	10,421	$	9,712
Service		7,887		4,312		17,853		11,514
Total cost of revenue	$	11,503	$	8,069	$	28,274	$	21,226

Our gross profit represents total revenue less total cost of revenue, and gross margin is gross profit expressed as a percentage of total revenue. Our gross margins were 56% and 55%, respectively, for the three months ended September 30, 2016 and 2015. Gross margins were 55% and 54%, respectively, for the nine months ended September 30, 2016 and 2015. All cost of revenue from operations acquired from Imugen is reflected in service cost of revenue.

Research and development expenses

Our research and development efforts have historically focused on developing multiple new diagnostic tests that use our quantitative T cell measurement technology, including assays that may help transplant physicians better manage patients at risk of rejection and infection. We have expanded our research and development efforts since our initial public offering, or IPO, in November 2013 and, with the Boulder Diagnostics, Inc., or Boulder, acquisition in July 2014, we expanded our research and development efforts to include the development of immunology-based assays for autoimmune and inflammatory conditions. In addition, on July 1, 2016, we completed our acquisition of substantially all of the assets of Imugen, a privately owned Massachusetts corporation focused on the development and performance of tests for tick-borne diseases.

Our research and development activities include performing research, development, clinical and regulatory activities and validating improvements to our technology and processes for the purposes of enhancing product performance. Research and development expenses include personnel-related expenses, including share-based compensation, fees for contractual and consulting services, clinical trial costs, travel costs, laboratory supplies, amortization, depreciation, rent, insurance and repairs and maintenance. We have supported the continued growth of our T-SPOT.TB business and expanded the team focused on the development of new products through management of clinical trial programs. In addition, we are expanding our research and development efforts in the United Kingdom and in Memphis, Tennessee. We expense all research and development costs as incurred.

During the three months ended September 30, 2016 and 2015, our research and development expenses represented 14% and 18%, respectively, of our total revenue. For the nine months ended September 30, 2016 and 2015, research and development expenses represented 16% and 18%, respectively, of our total revenue.

Sales and marketing expenses

Our sales and marketing expenses include costs associated with our sales organization, including our direct sales force and sales management, and our marketing, customer service and business development personnel. These expenses consist principally of salaries, commissions, bonuses and employee benefits for these personnel, including share-based compensation, as well as travel costs related to sales, marketing, customer service activities, medical education activities and overhead expenses. We expense all sales and marketing costs as incurred.

During the three-month periods ended September 30, 2016 and 2015, our sales and marketing expenses represented 34% and 41%, respectively, of our total revenue. For the nine months ended September 30, 2016 and 2015, our sales and marketing expenses represented 43% and 49%, respectively, of our total revenue.

General and administrative expenses

Our general and administrative expenses include costs for our executive, accounting and finance, legal, information technology, or IT, and human resources functions. These expenses consist principally of salaries, bonuses and employee benefits for the personnel included in these functions, including share-based compensation and travel costs, professional services fees, such as consulting, audit, tax and legal fees, costs related to our Board of Directors, general corporate costs, overhead expenses, and bad debt expense. We expense all general and administrative expenses as incurred.

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During the three months ended September 30, 2016 and 2015, our general and administrative expenses represented 25% and 23%, respectively, of our total revenue. For each of the nine month periods ended September 30, 2016 and 2015, our general and administrative expenses represented 26% of our total revenue.

General and administrative expenses for the three months ended September 30, 2016, included $478,000 in legal and accounting fees related to our October 12, 2016 acquisition of Immunetics.

Other (expense) income

Other (expense) income includes interest expense, net, foreign exchange gains/(losses) and other income and expense items.

Monetary assets and liabilities that are denominated in foreign currencies are remeasured at the period-end closing rate with resulting unrealized exchange fluctuations. Realized exchange fluctuations result from the settlement of transactions in currencies other than the functional currencies of our businesses. The functional currencies of our businesses are U.S. Dollars, Pounds Sterling, Euros, Yen and the Yuan, depending on the entity.

The Brexit may impact our business. See Risk relating to the referendum on the United Kingdom’s exit from the European Union, at Item 1A, “Risk Factors” of this Quarterly Report.

Results of operations 

Comparison of three months ended September 30, 2016 and 2015

The following table sets forth, for the periods indicated, the amounts of certain components of our statements of operations and the percentage of total revenue represented by these items, showing period-to-period changes.

	Three months ended September 30,
	2016						2015						Change
(in thousands, except percentages)	Amount			% of revenue			Amount			% of revenue			Amount			%
Revenue:
Product	$	9,713			37	%	$	8,310			46	%	$	1,403			17	%
Service		16,396			63	%		9,634			54	%		6,762			70	%
Total revenue		26,109			100	%		17,944			100	%		8,165			46	%
Cost of revenue:
Product		3,616			14	%		3,757			21	%		(141	)		(4	)%
Service		7,887			30	%		4,312			24	%		3,575			83	%
Total cost of revenue		11,503			44	%		8,069			45	%		3,434			43	%
Gross profit		14,606			56	%		9,875			55	%		4,731			48	%
Operating expenses:
Research and development		3,592			14	%		3,187			18	%		405			13	%
Sales and marketing		8,794			34	%		7,381			41	%		1,413			19	%
General and administrative		6,466			25	%		4,137			23	%		2,329			56	%
Total operating expenses		18,852			72	%		14,705			82	%		4,147			28	%
Loss from operations		(4,246	)		(16	)%		(4,830	)		(27	)%		584			(12	)%
Interest expense, net		(54	)		(0	)%		(19	)		(0	)%		(35	)		184	%
Foreign exchange gains		470			2	%		476			3	%		(6	)		(1	)%
Other (expense) income		(106	)		(0	)%		(64	)		(0	)%		(42	)		66	%
Loss before income taxes		(3,936	)		(15	)%		(4,437	)		(25	)%		501			(11	)%
Income tax expense		60			0	%		46			0	%		14			30	%
Net loss	$	(3,996	)		(15	)%	$	(4,483	)		(25	)%	$	487			(11	)%

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Revenue

Revenue increased by 46% to $26.1 million for the three months ended September 30, 2016 compared to $17.9 million for the same period in 2015. This increase in revenue was due to an increase in volumes across all regions where we sell our T-SPOT.TB test.

U.S. revenue grew by 74%, to $16.2 million for the three months ended September 30, 2016, driven by T-SPOT.TB test growth of $2.6 million from the addition of new customers and $0.2 million from existing customers. In addition, U.S. revenue for the three months ended September 30, 2016 included $4.1 million of revenue from operations acquired from Imugen.

Asia revenue grew by 17% to $8.2 million for the three months ended September 30, 2016 compared to the same period in 2015, due primarily to an increase in volumes that led to higher revenue in Japan and China. On a non-Generally Accepted Accounting Principles, or non-GAAP, constant currency basis, revenue for Asia would have increased by 7%. Europe and ROW revenue increased 6% to $1.8 million for the three months ended September 30, 2016 compared to the same period in 2015. On a non-GAAP constant currency basis, Europe and ROW revenue would have increased by 15% in 2016 compared to 2015.

Changes in revenue include the impact of changes in foreign currency exchange rates. We use the non-GAAP financial measure “constant currency basis” in our filings to show changes in our revenue without giving effect to period-to-period currency fluctuations. Under U.S. GAAP, revenues received in local (non-U.S. Dollar) currencies are translated into U.S. Dollars at the average exchange rate for the period presented. When we use the term “constant currency basis”, it means that we have translated local currency revenues for the prior reporting period into U.S. Dollars using the same average foreign currency exchange rates for the conversion of revenues into U.S. Dollars that we used to translate local currency revenues for the comparable reporting period of the current year. We then calculate the change, as a percentage, from the prior period revenues using the current period exchange rates versus the current period revenues. This resulting percentage is a non-GAAP measure referring to a change as a percentage on a “constant currency basis”. We consider the use of a period over period revenue comparison on a constant currency basis to be helpful to investors, as it provides a revenue growth measure free of positive or negative volatility due to currency fluctuations.

	Three months ended September 30,				Change
(in thousands, except percentages)	2016		2015		Amount		%
Revenue
Product	$	9,713	$	8,310	$	1,403		17	%
Service		16,396		9,634		6,762		70	%
Total revenue	$	26,109	$	17,944	$	8,165		46	%

	Three months ended September 30,				Change
(in thousands, except percentages)	2016		2015		Amount		%
Revenue
United States	$	16,170	$	9,300	$	6,870		74	%
Europe and ROW		1,756		1,653		103		6	%
Asia		8,183		6,991		1,192		17	%
Total revenue	$	26,109	$	17,944	$	8,165		46	%

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Cost of revenue and gross margin

Cost of revenue increased by 43% to $11.5 million for the three months ended September 30, 2016 from $8.1 million in the same period in 2015. This increase in cost of revenue was due to the increased volume of kits sold and an increase in volume of tests performed by our laboratories in the United States and the United Kingdom. In addition, U.S. cost of revenue for the three months ended September 30, 2016 included $1.6 million of cost of revenue from testing for tick-borne diseases. Gross margin increased to 56% for the three months ended September 30, 2016 from 55% for the same period in 2015. The gross margin improvement was attributable to the Imugen acquisition and a reduction in material costs per test and efficiency gains from increased volume in our manufacturing operations and service laboratories, partially offset by higher freight and shipping costs in our Memphis laboratory.

	Three months ended September 30,				Change
(in thousands, except percentages)	2016		2015		Amount			%
Cost of revenue
Product	$	3,616	$	3,757	$	(141	)		(4	)%
Service		7,887		4,312		3,575			83	%
Total cost of revenue	$	11,503	$	8,069	$	3,434			43	%

Research and development expenses

Research and development expenses increased by 13%, to $3.6 million for the three months ended September 30, 2016, from $3.2 million for the same period in 2015. The increase primarily related to the cost of clinical studies, which increased $263,000 in the three months ended September 30, 2016 compared to the same period in 2015, and to salary and other employee related expenses, which increased $162,000 in the three months ended September 30, 2016 compared to the same period in 2015. As a percentage of total revenue, research and development expenses decreased to 14% for the three months ended September 30, 2016 from 18% for the same period in 2015.

Sales and marketing expenses

Sales and marketing expenses increased 19% to $8.8 million for the three months ended September 30, 2016 from $7.4 million for the same period in 2015. The increase primarily related to salary and other employee related expenses, which increased $1.2 million in the three months ended September 30, 2016 compared to the same period in 2015. The increase reflects an increase in sales personnel and in personnel-related costs for commissions on increased sales and for hiring of sales and marketing personnel. As a percentage of total revenue, sales and marketing expenses were 34% for the three months ended September 30, 2016 compared to 41% for the same period in 2015.

General and administrative expenses

General and administrative expenses increased by 56% to $6.5 million for the three months ended September 30, 2016 from $4.1 million for the same period in 2015. The increase in general and administrative expenses included increases of $971,000 in professional fees, $950,000 in salary and other employee related expenses and $134,000 for improvements in our information technology infrastructure. As a percentage of total revenue, general and administrative expenses increased to 25% for the three months ended September 30, 2016 from 23% for the same period in 2015.

Interest expense, net

Interest expense, net was $54,000 for the three months ended September 30, 2016, compared to $19,000 for the same period in 2015.

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Foreign exchange losses

We recorded foreign exchange gains of $471,000 for the three months ended September 30, 2016, substantially all as a net result of U.S. Dollar denominated bank accounts, accounts receivable, and accounts payable reflected on the books of Oxford Immunotec Limited, which has a functional currency of the U.K. Pound Sterling. For the three months ended September 30, 2015, we recorded foreign exchange gains of $476,000. We are exposed to foreign exchange rate risk because we currently operate in three major regions of the world: the United States, Europe and ROW, and Asia, and our revenue is denominated in multiple currencies. Approximately 62% of our sales for the three months ended September 30, 2016 were in the United States, which are denominated in U.S. Dollars. Sales in China are denominated in U.S. Dollars. Sales in Europe are denominated primarily in the U.K. Pound Sterling and Euro. As we grow Europe and ROW sales outside the United Kingdom and the Euro Zone, we may be subject to risk from additional currencies. Sales in Japan are denominated in Yen.

Our expenses are generally denominated in the currencies in which our operations are located, which are primarily in the United States, the United Kingdom, Japan, Europe and China. 

As we continue to grow our business outside the United States, our results of operations and cash flows will be subject to fluctuations due to changes in foreign currency exchange rates, which could harm our business in the future. To date, we have not entered into any foreign currency hedging contracts, although we may do so in the future.

The Brexit may impact our business. See Risk relating to the referendum on the United Kingdom’s exit from the European Union, at Item 1A, “Risk Factors” of this Quarterly Report.

Other (expense) income

Other (expense) income was expense of $106,000 for the three months ended September 30, 2016, compared to expense of $64,000 for the three months ended September 30, 2015.

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Comparison of nine months ended September 30, 2016 and 2015

The following table sets forth, for the periods indicated, the amounts of certain components of our statements of operations and the percentage of total revenue represented by these items, showing period-to-period changes.

	Nine months ended September 30,
	2016						2015						Change
(in thousands, except percentages)	Amount			% of revenue			Amount			% of revenue			Amount			%
Revenue:
Product	$	27,144			44	%	$	22,045			48	%	$	5,099			23	%
Service		35,229			56	%		23,952			52	%		11,277			47	%
Total revenue		62,373			100	%		45,997			100	%		16,376			36	%
Cost of revenue:
Product		10,421			17	%		9,712			21	%		709			7	%
Service		17,853			29	%		11,514			25	%		6,339			55	%
Total cost of revenue		28,274			45	%		21,226			46	%		7,048			33	%
Gross profit		34,099			55	%		24,771			54	%		9,328			38	%
Operating expenses:
Research and development		10,009			16	%		8,392			18	%		1,617			19	%
Sales and marketing		26,665			43	%		22,549			49	%		4,116			18	%
General and administrative		16,200			26	%		11,788			26	%		4,412			37	%
Total operating expenses		52,874			85	%		42,729			93	%		10,145			24	%
Loss from operations		(18,775	)		(30	)%		(17,958	)		(39	)%		(817	)		5	%
Interest expense, net		(88	)		(0	)%		(53	)		(0	)%		(35	)		66	%
Foreign exchange gains (losses)		1,707			3	%		(33	)		(0	)%		1,740			(5,273	)%
Other (expense) income		(243	)		(0	)%		50			0	%		(293	)		(586	)%
Loss before income taxes		(17,399	)		(28	)%		(17,994	)		(39	)%		595			(3	)%
Income tax expense		92			0	%		94			0	%		(2	)		(2	)%
Net loss	$	(17,491	)		(28	)%	$	(18,088	)		(39	)%	$	597			(3	)%

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Revenue 

Revenue increased by 36% to $62.4 million for the nine months ended September 30, 2016 compared to $46.0 million for the same period in 2015. This increase in revenue was due to an increase in volumes across all regions where we sell our T-SPOT.TB test. U.S. revenue grew by 51%, to $34.7 million for the nine months ended September 30, 2016 compared to the same period in 2015, driven by growth of $4.9 million from the addition of new customers and $2.7 million from existing customers. In addition, U.S. revenue for the nine months ended September 30, 2016 included $4.1 million of revenue from operations acquired from Imugen.

Asia revenue grew by 26% to $22.4 million for the nine months ended September 30, 2016 compared to the same period in 2015, due primarily to an increase in volumes that led to higher revenue in Japan and China. However, on a non-GAAP constant currency basis, revenue for Asia would have increased by 19%. Europe and ROW revenue for the nine months ended September 30, 2016 of $5.3 million was essentially flat compared to the same period in 2015. However, on a non-GAAP constant currency basis, Europe and ROW revenue would have increased by 6% in 2016 compared to 2015.

	Nine months ended September 30,				Change
(in thousands, except percentages)	2016		2015		Amount		%
Revenue
Product	$	27,144	$	22,045	$	5,099		23	%
Service		35,229		23,952		11,277		47	%
Total revenue	$	62,373	$	45,997	$	16,376		36	%

	Nine months ended September 30,				Change
(in thousands, except percentages)	2016		2015		Amount		%
Revenue
United States	$	34,696	$	22,971	$	11,725		51	%
Europe and ROW		5,316		5,312		4		0	%
Asia		22,361		17,714		4,647		26	%
Total revenue	$	62,373	$	45,997	$	16,376		36	%

Cost of revenue and gross margin

Cost of revenue increased by 33% to $28.3 million for the nine months ended September 30, 2016 from $21.2 million in the same period of 2015. This increase in cost of revenue was due to the increased volume of kits sold and an increase in volume of tests performed by our laboratories in the United States and the United Kingdom. In addition, U.S. cost of revenue for the nine months ended September 30, 2016 included $1.6 million of cost of revenue from operations acquired from Imugen. Gross margin increased to 55% for the nine months ended September 30, 2016 from 54% for the same period in 2015. The gross margin improvement was attributable to the Imugen acquisition and a reduction in material costs per test and efficiency gains from increased volume in our manufacturing operations and service laboratories, partially offset by higher freight and shipping costs in our Memphis laboratory.

	Nine months ended September 30,				Change
(in thousands, except percentages)	2016		2015		Amount		%
Cost of revenue
Product	$	10,421	$	9,712	$	709		7	%
Service		17,853		11,514		6,339		55	%
Total cost of revenue	$	28,274	$	21,226	$	7,048		33	%

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Research and development expenses

Research and development expenses increased by 19%, to $10.0 million for the nine months ended September 30, 2016, from $8.4 million for the same period in 2015. Clinical studies costs increased $1.1 million in the nine months ended September 30, 2016 compared to the same period in 2015 and primarily related to the cost of clinical studies related to our transplant programs. In addition, salary and other employee related expenses increased $405,000. As a percentage of total revenue, research and development expenses decreased to 16% for the nine months ended September 30, 2016 from 18% for the same period in 2015.

Sales and marketing expenses

Sales and marketing expenses increased 18% to $26.7 million for the nine months ended September 30, 2016 from $22.5 million for the same period in 2015. Salary and other employee related expenses increased $3.5 million in the nine months ended September 30, 2016 compared to the same period in 2015. The increase reflects an increase in sales personnel and in personnel-related costs for commissions on increased sales and for hiring of sales and marketing personnel. In addition, marketing program expenses increased $505,000, primarily related to increased costs associated with market research and exhibitions in 2016 compared to 2015. As a percentage of total revenue, sales and marketing expenses decreased to 43% for the nine months ended September 30, 2016 from 49% for the same period in 2015.

General and administrative expenses

General and administrative expenses increased by 37% to $16.2 million for the nine months ended September 30, 2016 from $11.8 million for the same period in 2015. The increase in general and administrative expenses included increases of $2.1 million in salary and other employee related expenses, $1.6 million in professional fees and $362,000 for improvements in our information technology infrastructure. As a percentage of total revenue, general and administrative expenses were 26% for each of the nine month periods ended September 30, 2016 and 2015.

Interest expense, net

Interest expense, net was $88,000 for the nine months ended September 30, 2016, compared to $53,000 in the same period in 2015.

Foreign exchange losses

We recorded foreign exchange gains of $1.7 million for the nine months ended September 30, 2016 as a net result of U.S. Dollar denominated bank accounts, accounts receivable, and accounts payable reflected on the books of Oxford Immunotec Limited, which has a functional currency of the U.K. Pound Sterling. For the nine months ended September 30, 2015, we recorded foreign exchange losses of $33,000. We are exposed to foreign exchange rate risk because we currently operate in three major regions of the world: the United States, Europe and ROW, and Asia, and our revenue is denominated in multiple currencies. Approximately 56% of our sales for the nine months ended September 30, 2016 were in the United States, which are denominated in U.S. Dollars. Sales in China are denominated in U.S. Dollars. Sales in Europe are denominated primarily in the U.K. Pound Sterling and Euro. As we grow Europe and ROW sales outside the U.K. and the Euro Zone, we may be subject to risk from additional currencies. Sales in Japan are denominated in Yen.

Our expenses are generally denominated in the currencies in which our operations are located, which are primarily in the United States, the United Kingdom, Japan, Europe and China.

As we continue to grow our business outside the United States, our results of operations and cash flows will be subject to fluctuations due to changes in foreign currency exchange rates, which could harm our business in the future. To date, we have not entered into any foreign currency hedging contracts, although we may do so in the future.

The Brexit may impact our business. See Risk Relating to the Referendum on the United Kingdom’s Exit from the European Union, at Item 1A, “Risk Factors” of this Quarterly Report.

Other (expense) income

Other (expense) income was expense of $243,000 for the nine months ended September 30, 2016, compared to income of $50,000 in the same period in 2015.

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Liquidity and capital resources

Sources of funds

Since our inception, we have incurred significant net losses and negative cash flows from operations. For the nine months ended September 30, 2016 we had a net loss of $17.5 million and used $21.0 million of cash for operating activities. As of September 30, 2016, we had an accumulated deficit of $163.8 million. We incurred a net loss of $18.1 million and used $12.9 million of cash for operating activities for the nine months ended September 30, 2015.

On January 29, 2015, we entered into an underwriting agreement with a group of underwriters relating to the public offering, or the Offering, of 4,255,319 ordinary shares, nominal value £0.006705, or the Shares, at an offering price to the public of $11.75 per Share, or the Offering Price. The underwriters agreed to purchase the Shares from us pursuant to an underwriting agreement at a price of $11.045 per share. Under the terms of the underwriting agreement, we granted the underwriters a 30-day option to purchase up to an additional 638,297 shares, or the Option Shares, at the Offering Price, less underwriting discounts and commissions. On January 30, 2015, the underwriters exercised their option to purchase the Option Shares in full. The total proceeds to us from the sale of the Shares and the Option Shares were approximately $57.5 million and we received net proceeds of approximately $53.8 million after deducting underwriting discounts and commissions and aggregate offering expenses payable by us. The Offering closed on February 4, 2015.

As of September 30, 2016, we had cash and cash equivalents of $37.3 million.

As noted above, on October 4, 2016, we entered into a credit agreement with MidCap Financial Funding. The credit agreement consists of a 60 month, $30 million term loan and a $10 million revolving line of credit, both of which mature on September 30, 2021. The availability of funds under the revolving line of credit is based upon the Company’s eligible accounts receivable and eligible inventory. In accordance with the terms of the revolving line of credit, the Company is required to maintain a minimum drawn balance of no less than 30% of availability. Based on certain conditions, both the term loan and revolving line of credit may be increased by an additional $10 million for a total of $60 million.

Summary of cash flows

The following table summarizes our cash and cash equivalents, accounts receivable and cash flows for the periods indicated:

	As of and for the nine months ended September 30,
(in thousands)	2016			2015
Cash and cash equivalents, excluding restricted cash	$	37,324		$	88,483
Accounts receivable, net		15,139			7,444
Net cash used in operating activities	$	(20,547	)	$	(12,877	)
Net cash used in investing activities		(24,671	)		(2,311	)
Net cash (used in) provided by financing activities		(44	)		53,669
Effect of exchange rate changes on cash and cash equivalents		(1,129	)		(163	)
Net (decrease) increase in cash and cash equivalents, excluding restricted cash	$	(46,391	)	$	38,318

Cash flows for the nine months ended September 30, 2016 and 2015

Operating activities

Net cash used in operating activities was $20.5 million during the nine months ended September 30, 2016, which included a net loss of $17.5 million, non-cash expenses of $6.1 million, and cash used for changes in operating assets and liabilities of $9.1 million. The non-cash items consisted of share-based compensation expense of $3.8 million, depreciation and amortization expense of $2.1 million and change in fair value of contingent purchase price consideration of $172,000. The cash used for changes in operating assets and liabilities included an increase in accounts receivable, net of $8.7 million, a decrease in deferred income of $1.5 million, a decrease in accounts payable of $1.2 million and an increase in inventory of $782,000, partially offset by an increase in accrued liabilities of $1.9 million and a decrease in prepaid expenses and other assets of $1.2 million. The increase in accounts receivable, net reflects growing sales. The decrease in deferred income is related to a change in the process used to determine pricing for certain sales to customers in Japan that has resulted in those sales being recognized upon shipment. The decrease in accounts payable was largely due to payments in the first nine months of 2016 for royalties on intellectual property and bonuses that were accrued for at December 31, 2015, as well as the timing of payments. Inventory increased due to timing. The increase in accrued liabilities and the decrease in prepaid expenses and other assets reflect the timing of certain payments.

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Net cash used in operating activities was $12.9 million during the nine months ended September 30, 2015, which included a net loss of $18.1 million, non-cash items of $4.6 million, and cash provided by changes in operating assets less liabilities of $563,000. The non-cash items consisted of share-based compensation expense of $2.6 million, depreciation and amortization expense of $1.5 million, and a $148,000 expense from the change in fair value of contingent purchase price consideration. The cash used for changes in operating assets and liabilities included an increase in accounts receivable, net of $721,000, a decrease in deferred income of $258,000, and an increase in inventory of $162,000, partially offset by an increase in accounts payable and accrued liabilities of $1.7 million. The increase in accounts receivable, net reflects growing sales. The decrease in deferred income primarily related to a change in the process used to determine pricing for certain sales to customers in Japan that has resulted in those sales being recorded upon shipment terms. Inventory increased due to timing. The increase in accounts payable and accrued liabilities was largely due to the timing of payments.

Investing activities

Net cash used in investing activities was $24.5 million, including $22.2 million used for the acquisition of Imugen, during the nine months ended September 30, 2016.

Net cash used in investing activities was $2.3 million during the nine months ended September 30, 2015.

Financing activities

Net cash used in financing activities was $44,000 during the nine months ended September 30, 2016.

Net cash provided by financing activities was $53.7 million during the nine months ended September 30, 2015 due mainly to net proceeds of approximately $53.8 million received in the Offering that closed on February 4, 2015. 

Employees

As of September 30, 2016, we had 393 employees. None of our employees is represented by a labor union. However, we have one employee in Belgium covered under a collective bargaining agreement. We have not experienced any work stoppages and we believe our employee relations are good.

Contractual obligations

In conjunction with the acquisition of Imugen, we assumed and extended a lease for the facility located in Norwood, Massachusetts. The lease term runs through October 31, 2021. The base rent for the space over the lease term will range from an initial low of $21,000 per month to a high of $46,000 per month.

In conjunction with the acquisition of Immunetics, we assumed a lease for the facility located in Boston, Massachusetts. The lease term runs through July 31, 2018. The base rent for the space over the lease term is $22,000 per month.

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Item 3. Quantitative and Qualitative Disclosures About Market Risk

The Company’s exposure to market risk from interest rate fluctuations, capital market fluctuations, and foreign currency exchange rate fluctuations has not materially changed from its exposure as of December 31, 2015, as described in Item 7A of our 2015 Form 10-K.

Item 4. Controls and Procedures

(a) Evaluation of Disclosure Controls and Procedures

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) as of the end of the period covered by this Quarterly Report. Based on such evaluation, our Chief Executive Officer and Chief Financial Officer have concluded that our disclosure controls and procedures were effective to ensure that information required to be disclosed by us in the reports that we file or submit under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms, and is accumulated and communicated to our management, including our Chief Executive and Chief Financial Officers, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure.

(b) Changes in Internal Control Over Financial Reporting

On July 1, 2016, we acquired substantially all of the assets Imugen, which operated under its own set of systems and internal controls. During the three months ended September 30, 2016, we transitioned certain of the acquired processes to our internal control processes and we expect to transition more of such processes throughout the remainder of fiscal 2016.

Other than with respect to our transition of acquired processes to our systems and control environment as described above, there have been no changes to our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the period covered by this Quarterly Report that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

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PART II – OTHER INFORMATION

Item 1. Legal Proceedings

On August 10, 2015, Oxford Immunotec Limited, a wholly-owned subsidiary of Oxford Immunotec Global PLC, filed suit in the United States District Court for the District of Massachusetts against Qiagen N.V., Qiagen Inc., Quest Diagnostics LLC, and Laboratory Corporation of America Holdings alleging claims of patent infringement and seeking monetary and injunctive relief. The complaint alleges that the defendants’ manufacture, sale and/or use of the QuantiFERON-TB Gold test infringes patents owned by Oxford Immunotec Limited. The defendants timely responded to the complaint in early October 2015 and challenged the validity of the patents upon which the complaint is based. The defendants argued that our patents are invalid under U.S. law because they claim naturally occurring products or processes. The defendant’s motion to dismiss the complaint was denied on September 30, 2016. The defendants will now be required to answer the complaint and the case will continue to proceed with discovery and ultimately trial. We can provide no assurances as to the likely outcome of the litigation.

Item 1A. Risk Factors

See Part I, Item 1A., “Risk Factors” of our 2015 Annual Report for a detailed discussion of the risk factors affecting the Company. The disclosures below are updates to the risk factor disclosures included in the 2015 Annual Report, which are in addition to, and not in lieu of, those disclosures contained in the 2015 Annual Report.

Risk relating to the referendum on the United Kingdom’s exit from the European Union

On June 23, 2016, the United Kingdom, or U.K., held a referendum, commonly referred to as “Brexit”, in which voters approved an exit from the European Union, or E.U. As a result of the referendum, it is expected that the British government will begin negotiating the terms of the U.K.’s future relationship with the E.U. Although it is unknown what those terms will be, it is possible that there will be greater restrictions on trade between the U.K. and E.U. countries and increased regulatory complexities. These changes may adversely affect our operations and financial results. The announcement of Brexit also caused significant volatility in global stock markets. The fluctuation of currency exchange rates may expose us to gains and losses on non U.S. currency transactions and impact the purchasing power of our non U.S. currency customers, causing them to decrease or cancel orders or default on payment.

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

None.

Item 3. Defaults Upon Senior Securities

None.

Item 4. Mine Safety Disclosures

Not applicable.

Item 5. Other Information

None.

Item 6. Exhibits

See the Exhibit Index on the page immediately preceding the exhibits for a list of exhibits filed as part of this Quarterly Report, which Exhibit Index is incorporated herein by this reference.

33

Table Of Contents

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.

		OXFORD IMMUNOTEC GLOBAL PLC
Date: November 1, 2016	/s/	Peter Wrighton-Smith, Ph.D.
		Peter Wrighton-Smith, Ph.D.
		Chief Executive Officer and Director
		(Principal Executive Officer)
Date: November 1, 2016	/s/	Richard M. Altieri
		Richard M. Altieri
		Chief Financial Officer
		(Principal Financial and Accounting Officer)

34

Table Of Contents

EXHIBIT INDEX

Exhibit No.		Description
	2.1*+	Purchase Agreement, dated June 23, 2016, between Oxford Immunotec, Inc. and Imugen, Inc. (Filed as Exhibit 2.1 to our Current Report on Form 8-K on July 1, 2016, and incorporated herein by reference.)
	3.1	Articles of Association of the Registrant (Filed as Exhibit 3.1 to our Current Report on Form 8-K on June 18, 2014 and incorporated herein by reference.)
	10.1+	Second Amendment to Supply and Reseller Agreement, dated August 9, 2016, between Life Technologies Corporation and Oxford Immunotec Limited
	31.1	Certification of Principal Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
	31.2	Certification of Principal Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
	32	Certification of Principal Executive Officer and Principal Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
	101	The following materials from the Company’s Quarterly Report on Form 10-Q for the three and nine months ended September 30, 2016, formatted in XBRL (eXtensible Business Reporting Language): (i) Condensed consolidated balance sheets at September 30, 2016 and December 31, 2015; (ii) Condensed consolidated statements of operations for the three and nine months ended September 30, 2016 and 2015; (iii) Condensed consolidated statements of comprehensive loss for the three and nine months ended September 30, 2016 and 2015; (iv) Condensed consolidated statements of cash flows for the nine months ended September 30, 2016 and 2015; and (v) Notes to unaudited condensed consolidated financial statements

* All schedules (and similar attachments) to the Purchase Agreement were omitted pursuant to Section 601(b)(2) of Regulation S-K. The Registrant hereby agrees to furnish supplementally a copy of any omitted schedule (or other attachment) to the SEC.

+ Confidential treatment has been requested with respect to certain portions of this exhibit. Omitted portions have been submitted separately to the Securities and Exchange Commission.

35 

EX-10.1

EXHIBIT 10.1

THIS EXHIBIT HAS BEEN REDACTED AND IS THE SUBJECT OF A CONFIDENTIAL TREATMENT REQUEST. REDACTED MATERIAL IS MARKED WITH [***] AND HAS BEEN FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION.

CONFIDENTIAL

SECOND AMENDMENT TO SUPPLY AND RESELLER AGREEMENT

This Second Amendment (“Second Amendment”) to the Supply and Reseller Agreement dated August 12, 2013, is made this 26^th day of July, 2016 (“Second Amendment Effective Date”), by and between LIFE TECHNOLOGIES CORPORATION, a Delaware corporation, that is a wholly-owned subsidiary Thermo Fisher Scientific, Inc., with a principal business address at 29851 Willow Creek Road, Eugene, Oregon 97402, USA (“LTC”) and OXFORD IMMUNOTEC, LTD., a company incorporated under the laws of England and Wales, with a principal business address at 94C Innovation Drive, Milton Park, Abingdon, Oxfordshire, OX14 4RZ, United Kingdom (“OI”). LTC and OI may be referred to individually as a “Party” and collectively as the “Parties.”

WHEREAS, LTC and OI entered into a Supply and Reseller Agreement effective August 12, 2013, which was amended on March 1, 2014 (collectively, the “AGREEMENT”); and

WHEREAS, the Parties have agreed to extend the expiration date of the AGREEMENT until December 31, 2018 and to establish the purchase price for LTC PRODUCTS for the remaining duration of the AGREEMENT; and

WHEREAS, the Parties have agreed that the LTC PRODUCT will bear a revised label indicating that it has been manufactured by LTC for OI; and

WHEREAS, the Parties have agreed to update LTC’s information for notices under the AGREEMENT;

NOW THEREFORE, in consideration of the premises and of the mutual covenants and agreements contained herein, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties intending to be legally bound agree as follows:

1.0     Amendment

Numbered paragraph 2.9 of the AGREEMENT shall be deleted in its entirety and replaced with the following paragraph:

2.9     “FIELD OF USE” means use related to the performance of ELISPOT assays for human in vitro diagnostic applications.

Oxford Immunotec Second Amendment to Supply and Reseller Agreement 460508 Page 1 of 9

EXHIBIT 10.1

THIS EXHIBIT HAS BEEN REDACTED AND IS THE SUBJECT OF A CONFIDENTIAL TREATMENT REQUEST. REDACTED MATERIAL IS MARKED WITH [***] AND HAS BEEN FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION.

CONFIDENTIAL

2.0     Amendment

Numbered paragraph 2.13 of the AGREEMENT shall be deleted in its entirety and replaced with the following paragraph:

2.13     “OI TESTING SERVICE” means use of LTC PRODUCT(S) or OI PRODUCT(S) to perform an ELISPOT test for fee consideration by or on behalf of OI.     

3.0     Amendment

Clause (d) of numbered paragraph 3.2 of the AGREEMENT shall be deleted in its entirety and replaced with the following clause:

(d) OI’s or its AFFILIATES’ internal research and development relating to OI PRODUCTS and OI TESTING SERVICES.

4.0     Amendment

Numbered paragraph 4.5 of the AGREEMENT shall be deleted in its entirety and replaced with the following paragraph:

OI acknowledges that LTC PRODUCTS that are commercialized by LTC and its AFFILIATES primarily as research reagents may not be on the US Toxic Substances Control Act (TSCA) inventory and are exempt from Pre-Manufacture Notification (PMN) requirements under TSCA, or similar regulations or government controls in other jurisdictions. OI shall be solely responsible for obtaining all applicable regulatory authorizations, consents and licenses, including pre-market approvals, and OI must comply and require its AFFILIATES and DISTRIBUTORS to comply with all governmental requirements, including but not limited to, all applicable laws, statutes, regulations, and treaties, relating to the manufacture, pre-marking and marketing, sale, performance, storage, shipment, and distribution of OI PRODUCTS and/or OI SERVICES by or on behalf of OI, and relating to the performance of OI’s duties and obligations under this AGREEMENT. LTC or its AFFILIATES shall provide directly to any applicable regulatory agencies any information or documentation which is reasonably requested in order for OI or its AFFILIATES to obtain and maintain certifications or regulatory approvals for the labelling, marketing, sale or distribution of the LTC PRODUCTS as contemplated by this AGREEMENT.

Oxford Immunotec Second Amendment to Supply and Reseller Agreement 460508 Page 2 of 9

EXHIBIT 10.1

THIS EXHIBIT HAS BEEN REDACTED AND IS THE SUBJECT OF A CONFIDENTIAL TREATMENT REQUEST. REDACTED MATERIAL IS MARKED WITH [***] AND HAS BEEN FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION.

CONFIDENTIAL

 5.0     Amendment

Numbered paragraph 7.2 of the AGREEMENT shall be deleted in its entirety and replaced with the following paragraph:

7.2     As noted in Exhibit C (pricing of LTC PRODUCTS), the initial purchase price may be subject to a standard price increase set forth therein, which standard price increase shall be separate from, and/or in addition to any price change resulting from a change in the specifications for such LTC PRODUCT that is requested by OI pursuant to paragraph 6.3 (modified specifications), and which standard price changes shall be effective for any shipment that occurs after the date of implementation thereof.

6.0     Amendment

Numbered paragraph 16.1 is hereby deleted in its entirety and replaced with the following:

16.1     This AGREEMENT will commence on the EFFECTIVE DATE and, unless terminated earlier as provided herein, all obligations of LTC or its AFFILIATES to supply LTC PRODUCTS hereunder shall expire on December 31, 2018 (the “Initial Term”).

Oxford Immunotec Second Amendment to Supply and Reseller Agreement 460508 Page 3 of 9

 

EXHIBIT 10.1

THIS EXHIBIT HAS BEEN REDACTED AND IS THE SUBJECT OF A CONFIDENTIAL TREATMENT REQUEST. REDACTED MATERIAL IS MARKED WITH [***] AND HAS BEEN FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION.

CONFIDENTIAL

7.0     Amendment

All paragraphs in Article 17 of the AGREEMENT shall be deleted in their entirety and replaced with the following paragraphs:

17.1     Any notices required or permitted to be given under this AGREEMENT shall be deemed given on the date submitted in writing: (i) personally; or (ii) by a letter delivered to a courier guaranteeing next day service; or (iii) by facsimile or E-mail, with confirmation by prepaid first class letter sent the same day.

If to LTC:               THERMO FISHER SCIENTIFIC

Life Technologies

5791 Van Allen Way

Carlsbad, CA 92008

USA

Attention: License Management & Contract Compliance

E-mail: LMCC@thermofisher.com

with a copy to:      THERMO FISHER SCIENTIFIC

Life Technologies

29851 Willow Creek Road

Eugene, OR 97402-9132

USA

Attention: Business Development Department

Facsimile: 1-541-335-0354

If to OI:             OXFORD IMMUNOTEC LIMITED

94C Innovation Drive

Milton Park, Abingdon

Oxfordshire OX14 4RZUnited Kingdom

Attention: Peter Edwardson

With a copy to:    OXFORD IMMUNOTEC INC.

General Counsel

700 Nickerson Road

Suite 200

Marlborough, MA 01752

USA

Oxford Immunotec Second Amendment to Supply and Reseller Agreement 460508 Page 4 of 9

EXHIBIT 10.1

THIS EXHIBIT HAS BEEN REDACTED AND IS THE SUBJECT OF A CONFIDENTIAL TREATMENT REQUEST. REDACTED MATERIAL IS MARKED WITH [***] AND HAS BEEN FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION.

CONFIDENTIAL 

17.2     Any Party may change its designated address or other contact information by notice to the other Party in the manner provided in this Article.

8.0 Amendment

Exhibit A to the AGREEMENT is hereby deleted in its entirety and replaced with the attached Exhibit A.

9.0 Amendment

Exhibit C to the AGREEMENT is hereby deleted in its entirety and replaced with the attached Exhibit C.

10.0 Amendment

The Label referenced in the Specifications set forth on Exhibit D to the AGREEMENT will be in accordance with the images set forth in the attached Attachment 1, which is hereby added to Exhibit D.

11.0 Miscellaneous

The terms of the AGREEMENT not specifically modified by this Second Amendment shall continue in effect, and all references to the AGREEMENT hereinafter shall refer to the AGREEMENT as amended by this Second Amendment.

12.0 Execution by the Parties

IN WITNESS WHEREOF, the Parties have caused this Second Amendment to be executed by their duly authorized representative. This Second Amendment may be executed in one or more counterparts, each of which will be deemed an original, but all of which will constitute one and the same instrument. For purposes hereof, the Parties may sign and deliver this Second Amendment by facsimile transmission or electronic transmission in Portable Document Format ("PDF"). Each Party agrees that the delivery of this Second Amendment by facsimile or PDF will be deemed to be an original.

Oxford Immunotec Second Amendment to Supply and Reseller Agreement 460508 Page 5 of 9

EXHIBIT 10.1

THIS EXHIBIT HAS BEEN REDACTED AND IS THE SUBJECT OF A CONFIDENTIAL TREATMENT REQUEST. REDACTED MATERIAL IS MARKED WITH [***] AND HAS BEEN FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION.

CONFIDENTIAL

LIFE TECHNOLOGIES CORPORATION		OXFORD IMMUNOTEC LIMITED
By:	/s/ Rolando Brawer	By:	/s/ Peter Edwardson
Rolando Brawer		Peter Edwardson
Director, Business Development		Chief Operations Officer

Date:  August 9, 2016 Date: 1^st August 2016

Oxford Immunotec Second Amendment to Supply and Reseller Agreement 460508 Page 6 of 9

EXHIBIT 10.1

THIS EXHIBIT HAS BEEN REDACTED AND IS THE SUBJECT OF A CONFIDENTIAL TREATMENT REQUEST. REDACTED MATERIAL IS MARKED WITH [***] AND HAS BEEN FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION.

CONFIDENTIAL 

Exhibit A: AUTHORIZED LTC AFFILIATES (as amended in accordance with the Second Amendment)

For the purchase of LTC PRODUCTS that will be supplied to OI or its AFFILIATES in the US, the AUTHORIZED LTC AFFILIATE is:

Life Technologies Corporation

A Thermo Fisher Scientific company

3175 Staley Road

Grand Island, NY 14072

USA

To Order:

E-mail: CustomMedia@lifetch.com

For the purchase of LTC PRODUCTS that will be supplied to OI or its AFFILIATES in the UK, the AUTHORIZED LTC AFFILIATE is:

Life Technologies Limited

A Thermo Fisher Scientific company

3 Fountain Drive

Inchinnan Business Park

Paisley, UK

PA4 9RE

Phone: 0044 141 814 6100

E-mail: mpinquiries-orders@lifetech.com

OI FACILITY

Oxford Immunotec Limited 94C Innovation Drive Milton Park, Abingdon Oxfordshire OX14 4RZ United Kingdom Oxford Immunotec, Inc.  5846 Distribution Drive Memphis, TN 38141 USA

Oxford Immunotec Second Amendment to Supply and Reseller Agreement 460508 Page 7 of 9

EXHIBIT 10.1

THIS EXHIBIT HAS BEEN REDACTED AND IS THE SUBJECT OF A CONFIDENTIAL TREATMENT REQUEST. REDACTED MATERIAL IS MARKED WITH [***] AND HAS BEEN FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION.

CONFIDENTIAL 

Exhibit C: Pricing of LTC PRODUCTS¹ (as amended in accordance with the Second Amendment)

LTC PRODUCT	2015 Purchase Price to OI	Minimum Shipment/Minimum Order (UNITS per shipment/order) 2	Standard Price Change
AIM V ® 500 mL Package in Gibco Boxy Bottle	[***]	[***]	[***]
AIM V® 50 mL Custom Pkg.	[***]	[***]	[***]

¹ Subject to the provisions of paragraph 4.1 (source of supply) and Article 7 (pricing)

² as set forth in paragraph 4.3 (required minimums) of this AGREEMENT

Minimum Annual Purchase 

Beginning in 2013, OI shall purchase from the respective AUTHORIZED LTC AFFILIATE, a Minimum Annual Purchase of LTC PRODUCTS as set forth in the table at the end of this paragraph.

YEAR	Minimum Annual Purchase
2013	[***]1
2014	[***]1
2015	[***]1
2016	[***]1
2017	[***]1
2018	[***]1

¹ Failure to meet these Minimum Annual Purchase amounts for a given YEAR will incur a [***] percent ([***]%) increase in the price of the LTC PRODUCT for the following YEAR. For purposes of clarification, in the event OI meets or exceeds the Minimum Annual Purchase amount for a given YEAR, the price of the LTC PRODUCT for the following YEAR shall not be subject to an increase.

Oxford Immunotec Second Amendment to Supply and Reseller Agreement 460508 Page 8 of 9

EXHIBIT 10.1

THIS EXHIBIT HAS BEEN REDACTED AND IS THE SUBJECT OF A CONFIDENTIAL TREATMENT REQUEST. REDACTED MATERIAL IS MARKED WITH [***] AND HAS BEEN FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION.

CONFIDENTIAL 

Exhibit D

Attachment 1: Label Images

Oxford Immunotec Second Amendment to Supply and Reseller Agreement 460508 Page 9 of 9

 

EX-31.1

Exhibit 31.1

CERTIFICATION

I, Peter Wrighton-Smith, Ph.D., certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of Oxford Immunotec Global PLC;

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(s) 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 for 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(s) 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: November 1, 2016	/s/ Peter Wrighton-Smith, Ph.D.
	Peter Wrighton-Smith, Ph.D. Chief Executive Officer and Director

EX-31.2

Exhibit 31.2

CERTIFICATION

I, Richard M. Altieri, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of Oxford Immunotec Global PLC;

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(s) 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 for 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(s) 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: November 1, 2016	/s/ Richard M. Altieri
	Richard M. Altieri Chief Financial Officer

EX-32

Exhibit 32

CERTIFICATION

Pursuant to section 906 of the Sarbanes-Oxley Act of 2002 (subsections (a) and (b) of section 1350, chapter 63 of title 18, United States Code), each of the undersigned officers of Oxford Immunotec Global PLC, a company incorporated in England and Wales (the “Company”), does hereby certify, to such officer’s knowledge, that:

The Quarterly Report for the quarter ended September 30, 2016 (the “Form 10-Q”) of the Company fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended, and the information contained in the Form 10-Q fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date: November 1, 2016	/s/ Peter Wrighton-Smith, Ph.D.
	Peter Wrighton-Smith, Ph.D. Chief Executive Officer and Director

Date: November 1, 2016	/s/ Richard M. Altieri
	Richard M. Altieri Chief Financial Officer

This certification is being furnished and not filed, and shall not be incorporated into any document for any purpose, under the Securities Exchange Act of 1934 or the Securities Act of 1933.

XML

Document And Entity Information - shares	9 Months Ended
	Sep. 30, 2016	Oct. 26, 2016
Document Information [Line Items]
Entity Registrant Name	Oxford Immunotec Global PLC
Entity Central Index Key	0001586049
Trading Symbol	oxfd
Current Fiscal Year End Date	--12-31
Entity Filer Category	Accelerated Filer
Entity Current Reporting Status	Yes
Entity Voluntary Filers	No
Entity Well-known Seasoned Issuer	No
Entity Common Stock, Shares Outstanding (in shares)		22,602,044
Document Type	10-Q
Document Period End Date	Sep. 30, 2016
Document Fiscal Year Focus	2016
Document Fiscal Period Focus	Q3
Amendment Flag	false

XML

Condensed Consolidated Balance Sheets (Current Period Unaudited) - USD ($) $ in Thousands	Sep. 30, 2016	Dec. 31, 2015
Current assets:
Cash and cash equivalents	$ 37,324	$ 83,715
Accounts receivable, net	15,139	7,058
Inventory, net	7,313	7,099
Prepaid expenses and other assets	2,212	3,592
Total current assets	61,988	101,464
Restricted cash, non-current	200	80
Property and equipment, net	7,185	6,284
In-process research and development	11,031	1,782
Goodwill	2,691	45
Other intangible assets, net	9,648	179
Other assets	144	18
Total assets	92,887	109,852
Current liabilities:
Accounts payable	2,254	3,799
Accrued liabilities	11,314	9,949
Deferred income	53	1,654
Current portion of loans payable	82	79
Total current liabilities	13,703	15,481
Long-term portion of loans payable	323	386
Contingent purchase price consideration	1,502	1,293
Total liabilities	15,528	17,160
Commitments and contingencies (Note 2)
Shareholders' equity:
Ordinary shares, £0.006705 nominal value; 36,183,293 shares authorized at September 30, 2016 and December 31, 2015, and 22,581,222 and 22,549,488 shares issued and outstanding at September 30, 2016 and December 31, 2015, respectively	243	243
Additional paid-in capital	247,875	244,033
Accumulated deficit	(163,798)	(146,307)
Accumulated other comprehensive loss	(6,961)	(5,277)
Total shareholders’ equity	77,359	92,692
Total liabilities and shareholders’ equity	$ 92,887	$ 109,852

XML

Condensed Consolidated Balance Sheets (Current Period Unaudited) (Parentheticals) - £ / shares	Sep. 30, 2016	Dec. 31, 2015	Jan. 29, 2015
Ordinary shares, nominal value (in Great Britain Pound Sterling per share)	£ 0.006705	£ 0.006705	£ 0.006705
Ordinary shares, shares authorized (in shares)	36,183,293	36,183,293
Ordinary shares, shares issued (in shares)	22,581,222	22,549,488
Ordinary shares, shares outstanding (in shares)	22,581,222	22,549,488

XML

Condensed Consolidated Statements of Operations (Unaudited) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
Revenue:
Product	$ 9,713	$ 8,310	$ 27,144	$ 22,045
Service	16,396	9,634	35,229	23,952
Total revenue	26,109	17,944	62,373	45,997
Cost of revenue:
Product	3,616	3,757	10,421	9,712
Service	7,887	4,312	17,853	11,514
Total cost of revenue	11,503	8,069	28,274	21,226
Gross profit	14,606	9,875	34,099	24,771
Operating expenses:
Research and development	3,592	3,187	10,009	8,392
Sales and marketing	8,794	7,381	26,665	22,549
General and administrative	6,466	4,137	16,200	11,788
Total operating expenses	18,852	14,705	52,874	42,729
Loss from operations	(4,246)	(4,830)	(18,775)	(17,958)
Other (expense) income:
Interest expense, net	(54)	(19)	(88)	(53)
Foreign exchange gains (losses)	470	476	1,707	(33)
Other (expense) income	(106)	(64)	(243)	50
Loss before income taxes	(3,936)	(4,437)	(17,399)	(17,994)
Income tax expense	60	46	92	94
Net loss	$ (3,996)	$ (4,483)	$ (17,491)	$ (18,088)
Net loss per share attributable to ordinary shareholders—basic and diluted (in dollars per share)	$ (0.18)	$ (0.20)	$ (0.78)	$ (0.84)
Weighted-average shares used to compute net loss attributable to ordinary shareholders—basic and diluted (in shares)	22,365,349	22,259,840	22,333,911	21,619,375

XML

Condensed Consolidated Statements of Other Comprehensive Loss (Unaudited) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
Net loss	$ (3,996)	$ (4,483)	$ (17,491)	$ (18,088)
Other comprehensive income (loss), net of taxes:
Foreign currency translation adjustment, net of taxes	(411)	(394)	(1,684)	(375)
Other comprehensive income (loss), net of taxes	(411)	(394)	(1,684)	(375)
Total comprehensive loss	$ (4,407)	$ (4,877)	$ (19,175)	$ (18,463)

XML

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015
Cash flows from operating activities
Net loss	$ (17,491)	$ (18,088)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization	2,067	1,533
Intangible asset impairment charge		385
Share-based compensation expense	3,827	2,582
Change in fair value of contingent purchase price consideration	172	148
Changes in operating assets and liabilities:
Accounts receivable, net	(8,659)	(721)
Inventory, net	(782)	(162)
Prepaid expenses and other assets	1,177	12
Accounts payable	(1,235)	770
Accrued liabilities	1,882	922
Deferred income	(1,505)	(258)
Net cash used in operating activities	(20,547)	(12,877)
Cash flows from investing activities
Purchases of property and equipment	(2,351)	(2,466)
Purchases of intangible assets		(45)
Cash paid for acquisition	(22,200)
(Increase) decrease in restricted cash	(120)	200
Net cash used in investing activities	(24,671)	(2,311)
Cash flows from financing activities
Proceeds from issuance of ordinary shares		53,762
Proceeds from exercise of share options	15	14
Payments on loan	(59)	(107)
Net cash (used in) provided by financing activities	(44)	53,669
Effect of exchange rate changes on cash and cash equivalents	(1,129)	(163)
Net (decrease) increase in cash and cash equivalents, excluding restricted cash	(46,391)	38,318
Cash and cash equivalents at beginning of period	83,715	50,165
Cash and cash equivalents at end of period	$ 37,324	$ 88,483

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Note 1 - Business and Basis of Presentation

9 Months Ended

Sep. 30, 2016

Notes to Financial Statements

Basis of Presentation and Significant Accounting Policies [Text Block]

1. Business and basis of presentation

Description of business

Oxford Immunotec Global PLC, or the Company, is a global, high-growth diagnostics company focused on developing and commercializing proprietary tests for the management of underserved immune-regulated conditions. The Company’s first product is the TSPOT

®

.

TB

test, which is used to test for tuberculosis infection. The T-SPOT.

TB

test has been approved for sale in over 50 countries, including the United States, where it has received pre-market approval from the Food and Drug Administration; Europe, where it has obtained a CE mark; and Japan and China. The Company’s second product line is a range of assays for tick-borne diseases, such as Lyme disease, obtained through the acquisitions of Imugen, Inc., or Imugen, and Immunetics, Inc., or Immunetics. The T-SPOT.

CMV

test and the T-SPOT.

PRT

test are part of the Company’s third product line focused on the transplantation market. In addition to these three product lines, the Company has additional active development programs in other immune-regulated conditions.

Unaudited i

nterim

f

inancial

s

tatements

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles for interim financial information and with 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 generally accepted accounting principles for complete financial statements. In the opinion of management, the interim condensed consolidated financial statements reflect all adjustments, of a normal recurring nature, necessary for a fair statement of the financial position at September 30, 2016, the results of operations for the three and nine-month periods ended September 30, 2016 and 2015, and the cash flows for the nine-month periods ended September 30, 2016 and 2015. Interim results are not necessarily indicative of results for a full year.

The consolidated balance sheet presented as of December 31, 2015, has been derived from the audited consolidated financial statements as of that date. The consolidated financial statements and notes included in this report should be read in conjunction with the 2015 consolidated financial statements and notes included in the Company’s Annual Report on Form 10-K, as filed with the Securities and Exchange Commission on March 1, 2016, or the Company’s 2015 Form 10-K.

Note 1 to the consolidated financial statements included in the Company’s 2015 Form 10-K describes the significant accounting estimates and policies used in preparation of the consolidated financial statements. There have been no material changes in the Company’s significant accounting policies during the three and nine-month periods ended September 30, 2016.

Recent accounting pronouncements

In May 2014, the Financial Accounting Standards Board, or FASB, issued Accounting Standards Update, or ASU, 2014-09,

Revenue from Contracts with Customers

, or ASU 2014-09, or Topic 606, which converges the FASB and the International Accounting Standards Board standards on revenue recognition. Under ASU 2014-09, a company should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the company expects to be entitled in exchange for those goods or services. This guidance will be effective for the Company for annual and interim periods beginning after December 15, 2017. Early adoption is permitted for annual and interim periods beginning after December 15, 2016. The guidance allows for either “full retrospective” adoption, meaning the standard is applied to all of the periods presented, or “modified retrospective” adoption, meaning the standard is applied only to the most current period presented in the financial statements. The Company is currently evaluating ASU 2014-09 and has not yet determined how it may impact the Company’s financial position or results of operations and related disclosures.

In April 2016, the FASB issued ASU 2016-10,

Identifying Performance Obligations and Licensing

, or ASU 2016-10, which amends the guidance in ASU 2014-09 with respect to certain implementation issues on identifying performance obligations and accounting for licenses of intellectual property. The new guidance permits companies to either apply the requirements retrospectively to all prior periods presented, or apply the requirements in the year of adoption through a cumulative adjustment. The Company is currently evaluating ASU 2016-10 and has not yet determined how it may impact the Company’s financial position or results of operations and related disclosures.

In May 2016, the FASB issued ASU 2016-11,

Rescission of SEC Guidance Because of Accounting Standards Updates 2014-09 and 2014-16 Pursuant to Staff Announcements at the March 3, 2016 EITF Meeting

, or ASU 2016-11. ASU 2016-11 rescinds certain SEC Staff Observer comments that are codified in Topic 605, Revenue Recognition, and Topic 932, Extractive Activities — Oil and Gas, effective upon adoption of Topic 606, Revenue from Contracts with Customers. Specifically, registrants should not rely on the following SEC Staff Observer comments upon adoption of Topic 606: (a) Revenue and Expense Recognition for Freight Services in Process, (b) Accounting for Shipping and Handling Fees and Costs, (c) Accounting for Consideration Given by a Vendor to a Customer (including Reseller of the Vendor’s Products) and (d) Accounting for Gas-Balancing Arrangements (that is, use of the “entitlements method”). In addition, as a result of the amendments in Update 2014-16, the SEC staff is rescinding its SEC Staff Announcement, “Determining the Nature of a Host Contract Related to a Hybrid Instrument Issued in the Form of a Share under Topic 815,” effective concurrently with Update 2014-16. The Company is currently evaluating ASU 2016-11 and has not yet determined how it may impact the Company’s financial position or results of operations and related disclosures.

In May 2016, the FASB issued ASU 2016-12,

Narrow-Scope Improvements and Practical Expedients

, or ASU 2016-12. ASU 2016-12 amends guidance in Topic 606 on collectibility, presentation of sales taxes, noncash consideration and transition and are intended to address implementation issues that were raised by stakeholders and provide additional practical expedients. The effective date for this update is the same as the effective date for ASU 2014-09. The Company is currently evaluating ASU 2016-12 and has not yet determined how it may impact the Company’s financial position or results of operations and related disclosures.

In August 2014, the FASB issued ASU 2014-15, 

Presentation of Financial Statements - Going Concern

, or ASU 2014-15.ASU 2014-15 will be effective for fiscal years and interim periods beginning after December 15, 2016 and early application is permitted. ASU 2014-15 requires that management evaluate at each annual and interim reporting period whether there is a substantial doubt about an entity’s ability to continue as a going concern within one year of the date that the financial statements are issued. The Company does not expect that the application of ASU 2014-15 will have an impact on the presentation of its results of operations, financial position or disclosures.

In April 2015, the FASB issued ASU 2015-05,

Customer’s Accounting for Fees Paid in a Cloud Computing Arrangement

, or ASU 2015-05. ASU 2015-05 amends existing accounting guidance to provide explicit guidance related to a customer’s accounting for fees paid in a cloud computing arrangement. Under the guidance, cloud computing arrangements that include a software license would be accounted for consistent with the acquisition of other software licenses. Conversely, cloud computing arrangements that do not include a software license would be accounted for as a service contract. The Company adopted ASU 2015-05 effective January 1, 2016 and there was no impact on the presentation of its results of operations, financial position or disclosures.

In July 2015, the FASB issued ASU 2015-11,

Simplifying the Measurement of Inventory

, or ASU 2015-11. ASU 2015-11 requires that an entity should measure inventory within the scope of ASU 2015-11 at the lower of cost and net realizable value. Net realizable value is the estimated selling prices in the ordinary course of business, less reasonably predictable costs of completion, disposal, and transportation. This guidance will be effective for the Company for annual and interim periods beginning after December 15, 2016. The amendments in ASU 2015-11 are to be applied prospectively with earlier application permitted as of the beginning of an interim or annual reporting period. The Company is currently evaluating ASU 2015-11 and has not yet determined how it may impact the Company’s financial position or results of operations and related disclosures.

In February 2016, the FASB issued ASU 2016-02,

Leases

, or ASU 2016-02. ASU 2016-02 requires lessees to put most leases on their balance sheets but recognize expenses on their income statements in a manner similar to current accounting. The guidance also eliminates real estate-specific provisions for all entities. The new guidance will be effective for the Company for annual and interim periods beginning after December 15, 2018. Early adoption is permitted. The Company is currently evaluating ASU 2016-02 and has not yet determined how it may impact its financial position or results of operations and related disclosures.

In March 2016, the FASB issued ASU 2016-09,

Improvements to Employee Share-Based Payment Accounting

, or ASU 2016-09. ASU 2016-09 is intended to simplify several areas of accounting for share-based compensation arrangements, including the income tax impact, classification on the statement of cash flows and forfeitures.

The new guidance will be effective for the Company for annual and interim periods beginning after

December 15, 2016. Early adoption is permitted.

The Company does not expect ASU 2016-09 to have a material impact on the presentation of its results of operations, financial position or disclosures.

In June 2016, the FASB issued ASU 2016-13,

Financial Instruments-Credit Losses

, or ASU 2016-13. ASU 2016-13 requires a financial asset (or a group of financial assets) measured at amortized cost basis to be presented at the net amount expected to be collected. Under current Generally Accepted Accounting Principles, or GAAP, a company only considered past events and current conditions in measuring an incurred loss. Under ASU 2016-13, the information that a company must consider is broadened in developing an expected credit loss estimate for assets measured either collectively or individually. The use of forecasted information incorporates more timely information in the estimate of expected credit loss. The new guidance will be effective for the Company for annual and interim periods beginning after December 15, 2019. Early adoption is permitted for annual and interim periods beginning after December 15, 2018. The Company does not expect ASU 2016-13 to have a material impact on the presentation of its results of operations, financial position or disclosures.

In August 2016, the FASB issued ASU 2016-15,

Classification of Certain Cash Receipts and Cash Payments

, or ASU 2016-15. ASU 2016-15 is intended to reduce the diversity in practice in how certain cash receipts and cash payments are presented and classified in the statement of cash flows. The new guidance

will be effective for the Company for annual and interim periods beginning after

December 15, 2017. Early adoption is permitted, including adoption in an interim period.

The Company is currently evaluating ASU 2016-15 and has not yet determined how it may impact its statement of cash flows.

Under the U.S. Jumpstart our Business Startups Act, or the JOBS Act, emerging growth companies that become public can delay adopting new or revised accounting standards until such time as those standards apply to private companies. The Company irrevocably elected not to avail itself of this exemption from new or revised accounting standards and, therefore, it is subject to the same new or revised accounting standards as public companies that are not emerging growth companies.

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Note 2 - Fair Value Measurement

9 Months Ended

Sep. 30, 2016

Notes to Financial Statements

Fair Value Disclosures [Text Block]

2

. Fair value measurement

As a basis for determining the fair value of certain of the Company’s financial instruments, the Company utilizes a three-tier value hierarchy, which prioritizes the inputs used in measuring fair value as follows:

Level I—Observable inputs such as quoted prices in active markets for identical assets or liabilities.

Level II—Observable inputs, other than Level I prices, such as quoted prices for similar assets or liabilities, quoted prices in markets that are not active or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.

Level III—Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.

This hierarchy requires the Company to use observable market data, when available, and to minimize the use of unobservable inputs when determining fair value. The carrying amount of certain of the Company’s financial instruments, including cash, accounts receivable, prepaid expenses and other assets, accounts payable, and accrued liabilities approximate fair value due to their short maturities.

Assets and liabilities measured at fair value are classified in their entirety based on the lowest level of input that is significant to the fair value measurement. The Company’s assessment of the significance of a particular input to the entire fair value measurement requires management to make judgments and consider factors specific to the asset or liability.

The following tables present information about the balances of liabilities measured at fair value on a recurring basis and indicate the fair value hierarchy of the valuation techniques utilized to determine such fair value. In general, fair values determined by Level 1 inputs utilize quoted prices (unadjusted) in active markets for identical assets or liabilities. Fair values determined by Level 2 inputs utilize data points that are observable such as quoted prices, interest rates, and yield curves. Fair values determined by Level 3 inputs are unobservable data points for the asset or liability, and include situations where there is little, if any, market activity for the asset or liability. The Company did not have any financial assets measured at fair value on a recurring basis.

			Fair v alue m easurements at September 30, 2016 us ing
(in thousands)	September 30, 2016		Quoted p rices in a ctive m arkets f or i dentical a ssets (Level 1)		Significant o ther o bservable i nputs (Level 2)		Significant u nobservable i nputs (Level 3)
Liabilities:
Contingent purchase price consideration	$	1,502	$	—	$	—	$	1,502
Total	$	1,502	$	—	$	—	$	1,502

			Fair v alue m easurements at December 31, 2015 us ing
(in thousands)	December 31, 2015		Quoted p rices in a ctive m arkets f or i dentical a ssets (Level 1)		Significant o ther o bservable i nputs (Level 2)		Significant u nobservable i nputs (Level 3)
Liabilities:
Contingent purchase price consideration	$	1,293	$	—	$	—	$	1,293
Total	$	1,293	$	—	$	—	$	1,293

On July 31, 2014, the Company acquired substantially all of the assets of Boulder Diagnostics, Inc., or Boulder, a privately owned company developing immunology-based assays for autoimmune and inflammatory conditions/diseases. The terms of the purchase agreement included contingent purchase price consideration consisting of future potential milestone payments totaling up to $6.1 million at any time on or prior to July 31, 2024. The milestone payments are for the completion of studies related to acquired technologies, development of diagnostic test kits, patient enrollment in an Institutional Review Board approved study, issuance of patents, and approvals or clearances by the U.S. Food and Drug Administration, or FDA. The fair value of future potential milestone payments was determined based upon a probability weighted analysis of expected future milestone payments to be made to the seller, which are considered as Level 3 inputs.

The following tables provide summaries of changes in the fair value of the Company's Level 3 financial liabilities for the three and nine-month periods ended September 30, 2016:

(in thousands)	Three months ended September 30, 201 6		Nine months ended September 30, 201 6
Balance – beginning	$	1,428	$	1,293
Change in fair value of contingent purchase price consideration		60		172
Foreign currency adjustment		14		37
Balance – ending	$	1,502	$	1,502

The change in fair value of the contingent purchase price consideration is included in research and development expense.

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Note 3 - Accounts Receivable, Net

9 Months Ended

Sep. 30, 2016

Notes to Financial Statements

Financing Receivables [Text Block]

3. Accounts receivable, net

Accounts receivable, net, consisted of the following as of:

(in thousands)	September 30, 201 6			December 31, 201 5
Accounts receivable	$	15,916		$	7,372
Less allowance for uncollectible accounts receivable		(777	)		(314	)
Accounts receivable, net	$	15,139		$	7,058

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Note 4 - Inventory, Net

9 Months Ended

Sep. 30, 2016

Notes to Financial Statements

Inventory Disclosure [Text Block]

4

. Inventory

, net

Inventory, net consisted of the following as of:

(in thousands)	September 30, 201 6		December 31, 201 5
Raw materials	$	4,110	$	3,925
Finished goods		3,203		3,174
Inventory, net	$	7,313	$	7,099

Inventory, net includes $805,000 in inventory related to the Company’s magnetic bead process, which is being reimplemented in our Memphis lab.

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Note 5 - Goodwill and Acquired Intangible Assets

9 Months Ended

Sep. 30, 2016

Notes to Financial Statements

Goodwill and Intangible Assets Disclosure [Text Block]

5. Goodwill and acquired intangible assets

The following table sets forth the changes in the carrying amount of goodwill for the nine months ended September 30, 2016 (in thousands):

Balance at December 31, 2015	$	45
Foreign currency adjustment		1
Imugen acquisition (Note 10)		2,645
Balance at September 30, 2016	$	2,691

Acquired intangible assets consisted of the following as of September 30, 2016 and December 31, 2015:

	As of September 30, 2016
(in thousands)	Amortization period (years)			Gross carrying amount		Accumulated Amortization		Net carrying amount
Boulder in-process research and development		Indefinite		$	1,831	$	—	$	1,831
Imugen in-process research and development		Indefinite			9,200		—		9,200
Imugen technology - clinical		15			5,100		85		5,015
Imugen customer relationships		10			2,700		68		2,632
Imugen trademarks / trade names		16			1,900		30		1,870
Other	5	-	10		665		534		131
Total				$	21,396	$	717	$	20,679

	As of December 31, 2015
(in thousands)	Amortization period (years)			Gross carrying amount		Accumulated Amortization		Net carrying amount
Boulder in-process research and development		Indefinite		$	1,782	$	—	$	1,782
Imugen in-process research and development		Indefinite			—		—		—
Imugen technology - clinical		15			—		—		—
Imugen customer relationships		10			—		—		—
Imugen trademarks / trade names		16			—		—		—
Other	5	-	10		758		579		179
Total				$	2,540	$	579	$	1,961

The weighted average amortization period of our finite-lived intangible assets is 13.5 years. Amortization expense related to acquired intangible assets is estimated at $0.2 million for the remainder of 2016 and $0.7 million per year for 2017 through 2021.

The acquired in-process research and development, or IPR&D, assets include $1.8 million related to assays for Lyme disease and gout that were acquired in conjunction with the Boulder acquisition and $9.2 million for in-process research and development acquired in conjunction with the Imugen acquisition.

IPR&D acquired in a business combination is capitalized at fair value and is subject to impairment testing at least annually until the underlying project is completed. Once the project is completed, the carrying value of IPR&D is amortized over the estimated useful life of the asset. Post-acquisition research and development expenses related to the acquired IPR&D are expensed as incurred.

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Note 6 - Accrued Liabilities

9 Months Ended

Sep. 30, 2016

Notes to Financial Statements

Accounts Payable and Accrued Liabilities Disclosure [Text Block]

6

. Accrued

liabilities

Accrued liabilities consisted of the following as of:

(in thousands)	September 30, 201 6		December 31, 201 5
Employee related expenses	$	5,311	$	4,478
Royalties		2,879		3,498
Clinical trials		1,221		442
Professional services		481		333
Sales and use taxes payable		279		193
Rent		85		56
Market research		83		26
Inventory		78		85
Other accrued liabilities		897		838
Total accrued liabilities	$	11,314	$	9,949

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Note 7 - Share Option and Equity Incentive Plan

9 Months Ended

Sep. 30, 2016

Notes to Financial Statements

Disclosure of Compensation Related Costs, Share-based Payments [Text Block]

7

.

Share option and equity incentive plan

The impact on the Company’s results of operations from share-based compensation was as follows:

	Three months ended September 30,				Nine m onths e nded September 3 0 ,
(in thousands)	201 6		201 5		20 16		201 5
Cost of revenue	$	28	$	147	$	15	$	386
Research and development		162		56		394		166
Sales and marketing		490		302		1,385		725
General and administrative		688		489		2,033		1,305
Total share-based compensation	$	1,368	$	994	$	3,827	$	2,582

In November 2013, in connection with the Company’s initial public offering, the Company adopted the 2013 Share Incentive Plan, or the 2013 Plan, which provides for the grant of share options, restricted shares, restricted share units, or RSUs, and other share-based awards to employees, officers, directors and consultants of the Company.

During the three month period ended September 30, 2016, the Company did not award any share options. During the nine month period ended September 30, 2016, the Company granted to certain employees 722,964 share options with exercise prices ranging from $8.65 to $11.86 per share under the 2013 Plan. The weighted-average grant date fair value related to share options granted under the 2013 Plan during the nine month period ended September 30, 2016 was $4.47 per share. Share options generally vest based on the grantee’s continued service with the Company during a specified period following the vesting start date or, in rare instances, based on the achievement of performance or other conditions as determined by the Board of Directors, and expire after ten years.

During the three month period ended September 30, 2016, the Company did not award any RSUs. During the nine month period ended September 30, 2016, the Company awarded to certain employees 108,361 RSUs with a weighted average grant date fair value of $10.21 per share under the 2013 Plan. The RSUs vest based on the grantee’s continued service with the Company during a specified period following grant as follows: 40% on the second anniversary of the vesting start date; 30% on the third anniversary of the vesting start date; and 30% on the fourth anniversary of the vesting start date. Share-based compensation expense for these restricted shares is calculated based on the grant date market price of the shares and is being recognized over the vesting period.

For the three month period ended September 30, 2016, the Company incurred shared-based compensation expense related to share options and restricted shares/RSUs of $844,000 and $524,000, respectively. For the three month period ended September 30, 2015, the Company incurred shared-based compensation expense related to share options and restricted shares/RSUs of $636,000 and $358,000, respectively.

For the nine month period ended September 30, 2016, the Company incurred shared-based compensation expense related to share options and restricted shares/RSUs of $2.4 million and $1.4 million, respectively. For the nine month period ended September 30, 2015, the Company incurred shared-based compensation expense related to share options and restricted shares/RSUs of $1.7 million and $841,000, respectively.

As of September 30, 2016, there was $5.8 million and $3.9 million of total unrecognized compensation cost related to unvested share options and restricted shares/RSUs, respectively. These costs are expected to be recognized over weighted-average periods of 2.5 years for share options and 2.1 years for restricted shares/RSUs.

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Note 8 - Share Capital

9 Months Ended

Sep. 30, 2016

Notes to Financial Statements

Stockholders' Equity Note Disclosure [Text Block]

8

. Share capital

On January 29, 2015, the Company entered into an underwriting agreement relating to the public offering, or the Offering, of 4,255,319 ordinary shares, nominal value £0.006705, or the Shares, at an offering price to the public of $11.75 per Share, or the Offering Price. The underwriters agreed to purchase the Shares from the Company pursuant to an underwriting agreement at a price of $11.045 per share. Under the terms of the underwriting agreement, the Company granted the underwriters a 30-day option to purchase up to an additional 638,297 shares, or the Option Shares, at the Offering Price, less underwriting discounts and commissions. On January 30, 2015, the underwriters exercised their option to purchase the Option Shares in full. The total proceeds to the Company from the sale of the Shares and the Option Shares were approximately $57.5 million and the Company received net proceeds of approximately $53.8 million after deducting underwriting discounts and commissions and aggregate offering expenses payable by the Company. The Offering closed on February 4, 2015.

During the first nine months of 2016, 31,734 ordinary shares were issued upon the exercise of options. As of September 30, 2016, there were 36,183,293 ordinary shares authorized and 22,581,222 ordinary shares issued and outstanding.

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Note 9 - Net Loss Per Share

9 Months Ended

Sep. 30, 2016

Notes to Financial Statements

Earnings Per Share [Text Block]

9

.

Net loss per share

The following numbers of outstanding ordinary share options and unvested restricted shares and unvested RSUs were excluded from the computation of diluted net loss per share for the periods presented because their effect would have been anti-dilutive:

	Three months ended September 30,				Nine m onths e nded September 3 0 ,
	201 6		201 5		201 6		201 5
Options to purchase ordinary shares		1,062,920		1,119,303		1,062,784		1,119,397
Unvested restricted shares		138,040		253,740		138,040		253,740
Unvested restricted share units		212,901		108,563		212,901		108,563

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Note 10 - Acquisition

9 Months Ended

Sep. 30, 2016

Notes to Financial Statements

Business Combination Disclosure [Text Block]

10

.

Acquisition

On July 1, 2016, the Company acquired substantially all of the assets of Imugen, a privately owned Massachusetts corporation focused on the development and performance of testing for tick-borne diseases. The assets acquired primarily relate to Imugen’s proprietary testing technology and its Clinical Laboratory Improvements Amendment, or CLIA, approved and College of American Pathologists, or CAP, approved laboratory in Norwood, Massachusetts.

The consideration for the acquisition of Imugen consisted of $22.2 million in cash. A portion of the purchase price has been placed in escrow to serve as security for potential indemnification claims. The Company filed the required financial statements (including pro forma financial statements) relating to the acquisition on a Form 8-K/A on September 9, 2016.

The acquisition of Imugen was accounted for under the acquisition method of accounting and the purchase price allocation was provisionally prepared during the third quarter of 2016.

While the Company is close to finalization of the purchase price accounting, it has recorded provisional amounts for the assets acquired (no liabilities were assumed)

, based upon their estimated fair values at the date of the business acquisition. These provisional amounts may be adjusted as necessary during the measurement period (up to one year from the acquisition date) while the accounting is finalized and the Company has revised property and equipment to $655,000 from $876,000.

The Company paid approximately $475,000 in transaction costs associated with this transaction, which is included in general and administrative expense in the statement of operations.

The table below summarizes the purchase price of the Imugen acquisition and the fair value of identified assets acquired at the acquisition date (in thousands):

Assets acquired:
Property and equipment	$	655
In-process research and development		9,200
Technology - clinical		5,100
Customer relationships		2,700
Trademarks / trade names		1,900
Total assets acquired		19,555
Add: Goodwill		2,645
Total consideration transferred	$	22,200

On the date of the acquisition, the fair value of acquired intangible assets was determined to be $18.9 million using primarily the excess earnings method with significant inputs that are not observable, including estimates of the timing and cost required for product approval, revenue growth, gross margin, operating expenses and a discount rate of approximately 22%. We consider these intangible assets to be Level 3 fair value assets due to the significant estimates and assumptions used by management in establishing the estimated fair value.

Goodwill of approximately $2.6 million represents the excess of the purchase price of the acquired business over the fair value of the underlying net tangible and identifiable intangible assets and represents the expected synergistic benefits of the transaction, which relate to an increase in future revenues for the Company as a result of leveraging Imugen’s systems and expertise of its employees. The goodwill is also related to the knowledge and experience of the workforce in place. Goodwill and in-process research and development are indefinite-lived intangible assets and are not amortized. Rather, they are reviewed for impairment at least annually. There was no evidence of any impairments at September 30, 2016 and there were no impairment charges during the quarter ended September 30, 2016. Goodwill is deductible for tax purposes over 15 years.

Actual results of operations acquired from Imugen are included in the unaudited condensed consolidated interim financial statements from the date of the acquisition, including revenues in the amount of $4.1 million for the quarter ended September 30, 2016 and income from operations of $1.1 million for the quarter ended September 30, 2016.

The unaudited pro forma condensed consolidated statement of operations of the Company, set forth below, gives effect to the Company’s acquisition of Imugen, using the acquisition method as if it occurred on January 1, 2015. These amounts are not necessarily indicative of the consolidated results of operations for future years or actual results that would have been realized had the acquisition occurred as of the beginning of each such year:

	Pro Forma
	Three months ended September 30,						Nine m onths e nded September 3 0 ,
(in thousands, except share and per share data)	201 6			201 5			201 6			201 5
Total revenues	$	26,109		$	22,656		$	67,679		$	54,555
Net loss	$	(3,996	)	$	(2,661	)	$	(17,491	)	$	(18,580	)
Net loss per share—basic and diluted	$	(0.18	)	$	(0.12	)	$	(0.78	)	$	(0.86	)
Weighted average shares outstanding—basic and diluted		22,365,349			22,259,840			22,333,911			21,619,375

The Company did not have any material, nonrecurring pro forma adjustments directly attributable to the acquisition in the above pro forma results.

Pro forma results include the historical results of the Company and Imugen, and adjustments primarily relating to the amortization of identifiable intangible assets acquired over estimated useful economic lives with a weighted-average amortization period of approximately 14 years, and the elimination of tax expense incurred by Imugen prior to the acquisition.

In 2016, the Company incurred $475,000 of acquisition-related costs. These costs are included in general and administrative expense in the Company’s condensed consolidated statement of operations for the nine months ended September 30, 2016 and are reflected in the pro forma net loss for the nine months ended September 30, 2016 in the above table.

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Note 11 - Subsequent Event

9 Months Ended

Sep. 30, 2016

Notes to Financial Statements

Subsequent Events [Text Block]

11

.

Subsequent events

On October 4, 2016, the Company entered into an agreement with MidCap Financial, or the MidCap agreement, that provides the Company with $40 million in debt financing, comprised of both a term loan and a revolving line of credit. The MidCap agreement provides the Company with a term loan of $30 million, which matures five years from closing. The term loan accrues interest at a rate of LIBOR plus 7.60% with interest only payments for the first 24 months, with the ability to extend to 48 months subject to certain conditions, before the loan begins to amortize. The MidCap agreement also provides the Company with a revolving line of credit of up to $10 million, which matures five years from closing. The revolving line of credit accrues interest at a rate of LIBOR plus 4.45%. Based on certain conditions, both the term loan and revolving line of credit may be increased by an additional $10 million for a total of $60 million.

On October 12, 2016, the Company acquired Immunetics, a Massachusetts based diagnostics company focused on developing specialized tests for infectious diseases, including tick-borne diseases, such as Lyme disease. Total consideration was comprised of $6 million in cash and up to an additional $6 million in cash payable on the achievement of certain revenue thresholds and pipeline related milestones over the next three years.

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Significant Accounting Policies (Policies)

9 Months Ended

Sep. 30, 2016

Accounting Policies [Abstract]

New Accounting Pronouncements, Policy [Policy Text Block]

Recent accounting pronouncements

In May 2014, the Financial Accounting Standards Board, or FASB, issued Accounting Standards Update, or ASU, 2014-09,

Revenue from Contracts with Customers

, or ASU 2014-09, or Topic 606, which converges the FASB and the International Accounting Standards Board standards on revenue recognition. Under ASU 2014-09, a company should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the company expects to be entitled in exchange for those goods or services. This guidance will be effective for the Company for annual and interim periods beginning after December 15, 2017. Early adoption is permitted for annual and interim periods beginning after December 15, 2016. The guidance allows for either “full retrospective” adoption, meaning the standard is applied to all of the periods presented, or “modified retrospective” adoption, meaning the standard is applied only to the most current period presented in the financial statements. The Company is currently evaluating ASU 2014-09 and has not yet determined how it may impact the Company’s financial position or results of operations and related disclosures.

In April 2016, the FASB issued ASU 2016-10,

Identifying Performance Obligations and Licensing

, or ASU 2016-10, which amends the guidance in ASU 2014-09 with respect to certain implementation issues on identifying performance obligations and accounting for licenses of intellectual property. The new guidance permits companies to either apply the requirements retrospectively to all prior periods presented, or apply the requirements in the year of adoption through a cumulative adjustment. The Company is currently evaluating ASU 2016-10 and has not yet determined how it may impact the Company’s financial position or results of operations and related disclosures.

In May 2016, the FASB issued ASU 2016-11,

Rescission of SEC Guidance Because of Accounting Standards Updates 2014-09 and 2014-16 Pursuant to Staff Announcements at the March 3, 2016 EITF Meeting

, or ASU 2016-11. ASU 2016-11 rescinds certain SEC Staff Observer comments that are codified in Topic 605, Revenue Recognition, and Topic 932, Extractive Activities — Oil and Gas, effective upon adoption of Topic 606, Revenue from Contracts with Customers. Specifically, registrants should not rely on the following SEC Staff Observer comments upon adoption of Topic 606: (a) Revenue and Expense Recognition for Freight Services in Process, (b) Accounting for Shipping and Handling Fees and Costs, (c) Accounting for Consideration Given by a Vendor to a Customer (including Reseller of the Vendor’s Products) and (d) Accounting for Gas-Balancing Arrangements (that is, use of the “entitlements method”). In addition, as a result of the amendments in Update 2014-16, the SEC staff is rescinding its SEC Staff Announcement, “Determining the Nature of a Host Contract Related to a Hybrid Instrument Issued in the Form of a Share under Topic 815,” effective concurrently with Update 2014-16. The Company is currently evaluating ASU 2016-11 and has not yet determined how it may impact the Company’s financial position or results of operations and related disclosures.

In May 2016, the FASB issued ASU 2016-12,

Narrow-Scope Improvements and Practical Expedients

, or ASU 2016-12. ASU 2016-12 amends guidance in Topic 606 on collectibility, presentation of sales taxes, noncash consideration and transition and are intended to address implementation issues that were raised by stakeholders and provide additional practical expedients. The effective date for this update is the same as the effective date for ASU 2014-09. The Company is currently evaluating ASU 2016-12 and has not yet determined how it may impact the Company’s financial position or results of operations and related disclosures.

In August 2014, the FASB issued ASU 2014-15, 

Presentation of Financial Statements - Going Concern

, or ASU 2014-15.ASU 2014-15 will be effective for fiscal years and interim periods beginning after December 15, 2016 and early application is permitted. ASU 2014-15 requires that management evaluate at each annual and interim reporting period whether there is a substantial doubt about an entity’s ability to continue as a going concern within one year of the date that the financial statements are issued. The Company does not expect that the application of ASU 2014-15 will have an impact on the presentation of its results of operations, financial position or disclosures.

In April 2015, the FASB issued ASU 2015-05,

Customer’s Accounting for Fees Paid in a Cloud Computing Arrangement

, or ASU 2015-05. ASU 2015-05 amends existing accounting guidance to provide explicit guidance related to a customer’s accounting for fees paid in a cloud computing arrangement. Under the guidance, cloud computing arrangements that include a software license would be accounted for consistent with the acquisition of other software licenses. Conversely, cloud computing arrangements that do not include a software license would be accounted for as a service contract. The Company adopted ASU 2015-05 effective January 1, 2016 and there was no impact on the presentation of its results of operations, financial position or disclosures.

In July 2015, the FASB issued ASU 2015-11,

Simplifying the Measurement of Inventory

, or ASU 2015-11. ASU 2015-11 requires that an entity should measure inventory within the scope of ASU 2015-11 at the lower of cost and net realizable value. Net realizable value is the estimated selling prices in the ordinary course of business, less reasonably predictable costs of completion, disposal, and transportation. This guidance will be effective for the Company for annual and interim periods beginning after December 15, 2016. The amendments in ASU 2015-11 are to be applied prospectively with earlier application permitted as of the beginning of an interim or annual reporting period. The Company is currently evaluating ASU 2015-11 and has not yet determined how it may impact the Company’s financial position or results of operations and related disclosures.

In February 2016, the FASB issued ASU 2016-02,

Leases

, or ASU 2016-02. ASU 2016-02 requires lessees to put most leases on their balance sheets but recognize expenses on their income statements in a manner similar to current accounting. The guidance also eliminates real estate-specific provisions for all entities. The new guidance will be effective for the Company for annual and interim periods beginning after December 15, 2018. Early adoption is permitted. The Company is currently evaluating ASU 2016-02 and has not yet determined how it may impact its financial position or results of operations and related disclosures.

In March 2016, the FASB issued ASU 2016-09,

Improvements to Employee Share-Based Payment Accounting

, or ASU 2016-09. ASU 2016-09 is intended to simplify several areas of accounting for share-based compensation arrangements, including the income tax impact, classification on the statement of cash flows and forfeitures.

The new guidance will be effective for the Company for annual and interim periods beginning after

December 15, 2016. Early adoption is permitted.

The Company does not expect ASU 2016-09 to have a material impact on the presentation of its results of operations, financial position or disclosures.

In June 2016, the FASB issued ASU 2016-13,

Financial Instruments-Credit Losses

, or ASU 2016-13. ASU 2016-13 requires a financial asset (or a group of financial assets) measured at amortized cost basis to be presented at the net amount expected to be collected. Under current Generally Accepted Accounting Principles, or GAAP, a company only considered past events and current conditions in measuring an incurred loss. Under ASU 2016-13, the information that a company must consider is broadened in developing an expected credit loss estimate for assets measured either collectively or individually. The use of forecasted information incorporates more timely information in the estimate of expected credit loss. The new guidance will be effective for the Company for annual and interim periods beginning after December 15, 2019. Early adoption is permitted for annual and interim periods beginning after December 15, 2018. The Company does not expect ASU 2016-13 to have a material impact on the presentation of its results of operations, financial position or disclosures.

In August 2016, the FASB issued ASU 2016-15,

Classification of Certain Cash Receipts and Cash Payments

, or ASU 2016-15. ASU 2016-15 is intended to reduce the diversity in practice in how certain cash receipts and cash payments are presented and classified in the statement of cash flows. The new guidance

will be effective for the Company for annual and interim periods beginning after

December 15, 2017. Early adoption is permitted, including adoption in an interim period.

The Company is currently evaluating ASU 2016-15 and has not yet determined how it may impact its statement of cash flows.

Under the U.S. Jumpstart our Business Startups Act, or the JOBS Act, emerging growth companies that become public can delay adopting new or revised accounting standards until such time as those standards apply to private companies. The Company irrevocably elected not to avail itself of this exemption from new or revised accounting standards and, therefore, it is subject to the same new or revised accounting standards as public companies that are not emerging growth companies.

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Note 2 - Fair Value Measurement (Tables)

9 Months Ended

Sep. 30, 2016

Notes Tables

Fair Value, Liabilities Measured on Recurring Basis [Table Text Block]

			Fair v alue m easurements at September 30, 2016 us ing
(in thousands)	September 30, 2016		Quoted p rices in a ctive m arkets f or i dentical a ssets (Level 1)		Significant o ther o bservable i nputs (Level 2)		Significant u nobservable i nputs (Level 3)
Liabilities:
Contingent purchase price consideration	$	1,502	$	—	$	—	$	1,502
Total	$	1,502	$	—	$	—	$	1,502

			Fair v alue m easurements at December 31, 2015 us ing
(in thousands)	December 31, 2015		Quoted p rices in a ctive m arkets f or i dentical a ssets (Level 1)		Significant o ther o bservable i nputs (Level 2)		Significant u nobservable i nputs (Level 3)
Liabilities:
Contingent purchase price consideration	$	1,293	$	—	$	—	$	1,293
Total	$	1,293	$	—	$	—	$	1,293

Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]

(in thousands)	Three months ended September 30, 201 6		Nine months ended September 30, 201 6
Balance – beginning	$	1,428	$	1,293
Change in fair value of contingent purchase price consideration		60		172
Foreign currency adjustment		14		37
Balance – ending	$	1,502	$	1,502

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Note 3 - Accounts Receivable, Net (Tables)

9 Months Ended

Sep. 30, 2016

Notes Tables

Schedule of Accounts, Notes, Loans and Financing Receivable [Table Text Block]

(in thousands)	September 30, 201 6			December 31, 201 5
Accounts receivable	$	15,916		$	7,372
Less allowance for uncollectible accounts receivable		(777	)		(314	)
Accounts receivable, net	$	15,139		$	7,058

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Note 4 - Inventory, Net (Tables)

9 Months Ended

Sep. 30, 2016

Notes Tables

Schedule of Inventory, Current [Table Text Block]

(in thousands)	September 30, 201 6		December 31, 201 5
Raw materials	$	4,110	$	3,925
Finished goods		3,203		3,174
Inventory, net	$	7,313	$	7,099

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Note 5 - Goodwill and Acquired Intangible Assets (Tables)

9 Months Ended

Sep. 30, 2016

Notes Tables

Schedule of Goodwill [Table Text Block]

Balance at December 31, 2015	$	45
Foreign currency adjustment		1
Imugen acquisition (Note 10)		2,645
Balance at September 30, 2016	$	2,691

Schedule of Finite-Lived and Indefinite-Lived Intangible Assets Acquired as Part of Business Combination [Table Text Block]

	As of September 30, 2016
(in thousands)	Amortization period (years)			Gross carrying amount		Accumulated Amortization		Net carrying amount
Boulder in-process research and development		Indefinite		$	1,831	$	—	$	1,831
Imugen in-process research and development		Indefinite			9,200		—		9,200
Imugen technology - clinical		15			5,100		85		5,015
Imugen customer relationships		10			2,700		68		2,632
Imugen trademarks / trade names		16			1,900		30		1,870
Other	5	-	10		665		534		131
Total				$	21,396	$	717	$	20,679

	As of December 31, 2015
(in thousands)	Amortization period (years)			Gross carrying amount		Accumulated Amortization		Net carrying amount
Boulder in-process research and development		Indefinite		$	1,782	$	—	$	1,782
Imugen in-process research and development		Indefinite			—		—		—
Imugen technology - clinical		15			—		—		—
Imugen customer relationships		10			—		—		—
Imugen trademarks / trade names		16			—		—		—
Other	5	-	10		758		579		179
Total				$	2,540	$	579	$	1,961

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Note 6 - Accrued Liabilities (Tables)

9 Months Ended

Sep. 30, 2016

Notes Tables

Schedule of Accrued Liabilities [Table Text Block]

(in thousands)	September 30, 201 6		December 31, 201 5
Employee related expenses	$	5,311	$	4,478
Royalties		2,879		3,498
Clinical trials		1,221		442
Professional services		481		333
Sales and use taxes payable		279		193
Rent		85		56
Market research		83		26
Inventory		78		85
Other accrued liabilities		897		838
Total accrued liabilities	$	11,314	$	9,949

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Note 7 - Share Option and Equity Incentive Plan (Tables)

9 Months Ended

Sep. 30, 2016

Notes Tables

Schedule of Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Table Text Block]

	Three months ended September 30,				Nine m onths e nded September 3 0 ,
(in thousands)	201 6		201 5		20 16		201 5
Cost of revenue	$	28	$	147	$	15	$	386
Research and development		162		56		394		166
Sales and marketing		490		302		1,385		725
General and administrative		688		489		2,033		1,305
Total share-based compensation	$	1,368	$	994	$	3,827	$	2,582

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Note 9 - Net Loss Per Share (Tables)

9 Months Ended

Sep. 30, 2016

Notes Tables

Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table Text Block]

	Three months ended September 30,				Nine m onths e nded September 3 0 ,
	201 6		201 5		201 6		201 5
Options to purchase ordinary shares		1,062,920		1,119,303		1,062,784		1,119,397
Unvested restricted shares		138,040		253,740		138,040		253,740
Unvested restricted share units		212,901		108,563		212,901		108,563

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Note 10 - Acquisition (Tables)

9 Months Ended

Sep. 30, 2016

Notes Tables

Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]

Assets acquired:
Property and equipment	$	655
In-process research and development		9,200
Technology - clinical		5,100
Customer relationships		2,700
Trademarks / trade names		1,900
Total assets acquired		19,555
Add: Goodwill		2,645
Total consideration transferred	$	22,200

Business Acquisition, Pro Forma Information [Table Text Block]

	Pro Forma
	Three months ended September 30,						Nine m onths e nded September 3 0 ,
(in thousands, except share and per share data)	201 6			201 5			201 6			201 5
Total revenues	$	26,109		$	22,656		$	67,679		$	54,555
Net loss	$	(3,996	)	$	(2,661	)	$	(17,491	)	$	(18,580	)
Net loss per share—basic and diluted	$	(0.18	)	$	(0.12	)	$	(0.78	)	$	(0.86	)
Weighted average shares outstanding—basic and diluted		22,365,349			22,259,840			22,333,911			21,619,375

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Note 2 - Fair Value Measurement (Details Textual) - USD ($)	Sep. 30, 2016	Dec. 31, 2015	Jul. 31, 2014
Fair Value, Measurements, Recurring [Member]
Assets, Fair Value Disclosure	$ 0	$ 0
Milestone Payments [Member] | Boulder Diagnostics Inc [Member]
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High			$ 6,100,000

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Note 2 - Fair Value Measurement - Liabilities Measured at Fair Value on Recurring Basis (Details) - USD ($) $ in Thousands	Sep. 30, 2016	Dec. 31, 2015
Fair Value, Inputs, Level 3 [Member]
Contingent purchase price consideration	$ 1,502	$ 1,293
Total	1,502	1,293
Contingent purchase price consideration	1,502	1,293
Total	$ 1,502	$ 1,293

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Note 2 - Fair Value Measurement - Changes in the Fair Value of the Company's Level 3 Financial Liabilities (Details) - USD ($) $ in Thousands	3 Months Ended	9 Months Ended
	Sep. 30, 2016	Sep. 30, 2016
Balance	$ 1,428	$ 1,293
Change in fair value of contingent purchase price consideration	60	172
Foreign currency adjustment	14	37
Balance	$ 1,502	$ 1,502

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Note 3 - Accounts Receivable, Net - Accounts Receivable, Net (Details) - USD ($) $ in Thousands	Sep. 30, 2016	Dec. 31, 2015
Accounts receivable	$ 15,916	$ 7,372
Less allowance for uncollectible accounts receivable	(777)	(314)
Accounts receivable, net	$ 15,139	$ 7,058

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Note 4 - Inventory, Net (Details Textual) - USD ($)	Sep. 30, 2016	Dec. 31, 2015
Inventory Related to Magnetic Bead Process [Member]
Inventory, Net	$ 805,000
Inventory, Net	$ 7,313,000	$ 7,099,000

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Note 4 - Inventory, Net - Inventory (Details) - USD ($) $ in Thousands	Sep. 30, 2016	Dec. 31, 2015
Raw materials	$ 4,110	$ 3,925
Finished goods	3,203	3,174
Inventory, net	$ 7,313	$ 7,099

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Note 5 - Goodwill and Acquired Intangible Assets (Details Textual) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2016	Dec. 31, 2015
In Process Research and Development, Indefinite Lived [Member] | Boulder Diagnostics Inc [Member]
Indefinite-Lived Intangible Assets (Excluding Goodwill)	$ 1,831	$ 1,782
In Process Research and Development, Indefinite Lived [Member] | Imugen [Member]
Indefinite-Lived Intangible Assets (Excluding Goodwill)	$ 9,200
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life	13 years 182 days
Finite-Lived Intangible Assets, Amortization Expense, Remainder of Fiscal Year	$ 200
Finite-Lived Intangible Assets, Amortization Expense, Year Two	700
Finite-Lived Intangible Assets, Amortization Expense, Year Three	700
Finite-Lived Intangible Assets, Amortization Expense, Year Four	700
Indefinite-Lived Intangible Assets (Excluding Goodwill)	11,031	$ 1,782
Finite-Lived Intangible Assets, Amortization Expense, Year Five	$ 700

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Note 5 - Goodwill and Acquired Intangible Assets - Changes in Carrying Amount of Goodwill (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2016 USD ($)
Balance at December 31, 2015	$ 45
Foreign currency adjustment	1
Imugen acquisition (Note 10)	2,645
Balance at September 30, 2016	$ 2,691

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Note 5 - Goodwill and Acquired Intangible Assets - Schedule of Acquired Intangible Assets (Details) - USD ($) $ in Thousands	9 Months Ended	12 Months Ended
	Sep. 30, 2016	Dec. 31, 2015
In Process Research and Development, Indefinite Lived [Member] | Boulder Diagnostics Inc [Member]
Indefinite-Lived Intangible Assets (Excluding Goodwill)	$ 1,831	$ 1,782
In Process Research and Development, Indefinite Lived [Member] | Imugen [Member]
Indefinite-Lived Intangible Assets (Excluding Goodwill)	$ 9,200
Imugen [Member] | Technology-Based Intangible Assets [Member]
Amortization Period	15 years	15 years
Gross Carrying Amount	$ 5,100
Accumulated Amortization	85
Net Carrying Amount	$ 5,015
Imugen [Member] | Customer Relationships [Member]
Amortization Period	10 years	10 years
Gross Carrying Amount	$ 2,700
Accumulated Amortization	68
Net Carrying Amount	$ 2,632
Imugen [Member] | Trademarks and Trade Names [Member]
Amortization Period	16 years	16 years
Gross Carrying Amount	$ 1,900
Accumulated Amortization	30
Net Carrying Amount	$ 1,870
Other Intangible Assets [Member] | Minimum [Member]
Amortization Period	5 years	5 years
Other Intangible Assets [Member] | Maximum [Member]
Amortization Period	10 years	10 years
Other Intangible Assets [Member]
Gross Carrying Amount	$ 665	$ 758
Accumulated Amortization	534	579
Net Carrying Amount	131	179
Indefinite-Lived Intangible Assets (Excluding Goodwill)	11,031	1,782
Gross Carrying Amount	21,396	2,540
Accumulated Amortization	717	579
Net Carrying Amount	$ 20,679	$ 1,961

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Note 6 - Accrued Liabilities - Accrued Liabilities (Details) - USD ($) $ in Thousands	Sep. 30, 2016	Dec. 31, 2015
Employee related expenses	$ 5,311	$ 4,478
Royalties	2,879	3,498
Clinical trials	1,221	442
Professional services	481	333
Sales and use taxes payable	279	193
Rent	85	56
Market research	83	26
Inventory	78	85
Other accrued liabilities	897	838
Total accrued liabilities	$ 11,314	$ 9,949

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Note 7 - Share Option and Equity Incentive Plan (Details Textual) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
2013 Plan [Member] | Restricted Stock Units (RSUs) [Member] | Second Anniversary of Grant Date [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Rights, Percentage			40.00%
2013 Plan [Member] | Restricted Stock Units (RSUs) [Member] | Third Anniversary of Grant Date [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Rights, Percentage			30.00%
2013 Plan [Member] | Restricted Stock Units (RSUs) [Member] | Fourth Anniversary of Grant Date [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Rights, Percentage			30.00%
2013 Plan [Member] | Restricted Stock Units (RSUs) [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period	0		108,361
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value			$ 10.21
2013 Plan [Member] | Employee Stock Option [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Expiration Period			10 years
2013 Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross			722,964
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range, Lower Range Limit			$ 8.65
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range, Upper Range Limit			11.86
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value			$ 4.47
Restricted Stock Units (RSUs) [Member]
Allocated Share-based Compensation Expense	$ 524,000	$ 358,000	$ 1,400,000	$ 841,000
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized	3,900,000		$ 3,900,000
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition			2 years 36 days
Employee Stock Option [Member]
Allocated Share-based Compensation Expense	844,000	$ 636,000	$ 2,400,000	$ 1,700,000
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized	$ 5,800,000		$ 5,800,000
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition			2 years 182 days

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Note 7 - Share Option and Equity Incentive Plan - Expense Recognized During the Year Related to Share-based Compensation Transactions (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
Cost of Revenue [Member]
Share-based compensation	$ 28	$ 147	$ 15	$ 386
Research and Development Expense [Member]
Share-based compensation	162	56	394	166
Selling and Marketing Expense [Member]
Share-based compensation	490	302	1,385	725
General and Administrative Expense [Member]
Share-based compensation	688	489	2,033	1,305
Share-based compensation	$ 1,368	$ 994	$ 3,827	$ 2,582

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Note 8 - Share Capital (Details Textual) $ / shares in Units, $ in Millions				9 Months Ended
	Jan. 30, 2015 USD ($)	Jan. 29, 2015 £ / shares shares	Jan. 29, 2015 £ / shares shares	Sep. 30, 2016 £ / shares shares	Dec. 31, 2015 £ / shares shares	Jan. 29, 2015 $ / shares shares
Private Placement [Member]
Stock Issued During Period, Shares, New Issues			4,255,319
Shares Issued, Price Per Share | $ / shares						$ 11.75
Underwriters [Member]
Shares Issued, Price Per Share | $ / shares						$ 11.045
Common Stock, Shares, Outstanding				22,581,222	22,549,488
Common Stock, Par or Stated Value Per Share | £ / shares		£ 0.006705	£ 0.006705	£ 0.006705	£ 0.006705
Time Period for Underwriters to Exercise Share Grants from Date of Prospectus		30 days
Additional Shares Granted to Underwritten in Private Placement		638,297	638,297			638,297
Proceeds from Issuance of Private Placement, Gross | $	$ 57.5
Proceeds from Issuance of Private Placement | $	$ 53.8
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period				31,734
Common Stock, Shares Authorized				36,183,293	36,183,293
Common Stock, Shares, Issued				22,581,222	22,549,488

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Note 9 - Net Loss Per Share - Antidilutive Securities (Details) - shares	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
Employee Stock Option [Member]
Antidilutive securities (in shares)	1,062,920	1,119,303	1,062,784	1,119,397
Restricted Stock [Member]
Antidilutive securities (in shares)	138,040	253,740	138,040	253,740
Restricted Stock Units (RSUs) [Member]
Antidilutive securities (in shares)	212,901	108,563	212,901	108,563

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Note 10 - Acquisition (Details Textual) - USD ($)		3 Months Ended	9 Months Ended
	Jul. 01, 2016	Sep. 30, 2016	Sep. 30, 2016	Dec. 31, 2015
Imugen [Member] | General and Administrative Expense [Member]
Business Combination, Acquisition Related Costs	$ 475,000		$ 475,000
Imugen [Member] | Intangible Assets [Member]
Fair Value Inputs, Discount Rate	22.00%
Imugen [Member]
Payments to Acquire Businesses, Gross	$ 22,200,000
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	0
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	655,000
Business Combination, Provisional Information, Property, Plant and Equipment	876,000
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	18,900,000
Goodwill	$ 2,645,000
Goodwill, Impairment Loss		$ 0
Goodwill, Tax Deduction, Period	15 years
Business Combination, Pro Forma Information, Revenue of Acquiree since Acquisition Date, Actual		4,100,000
Business Combination, Pro Forma Information, Earnings or Loss of Acquiree since Acquisition Date, Actual		1,100,000
Goodwill		$ 2,691,000	$ 2,691,000	$ 45,000

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Note 10 - Acquisition - Fair Value of Identified Assets Acquired (Details) - USD ($)	Sep. 30, 2016	Jul. 01, 2016	Dec. 31, 2015
Imugen [Member] | In Process Research and Development [Member]
Assets acquired:
Intangible assets		$ 9,200,000
Imugen [Member] | Customer Relationships [Member]
Assets acquired:
Intangible assets		2,700,000
Imugen [Member] | Trademarks and Trade Names [Member]
Assets acquired:
Intangible assets		1,900,000
Imugen [Member] | In Process Research and Development, Indefinite Lived [Member]
Assets acquired:
Intangible assets		5,100,000
Imugen [Member]
Assets acquired:
Property and equipment		655,000
Intangible assets		18,900,000
Total assets acquired		19,555,000
Goodwill		2,645,000
Total consideration transferred		$ 22,200,000
Goodwill	$ 2,691,000		$ 45,000

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Note 10 - Acquisition - Unaudited Pro Forma Condensed Consolidated Statement of Operations (Details) - Imugen [Member] - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
Total revenues	$ 26,109	$ 22,656	$ 67,679	$ 54,555
Net loss	$ (3,996)	$ (2,661)	$ (17,491)	$ (18,580)
Net loss per share—basic and diluted (in dollars per share)	$ (0.18)	$ (0.12)	$ (0.78)	$ (0.86)
Weighted average shares outstanding—basic and diluted (in shares)	22,365,349	22,259,840	22,333,911	21,619,375

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Note 11 - Subsequent Event (Details Textual) - Subsequent Event [Member] - USD ($) $ in Millions	Oct. 12, 2016	Oct. 04, 2016
MidCap Agreement [Member] | MidCap Financial [Member] | London Interbank Offered Rate (LIBOR) [Member] | Term Loan [Member]
Debt Instrument, Basis Spread on Variable Rate		7.60%
MidCap Agreement [Member] | MidCap Financial [Member] | London Interbank Offered Rate (LIBOR) [Member] | Revolving Credit Facility [Member]
Debt Instrument, Basis Spread on Variable Rate		4.45%
MidCap Agreement [Member] | MidCap Financial [Member] | Term Loan [Member]
Debt Instrument, Periodic Payment, Term		2 years
Debt Instrument, Periodic Payment, Term, Potential Extension		4 years
MidCap Agreement [Member] | MidCap Financial [Member] | Revolving Credit Facility [Member]
Line of Credit Facility, Maximum Borrowing Capacity		$ 10
Line of Credit Facility, Expiration Period		5 years
MidCap Agreement [Member] | MidCap Financial [Member]
Debt Agreement, Maximum Borrowing Capacity		$ 40
Long-term Debt		$ 30
Debt Instrument, Term		5 years
Debt Agreement, Additional Increase		$ 10
Debt Agreement, Maximum Borrowing Capacity, Including Additional Increase		$ 60
Immunetics [Member]
Payments to Acquire Businesses, Gross	$ 6
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High	$ 6
Business Combination, Contingent Consideration Arrangement, Term of Milestone Achievement	3 years