Quarterlytics / Healthcare / Medical - Diagnostics & Research / Chembio Diagnostics

Chembio Diagnostics

cemi · NASDAQ Healthcare
Claim this profile
Ticker cemi
Exchange NASDAQ
Sector Healthcare
Industry Medical - Diagnostics & Research
Employees 51-200
← All annual reports
FY2019 Annual Report · Chembio Diagnostics
Sign in to download
Loading PDF…
UNITED STATES
Securities and Exchange Commission
Washington, D.C.  20549

FORM 10-K

☒

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

For the fiscal year ended December 31, 2019
or

☐
For the transition period from _______ to ______.

TRANSITION REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

Commission File No. 0-30379

CHEMBIO DIAGNOSTICS, INC.
(Exact name of registrant as specified in its charter)

Nevada
(State or other jurisdiction of incorporation or organization)

88-0425691
(I.R.S. Employer Identification No.)

  555 Wireless Boulevard, Hauppauge, NY
(Address of principal executive offices)

11788
(Zip Code)

Registrant’s telephone number, including area code (631) 924-1135

Securities registered pursuant to Section 12(b) of the Act:

Title of each class
Common Stock, $0.01 par value

Trading Symbol
CEMI

Name of each exchange on which registered
The NASDAQ Stock Market LLC

Securities registered pursuant to Section 12(g) of the Act:
None
(Title of Class)

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.  Yes ☐ No
☒

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes ☐
No ☒

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 every Interactive Data File required to be submitted
pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period
that the registrant was required to submit such files).  Yes ☒  No ☐

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§ 229.405 of this chapter) is not
contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements
incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. ☒

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

Large accelerated filer ☐
Non-accelerated filer ☐

Accelerated filer ☒
Smaller reporting company ☒
Emerging growth company ☐

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

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

As of the last business day of the registrant’s most recently completed second fiscal quarter, the aggregate market value of voting
and non-voting common equity held by non-affiliates was $106,974,102.

As of  March 4, 2020, the registrant had 17,733,617 shares of common stock outstanding.

Documents Incorporated By Reference

Portions of the registrant’s proxy statement for its 2020 annual meeting of stockholders are incorporated by reference in Part III
of this report.

PART I

TABLE OF CONTENTS

BUSINESS

ITEM 1.
ITEM 1A. RISK FACTORS
ITEM 2.
ITEM 3.

PROPERTIES
LEGAL PROCEEDINGS

PART II

ITEM 5.

MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER
PURCHASES OF EQUITY SECURITIES
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

ITEM 7.
ITEM 8.
ITEM 9A. CONTROLS AND PROCEDURES

PART III

ITEM 10.
ITEM 11.
ITEM 12.

ITEM 13.
ITEM 14.

PART IV

DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE
EXECUTIVE COMPENSATION
SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED
STOCKHOLDER MATTERS
CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE
PRINCIPAL ACCOUNTANT FEES AND SERVICES

ITEM 15.
SIGNATURES  

EXHIBITS, FINANCIAL STATEMENT SCHEDULES

Page

5
16
40
40

41
42
51
51

53
53

53
53
53

54
55

Unless  the  context  requires  otherwise,  the  words  “our,”  “our  company,”  “us,”  “we”  and  similar  terms  refer  to  Chembio
Diagnostics, Inc. and its consolidated subsidiaries.

DPP,  SAMPLETAINER,  STAT-PAK,  STAT-VIEW  and  SURE  CHECK  are  our  registered  trademarks.  For  convenience,  these
trademarks appear in this prospectus supplement without ® symbols, but that practice does not mean that we will not assert, to the
fullest extent under applicable law, our rights to the trademarks. This report also includes trademarks and service marks owned by
other organizations.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
FORWARD-LOOKING STATEMENTS AND STATISTICAL ESTIMATES

This report contains statements reflecting our views about our future performance that constitute “forward-looking statements”
within  the  meaning  of  the  Private  Securities  Litigation  Reform  Act  of  1995.  These  forward-looking  statements  are  generally
identified  through  the  inclusion  of  words  such  as  “anticipate,”  “believe,”  “contemplate,”  “could,”  “estimate,”  “expect,”
“forecast,” “intend,” “may,” “objective,” “outlook,” “plan,” “potential,” “project,” “seek,” “should,” “strategy,” “target,”
“will,” “would” or variations of such words or similar expressions. All statements addressing our future operating performance,
and  statements  addressing  events  and  developments  that  we  expect  or  anticipate  will  occur  in  the  future,  are  forward-looking
statements  within  the  meaning  of  the  Private  Securities  Litigation  Reform  Act  of  1995.  Forward-looking  statements  are  based
upon currently available information, operating plans, and projections about future events and trends.

This  report  contains  estimates,  projections  and  other  data  concerning  our  industry,  our  business,  and  the  markets  for  our
products.  Where  expressly  stated,  we  obtained  this  industry,  business,  market  and  other  data  from  reports,  research  surveys,
studies  and  similar  data  prepared  by  World  Health  Organization,  or  WHO.  We  also  include  data  that  we  have  compiled,
obtained, identified or otherwise derived from reports, research surveys, studies and similar data prepared by market research
firms and other third parties, industry, medical and general publications, government data and similar sources. Other than WHO,
we do not expressly refer to the sources from which this data is derived.

Forward-looking statements and statistical estimates inherently involve risks and uncertainties that could cause actual results to
differ materially from those predicted or expressed in this report. These risks and uncertainties include those described below in
“Item 1A. Risk Factors.” Investors are cautioned not to place undue reliance on any forward-looking statements or statistical
estimates, which speak only as of the date they are made. We undertake no obligation to update any forward-looking statement or
statistical estimate, whether as a result of new information, future events or otherwise.

4

 
 
 
 
Table of Contents

ITEM 1.

BUSINESS

Overview

PART I

We  are  a  leading  provider  of  point-of-care  diagnostic  products  for  the  detection  and  diagnosis  of  infectious  diseases.  We  have
been expanding our product portfolio based upon our proprietary Dual Path Platform, which we refer to as DPP, which uses a
small drop of blood from the fingertip to provide high-quality, cost-effective diagnostic results in approximately 15 minutes. We
seek to build additional revenue streams by entering into technology collaborations with leading global healthcare companies to
leverage the DPP technology platform.

Compared with traditional lateral flow technology, the DPP technology platform provides enhanced sensitivity and specificity,
advanced  multiplexing  capabilities,  and,  when  used  with  the  DPP  Micro  Reader,  quantitative  results. Our DPP  test  for human
immunodeficiency virus, or HIV, provides sensitivity of 99.8% and specificity of 100%, and has been approved by the U.S. Food
and  Drug  Administration,  or  FDA,  and  cleared  as  a  waived  test  under  the  Clinical  Laboratory  Improvement  Amendments  of
1988, or CLIA.

On November 6, 2018, we completed our acquisition of opTricon GmbH, a Berlin-based developer and manufacturer of handheld
analyzers for rapid diagnostic tests, which we believe will enable us to promote DPP tests and DPP Micro Readers more actively
across  global  markets.  On  November  25,  2019,  we  completed  our  acquisition  of  Orangelife  Comercio  e  Industria  Ltda.,  a
Brazilian  manufacturer  of  lateral  flow  tests  for  infectious  diseases  to  diversify  our  market  channel  penetration  in  Brazil  and
support Bio-Manguinos, a major customer.

We  are  pursuing  three  corporate  priorities,  the  key  building  blocks  to  drive  growth  and  operating  efficiency:  (1)  expand  our
commercialization; (2) advance our research and development pipeline; and (3) prepare for future growth.

Industry

The  DPP  technology  platform  addresses  the  lateral  flow  test  market,  which  includes  infectious  diseases,  cardiac  markers,
cholesterol  and  lipids,  pregnancy  and  fertility,  and  drugs  of  abuse.  Based  on  our  review  of  third-party  reports  and  other
information,  we  estimate  that  the  market  for  lateral  flow  tests  will  increase  from  $5.5  billion  in  2017  to  $8.2  billion  in  2022,
representing a compound annual growth rate of 8.2%.

Infectious  disease  tests  constitute  the  largest  and  fastest  growing,  segment  of  the  lateral  flow  test  market.  We  currently  are
targeting lateral flow test solutions for infectious diseases: sexually transmitted disease and mosquito-borne disease. The market
for lateral flow infectious disease tests is being driven by the high prevalence of infectious diseases globally, an increase in the
geriatric population, growing demand for rapid test results, and advancements in multiplexing. Based on our review of third-party
reports and other information, we estimate that the market for lateral flow infectious disease tests will increase from $1.4 billion
in 2017 to $2.3 billion in 2022, representing a compound annual growth rate of 10.7%.

5

 
 
 
 
 
 
 
 
 
 
Table of Contents

Products

Our  point-of-care  infectious  disease  portfolio  is  comprised  of  multiple  commercial  products,  each  serving  unique  customer
requirements. The key advantages of our products, which are performed with a tiny drop of blood from the fingertip and provide
results in approximately 15 minutes, include:

•
•
•

enhanced sensitivity and specificity;
advanced multiplexing; and
quantitative results, when used with DPP Micro Reader.

We have obtained FDA approvals and, directly or through our partners, international regulatory approvals for infectious disease
tests as follows:

Product (Assay)
DPP HIV 1/2
DPP HIV-Syphilis
DPP Syphilis Screen & Confirm
DPP Zika
DPP Leishmaniasis
STAT-PAK HIV 1/2
STAT-PAK Chagas
SURE CHECK HIV 1/2
SURE CHECK HIV 1/2 Self Test

U.S.
✓

✓

✓

✓

International
✓
✓
✓
✓
✓
✓
✓
✓
✓

Organic growth in our core infectious disease business is being driven by:

•

•
•
•
•

growth in the overall market for lateral flow infectious disease tests, which we estimate will increase at a compound annual growth rate of 10.7%
through 2022 (see “–Industry” above);
our increased market penetration in existing markets and channels, including in the United States, Latin America, Africa and Europe;
our registration of existing and new products in unchartered countries and regions, such as selected countries in Latin America and Southeast Asia;
our entry into new market segments, such as international HIV Self-Testing; and
advances in our product pipeline in infectious disease with key products including a multiplex test for HIV and syphilis in the U.S. market and
tests for dengue, zika and chikungunya.

6

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

We market and sell both stand-alone and multiplex tests for sexually transmitted infectious diseases, such as HIV and syphilis.
HIV and syphilis continue to be major global public health issues. According to WHO estimates:

•

•
•

HIV has claimed more than 35 million lives, including 770,000 in 2018. Approximately 37.9 million people were living with HIV at the end of
2018, and 1.7 million were newly infected during 2018.
There were 18.0 million prevalent cases of syphilis as of 2012, and 5.6 million new infections were estimated to occur annually.
Elimination of mother-to-child transmission, or MTCT, of both HIV and syphilis is a global health priority. In 2013, 1.9 million pregnant women
were infected with syphilis worldwide. Congenital syphilis contributes significantly to infant mortality, accounting for 305,000 annual perinatal
deaths worldwide in 2013. Globally, more than 1.4 million pregnant women were infected with HIV as of 2015, and MTCT of HIV is estimated to
have resulted in over 150,000 infant cases in 2015.

We  are  seeking  to  address  the  global  concerns  related  to  HIV  and  syphilis  co-infection  through  the  development  of  a  novel,
multiplex  test  for  both  HIV  and  syphilis.  We  have  developed  a  DPP  HIV-Syphilis  multiplex  test  and  received  regulatory
approvals covering a number of international markets, including Brazil, Europe, Malaysia and Mexico. In the United States we
completed a DPP HIV-Syphilis clinical trial but in February 2020 received a “not approvable” letter from the FDA with respect
to our Premarket Approval, or PMA, application on our DPP HIV-Syphilis multiplex test for commercial use in the United States.
The FDA has confirmed that, of the items that had been open for review in the PMA application, the syphilis arm of the study
was acceptable, as were the results as they relate to the inclusion of pregnant women. The only remaining item requested of us
was to repeat the reproducibility study, as one of the sites in the trial reported greater variability compared to the other sites. We
have initiated the reproducibility study required by the FDA and, in parallel, accelerated the studies for a CLIA waiver, which can
be submitted upon FDA approval of the PMA application. We believe we continue to be well-positioned to be the first company
to introduce a multiplex rapid test for HIV and syphilis in the United States.

We also market and sell tests for selected fever and tropical diseases such as Chagas, ebola, leishmaniasis and Zika. The market
for  lateral  flow  mosquito-borne  diseases  includes  established  markets  for  disease  such  as  dengue  and  malaria,  which  WHO
estimates together account for more than 600 million annual infections worldwide. There are also a number of emerging markets
for lateral flow tests for infectious diseases such as burkholderia, chikungunya, lassa, leptospirosis, Marburg, rickettsia and Zika.
We are developing tests, using the DPP platform, to detect all of the aforementioned fever and tropical diseases, as stand-alone or
multiplex tests.

Since 2015 we have received over $12.2 million of funding from some of the world’s leading health organizations, which has
helped  us  accelerate  the  expansion  of  our  pipeline  of  infectious  disease  tests.  Our  collaborators  have  included  Bill  &  Melinda
Gates Foundation, The Paul G. Allen Family Foundation, The Oswaldo Cruz Foundation or FIOCRUZ, and the Foundation for
Innovative New Diagnostics, or FIND, as well as U.S. government agencies such as Centers for Disease Control and Prevention,
or CDC, the Biomedical Advanced Research and Development Authority of the U.S. Department of Health and Human Services,
or BARDA, and the U.S. Department of Agriculture, or USDA.

Several tests in our infectious disease pipeline are approaching commercialization, and several have received initial regulatory
approvals:

Product

DPP HIV-Syphilis (US)
DPP Dengue IgM/IgG (International)

DPP Dengue NS1 Antigen (International)
DPP Zika IgM/IgG (International)
DPP Chikungunya IgM/IgG 
(International)
DPP ZCD IgM/IgG(International)
DPP Zika IgM (US)
DPP Ebola
DPP Fever Assay Asia

DPP Fever Assay Africa

Collaborator
Self-funded
Self-funded

Phase I
 Feasibility
✓
✓

Phase II
 Development
✓
✓

Phase III
Verification
&Validation
✓
✓

Phase IV
Clinical &
Regulatory
✓
✓

Self-funded
Self-funded

Self-funded
Self-funded
BARDA
CDC
FIND
Paul Allen
Foundation

✓
✓

✓
✓
✓
✓
✓

✓

✓
✓

✓
✓
✓
✓
✓

✓

✓
✓

✓
✓
✓
✓
✓

✓
✓

✓
✓
✓
✓
✓

 ✓

Phase V
Commercial
Launch
 PMA/510K pending
 CE and ANVISA1
 CE and ANVISA
pending
CE and ANVISA

CE and ANVISA
CE and ANVISA
 FDA-EUA2 FDA
 FDA-EUA
Field studies ongoing

1 Agência Nacional de Vigilância Sanitária (Brazil)
2

Emergency Use Authorization

7

 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

Collaborations

We  are  building  additional  revenue  streams  by  leveraging  our  patented  DPP  technology  and  scientific  expertise  through
collaborations. Leading global healthcare organizations have chosen to collaborate with us based on our deep scientific expertise
with our proven DPP technology platform and capabilities, our successful record of developing DPP tests with a diverse set of
collaborators  including  global  commercial  companies,  governments  and  non-governmental  organizations,  and  our  extensive
experience in obtaining regulatory approvals in the United States (FDA), Brazil (ANVISA), the European Union (CE mark) and
Mexico (Comisión Federal para la Protección contra Riesgos Sanitarios, or COFEPRIS) as well as from WHO (Prequalification,
or PQ).

Product
DPP Rare Disease (undisclosed biomarker)
Infectious Disease Portfolio
DPP Biomarker Development Project
(undisclosed biomarker)
DPP TBI

Collaborator
Takeda
Lumira DX

AstraZeneca
Perseus

Phase I
 Feasibility
✓
✓

Phase II
 Development
✓
✓

✓
✓

✓
✓

Phase III
Verification
&Validation

Phase IV
Clinical/
Regulatory

Phase V
Commercial
Launch

 ✓

 CE Mark3

3

For use in pharmaceutical research

By  leveraging  our  DPP  technology  platform,  we  are  creating  opportunities  to  expand  into  new  markets  such  as  cancer
diagnostics, concussion and traumatic brain injury, and veterinary and we are broadening the application of our technology from
point-of-care  diagnostics  to  include  companion  diagnostics.  Research  and  development  costs  related  to  the  collaborations  are
fully funded by our collaborators.

Sales Channels

Our  products  are  sold  globally,  both  directly  and  through  distributors,  to  hospitals  and  clinics,  physician  offices,  clinical
laboratories, public health organizations, government agencies and consumers. Historically we marketed and sold our products
only into a handful of countries and regions. In recent years we have hired sales executives to begin building our own channels in
key markets such as the United States, Europe, Latin America, Africa and Southeast Asia. With sales growth as an underlying
objective,  we  are  focused  on  increasing  sales  in  existing  geographies,  expanding  sales  into  new  geographies,  and  broadening
sales coverage in key markets.

8

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

Automation of U.S. Manufacturing

We are automating our U.S. manufacturing processes and expanding our manufacturing capacity. During 2018, we took delivery
of our first automated manufacturing line. This automated manufacturing line provided DPP test production for Brazil and will
allow assembly of various configurations of DPP tests. The automated line has an annual capacity of between five and ten million
tests, depending on the test configuration, and uses vision-guided, robotic operation to improve inspection and quality control.
During  2019,  we  took  delivery  of  our  second  and  third  manufacturing  lines  that  together,  following  commissioning  and
regulatory approvals, will support our other product platforms. As we transition from manual to automated assembly, we believe
the reduced variable costs will improve product gross margins.

DPP Technology & Development

Our  commercially  available  products  employ  either  our  patented  DPP  technology  or  traditional  lateral  flow  technology.  We
believe products developed using our DPP technology can provide superior diagnostic performance compared with products that
utilize traditional lateral flow technology.

We are executing our strategy to leverage DPP intellectual property, as well as our scientific and operational expertise, to create
new collaborations where we will serve as an exclusive development and manufacturing partner. Examples of such collaborations
include the following:

•

•

•

•
•

•

In January 2015, we entered into an agreement with the Concussion Science Group (CSG) Division of Perseus Science Group LLC to develop a
point-of-care  diagnostic  test  for  traumatic  brain  injury,  including  sports-related  concussions,  utilizing  both  our  DPP  and  optical  analyzer
technologies.
In  October  2017,  we  signed  a  biomarker  development  project  agreement  with  AstraZeneca,  utilizing  both  our  DPP  and  optical  analyzer
technologies.
In  April  2018,  we  entered  into  a  collaboration  agreement  with  LumiraDx  to  develop  new  point-of-care  diagnostic  tests  for  infectious  diseases.
Under terms of the agreement, we receive funding from LumiraDx, subject to satisfying certain milestones, to develop certain new point-of-care
infectious disease tests. Following the regulatory approval and commercialization of tests in accordance with this agreement, Chembio will both
sell reagents to, and receive royalty payments from, LumiraDx on sales of all products developed through this collaboration.
In November 2018, we acquired opTricon (Berlin, Germany), a leading developer of handheld optical analyzers rapid diagnostic tests.
In  July  2019,  we  entered  into  a  collaboration  agreement  with  Shire  Human  Genetic  Therapies,  Inc.,  a  wholly  owned  subsidiary  of  Takeda
Pharmaceutical Company Limited, to develop a novel point-of-care diagnostic test to detect an undisclosed biomarker.
In November 2019, we acquired Orangelife Comercio e Industria Ltda. (Rio de Janeiro, Brazil), a privately held manufacturer of lateral flow test
for infectious diseases, to expand our market penetration and support Bio-Manguinhos, a major customer.

9

 
 
 
 
 
 
 
 
 
 
 
Table of Contents

Competition

Many of our competitors are significantly larger and have greater financial, research, manufacturing, and marketing resources.
Important competitive factors include product quality, analytical performance, ease of use, price, customer service and reputation.
Industry competition is based on these and the following additional factors:

•
•
•
•
•
•
•

patent protection;
scientific expertise;
ability to develop and market products and processes;
ability to obtain required regulatory approvals;
ability to manufacture cost-effective products that meet applicable regulatory requirements;
access to adequate capital; and,
ability to attract and retain qualified personnel.

We  believe  our  scientific  capabilities  and  proprietary  know-how  relating  to  our  patented  DPP  technology  and  lateral  flow
technology are very strong, particularly for the development and manufacture of tests for the detection of antibodies to infectious
diseases, and other diseases.

Our  ability  to  develop  and  market  other  products  is  in  large  measure  dependent  on  our  having  additional  resources  and/or
collaborative  relationships.    Some  of  our  product  development  efforts  have  been  funded  on  a  project  or  milestone  basis.    We
believe  that  our  proprietary  know-how  relating  to  our  patented  DPP  technology  has  been  instrumental  in  our  obtaining  the
collaborations  we  have  and  that  we  continue  to  pursue.    We  believe  that  our  patent  protection  enhances  our  ability  to  both
develop more profitable, collaborative relationships and expand licensing revenue. However, there are a number of competitive
technologies used and/or seeking to be used by others in point-of-care settings.

Although we have no specific knowledge of any other competitors’ products that could render our products obsolete, if we fail to
maintain and enhance our competitive position or fail to introduce new products and product features, our customers may decide
to use the products developed by our competitors, which could result in a loss of revenues and cash flow.

Employees

As  of  December  31,  2019,  we  had  324  full-time  equivalent  employees,  of  whom  35  were  in  administration,  230  were  in
manufacturing,  42  were  in  research  and  development,  and  17  were  in  sales  and  marketing  and  customer  service.  Of  these
employees, approximately 256 were located in the United States, 30 were located in Malaysia, 19 were located in Germany and
19 were located in Brazil.

We  have  never  had  a  work  stoppage,  and  none  of  our  employees  are  represented  by  a  labor  organization  or  subject  to  any
collective bargaining arrangements. We consider our employee relations to be good.

Governmental Regulation

Certain of our activities are subject to regulatory oversight by the FDA under provisions of the Federal Food, Drug, and Cosmetic
Act and regulations thereunder, including regulations governing the development, marketing, labeling, promotion, manufacturing,
and  export  of  diagnostic  products.  Our  clinical  laboratory  customers  are  subject  to  oversight  by  Centers  for  Medicare  and
Medicaid  Services,  or  CMS,  pursuant  to  CLIA,  as  well  as  agencies  in  various  states.  Failure  to  comply  with  applicable
requirements can lead to sanctions, including withdrawal of products from the market, recalls, refusal to authorize government
contracts, product seizures, civil money penalties, injunctions, and criminal prosecution.

FDA Approval/Clearance Requirements

Unless  an  exemption  applies,  each  medical  device  that  we  market  or  wish  to  market  in  the  United  States  must  receive  510(k)
clearance or Premarket Approval, or PMA. Medical devices that receive 510(k) clearance are “cleared” by the FDA to market,
distribute, and sell in the United States. Medical devices that obtain a PMA by the FDA are “approved” to market, distribute and
sell in the United States. We cannot be certain that 510(k) clearance or PMA approval will ever be obtained for any products that
have  not  already  obtained  510(k)  clearance  or  PMA  approval.  Descriptions  of  the  PMA  and  510(k)  clearance  processes  are
provided below.

10

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

The FDA decides whether a device line must undergo either the 510(k) clearance or PMA based on statutory criteria that utilize a
risk-based  classification  system.  PMA  is  the  FDA  process  of  scientific  and  regulatory  review  to  evaluate  the  safety  and
effectiveness of Class III medical devices and, in many cases, Class II medical devices. Class III devices are those that support or
sustain  human  life,  are  of  substantial  importance  in  preventing  impairment  of  human  health,  or  which  present  a  potential,
unreasonable risk of illness or injury. The FDA uses these criteria to decide whether a PMA or a 510(k) is appropriate, including
the level of risk that the agency perceives is associated with the device and a determination by the agency of whether the product
is a type of device that is similar to devices that are already legally marketed. Devices deemed to pose relatively less risk are
placed in either Class I or II. In many cases, the FDA requires the manufacturer to submit a 510(k) requesting clearance (also
referred  to  as  a  premarket  notification),  unless  an  exemption  applies.  The  510(k)  must  demonstrate  that  the  manufacturer’s
proposed  device  is  “substantially  equivalent”  in  intended  use  and  in  safety  and  effectiveness  to  a  legally  marketed  predicate
device. A “predicate device” is a pre-existing medical device to which equivalence can be drawn, that is either in Class I or Class
II or is a Class III device that was in commercial distribution before May 28, 1976, for which the FDA has not yet called for
submission of a PMA application.

Device classification depends on the device’s intended use and its indications for use. In addition, classification is risk-based, that
is, the risk the device poses to the patient and/or the user is a major factor in determining the class to which it is assigned. Class I
includes devices with the lowest risk and Class III includes those with the greatest risk.

Class I devices are those for which safety and effectiveness can be assured by adherence to the FDA’s general regulatory controls
for medical devices, or the General Controls, which include compliance with the applicable portions of the FDA’s quality system
regulations,  facility  registration  and  product  listing,  reporting  of  adverse  medical  events,  and  appropriate,  truthful  and  non-
misleading labeling, advertising, and promotional materials. Some Class I devices also require premarket clearance by the FDA
through the 510(k) process described below.

Class II devices are subject to the FDA’s General Controls, and any other special controls as deemed necessary by the FDA to
ensure  the  safety  and  effectiveness  of  the  device.  Premarket  review  and  clearance  by  the  FDA  for  Class  II  devices  is
accomplished  through  the  510(k)  process.  Pursuant  to  the  Medical  Device  User  Fee  and  Modernization  Act  of  2002,  unless  a
specific exemption applies, 510(k) submissions are subject to user fees. Certain Class II devices are exempt from this premarket
review process.

Class III includes devices with the greatest risk. Devices in this class must meet all of the requirements in Classes I and II. In
addition, Class III devices cannot be marketed until they receive Premarket Approval.

The safety and effectiveness of Class III devices cannot be assured solely by the General Controls and the other requirements
described  above.  These  devices  require  formal  clinical  studies  to  demonstrate  safety  and  effectiveness.  Under  Medical  Device
User Fee and Modernization Act of 2002, PMA applications (and supplemental premarket approval applications) are subject to
significantly higher user fees than 510(k) applications, and they also require considerably more time and resources.

Rapid  HIV  tests  intended  for  diagnostic  use  are  regulated  as  Class  III  devices.  Responsibility  for  assuring  the  safety  and
effectiveness of these tests lies within the Center for Biologics Evaluation and Research’s Office of Blood Research and Review,
with oversight by the Blood Products Advisory Committee. Approved rapid HIV tests must meet the regulations in the 21 CFR
800 series subparts, under the investigational device exemption, or IDE and PMA pathways.

11

 
 
 
 
 
 
 
Table of Contents

Premarket Approval Pathway

We manufacture, market and distribute three rapid HIV tests in the United States. Our HIV 1/2 STAT-PAK Assay, SURE CHECK
HIV  1/2  Assay,  and  DPP  HIV  1/2  Assay  all  have  received  FDA  PMA  approval.  A  PMA  application  must  be  supported  by
extensive  data  including,  but  not  limited  to,  analytical,  preclinical,  clinical  trials,  manufacturing,  statutory  preapproval
inspections, and labeling to demonstrate to the FDA’s satisfaction the safety and effectiveness of the device for its intended use.
Before a PMA is submitted, a manufacturer must apply for an IDE. If the device presents a “significant risk,” as defined by the
FDA, to human health, the FDA requires the device sponsor to file an IDE application with the FDA and obtain IDE approval
prior to initiation of enrollment of human subjects for clinical trials. The IDE provides the manufacturer with a legal pathway to
perform clinical trials on human subjects where without the IDE, only approved medical devices may be used on human subjects.

The  IDE  application  must  be  supported  by  appropriate  data,  such  as  analytical,  animal  and  laboratory  testing  results,
manufacturing information, and an Investigational Review Board, or IRB, approved protocol showing that it is safe to test the
device  in  humans  and  that  the  testing  protocol  is  scientifically  sound.  If  the  clinical  trial  design  is  deemed  to  have  “non-
significant  risk,”  the  clinical  trial  may  be  eligible  for  “abbreviated”  IDE  requirements.  In  some  instances,  clinical  trials  for  in
vitro diagnostic medical devices may be exempt from the more burdensome IDE requirements if certain labeling requirements
are met.

A  clinical  trial  may  be  suspended  by  either  the  FDA  or  the  Investigational  Review  Board  at  any  time  for  various  reasons,
including  a  belief  that  the  risks  to  the  study  participants  outweigh  the  benefits  of  participation  in  the  study.  Even  if  a  study  is
completed,  clinical  testing  results  may  not  demonstrate  the  safety  and  efficacy  of  the  device,  or  they  may  be  equivocal  or
otherwise insufficient to obtain approval of the product being tested. After the clinical trials have been completed, if at all, and
the clinical trial data and results are collected and organized, a manufacturer may complete a PMA application.

After  a  PMA  application  is  sufficiently  complete,  the  FDA  will  accept  the  application  and  begin  an  in-depth  review  of  the
submitted information. By statute, the FDA has 180 days to review the “accepted application,” although, generally, review of the
application can take between one and three years, but it may take significantly longer. During this review period, the FDA may
request additional information or clarification of information already provided. Also, during the review period, an advisory panel
of experts from outside the FDA may be convened to review and evaluate the application and provide recommendations to the
FDA  as  to  the  approvability  of  the  device.  The  preapproval  inspections  conducted  by  the  FDA  include  an  evaluation  of  the
manufacturing  facility  to  ensure  compliance  with  the  FDA’s  quality  systems  regulations  or  QSR,  as  well  as  inspections  of  the
clinical  trial  sites  by  the  Bioresearch  Monitoring  group  to  evaluate  compliance  with  good  clinical  practice  and  human  subject
protections. New PMA applications or PMA supplements are required for modifications that affect the safety or effectiveness of
the  device,  including,  for  example,  certain  types  of  modifications  to  the  device’s  indication  for  use,  manufacturing  process,
labeling and design. Significant changes to an approved PMA require a 180-day supplement, whereas less substantive changes
may utilize a 30-day notice, or a 135-day supplement. Premarket approval supplements often require submission of the same type
of information as a premarket approval application, except that the supplement is limited to information needed to support any
changes from the device covered by the original premarket approval application, and it may not require as extensive clinical data
or the convening of an advisory panel.

Our HIV 1/2 STAT-PAK Assay PMA application number BP050009/0 and our SURE CHECK 1/2 HIV Assay PMA application
number BP050010/0 were approved by the FDA in May 2006. Our DPP HIV 1/2 Assay PMA application number BP120032/0
was approved by the FDA in December 2012.

510(k) Clearance Pathway

We are currently developing products that either will or are likely to require an FDA 510(k) clearance. We anticipate submitting a
510(k) for each such product to demonstrate that such proposed device is substantially equivalent to a previously cleared 510(k)
device  or  a  device  that  was  in  commercial  distribution  before  May  28,  1976,  for  which  the  FDA  has  not  yet  called  for  the
submission of a 510(k). The FDA's 510(k) clearance pathway usually takes from three to twelve months but could take longer. In
some cases the FDA may require additional information, including clinical data, to make a determination regarding substantial
equivalence.

If  a  device  receives  510(k)  clearance,  any  modification  that  could  significantly  affect  its  safety  or  effectiveness,  or  that  would
constitute a new or major change in its intended use, will require a new 510(k) clearance or, depending on the modification,  a
PMA.  The  FDA  requires  each  device  manufacturer  to  determine  whether  the  proposed  change  requires  submission  of  a  new
510(k)  or  a  PMA,  but  the  FDA  can  review  any  such  decision  and,  if  it  disagrees  with  the  manufacturer's  determination,  can
require  the  manufacturer  to  cease  marketing  and/or  recall  the  modified  device  until  510(k)  clearance  or  PMA  of  the  modified
device is obtained.

12

 
 
 
 
 
 
 
 
 
Table of Contents

Clinical Laboratory Improvement Amendments of 1988

A  manufacturer  of  a  test  categorized  as  moderately  complex  may  request  that  categorization  of  the  test  be  waived  through  a
CLIA  Waiver  by  Application,  or  CW,  submission  to  the  FDA.  When  a  test  is  categorized  as  waived,  it  may  be  performed  by
laboratories  with  a  Certificate  of  Waiver,  such  as  a  physician’s  office  outreach  setting.  In  a  CW  submission,  the  manufacturer
provides evidence to the FDA that a test meets the CLIA statutory criteria for waiver CLIA, a walk-in clinic or an emergency
room provides CMS authority over all laboratory testing, except research that is performed on humans in the United States. The
Division  of  Laboratory  Services,  within  the  Survey  and  Certification  Group  under  the  CMS,  has  the  responsibility  for
implementing the CLIA program.

The  CLIA  program  is  designed  to  establish  quality  laboratory  testing  by  ensuring  the  accuracy,  reliability  and  timeliness  of
patient test results.  Under CLIA,  a  laboratory is  a  facility that  does  laboratory testing on specimens derived from humans and
used  to  provide  information  for  the  diagnosis,  prevention  or  treatment  of  disease,  or  impairment  of,  or  assessment  of  health.
Under  the  CLIA  program,  unless  waived,  laboratories  must  be  certified  by  the  government,  satisfy  governmental  quality  and
personnel standards, undergo proficiency testing, be subject to inspections and pay fees. We have received a CLIA waiver for all
of our lateral flow rapid HIV tests that we market in the United States. Specifically, the CLIA waiver was granted by the FDA for
HIV 1/2 STAT-PAK in November 2006,for SURE CHECK HIV 1/2 in October 2007, and for DPP HIV 1/2 in October 2014.

Pervasive and Continuing FDA Regulation

A  host  of  regulatory  requirements  apply  to  our  approved  devices,  including:  the  quality  system  regulation,  which  requires
manufacturers  to  follow  elaborate  design,  testing,  control,  documentation  and  other  quality  assurance  procedures;  the  Medical
Reporting  Regulations,  which  require  manufacturers  to  report  to  the  FDA  specified  types  of  adverse  events  involving  their
products; labeling regulations; and the FDA’s general prohibition against promoting products for unapproved or “off-label” uses.
Some Class II devices are subject to special controls-such as performance standards, post-market surveillance, patient registries,
and FDA guidelines-that do not apply to Class I devices.

The regulatory requirements that apply to our approved products classified as medical devices include:

•
•

product listing and establishment registration, which helps facilitate FDA inspections and other regulatory action;
QSR,  which  require  manufacturers,  including  third-party  manufacturers,  to  follow  stringent  design,  testing,  control,  documentation  and  other
quality assurance procedures during all aspects of the development and manufacturing process;

13

 
 
 
 
 
 
Table of Contents

•
•

labeling regulations and FDA prohibitions against the promotion of products for uncleared, unapproved or off-label use or indication;
clearance of product modifications that could significantly affect safety or efficacy or that would constitute a major change in intended use of one
of our cleared devices;
approval of product modifications that affect the safety or effectiveness of one of our cleared devices;

•
• medical device reporting regulations, which require that manufacturers comply with FDA requirements to report if their device may have caused
or contributed to a death or serious injury, or has malfunctioned in a way that would likely cause or contribute to a death or serious injury if the
malfunction of the device or a similar device were to recur;
post-approval restrictions or conditions, including post-approval study commitments;
post-market  surveillance  regulations,  which  apply  when  necessary  to  protect  the  public  health  or  to  provide  additional  safety  and  effectiveness
data for the device;
the FDA’s recall authority, whereby it can ask, or under certain conditions order, device manufacturers to recall from the market a product that is in
violation of governing laws and regulations;
regulations pertaining to voluntary recalls; and,
notices of corrections or removals.

•
•

•
•

•

Our Medford, New York facility is currently registered as an establishment with the FDA. We and any third-party manufacturers
are subject to announced and unannounced inspections by the FDA to determine our compliance with QSR and other regulations.

21st Century Cures Act

The  21st  Century  Cures  Act,  enacted  in  December  2016,  contains  several  sections  specific  to  medical  device  innovations.  We
believe that implementation of the 21st Century Cures Act may have a positive impact on its businesses by facilitating innovation
and/or reducing the regulatory burden imposed on medical device manufacturers.

Government Regulation of Medical Devices for Animal Subjects

We  currently  offer  two  veterinary  devices  in  the  United  States:  DPP  VetTB  Assay  for  Cervids  and  DPP  VetTB  Assay  for
Elephants.  Diagnostic  tests  for  animal  health  infectious  diseases,  including  our  veterinary  devices  for  the  prevention  and/or
treatment  of  animal  disease,  are  regulated  in  the  U.S.  by  the  Center  for  Veterinary  Biologics  within  the  U.S.  Department  of
Agriculture  Animal  and  Plant  Health  Inspection  Service,  or  APHIS,  under  the  Virus,  Serum,  and  Toxin  Act  of  1913.  As  a
requirement, our veterinary devices were approved by APHIS before they could be sold in the U.S.

The APHIS regulatory approval process involves the submission of product performance data and manufacturing documentation.
Following  regulatory  approval  to  market  a  product,  APHIS  requires  that  each  lot  of  product  be  submitted  for  review  before
release  to  customers.  In  addition,  APHIS  requires  special  approval  to  market  products  where  test  results  are  used  in  part  for
government-mandated disease management programs.

Environmental Laws

We believe that we are in compliance in all material respects with all foreign, federal, state, and local environmental regulations
applicable to our manufacturing facilities. The cost of ongoing compliance with such regulations does not have a material effect
on our operations.

14

 
 
 
 
 
 
 
 
 
Table of Contents

Intellectual Property

Intellectual Property Strategy

Our intellectual property strategy is to:  (1) build our own intellectual property portfolio around our DPP technology and optical
analyzers; (2) pursue licenses, trade secrets and know-how within the area of rapid point-of-care testing;  and,  (3) develop and
acquire proprietary positions to certain reagents.

DPP Intellectual Property

We  have  obtained  patent  coverage  on  our  DPP  technology,  including  numerous  patents  in  the  United  States,  China,  Malaysia,
Eurasia,  Mexico,  Singapore,  Japan,  Australia,  Indonesia,  Korea  and  the  U.K.    Additional  patent  applications  on  our  DPP
technology are pending in the United States, as well as in foreign countries such as Brazil, Canada, the European Union, India,
Israel, and South Africa.

DPP technology provides us with freedom to operate, which enables us to develop tests with better performance and capabilities
compared  with  tests  built  on  traditional  lateral  flow  platforms.    These  advantages  have  allowed  us  to  enter  into  multiple
technology  collaborations  based  upon  DPP  technology,  which  we  believe  will  provide  new  manufacturing  and  marketing
opportunities. We have filed additional patent applications that we believe will strengthen the DPP intellectual property and have
also filed for patent protection for certain other point-of-care technologies or applications thereof.

We have also obtained patent coverage on our optical-based analyzer technology in the United States, with patents pending in
several foreign countries.

Trademarks

We  have  filed  and  obtained  trademarks  for  our  products,  including  DPP,  SURE  CHECK,  STAT-VIEW,  and  STAT-PAK,  and
NEXT GENERATION DPP, as well as for the SampleTainer and DPP Micro Reader, which are used with certain DPP products. 
Our trademarks have been obtained in the United States and certain other countries around the world.

Trade Secrets and Know-How

We have developed a substantial body of trade secrets and know-how relating to the development and manufacture of lateral flow
and DPP-based diagnostic tests, including the sourcing and optimization of materials for such tests, and methods  to  maximize
sensitivity,  speed-to-result,  specificity,  stability  and  reproducibility  of  our  tests.    We  possess  proprietary  know-how  to  develop
tests for multiple conditions using colored particles.  Our formulations enable long shelf lives of our rapid HIV and other tests,
providing us with an important competitive advantage.

Lateral Flow Technology and Reagent Licenses

We seek licenses and/or redesigns of products that we believe to be in our best interests.  Because of the costs and other negative
consequences of time-consuming patent litigation, we often attempt to obtain a license on reasonable terms.

The peptides used in our rapid HIV tests were licensed to us by one or more third parties. We also have licensed the antigens used
in other tests including our Syphilis, Tuberculosis, Leptospirosis, Leishmaniasis and Chagas tests, and we may enter into other
license agreements.  In prior years, we concluded license agreements related to intellectual property rights owned by the United
States associated with HIV-1 and a sub-license agreement for HIV-2 with Bio-Rad Laboratories N.A., the exclusive licensee of
the Pasteur Institute’s HIV-2 intellectual property estate.

15

 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

Available Information

We are required to file annual, quarterly and current reports, proxy statements and other information with the U.S. Securities and
Exchange Commission. The SEC maintains a website at www.sec.gov that contains reports, proxy and information statements,
and other information regarding issuers that file electronically with the SEC.

Our  Annual  Reports  on  Form  10-K,  Quarterly  Reports  on  Form  10-Q,  Current  Reports  on  Form  8-K,  proxy  statements  and
amendments to those documents filed or furnished pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934, are
also  available  free  of  charge  on  our  website  at  www.chembio.com  as  soon  as  reasonably  practicable  after  such  reports  are
electronically filed with or furnished to the SEC.

Investors  should  note  that  we  currently  announce  material  information  to  our  investors  and  others  using  filings  with  the  SEC,
press  releases,  public  conference  calls,  webcasts  or  our  website  (www.chembio.com),  including  news  and  announcements
regarding  our  financial  performance,  key  personnel,  our  brands  and  our  business  strategy.  Information  that  we  post  on  our
corporate  website  could  be  deemed  material  to  investors.  We  encourage  investors  to  review  the  information  we  post  on  these
channels. We may from time to time update the list of channels we will use to communicate information that could be deemed
material and will post information about any such change on www.chembio.com. The information on our website is not, and shall
not be deemed to be, a part hereof or incorporated into this or any of our other filings with the SEC.

Corporate Information

Our principal executive offices are located at 555 Wireless Boulevard, Hauppauge, New York 11788. Our telephone number is
(631) 924-1135. Our website address is www.chembio.com. The information contained in, or accessible through, our corporate
website does not constitute part of this report.

ITEM 1A. RISK FACTORS

You should carefully consider each of the following risk factors and all of the other information provided in this Form 10-K in
considering whether to make or continue to hold an investment in our Common Stock. The risks described below are those we
currently  believe  may  materially  affect  us.  An  investment  in  our  Company  involves  a  high  degree  of  risk,  and  should  be
considered only by persons who can afford the loss of their entire investment.  Although we believe that these risks are the most
important  for  you  to  consider,  you  should  read  this  section  in  conjunction  with  our  financial  statements,  the  notes  to  those
financial statements and our management’s discussion and analysis of financial condition and results of operations included in
our periodic reports and incorporated into this Form 10-K by reference.

Risks Related to Our Business

Important competitive factors for our products include price, quality, performance, ease of use, and customer service. A few large
corporations produce a wide variety of diagnostic tests and other medical devices and equipment. A larger number of mid-size
companies generally compete only in the diagnostic industry and a significant number of small companies produce only a few
diagnostic products. As a result, the diagnostic test industry is highly fragmented and segmented.

16

 
 
 
 
 
 
 
 
 
 
Table of Contents

More generally, the point-of-care diagnostics industry is undergoing rapid technological changes, with frequent introductions of
new technology-driven products and services.  As new technologies become introduced into the point-of-care diagnostic testing
market,  we  may  be  required  to  commit  considerable  additional  efforts,  time  and  resources  to  enhance  our  current  product
portfolio  or  develop  new  products.    We  may  not  have  the  available  time  and  resources  to  accomplish  this,  and  many  of  our
competitors have substantially greater financial and other resources to invest in technological improvements.  We may not be able
to effectively implement new technology-driven products and services or be successful in marketing these products and services
to our customers, which would materially harm our operating results.

Although we own DPP patents, lateral flow technology is still a competitive platform to DPP, and lateral flow technology has a
lower  cost  of  manufacture  than  DPP  products.  Although  the  DPP  platform  has  shown  improved  sensitivity  as  compared  with
conventional lateral flow platforms in a number of studies, several factors go into the development and performance attributes of
products.  Therefore the ability of our products to successfully compete will depend on several other factors, including our having
a  patented  rapid  test  platform  technology  that  differentiates  DPP  from  lateral  flow  as  well  as  from  other  diagnostic  platform
technologies.

There can be no assurance that our DPP patents or our products incorporating those patents will not be challenged at some time in
the future.

Our  Competitors  may  Develop  and  Commercialize  More  Effective  or  Successful  Products,  and  Our  Research,
Development and Commercialization Efforts may not Succeed.

We  regularly  commit  substantial  resources  to  research  and  development  and  the  commercialization  of  our  new  or  enhanced
products.  The  research  and  development  process  usually  takes  a  long  time  from  inception  to  commercial  launch.  During  each
stage of this process there is a substantial risk that we will not achieve our goals in a timely fashion, or at all, and we may have to
abandon  a  new  or  enhanced  product  in  which  we  have  invested  substantial  time  and  money.  We  expect  to  continue  to  incur
significant costs related to our research and development activities.

Our  products  require  significant  development  and  investment  prior  to  commercialization,  including  testing  to  demonstrate  the
products’ performance capabilities, cost-effectiveness or other benefits. We must obtain regulatory approval before most products
may  be  sold  and  additional  development  efforts  on  these  products  may  be  required  before  the  products  will  be  reviewed.
However, regulatory authorities may not approve these products for commercial sale or may substantially delay or condition such
approval. There may be little or no market for the product and entry into or development of new markets for our products may
require  an  investment  of  substantial  resources  even  if  all  applicable  regulatory  approvals  are  obtained.  Furthermore,  we  may
spend  a  significant  amount  of  money  on  advertising  or  other  activities  and  still  fail  to  develop  a  market  for  the  product.  The
success of our efforts may be affected by our ability to manufacture products in a cost-effective manner, whether we can obtain
necessary intellectual property rights and protection and our ability to obtain reimbursement authorizations in the markets where
the  product  will  be  sold.  Therefore,  if  we  fail  to  develop  and  gain  commercial  acceptance  for  our  products,  or  if  competitors
develop  more  effective  products  or  a  greater  number  of  successful  new  products,  customers  may  decide  not  to  purchase  our
products.

Our  Products  may  not  be  Able  to  Compete  with  New  Diagnostic  Products  or  Existing  Products  Developed  by  Well-
Established Competitors, which would Negatively Affect Our Business.

The  diagnostic  industry  is  focused  on  the  testing  of  biological  specimens  in  a  laboratory  or  at  the  point-of-care  and  is  highly
competitive  and  rapidly  changing.    Important  competitive  factors  for  our  products  include  price,  quality,  performance,  ease  of
use, and customer service.

A few large corporations produce a wide variety of diagnostic tests and other medical devices and equipment. A larger number of
mid-size companies generally compete only in the diagnostic industry and a significant number of small companies produce only
a few diagnostic products. As a result, the diagnostic test industry is highly fragmented and segmented.

17

 
 
 
 
 
 
 
 
 
Table of Contents

Some  of  our  principal  competitors  may  have  considerably  greater  financial,  technical  and  marketing  resources  than  we  do.
Several companies produce diagnostic tests that compete directly with our testing product line, including Abbott (Alere), OraSure
Technologies and Trinity Biotech. Some competitors offer broader product lines and may have greater name recognition than we
have. These and other companies have or may have products incorporating molecular or other advanced technologies that over
time could directly compete with our testing product line. We also face competition from certain of our distributors or former
customers that have created or may decide to create, their own products to compete with ours.

As new products incorporating new technologies enter the market, our products may become obsolete or a competitor’s products
may be more effective or more effectively marketed and sold. If our competitors’ products take market share from our products
through more effective marketing or competitive pricing, our revenues, margins and operating results could be adversely affected.
In  addition,  our  revenues  and  operating  results  could  be  negatively  impacted  if  some  of  our  customers  internally  develop  or
acquire their own sample collection devices and use those devices in place of our products in order to reduce costs.

Our  Future  Revenues  and  Operating  Results  may  be  Negatively  Affected  by  Ongoing  Consolidation  in  the  Healthcare
Industry.

There has been a significant amount of consolidation in the healthcare industry. This consolidation has increased the competition
to provide goods and services to customers. In addition, group purchasing organizations and integrated health delivery networks
have served to concentrate purchasing decisions for some customers, which has also placed pricing pressure on medical device
suppliers. Due to ongoing consolidation, there could be additional pressure on the prices of our products.

The  Company  may  not  successfully  manage  the  transition  associated  with  the  appointment  of  a  new  chief  executive
officer, which could have an adverse impact on the Company.

On  January  9,  2020,  we  announced  that  John  J.  Sperzel  III  had  notified  the  board  of  directors  of  his  resignation  as  our  Chief
Executive Officer and President and one of our directors. On the same day, we announced that we had appointed Gail S. Page,
one of our directors, to serve as our Interim Chief Executive Officer. On March 12, 2020, we announced that we had appointed
Richard Eberly as our Chief Executive Officer, effective as of March 16, 2020.

The effectiveness of our new Chief Executive Officer, and our senior leadership team generally, following these transitions and
any  further  transition  as  a  result  of  these  changes,  could  have  a  significant  impact  on  our  results  of  operations.  Management
transition is often difficult and inherently causes some loss of institutional knowledge, which could negatively affect our results
of operations and financial condition. Our ability to execute our business strategies may be adversely affected by the uncertainty
associated with these transitions.

Our  Continued  Growth  Depends  on  Retaining  Our  Current  Key  Employees  and  Attracting  Additional  Qualified
Personnel, and We may not be Able to do so.

Our success depends to a large extent upon the skills and experience of our executive officers, sales, marketing, operations and
scientific staff. We may not be able to attract or retain qualified employees due to the intense competition for qualified personnel
among  medical  products  businesses  and  academic  and  other  research  institutions,  as  well  as  to  geographic  considerations,  our
ability to offer competitive compensation and benefits, and other reasons.

If  we  are  not  able  to  attract  and  retain  the  necessary  qualified  personnel  to  accomplish  our  business  objectives,  we  may
experience constraints that will adversely affect our ability to effectively manufacture, sell and market our products to meet the
demands of our customers and strategic partners in a timely fashion, or to support internal research and development programs.

18

 
 
 
 
 
 
 
 
 
 
Table of Contents

We  have  entered  into  employment  contracts  with  our  Interim  Chief  Executive  Officer,  Gail  S.  Page;  our  incoming  Chief
Executive Officer, Richard Eberly, our Chief Science & Technology Officer, Javan Esfandiari, and our Chief Financial Officer,
Neil Goldman. Due to the specific knowledge and experience of these executives regarding the industry, technology and market
generally and to our company specifically, the loss of the services of any one of these executives could have a material adverse
effect on us. We have not obtained a key man insurance policy on any officer other than Mr. Esfandiari.

We  may  not  generate  the  expected  benefits  of  our  acquisitions  of  opTricon  GmbH  or  Orangelife  Comercio  e  Industria
Ltda. and the integration of the acquisitions could disrupt our ongoing business, distract our management and increase
our expenses.

We  acquired  opTricon  GmbH,  or  opTricon,  and  Orangelife  Comercio  e  Industria  Ltda.,  or  Orangelife,  in  November  2018  and
November 2019, respectively, with the expectation that the acquisition will result in various benefits, including securing global
commercial rights and reducing cost of goods. Achieving the anticipated benefits of either acquisition is subject to a number of
uncertainties, including whether our business and the businesses of opTricon or Orangelife can be integrated in an efficient and
effective manner. We cannot assure you that we will be able to accurately forecast the performance or ultimate impact of either
the opTricon acquisition or the Orangelife acquisition.

The  integration  processes  may  take  longer  than  anticipated  and  result  in  the  loss  of  valuable  employees,  the  incurrence  of
additional  and  unforeseen  expenses,  the  disruption  of  our  ongoing  business,  processes  and  systems,  or  inconsistencies  in
standards,  controls,  procedures,  practices,  policies  and  compensation  arrangements,  any  of  which  could  adversely  affect  our
ability to achieve the anticipated benefits of the acquisitions. There may be increased risk due to integrating financial reporting
and internal control systems. The integration processes are subject to a number of uncertainties, and no assurance can be given
that the anticipated benefits, expense savings and synergies will be realized or, if realized, the timing of their realization. Failure
to achieve these anticipated benefits could result in increased costs or decreases in the amount of expected revenues and could
adversely affect our future business, financial condition, operating results and prospects.

We  have  incurred  and  will  continue  to  incur  non-recurring  expenses  in  connection  with  the  opTricon  acquisition  and  the
Orangelife acquisition, including legal, accounting and other expenses. Additional unanticipated costs may be incurred following
consummation  of  the  opTricon  acquisition  or  the  Orangelife  acquisition  in  the  course  of  the  integration  of  the  respective
businesses  into  our  business.  We  cannot  be  certain  that  the  realization  of  efficiencies  related  to  the  integration  of  the  two
businesses will offset the transaction and integration costs in the near term, or at all, or any losses from undiscovered liabilities
not covered by an indemnification from the sellers of opTricon or Orangelife.

We may not Generate the Expected Benefits of Future Acquisitions or Investments, and they could Disrupt Our Ongoing
Business, Distract Our Management, Increase Our Expenses and Negatively Affect Our Business.

As a way for us to grow our business, we may pursue strategic acquisitions or investments. These activities, and their impact on
our business, are subject to many risks, including the following: (i) the benefits expected to be derived from an acquisition or
investment  may  not  materialize  and  could  be  affected  by  numerous  factors,  such  as  regulatory  developments,  insurance
reimbursement, our inexperience with  new  businesses  or  markets, general economic conditions and increased competition; (ii)
we  may  be  unable  to  successfully  integrate  an  acquired  company’s  personnel,  assets,  management,  information  technology
systems, accounting policies and practices, products and/or technology into our business; (iii) we may not be able to accurately
forecast  the  performance  or  ultimate  impact  of  an  acquired  business;  and  (iv)  an  acquisition  may  result  in  the  incurrence  of
unexpected expenses, stockholder lawsuits, the dilution of our earnings or our existing  stockholders’ percentage ownership, or
potential losses from undiscovered liabilities not covered by an indemnification from the seller(s) of the acquired business.

19

 
 
 
 
 
 
 
Table of Contents

If  these  factors  occur,  we  may  be  unable  to  achieve  all  or  a  significant  part  of  the  benefits  expected  from  an  acquisition  or
investment. This may adversely affect our financial condition, results of operations and ability to grow our business or otherwise
achieve our financial and strategic objectives.

Third-Party Reimbursement Policies and Potential Cost Constraints could Negatively Affect Our Business.

The list of our product end-users includes hospitals, physicians and other healthcare providers. If these end-users do not receive
adequate reimbursement for the cost of our products from their patients’ healthcare insurers or payors, the use of our products
could  be  negatively  impacted.  Furthermore,  the  net  sales  of  our  products  could  also  be  adversely  affected  by  changes  in
reimbursement policies of government or private healthcare payors.

Hospitals,  physicians  and  other  healthcare  providers  who  purchase  diagnostic  products  in  the  United  States  generally  rely  on
third-party  payors,  such  as  private  health  insurance  plans,  Medicare  and  Medicaid,  to  reimburse  all  or  part  of  the  cost  of  the
product.  Due  to  the  overall  escalating  cost  of  medical  products  and  services,  there  is  increased  pressures  on  the  healthcare
industry, both foreign and domestic, to reduce the cost of products and services. Given the efforts to control and reduce healthcare
costs  in  the  United  States,  available  levels  of  reimbursement  may  change  for  our  existing  products  or  products  under
development.  Third-party  reimbursement  and  coverage  may  not  be  available  or  adequate  in  either  the  United  States  or
international  markets,  current  reimbursement  amounts  may  be  decreased  in  the  future  and  future  legislation,  and  regulation  or
reimbursement policies of third-party payors, may reduce the demand for our products or  our  ability  to  sell  our  products  on  a
profitable basis.

To  the  Extent  that  We  are  Unable  to  Collect  Our  Outstanding  Accounts  Receivable,  Our  Operating  Results  could  be
Materially Harmed.

There  may  be  circumstances  and  timing  that  require  us  to  accept  payment  terms,  including  delayed  payment  terms,  from
distributors or customers, which, if not satisfied, could cause financial losses.

We generally accept payment terms which require us to ship product before the contract price has been paid fully, and there also
are circumstances pursuant to which we may accept further delayed payment terms pursuant to which we may continue to deliver
product.  To the extent that these circumstances result in significant accounts receivables and those accounts receivables are not
paid on a timely basis, or are not paid at all, especially if concentrated in one or two customers, we could suffer financial losses.

Ongoing Changes in Healthcare Regulation could Negatively Affect Our Revenues, Business and Financial Condition.

There have been several proposed changes in the United States at the federal and state level for comprehensive reforms regarding
the payment for, the availability of and reimbursement for healthcare services. These proposals have ranged from fundamentally
changing  federal  and  state  healthcare  reimbursement  programs,  including  providing  comprehensive  healthcare  coverage  to  the
public under government-funded programs, to minor modifications to existing programs. One example is the Patient Protection
and Affordable Care or the Affordable Care Act, the Federal healthcare reform law enacted in 2010.

Healthcare reform initiatives will continue to be proposed, and may reduce healthcare related funding in an effort. It is impossible
to  predict  the  ultimate  content  and  timing  of  any  healthcare  reform  legislation  and  its  resulting  impact  on  us.  If  significant
reforms are made to the healthcare system in the United States, or in other jurisdictions, those reforms may increase our costs or
otherwise negatively effect on our financial condition and results of operations.

20

 
 
 
 
 
 
 
 
 
Table of Contents

In  April  2017,  the  European  Parliament  passed  the  Medical  Devices  Regulation  (Regulation  2017/745),  which  repeals  and
replaces  the  European  Union  Medical  Devices  Directive  and  the  Active  Implantable  Medical  Devices  Directive.  Unlike
directives, which must be implemented into the national laws of the European Economic Area, which we refer to as the EEA,
member  States,  the  regulations  would  be  directly  applicable,  i.e.,  without  the  need  for  adoption  of  EEA  member  State  laws
implementing  them,  in  all  EEA  member  States  and  are  intended  to  eliminate  current  differences  in  the  regulation  of  medical
devices among EEA member States. The Medical Devices Regulation, among other things, is intended to establish a uniform,
transparent,  predictable  and  sustainable  regulatory  framework  across  the  EEA  for  medical  devices  and  ensure  a  high  level  of
safety  and  health  while  supporting  innovation.  The  Medical  Devices  Regulation  will,  however,  only  become  fully  applicable
three years after publication (in May 2020). Once applicable, the Medical Devices Regulation will, among other things:

•
•

•
•

•

strengthen the rules on placing devices on the market and reinforce surveillance once they are available;
establish explicit provisions on manufacturers’ responsibilities for the follow-up of the quality, performance and safety of devices placed on the
market;
improve the traceability of medical devices throughout the supply chain to the end-user or patient through a unique identification number;
set up a central database to provide patients, healthcare professionals and the public with comprehensive information on products available in the
EU; and
strengthen  rules  for  the  assessment  of  certain  high-risk  devices,  such  as  implants,  which  may  have  to  undergo  an  additional  check  by  experts
before they are placed on the market.

Once applicable, the Medical Devices Regulation may impose increased compliance obligations for us to access the EU market.

We Believe Our Success Depends in Part on the Continued Funding of, and Our Ability to Participate in, Large Testing
Programs  in  the  U.S.  and  Worldwide,  the  Funding  of  which  may  be  Reduced  or  Discontinued  or  Otherwise  be
Unavailable to Us.

We believe it to be in our best interests to meaningfully participate in large testing programs.  Moreover many of these programs
are  funded  by  governments  and  other  donors,  and  there  can  be  no  assurance  that  funding  will  not  be  reduced  or  completely
discontinued.  Participation in these programs also requires alignment and engagement with the many other participants in these
programs, including WHO, CDC, the U.S. Agency for International Development, foreign governments and their agencies, non-
governmental  organizations,  and  HIV  service  organizations.    If  we  are  unsuccessful  in  our  efforts  to  participate  in  these
programs, our operating results could be materially harmed.

In  December  2013  President  Obama  signed  into  law  the  PEPFAR  Stewardship  and  Oversight  Act,  which  is  the  most  recent
reauthorization  of  PEPFAR.  However,  unlike  the  2008  PEPFAR  authorization,  which  authorized  approximately  $45  billion  in
funding, the new law did not authorize a specific dollar amount for funding.

Developing Testing Guidelines could Negatively Affect Sales of Our Products.

Government agencies may issue diagnostic testing guidelines or recommendations, which can alter the usage of our HIV testing
products. New laws or guidelines, or changes to existing laws or guidelines, and the manner in which these new or changed laws
and guidelines are interpreted and applied, could impact the degree to which our testing products are used. These developments
could affect the frequency of testing, the number of people tested and whether the testing products are used broadly for screening
large populations or in a more limited capacity. These factors could in turn affect the level of sales of our products and our results
of operations.

21

 
 
 
 
 
 
 
 
Table of Contents

Legislative and Other Regulatory Changes could have an Effect on Our Business.

The  current  U.S.  Presidential  Administration  has  promised  to  repeal  and  replace  the  Affordable  Care  Act,  expressed  concerns
with respect to existing trade agreements, and has indicated a desire to make other regulatory changes during his administration.
Changes  in  regulatory  or  economic  conditions  or  in  the  laws  and  policies  governing  foreign  trade,  taxes,  manufacturing,  and
development in the United States could impact our business. Economic and regulatory changes could also affect foreign currency
exchange rates which, in turn, could affect our reported financial results and our competitiveness on a worldwide basis.

Developments Related to the U.K.’s Referendum On Membership in the E.U. Could Adversely Affect Us.

On June 23, 2016, the United Kingdom voted in favor of leaving the European Union, or E.U.. On January 24, 2020, the U.K.
and the E.U. entered into a withdrawal agreement pursuant to which the U.K. formally left the E.U. on January 31, 2020, but will,
for a transition period ending on December 31, 2020, maintain access to the E.U. single market and to the global trade deals
negotiated by the E.U. on behalf of its members and remain subject to E.U. law. The ultimate impact of the “leave” vote will
depend on the terms that are negotiated in relation to the U.K.’s future relationship with the E.U. “Brexit” could impair our ability
to transact business in the U.K. and E.U. countries. Brexit has already and could continue to contribute to instability in the global
financial markets. The long-term effects of Brexit will depend in part on any new trade agreements the U.K. makes to retain
access to E.U. markets following the U.K.’s withdrawal transition period from the E.U. Negotiations of a trade agreement may be
unsuccessful, and the U.K. may not reach agreement with the E.U. on the future terms of the U.K.’s relationship with the E.U.

Without an agreement, there will be a period of considerable uncertainty particularly in relation to the financial and banking
markets and the regulation of our industry, including the regulatory approval process.

We expect that Brexit could lead to legal uncertainty and potentially divergent national laws and regulations as the U.K.
determines which E.U. laws to replicate or replace. If the U.K. were to significantly alter its regulations affecting the
pharmaceutical industry, we could face significant new costs relating to the development, manufacture, and marketing of our
current and future products. It may also be time-consuming and expensive for us to alter our internal operations in order to
comply with any new regulations.

Among other outcomes, Brexit could disrupt the free movement of goods, services and people between the U.K. and the E.U.,
and result in increased legal and regulatory complexities, as well as potential higher costs of conducting business in the U.K. and
the E.U. In addition, changes to U.K. immigration policy as a result of Brexit could adversely affect our ability to retain talent for
our European operations. Given the lack of comparable precedent, it is unclear what financial, trade, regulatory, and legal
implications the final withdrawal of the U.K. from the E.U. would have and how such withdrawal would affect us. Any of these
effects, and others we cannot anticipate, could negatively affect our business and financial condition.

We  could  be  Exposed  to  Liability  if  We  Experience  Security  Breaches  or  Other  Disruptions,  which  could  Harm  Our
Reputation and Business.

We may be subject to cyber-attacks whereby computer hackers may attempt to access our computer systems or our third party IT
service  provider’s  systems  and,  if  successful,  misappropriate  personal  or  confidential  information.  In  addition,  a  contractor  or
other third party with whom we do business may attempt to circumvent our security measures or obtain such information, and
may purposefully or inadvertently cause a breach involving sensitive information. We will continue to evaluate and implement
additional protective measures to reduce the risk and detect cyber incidents, but cyber-attacks are becoming more sophisticated
and  frequent  and  the  techniques  used  in  such  attacks  change  rapidly.  Even  though  we  take  cyber-security  measures  that  are
continuously  reviewed  and  updated,  our  information  technology  networks  and  infrastructure  may  still  be  vulnerable  due  to
sophisticated attacks by hackers or breaches.

22

 
 
 
 
 
 
 
 
 
Table of Contents

Even the most well protected IT networks, systems, and facilities remain potentially vulnerable because the techniques used in
security breaches are continually evolving and generally are not recognized until launched against a target and, in fact, may not
be detected. Any such compromise of our or our third party’s IT service providers’ data security and access, public disclosure, or
loss  of  personal  or  confidential  business  information,  could  result  in  legal  claims  proceedings,  liability  under  laws  to  protect,
privacy of personal information, and regulatory penalties, disrupt our operations, require significant management attention and
resources to remedy any damages that result, damage our reputation and customers willingness to transact business with us, any
of which could adversely affect our business.

Our  Ability  to  Efficiently  Operate  Our  Business  is  Reliant  on  Information  Technology,  and  Any  Material  Failure,
Inadequacy, Interruption or Security Breach of that Technology could Harm Our Business.

We rely heavily on complex information technology systems across our operations and on the internet, including for management
of  inventory,  invoices,  purchase  orders,  shipping,  interactions  with  our  third-party  logistics  provider,  revenue  and  expense
accounting,  consumer  call  support,  online  business,  and  various  other  processes  and  transactions.  Our  ability  to  effectively
manage our business, coordinate the production, distribution and sale of our products, respond to customer inquiries, and ensure
the timely and accurate recording and disclosure of financial information depends significantly on the reliability and capacity of
these systems and the internet.

If any of the foregoing systems fails to operate effectively, problems with transitioning to upgraded or replacement systems, or
disruptions  in  the  operation  of  the  internet,  could  cause  delays  in  product  sales  and  reduced  efficiency  of  our  operations.
Significant expenditures could be required to fix any such problem.

If there is an Increase in Demand for Our Products, it could Require Us to Expend Considerable Resources or Harm Our
Customer Relationships if We are Unable to Meet that Demand.

If there are significant or unexpected increases in the demand for our products, we may not be able to meet that demand without
expending additional capital resources. This would increase our capital costs, which could negatively affect our earnings in the
short  term.  In  addition,  new  manufacturing  equipment  or  facilities  may  require  FDA,  WHO,  and  other  regulatory  approvals
before  they  can  be  used  to  manufacture  our  products.  To  the  extent  we  are  unable  to  obtain  or  are  delayed  in  obtaining  such
approvals, our ability to meet the demand for our products could be adversely affected. Furthermore, our suppliers may be unable
or  unwilling  to  expend  the  necessary  capital  resources  or  otherwise  expand  their  capacity,  which  could  negatively  affect  our
business.

Our business could be negatively affected if we or our suppliers are unable to develop necessary manufacturing capabilities in a
timely manner. If we fail to increase production volumes in a cost effective manner or if we experience lower than anticipated
yields  or  production  problems  as  a  result  of  changes  that  we  or  our  suppliers  make  in  our  manufacturing  processes  to  meet
increased  demand,  we  could  experience  shipment  delays  or  interruptions  and  increased  manufacturing  costs,  which  could  also
have a material adverse effect on our revenues and profitability.

If there are unexpected increases in demand for our products, we may be required to obtain additional raw materials in order to
manufacture products to meet the increase in demand. However, some raw materials require significant ordering lead time and
some  are  currently  obtained  from  a  sole  supplier  or  a  limited  group  of  suppliers.  It  is  also  possible  that  one  or  more  of  our
suppliers  may  become  unwilling  or  unable  to  deliver  materials  to  us.  Any  shortfall  in  our  supply  of  raw  materials  and
components,  or  our  inability  to  quickly  and  cost-effectively  obtain  alternative  sources  for  this  supply,  could  have  a  material
adverse effect on our ability to meet increased demand for our products. This could negatively affect our total revenues or cost of
sales and related profits.

23

 
 
 
 
 
 
 
 
Table of Contents

If we are unable to meet customer demand for our products, it could also harm our relationships with our customers and impair
our reputation within the industry. This, in turn, could have a material adverse effect on our business.

Risks Related to Our Products

For Our Business to Succeed in the Future, Our Current and Future Products Must Receive Market Acceptance.

Market acceptance and the timing of such acceptance, of our new products or technologies is necessary for our future success. To
achieve market acceptance, we and our distributors will likely be required to undertake substantial efforts and spend significant
funds to inform every one of the existence and perceived benefits of our products. We also may require government funding for
the purchase of our products to help create market acceptance and expand the use of our products.

It may be difficult evaluate the market reaction to our products and our marketing efforts for new products may not be successful.
The government funding we receive may be limited for new products. As such, there can be no assurance that any products will
obtain significant market acceptance and fill the market need that is perceived to exist on a timely basis, or at all.

We may not have Sufficient Resources to Effectively Introduce and Market Our Products, which could Materially Harm
Our Operating Results.

Introducing and achieving market acceptance for our new products will require substantial marketing efforts and will require us
and/or  our  contract  partners,  sales  agents,  and/or  distributors  to  make  significant  expenditures  of  time  and  money.  In  some
instances  we  will  be  significantly  or  totally  reliant  on  the  marketing  efforts  and  expenditures  of  our  contract  partners,  sales
agents, and distributors.  If they do not have or commit the expertise and resources to effectively market the products that we
manufacture, our operating results will be materially harmed.

New  Developments  in  Health  Treatments  and  Non-Diagnostic  Products  may  Reduce  or  Eliminate  the  Demand  for  Our
Products.

The  development  and  commercialization  of  products  outside  of  the  diagnostics  industry  could  adversely  affect  sales  of  our
products.  For example, the development of a safe and effective vaccine to HIV or treatments for other diseases or conditions that
our products are designed to detect, could reduce or eventually eliminate the demand for our HIV or other diagnostic products
and result in a loss of revenues.

Sales Cycles for Our Products can be Lengthy, which can Cause Variability and Unpredictability in Our Business.

Some of our products may require lengthy and unpredictable sales cycles, which makes it more difficult to accurately forecast
revenues in a given period and may cause revenues and operating results to vary from period to period. Our products may involve
sales to large public and private institutions which may require many levels of approval and may be dependent on economic or
political  conditions  and  the  availability  of  grants  or  funding  from  government  or  public  health  agencies  which  can  vary  from
period to period. There can be no assurance that purchases or funding from these agencies will occur or continue, especially if
current negative economic conditions continue or intensify. As a result, we may expend considerable resources on unsuccessful
sales  efforts  or  we  may  not  be  able  to  complete  transactions  at  all  or  on  a  schedule  and  in  an  amount  consistent  with  our
objectives.

24

Table of Contents

We May Face Product Liability Claims for Injuries.

The testing, manufacturing and marketing of medical diagnostic products involves an inherent risk of product liability claims. If
we  cannot  successfully  defend  ourselves  against  product  liability  claims,  we  may  incur  substantial  liabilities  or  be  required  to
limit  or  cease  sales  of  our  products.  We  cannot  be  sure  that  we  will  not  incur  liabilities  in  excess  of  the  policy  limits  of  our
existing  product  liability  insurance  coverage  or  that  we  will  be  able  to  continue  to  obtain  adequate  product  liability  insurance
coverage in the future at an acceptable cost, or at all. In addition, a defect in the design or manufacture of our products could have
a  material  adverse  effect  on  our  reputation  in  the  industry  and  subject  us  to  claims  of  liability  for  injury  and  otherwise.  Any
substantial underinsured loss resulting from such a claim could have a material adverse effect on our profitability, and the damage
to our reputation in the industry could have a material adverse effect on our business.

Our Customers may not Adopt Rapid Point-of-Care Diagnostic Testing.

Rapid point-of-care tests are beneficial because, among other things, they can be administered by healthcare providers in their
own  facilities  or  used  by  consumers  at  home  without  sending  samples  to  central  laboratories.  But  currently  the  majority  of
diagnostic tests used by physicians and other healthcare providers in the U.S. are provided by clinical reference laboratories and
hospital-based  laboratories.  In  some  international  markets,  such  as  Europe,  diagnostic  testing  is  performed  primarily  by
centralized laboratories. Future sales of our products will depend, in part, on our ability to expand market acceptance of rapid
point-of-care testing and successfully compete against laboratory testing methods and products. However, we expect that clinical
reference  and  other  hospital-based  laboratories  will  continue  to  compete  vigorously  against  our  rapid  point-of-care  products.
Even if we can demonstrate that our products are more cost effective, save time, or have better performance or other benefits,
physicians, other healthcare providers and consumers may resist changing to rapid point-of-care tests and instead may choose to
obtain diagnostic results through laboratory tests. If we fail to achieve and expand market acceptance of our rapid point-of-care
diagnostic tests with customers, it would have a negative effect on our future sales growth.

Customer Concentration Creates Risks for Our Business.

A significant portion of our revenues each year comes from a few large customers. To the extent that such a large customer fails
to meet its purchase commitments, changes its ordering patterns or business strategy, or otherwise reduces its purchases or stops
purchasing our products, or if we experience difficulty in meeting the demand by these customers for our products, our revenues
and results of operations could be adversely affected.

If Our Products do not Perform Properly, It may Affect Our Revenues, Stock Price and Reputation.

Our products may not perform as expected. For example, a defect in one of our diagnostic products or a failure by a customer to
follow proper testing procedures may cause the product to report inaccurate information. Identifying the root cause of a product
performance or quality issue can be difficult and time consuming.

If our products do not to perform in accordance with the applicable label claims or otherwise in accordance with the expectations
or needs of our customers, customers may switch to a competing product or otherwise stop using our products, and our revenues
could  be  negatively  affected.  If  this  occurs,  we  may  be  required  to  implement  holds  or  product  recalls  and  incur  warranty
obligations. Furthermore, the poor performance by one or more of our products could have an adverse effect on our reputation,
our continuing ability to sell products and the price of our Common Stock.

25

Table of Contents

If We Expand Our International Presence, It may Increase Our Risks and Expose Our Business to Regulatory, Cultural
or Other Challenges.

We  will  continue  to  try  to  increase  revenue  derived  from  international  sales  of  our  products.  There  are  several  of  factors  that
could  adversely  affect  the  performance  of  our  business  and/or  cause  us  to  incur  substantially  increased  costs  because  of  our
international presence and sales, including: (i) uncertainty in the application of foreign laws and the interpretation of contracts
with foreign parties; (ii) cultural and political differences that favor local competitors or make it difficult to effectively market,
sell and gain acceptance of our products; (iii) exchange rates, currency fluctuations, tariffs and other barriers, extended payment
terms  and  dependence  on  international  distributors  or  representatives;  (iv)  trade  protection  measures,  trade  sanctions  and
import/export  licensing  requirements;  (v)  our  inability  to  obtain  or  maintain  regulatory  approvals  or  registrations  for  our
products; (vi) Economic conditions, political instability, the absence of available funding sources, terrorism, civil unrest, war and
natural disasters in foreign countries; (vii) Reduced protection for, or enforcement of, our patents and other intellectual property
rights in foreign countries; (viii) our inability to identify international distributors and negotiate acceptable terms for distribution
agreements; and (ix) restrictions on our ability to repatriate investments and earnings from foreign operations.

Economic,  cultural  and  political  conditions  and  foreign  regulatory  requirements  may  slow  or  prevent  the  manufacture  of  our
products in countries other than the United States. Interruption of the supply of our products could reduce revenues or cause us to
incur  significant  additional  expenses  in  finding  an  alternative  source  of  supply.  Foreign  currency  fluctuations  and  economic
conditions in foreign countries could also increase the costs of manufacturing our products in foreign countries.

Financial, Economic and Financing Risks

We have incurred losses in recent years and we are uncertain about our future profitability.

We  incurred  an  operating  loss  every  year  from  2014  through  2019.    Under  our  operating  plans,  we  have  made,  and  plan  to
continue  to  make,  significant  investments  in  our  production  capacity,  including  in  expanding  facilities  and  automating
manufacturing,  and  in  our  sales  and  marketing,  regulatory  approval,  and  research  and  development  activities.  Our  ability  to
achieve profitability and generate cash flow in the future will depend on our ability to increase sales of our existing products and
to  successfully  introduce  new  and  enhanced  products  into  the  marketplace,  all  while  controlling  and  managing  our  expenses
consistent with our operating plan.

If we are unable to increase our revenues and manage our expenses in accordance with our operating plan, our operating results
would be harmed and we may not be able to generate the cash flow needed to fund the investments in our production capacity
and other activities, we will be required to implement one or both of the following:

• We  could  reduce  the  level,  or  otherwise  delay  the  timing,  of  the  anticipated  investments  in  our  production  capacity  and  other  activities,  which
would  likely  curtail  or  delay  the  growth  in  our  business  contemplated  by  our  operating  plan  and  could  impair  or  defer  our  ability  to  achieve
profitability and generate cash flow.

• We could raise additional funds through public or private financings, strategic relationships, or other arrangements, to the extent funding would be
available to us on acceptable terms or at all. If we succeed in raising additional funds through the issuance of equity or convertible securities, then
the issuance could result in substantial dilution to existing stockholders. Furthermore, the holders of these new securities or debt may have rights,
preferences and privileges senior to those of the holders of our Common Stock.

In  such  circumstances,  we  also  would  need  to  forego  acquisition  opportunities,  which  could  impede  our  ability  to  grow  our
business.

26

Table of Contents

Our Financial Results may Fluctuate.

From  quarter  to  quarter  and  year  to  year,  our  operating  results  can  fluctuate,  which  could  cause  our  growth  or  financial
performance  to  fail  to  meet  the  expectations  of  investors  and  securities  analysts.  Sales  to  our  distributors  and  other  customers
may  not  meet  expectations  because  of  lower  than  expected  customer  demand  or  other  factors,  including  continued  economic
volatility and disruption, reduced governmental funding, and other circumstances described elsewhere in this report. A variety of
factors  could  also  contribute  to  the  variability  of  our  financial  results,  including  infrequent,  unusual  or  unexpected  changes  in
revenues or costs.

Different  products  provide  dissimilar  contributions  to  our  gross  product  margin.  Accordingly,  our  operating  results  could  also
fluctuate and be negatively affected by the mix of products sold and the relative prices and gross product margin contribution of
those  products.  Failure  to  achieve  operating  results  consistent  with  the  expectations  of  investors  and  securities  analysts  could
adversely affect our reputation and the price of our Common Stock.

The failure to comply with the terms of our Credit Agreement and Guaranty could result in a default under its terms and,
if uncured, could result in action against our pledged assets and dilution of our stockholders.

On September 3, 2019, we entered into a Credit Agreement and Guaranty, or Credit Agreement, with Perceptive Credit Holdings
II, LP, or Perceptive. Under the Credit Agreement, we received a $20,000,000 senior secured term loan credit facility, which was
drawn in full on September 4, 2019. In connection with the Credit Agreement, we issued a warrant to purchase up to 550,000
shares of our common stock. The credit agreement is secured by a first priority, perfected lien on substantially all of our property
and assets, including our equity interests in our subsidiaries.

The Credit Agreement also contains covenants that restrict our ability to finance future operations or capital needs or to engage in
other business activities. The Credit Agreement restricts our ability and the ability of our restricted subsidiaries to:

incur, assume or guarantee additional Indebtedness (as defined in the Credit Agreement);
repurchase capital stock;

•
•
• make other restricted payments including, without limitation, paying dividends and making investments;
•
•
•
•
•

create liens;
sell or otherwise dispose of assets, including capital stock of subsidiaries;
enter into agreements that restrict dividends from subsidiaries;
enter into mergers or consolidations; and
enter into transactions with affiliates

In addition, the Credit Agreement also contain covenants requiring us and our subsidiaries to maintain cash and cash equivalents
held in one or more accounts subject to the first priority perfected security interests of the lenders under the Credit Agreement of
not  less  than  $3,000,000.  The  Credit  Agreement  also  provides  for  specified  quarterly  minimum  consolidated  net  revenue
covenants of us and our subsidiaries for the trailing twelve-month period ended on each such calculation date during the term of
the Credit Agreement. A breach of any of these covenants would result in a default under the Credit Agreement. If an event of
default under our Credit Agreements occurs, Perceptive could elect to declare all amounts outstanding thereunder, together with
accrued interest, to be immediately due and payable. If we were unable to pay such amounts, Perceptive could proceed against
the collateral pledged to them. We have pledged our inventory, accounts receivable, cash, securities, other general intangibles and
the capital stock of certain subsidiaries to the lenders. In such an event, we cannot assure you that we would have sufficient assets
to pay amounts due under the Credit Agreement.

27

Table of Contents

Servicing  our  debt  will  require  a  significant  amount  of  cash.  Our  ability  to  generate  sufficient  cash  to  service  our  debt
depends on many factors beyond our control.

Our  ability  to  make  payments  on  and  to  refinance  our  debt,  to  fund  planned  capital  expenditures,  and  to  maintain  sufficient
working capital depends on our ability to generate cash in the future. This, to a certain extent, is subject to general economic,
financial,  competitive,  legislative,  regulatory  and  other  factors  that  are  beyond  our  control.  We  cannot  assure  you  that  our
business will generate sufficient cash flow from operations or from other sources in an amount sufficient to enable us to service
our debt or to fund our other liquidity needs. In the year ended December 31, 2019, our operations used $9.1 million in cash. If
our  cash  flow  and  capital  resources  are  insufficient  to  allow  us  to  make  scheduled  payments  on  our  debt,  we  may  need  seek
additional capital or restructure or refinance all or a portion of our debt on or before the maturity thereof, any of which could
have a material adverse effect on our business, financial condition or results of operations. We cannot assure you that, if needed,
we would be able to refinance any of our debt on commercially reasonable terms or at all, or that the terms of that debt will allow
any  of  the  above  alternative  measures  or  that  these  measures  would  satisfy  our  scheduled  debt  service  obligations.  If  we  are
unable to generate sufficient cash flow to repay or refinance our debt on favorable terms, it could significantly adversely affect
our financial condition. Our ability to restructure or refinance our debt will depend on the condition of the capital markets and our
financial condition. Any refinancing of our debt could be at higher interest rates and may require us to comply with more onerous
covenants,  which  could  further  restrict  our  business  operations.  There  can  be  no  assurance  that  we  will  be  able  to  obtain  any
financing when needed.

Our Operating Results may be Negatively Affected by Changes in Foreign Currency Exchange Rates.

In  the  past  our  exposure  to  foreign  currency  exchange  rate  risk  has  not  been  material.  Nevertheless,  sales  of  our  products  are
subject to currency risks, since changes in the values of foreign currencies relative to the value of the U.S. dollar can render our
products comparatively more expensive. The fluctuations in the exchange rate could negatively impact international sales of our
products, as could changes in the general economic conditions.

The revenues and expenses of Chembio Diagnostics Malaysia, opTricon and Orangelife, one of our subsidiaries, are recorded in
Malaysian  Ringgit,  in  Euros  and  Brazilian  Real,  respectively.  Revenues  and  expenses  denominated  in  foreign  currencies  are
translated  into  U.S.  dollars  for  purposes  of  reporting  our  consolidated  financial  results.  Our  expectation  is  that  the  Chembio
Diagnostics  Malaysia,  opTricon  and  Orangelife  businesses  will  continue  to  grow  and,  consequently,  our  exposure  to  foreign
currency exchange rates may grow as well.

Our foreign subsidiaries’ revenues and expenses and the translation of their financial results into U.S. dollars may be negatively
affected by fluctuations in the exchange rate. Favorable movement in exchange rates have benefited us in prior periods. However,
where  there  are  unfavorable  currency  exchange  rate  fluctuations,  our  consolidated  financial  statements  could  be  negatively
affected. Furthermore, fluctuations in exchange rates could affect year-to-year comparability of operating results. In the past, we
have not generally entered into hedging instruments to manage our currency exchange rate risk, but we may need to do so in the
future. However, our attempts to hedge against these risks may not be successful. If we are unable to successfully hedge against
unfavorable foreign currency exchange rate movements, our consolidated financial results may be adversely impacted.

We Operate in Countries where there is or may be Widespread Corruption.

We  have  a  policy  in  place  prohibiting  our  employees,  distributors  and  agents  from  engaging  in  corrupt  business  practices,
including activities prohibited by the U.S. Foreign Corrupt Practices Act. Nevertheless, because we work through independent
sales agents and distributors outside the United States, we do not have control over the day-to-day activities of such independent
agents  and  distributors.  In  addition,  in  the  donor-funded  markets  in  Africa  where  we  sell  our  products,  there  is  significant
oversight from PEPFAR, the Global Fund, and advisory committees comprised of technical experts concerning the development
and establishment of national testing protocols.  This is a process that includes an overall assessment of a product which includes
extensive  product  performance  evaluations  including  five  active  collaborations  and  manufacturer’s  quality  systems,  as  well  as
price and delivery.  In Brazil, where we operate our subsidiary Orangelife and have had numerous product collaborations with
FIOCRUZ,  the  programs  through  which  our  products  may  be  deployed  are  all  funded  by  the  Brazilian  Ministry  of  Health.
Although FIOCRUZ is affiliated with the Brazilian Ministry of Health, and is its sole customer, FIOCRUZ is not the exclusive
supplier  for  the  Ministry  of  Health.  However,  because  each  of  our  previous  collaborations  with  FIOCRUZ  incorporates  a
technology  transfer  aspect,  we  believe  we  have  a  competitive  advantage  versus  other  suppliers  to  the  Brazilian  Ministry  of
Health, assuming other aspects of our product offering through FIOCRUZ are otherwise competitive in comparison. We have no
knowledge or reason to know of any activities by our employees, distributors or sales agents of any actions which could be in
violation of the FCPA, although there can be no assurance of this.

28

Table of Contents

Our  subsidiary  Chembio  Diagnostics  Malaysia  Sdn.  Bhd.  is  located  in  Malaysia.  There  have  been  numerous  high-profile
corruption  cases,  and  corruption  is  one  of  the  most  problematic  factors  for  doing  business  in  Malaysia.  While  the  Malaysian
government has acknowledged the problem, it appears that endemic corruption is continuing and that market-based principles are
not applied in cases involving individuals with high-level political access. To the extent bribery and similar practices continue to
exist in Malaysia, U.S. companies such as ours, which are subject to U.S. laws making it illegal to pay bribes to foreign officials,
may make us less competitive in winning business in Malaysia when competing with non-U.S. companies.

Changes  in  Interpretation  or  Application  of  U.S.  Generally  Accepted  Accounting  Principles  may  Adversely  Affect  Our
Operating Results.

We prepare our financial statements to conform to U.S. generally accepted accounting principles. These principles are subject to
interpretation by the Financial Accounting Standards Board, the American Institute of Certified Public Accountants, the Public
Company  Accounting  Oversight  Board,  the  Securities  and  Exchange  Commission  and  various  other  regulatory  or  accounting
bodies. A change in interpretations of, or our application of, these principles can have a significant effect on our reported results
and may even affect our reporting of transactions completed before a change is announced. Additionally, as we are required to
adopt  new  accounting  standards,  our  methods  of  accounting  for  certain  items  may  change,  which  could  cause  our  results  of
operations to fluctuate from period to period. For example, upon adoption of Accounting Standards Codification (“ASC”) 606
Revenue  from  Contracts  with  Customers  of  the  Financial  Accounting  Standards  Board  (“FASB”),  we  now  recognize  revenue
upon transfer of control, which is generally at time of delivery. Under the previous accounting guidance, we recognized revenue
upon  acceptance  when  and  if  we  had  production  responsibilities.  If  circumstances  change  over  time  or  interpretation  of  the
revenue recognition rules change, we could be required to adjust the timing of recognizing revenue and our financial results could
suffer.

We Base Our Estimates or Judgments Relating to Critical Accounting Policies on Assumptions that can Change or Prove
to be Incorrect.

Our financial statements have been prepared in accordance with accounting principles generally accepted in the United States and
our  discussion  and  analysis  of  financial  condition  and  results  of  operations  is  based  on  such  statements.  The  preparation  of
financial  statements  requires  management  to  make  estimates  and  assumptions  that  affect  the  amounts  reported  in  the  financial
statements and accompanying notes. We continuously evaluate significant estimates used in preparing our financial statements,
including  those  related  to  (i)  revenue  recognition;  (ii)  stock-based  compensation;  (iii)  allowance  for  uncollectible  accounts
receivable;  (iv)  inventory  reserves  and  obsolescence;  (v)  customer  sales  returns  and  allowances;  (vi)  contingencies;  and  (vii)
income taxes, (viii) goodwill and intangibles, (ix) business acquisition, and (x) research and development costs.

Our estimates are based on historical experience and various other assumptions that we believe to be reasonable, as set forth in
our  discussion  and  analysis  of  financial  condition  and  results  of  operations,  the  results  of  which  form  the  basis  for  making
judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may
differ from these and other estimates if our assumptions change or if actual circumstances differ from those in our assumptions. If
our operating results fall below the expectations of securities analysts and investors, the price of our Common Stock may decline.

Our Global Operations may be Adversely Effected by the Coronavirus Outbreak and Face Risks that could Impact our
Business.

A  novel  strain  of  coronavirus,  COVID-19,  originated  in  Wuhan,  China,  in  December  2019.  As  of  March  2020,  the  virus  has
spread  globally,  including  to  the  United  States,  Malaysia,  Germany  and  Brazil.  Our  business  operations  in  those  locations  are
subject  to  potential  business  interruptions  arising  from  protective  measures  that  may  be  taken  by  the  respective  governments,
agencies  or  other  governing  bodies  in  each  country.  Business  disruptions  in  other  countries  also  could  negatively  affect  the
sources  and  availability  of  components  and  materials  that  are  essential  to  the  operation  of  our  business.  Extended  periods  of
interruption  to  our  U.S.  or  international  operations  due  to  the  coronavirus  outbreak  could  adversely  impact  the  growth  of  our
business, could cause us to cease or delay operations, and could prevent our customers from receiving shipments or processing
payments.

The  extent  to  which  the  coronavirus  impacts  our  global  business,  sales  and  results  of  operations  will  depend  on  future
developments, which are highly uncertain and cannot be predicted. This includes new information that may emerge concerning
the severity of the coronavirus, the spread and proliferation of the coronavirus around the world, and the actions taken to contain
the coronavirus or treat its impact, among others.

29

  
Table of Contents

Our Business may be Negatively Affected by Terrorist Attacks or Natural Disasters.

Terrorist attacks or natural disasters could cause economic instability. These events could negatively affect economic conditions
both  within  and  outside  the  United  States  and  harm  demand  for  our  products.  The  operations  of  our  customers  and  suppliers
could  be  negatively  impacted  and  eliminate,  reduce  or  delay  our  customers’  ability  to  purchase  and  use  our  products  and  our
suppliers’ ability to provide raw materials and finished products.

Our facilities, including some pieces of manufacturing equipment and our computer systems, may be difficult to replace. Various
types of disasters, including fires, earthquakes, floods and acts of terrorism, may affect our facilities and computer systems. In the
event our existing facilities or computer systems are affected by man-made or natural disasters, we may have difficulty operating
our  business  and  may  be  unable  to  manufacture  products  for  sale  or  meet  customer  demands  or  sales  projections.  If  our
manufacturing operations were curtailed or shut down entirely, it would seriously harm our business.

Risks Related to Intellectual Property

Our  Success  Depends  on  Our  Ability  to  Protect  Our  Proprietary  Technology.  We  Rely  on  Trade  Secret  Laws  and
Agreements with Our Key Employees and Other Third Parties to Protect Our Proprietary Rights, and We cannot be sure
that these Laws or Agreements will Adequately Protect Our Rights.

Our  industry  places  considerable  importance  on  obtaining  patent,  trademark  and  trade  secret  protection,  as  well  as  other
intellectual property rights, for new technologies, products and processes. Our success depends, in part, on our ability to develop
and maintain a strong intellectual property portfolio or obtain licenses to patents and technologies, both in the United States and
in other countries. If we cannot continue to develop, obtain and protect intellectual property rights, our revenues and gross profits
could be adversely affected. Moreover, our current and future licenses or other rights to patents and other technologies may not
be adequate for the operation of our business.

As  appropriate,  we  intend  to  file  patent  applications  and  obtain  patent  protection  for  our  proprietary  technology.  These  patent
applications and patents will cover, as applicable, compositions of matter for our products, methods of making those products,
methods of using those products and apparatuses relating to the use or manufacture of those products. However, there have been
changes to the patent laws and proposed changes to the rules of the U.S. Patent and Trademark Office, which may impact our
ability to protect our technology and enforce our intellectual property rights. For example, in 2011, the U.S. enacted sweeping
changes to the U.S. patent system under the Leahy-Smith America Invents Act, including changes that would transition the U.S.
from a “first-to-invent” system to a “first-to-file” system and alter the processes for challenging issued patents. These changes
could increase the uncertainties and costs surrounding the prosecution of our patent applications and the enforcement or defense
of our issued patents.

We  believe  that  factors  such  as  the  technological  and  creative  skills  of  our  personnel,  strategic  relationships,  new  product
developments, frequent product enhancements and name recognition are essential to our success.  All our management personnel
are bound by non-disclosure agreements.  If personnel leave our employment, in some cases we would be required to protect our
intellectual property rights pursuant to common law theories which may be less protective than provisions of employment, non-
competition or non-disclosure agreements.

We  seek  to  protect  our  proprietary  products  under  trade  secret  and  copyright  laws,  enter  into  license  agreements  for  various
materials  and  methods  employed  in  our  products,  and  enter  into  strategic  relationships  for  distribution of the products.    These
strategies afford only limited protection.  We currently have some foreign patents issued, and we are seeking additional patent
protection in several other foreign jurisdictions for our DPP and optical technology.  We have licenses to reagents (antigens and
peptides) used in several of our products and products under development.  Despite our efforts to protect our proprietary assets,
and  respect  the  intellectual  property  rights  of  others,  we  participate  in  several  markets  where  intellectual  property  rights
protections are of little or no value.  This can place our products and our company at a competitive disadvantage.

30

 
Table of Contents

Moreover, issued patents remain in effect for a fixed period and after expiration will not provide protection of the inventions they
cover. Once our patents expire, we may be faced with increased competition, which could reduce our revenues. We may also not
be able to successfully protect our rights to unpatented trade secrets and know-how.

To facilitate development and commercialization of a proprietary technology base, we may need to obtain additional licenses to
patents or other proprietary rights from other parties.  Obtaining and maintaining these licenses, which may not be available, may
require the payment of up-front fees and royalties.  In addition, if we are unable to obtain these types of licenses, our product
development and commercialization efforts may be delayed or precluded.

Any Future Intellectual Property Disputes could Require Significant Resource and Limit or Eliminate Our Ability to Sell
Products or Use Certain Technologies.

We  may  be  required  to  expend  substantial  resources  in  asserting  or  protecting  our  intellectual  property  rights,  or  in  defending
suits  related  to  intellectual  property  rights.    We  may  seek  to  enforce  our  patents  or  other  intellectual  property  rights  through
litigation. Such litigation is prevalent and is expected to continue. In our business, there are a large number of patents and patent
applications similar to our products, and additional patents may be issued to third parties relating to our product areas. We, our
customers or our suppliers may be sued for infringement of patents or misappropriation of other intellectual property rights with
respect to one or more of our products. We may also have disputes with parties that license patents to us if we believe the license
is no longer needed for our products or the licensed patents are no longer valid or enforceable.

There are a large number of patents in our industry, and the claims of these patents appear to overlap in many cases. Therefore
there  is  a  significant  amount  of  uncertainty  regarding  the  extent  of  patent  protection  and  infringement.  Companies  may  have
pending patent applications, which are typically confidential for the first eighteen months following filing that cover technologies
we incorporate in our products. Accordingly, we may be subjected to substantial damages for past infringement or be required to
modify our products or stop selling them if it is ultimately determined that our products infringe a third party’s proprietary rights.
In addition, governmental agencies could commence investigations or criminal proceedings against our employees or us relating
to claims of misuse or misappropriation of another party’s proprietary rights.

If we are involved in litigation or other legal proceedings with respect to patents or other intellectual property and proprietary
technology, it could adversely affect our revenues, results of operations, market share and business because (1) it could consume
a  substantial  portion  of  managerial  and  financial  resources;  (2)  its  outcome  would  be  uncertain  and  a  court  may  find  that  our
patents  are  invalid  or  unenforceable  in  response  to  claims  by  another  party  or  that  the  third-party  patent  claims  are  valid  and
infringed by our products; (3) the pendency of any litigation may in and of itself cause our distributors and customers to reduce or
terminate purchases of our products; (4) a court could award a preliminary and/or permanent injunction, which would prevent us
from  selling  our  current  or  future  products;  and  (5)  an  adverse  outcome  could  subject  us  to  the  loss  of  the  protection  of  our
patents or to liability in the form of past royalty payments, penalties, reimbursement of litigation costs and legal fees, special and
punitive damages, or future royalty payments, any of which could significantly affect our future earnings.

Under  certain  contracts  with  third  parties,  we  may  indemnify  the  other  party  if  our  products  or  activities  have  actually  or
allegedly infringed upon, misappropriated or misused another party’s proprietary rights. Furthermore, our products may contain
technology provided to us by third parties, and we may be unable to determine in advance whether such technology infringes the
intellectual property rights of a third party. These other parties may also not be required or financially able to indemnify us in the
event that an infringement or misappropriation claim is asserted against us.

There  may  also  be  other  types  of  disputes  that  we  become  involved  in  regarding  intellectual  property  rights,  including  state,
federal  or  foreign  court  litigation,  and  patent  interference,  patent  reissue,  patent  reexamination,  or  trademark  opposition
proceedings  in  the  United  States  Patent  and  Trademark  Office.  Opposition  or  revocation  proceedings  could  be  instituted  in  a
foreign patent office as well. These proceedings permit certain persons to challenge the validity of a patent on the grounds that it
was known from the prior art. The filing of such proceedings, or the issuance of an adverse decision in such proceedings, could
result in the loss of valuable patent rights that could have a material adverse effect on our business, financial condition, results of
operations and growth prospects.

31

Table of Contents

Risks Related to Our Third Party Collaborators

Our Use of Third-Party Suppliers, some of which may Constitute Our Sole Supply Source, for Certain Important Product
Components and Materials Presents Risks that Could Have Negative Consequences for Our Business.

We purchase certain HIV antigens, a syphilis antigen, the nitrocellulose, and certain other critical components used in our STAT-
PAK,  STAT-VIEW,  SURE  CHECK  and  DPP  product  lines  from  a  sole  or  limited  number  of  sources.  If  for  any  reason  these
suppliers  become  unwilling  or  unable  to  supply  our  antigen,  nitrocellulose,  or  other  critical  component  needs,  we  believe  that
alternative  supplies  could  be  obtained  at  a  competitive  cost.  However,  a  change  in  any  of the antigens, nitrocellulose or  other
critical  components  used  in  our  products  would  require  additional  development  work  and  approval  by  the  FDA  and  other
regulatory  agencies.    In  addition,  it  may  be  difficult  to  find  such  an  alternate  supply  source  in  a  reasonable  time  period  or  on
commercially reasonable terms, if at all. As a result, the termination or limitation of our relationship with one or more of these
suppliers could require significant time to complete, increase our costs, and disrupt or discontinue our ability to manufacture and
sell the affected products.

With some of these suppliers, we do not have long-term agreements and instead purchase components and materials through a
purchase  order  process.  As  a  result,  these  suppliers  may  stop  supplying  us  components  and  materials,  limit  the  allocation  of
supply and equipment to us due to increased industry demand, or significantly increase their prices at any time with little or no
advance  notice.  Our  reliance  on  a  limited  number  of  suppliers  could  also  result  in  delivery  problems,  reduced  control  over
product pricing and quality, and our inability to identify and qualify another supplier in a timely manner.

Moreover,  some  of  these  suppliers  may  experience  financial  difficulties  that  could  prevent  them  from  supplying  us  with
components or subassemblies used in the design and manufacture of our products. In addition, these suppliers may experience
manufacturing delays or shut downs due to circumstances beyond their control, such as labor issues, political unrest or natural
disasters.

Any supply deficiencies could materially and adversely affect our ability to fulfill customer orders and our results of operations.
The availability of critical components and materials from sole- or limited source suppliers could reduce our control over pricing,
quality  and  timely  delivery,  increase  our  costs,  could  disrupt  our  ability  to  manufacture  and  sell,  and  preclude  us  from
manufacturing and selling, certain of our products into one or more markets. Any such event could have a material adverse effect
on our results of operations, cash flow and business.

We  May  Work  with  Strategic  Collaborators  to  Assist  in  Developing  and  Commercializing  Our  Products,  which  could
Limit Rights We Receive from the Collaborations and Exposes Us to Other Risks Outside Our Control.

Some  business  opportunities  that  require  a  technology  controlled  by  a  third  party,  a  significant  level  of  investment  for
development and commercialization or a distribution network beyond our existing sales force may necessitate involving one or
more strategic collaborators. As part of our strategy for development and commercialization of our products, we may enter into
arrangements with distributors or other third-parties. Relying on such collaborative relationships could be risky to our business
for a number of reasons, including: (i) we may be required to transfer material rights to such strategic collaborators, licensees and
others; (ii) our collaborators may not obtain regulatory approvals necessary  to  continue  the  collaborations  in  a  timely  manner;
(iii)  our  collaborators  may  decide  to  terminate  our  collaborative  arrangement  or  become  insolvent;  (iv)  our  collaborators  may
develop  technologies  or  components  competitive  with  our  products;  (v)  disagreements  with  collaborators  could  result  in  the
termination  of  the  relationship  or  litigation;  and  (vi)  we  may  not  be  able  to  agree  to  future  collaborative  arrangements,  or
renewals of existing collaborative agreements, on acceptable terms or at all.

32

Table of Contents

We expect our collaborators will have an economic motivation to succeed in performing their contractual responsibilities under
our agreements, there is no assurance that they will do so. Due to our reliance on strategic agreements, it can make it difficult to
accurately forecast our future revenues and operating results.

Our Ability to Grow Our Business will be Limited if We Fail to Maintain Existing Distribution Channels or Develop New
Distribution Channels.

We  collaborate  with  laboratories,  diagnostic  companies  and  distributors  in  order  to  sell  our  products.  The  sale  of  our  products
depends  in  large  part  on  our  ability  to  sell  products  to  these  customers  and  on  the  marketing  and  distribution  abilities  of  the
companies with which we collaborate and work with.

By  relying  on  distributors  or  third-parties  to  market  and  sell  our  products  could  negatively  impact  our  business  for  various
reasons,  including:  (i)  we  may  not  be  able  to  find  suitable  distributors  for  our  products  on  satisfactory  terms,  or  at  all;  (ii)
agreements with distributors may prematurely terminate or may result in litigation between the parties; (iii) our distributors or
other customers may not fulfill their contractual obligations and distribute our products in the manner or at the levels we expect;
(iv) our distributors may prioritize their own private label products that compete with our products; (v) Our existing distributor
relationships or contracts may preclude or limit us from entering into arrangements with other distributors; and (vi) we may not
be able to negotiate new or renew existing distribution agreements on acceptable terms, or at all.

We will try to maintain and expand our business with distributors and customers and make every effort to require that they fulfill
their contractual obligations, but there can be no assurance that such companies will do so or that new distribution channels will
be available on satisfactory terms. If we are unable to do so, our business will be negatively impacted.

Our U.S. Government Contracts Require Compliance with Numerous Laws and Increases Our Risk and Liability.

We are currently receiving funding from the U.S. government related to DPP Zika, and our growth strategy targets sales to U.S.
government entities. As a result of our U.S. government funding and potential product sales to the U.S. government, we must
comply  with  laws  and  regulations  relating  to  the  award,  administration  and  performance  of  U.S.  government  contracts.  U.S.
government  contracts  typically  contain  a  number  of  extraordinary  provisions  that  would  not  typically be found  in  commercial
contracts  and  which  may  create  a  disadvantage  and  additional  risks  to  us  as  compared  to  competitors  that  do  not  rely  on
government contracts. As a U.S. government contractor, we are subject to increased risks of investigation, criminal prosecution
and  other  legal  actions  and  liabilities  to  which  purely  private  sector  companies  are  not.  The  results  of  any  such  actions  could
adversely impact our business and have an adverse effect on our consolidated financial performance.

A  violation  of  specific  laws  and  regulations  could  result  in  the  imposition  of  fines  and  penalties  or  the  termination  of  our
contracts, as well as suspension or debarment. The suspension or debarment in any particular case may be limited to the facility,
contract or subsidiary involved in the violation or could be applied to our entire enterprise in certain severe circumstances. Even a
narrow scope suspension or debarment could result in negative publicity that could adversely affect our ability to renew contracts
and to secure new contracts, both with the U.S. government and private customers, which could materially and adversely affect
our  business  and  results  of  operations.  Fines  and  penalties  could  be  imposed  for  failing  to  follow  procurement  integrity  and
bidding rules, employing improper billing practices or otherwise failing to follow rules relating to billing on cost-plus contracts,
receiving  or  paying  kickbacks,  or  filing  false  claims,  among  other  potential  violations.  In  addition,  we  could  suffer  serious
reputational harm and the value of our Common Stock could be negatively affected if allegations of impropriety related to such
contracts are made against us.

33

Table of Contents

Our U.S. Government Contracts are Subject to Future Funding and the Government’s Choice to Exercise Options, and
may be Terminated at the Government’s Convenience.

Our contracts with the U.S. government are subject to future funding and are subject to the right of the government to terminate
the  contracts  in  whole  or  in  part  for  its  convenience.  There  is  pressure  for  the  U.S.  government  to  reduce  spending.  The  non-
appropriation of funds or the termination for the government’s convenience of our contracts could negatively affect our financial
results. If levels of U.S. government expenditures and authorizations for emerging diseases decrease or shift to programs in areas
where we do not offer products or are not developing product candidates, or if the U.S. government otherwise declines to exercise
its options under its contracts with us, our business, revenues and other operating results would suffer.

Risks Related to Regulations

Because We may not be Able to Obtain or Maintain the Necessary Regulatory Approvals for Some of Our Products, We
may not Generate Revenues in the Amounts We Expect, or in the Amounts Necessary to Continue Our Business.  Our
Existing Products as well as Our Manufacturing Facility Must Meet Quality Standards and are Subject to Inspection by a
Number of Domestic Regulatory and Other Governmental and Non-Governmental Agencies.

All of our proposed and existing products are subject to regulation in the U.S. by the U.S. Food and Drug Administration, the
U.S. Department of Agriculture and/or other domestic and international governmental, public health agencies, regulatory bodies
or  non-governmental  organizations.    In  particular,  we  are  subject  to  strict  governmental  controls  on  the  development,
manufacture,  labeling,  distribution  and  marketing  of  our  products.    The  process  of  obtaining  required  approvals  or  clearances
varies according to the nature of, and uses for, a specific product.  These processes can involve lengthy and detailed laboratory
testing, human or animal clinical trials, sampling activities, and other costly, time-consuming procedures.  The submission of an
application to a regulatory authority does not guarantee that the authority will grant an approval or clearance for that product. 
Each authority may impose its own requirements and can delay or refuse to grant approval or clearance, even though a product
has been approved in another country.

The time taken to obtain approval or clearance varies depending on the nature of the application and may result in the passage of
a significant period of time from the date of submission of the application.  Delays in the approval or clearance processes increase
the risk that we will not succeed in introducing or selling the subject products, and we may determine to devote our resources to
different products.

Changes in government regulations could increase our costs and could require us to undergo additional trials or procedures, or
could make it impractical or impossible for us to market our products for certain uses, in certain markets, or at all.

Changes in government regulations may adversely affect our financial condition and results of operations because we may have
to incur additional expenses if we are required to change or implement new testing, manufacturing and control procedures.  If we
are required to devote resources to develop such new procedures, we may not have sufficient resources to devote to research and
development, marketing, or other activities that are critical to our business.

We can manufacture and sell our products only if we comply with regulations and quality standards established by government
agencies such as the FDA and the U.S. Department of Agriculture as well as by non-governmental organizations such as the ISO
and  WHO.    We  have  implemented  a  quality  control  system  that  is  intended  to  comply  with  applicable  regulations.    Although
FDA  approval  is  not  required  for  the  export  of  our  products,  there  are  export  regulations  promulgated  by  the  FDA  that
specifically relate to the export of our products that require compliance with FDA QSRs and that also require meeting certain
documentary requirements regarding the approval of the product in export markets.

34

Table of Contents

If We do not Comply with FDA or Other Regulatory Requirements, We may be Required to Suspend Production or Sale
of Our Products or Institute a Recall, which could Result in Higher Costs and a Loss of Revenues.

Regulations of the FDA and other federal, state and foreign regulatory agencies have significant effects on many aspects of our
operations,  and  the  operations  of  our  suppliers  and  distributors,  including  packaging,  labeling,  manufacturing,  adverse  event
reporting,  recalls,  distribution,  storage,  advertising,  promotion  and  record  keeping.  We  are  subject  to  routine  inspection  by  the
FDA and other agencies to determine compliance with QSRs and FDA regulatory requirements in the United States and other
applicable regulations worldwide, including but not limited to ISO standards. We believe that our facilities and procedures are in
material compliance with the FDA requirements and ISO standards, but the regulations may be unclear and are subject to change,
and we cannot be sure that the FDA or other regulators will agree with our compliance with these requirements. The FDA and
foreign  regulatory  agencies  may  require  post-marketing  testing  and  surveillance  to  monitor  the  performance  of  approved  or
cleared products or impose conditions on any product clearances or approvals that could restrict the distribution or commercial
applications  of  those  products.  Regulatory  agencies  may  impose  restrictions  on  our  or  our  distributors’  advertising  and
promotional activities or preclude these activities altogether if a noncompliance is believed to exist. In addition, the subsequent
discovery  of  previously  unknown  problems  with  a  product  may  result  in  restrictions  on  the  product  or  additional  regulatory
actions, including withdrawal of the product from the market.

Our  inability  to  comply  with  the  applicable  requirements  of  the  FDA  can  result  in,  among  other  things,  483  notices,  warning
letters, administrative or judicially imposed sanctions such as injunctions, recall or seizure of products, civil penalties, withdrawal
of  product  registrations,  total  or  partial  suspension  of  production,  refusal  to  grant  premarket  clearance  for  devices,  a
determination  that  a  device  is  not  approvable,  marketing  clearances  or  approvals,  or  criminal  prosecution.  For  example,  in
February 2020, we received a “not approvable” letter from the U.S. Food and Drug Administration with respect to our premarket
approval submission on our DPP HIV-Syphilis multiplex test for commercial use in the United States. The ability of our suppliers
to  supply  critical  components  or  materials  and  of  our  distributors  to  sell  our  products  could  also  be  adversely  affected  if  their
operations are determined to be out of compliance. Such actions by the FDA and other regulatory bodies could adversely affect
our revenues, costs and results of operations.

We  must  frequently  make  judgment  decisions  with  respect  to  compliance  with  applicable  laws  and  regulations.  If  regulators
subsequently disagree with how we have sought to comply with these regulations, we could be subjected to substantial civil and
criminal penalties, as well as product recall, seizure or injunction with respect to the sale of our products. Our reputation could be
substantially  impaired  if  we  are  assessed  any  civil  and  criminal  penalties  and  limit  our  ability  to  manufacture  and  market  our
products which could have a material adverse effect on our business.

Our Inability to Respond to Changes in Regulatory Requirements could Adversely Affect Our Business.

We believe that our products and procedures are in material compliance with all applicable FDA regulations, ISO requirements,
and other applicable regulatory requirements, but the regulations regarding the manufacture and sale of our products, the QSR
and ISO requirements, and other requirements may be unclear and are subject to change. Newly promulgated regulations could
require changes to our products, necessitate additional clinical trials or procedures, or make it impractical or impossible for us to
market our products for certain uses, in certain markets, or at all. The FDA and other regulatory authorities also have the ability
to change the requirements for obtaining product approval and/or impose new or additional requirements as part of the approval
process. These changes or new or additional requirements may occur after the completion of substantial clinical work and other
costly development activities. The implementation of such changes or new  or  additional requirements may  result  in  additional
clinical trials and substantial additional costs and could delay or make it more difficult or complicated to obtain approvals and
sell our products. In addition, the FDA may revoke an Emergency Use Authorization under which our products are sold, where it
is  determined  that  the  underlying  health  emergency  no  longer  exists  or  warrants  such  authorization.  Such  revocation  would
preclude the sale of our affected products unless and until a further regulatory approval or authorization is obtained. We cannot
predict the effect, if any, that these changes might have on our business, financial condition or results of operations.

35

Table of Contents

Demand for Our Products may be Affected by FDA Regulation of Laboratory-Developed Tests and Genetic Testing.

Regulatory  responsibility  over  instruments,  test  kits,  reagents  and  other  devices  used  to  perform  diagnostic  testing  by  clinical
laboratories is covered by the FDA. The FDA has previously taken the position that it has regulatory authority over laboratory-
developed tests, or LDTs, but has exercised enforcement discretion by not regulating most LDTs performed by high complexity
CLIA-certified laboratories. LDTs are tests designed, developed, and performed in-house by a laboratory. These laboratories are
subject  to  CLIA  regulation  but  such  laboratories  have  previously  not  been  subject  to  regulation  by  FDA  under  the  agency’s
medical device requirements.

However, the FDA has announced that it would begin regulating LDTs, and in October 2014 the FDA issued proposed guidance
on the regulation of LDTs for public comment. But, on November 18, 2016, the FDA announced that it would not finalize the
proposed  guidance  prior  to  the  end  of  the  Obama  administration.  On  January  13,  2017,  the  FDA  released  a  discussion  paper
synthesizing public comments on the 2014 draft guidance documents and outlining a possible approach to regulation of LDTs.
The discussion paper has no legal status and does not represent a final version of the LDT draft guidance documents. We cannot
predict what policies the Trump administration will adopt with respect to LDTs. If the FDA increases regulation of LDTs, it could
make it more difficult for laboratories and other customers to continue offering LDTs that involve genetic or molecular testing.
This, in turn, could reduce demand for our products and adversely impact our revenues.

In  Addition  to  FDA  Requirements,  We  Are  Subject  to  Several  Government  Regulations,  Compliance  with  which  could
Increase Our Costs and Affect Our Operations.

In  addition  to  the  FDA  regulations  previously  described,  laws  and  regulations  in  some  states  may  restrict  our  ability  to  sell
products in those states.

We  must  comply  with  numerous  laws  related  to  safe  working  conditions,  environmental  protection,  disposal  of  hazardous
substances, fire hazard control, manufacturing practices and labor or employment practices. Compliance with these laws or any
new  or  changed  laws  regulating  our  business  could  result  in  substantial  costs.  Due  to  the  number  of  laws  and  regulations
governing our industry, and the actions of a number of government agencies that could affect our operations, it is impossible to
reliably predict the full nature and impact of these laws and regulations. To the extent the costs and procedures associated with
complying with these laws and requirements are substantial or it is determined that we do not comply, our business and results of
operations could be adversely affected.

We may Incur Additional Costs if We do not Comply with Privacy, Security and Breach Notification Regulations.

We believe that we are not a covered entity nor a business associate of a covered entity and are not responsible for complying
with the Health Insurance Portability and Accountability Act of 1996, or HIPAA. Even though we likely are not a covered entity
under  HIPAA,  we  do  have  in  place  administrative,  technical  and  physical  safeguards  to  protect  the  privacy  and  security  of
consumers’ personal information.] We are required to comply with varying state privacy, security and breach reporting laws. If
we fail to comply with existing or new laws and regulations related to properly transferring data containing consumers’ personal
information, we could be subject to monetary fines, civil penalties or criminal sanctions. Also, there are other federal and state
laws that protect the privacy and security of consumers’ personal information, and we may be subject to enforcement by various
governmental authorities and courts resulting in complex compliance issues. We could incur damages under state laws pursuant
to an action brought by a private party for the wrongful use or disclosure of consumers’ personal information.

36

Table of Contents

Failure to Comply With Recent European Data Protection Requirements could Increase Our Costs.

The  EU  has  adopted  a  comprehensive  overhaul  of  its  data  protection  regime  from  the  prior  national  legislative  approach  to  a
single European Economic Area Privacy Regulation called the General Data Protection Regulation, or GDPR, which came into
effect  on  May  25,  2018.  The  new  EU  data  protection  regime  extends  the  scope  of  the  EU  data  protection  law  to  all  foreign
companies processing data of EU residents. It imposes a strict data protection compliance regime with severe penalties of up to
the  greater  of  4%  of  worldwide  turnover  and  €20  million  and    includes  new  rights  such  as  the  “portability”  of  personal  data.
Although the GDPR will apply across the EU without a need for local implementing legislation, as had been the case under the
prior  data  protection  regime,  local  data  protection  authorities  will  still  have  the  ability  to  interpret  the  GDPR,  which  has  the
potential to create inconsistencies on a country-by-country basis. We are evaluating these new requirements and implementing a
plan to ensure compliance. Complying with the enhanced obligations imposed by the GDPR may result in significant costs to our
business and require us to amend certain of our business practices. Further, we have no assurances that violations will not occur,
particularly given the complexity of the GDPR, as well as the uncertainties that accompany new, comprehensive legislation.

If We are not Able to Manufacture Products in Accordance with Applicable Requirements, It could Adversely Affect Our
Business.

Our products must meet detailed specifications, performance standards and quality requirements. As a result, our products and
the  materials  used  in  their  manufacture  or  assembly  undergo  regular  inspections  and  quality testing. Factors  such  as  defective
materials or processes, mechanical failures, human errors, environmental conditions, changes in materials or production methods,
and  other  events  or  conditions  could  cause  our  products  or  the  materials  used  to  produce  or  assemble  our  products  to  fail
inspections and quality testing or otherwise not perform in accordance with our label claims or the expectations of our customers.

If  we  are  not  able  to  meet  the  applicable  specifications,  performance  standards,  quality  requirements  or  customer  expectations
could  adversely  affect  our  ability  to  manufacture  and  sell  our  products  or  comply  with  regulatory  requirements.  These  events
could, in turn, adversely affect our revenues and results of operations.

Healthcare Fraud and Abuse Laws Could Adversely Affect Our Business and Results of Operations.

There are various federal and state laws targeting fraud and abuse in the healthcare industry to which we are subject, including
anti-kickback laws, laws constraining the sales, false claims laws, marketing and promotion of medical devices by limiting the
kinds of financial arrangements that manufacturers of these products may enter into with physicians, hospitals, laboratories and
other potential purchasers of medical devices. There are other laws we are subject to that require us to report certain transactions
between  it  and  healthcare  professionals.  Violations  of  these  laws  are  punishable  by  criminal  or  civil  sanctions,  including
substantial  fines,  imprisonment  and  exclusion  from  participation  in  government  healthcare  programs.  Many  of  the  existing
requirements are new and have not been definitively interpreted by state authorities or courts, and available guidance is limited.
We could face enforcement action and fines and other penalties, and could receive adverse publicity, unless and until we are in
full compliance with these laws, all of which could materially harm us. Furthermore, changes in or evolving interpretations of
these laws, regulations, or administrative or judicial interpretations, may require us to change our business practices or subject
our business practices to legal challenges, which could have a material adverse effect on our business, financial condition and
results of operations.

37

Table of Contents

Our Compliance with Regulations Governing Public Companies is Complex and Expensive.

Public companies are subject to various laws and regulations, which have increased the scope, complexity and cost of corporate
governance, reporting and disclosure practices. For example, we are subject to the Sarbanes-Oxley Act of 2002, The Dodd-Frank
Wall Street Reform and Consumer Protection Act and the requirements of The NASDAQ Global Market. The implementation of
certain aspects of these laws and regulations has required and will continue to require substantial management time and oversight
and may require us to incur significant additional accounting and legal costs. We continually review changes with respect to new
and proposed rules and cannot predict or estimate the amount of additional costs, and  the  timing  of  such  costs,  we  may  incur.
There are several interpretations of these laws and regulations, in many cases due to their lack of specificity, and as a result, their
application  in  practice  may  change  as  new  guidance  is  provided  by  regulatory  and  governing  bodies.  This  may  result  in
continuing  uncertainty  regarding  compliance  matters  and  higher  costs.  We  are  committed  to  maintaining  high  standards  of
corporate governance and public disclosure, but if we fail to comply with any of these requirements, legal proceedings may be
initiated against us, which may adversely affect our business.

Risks Related to Our Common Stock

Our  Common  Stock  has  Limited  Liquidity,  and  Investors  may  not  be  Able  to  Sell  as  Much  Stock  as  They  Want  at
Prevailing Market Prices or at all.

The  liquidity  of  our  Common  Stock  depends  on  several  factors,  including  but  not  limited  to  our  financial  results  and  overall
market  conditions,  so  it  is  not  possible  to  predict  whether  this  level  of  liquidity  will  continue,  be  sustained,  or  decrease.
Decreased trading volume in our stock would make it more difficult for investors to sell their shares in the public market at any
given time at prevailing prices. Our management and larger stockholders exercise significant control over our company.

The Price of Our Common Stock could Continue to be Volatile.

The price of our Common Stock has been volatile and may be volatile in the future. The following factors, among others, could
have  a  significant  impact  on  the  market  for  our  Common  Stock:  (1)  the  performance  of  our  business;  (2)  clinical  results  with
respect to our products or those of our competitors; (3) the gain or loss of significant contracts and availability of funding for the
purchase of our products; (4) actions undertaken by the Congress or the Presidential Administration; (5) changes in our relations
with  our  key  customers,  distributors  or  suppliers;  (6)  developments  in  patent  or  other  proprietary  rights;  (7)  litigation  or
threatened litigation; (8) general market and economic conditions; (9) the relatively low trading volume for our Common Stock;
(10) changes in competition; (11) Complaints or concerns about the performance or safety of our products and publicity about
those issues, including publicity expressed through social media or otherwise over the internet; (12) failure to achieve, or changes
in, financial estimates by securities analysts and comments or opinions about us by securities analysts or major stockholders; (13)
announcement of regulatory or enforcement actions by the FDA or other agencies against us, our products or our customers; (14)
changes in our operating results; and (15) terrorist attacks, civil unrest, war and national disasters.

Overall,  the  stock  market  has  experienced  price  and  volume  fluctuations  that  have  affected  the  market  price  of  our  Common
Stock,  as  well  as  the  stock  of  many  other  similar  companies.  Such  price  fluctuations  are  generally  unrelated  to  the  operating
performance of the specific companies whose stock is affected.

After the volatility in the market price of a company’s stock, class action litigation has occurred against the issuing company. If
we were subject to this  type  of  litigation  in  the  future, we could  incur substantial costs  and  the  attention  and  resources  of  our
management could be diverted, each of which could have a material adverse effect on our revenue and earnings. Any adverse
determination in this type of litigation could also subject us to significant liabilities.

Any  Future  Issuances  of  Shares  of  Our  Common  Stock  by  Us  Could  Harm  the  Price  of  Our  Common  Stock  and  Our
Ability to Raise Funds in New Equity Offerings.

Any future sales of a substantial number of our shares of Common Stock or other equity-related securities, or the perception that
such sales may occur, could adversely affect the price of our Common Stock, and could impair our ability to raise capital through
future offerings of equity or equity-related securities.

38

Table of Contents

Our Management and Larger Stockholders Exercise Significant Control Over Us.

As of December 31, 2019, 25.5% of our outstanding common stock was beneficially owned by our executive officers, directors
and  5%  stockholders  including  three  large  investors  that  beneficially  own  21%,  of  our  outstanding  common  stock.  For  the
foreseeable future, and assuming these ownership percentages continue to apply, to the extent that these parties vote similarly,
they  may  be  able  to  exercise  significant  control  over  many  matters  requiring  approval  by  the  board  of  directors  or  our
stockholders.  As a result, they may be able to:

•
•
•
•

control the composition of our board of directors;
control our management and policies;
determine the outcome of significant corporate transactions, including changes in control that may be beneficial to stockholders; and,
act in each of their own interests, which may conflict with or differ from the interests of each other or the interests of the other stockholders.

Sales of Our Common Stock by Existing Stockholders, Executive Officers or Directors could Depress the Market Price of
Our Common Stock.

If our existing stockholders, officers or directors sell our Common Stock in the public market, or the perception that such sales
may  occur,  it  could  negatively  affect  the  price  of  our  Common  Stock.  We  are  unable  to  estimate  the  number  of  shares  of  our
Common  Stock  that  may  actually  be  resold  in  the  public  market  since  this  will  depend  on  the  market  price  for  our  Common
Stock, the individual circumstances of the sellers and other factors.

Institutional stockholders own significant amounts of our Common Stock. If one or more of these stockholders sell large portions
of their holdings in a relatively short time, the prevailing price of our Common Stock could be negatively affected. In addition, it
is possible that one or more of our executive officers or non-employee members of our Board of Directors could sell shares of our
Common Stock during an open trading window. These transactions and the perceived reasons for these transactions could have a
negative effect on the prevailing market price of our Common Stock.

We do not Intend to Pay Cash Dividends on Our Common Stock.

We do not expect to pay any cash dividends on our Common Stock and currently intend to retain our earnings, if any, to finance
the  expansion  of  our  business.  Therefore,  the  success  of  an  investment  in  our  Common  Stock  will  depend  entirely  upon  any
future increase in value of our Common Stock. There is no guarantee that our Common Stock will gain value or even maintain
the price at which investors purchased their shares.

39

Table of Contents

ITEM 2.

PROPERTIES

Our  U.S.  manufacturing,  administrative  offices,  and  research  facilities  are  located  in  leased  space  in  Medford,  New  York,
pursuant to a lease covering approximately 39,650 square feet and expiring on June 30, 2021.

On February 5, 2019, we entered into a commercial real estate lease for new corporate headquarters comprised of 70,000 square
feet of office, research and development, and warehouse space located in Hauppauge, New York. The lease has an initial term of
eleven  years  that  can  be  extended,  at  our  option,  for  two  additional  terms  of  five  years  each.  Rent  under  the  lease,  which  is
payable  in  monthly  installments,  totals  approximately  $900,000  for  the  initial  year  and  then  increases  by  approximately  three
percent each succeeding year.

On February 5, 2019, we also entered into an agreement to sublet the space at Holbrook, New York. The sublease has a term that
(a) commenced on the date we vacate the premises and (b) terminate on April 29, 2020. The sublessee has paid us 50% of our
rent and additional rent payments, which will total approximately $100,000 per year during the term of the sublease.

Our European headquarters and Center of Excellence for Optical Technology is located in leased office and manufacturing space
in Berlin, Germany. Our Southeast Asia manufacturing, warehouse, and commercial facilities are located in leased space in Kuala
Lumpur, Malaysia. Our Latin America manufacturing, warehouse, and commercial facilities are located in Rio de Janeiro, Brazil.
We regularly review our real estate portfolio and develop footprint strategies to support our customers’ global plans, while at the
same time supporting our technical needs and controlling operating expenses.

ITEM 3.

LEGAL PROCEEDINGS

From time to time we may become involved in legal proceedings or may be subject to claims arising in the ordinary course of our
business.  Although  the  results  of  litigation  and  claims  cannot  be  predicted  with  certainty,  we  currently  believe  that  the  final
outcome  of  these  ordinary  course  matters  will  not  have  a  material  adverse  effect  on  our  business,  operating  results,  financial
condition  or  cash  flows.  Regardless  of  the  outcome,  litigation  can  have  an  adverse  impact  on  us  because  of  defense  and
settlement costs, diversion of management resources and other factors.

40

Table of Contents

PART II

ITEM 5. MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES OF

EQUITY SECURITIES

Listing Information

Our stock is listed on the  NASDAQ Global Select Market of the NASDAQ Stock Market LLC under the symbol “CEMI.”

Holders

As  of  March  1,  2020,  there  were  132  record  owners  of  our  Common  Stock  (including  nominee  holders  such  as  banks  and
brokerage firms who hold shares for beneficial owners).

Recent Sales of Unregistered Securities

During the year ended December 31, 2019, we issued unregistered securities in connection with the acquisition of Orangelife.
See Note 2 - Acquisitions, for further discussion.

Issuer Purchases of Equity Securities

We did not repurchase any of our equity securities during the year ended December 31, 2019.

41

Table of Contents

ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

The  following  discussion  and  analysis  should  be  read  in  conjunction  with  the  audited  consolidated  financial  statements  and
related  notes  included  in  this  report.  In  addition  to  historical  information,  the  following  discussion  contains  forward-looking
statements  that  involves  risks,  uncertainties  and  assumptions.  See  “Special  Note  Regarding  Forward-Looking  Statements”  at
page 4 of this report. Please read “Item1A. Risk Factors” for a discussion of factors that could cause our actual results to differ
materially from our expectations.

The following discussion is presented in six sections:

•
•
•
•
•

Executive Overview
Consolidated Results of Operations
Liquidity and Capital Resources
Significant Accounting Policies and Critical Accounting Estimates
Recently Issued Accounting Pronouncements

Executive Overview

Through our wholly owned subsidiaries, Chembio Diagnostic Systems Inc., Chembio Diagnostics Malaysia Sdn Bhd, Chembio
Diagnostics  Germany,  and  Chembio  Diagnostics  Brazil  we  develop,  manufacture  and  commercialize  point-of-care  diagnostic
tests that are used to detect or diagnose diseases. All products that are currently being developed are based on our patented DPP
technology, a novel point-of-care diagnostic platform that offers certain customer advantages as compared to traditional lateral
flow technology. Chembio was formed in 1985.

Recent operational accomplishments and highlights include:

•
•
•

•
•
•

Achieved product sales of $28.8 million for full year 2019, an increase of 3.3% over prior year
Achieved total revenue of $34.5 million for full year 2019, a decrease of 0.3% over prior year
Acquired Orangelife Comercio e Industria Ltda., a privately-held Brazilian manufacturer of lateral flow tests for infectious diseases to diversify
and expand our market penetration in Brazil and support Bio-Manguinhos, a major customer.
Received WHO Prequalification approval for the HIV Self-Test and our Malaysian production facility
Successfully completed the technical feasibility phase for a rare disease with Takeda Pharmaceutical.
Initiated production on our fully-automated DPP test manufacturing line and took delivery of our second and third automated lines for our other
product platforms.

We strengthened our balance sheet by entering a credit agreement with Perceptive Credit Holdings II, LP. for a $20 million term
loan. See “—Liquidity and Capital Resources.”

The  Company’s  product  commercialization  and  product  development  efforts  are  focused  on  infectious  disease  testing  and
technology  collaborations.  In  infectious  disease,  the  Company  is  commercializing  tests  for  HIV  and  Syphilis,  Zika  virus,  and
developing tests for malaria, dengue virus, chikungunya virus, ebola, lassa, Marburg, leptospirosis, Rickettsia typhi, Burkholderia
pseudomallei, and Orientia tsutsugamushi,  individually  or  as  part  of  fever  panel  tests.  Through  technology  collaborations,  the
Company is developing tests for concussion, bovine tuberculosis, a rare disease in collaboration with Takeda Pharmaceutical, and
a biomarker development project in collaboration with AstraZeneca.

Large  and  growing  markets  have  been  established  for  these  kinds  of  tests,  initially  in  high  prevalence  regions  where  they  are
indispensable  for  large  scale  prevention  and  treatment  programs.  Our  product  development  is  focused  on  areas  where  the
availability of rapid point-of-care screening, diagnostic, or confirmatory results can improve health outcomes.  More generally,
we  believe  there  is  and  will  continue  to  be  a  growing  demand  for  diagnostic  products  that  can  provide  accurate,  actionable
diagnostic information in a rapid, cost-effective manner at the point of care.

Our  products  are  sold  to  medical  laboratories  and  hospitals,  governmental  and  public  health  entities,  non-governmental
organizations,  medical  professionals  and  retail  establishments,  both  domestically  and  internationally,  under  our  STAT-PAK,
SURE CHECK, STAT-VIEW or DPP registered trademarks, or under the private labels of our marketing partners.

42

Table of Contents

Consolidated Results of Operations

The results of operations for the years ended December 31, 2019 and 2018 were as follows:

Year Ended December 31,

2019

2018

TOTAL REVENUES

 $

34,464,032 

100%  $

34,581,440 

100%

COSTS AND EXPENSES:
Cost of product sales
Research and development expenses
Selling, general and administrative expenses
Acquisition costs

LOSS FROM OPERATIONS

OTHER (LOSS)/INCOME

22,394,317 
8,538,416 
16,138,424 
721,465 
47,792,622 
(13,328,590)   

65%   
25%   
47%   
2%   
139%   
(39)%   

22,599,432 
8,526,256 
11,100,775 
337,645 
42,564,108 
(7,982,668)   

(846,831)   

(2)%   

49,498 

LOSS BEFORE INCOME TAXES

(14,175,421)   

(41)%   

(7,933,170)   

Income tax benefit
NET LOSS

(500,292)   
 $ (13,675,129)   

(2)%   
(39)%  $

(67,521)   
(7,865,649)   

65%
26%
33%
1%
25%
(23)%

0%

(23)%

0%
(23)%

Percentages in the table reflect the percent of total revenues.

Total Revenues

Total revenues during the year ended December 31, 2019 were $34.5 million, a decrease of $0.1 million, or 0.3% compared to
2018. The decrease in total revenues was comprised of the following:

•

•

$0.9 million, or 3.3% increase in net product sales, reflecting gains in U.S., Europe, and Latin America, offset in part by lower sales in Africa and
Asia.  U.S.  sales  benefited  from  our  winning  back  a  large  public  health  program  and  Latin  America  benefited  from  initial  sales  of  Zika,
Chikungunya,  and  Dengue  Fever  tests,  both  standalone  and  in  the  multiplex  version.  Europe  includes  contribution  from  our  acquisition  of
Chembio Diagnostics GmbH in November 2018. Asia and Africa declines were affected by the timing of national tenders.
$1.0  million,  or  15.7%  decrease  in  R&D  and  grant,  and  license  and  royalty  revenues  compared  to  2018,  relating  to  the  timing  and  cadence  of
customer program schedules and their related performance obligations.

Gross Product Margin

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

Gross product margin increased by $1.1 million, or 21.4% compared to 2018. The following schedule calculates gross product
margin:

  For the years ended December 31

Favorable/

2019

2018

(unfavorable)      

% Change   

Net product sales
Less: Cost of product sales
Gross product margin
Gross product margin %

 $

 $

(in thousands)
28,845 
(22,394)
6,451 

 $

 $
22.4%   

 $

27,913 
(22,599)
5,314 

 $
19.0%   

932 
205   

1,137 

3.3%
(0.9%)
21.4%

The $1.1 million increase in gross product margin was comprised of the following:

•
•

$0.2 million from favorable product sales volume as described above, and
$0.9  million  from  favorable  product  margins,  related  to  the  impact  of  geographic  mix  on  average  selling  price,  initial  benefits  from  our  first
automated assembly line, and reduced contract labor costs.

43

 
 
 
 
 
 
 
 
 
   
     
 
   
     
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
     
 
 
 
 
 
 
 
 
   
     
 
  
  
  
  
  
  
  
  
  
Table of Contents

Research and Development

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

  For the years ended December 31

Favorable/

2019

2018

(unfavorable)       % Change   

Clinical and regulatory affairs
Other research and development

Total research and development

 $

 $

 $

(in thousands)
1,516 
7,022 
8,538 

 $

1,307 
7,219 
8,526 

 $

 $

(209)   
197 
(12)   

(16.0)%
2.7%
(0.1)%

The  increase  in  clinical  &  regulatory  affairs  costs  for  2019  as  compared  to  2018  is  primarily  associated  with  new  product
negotiations in new countries and around the world and clinical trial costs. The decrease in other research and development costs
is correlates to the reduction in R&D revenue noted above.

Selling, General and Administrative Expense

Selling, general and administrative expense includes administrative expenses, sales and marketing costs including commissions,
and other corporate items. The $5.0 million, or 45.4% increase in selling, general and administrative expenses for the year ended
December 31, 2019 as compared to 2018 includes $0.9 million costs from Chembio Diagnostics Germany, $1.1 million higher
non-cash equity compensation costs, and $0.7 million of rent and other costs related to leasing our new facility in Hauppauge,
NY, which were partially non-cash in 2019 due to the lease terms.

Acquisition Costs

Acquisition costs include legal, due diligence, audit, and related costs associated with acquisitions. The $0.4 million increase in
acquisition costs for the year ended December 31, 2019 as compared to 2018 is associated with spending related to acquisitions.
During 2019, these included an audit required for Chembio Diagnostics Germany, as well as diligence and legal costs related to
the acquisition of Chembio Dignostics Brazil in November 2019.

Other Income and Expense

Other income and expenses are principally interest income earned on our deposits, net of interest expense, which increased by
approximately $0.9 million for 2019 as compared to 2018 due to the interest paid on the term loan debt the company entered into
in September 2019.

Income Tax Provision

For 2019 we recognized a tax benefit of $0.6 primarily attributable to the loss generated by Chembio Diagnostics Malaysia. As of
December 31, 2019 and 2018, the Company recorded a full valuation allowance against its net deferred tax assets.

Liquidity and Capital Resources

During  2019,  we  funded  our  business  operations,  including  capital  expenditures  and  working  capital  requirements,  principally
from cash and cash equivalents. Our operations used $9.1 million of cash. As of December 31, 2019, we had outstanding debt
(excluding leases) in the amount of $20.2 million (carrying amount of $17.7 million), consisting of loans of $20.0 million under a
credit  agreement  entered  into  on  September  3,  2019  (see  “—Sources  of  Funds—Credit  Agreement”  below)  and  $0.2  million
under a seller-financed note payable incurred in connection with our purchase of automated manufacturing equipment.

44

 
     
 
 
   
 
 
     
     
 
  
  
  
  
Table of Contents

We  continually  evaluate  our  liquidity  requirements,  capital  needs  and  availability  of  capital  resources  based  on  our  operating
needs  and  our  planned  growth  initiatives.  We  believe  our  existing  cash  and  cash  equivalents  will  be  sufficient  to  meet  our
anticipated cash needs for at least the next twelve months.

Our future working capital needs will depend on many factors, including the rate of our business and revenue growth, the timing
of our continuing automation of U.S. manufacturing, and the timing of investment in our research and development as well as
sales and marketing. If, however, those sources of liquidity become insufficient to fund the growth of our business, we may need
to  reduce  the  level  or  slow  the  timing  of  its  growth  plans,  which  would  likely  curtail  or  delay  the  growth  in  our  business
contemplated by our operating plan and could impair or defer our ability to achieve profitability and generate cash flow, or to
seek  to  raise  additional  funds  through  debt  or  equity  financings,  strategic  relationships,  or  other  arrangements,  to  the  extent
funding would be available to us on acceptable terms or at all. If we were to raise additional funds through the issuance of equity
or convertible securities, the issuance could result in substantial dilution to existing stockholders, and the holders of these new
securities or debt may have rights, preferences and privileges senior to those of the holders of common stock.

Sources of Funds

Credit Agreement. On September 3, 2019, we, as borrower, and certain of our subsidiaries, as guarantors, entered into a Credit
Agreement and Guaranty, or the Credit Agreement, with Perceptive Credit Holdings II, LP, or the Lender.

•  Principal  Amount.  The  Credit  Agreement  provides  for  a  $20,000,000  senior  secured  term  loan  credit  facility,  which  was
drawn  in  full  on  September  4,  2019.  Under  the  terms  of  the  Credit  Agreement,  we  may  use  the  proceeds  (i)  for  general
working  capital  purposes  and  other  permitted  corporate  purposes,  (ii)  to  refinance  certain  of  our  existing  indebtedness  and
(iii) to pay fees, costs and expenses incurred in connection with the Credit Agreement, including  the  Lender’s  closing  cost
amount of $550,000, which was netted from the proceeds, and a financing fee of $600,000 (3.0% of gross proceeds) payable
to Craig-Hallum Capital Group LLC, our financial advisor for the financing.

• Interest Rate. Principal outstanding under the Credit Agreement bears interest at a rate per annum equal to the sum of (a) the
greater of the one-month London Interbank Offered Rate and 2.5% plus (b) 8.75%. At any time at which an event of default
(as  described  under  “—Default  Provisions”  below)  has  occurred  and  is  continuing,  the  interest  rate  will  increase  by  4.0%.
Accrued interest is payable on a monthly basis.

• Scheduled Repayment. No principal repayments are due prior to September 30, 2022, unless we elect to prepay principal as
described under “—Optional Prepayment” below or principal is accelerated pursuant to an event of default as described under
“—Default Provisions” below. Principal installments in the amount of $300,000 are payable on the last day of each of the
eleven months from September 2022 through July 2023, and all remaining principal is payable at maturity on September 3,
2023.

•  Optional  Prepayment.  We  may  prepay  outstanding  principal  from  time  to  time,  subject  to  payment  of  a  premium  on  the
prepaid principal amount equal to 10% through September 3, 2020, 8% from September 4, 2020 through September 3, 2021,
and 4% from September 4, 2021 through September 3, 2022.

No premium will be due with respect to any prepayment made on or after September 4, 2022.

45

Table of Contents

•  Guaranties.  Our  subsidiaries  Chembio  Diagnostic  Systems  Inc.  and  Chembio  Diagnostics  Malaysia  Sdn  Bhd.  have
guaranteed,  and  the  Lender  from  time  to  time  may  require  our  other  subsidiaries  to  guarantee,  our  obligations  under  the
Credit Agreement.

• Security. Our obligations under the Credit Agreement are secured by a first priority, perfected lien on substantially all of our
property and assets, including our equity interests in our subsidiaries. Our subsidiary Chembio Diagnostic Systems Inc. has
secured its guarantee of our Credit Agreement obligations with a lien on substantially all of its assets, and the Lender from
time to time may require Chembio Diagnostics Malaysia Sdn Bhd. and any of our other subsidiaries that has guaranteed our
Credit Agreement obligations to do the same.

•  Representations  and  Warranties;  Financial  and  Other  Covenants.  In  the  Credit  Agreement  we  made  customary
representations  and  warranties  as  well  as  customary  affirmative  and  negative  covenants,  including  covenants  limiting
additional indebtedness, liens, guaranties, mergers and acquisitions, substantial asset sales, investments and loans, sale and
leasebacks,  transactions  with  affiliates,  and  fundamental  changes.  The  Credit  Agreement  also  contains  financial  covenants
requiring that (i) we maintain aggregate unrestricted cash of not less than $3,000,000 at all times and (ii) we achieve specified
minimum rolling four-quarter (“last twelve month”) total revenue amounts as of September 30, 2019 and the last day of each
calendar  quarter  thereafter.  The  minimum  total  revenue  amounts,  which  range  from  $32.0  million  to  $50.1  million,  were
developed for purposes of the Credit Agreement and do not reflect the internal estimates and plans used by our management
and  board  of  directors  to  understand  and  evaluate  our  operating  performance,  to  establish  budgets,  and  to  establish
operational  goals  for  managing  our  business.  We  therefore  do  not  believe  that  the  covenant  requirements  provide  useful
information to investors or others in enhancing an understanding of our future prospects.

• Default Provisions. The Credit Agreement provides for customary events of default, including events of default based on
non-payment  of  amounts  due  under  the  Credit  Agreement,  defaults  on  other  debt,  misrepresentations,  covenant  breaches,
changes of control, insolvency, bankruptcy and the occurrence of a material adverse effect on the Company. Upon an event of
default  resulting  from  a  voluntary  or  involuntary  proceeding  for  bankruptcy,  insolvency  or  receivership,  the  amounts
outstanding under the Credit Agreement will become immediately due and payable and the Lender’s commitments will be
automatically  terminated.  Upon  the  occurrence  and  continuation  of  any  other  event  of  default,  the  Lender  may  accelerate
payment  of  all  obligations  and  terminate  the  Lender’s  commitments  under  the  Credit  Agreement.  Upon  an  acceleration  of
payment following an event of default occurring prior to September 4, 2021, the amounts due and payable by us will include
a prepayment premium on accelerated principal in the amount described under “—Optional Prepayment” above.

In connection with entering into the Credit Agreement, on September 3, 2019, we issued to the Lender a seven-year warrant,
or the Warrant, to purchase up to 550,000 shares of our common stock at a per-share exercise price of $5.22. The Warrant is
exercisable for cash or on a net, or “cashless,” basis, and the exercise price of the Warrant is subject to price-based, weighted-
average antidilution adjustments for one year after issuance.

Equity and Equity-Related Securities. We did not raise additional capital from a public offering of Common Stock in 2019.

Research  and  Development  Awards.  We  frequently  seek  research  and  development  programs  that  may  be  awarded  by
government, non-governmental organizations, and non-profit entities, including private foundations.

46

Table of Contents

Since  2015  we  have  earned  over  $12.2  million  of  funding  from  some  of  the  world’s  leading  health  organizations,  which  has
helped  us  accelerate  the  expansion  of  our  pipeline  of  infectious  disease  tests.  Our  collaborators  have  included  Bill  &  Melinda
Gates  Foundation,  The  Paul  G.  Allen  Family  Foundation,  FIOCRUZ  and  FIND,  as  well  as  U.S.  government  agencies  such  as
CDC,  BARDA  and  the  U.S.  Department  of  Agriculture.  See  “Item  1.  Business—Products”  above.  During  the  year  ended
December 31, 2019, we recognized grant revenue totaling $1.4 million from government, non-governmental organizations, and
non-profit entities.

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

Cash and cash equivalents
Accounts receivable, net
Inventories, net
Prepaid expenses and other current assets

Total current assets

Less: Total current liabilities
Working capital

  December 31, 2019 
(in thousands)

 $

 $

18,271 
3,661 
9,598 
693 
32,223 
(6,442)
25,781 

Our  cash  and  cash  equivalents  at  December  31,  2019  were  unrestricted  and  held  for  working  capital  purposes.  We  currently
intend to retain all available funds and any future earnings for use in the operation of our business and do not anticipate paying
any cash dividends. We have not entered into, and do not expect to enter into, investments for trading or speculative purposes.
Our  accounts  receivable  and  inventory  balances  fluctuate  from  period  to  period,  which  affects  our  cash  flow  from  operating
activities.  Fluctuations  vary  depending  on  cash  collections,  client  mix,  and  the  timing  of  shipment  of  our  products  and  the
invoicing of our research and development activities.

Uses of Funds

Cash Flow Used in Operating Activities. Our operations used $9.1 million of cash during the year ended December 31, 2019,
primarily due to the net loss adjusted for non-cash items of $10.6 million, a $3.8 million decrease in accounts receivable related
to favorable collections timing, and a $1.5 million increase in inventory related to supply chain timelines.

Acquisition. In November 2019, we acquired all of the equity interests of Orangelife for a purchase price net of cash acquired of
$100,000  in  cash,  and  153,707  common  shares,  with  an  additional  316,456  common  shares  that  would  be  deliverable  as  an
earnout, based on the achievement of certain milestones between 2020 and 2022.

Capital Expenditures. During the year ended December 31, 2019, we advanced our plan to invest in automated manufacturing
equipment, facilities, and other fixed assets. Our capital expenditures totaled $3.5 million in 2019.

Effects of Inflation

Inflation and changing prices have not had a material effect on our business, and we do not expect that they will materially affect
our business in the foreseeable future. Any impact of inflation on cost of revenue and operating expenses, especially employee
compensation costs, may not be readily recoverable in the price of our product offerings.

47

 
 
 
 
  
  
  
  
  
Table of Contents

Off-Balance Sheet Arrangements

We  do  not  have  any  off-balance  sheet  arrangements,  as  defined  in  Item  303(a)(4)(ii)  of  Regulation  S-K  under  the  Securities
Exchange Act of 1934.

Significant Accounting Policies and Critical Accounting Estimates

Our  significant  accounting  policies  are  described  in  Note  3  –  Significant  Accounting  Policies  to  the  audited  consolidated
financial  statements  included  herein.  Certain  of  our  accounting  policies  require  the  application  of  significant  judgment  by
management  in  selecting  the  appropriate  assumptions  for  calculating  financial  estimates.  By  their  nature,  these  judgments  are
subject to an inherent degree of uncertainty. These judgments are based on our historical experience, terms of existing contracts,
our  evaluation  of  trends  in  the  industry,  information  provided  by  our  customers  and  information  available  from  other  outside
sources, as appropriate. We consider an accounting estimate to be critical if:

•
•

It requires us to make assumptions about matters that were uncertain at the time we were making the estimate, and
Changes in the estimate or different estimates that we could have selected would have had a material impact on our financial condition or results
of operations.

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

Revenue Recognition

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

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

Stock-Based Compensation

We recognize the fair value of equity-based awards as compensation expense in our consolidated statement of operations. The
fair value of restricted stock and restricted stock unit awards are their fair value on the date of grant. The fair value of our stock
option  awards  was  estimated  using  a  Black-Scholes  option  valuation  model.  This  valuation  model’s  computations  incorporate
highly subjective assumptions, such as the expected stock price volatility and the estimated life of each award. The fair value of
equity-based awards, after considering the effect of expected forfeitures, is then amortized, generally on a straight-line basis, over
the related vesting period of the option.

48

Table of Contents

Research and Development Costs

Research and development activities consist primarily of new product development, continuing engineering for existing products,
and  regulatory  and  clinical  trial  costs.    Costs  related  to  research  and  development  efforts  on  existing  or  potential  products  are
expensed/accrued as incurred.

Inventories

Inventories are stated at the lower of cost and net realizable value, using the first-in, first-out method, or FIFO, to determine cost. 
Our policy is to periodically evaluate the market value of the inventory and the stage of product life cycle, and record a reserve
for any inventory considered slow moving or obsolete. For example, each additional 1% of obsolete inventory would reduce such
inventory by approximately $95,980.

Accounts Receivable

Our  policy  is  to  review  our  accounts  receivable  on  a  periodic  basis,  no  less  frequently  than  monthly.  On  a  quarterly  basis  an
analysis  is  made  of  the  adequacy  of  our  allowance  for  doubtful  accounts  and  adjustments  are  made  accordingly.  The  current
allowance is approximately 0.6% of accounts receivable. For example, each additional 1% of accounts receivable that becomes
uncollectible would reduce such balance of accounts receivable by approximately $36,613.

Acquisitions

In accordance with accounting guidance for the provisions in FASB ASC 805, Business Combinations, we allocate the purchase
price of an acquired business to its identifiable assets and liabilities based on estimated fair values. The excess of the purchase
price  over  the  amount  allocated  to  the  assets  and  liabilities,  if  any,  is  recorded  as  goodwill.  In  addition,  an  acquisition  may
include a contingent consideration component. The fair value of the contingent consideration is estimated as of the date of the
acquisition  and  is  recorded  as  part  of  the  purchase  price.  This  estimate  is  updated  in  future  periods  and  any  changes  in  the
estimate, which are not considered an adjustment to the purchase price, are recorded in our consolidated statements of operations.

We use all available information to estimate fair values. We typically engage outside appraisal firms to assist in the fair value
determination  of  identifiable  intangible  assets  and  any  other  significant  assets  or  liabilities.  We  may  adjust  the  preliminary
purchase price allocation, if necessary, up to one year after the acquisition closing date if we obtain more information regarding
asset valuations and liabilities assumed that materially differs from the information available during the time of close.

Our purchase price allocation methodology contains uncertainties because it requires management to make assumptions and to
apply  judgment  to  estimate  the  fair  value  of  acquired  assets  and  liabilities.  Management  estimates  the  fair  value  of  assets  and
liabilities based upon quoted market prices, the carrying value of the acquired assets and widely accepted valuation techniques,
including  discounted  cash  flows  and  market  multiple  analyses.  Unanticipated  events  or  circumstances  may  occur  which  could
affect  the  accuracy  of  our  fair  value  estimates,  including  assumptions  regarding  industry  economic  factors  and  business
strategies.

Other estimates used in determining fair value include, but are not limited to, future cash flows or income related to intangibles,
market rate assumptions, actuarial assumptions for benefit plans and appropriate discount rates. Our estimates of fair value are
based  upon  assumptions  believed  to  be  reasonable,  but  that  are  inherently  uncertain,  and  therefore,  may  not  be  realized.
Accordingly, there can be no assurance that the estimates, assumptions, and values reflected in the valuations will be realized, and
actual results could vary materially.

49

Table of Contents

Goodwill and Intangible Assets

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

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

Income Taxes

Income taxes are accounted for under FASB ASC 740, Income Taxes, authoritative guidance, which we refer to as the Guidance
and which requires the asset and liability method of accounting for deferred income taxes. Deferred tax assets and liabilities are
determined based on the difference between the financial statement and tax bases of assets and liabilities. Deferred tax assets or
liabilities  at  the  end  of  each  period  are  determined  using  the  tax  rate  expected  to  be  in  effect  when  taxes  are  actually  paid  or
recovered.

The Guidance also requires that a valuation allowance be established when it is more likely than not that all or a portion of a
deferred tax asset will not be realized.  A review of all available positive and negative evidence needs to be considered, including
a  company’s  current  and  past  performance,  the  market  environment  in  which  the  company  operates,  length  of  carryback  and
carryforward periods and existing contracts that will result in future profits.

The Guidance also prescribes a comprehensive model for recognizing, measuring, presenting and disclosing in the consolidated
financial statements tax positions taken or expected to be taken on a tax return, including a decision whether to file or not to file
in a particular jurisdiction.

Recently Issued Accounting Pronouncements

Refer to Note 3 – Significant Accounting Policies to the audited consolidated financial statements included herein for a complete
description of recent accounting standards which we have not yet been required to implement which may be applicable to our
operations. Additionally, the significant accounting standards that have been adopted during the year ended December 31, 2019
are described.

50

Table of Contents

ITEM 8.

FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

The Consolidated Financial Statements and schedules that constitute Item 8 are attached at the end of this report.  An index to the
Consolidated Financial Statements and schedules is also included on page F-1 of this report.

ITEM 9A. Controls and Procedures

Evaluation of Disclosure Controls and Procedures

Our  management,  with  the  participation  of  our  Interim  Chief  Executive  Officer  and  Chief  Financial  Officer,  evaluated  the
effectiveness of our disclosure controls and procedures, as defined by Rules 13a-15(e) and 15d-15(e) under the Exchange Act, as
of December 31, 2019. Based on the evaluation of our disclosure controls and procedures, our Chief Executive Officer and Chief
Financial Officer concluded that our disclosure controls and procedures were effective as of December 31, 2019 at the reasonable
assurance level.

Management’s Report on Internal Control Over Financial Reporting

Our management is responsible for establishing and maintaining adequate internal control over financial reporting. Internal
control over financial reporting is defined in Rules 13a-15(f) and 15d-15(f) promulgated under the Securities Exchange Act of
1934 as a process designed by, or under the supervision of, our Chief Executive Officer and Chief Financial Officer and effected
by the board of directors, management and other personnel 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 and includes those policies and procedures that:

•

•

•

pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the
company;
provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally
accepted  accounting  principles,  and  that  receipts  and  expenditures  of  the  company  are  being  made  in  accordance  with  authorizations  of
management and directors of the company; and
provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of the company’s assets that
could have a material effect on the financial statements.

Because  of  its  inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or  detect  misstatements.  As  a
result, even those systems determined to be effective can provide only reasonable assurance with respect to financial statement
preparation and presentation. Projections of any evaluation of effectiveness to future periods are subject to the risk that controls
may become inadequate because of changes in conditions or that the degree of compliance with the policies or procedures may
deteriorate.

Under  the  supervision  and  with  the  participation  of  our  Interim  Chief  Executive  Officer  and  Chief  Financial  Officer,  our
management evaluated the effectiveness of our internal control over financial reporting as of December 31, 2019. In making their
assessment of internal control over financial reporting, our management used the criteria described in the 2013 Internal Control—
Integrated  Framework  issued  by  the  Committee  of  Sponsoring  Organizations  of  the  Treadway  Commission.  Our  evaluation
included  documenting,  evaluating  and  testing  of  the  design  and  operating  effectiveness  of  our  internal  control  over  financial
reporting. Based on this evaluation, we concluded that our controls over financial reporting were effective as of December 31,
2019.

Previously Identified Material Weaknesses in Internal Control Over Financial Reporting

None.

Changes in Internal Control over Financial Reporting

There  were  no  changes  in  our  internal  control  over  financial  reporting  identified  in  management’s  evaluation  pursuant  to
Rules 13a-15(d) or 15d-15(d) of the Securities Exchange Act of 1934 during the period covered by this Annual Report on Form
10-K that materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

51

Table of Contents

Report of Independent Registered Public Accounting Firm

Shareholders and Board of Directors
Chembio Diagnostics, Inc.
Hauppauge, New York

Opinion on Internal Control over Financial Reporting

We  have  audited  Chembio  Diagnostics,  Inc.’s  (the  “Company’s”)  internal  control  over  financial  reporting  as  of  December  31,
2019, based on criteria established in Internal Control – Integrated Framework (2013) issued by the Committee of Sponsoring
Organizations  of  the  Treadway  Commission  (the  “COSO  criteria”).  In  our  opinion,  the  Company  maintained,  in  all  material
respects, effective internal control over financial reporting as of December 31, 2019, based on the COSO criteria.

We  also  have  audited,  in  accordance  with  the  standards  of  the  Public  Company  Accounting  Oversight  Board  (United  States)
(“PCAOB”), the consolidated balance sheets of the Company and subsidiaries as of December 31, 2019  and  2018,  the  related
consolidated statements of operations, comprehensive loss, changes in stockholders’ equity, and cash flows for each of the two
years  in  the  period  ended  December  31,  2019,  and  the  related  notes  and  our  report  dated  March  13,  2020  expressed  an
unqualified opinion thereon.

Basis for Opinion

The  Company’s  management  is  responsible  for  maintaining  effective  internal  control  over  financial  reporting  and  for  its
assessment  of  the  effectiveness  of  internal  control  over  financial  reporting,  included  in  the  accompanying  “Item  9A,
Management’s  Report  on  Internal  Control  over  Financial  Reporting”.  Our  responsibility  is  to  express  an  opinion  on  the
Company’s  internal  control  over  financial  reporting  based  on  our  audit.  We  are  a  public  accounting  firm  registered  with  the
PCAOB and are required to be independent with respect to the Company in accordance with U.S. federal securities laws and the
applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

We  conducted  our  audit  of  internal  control  over  financial  reporting  in  accordance  with  the  standards  of  the  PCAOB.  Those
standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over
financial reporting was maintained in all material respects. Our audit included obtaining an understanding of internal control over
financial  reporting,  assessing  the  risk  that  a  material  weakness  exists,  and  testing  and  evaluating  the  design  and  operating
effectiveness  of  internal  control  based  on  the  assessed  risk.  Our  audit  also  included  performing  such  other  procedures  as  we
considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.

Definition and Limitations of Internal Control over Financial Reporting

A  company’s  internal  control  over  financial  reporting  is  a  process  designed  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. A company’s internal control over financial reporting includes those policies and procedures that
(1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions
of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation
of  financial  statements  in  accordance  with  generally  accepted  accounting  principles,  and  that  receipts  and  expenditures  of  the
company are being made only in accordance with authorizations of management and directors of the company; and (3) provide
reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s
assets that could have a material effect on the financial statements.

Because  of  its  inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or  detect  misstatements.  Also,
projections  of  any  evaluation  of  effectiveness  to  future  periods  are  subject  to  the  risk  that  controls  may  become  inadequate
because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

/s/ BDO USA, LLP

Melville, NY
March 13, 2020

52

 
Table of Contents

PART III

ITEM 10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

The information required in response to this Item 10 is incorporated herein by reference to our Definitive Proxy Statement to be
filed  with  the  SEC  pursuant  to  Regulation  14A  of  the  Exchange  Act  not  later  than  120  days  after  the  end  of  the  fiscal  year
covered by this Annual Report on Form 10-K.

ITEM 11. EXECUTIVE COMPENSATION

The information required in response to this Item 11 is incorporated herein by reference to our Definitive Proxy Statement to be
filed  with  the  SEC  pursuant  to  Regulation  14A  of  the  Exchange  Act  not  later  than  120  days  after  the  end  of  the  fiscal  year
covered by this Annual Report on Form 10-K.

ITEM 12.

SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER
MATTERS

The information required in response to this Item 12 is incorporated herein by reference to our Definitive Proxy Statement to be
filed  with  the  SEC  pursuant  to  Regulation  14A  of  the  Exchange  Act  not  later  than  120  days  after  the  end  of  the  fiscal  year
covered by this Annual Report on Form 10-K.

ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE.

The information required in response to this Item 13 is incorporated herein by reference to our Definitive Proxy Statement to be
filed  with  the  SEC  pursuant  to  Regulation  14A  of  the  Exchange  Act  not  later  than  120  days  after  the  end  of  the  fiscal  year
covered by this Annual Report on Form 10-K.

ITEM 14.

PRINCIPAL ACCOUNTANT FEES AND SERVICES

The information required in response to this Item 14 is incorporated herein by reference to our Definitive Proxy Statement to be
filed  with  the  SEC  pursuant  to  Regulation  14A  of  the  Exchange  Act  not  later  than  120  days  after  the  end  of  the  fiscal  year
covered by this Annual Report on Form 10-K.

53

Table of Contents

ITEM 15. EXHIBITS, FINANCIAL STATEMENT SCHEDULES

(a) See “Item 8. Financial Statements and Supplementary Data – Index to Consolidated Financial Statements” above.

(b) Exhibits

Description

Exhibit No. 
3.1
3.2
4.1

  Articles of Incorporation, as amended, of Chembio Diagnostics, Inc.
  Amended and Restated Bylaws, of Chembio Diagnostics, Inc.
  Warrant to Purchase Common Stock dated as of September 3, 2019, issued by Chembio Diagnostics, Inc. to Perceptive Credit Holdings II,

10.1(a)*
10.1(b)*
10.2(a)*
10.2(b)*
10.3*
10.4*
10.5*
10.6(a)*
10.6(b)*

10.7*
10.8(a)*
10.8(b)*

LP
2008 Stock Incentive Plan, as amended

  Form of Option for 2008 Stock Incentive Plan

2014 Stock Incentive Plan

  Form of Option for 2014 Stock Incentive Plan

2019 Omnibus Incentive Plan

  Restated Annual Incentive Bonus Plan of Chembio Diagnostics, Inc., adopted as of March 15, 2019
  Letter agreement dated January 17, 2020, between Chembio Diagnostics, Inc. and Gail S. Page
  Employment Agreement dated March 5, 2016 between Chembio Diagnostics, Inc. and Javan Esfandiari
  Amendment No. 1 dated March 20, 2019 between Chembio Diagnostics, Inc. and Javan Esfandiari, amending the Employment Agreement

dated March 5, 2016

  Employment Agreement dated September 14, 2017 between Chembio Diagnostics, Inc. and Sharon Klugewicz
  Employment Agreement dated December 18, 2017 between Chembio Diagnostics, Inc. and Neil A. Goldman
  Amendment No. 1 dated January 21, 2019 between Chembio Diagnostics, Inc. and Neil A. Goldman, amending Employment Agreement

dated December 18, 2017

10.9*

  Offer Letter dated October 19, 2016 between Worldwide Workplace Ireland and Robert Passas, with respect to employment by Chembio

Diagnostics Systems, Inc.

10.10
10.11(a)

  Separation and Release Agreement, dated January 7, 2020, between Chembio Diagnostics, Inc. and John J. Sperzel III
  Lease  Agreement,  dated  February  15,  2017,  between  Horseblock  Associates  and  Chembio  Diagnostics,  Inc.  with  respect  to  3661

Horseblock Road, Medford, New York, as amended

10.11(b)

  Agreement of Sublease dated February 5, 2019 between Chembio Diagnostic Systems Inc., as sublessor, and Reliance Communications of

New Jersey, LLC, as sublessee, with respect to 3661 Horseblock Road, Medford, New York, as amended

10.12

  Lease Agreement, dated February 4, 2013, between Sherwood Corporate Center LLC and Chembio Diagnostics, Inc. with respect to 91-1A

Colin Drive, Holbrook, New York, as amended on September 19, 2017

10.13

  Lease Agreement dated February 5, 2019 between Myra Properties, LLC, as lessor, and Chembio Diagnostic Systems Inc., as lessee, with

respect to 555 Wireless Boulevard, Hauppauge, New York.

10.14†

  Credit Agreement and Guaranty dated as of September 3, 2019, among Chembio Diagnostics, Inc., as the Borrower, the Guarantors from

time to time party thereto, and Perceptive Credit Holdings II, LP and its successors and assigns party
thereto, as Administrative Agent and as a Lender

14.1
21.1
23.1
31.1
31.2
32.1

  Ethics Policy
  List of Subsidiaries of Chembio Diagnostics, Inc.
  Consent of BDO USA, LLP, Independent Registered Public Accounting Firm
  Certification of the Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
  Certification of the Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
  Certification of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350 as adopted pursuant to Section 906

of the Sarbanes-Oxley Act of 2002

  XBRL Instance Document

101.INS
101.SCH   XBRL Taxonomy Extension Schema Document
101.CAL
101.DEF
101.LAB   XBRL Taxonomy Label Linkbase Document
101.PRE

  XBRL Taxonomy Extension Calculation Linkbase Document
  XBRL Taxonomy Definition Linkbase Document

  XBRL Taxonomy Presentation Linkbase Document

*
†

Indicates management contract or compensatory plan.
Certain  exhibits  and  schedules  have  been  omitted  pursuant  to  Item  601(a)(5)  of  Regulation  S-K.  We  hereby  undertake  to  furnish  copies  of  the
omitted exhibits and schedules upon request by the Securities and Exchange Commission, provided that we may request confidential treatment
pursuant to Rule 24b-2 of the Securities Exchange Act of 1934 for the exhibits and schedules so furnished.

54

 
 
 
Table of Contents

SIGNATURES

In accordance with Section 13 or 15(d) of the Exchange Act, the registrant has caused this report to be signed on its behalf by

the undersigned, thereunto duly authorized.

March 13, 2020

CHEMBIO DIAGNOSTICS, INC.

By

/s/ Gail S. Page
Gail S. Page
Interim Chief Executive Officer

In  accordance  with  the  requirements  of  the  Exchange  Act,  this  report  has  been  signed  below  by  the  following  persons  on

behalf of the registrant and in the capacities and on the dates indicated.

Signatures

Title

Date

/s/ Gail S. Page
Gail S. Page

/s/ Neil A. Goldman
Neil A. Goldman

/s/ Katherine L. Davis
Katherine L. Davis

/s/ Mary Lake Polan
Mary Lake Polan

/s/ John G. Potthoff
John G. Potthoff

  Interim Chief Executive Officer and Director
  (Principal Executive Officer)

  Executive Vice President and Chief Financial Officer
  (Principal Financial & Accounting Officer)

  Chair of the Board

  Director

  Director

55

  March 13, 2020

  March 13, 2020

  March 13, 2020

  March 13, 2020

  March 13, 2020

 
 
 
   
   
   
 
   
   
   
 
   
   
   
   
 
   
   
   
   
 
   
   
   
   
Table of Contents

CHEMBIO DIAGNOSTICS, INC. AND SUBSIDIARIES

Index to Consolidated Financial Statements

—INDEX—

Report of Independent Registered Public Accounting Firm

Consolidated Financial Statements:

Balance Sheets as of December 31, 2019 and 2018

Statements of Operations for the years ended December 31, 2019 and 2018

Statements of Comprehensive Loss for the years ended December 31, 2019 and 2018

Statements of Changes in Stockholders’ Equity for the years ended December 31, 2019 and 2018

Statements of Cash Flows for the years ended December 31, 2019 and 2018

Notes to Consolidated Financial Statements

Page(s)
F-1

F-2

F-3

F-4

F-5

F-6

F-7 - F-30

Table of Contents

Report of Independent Registered Public Accounting Firm

Shareholders and Board of Directors
Chembio Diagnostics, Inc.
Hauppauge, New York

Opinion on the Consolidated Financial Statements

We have audited the accompanying consolidated balance sheets of Chembio Diagnostics, Inc. (the “Company”) and subsidiaries
as  of  December  31,  2019  and  2018,  the  related  consolidated  statements  of  operations,  comprehensive  loss,  changes  in
stockholders’  equity,  and  cash  flows  the  years  then  ended,  and  the  related  notes  (collectively  referred  to  as  the  “consolidated
financial statements”). In our opinion, the consolidated financial statements present fairly, in all material respects, the financial
position of the Company and subsidiaries at December 31, 2019 and 2018, and the results of their operations and their cash flows
for each of the two years in the period ended December 31, 2019, in conformity with accounting principles generally accepted in
the United States of America.

We  also  have  audited,  in  accordance  with  the  standards  of  the  Public  Company  Accounting  Oversight  Board  (United  States)
(“PCAOB”), the Company’s internal control over financial reporting as of December 31, 2019, based on criteria established in
Internal  Control  –  Integrated  Framework  (2013)  issued  by  the  Committee  of  Sponsoring  Organizations  of  the  Treadway
Commission (“COSO”) and our report dated March 13, 2020 expressed an unqualified opinion thereon.

Change in Accounting Principle

On January 1, 2019, the Company changed its method of accounting for leases due to the adoption of Accounting Standards
Codification Topic 842, Leases.  The effects of the adoption are described in Note 3 to the consolidated financial statements.

Basis for Opinion

These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an
opinion on the Company’s consolidated financial statements based on our audits. We are a public accounting firm registered with
the Public Company Accounting Oversight Board (United States) (“PCAOB”) and are required to be independent with respect to
the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and
Exchange Commission and the PCAOB.

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the
audit  to  obtain  reasonable  assurance  about  whether  the  consolidated  financial  statements  are  free  of  material  misstatement,
whether due to error or fraud.

Our audits included performing procedures to assess the risks of material misstatement of the consolidated financial statements,
whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a
test  basis,  evidence  regarding  the  amounts  and  disclosures  in  the  consolidated  financial  statements.  Our  audits  also  included
evaluating  the  accounting  principles  used  and  significant  estimates  made  by  management,  as  well  as  evaluating  the  overall
presentation of the consolidated financial statements. We believe that our audits provide a reasonable basis for our opinion.

/s/ BDO USA, LLP

We have served as the Company’s auditor since 2011.

Melville, NY
March 13, 2020

F-1

Table of Contents

CHEMBIO DIAGNOSTICS, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
AS OF

CURRENT ASSETS:
Cash and cash equivalents
Accounts receivable, net of allowance for doubtful accounts of $62,000 and $42,000 at December 31, 2019

- ASSETS -

  December 31, 2019    December 31, 2018 

 $

18,271,352 

 $

12,524,551 

and 2018, respectively

Inventories, net
Prepaid expenses and other current assets
TOTAL CURRENT ASSETS

FIXED ASSETS:
Property, plant and equipment, net
Finance lease right-of-use assets, net

OTHER ASSETS:
Operating right-of-use assets, net
Intangible assets, net
Goodwill
Deposits and other assets

TOTAL ASSETS

- LIABILITIES AND STOCKHOLDERS’ EQUITY -

CURRENT LIABILITIES:
Accounts payable and accrued liabilities
Deferred revenue
Note payable
Finance lease liabilities
Operating lease liabilities
TOTAL CURRENT LIABILITIES

OTHER LIABILITIES:
Long-term operating lease liabilities
Long-term finance lease liabilities
Note payable
Long-term debt net of debt discount and issuance costs
Deferred tax liability

3,661,325 
9,598,030 
693,013 
32,223,720 

7,373,971 
7,851,222 
702,010 
28,451,754 

5,933,569 
210,350 

2,873,920 
– 

7,030,744 
3,914,352 
5,872,690 
543,539 

– 
3,884,831 
4,983,127 
717,551 

 $

55,728,964 

 $

40,911,183 

 $

 $

5,526,243 
125,000 
180,249 
41,894 
568,294 
6,441,680 

6,969,603 
171,953 
– 
17,644,149 
466,326 

5,888,681 
422,905 
207,694 
– 
– 
6,519,280 

– 
– 
171,821 
– 
892,308 

TOTAL LIABILITIES

31,693,711 

7,583,409 

COMMITMENTS AND CONTINGENCIES (Note 12)

STOCKHOLDERS’ EQUITY:
Preferred stock – 10,000,000 shares authorized, none outstanding
Common stock - $.01 par value; 100,000,000 shares authorized, 17,733,617 and 17,166,459 shares issued and

outstanding at December 31, 2019 and 2018, respectively

Additional paid-in capital
Accumulated deficit
Accumulated other comprehensive income
TOTAL STOCKHOLDERS’ EQUITY

– 

– 

177,335 
95,433,077 
(71,585,003)   
9,844   

24,035,253 

171,664 
90,953,788 
(57,909,874)
112,196 
33,327,774 

TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY

 $

55,728,964 

 $

40,911,183 

See accompanying notes to consolidated financial statements

F-2

 
   
     
 
   
     
 
  
  
  
  
  
  
  
  
 
  
  
  
  
  
  
  
  
  
  
  
  
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
  
  
  
  
 
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
  
  
  
  
  
  
 
  
  
  
  
  
  
  
  
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
  
  
  
  
Table of Contents

CHEMBIO DIAGNOSTICS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS

REVENUES:
Net product sales
R&D and grant revenue
License and royalty revenue
TOTAL REVENUES

COSTS AND EXPENSES:
Cost of product sales
Research and development expenses
Selling, general and administrative expenses
Acquisition costs

LOSS FROM OPERATIONS

OTHER (EXPENSE) INCOME:
Interest (expense) income, net

LOSS BEFORE INCOME TAX BENEFIT

Income tax benefit

NET LOSS

Basic loss per share

Diluted loss per share

Weighted average number of shares outstanding, basic

Weighted average number of shares outstanding, diluted

For the years ended
  December 31, 2019    December 31, 2018 

 $

 $

28,844,997 
4,680,282 
938,753 
34,464,032 

22,394,317 
8,538,416 
16,138,424 
721,465 
47,792,622 
(13,328,590)   

27,913,209 
5,719,458 
948,773 
34,581,440 

22,599,432 
8,526,256 
11,100,775 
337,645 
42,564,108 
(7,982,668)

(846,831)   

49,498 

(14,175,421)   

(7,933,170)

(500,292)   

(67,521)

(13,675,129)  $

(7,865,649)

(0.81)  $

(0.81)  $

(0.54)

(0.54)

16,954,142 

14,432,505 

16,954,142 

14,432,505 

 $

 $

 $

See accompanying notes to consolidated financial statements

F-3

 
 
 
 
   
     
 
  
  
  
  
  
  
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
  
  
  
 
  
  
  
  
  
  
  
  
  
 
  
  
  
  
  
 
  
  
  
  
  
 
  
  
  
  
 
  
  
  
  
 
  
  
  
  
 
  
  
  
  
  
  
 
  
  
  
  
  
  
Table of Contents

CHEMBIO DIAGNOSTICS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS

Net loss
Other comprehensive loss:

Foreign currency translation adjustments

COMPREHENSIVE LOSS

For the years ended
  December 31, 2019    December 31, 2018 

 $

 $

(13,675,129)  $

(7,865,649)

(102,352)   
(13,777,481)  $

(66,752)
(7,932,401)

See accompanying notes to consolidated financial statements

F-4

 
 
 
 
 
   
     
 
  
  
  
  
  
 
Table of Contents

CHEMBIO DIAGNOSTICS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY
FOR THE YEARS ENDED DECEMBER 31, 2019, AND 2018

Balance at December 31, 2017

Common Stock:

New stock from offerings
Restricted stock issued
Restricted stock compensation

Options:

Exercised
Stock option compensation

Comprehensive loss

Net loss

Common Stock

Shares
12,318,570    $

Amount

Additional
Paid-in-Capital
Amount

Accumulated
Deficit
Amount

AOCI
Amount

123,185    $

62,821,288    $ (50,044,225)   $

178,948    $

Total
Amount
13,079,196 

4,509,760     
266,839     
–     

45,098     
2,668     
–     

27,431,162     
(2,668)    
281,249     

71,290     
–     

713     
–     

71,201     
351,556     

–     

–     

–     

–     

–     

–     
–     
–     

–     
–     

–     

–     
–     
–     

27,476,260 
– 
281,249 

–     
–     

71,914 
351,556 

(66,752)    

(66,752)

–     

(7,865,649)    

–     

(7,865,649)

Balance at December 31, 2018

17,166,459    $

171,664    $

90,953,788    $ (57,909,874)   $

112,196    $

33,327,774 

Common Stock:

Restricted stock issued
Restricted stock compensation
Issuance of common stock for business

acquired

Options:

381,908     
–     

3,819     
–     

(128,081)    
1,394,812     

153,707     

1,537     

441,754     

Exercised
Stock option compensation

31,543     
–     

315     
–     

32,171     
261,088     

Warrants and Other:

Warrant on Term Debt
Contingent Earnout for business

acquired

Comprehensive loss

Net loss

–     

–     

–     

–     

–     

1,196,093     

–     

1,281,452     

–     
–     

–     

–     
–     

–     

–     

–     
–     

(124,262)
1,394,812 

–     

443,291 

–     
–     

32,486 
261,088 

–     

1,196,093 

–     

1,281,452 

–     

–     

–     

–     

(102,352)    

(102,352)

–     

(13,675,129)    

–     

(13,675,129)

Balance at December 31, 2019

17,733,617    $

177,335    $

95,433,077    $ (71,585,003)   $

9,844   $

24,035,253 

See accompanying notes to consolidated financial statements

F-5

 
 
 
   
   
 
   
      
      
      
      
      
  
   
      
      
      
      
      
  
   
   
   
 
   
      
      
      
      
      
  
   
      
      
      
      
      
  
   
   
 
   
      
      
      
      
      
  
   
 
   
      
      
      
      
      
  
   
 
   
      
      
      
      
      
  
   
 
   
      
      
      
      
      
  
   
      
      
      
      
      
  
   
   
   
 
   
      
      
      
      
      
  
   
      
      
      
      
      
  
   
   
 
   
      
      
      
      
      
  
   
      
      
      
      
      
  
   
   
 
   
      
      
      
      
      
  
   
 
   
      
      
      
      
      
  
   
 
   
      
      
      
      
      
  
   
Table of Contents

CHEMBIO DIAGNOSTICS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
FOR THE YEARS ENDED

CASH FLOWS FROM OPERATING ACTIVITIES:
Cash received from customers and grants
Cash paid to suppliers and employees
Cash paid for operating and finance leases
Interest and taxes, net
Net cash used in operating activities

CASH FLOWS FROM INVESTING ACTIVITIES:
Purchase of businesses, net of cash acquired
Acquisition of and deposits on fixed assets
Patent Application Costs
Working capital adjustments related to business combination
Net cash used in investing activities

CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from option exercises
Principal payments for finance leases
Payments on debt issuance costs
Payments on note payable
Proceeds from issuance of long-term debt, net
Proceeds from sale of common stock, net
Net cash provided by financing activities

Effect of exchange rate changes on cash
INCREASE IN CASH AND CASH EQUIVALENTS
Cash and cash equivalents - beginning of the period

  December 31, 2019    December 31, 2018 

 $

 $
37,930,172 
(45,655,562)   
(640,844)   
(689,272)   
(9,055,506)   

29,804,273 
(41,624,299)
– 
38,585 
(11,781,441)

(100,000)   
(3,502,540)   
(297,006)   
145,760 
(3,753,786)   

32,486 
(19,875)   
(186,313)   
(181,822)   

18,850,000 
– 
18,494,476 

61,617 
5,746,801 
12,524,551 

(5,491,204)
(1,467,192)
– 
– 
(6,958,396)

71,914 
– 
– 
(64,481)
– 
27,476,260 
27,483,693 

(9,607)
8,734,249 
3,790,302 

Cash and cash equivalents - end of the period

 $

18,271,352 

 $

12,524,551 

RECONCILIATION OF NET LOSS TO NET CASH USED IN OPERATING ACTIVITIES:

Net Loss
Adjustments:

Depreciation and amortization
Share based compensation
Benefit from deferred tax liability
Provision for doubtful accounts

Changes in assets and liabilities, net of effects from acquisitions:

Accounts receivable
Inventories
Prepaid expenses and other current assets
Deposits and other assets
Accounts payable and accrued liabilities
Deferred revenue

Net cash used in operating activities

Supplemental disclosures for non-cash investing and financing activities:
Deposits on manufacturing equipment transferred to fixed assets
Deposits and other assets transferred to intangible assets
Seller-financed equipment purchases
Issuance of common stock for net assets of business acquired
Contingent liability earnout

See accompanying notes to consolidated financial statements

F-6

 $

(13,675,129)  $

(7,865,649)

1,916,194 
1,655,900 
(513,715)   
20,000 

3,764,045 
(1,457,612)   
64,355 
(90,624)   
(441,015)   
(297,905)   
(9,055,506)  $

 $

430,000 
– 
– 
443,291 
1,225,000 

902,505 
632,805 
(78,432)
– 

(5,150,072)
(3,077,104)
(118,293)
– 
2,599,894 
372,905 
(11,781,441)

257,455 
118,899 
326,110 
– 
– 

 $

 $

 
 
   
     
 
   
     
 
  
  
  
  
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
  
  
  
  
  
  
  
  
  
  
 
  
  
  
  
 
  
  
  
  
  
  
  
  
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
Table of Contents

NOTE 1 — DESCRIPTION OF BUSINESS:

Chembio  Diagnostics,  Inc.  and  its  subsidiaries  (collectively,  the  “Company”  or  “Chembio”),  develop,  manufacture,  and
commercialize  point-of-care  diagnostic  tests  that  are  used  to  detect  and  diagnose  diseases.  The  Company  is  pursuing  three
corporate  priorities:  (1)  expand  its  commercialization,  (2)  advance  its  research  and  development  pipeline,  and  (3)  prepare  for
future growth.

All  products  that  are  currently  being  developed  are  based  on  the  Company’s  patented  DPP® technology, a novel point-of-care
diagnostic platform that offers certain customer advantages as compared to traditional lateral flow technology.

The  Company’s  product  commercialization  and  product  development  efforts  are  focused  on  infectious  disease  testing  and
technology  collaborations.  In  infectious  disease,  the  Company  is  commercializing  tests  for  HIV  and  Syphilis,  Zika  virus,  and
developing tests for malaria, dengue virus, chikungunya virus, ebola, lassa, Marburg, leptospirosis, Rickettsia typhi, Burkholderia
pseudomallei, and Orientia tsutsugamushi,  individually  or  as  part  of  fever  panel  tests.  Through  technology  collaborations,  the
Company is developing tests for concussion, bovine tuberculosis, a rare disease in collaboration with Takeda Pharmaceutical, and
a biomarker development project in collaboration with AstraZeneca.

Large  and  growing  markets  have  been  established  for  these  kinds  of  tests,  initially  in  high  prevalence  regions  where  they  are
indispensable for large scale prevention and treatment programs. More generally, the Company believes there is and will continue
to  be  a  growing  demand  for  diagnostic  products  that  can  provide  accurate,  actionable  diagnostic  information  in  a  rapid,  cost-
effective manner at the point of care.

The  Company’s  products  are  sold  to  medical  laboratories  and  hospitals,  governmental  and  public  health  entities,  non-
governmental  organizations,  medical  professionals  and  retail  establishments,  both  domestically  and  internationally,  under  the
Company’s  STAT  PAK®,  SURE  CHECK®,  STAT-VIEW®  or  DPP®  registered  trademarks,  or  under  the  private  labels  of  the
Company’s marketing partners.

The  Company  routinely  enters  into  arrangements  with  governmental  and  non-governmental  organizations  for  the  funding  of
certain research and development efforts.

NOTE 2 — ACQUISITIONS:

Orangelife

On  November  25,  2019,  pursuant  to  a  quote  purchase  agreement,  the  Company  acquired  all  of  the  outstanding  shares  of
Orangelife  Comercio  e  Industria  Ltda.,  or  Orangelife,  a  privately-held  Brazilian  company,  which  is  an  original  equipment
manufacturer  of  point-of-care  tests  approved  by  the  Brazilian  Health  Surveillance  Agency  (Agência  Nacional  de  Vigilância
Sanitária, or ANVISA) for infectious diseases that include HIV, Hepatitis C, Zika, Chikungunya, and Dengue Fever. Orangelife
tests are manufactured in its Rio de Janeiro facility, which is ISO-certified and approved by ANVISA to produce Class II/III/IV
medical devices. The purchase price includes the following consideration:

·
·

$150,000 in cash and 153,707 shares of our common stock.
Issuance of 316,456 shares of our common stock to Dr. Manco Collovati, the founder and former CEO of Orangelife, based on the transfer and
approval of certain of our product registration in Brazil prior to November 25, 2022. All of the shares may be deliverable in the event of change in
control  of  our  company.  The  number  of  shares  issued  is  subjected  to  adjustments  based  upon  Orangelife’s  working  capital  at  closing.  The  fair
value of the shares on the date of the acquisition are recorded in equity.

The purchase consideration is subject to routine post-closing adjustments. The acquisition of Orangelife will allow us to expand
our commercial presence by offering our products to the state, private, and pharmacy markets in Brazil, in addition to providing
local support to our long time customer Bio-Manguinhos, the subsidiary of the Oswaldo Cruz Foundation (Fiocruz) that oversees
development and production of vaccines, diagnostics, and biopharmaceuticals, primarily to meet the demands of Brazil’s national
public  health  system.  The  results  of  Orangelife’s  operations  have  been  reflected  in  the  consolidated  financial  statements  since
November 25, 2019.

F-7

Table of Contents

The acquisition was accounted for using the purchase method of accounting. The following table summarizes the allocation of
the purchase price to the estimated fair values of the assets acquired and liabilities assumed on the closing date of November 25,
2019:

Net current assets
Property, plant and equipment and other assets
Inventory
Goodwill
Deferred tax liability
Other intangible assets (estimated useful life):

Trade name (0.5 years)
Customer contracts / relationships (5 years)

Total consideration

Amount

320,293 
226,035 
289,205 
986,058 
(50,000)

5,000 
195,000 
1,971,591 

 $

 $

The Company calculated the fair value of the fixed assets based on the net book value of Orangelife as that approximates fair
value.  The  trade  name,  customer  contracts/relationships  and  contingent  earnouts  were  based  on  discounted  cash  flows  using
management estimates.

As a result of the consideration paid exceeding the fair value of the net assets acquired, goodwill in the amount of $986,058 was
recorded  in  connection  with  this  acquisition,  none  of  which  will  be  deductible  for  tax  purposes.  In  addition,  the  Company
recorded  $200,000  in  intangible  assets  associated  with  the  addition  of  Orangelife’s  trade  name  and  customer  base.  The
Consolidated Statements of Operations for the year ended December 31, 2019 include $325,853 of transaction costs related to the
Orangelife acquisition.

The following represents pro forma operating results for the year ended December 31, 2019 as if the operations of Orangelife had
been  included  in  the  Company’s  Consolidated  Statements  of  Operations  as  of  January  1,  2019.  This  pro  forma  financial
information is unaudited and presented for illustrative purposes only and is not necessarily indicative of the operating results that
would  have  occurred  if  the  acquisition  of  Orangelife  and  the  other  transactions  contemplated  by  this  acquisition  had  been
completed  as  of  January  1,  2019,  nor  is  it  necessarily  indicative  of  the  future  operating  results  of  Chembio  Diagnostics  and
Orangelife on a combined and consolidated basis.

Total revenues

Net loss

Net loss per common share

Diluted net loss per common share

F-8

Unaudited Proforma
December 31, 2019   
35,157,248 

 $

 $

 $

 $

(13,654,001)

(0.80)

(0.80)

 
 
 
  
  
  
  
  
  
  
  
  
 
  
  
 
  
  
 
  
  
Table of Contents

opTricon

On November 6, 2018, pursuant to a share purchase agreement, the Company acquired all of the outstanding shares of opTricon
GmbH  (“opTricon”),  a  privately-held  Germany  based  developer  and  manufacturer  of  handheld  analyzers  for  rapid  diagnostic
tests,  for  $5.5  million  in  cash,  subject  to  routine  post-closing  adjustments.  Since  2015,  the  Company  and  opTricon  have  been
parties  to  an  agreement  under  which  the  Company  has  collaborated  in  developing  its  DPP  Micro  Reader,  a  handheld,  battery-
operated analyzer that uses an innovative image sensor to provide, when combined with the Company’s DPP tests, a quantitative
interpretation of diagnostic results. The Company purchased opTricon because it believes it will enable it to promote DPP tests
and  DPP  Micro  Readers  more  actively  across  global  markets.  The  results  of  opTricon  operations  have  been  reflected  in  the
consolidated financial statements since November 6, 2018.

As a result of the consideration paid exceeding the fair value of the net assets acquired, goodwill in the amount of $3,290,888
was recorded in connection with this acquisition, none of which will be deductible for tax purposes. In addition, the Company
recorded $2,260,000 in intangible assets associated with the addition of opTricon’s developed technology and customer base. The
Consolidated  Statements  of  Operations  for  the  year  ended  December  31,  2019  and  2018  includes  $395,612  and  $337,645  of
transaction costs related to the opTricon acquisition, respectively.

The acquisition was accounted for using the purchase method of accounting. The following table summarizes the allocation of
the purchase price to the estimated fair values of the assets acquired and liabilities assumed on the closing date of November 6,
2018:

Net current assets
Property, plant and equipment
Goodwill
Deferred tax liability
Other intangible assets (estimated useful life):

Developed technology (7 years)
Customer contracts / relationships (10 years)

Total consideration

Amount

404,204 
125,000 
3,383,112 
(681,112)

1,900,000 
360,000 
5,491,204 

 $

 $

The  Company  calculated  the  fair  value  of  the  fixed  assets  based  on  the  net  book  value  of  opTricon  as  that  approximates  fair
value. The developed technology and customer contracts/relationships were based on discounted cash flows using management
estimates.

The  following  represents  unaudited  pro  forma  operating  results  for  the  year  ended  December  31,  2018  as  if  the  operations  of
opTricon had been included in the Company’s Consolidated Statements of Operations as of January 1, 2018:

Total revenues

Net loss

Net loss per common share

Diluted net loss per common share

Proforma
  December 31, 2018 
36,614,995 
  $

  $

  $

  $

(8,394,074)

(0.58)

(0.58)

The  pro  forma  financial  information  includes  business  combination  accounting  effects  from  the  acquisition  including
amortization charges from acquired intangible assets of opTricon approximately $351,000 for the year ended December 31, 2018.
The unaudited pro forma information as presented above is for informational purposes only and is not indicative of the results of
operations  that  would  have  been  achieved  if  the  acquisition  had  taken  place  at  the  beginning  of  fiscal  2018.  Included  in  the
proforma  table  above  are  opTricon’s  net  revenues  and  pre-tax  loss  for  the  year  ended  December  31,  2018  which  were
approximately  $2,214,000  and  $213,000,  respectively.  opTricon’s  results  of  operations  from  the  date  of  acquisition  through
December 31, 2018 are immaterial to the Company’s Consolidated Statements of Operations.

F-9

 
 
 
  
  
  
  
  
  
  
 
 
 
 
 
   
  
 
   
  
 
   
  
Table of Contents

NOTE 3 — SIGNIFICANT ACCOUNTING POLICIES:

(a) Principles of Consolidation:

The consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries.  All significant
intercompany transactions and balances are eliminated in consolidation.

(b) Use of Estimates:

The  preparation  of  the  consolidated  financial  statements  in  conformity  with  accounting  principles  generally  accepted  in  the
United  States  requires  management  to  make  assumptions  and  estimates  that  affect  the  amounts  reported  in  the  consolidated
financial statements and accompanying notes. Judgments and estimates of uncertainties are required in applying the Company’s
accounting  policies  in  certain  areas.  Generally,  matters  subject  to  estimation  and  judgment  include  accounts  receivable
realization, inventory obsolescence, asset impairments, recognition of revenue pursuant to milestones, useful lives of intangible
and fixed assets, stock-based compensation, and deferred tax asset valuation allowances. Due to the inherent uncertainty involved
in making estimates, actual results reported in future periods may be based upon amounts that differ from those estimates.

(c) Fair Value of Financial Instruments:

The carrying value for cash and cash equivalents, accounts receivable, and accounts payable, approximate fair value due to the
immediate or short-term maturity of these financial instruments. Included in cash and cash equivalents is $16.0 million and $4.7
million as of December 31, 2019 and 2018, respectively, of money market funds that are Level 1 fair value measurements under
the  hierarchy.  The  fair  value  of  the  Company’s  notes  payable  approximates  the  recorded  value  as  the  rate  is  based  upon  the
current rates offered to the Company for similar financial instruments.

Fair  value  measurements  of  all  financial  assets  and  liabilities  that  are  being  measured  and  reported  on  a  fair  value  basis  are
required to be classified and disclosed in one of the following three categories:

Level 1:

Unadjusted quoted prices in active markets that are accessible at the measurement date for identical, unrestricted assets or liabilities;

Level 2:

Level 3:

Quoted prices in markets that are not active, or inputs which are observable, either directly or indirectly, for substantially the full term of
the asset or liability; and

Prices  or  valuation  techniques  that  require  inputs  that  are  both  significant  to  the  fair  value  measurement  and  unobservable  (i.e.,
supported by little or no market activity).

(d) Cash and Cash Equivalents:

Cash and cash equivalents are defined as short-term, highly liquid investments with original maturities of three months or less.

F-10

 
 
Table of Contents

(e) Concentrations of Credit Risk:

Financial instruments that potentially subject the Company to concentrations of credit risk consist principally of temporary cash
investments  and  trade  receivables.  The  Company  places  its  temporary  cash  instruments  with  well-known  financial  institutions
and,  at  times,  may  maintain  balances  in  excess  of  the  FDIC  insurance  limit.    The  Company  monitors  the  credit  ratings  of  the
financial institutions to mitigate this risk.  Concentration of credit risk with respect to trade receivables is principally mitigated by
the Company’s ability to obtain letters of credit from certain foreign customers and its diverse customer base, both in number of
customers and geographic locations.

(f)

Inventories:

Inventories,  consisting  of  material,  labor  and  manufacturing  overhead,  are  stated  at  the  lower  of  cost  and  net  realizable  value.
Cost  is  determined  on  the  first-in,  first-out  method.  The  Company’s  policy  is  to  periodically  evaluate  the  market  value  of  the
inventory and the stage of product life cycle, and record a write-down for any inventory considered slow moving or obsolete.

(g) Fixed Assets:

Fixed assets are stated at cost, less accumulated depreciation.  Depreciation is computed using the straight-line method over the
estimated  useful  lives  of  the  respective  assets,  which  range  from  three  to  seven  years.  Leasehold  improvements  are  amortized
over  the  useful  life  of  the  asset  or  the  lease  term,  whichever  is  shorter.  Deposits  paid  for  fixed  assets  are  capitalized  and  not
depreciated until the related asset is placed in service.

(h) License Agreements:

The  Company  records  up-front  payments  related  to  license  agreements  as  prepaids  and  amortizes  them  over  their  respective
economic life. As of  December 31, 2019 and 2018, total prepaids were $100,000 and $100,000, respectively.

Amortization expenses for the licenses above for the years ended December 31, 2019, and 2018 were $0, and $0, respectively.

(i) Valuation of Long-Lived Assets and Intangible Assets:

Long-lived assets to be held and used are analyzed for impairment whenever events or changes in circumstances indicate that the
related  carrying  amounts  may  not  be  recoverable.  The  Company  evaluates  at  each  balance  sheet  date  whether  events  and
circumstances have occurred that indicate possible impairment. If there are indications of impairment, the Company uses future
undiscounted  cash  flows  of  the  related  asset  or  asset  grouping  over  the  remaining  life  in  measuring  whether  the  assets  are
recoverable.  In the event such cash flows are not expected to be sufficient to recover the recorded asset values, the assets are
written down to their estimated fair value. No impairment of long-lived tangible and intangible assets was recorded for the years
ended December 31, 2019 and 2018.

(j) Revenue Recognition:

In  May  2014,  the  Financial  Accounting  Standards  Board  (“FASB”)  issued  converged  guidance  on  recognizing  revenue  in
contracts with customers, Accounting Standards Update (“ASU”) 2014-09, Revenue from Contracts with Customers. The intent
of the new standard is to improve financial reporting and comparability of revenue globally. The core principle of the standard is
for a company to recognize revenue in a manner that  depicts  the  transfer  of  goods  or  services  to  customers  in  an  amount  that
reflects the consideration which the company expects to receive in exchange for those goods or services. The guidance provides a
five-step  analysis  of  transactions  to  determine  when  and  how  revenue  is  recognized.  Other  major  provisions  include
capitalization  of  certain  contract  costs,  consideration  of  the  time  value  of  money  in  the  transaction  price,  and  in  certain
circumstances,  allowing  estimates  of  variable  consideration  to  be  recognized  before  contingencies  are  resolved.  The  guidance
also requires enhanced disclosures regarding the nature, amount, timing and uncertainty of revenue and cash flows arising from
an entity’s contracts with customers.

F-11

Table of Contents

The  new  revenue  standards  became  effective  for  the  Company  on  January  1,  2018  and  were  adopted  using  the  modified
retrospective method. The adoption of the new revenue standards as of January 1, 2018 did not change the Company’s revenue
recognition as its revenues continue to be recognized when the customer takes control of its product. As the Company did not
identify  any  material  accounting  changes  that  impacted  the  amount  of  reported  revenues  with  respect  to  its  product  revenue,
license  and  royalty  revenue,  and  R&D,  milestone  and  grant  revenues,  no  adjustment  to  retained  earnings  was  required  upon
adoption.

The Company adopted the standards to contracts that were not completed at the date of initial application (January 1, 2018).

Under  the  new  revenue  standards,  the  Company  recognizes  revenues  when  its  customer  obtains  control  of  promised  goods  or
services,  in  an  amount  that  reflects  the  consideration  which  the  Company  expects  to  receive  in  exchange  for  those  goods  or
services.  The  Company  recognizes  revenues  following  the  five-step  model  prescribed  under  ASU  No.  2014-09:  (i)  identify
contract(s)  with  a  customer;  (ii)  identify  the  performance  obligations  in  the  contract;  (iii)  determine  the  transaction  price;  (iv)
allocate  the  transaction  price  to  the  performance  obligations  in  the  contract;  and  (v)  recognize  revenues  when  (or  as)  the
Company satisfies the performance obligation.

Product Revenues

Revenues from product sales are recognized and commissions are accrued when the customer obtains control of the Company’s
product, which occurs at a point in time, typically upon tendering to the customer. The Company expenses incremental costs of
obtaining a contract as and when incurred because the expected amortization period of the asset that it would have recognized is
one  year  or  less  or  the  amount  is  immaterial.  Freight  and  distribution  activities  on  products  are  performed  after  the  customer
obtains  control  of  the  goods.  The  Company  has  made  an  accounting  policy  election  to  account  for  shipping  and  handling
activities  that  occur  either  when  or  after  goods  are  tendered  to  the  customer  as  a  fulfillment  activity,  and  therefore  recognizes
freight and distribution expenses in Cost of Product Sales. The Company excludes certain taxes from the transaction price (e.g.,
sales, value added and some excise taxes).

Our contracts with customers often include promises to transfer products or services to a customer. Determining whether products
and services are considered distinct performance obligations that should be accounted for separately versus together may require
judgment. Typical products sold are diagnostic tests and typical services performed are R&D feasibility studies. Revenues from
sale of products are recognized point-in-time and revenues from R&D feasibility studies are recognized ratably, over the period
of the agreement.

Judgement is required to determine the stand-alone selling price (“SSP”) for each distinct performance obligation. SSP is directly
observable and we can use a range of amounts to estimate SSP, as we sell products and services separately, and can determine
whether  there  is  a  discount  to  be  allocated  based  on  the  relative  SSP  of  the  various  products  and  services,  for  the  various
geographies. The Company currently does not have agreements in which multiple performance obligations are sold combined.

The  Company’s  payment  terms  vary  by  the  type  and  location  of  the  Company’s  customer  and  products  or  services  offered.
Payment terms differ by jurisdiction and customer but payment is generally required in a term ranging from 30 to 60 days from
date of shipment or satisfaction of the performance obligation.

F-12

 
Table of Contents

Reserves for Discounts and Allowances

Revenues  from  product  sales  are  recorded  net  of  reserves  established  for  applicable  discounts  and  allowances  that  are  offered
within  contracts  with  the  Company’s  customers.  The  Company’s  process  for  estimating  reserves established for these variable
consideration components does not differ materially from its historical practices.

Product revenue reserves, which are classified as a reduction in product revenues, are generally related to discounts. Estimates of
variable consideration and the determination of whether to include estimated amounts in the transaction price are based on all
information (historical, current and forecasted) that is reasonably available to the Company, taking into consideration the type of
customer,  the  type  of  transaction  and  the  specific  facts  and  circumstances  of  each  arrangement.  The  transaction  price,  which
includes variable consideration reflecting the impact of discounts and allowances, may be subject to constraint and is included in
the  net  sales  price  only  to  the  extent  that  it  is  probable  that  a  significant  reversal  of  the  amount  of  the  cumulative  revenues
recognized will not occur in a future period. Actual amounts may ultimately differ from the Company’s estimates. If actual results
vary, the Company adjusts these estimates, which could have an effect on earnings in the period of adjustment.

Royalty Revenues

The Company receives royalty revenues on sales by its licensee of products covered under patents that it owns. The Company
does  not  have  future  performance  obligations  under  this  license  arrangement.  The  Company  records  these  revenues  based  on
estimates  of  the  sales  that  occurred  during  the  relevant  period  as  a  component  of  license  and  royalty  revenues.  The  relevant
period estimates of sales are based on interim data provided by the licensee and analysis of historical royalties that  have been
paid  to  the  Company,  adjusted  for  any  changes  in  facts  and  circumstances,  as  appropriate.  Differences  between  actual  and
estimated  royalty  revenues  are  adjusted  for  in  the  period  in  which  they  become  known,  typically  the  following  quarter.
Historically, adjustments have not been material when compared to actual amounts paid by licensee.

R&D and grant revenue

All such contracts are evaluated under the five-step model described above. For certain contracts that represent grants where the
funder does not meet the definition of a customer, the Company recognizes revenue when earned in accordance with ASC 958.
Such  contracts  are  further  described  under  Disaggregation  of  Revenue,  below.  Grants  are  invoiced  and  revenue  is  recognized
ratably  as  that  is  the  depiction  of  the  timing  of  the  transfer  of  services.  Performance  obligation  is  the  feasibility  study  which
encompasses  various  phases  of  product  development  processes:  design  feasibility  &  planning,  product  development  &  design
optimization, design verification, design validation & process validation, and pivotal studies.

In June 2018, the Financial Accounting Standards Board (FASB) issued Accounting Standards Update (ASU) 2018-08, Not-for-
Profit  Entities  (Topic  958):  Clarifying  the  Scope  and  the  Accounting  Guidance  for  Contributions  Received  and  Contributions
Made. This ASU clarifies the guidance presented in Topic 958, “Not-for-Profit Entities,” of the FASB’s Accounting Standards
Codification  (ASC)  for  evaluating  whether  a  transaction  is  reciprocal  (i.e.,  an  exchange  transaction)  or  nonreciprocal  (i.e.,  a
contribution)  and  for  distinguishing  between  conditional  and  unconditional  contributions.  The  ASU  also  clarifies  the  guidance
used by entities other than not-for-profits to identify and account for contributions made.

F-13

Table of Contents

Disaggregation of Revenue

The following tables disaggregate Total Revenues for the year ended December 31, 2019, by type of transaction and by
geography:

Net product sales
R&D, milestone and grant revenue
License and royalty revenue

Exchange

Transactions    

Non-Exchange
Transactions    

  $

  $

28,844,997    $
3,321,031     
938,753     
33,104,781    $

–    $
1,359,251     
–     
1,359,251    $

Total
28,844,997 
4,680,282 
938,753 
34,464,032 

Exchange  transactions  are  recognized  in  accordance  with  ASC  606,  while  non-exchange  transactions  are  recognized  in
accordance with ASU No. 2018-08.

Africa
Asia
Europe & Middle East
Latin America
United States

Total
7,564,360 
888,800 
6,498,995 
11,808,768 
7,703,109 
34,464,032 

  $

  $

The  following  tables  disaggregate  Total  Revenues  for  the  year  ended  December  31,  2018,  by  type  of  transaction  and  by
geography:

Net product sales
R&D, milestone and grant revenue
License and royalty revenue

Exchange

Transactions    

Non-Exchange
Transactions    

  $

  $

27,913,209    $
2,687,210     
948,773     
34,581,440    $

–    $
3,032,248     
–     
3,032,248    $

Total
27,913,209 
5,719,458 
948,773 
34,581,440 

Exchange  transactions  are  recognized  in  accordance  with  ASC  606,  while  non-exchange  transactions  are  recognized  in
accordance with ASU No. 2018-08.

Africa
Asia
Europe & Middle East
Latin America
United States

Contract Liabilities

Total
8,838,632 
1,404,982 
4,895,273 
12,546,083 
6,896,470 
34,581,440 

  $

  $

Deferred revenue relates to payments received in advance of performance under the contract. Deferred revenue is recognized as
revenue  as  (or  when)  the  Company  performs  under  the  contract.  At  December  31,  2018,  the  Company  reported  $422,905  in
deferred  revenue  of  which  $422,905  was  earned  and  recognized  as  R&D,  milestone  and  grant  revenue  during  the  year  ended
December  31,  2019.  At  December  31,  2019,  the  Company  reported  $125,000  in  deferred  revenue  which  is  expected  to  be
recognized during the first quarter of 2020.

In  April  2017,  the  Company  entered  into  a  $1.1  million  agreement  with  FIND  to  develop  a  simple,  point-of-care  fever  panel
assay that can  identify multiple life-threatening acute febrile illnesses common in the Asia Pacific region. The Company earned
$0.2  million  and  $1.1  million  for  the  year  ended  December  31,  2019,  and  from  inception  through  December  31,  2019,
respectively as R&D, milestone and grant revenue in the Company’s Consolidated Statements of Operations.

F-14

 
 
 
   
   
 
 
 
 
   
   
   
   
 
 
 
 
   
   
 
 
 
 
   
   
   
   
 
Table of Contents

In August 2016, the Company was awarded a grant of $5.9 million from BARDA, which is part of the U.S. Department of Health
And Human Resources to develop a rapid Zika virus assay. The Company earned $0.6 million and $5.9 million for the year ended
December 31, 2019 and from inception through December 31, 2019, respectively, as R&D, milestone and grant revenue in the
Company’s Consolidated Statements of Operations.

(k) Research and Development:

Research and development (R&D) costs are expensed as incurred. Advance payments for goods and services that will be used in
future  research  and  development  activities  are  expensed  when  the  activity  has  been  performed  or  when  the  goods  have  been
received rather than when the payment is made.

(l) Stock-Based Compensation:

The  fair  value  of  restricted  stock  and  restricted  stock  unit  awards  are  their  fair  value  on  the  date  of  grant.  Stock-based
compensation  expense  for  stock  options  is  calculated  using  the  Black-Scholes  valuation  model  based  on  awards  ultimately
expected to vest together with the fair value of restricted stock and restricted stock unit awards, are, reduced for actual forfeitures,
and,  expensed  on  a  straight-line  basis  over  the  requisite  service  period  of  the  grant.  During  2018,  the  Company  adopted  ASU
2016-09, “Improvements to Employee Share-Based Payment Accounting”.

(m) Income Taxes:

The Company accounts for income taxes under an asset and liability approach that recognizes deferred tax assets and liabilities
based on the difference between the financial statement carrying amounts and the tax bases of assets and liabilities using enacted
tax rates in effect in the years in which the differences are expected to reverse.

The  Company  follows  a  more-likely-than-not  threshold  for  financial  statement  recognition  and  measurement  of  a  tax  position
taken, or expected to be taken, in a tax return. The guidance relates to, among other things, classification, accounting for interest
and penalties associated with tax positions, and disclosure requirements. Any interest and penalties accrued related to uncertain
tax positions are recorded in tax expense.

The Company assesses the realizability of its net deferred tax assets on an annual basis. If, after considering all relevant positive
and negative evidence, it is more likely than not that some portion or all of the net deferred tax assets will not be realized, the
Company will reduce the net deferred tax assets by a valuation allowance. The realization of net deferred tax assets is dependent
on  several  factors,  including  the  generation  of  sufficient  taxable  income  prior  to  the  expiration  of  net  operating  loss
carryforwards.

(n) Loss Per Share:

Basic loss per share is computed by dividing net loss attributable to common stockholders by the weighted-average number of
common shares outstanding for the period including outstanding restricted stock that by its terms is includible in the calculation.
Diluted  loss  per  share  for  the  years  ended  December  31,  2019,  and  2018  reflects  the  potential  dilution  from  the  exercise  or
conversion of other securities into common stock, if dilutive.

There were 666,197, and 732,906 options outstanding as of December 31, 2019 and 2018, respectively, which were not included
in the calculation of diluted income per share for the years ended because their effect would have been anti-dilutive.

F-15

Table of Contents

(o) Goodwill and Intangible Assets:

Goodwill represents the excess of the purchase price the Company paid over the fair value of the net tangible and identifiable
intangible  assets  acquired  in  the  Company’s  acquisition  of  opTricon  in  November  2018,  Chembio  Diagnostics  Malaysia  in
January 2017 and Orangelife in November 2019. Goodwill is not amortized but rather is tested annually as of the first day of the
fiscal fourth quarter, or sooner if the Company believes that indicators of impairment exist. The Company makes a qualitative
evaluation  about  the  likelihood  of  goodwill  impairment,  which  is  based  on  a  number  of  applicable  factors.  If  the  Company
concludes that it is more likely than not that the carrying value of the applicable reporting unit is greater than its fair value, then it
would  recognize  an  impairment  charge  for  the  amount  by  which  the  carrying  value  exceeds  the  reporting  unit’s  fair  value,
provided the impairment charge does not exceed the total amount of goodwill allocated to the reporting unit.

For the year ended December 31, 2019 and 2018, there was no impairment of goodwill and other intangible assets.

Following is a table that reflects changes in Goodwill:

Beginning balance January 1, 2019
Acquisition of Orangelife
Chembio Diagnostics GmbH measurement period

adjustment

Changes in foreign currency exchange rate
Balance at December 31, 2019

 $

 $

4,983,127 
986,058 

(99,648)
3,153 
5,872,690 

Intangible assets consist of the following at:

Weighted Average
Remaining Life  
6 
6 

Intellectual property
Developed technology
Customer

contracts/relationships   

Trade names

7 
8 

 $

 $

December 31, 2019
Accumulated
Amortization    
 $

299,232 
266,550 

 $

Cost
1,418,681 
1,922,682 

Net

Book Value    
1,119,449 
1,656,132 

 $

Cost
1,089,688 
1,910,315 

1,325,521 
114,946 
4,781,830 

 $

270,902 
30,794 
867,478 

 $

1,054,619 
84,152 
3,914,352 

 $

1,121,600 
108,521 
4,230,124 

 $

 $

December 31, 2018
Accumulated
Amortization    

Net
Book Value  
916,055 
1,910,315 

173,633 
– 

 $

151,929 
19,731 
345,293 

 $

969,671 
88,790 
3,884,831 

Amortization expense for the year ended December 31, 2019 and 2018 was $515,263 and $233,734, respectively, and is recorded
within  COGS,  R&D  and  Selling,  General  and  Administrative  expenses.  Amortization  expense,  subject  to  changes  in  currency
exchange rates, is expected to be approximately $590,000 per year from 2020 through 2024, and total $1 million for all of the
years thereafter.

F-16

  
  
  
 
   
 
   
   
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
  
  
Table of Contents

(p) Allowance for Doubtful Accounts:

The Company records allowances for doubtful accounts for the estimated probable losses on uncollectible accounts receivable.
The allowance is based upon the credit worthiness of the Company’s customers, the Company’s historical experience, the age of
the receivable and current market and economic conditions. Receivables are written off against these allowances in the period
they are determined to be uncollectible.

(q) Acquisition Costs:

Acquisition costs include period expenses, primarily professional services, related to acquisition activities.

(r) Foreign Currency Translation:

The  functional  currency  of  a  foreign  subsidiary  is  the  local  currency.  Assets  and  liabilities  of  foreign  subsidiaries  that  use  a
currency  other  than  U.S.  dollars  as  their  functional  currency  are  translated  to  U.S.  dollars  at  end  of  period  currency  exchange
rates. The consolidated statements of operations of foreign subsidiaries are translated to U.S. dollars at average period currency
exchange rates. The effect of translation for foreign subsidiaries is generally reported in other comprehensive income. Foreign
transaction gains/losses are immaterial.

(s) Recent Accounting Pronouncements Affecting the Company:

In February 2016, the FASB issued ASU No. 2016-02, Leases (“ASU 2016-02”). ASU 2016-02 requires the entity to recognize
the  assets  and  liabilities  for  the  rights  and  obligations  created  by  leased  assets.  Leases  will  be  classified  as  either  finance  or
operating, with classification affecting expense recognition in the income statement. In July 2018 the FASB issued ASU 2018-10,
Codification Improvements to Topic 842, Leases, and ASU 2018-11, Leases (Topic 842) Targeted Improvements, which provide
supplemental adoption guidance and clarification to ASU 2016-02, and must be adopted concurrently with the adoption of ASU
2016-02,  cumulatively  referred  to  as  “Topic  842”.  Topic  842  was  effective  for  the  Company  in  the  first  quarter  of  2019,  with
early adoption permitted, and was applied using either a modified retrospective approach, or an optional transition method which
allows an entity to apply  the  new standard at  the  adoption  date with  a  cumulative-effect adjustment to the opening balance of
retained earnings in the period of adoption.

As further discussed on Note 12(c) – Leases, the Company adopted Topic 842 on January 1, 2019 under the optional transition
method and elected the short-term lease exception and available practical expedients. Under the transition method, the Company
did  not  adjust  its  comparative  period  financial  information  or  make  the  new  required  lease  disclosures  for  periods  before  the
effective date. The impact of adoption of right-of-use assets and liabilities on January 1, 2019 was $0.8 million, and $0.8 million,
respectively.

In  March  2016,  the  FASB  issued  authoritative  guidance  under  ASU  2016-09,  Compensation-Stock  Compensation  (Topic  718)
Improvements to Employee Share-Based Payment Accounting. ASU 2016-09 provides for simplification of several aspects of the
accounting for share-based payment transactions, including income tax consequences, classification of awards as either equity or
liabilities  and  classification  on  the  statement  of  cash  flows.  The  Company  adopted  ASU  2016-09  on  January  1,  2017.  As  the
Company has a full valuation allowance against its U.S. net deferred tax assets, the adoption of this standard for recognition of
the  tax  effect  of  deductions  for  employee  share  awards  in  excess  of  compensation  costs  (“windfall”)  did  not  have  a  material
impact on its consolidated financial statements and related disclosures. See Note 8 – Income Taxes, for additional information.
Should  the  full  valuation  allowance  be  reversed  in  future  periods,  the  adoption  of  this  new  guidance  could  introduce  more
volatility in the calculation of the Company’s effective tax rate, depending on the Company’s share price at exercise or vesting of
share-based  awards  as  compared  to  grant  date.  The  other  provisions  of  ASU  2016-09  did  not  have  a  material  impact  on  the
Company’s consolidated financial statements and related disclosures.

In August 2016, the FASB issued ASU 2016-15, Statement of Cash Flows (Topic 230): Classification of Certain Cash Receipts
and Cash Payments, which provides guidance related to cash flows presentation. The Company adopted ASU 2016-15 in the first
quarter of 2018. The guidance in ASU 2016-15 is generally consistent with the Company’s current cash flow classifications, and
did not have a material impact on the Company’s consolidated financial statements.

F-17

Table of Contents

In January 2017, the FASB issued ASU 2017-04, Intangibles-Goodwill and Other (Topic 350): Simplifying the Test for Goodwill
Impairment,  which  requires  an  entity  to  no  longer  perform  a  hypothetical  purchase  price  allocation  to  measure  goodwill
impairment.  Instead,  impairment  will  be  measured  using  the  difference  between  the  carrying  amount  and  the  fair  value  of  the
reporting unit. This update will be effective for annual and interim periods in fiscal years beginning after December 15, 2019.
Early adoption is permitted. The Company adopted ASU 2017-04 in the fourth quarter of 2017. The adoption of this standard did
not have a material impact on the Company’s consolidated financial statements and related disclosures.

In  May  2017,  the  FASB  issued  ASU  No.  2017-09,  Compensation-Stock  Compensation  (Topic  718):  Scope  of  Modification
Accounting, to provide clarity to which changes to the terms or conditions of a share-based payment award require an entity to
apply modification accounting in Topic 718. The Company adopted ASU 2017-09 in the first quarter of 2018. Adoption did not
have a material effect on the Company’s consolidated financial statements.

In July 2017, the FASB issued ASU 2017-11, Accounting for Certain Financial Instruments with Down Round Features and
Replacement of the Indefinite Deferral for Mandatorily Redeemable Financial Instruments of Certain Nonpublic Entities and
Certain Mandatorily Redeemable Noncontrolling Interests with a Scope Exception. Part I of this ASU addresses the complexity
of accounting for certain financial instruments with down round features. Per the ASU, a freestanding equity-linked financial
instrument (or embedded conversion option) no longer would be accounted for as a derivative liability at fair value as a result of
the existence of a down round feature. The ASU is effective for public entities for fiscal years beginning after December 15, 2018
and the Company adopted it effective January 1, 2019. This ASU is applicable to the stock warrants issued as part of the Credit
Agreement, as further discussed in Note 14 – Warrants.

In  July  2018,  the  FASB  issued  ASU  2018-08  Not-for-Profit  Entities  (Topic  958):  Clarifying  the  Scope  and  the  Accounting
Guidance for Contributions Received and Contributions Made to clarify the accounting guidance related to contributions made or
received. This guidance primarily affects not-for-profit entities, although it also applies to businesses to the extent that they make
or  receive  contributions,  including  grants.  ASU  2018-08  clarifies  and  improves  the  scope  and  accounting  guidance  for  both
contributions  received  and  made  in  order  to  assist  entities  in  evaluating  if  those  transactions  should  be  accounted  for  as
contributions under the scope of Topic 958, or as an exchange transaction subject to other guidance. Public entities are required to
apply the amendments on contributions received and contributions made to annual periods beginning after June 15, 2018, and
December 15, 2018, respectively, each including interim periods within those annual periods. Early adoption is permitted, and the
Company adopted ASU 2018-08 effective as of January 1, 2018. The impact of adoption was immaterial.

In December 2019, the FASB issued ASU 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes.
This standard simplifies the accounting for income taxes by eliminating certain exceptions to the guidance in Topic 740 related to
the approach for intraperiod tax allocation, the methodology for calculating income taxes in an interim period and the recognition
of deferred tax liabilities for outside basis differences. The new guidance also simplifies aspects of the accounting for franchise
taxes and enacted changes in tax laws or rates and clarifies the accounting for transactions that result in a step-up in the tax basis
of goodwill and allocating consolidated income taxes to separate financial statements of entities not subject to income tax. ASU
2019-12  is  effective  for  fiscal  years  beginning  after  December  15,  2020,  with  early  adoption  permitted.  Upon  adoption,  the
Company must apply certain aspects of this standard retrospectively for all periods presented while other aspects are applied on a
modified retrospective basis through a cumulative-effect adjustment to retained earnings as of the beginning of the fiscal year of
adoption. The Company is currently evaluating the impact of this new standard on its consolidated financial statements.

In June 2016, the FASB issued a new standard to replace the incurred loss impairment methodology under current GAAP with a
methodology  that  reflects  expected  credit  losses  and  requires  consideration  of  a  broader  range  of  reasonable  and  supportable
information to inform credit loss estimates. We will be required to use a forward-looking expected credit loss model for accounts
receivables, loans, and other financial instruments. Credit losses relating to available-for-sale debt securities will also be recorded
through an allowance for credit losses rather than as a reduction in the amortized cost basis of the securities. The standard will be
effective for us beginning July 1, 2020, with early adoption permitted beginning July 1, 2019. Adoption of the standard will be
applied using a modified retrospective approach through a cumulative-effect adjustment to retained earnings as of the effective
date to align our credit loss methodology with the new standard. We are currently evaluating the impact of this standard in our
consolidated financial statements, including accounting policies, processes, and systems.

F-18

Table of Contents

NOTE 4 — INVENTORIES:

Inventories consist of the following at December 31, 2019:

Raw Materials
Work in Process
Finished Goods

NOTE 5 — FIXED ASSETS:

Fixed assets consist of the following at December 31, 2019:

Machinery and Equipment
Furniture and Fixtures
Computer Equipment
Leasehold Improvements
Enterprise Business Systems
Less: Accumulated Depreciation and Amortization

December 31

2019
2,901,319 
793,343 
5,903,368 
9,598,030 

 $

 $

2018
2,803,677 
263,043 
4,784,502 
7,851,222 

December 31

2019
7,955,511    $
21,477     
416,359     
3,038,469     
1,830,925     
(7,329,173)    
5,933,569    $

2018
6,070,137 
35,287 
435,348 
2,334,512 
462,420 
(6,463,784)
2,873,920 

 $

 $

  $

  $

Depreciation expense for the 2019 and 2018 years totaled $933,558 and $634,261, respectively.

As of December 31, 2019 and 2018, the Company has purchased manufacturing equipment that is not yet in use and therefore has
not been depreciated, aggregating $1,400,181 and $428,859, respectively.

NOTE 6 — ACCOUNTS PAYABLE AND ACCRUED LIABILITIES:

Accounts payable and accrued liabilities consist of the following at December 31, 2019:

Accounts Payable - suppliers
Accrued Commissions & Royalties
Accrued Payroll
Accrued Vacation
Accrued Bonuses
Accrued Expenses - Other

F-19

December 31

2019
3,144,098    $
931,760     
231,753     
410,199     
215,000     
593,433     
5,526,243    $

2018
3,622,765 
867,344 
48,867 
264,789 
494,318 
590,598 
5,888,681 

  $

  $

 
 
 
 
 
   
 
  
  
  
  
 
 
 
 
 
 
   
 
   
   
   
   
   
 
 
 
 
 
 
   
 
   
   
   
   
   
 
Table of Contents

NOTE 7 — DEFERRED RESEARCH AND DEVELOPMENT REVENUE:

The  Company  recognizes  income  from  R&D  milestones  when  those  milestones  are  reached  and  non-milestone  contracts  and
grants  when  earned.    These  projects  are  invoiced  after  expenses  are  incurred.  Any  projects  or  grants  funded  in  advance  are
deferred  until  earned.  As  of  December  31,  2019  and  2018,  there  were  $125,000  and  $422,905  unearned  advanced  revenues,
respectively.

NOTE 8 — INCOME TAXES:

The components of (loss) before income taxes consisted of the following:

United States operations
International operations
(Loss) before taxes

Year Ending December 31,

2019

  $ (12,504,780)   $
(1,670,641)    
  $ (14,175,421)   $

2018
(7,137,428)
(795,742)
(7,933,170)

The (benefit from) provision for income taxes for the years ended December 31, 2019 and 2018 is comprised of the following:

Current

Federal
State
Foreign

Total current (benefit) provision

Deferred

Federal
State
Foreign

Total deferred (benefit) provision

Total (benefit) provision

Year Ending December 31,

2019

2018

 $

 $

– 
9,790 
3,633 
13,423 

– 
– 

(513,715)   
(513,715)   

– 
10,911 
– 
10,911 

– 
– 
(78,435)
(78,435)

 $

(500,292)  $

(67,521)

A reconciliation of the Federal statutory rate to the effective rate applicable to loss before income taxes is as follows:

Federal income tax at statutory rates
State income taxes, net of federal benefit
Nondeductible expenses
Foreign rate differential
Change in valuation allowance
Other
Income tax benefit

Year Ending December 31,

2019

2018

21.00%    
(0.05)%   
(1.00)%   
0.45%    
(17.51)%   
0.64%    
3.53%    

21.00%
(0.10)%
(1.58)%
0.36%
(18.44)%
(0.39)%
0.85%

In  January  2018,  the  FASB  released  guidance  on  the  accounting  for  tax  on  the  global  intangible  low-taxed  income  (“GILTI”)
provisions of the Tax Act. The GILTI provisions impose a tax on foreign income in excess of a deemed return on tangible assets
of foreign corporations. The guidance allows companies to make an accounting policy election to either (1) account for GILTI as
a component of tax expense in the period in which they are subject to the rules (the period cost method), or (ii) account for GILTI
in the Company’s measurement of deferred taxes (the deferred method). After completing the analysis of the GILTI provisions,
the Company elected to account for GILTI using the period cost method.

F-20

 
 
 
 
 
   
 
   
 
 
 
 
 
   
 
   
     
 
  
  
  
  
  
  
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
  
  
  
  
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
Table of Contents

The  Company  had  an  ownership  change  as  described  in  Internal  Revenue  Code  Sec.  382  during  2004  (“2004  change”).  As  a
result,  the  Company’s  net  operating  losses  prior  to  the  2004  change  of  $5,832,516  were  subject  to  an  annual  limitation  of
$150,608 and for the first five (5) years are entitled to a BIG (Built-In-Gains) of $488,207 per year. These net operating losses
expire in 2020 through 2024.

The Company had a second ownership change during 2006 (“2006 change”). The net operating losses incurred between the 2004
change and the 2006 change of $8,586,861 were subject to an annual limitation of $1,111,831 and for the first five (5) years are
entitled to a BIG of $1,756,842 per year. These net operating losses expire in 2024 through 2026.

After applying the above limitations, at December 31, 2019, the Company has post-change net operating loss carry-forwards of
approximately $27,235,494 which expire between 2020 and 2037 and $16,242,683 which do not expire. In addition the Company
has  research  and  development  tax  credit  carryforwards  of  approximately  $1,679,495  for  the  year  ended  December  31,  2019,
which expire between 2020 and 2036.

The Company has state net operating loss carryforwards of approximately $1,912,798 which generally expire between 2035 and
2039. The Company has foreign net operating loss carryforwards of approximately $3,355,645 which generally expire between
2025 and 2026.

Inventory reserves
Accrued expenses
Net operating loss carry-forwards
Research and development credit
Stock-based compensation
Lease obligations
Depreciation
Total deferred tax assets

Right-of-use assets
Intangibles
Total deferred tax liabilities

Net deferred tax assets before valuation allowance

Less valuation allowances

Net noncurrent deferred tax liabilities

 $

 $

2019

196,193 
105,323 
10,079,317 
1,679,495 
581,053 
1,646,584 
44,993 
14,332,958 

2018

204,206 
175,168 
7,122,576 
1,696,870 
215,797 
– 
139,362 
9,553,979 

(1,538,129)   
(921,807)   
(2,459,936)   

– 
(968,849)
(968,849)

11,873,022 
(12,339,348)   
(466,326)  $

8,585,130 
(9,477,438)
(892,308)

 $

The Company does not provide for U.S. income taxes on unremitted earnings of foreign subsidiaries as its present intention is to
reinvest the unremitted earnings in the Company’s foreign operations. At December 31, 2019 there were no unremitted earnings
of foreign subsidiaries.

Interest and penalties, if any, related to income tax liabilities are included in income tax expense. As of December 31, 2019, the
Company does not have a liability for uncertain tax positions.

F-21

 
 
   
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
  
  
  
  
  
  
  
 
  
  
  
 
  
  
  
Table of Contents

The Company files Federal and state income tax returns, Chembio Germany files in Germany, Chembio Brazil files in Brazil and
Chembio Malaysia files in Malaysia and has been on tax holiday which expired on December 31, 2018. With few exceptions, tax
years for fiscal 2016 through 2019 are open and potentially subject to examination by federal, state and foreign taxing authorities.

NOTE 9 — STOCKHOLDERS’ EQUITY:

(a) Common Stock

During 2019, options to purchase 54,343 shares of the Company’s common stock were exercised for 31,543 shares of common
stock at exercise prices ranging from $3.48 to $4.35. During 2018, options to purchase 144,947 shares of the Company’s common
stock were exercised for 71,290 shares of common stock at exercise prices ranging from $3.48 to $5.64 by surrendering options
and shares of common stock already owned.

In November 2018, the Company closed on an underwritten public offering of 2,726,000 shares of its common stock, including
the  underwriter’s  exercise  of  its  overallotment  of  355,565  shares,  at  $6.75  per  share.  The  net  proceeds  of  the  offering,  after
deducting the underwriter’s discounts and other offering expenses payable by the Company, was approximately $16.5 million.

In February 2018, the Company closed on an underwritten registered public offering of 1,783,760 shares of its common stock at
$6.75 per share. The net proceeds of the offering, after deducting the underwriter’s discounts and other offering expenses payable
by the Company, was approximately $10.9 million.

(b) Preferred  Stock

The  Company  has  10,000,000  shares  of  preferred  stock  authorized  and  none  outstanding.    These  shares  can  become  issuable
upon an approved resolution by the board of directors and the filing of a Certificate of Designation with the state of Nevada.

(c) Options, Restricted Stock, and Restricted Stock Units

The Board of Directors or its Compensation Committee may issue options, restricted stock, and restricted stock units pursuant to
employee stock incentive plans that have been approved by the Company’s stockholders.

(d) Warrants

As  of  December  31,  2019,  the  Company  has  550,000  warrants  outstanding  to  purchase  shares  of  common  stock  as  further
discussed in Note 14 – Warrants.

NOTE 10 — EQUITY INCENTIVE PLANS:

Effective June 3, 2008, the Company’s stockholders voted to approve the 2008 Stock Incentive Plan (“SIP”), with 625,000 shares
of common stock available to be issued.  At the Annual Stockholder Meeting on September 22, 2011 the Company’s stockholders
voted to approve an increase to the shares of common stock issuable under the SIP by 125,000 to 750,000.  Under the terms of
the  SIP,  which  expired  during  2018,  the  Board  of  Directors  or  its  Compensation  Committee  had  the  discretion  to  select  the
persons to whom awards were to be granted. Awards could be stock options, restricted stock and/or restricted stock units (“Equity
Award  Units”).    The  awards  became  vested  at  such  times  and  under  such  conditions  as  determined  by  the  Board  or  its
Compensation  Committee.    Cumulatively  through  December  31,  2019,  there  were  0  options  exercised,  and  at  December  31,
2019, 0 options were outstanding and no Equity Award Units were available to be issued under the SIP.

F-22

Table of Contents

Effective June 19, 2014, the Company’s stockholders voted to approve the 2014 Stock Incentive Plan (“SIP14”), with 800,000
shares of common stock available to be issued.  Under the terms of the SIP14, the Board or its Compensation Committee has the
discretion  to  select  the  persons  to  whom  awards  are  to  be  granted.    Awards  can  be  in  the  form  of  Equity  Award  Units.    The
awards  become  vested  at  such  times  and  under  such  conditions  as  determined  by  the  Board  or  its  Compensation  Committee. 
Cumulatively through December 31, 2019, there were 54,343 options exercised, and at December 31, 2019, 642,625 options were
outstanding and 148,667 Equity Award Units were still available to be issued under the SIP14.

Effective  June  18,  2019,  the  Company’s  stockholders  voted  to  approve  the  2019  Omnibus  Incentive  Plan  (“2019  Plan”),  with
2,400,000  shares  of  common  stock  available  to  be  issued.  In  addition,  shares  of  Common  Stock  underlying  any  outstanding
award granted under the 2019 Plan that, following the effective date of the 2019 Plan, expires, or is terminated, surrendered or
forfeited  for  any  reason  without  issuance  of  such  shares  shall  be  available  for  the  grant  of  new  awards  under  the  2019  Plan.
Under the terms of the 2019 Plan, the Board or its Compensation Committee has the discretion to select the persons to whom
awards are to be granted. Awards can be in the form of options, stock appreciation rights, restricted stock, restricted stock unit, or
other  stock-based  award  under  the  2019  Plan  (collectively,  2019  Equity  Units).  The  awards  become  vested  at  such  times  and
under such conditions as determined by the Board or its Compensation Committee. Cumulatively through December 31, 2019,
there were 375,000 2019 Equity Units awarded under the 2019 Plan, and 2,025,000 2019 Equity Units available to be awarded.

The  Company’s  results  for  the  years  ended  December  31,  2019  and  2018  include  stock-based  compensation  expense  totaling
$1,655,900 and $632,805, respectively. Such amounts have been included in the Consolidated Statements of Operations within
cost of product sales ($10,806 and $25,615, respectively), research and development ($228,597 and $78,831, respectively) and
selling, general and administrative expenses ($1,416,497 and $528,360, respectively).

Stock  option  compensation  expense  in  the  years  ended  December  31,  2019  and  2018  represents  the  estimated  fair  value  of
options outstanding, which is being amortized on a straight-line basis over the requisite vesting period of the entire award. The
stock compensation expense were $261,088 and $351,556 in December 31, 2019 and 2018, respectively.

No stock options were issued during 2019. The weighted average estimated fair value of stock options granted in the year ended
December 31, 2018 was $3.76 per share. The fair value of options at the date of grant was estimated  using  the  Black-Scholes
option pricing model. The expected volatility is based upon historical volatility of the Company’s stock and other contributing
factors. The expected term is based on the Company’s historical experience with similar type options.

The weighted-average assumptions made in calculating the fair values of options are as follows for the respective years ended
December 31:

Expected term (in years)
Expected volatility
Expected dividend yield
Risk-free interest rate

F-23

2019

2018

n/a     
n/a     
n/a     
n/a     

4.96 
39.91%
n/a 
2.70%

 
 
   
 
   
   
   
   
Table of Contents

The following table provides stock option activity for the years ended December 31, 2019 and 2018:

Outstanding at December 31, 2017

Granted
Exercised
Forfeited/expired/cancelled
Outstanding at December 31, 2018

Weighted
Average
Exercise Price
per Share

Weighted
Average
Remaining
Contractual
Term  

Number
of Shares

810,670 

 $

5.18 

3.69 years

 $

93,750 
144,947 
47,505 
711,968 

 $

9.80   
4.83   
8.82   
5.62 

3.33 years

 $

687,364 

Aggregate
Intrinsic
Value
2,477,853 

523,327 

Exercisable at December 31, 2018

396,799 

 $

4.70 

2.66 years

 $

568,956 

Outstanding at December 31, 2018

Granted
Exercised
Forfeited/expired/cancelled
Outstanding  at December 31, 2019

711,968 

 $

5.62 

3.33 years

 $

687,364 

– 
54,343 
15,000 
642,625 

 $
 $
 $
 $

0.00   
3.60   
5.68   
5.79  2.57 years

 $

– 
172,242 
– 
285,925 

Exercisable at December 31, 2019

493,958 

 $

5.22  2.20 years

 $

285,925 

The following table summarizes information about stock options outstanding at December 31, 2019:

Range of
Exercise Prices
1 to 2.79999
2.8 to 4.59999
4.6 to 6.39999
6.4 to 8.19999
8.2 to 12
Total

Shares

Outstanding    

– 
250,000 
137,875 
207,875 
46,875 
642,625 

Stock Options Outstanding
Weighted
Average
Average
Remaining
Exercise
Contract Life
Price
(Year)

Aggregate
Intrinsic
Value

Stock Options Exercisable
Weighted
Average
Exercise
Price

Aggregate
Intrinsic
Value

Shares

Exercisable    

– 
1.20 
2.44 
4.05 
3.60 
2.57 

 $

 $

– 
3.42 
5.87 
7.31 
11.45 
5.79 

 $

 $

– 
285,925 
– 
– 
– 
285,925 

– 
250,000 
87,125 
138,083 
18,750 
493,958 

 $

 $

– 
3.42 
5.89 
7.22 
11.45 
5.22 

 $

 $

– 
285,925 
– 
– 
– 
285,925 

The average remaining contract life for the shares exercisable is 2.2 years, as of December 31, 2019.

As of December 31, 2019, there was $432,746 of net unrecognized compensation cost related to stock options that are not vested,
which is expected to be recognized over a weighted average period of approximately 2.00 years.  The total fair value of shares
vested during the year ended December 31, 2019, was $469,032.

F-24

 
   
 
 
  
 
  
  
  
    
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
  
  
  
    
  
  
  
 
  
  
  
    
  
  
  
 
  
  
  
    
  
  
  
  
  
  
  
  
  
 
  
  
  
    
  
  
  
 
 
   
 
 
   
   
   
   
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
Table of Contents

The  following  table  summarizes  information  about  restricted  stock  and  restricted  stock  units  outstanding  as  of  December  31,
2019:

Unvested at December 31, 2018

Granted
Vested
Forfeited/expired/cancelled
Unvested at December 31, 2019

Number of
Shares & Units   

287,564 

 $

Weighted
Average
Grant Date
Fair Value  
9.65 

375,000 
(116,578)   

– 
545,986 

5.80 
9.65 
– 
7.47 

As of December 31, 2019, there was $3,273,929 of net unrecognized compensation cost related to restricted stock and restricted
stock units that are not vested, which is expected to be recognized over a weighted average period of approximately 1.4 years.
Stock based compensation cost related to restricted stock and restricted stock units recognized during the years ended December
31, 2019 and 2018 was $1,394,814 and $281,249, respectively.

NOTE 11 — GEOGRAPHIC INFORMATION AND ECONOMIC DEPENDENCY:

The Company produces only one group of similar products known collectively as “rapid medical tests,” and it operates in a single
business segment. Net product sales by geographic area are as follows:

Africa
Asia
Europe & Middle East
Latin America
United States

Long-lived assets by geographic area are as follows:

Asia
Europe & Middle East
Latin America
United States

Year Ending December 31,

2019
7,564,360 
888,800 
3,781,761 
11,808,767 
4,801,309 
28,844,997 

 $

 $

2018
8,838,632 
1,404,982 
2,208,063 
12,546,083 
2,915,449 
27,913,209 

2019

393,299 
165,029 
60,527 
5,314,715 
5,933,569 

 $

 $

2018

466,185 
123,752 
– 
2,283,983 
2,873,920 

 $

 $

 $

 $

NOTE 12 — COMMITMENTS, CONTINGENCIES AND CONCENTRATIONS:

a) Employment Contracts:

The Company has multi-year contracts with two key employees.  The contracts call for salaries presently aggregating $730,000
per  year,  and  they  expire  in  March  2020  and  December  2021.  The  following  table  is  a  schedule  of  future  minimum  salary
commitments:

2020
2021

  $

365,000 
365,000 

Chembio’s  President  &  CEO,  the  key  employee  whose  agreement  was  set  to  expire  in  March  2020,  resigned  effective  as  of
January 3, 2020.

F-25

 
 
  
 
  
  
  
  
  
  
  
  
  
  
  
 
 
 
 
 
   
 
  
  
  
  
  
  
  
  
 
 
 
   
 
  
  
  
  
  
  
 
 
   
Table of Contents

b) Pension Plan:

The Company has a 401(k) plan established for its employees whereby it matches 40% of the first 5% (or 2% of salary) that an
employee contributes to the plan.  Matching contribution expenses totaled $93,892 and $94,544 for the years ended December
31, 2019 and 2018, respectively.

c) Leases:

Chembio’s leases have historically been limited to its facilities in New York, Germany, Malaysia & Brazil. As of December 31,
2019, the Company was a party to eight leases. One of the leases is subject to a sublease for the remainder of its term, as further
described below.

The Company’s leases generally include optional renewal periods. Upon entering into a new lease, the Company evaluates the
leasehold improvements and regulatory requirements related to its operations in that location. To the extent that the initial lease
term of the related lease is less than the useful life of the leasehold improvements and potential regulatory costs associated with
moving the facility,  the  Company  concludes  that  it  is  reasonably certain that a renewal  option  will  be  exercised, and  thus  that
renewal period is included in the lease term and the related payments are reflected in the right-of-use (“ROU”) asset and lease
liability.  In  January  2019  the  Company  recognized  $0.8  million  and  $0.8  million  of  right-of-use  assets  and  liabilities,
respectively. During 2019, the Company entered into a new lease agreement for its new headquarter location in Hauppauge, NY.
The right-of-use asset acquired in exchange for right-of-use liabilities was approximately $6.5 million.

The Company’s leases generally include fixed rental payments with defined annual increases. While certain of the Company’s
leases are gross leases, the majority of the Company’s leases are net leases in which the Company makes separate payments to
the lessor based on the lessor’s property and casualty insurance costs, the property taxes assessed on the property, and a portion of
the  common  area  maintenance  where  applicable.  The  Company  has  elected  the  practical  expedient  not  to  separate  lease  and
nonlease components for all of the Company’s facility leases. The Company has also elected the practical expedient for short-
term lease exception for all of its facility leases.

The components of lease expense were as follows:

Operating lease expense

Finance lease cost

Amortization of right-of-use assets
Interest on lease liabilities
Total finance lease expense

Rent expense was $653,155 for the year ended December 31, 2018.

Supplemental cash flow and other information related to leases were as follows:

Cash paid for amounts included in the measurement of lease liabilities:

Operating cash flows for operating leases
Operating cash flows for finance leases
Financing cash flows for finance leases

Right-of-use assets obtained in exchange for lease obligations:

Operating leases
Finance leases

F-26

Year Ended
December 31, 2019 
1,655,573 
 $

 $

 $

23,372 
7,892 
31,265 

Year Ended
December 31, 2019

  $

  $

632,952 
7,892 
19,875 

7,030,744 
210,350 

 
 
 
 
  
  
  
  
  
   
 
   
   
   
  
   
Table of Contents

Supplemental balance sheet information related to leases was as follows:

Operating Leases
Operating lease right-of-use assets

Current portion of operating lease liability
Operating lease liabilities

Total operating lease liabilities

Finance Leases
Finance lease right of use asset
Accumulated depreciation

Finance lease right of use asset, net

Current portion of finance lease liability
Finance lease liability

Total finance lease liabilities

Weighted Average Remaining Lease Term

Operating leases
Finance leases

Weighted Average Discount Rate

Operating leases
Finance leases

  December 31, 2019 

 $

 $

 $

 $

 $

7,030,744 

– 
568,294 
6,969,603 
7,537,897 

233,722 
(23,372)
210,350 

41,894 
171,953 
213,847 

9.3 years 
4.8 years 

8.67%
7.00%

During 2019, the Company executed an operating sublease related to its former Holbrook, New York facility. The sublease runs
conterminously with the base lease in Holbrook, for which the Company remains primarily responsible. In addition, the Company
entered into a finance lease agreement relating to office furniture in June 2019. The Company recognized the corresponding lease
asset and liability effective June 30, 2019 and recorded related depreciation starting on July 1, 2019. Monthly payments towards
this lease commenced in July 2019.

At the time of the initial assessment, the Company did not have an established incremental borrowing rate and the interest rates
implicit  in  each  of  the  leases  were  not  readily  determinable,  therefore  the  Company  used  an  interest  rate  based  on  the  market
place for public debt. In September 2019, the Company entered into a credit agreement for a $20 million term loan as described
on Note 13 - Long Term Debt.

Maturities of lease liabilities as of December 31, 2019 were as follows.

2020
2021
2022
2023
2024
Thereafter

Total lease payments
Less: imputed interest

Total

Operating
Leases

Finance
Leases

 $

 $

 $

 $

1,205,161 
1,209,787 
1,057,757 
1,026,272 
1,018,875 
5,773,887 
11,291,739 
 $
(3,753,842)   
 $
7,537,897 

55,536 
55,536 
55,536 
55,536 
27,767 
– 
249,911 
(36,064)
213,847 

F-27

 
   
 
 
  
  
  
 
  
  
  
  
  
 
  
  
  
  
   
 
 
 
 
   
 
   
 
   
   
 
   
 
  
  
  
  
  
  
  
  
  
  
  
Table of Contents

As previously disclosed in the Company’s 2018 Annual Report on Form 10-K, and under the previous lease accounting standard,
future minimum lease payments for operating leases having initial or remaining non-cancellable lease terms in excess of one year
would have been as follows for the years ending December 31:

2019
2020
2021

  $

  $

384,308 
88,576 
– 
472,884 

d) Economic Dependency:

Customers are considered major customers when net sales exceed 10% of  the Company’s total net sales for period or outstanding
trade  receivables  exceed  10%  of  accounts  receivable.  The  Company  had  the  following  major  customers  for  the  respective
periods:

For the years ended

December 31, 2019

December 31, 2018

Net Sales

  $

11,263,573     
5,782,543     

% of Net
Sales

Net Sales

39%  $
20%   

11,333,767     
4,346,640     

% of Net
Sales

Accounts Receivable

December 31,
2019

December 31,
2018

33%  $
13%   

941,962    $
16,033     

3,499,340 
1,033,824 

Customer 1
Customer 2

The  following  table  delineates  purchases  the  Company  had  with  vendors  in  excess  of  10%  of  total  purchases  for  the  periods
indicated:

For the years ended

December 31, 2019

December 31, 2018

Accounts Payable

December
31, 2019

December
31, 2018

Vendor 1

Purchases

    % of Purc.
*     

Purchases

% of
Purc.

*     

1,646,614     

16%   

*     

164,312 

In the tables above, an asterisk (*) indicates that purchases from the vendor did not exceed 10% for the period indicated.

The  Company  purchases  materials  pursuant  to  intellectual  property  rights  agreements  that  are  important  components  in  its
products.  Management believes that other suppliers could provide similar materials on comparable terms.  A change in suppliers,
however, could cause a delay in manufacturing and a possible loss of sales, which could adversely affect operating results.

F-28

   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
   
 
   
     
 
   
 
 
 
 
 
 
 
   
 
 
   
 
 
 
   
   
 
   
     
 
   
Table of Contents

e) Litigation:

From time to time, the Company is involved in certain legal actions arising in the ordinary course of business. The outcomes of
such actions, either individually or in the aggregate, are not expected to have a material adverse effect on the Company’s future
financial position or results of operations.

f) Governmental Regulation:

All of the Company’s existing and proposed diagnostic products are regulated by the U.S. Food and Drug Administration, U.S.
Department of Agriculture, certain U.S., state and local agencies, and/or comparable regulatory bodies in other countries. Most
aspects  of  development,  production,  and  marketing,  including  product  testing,  authorizations  to  market,  labeling,  promotion,
manufacturing, and record keeping, are subject to regulatory review. After marketing approval has been granted, Chembio must
continue  to  comply  with  governmental  regulations.  Failure  to  comply  with  applicable  requirements  can  lead  to  sanctions,
including  withdrawal  of  products  from  the  market,  recalls,  refusal  to  authorize  government  contracts,  product  seizures,  civil
money penalties, injunctions, and criminal prosecution.

NOTE 13 — LONG-TERM DEBT:

In  September  2017,  the  Company  entered  into  an  agreement  with  an  equipment  vendor  to  purchase  automated  assembly
equipment for approximately $660,000. The terms call for payments of 30% down, 60% at time of factory acceptance testing and
10%  after  delivery.    The  vendor  agreed  to  lend  the  Company  15%,  40%,  and  10%,  of  each  originally  scheduled  payment,
respectively.  The Company paid interest at an annual rate of 12% until delivery.  Beginning in September 2018, the Company
began making monthly payments of principal and interest of approximately $20,150, at an annual rate of 12% over a twenty-four
month period. The remaining balance was entirely short-term as of December 31, 2019.

On September 3, 2019, the Company entered into a Credit Agreement and Guaranty (the “Credit Agreement”) with Perceptive
Credit Holdings II, LP (the “Lender”). The Credit Agreement provides for a $20,000,000 senior secured term loan credit facility,
which was drawn in full on September 4, 2019. Under the terms of the Credit Agreement, the Company may use the proceeds (i)
for general working capital purposes and other permitted corporate purposes, (ii) to refinance certain of the Company’s existing
indebtedness and (iii) to pay fees, costs and expenses incurred in connection with the Credit Agreement, including the Lender’s
closing cost amount of $550,000, which was netted from the proceeds, and a financing fee of $600,000 (3.0% of gross proceeds)
payable to Craig-Hallum Capital Group LLC, the Company’s financial advisor for the financing.

Principal outstanding under the Credit Agreement bears interest at a rate per annum equal to the sum of (a) the greater of the one-
month London Interbank Offered Rate and 2.5% plus (b) 8.75%. At any time at which an event of default has occurred and is
continuing, the interest rate will increase by 4.0%. Accrued interest is payable on a monthly basis. On December 31, 2019 the
interest rate was 11.25%.

No principal repayments are due under the Credit Agreement prior to September 30, 2022, unless the Company elects to prepay
principal or principal is accelerated pursuant to an event of default identified in the Credit Agreement. Principal installments in
the amount of $300,000 are payable on the last day of each of the eleven months from September 2022 through July 2023, and all
remaining principal is payable at maturity on September 3, 2023. The Company may prepay outstanding principal from time to
time,  subject  to  payment  of  a  premium  on  the  prepaid  principal  amount  equal  to  10%  through  September  3,  2020,  8%  from
September 4, 2020 through September 3, 2021, and 4% from September 4, 2021 through September 3, 2022. No premium will be
due with respect to any prepayment made on or after September 4, 2022.

As of December 31, 2019, the loan balance, net of unamortized discounts and debt issuance costs, was $17.6 million, and the
company was in compliance with its loan covenants. Our obligations under the Credit Agreement are secured by a first priority,
perfected lien on substantially all of our property and assets, including our equity interests in our subsidiaries.

F-29

 
 
Table of Contents

NOTE 14 — WARRANTS:

In connection with entering into the Credit Agreement, on September 3, 2019, the Company issued to the Lender a seven-year
warrant (the “Warrant”) to purchase up to 550,000 shares of the Company’s common stock at a per-share exercise price of $5.22.
The  Warrant  is  exercisable  for  cash  or  on  a  net,  or  “cashless,”  basis,  and  the  exercise  price  of  the  Warrant  is  subject  to  price-
based, weighted-average antidilution adjustments for one year after issuance.

The Warrant was evaluated by the Company and classified to stockholder’s equity. Its fair value was  estimated  using  a Black-
Scholes option-pricing model using the assumptions below.

Stock price on issuance date
Strike Price
Risk-free interest rate
Volatility
Expected life

 $
 $

5.40 
5.22 
1.45%
43.65%

7 years 

The fair value of the Warrant was determined to be approximately $1.4 million at $2.49 per share.

As  of  December  31,  2019,  the  balance  recorded  in  the  Company’s  Stockholders’  Equity  for  the  Warrants,  net  of  allocated
issuance costs, was $1.2 million.

As of December 31, 2019, no warrants were exercised and no warrants have expired.

F-30

  
  
 
CHEMBIO DIAGNOSTICS, INC.

2019 OMNIBUS INCENTIVE PLAN

Exhibit 10.3

Chembio Diagnostics, Inc., a Nevada corporation, sets forth herein the terms of its 2019 Omnibus Incentive Plan, as follows:

1.

PURPOSE

The  Plan  is  intended  to  enhance  the  Company’s  and  its  Affiliates’  (as  defined  herein)  ability  to  attract  and  retain  highly  qualified  officers,  Non-
Employee Directors (as defined herein), key employees, consultants and advisors, and to motivate such officers, Non-Employee Directors, key employees,
consultants  and  advisors  to  serve  the  Company  and  its  Affiliates  and  to  expend  maximum  effort  to  improve  the  business  results  and  earnings  of  the
Company,  by  providing  to  such  persons  an  opportunity  to  acquire  or  increase  a  direct  proprietary  interest  in  the  operations  and  future  success  of  the
Company.  To this end, the Plan provides for the grant of stock options, stock appreciation rights, restricted stock, restricted stock units, unrestricted stock,
other stock-based awards and cash awards. Any of these awards may, but need not, be made as performance incentives to reward attainment of performance
goals in accordance with the terms hereof. Stock options granted under the Plan may be non-qualified stock options or incentive stock options, as provided
herein.  Upon becoming effective, the Plan replaces, and no further awards shall be made under, the Predecessor Plan (as defined herein).

2.

DEFINITIONS

For purposes of interpreting the Plan and related documents (including Award Agreements), the following definitions shall apply:

2.1      “Affiliate” means any company or other trade or business that “controls,” is “controlled by” or is “under common control” with the Company
within the meaning of Rule 405 of Regulation C under the Securities Act, including, without limitation, any Subsidiary.

2.2      “Award” means a grant of an Option, Stock Appreciation Right, Restricted Stock, Restricted Stock Unit, or Other Stock-based Award under the
Plan.

2.3      “Award Agreement” means a written agreement between the Company and a Grantee, or notice from the Company or an Affiliate to a Grantee
that evidences and sets forth the terms and conditions of an Award.

2.4      “Beneficial Owner” means “Beneficial Owner” as defined in Rule 13d-3 and Rule 13d-5 under the Exchange Act; except that, in calculating the
beneficial ownership of any particular Person, such Person shall be deemed to have beneficial ownership of all securities that such Person has the
right to acquire by conversion or exercise of other securities, whether such right is currently exercisable or is exercisable only after the passage of
time. The term “Beneficial Ownership” has a corresponding meaning.

2.5      “Board” means the Board of Directors of the Company.

2.6      “Change in Control” shall have the meaning set forth in Section 14.3.2.

2.7      “Code” means the Internal Revenue Code of 1986, as now in effect or as hereafter amended. References to the Code shall include the valid and
binding governmental regulations, court decisions and other regulatory and judicial authority issued or rendered thereunder.

2.8            “Committee”  means  the  Compensation  Committee  of  the  Board  or  any  committee  or  other  person  or  persons  designated  by  the  Board  to
administer the Plan.  The Board will cause the Committee to satisfy the applicable requirements of any stock exchange on which the Common Stock
may then be listed.  For purposes of Awards to Grantees who are subject to Section 16 of the Exchange Act, Committee means all of the members of
the Committee who are “non-employee directors” within the meaning of Rule 16b-3 adopted under the Exchange Act.  All references in the Plan to
the Board shall mean such Committee or the Board.

A-1

2.9      “Company” means Chembio Diagnostics, Inc., a Nevada corporation, or any successor corporation.

2.10     “Common Stock” or “Stock” means a share of common stock of the Company, par value $2.00 per share.

2.11        “Corporate  Transaction”  means  a  reorganization,  merger,  statutory  share  exchange,  consolidation,  sale  of  all  or  substantially  all  of  the
Company’s assets, or the acquisition of assets or stock of another entity by the Company, or other corporate transaction involving the Company or
any of its Subsidiaries.

2.12     “Effective Date” means June 18, 2019, the date the Plan was approved by the Company’s stockholders.

2.13    “Exchange Act” means the Securities Exchange Act of 1934, as now in effect or as hereafter amended.

2.14     “Fair  Market  Value”  of  a  share  of  Common  Stock  as  of  a  particular  date  means  (i)  if  the  Common  Stock  is  listed  on  a  national  securities
exchange, the closing or last price of the Common Stock on the composite tape or other comparable reporting system for the applicable date, or if the
applicable date is not a trading day, the trading day immediately preceding the applicable date, or (ii) if the shares of Common Stock are not then
listed  on  a  national  securi-ties  ex-change,  the  closing  or  last  price  of  the  Common  Stock  quoted  by  an  established  quotation  service  for  over-the-
counter securities, or (iii) if the shares of Common Stock are not then listed on a national securi-ties ex-change or quoted by an established quotation
service for over-the-counter securities, -or the value of such shares is not oth-er-wise determi-nable, such value as de-ter-mined by the Board in good
faith in its sole discretion.

2.15   “Family Member” means a person who is a spouse, former spouse, child, stepchild, grandchild, parent, stepparent, grandparent, niece, nephew,
mother-in-law,  father-in-law,  son-in-law,  daughter-in-law,  brother,  sister,  brother-in-law,  or  sister-in-law,  including  adoptive  relationships,  of  the
applicable individual, any person sharing the applicable individual’s household (other than a tenant or employee), a trust in which any one or more of
these  persons  have  more  than  fifty  percent  of  the  beneficial  interest,  a  foundation  in  which  any  one  or  more  of  these  persons  (or  the  applicable
individual) control the management of assets, and any other entity in which one or more of these persons (or the applicable individual) own more
than fifty percent of the voting interests.

2.16  “Grant Date” means, as determined by the Board, the latest to occur of (i) the date as of which the Board approves an Award, (ii) the date on
which the recipient of an Award first becomes eligible to receive an Award under Section 6 hereof, or (iii) such other date as may be specified by the
Board in the Award Agreement.

2.17    “Grantee” means a person who receives or holds an Award under the Plan.

2.18    “Incentive Stock Option” means an “incentive stock option” within the meaning of Section 422 of the Code, or the corresponding provision of
any subsequently enacted tax statute, as amended from time to time.

2.19    “Non-Employee Director” means a member of the Board who is not an officer or employee of the Company or any Subsidiary.

2.20    “Non-qualified Stock Option” means an Option that is not an Incentive Stock Option.

2.21    “Option” means an option to purchase one or more shares of Stock pursuant to the Plan.

A-2

2.22     “Option Price” means the exercise price for each share of Stock subject to an Option.

2.23    “Other Stock-based Awards” means Awards consisting of Stock units, or other Awards, valued in whole or in part by reference to, or otherwise
based on, Common Stock, other than Options, Stock Appreciation Rights, Restricted Stock, and Restricted Stock Units.

2.24    “Person” means an individual, entity or group within the meaning of Section 13(d)(3) or 14(d)(2) of the Exchange Act.

2.25    “Plan” means this Chembio Diagnostics, Inc. 2019 Omnibus Incentive Plan, as amended from time to time.

2.26    “Predecessor Plan” means the Chembio Diagnostics, Inc. 2014 Stock Incentive Plan.

2.27    “Purchase Price” means the purchase price for each share of Stock pursuant to a grant of Restricted Stock.

2.28    “Restricted Period” shall have the meaning set forth in Section 10.1 hereof.

2.29    “Restricted Stock” means shares of Stock, awarded to a Grantee pursuant to Section 10 hereof.

2.30    “Restricted Stock Unit” means a bookkeeping entry representing the equivalent of shares of Stock, awarded to a Grantee pursuant to Section 10
hereof.

2.31    “SAR Exercise Price” means the per share exercise price of a SAR granted to a Grantee under Section 9 hereof.

2.32    “SEC” means the United States Securities and Exchange Commission.

2.33    “Section 409A” means Section 409A of the Code.

2.34    “Securities Act” means the Securities Act of 1933, as now in effect or as hereafter amended.

2.35       “Separation from Service” means a termination of Service by a Service Provider, as determined by the Board, which determination shall be
final, binding and conclusive; provided if any Award governed by Section 409A is to be distributed on a Separation from Service, then the definition
of Separation from Service for such purposes shall comply with the definition provided in Section 409A.

2.36   “Service” means service as a Service Provider to the Company or an Affiliate. Unless otherwise stated in the applicable Award Agreement, a
Grantee’s change in position or duties shall not result in interrupted or terminated Service, so long as such Grantee continues to be a Service Provider
to the Company or an Affiliate.

2.37     “Service Provider” means an employee, officer, Non-Employee Director, consultant or advisor of the Company or an Affiliate.

2.38    “Stock Appreciation Right” or “SAR” means a right granted to a Grantee under Section 9 hereof.

2.39    “Subsidiary” means any “subsidiary corporation” of the Company within the meaning of Section 424(f) of the Code.

2.40      “Substitute Award”  means  any  Award  granted  in  assumption  of  or  in  substitution  for  an  award  of  a  company  or  business  acquired  by  the
Company or a Subsidiary or with which the Company or an Affiliate combines.

A-3

2.41     “Ten Percent Stockholder” means an individual who owns more than ten percent (10%) of the total combined voting power of all classes of
outstanding stock of the Company, its parent or any of its Subsidiaries. In determining stock ownership, the attribution rules of Section 424(d) of the
Code shall be applied.

2.42       “Termination Date”  means  the  date  that  is  ten  (10)  years  after  the  Effective  Date,  unless  the  Plan  is  earlier  terminated  by  the  Board  under
Section 5.2 hereof.

3.

ADMINISTRATION OF THE PLAN

3.1       General.

The  Board  shall  have  such  powers  and  authorities  related  to  the  administration  of  the  Plan  as  are  consistent  with  the  Company’s  certificate  of
incorporation and bylaws and applicable law. The Board shall have the power and authority to delegate its responsibilities hereunder to the Committee,
which shall have full authority to act in accordance with its charter, and with respect to the authority of the Board to act hereunder, all references to the
Board shall be deemed to include a reference to the Committee, to the extent such power or responsibilities have been delegated.  Except as otherwise may
be required by applicable law, regulatory requirement or the certificate of incorporation or the bylaws of the Company, the Board shall have full power and
authority to take all actions and to make all determinations required or provided for under the Plan, any Award or any Award Agreement, and shall have full
power and authority to take all such other actions and make all such other determinations not inconsistent with the specific terms and provisions of the Plan
that the Board deems to be necessary or appropriate to the administration of the Plan.  The Committee shall administer the Plan; provided that, the Board
shall  retain  the  right  to  exercise  the  authority  of  the  Committee  to  the  extent  consistent  with  applicable  law  and  the  applicable  requirements  of  any
securities exchange on which the Common Stock may then be listed.  The interpretation and construction by the Board of any provision of the Plan, any
Award or any Award Agreement shall be final, binding and conclusive. Without limitation, the Board shall have full and final authority, subject to the other
terms and conditions of the Plan, to:

(i)    designate Grantees;

(ii)   determine the type or types of Awards to be made to a Grantee;

(iii)  determine the number of shares of Stock to be subject to an Award;

(iv)  establish the terms and conditions of each Award (including, but not limited to, the Option Price of any Option, the nature and duration of any
restriction or condition (or provision for lapse thereof) relating to the vesting, exercise, transfer, or forfeiture of an Award or the shares of Stock subject
thereto, and any terms or conditions that may be necessary to qualify Options as Incentive Stock Options);

(v)   prescribe the form of each Award Agreement; and

(vi)  amend, modify, or supplement the terms of any outstanding Award including the authority, in order to effectuate the purposes of the Plan, to

modify Awards to foreign nationals or individuals who are employed outside the United States to recognize differences in local law, tax policy, or custom.

To  the  extent  permitted  by  applicable  law,  the  Board  may  delegate  its  authority  as  identified  herein  to  any  individual  or  committee of individuals
(who need not be directors), including without limitation the authority to make Awards to Grantees who are not subject to Section 16 of the Exchange Act
or who are not Covered Employees.  To the extent that the Board delegates its authority to make Awards as provided by this Section 3.1, all references in
the  Plan  to  the  Board’s  authority  to  make  Awards  and  determinations  with  respect  thereto  shall  be  deemed  to  include  the  Board’s  delegate.    Any  such
delegate shall serve at the pleasure of, and may be removed at any time by the Board.

A-4

3.2       No Repricing.

Notwithstanding  any  provision  herein  to  the  contrary,  the  repricing  of  Options  or  SARs  is  prohibited  without  prior  approval  of  the  Company’s
stockholders.  For this purpose, a “repricing” means any of the following (or any other action that has the same effect as any of the following): (i) changing
the  terms  of  an  Option  or  SAR  to  lower  its  Option  Price  or  SAR  Exercise  Price;  (ii)  any  other  action  that  is  treated  as  a  “repricing”  under  generally
accepted accounting principles; and (iii) repurchasing for cash or canceling an Option or SAR at a time when its Option Price or SAR Exercise Price is
greater than the Fair Market Value of the underlying shares in exchange for another Award, unless the cancellation and exchange occurs in connection with
a change in capitalization or similar change under Section 14.  A cancellation and exchange under clause (iii) would be considered a “repricing” regardless
of whether it is treated as a “repricing” under generally accepted accounting principles and regardless of whether it is voluntary on the part of the Grantee.

3.3        Clawbacks.

Awards  shall  be  subject  to  the  requirements  of  (i)  Section  954  of  the  Dodd-Frank  Wall  Street  Reform  and  Consumer  Protection  Act  (regarding
recovery  of  erroneously  awarded  compensation)  and  any  implementing  rules  and  regulations  thereunder,  (ii)  similar  rules  under  the  laws  of  any  other
jurisdiction,  (iii)  any  compensation  recovery  policies  adopted  by  the  Company  to  implement  any  such  requirements  or  (iv)  any  other  compensation
recovery policies as may be adopted from time to time by the Company, all to the extent determined by the Committee in its discretion to be applicable to a
Grantee.

3.4       Minimum Vesting Conditions.

Notwithstanding  any  other  provision  of  the  Plan  to  the  contrary,  equity-based  Awards  granted  under  the  Plan  shall  vest  no  earlier  than  the  first
anniversary  of  the  date  the  Award  is  granted,  excluding,  for  this  purpose,  any  (i)  Substitute  Awards,  (ii)  shares  delivered  in  lieu  of  fully  vested  cash
incentive compensation under any applicable plan or program of the Company, and (iii) Awards to Non-Employee Directors that vest on the earlier of the
one-year anniversary of the date of grant or the next annual meeting of stockholders (provided that such vesting period under this clause (iii) may not be
less than 50 weeks after grant); provided, that, the Board may grant equity-based Awards without regard to the foregoing minimum vesting requirement
with respect to a maximum of five percent (5%) of the available share reserve authorized for issuance under the Plan pursuant to Section 4.1 (subject to
adjustment under Section 14); and, provided further, for the avoidance of doubt, that the foregoing restriction does not apply to the Board’s discretion to
provide for accelerated exercisability or vesting of any Award, including in cases of retirement, death, disability or a Change in Control, in the terms of the
Award or otherwise.

3.5       Deferral Arrangement.

The Board may permit or require the deferral of any Award payment into a deferred compensation arrangement, subject to such rules and procedures
as it may establish and in accordance with Section 409A, which may include provisions for the payment or crediting of interest or dividend equivalents,
including converting such credits into deferred Stock units.

3.6       No Liability.

No member of the Board or of the Committee shall be liable for any action or determination made in good faith with respect to the Plan, any Award

or Award Agreement.

3.7       Book Entry.

Notwithstanding any other provision of this Plan to the contrary, the Company may elect to satisfy any requirement under this Plan for the delivery of

stock certificates through the use of book-entry.

A-5

4.

STOCK SUBJECT TO THE PLAN

4.1       Authorized Number of Shares

Subject  to  adjustment  under  Section 14,  the  total  number  of  shares  of  Common  Stock  authorized  to  be  awarded  under  the  Plan  shall  not  exceed
2,400,000.  In addition, shares of Common Stock underlying any outstanding award granted under the Predecessor Plan that, following the Effective Date,
expires, or is terminated, surrendered or forfeited for any reason without issuance of such shares shall be available for the grant of new Awards under this
Plan.  As provided in Section 1, no new awards shall be granted under the Predecessor Plan following the Effective Date.  Shares issued under the Plan
may consist in whole or in part of authorized but unissued shares, treasury shares, or shares purchased on the open market or otherwise, all as determined
by the Company from time to time.

4.2       Share Counting

4.2.1              General

Each  share  of  Common  Stock  granted  in  connection  with  an  Award  shall  be  counted  as  one  share  against  the  limit  in  Section 4.1,  subject  to  the

provisions of this Section 4.2.

4.2.2              Cash-Settled Awards

Any Award settled in cash shall not be counted as shares of Common Stock for any purpose under this Plan.

4.2.3              Expired or Terminated Awards

If any Award under the Plan expires, or is terminated, surrendered or forfeited, in whole or in part, without issuance or delivery of vested shares, the

unissued or surrendered Common Stock covered by such Award shall again be available for the grant of Awards under the Plan.

4.2.4              Payment of Option Price or Tax Withholding in Shares

The full number of shares of Common Stock with respect to which an Option or SAR is granted shall count against the aggregate number of shares
available  for  grant  under  the  Plan.    Accordingly,  if  in  accordance  with  the  terms  of  the  Plan,  a  Grantee  pays  the  Option  Price  for  an  Option  by  either
tendering previously owned shares or having the Company withhold shares, then such shares surrendered to pay the Option Price shall continue to count
against the aggregate number of shares available for grant under the Plan set forth in Section 4.1 above.  In addition, if in accordance with the terms of the
Plan,  a  Grantee  satisfies  any  tax  withholding  requirement  with  respect  to  any  taxable  event  arising  as  a  result  of  this  Plan  for  any  Award  (including
Restricted  Stock  and  Restricted  Stock  Units)  by  either  tendering  previously  owned  shares  or  having  the  Company  withhold  shares,  then  such  shares
surrendered to satisfy such tax withholding requirements shall continue to count against the aggregate number of shares available for grant under the Plan
set forth in Section 4.1 above.  Any shares of Common Stock repurchased by the Company with cash proceeds from the exercise of Options shall not be
added back to the pool of shares available for grant under the Plan set forth in Section 4.1 above.

4.2.5              Substitute Awards

In the case of any Substitute Award, such Substitute Award shall not be counted against the number of shares reserved under the Plan.

A-6

4.3       Award Limits

4.3.1               Incentive Stock Options.

Subject to adjustment under Section 14, 2,400,000 shares of  Common  Stock  available  for  issuance  under  the  Plan  shall  be  available  for  issuance

under Incentive Stock Options.

5.

EFFECTIVE DATE, DURATION, AND AMENDMENTS

5.1       Term.

The Plan shall be effective as of the Effective Date, provided that it has been approved by the Company’s stockholders.  The Plan shall terminate

automatically on the ten (10) year anniversary of the Effective Date and may be terminated on any earlier date as provided in Section 5.2.

5.2       Amendment and Termination of the Plan.

The  Board  may,  at  any  time  and  from  time  to  time,  amend,  suspend,  or  terminate  the  Plan  as  to  any  Awards  which  have  not  been  made.  An
amendment shall be contingent on approval of the Company’s stockholders to the extent stated by the Board, required by applicable law or required by
applicable stock exchange listing requirements.  Notwithstanding the foregoing, any amendment to Section 3.2 shall be contingent upon the approval of the
Company’s stockholders.  No Awards shall be made after the Termination Date. The applicable terms of the Plan, and any terms and conditions applicable
to  Awards  granted  prior  to  the  Termination  Date  shall  survive  the  termination  of  the  Plan  and  continue  to  apply  to  such  Awards.    No  amendment,
suspension,  or  termination  of  the  Plan  shall,  without  the  consent  of  the  Grantee,  materially  impair  rights  or  obligations  under  any  Award  theretofore
awarded.

6.

AWARD ELIGIBILITY AND LIMITATIONS

6.1       Service Providers.

Subject to this Section 6.1, Awards may be made to any Service Provider, including any Service Provider who is an officer, Non-Employee Director,

consultant or advisor of the Company or of any Affiliate, as the Board shall determine and designate from time to time in its discretion.

6.2       Successive Awards.

An eligible person may receive more than one Award, subject to such restrictions as are provided herein.

6.3      Stand-Alone, Additional, Tandem, and Substitute Awards.

Awards may, in the discretion of the Board, be granted either alone or in addition to, in tandem with, or in substitution or exchange for, any other
Award or any award granted under another plan of the Company, any Affiliate, or any business entity to be acquired by the Company or an Affiliate, or any
other  right  of  a  Grantee  to  receive  payment  from  the  Company  or  any  Affiliate.  Such  additional,  tandem,  and  substitute  or  exchange  Awards  may  be
granted at any time. If an Award is granted in substitution or exchange for another Award, the Board shall have the right to require the surrender of such
other Award in consideration for the grant of the new Award. Subject to Section 3.2, the Board shall have the right, in its discretion, to make Awards in
substitution or exchange for any other award under another plan of the Company, any Affiliate, or any business entity to be acquired by the Company or an
Affiliate. In addition, Awards may be granted in lieu of cash compensation, including in lieu of cash amounts payable under other plans of the Company or
any Affiliate, in which the value of Stock subject to the Award is equivalent in value to the cash compensation (for example, Restricted Stock Units or
Restricted Stock).

A-7

7.

AWARD AGREEMENT

Each Award shall be evidenced by an Award Agreement, in such form or forms as the Board shall from time to time determine, consistent with the
terms of the Plan.  Without limiting the foregoing, an Award Agreement may be provided in the form of a notice which provides that acceptance of the
Award constitutes acceptance of all terms of the Plan and the notice.  Award Agreements granted from time to time or at the same time need not contain
similar provisions but shall be consistent with the terms of the Plan.  Each Award Agreement evidencing an Award of Options shall specify whether such
Options are intended to be Non-qualified Stock Options or Incentive Stock Options, and in the absence of such specification such options shall be deemed
Non-qualified Stock Options.

8.

TERMS AND CONDITIONS OF OPTIONS

8.1       Option Price.

The Option Price of each Option shall be fixed by the Board and stated in the related Award Agreement. The Option Price of each Option (except
those that constitute Substitute Awards) shall be at least the Fair Market Value on the Grant Date of a share of Stock; provided, however, that in the event
that a Grantee is a Ten Percent Stockholder as of the Grant Date, the Option Price of an Option granted to such Grantee that is intended to be an Incentive
Stock Option shall be not less than 110 percent of the Fair Market Value of a share of Stock on the Grant Date.  In no case shall the Option Price of any
Option be less than the par value of a share of Stock.

8.2       Vesting.

Subject  to  Section  8.3  hereof,  each  Option  shall  become  exercisable  at  such  times  and  under  such  conditions  (including,  without  limitation,

performance requirements) as shall be determined by the Board and stated in the Award Agreement.

8.3       Term.

Each Option shall terminate, and all rights to purchase shares of Stock thereunder shall cease, upon the expiration of ten (10) years from the Grant
Date, or under such circumstances and on such date prior thereto as is set forth in the Plan or as may be fixed by the Board and stated in the related Award
Agreement; provided, however, that in the event that the Grantee is a Ten Percent Stockholder, an Option granted to such Grantee that is intended to be an
Incentive Stock Option at the Grant Date shall not be exercisable after the expiration of five (5) years from its Grant Date.

8.4       Limitations on Exercise of Option.

Notwithstanding  any  other  provision  of  the  Plan,  in  no  event  may  any  Option  be  exercised,  in  whole  or  in  part,  (i)  prior  to  the  date  the  Plan  is

approved by the stockholders of the Company as provided herein or (ii) after the occurrence of an event which results in termination of the Option.

8.5       Method of Exercise.

An Option that is exercisable may be exercised by the Grantee’s delivery of a notice of exercise to the Company, setting forth the number of shares of
Stock with respect to which the Option is to be exercised, accompanied by full payment for the shares.  To be effective, notice of exercise must be made in
accordance with procedures established by the Company from time to time.

8.6       Rights of Holders of Options.

Unless otherwise stated in the related Award Agreement, an individual holding or exercising an Option shall have none of the rights of a stockholder
(for example, the right to receive cash or dividend payments or distributions attributable to the subject shares of Stock or to direct the voting of the subject
shares  of  Stock)  until  the  shares  of  Stock  covered  thereby  are  fully  paid  and  issued  to  her/him.  Except  as  provided  in  Section 14  hereof  or  the  related
Award Agreement, no adjustment shall be made for dividends, distributions or other rights for which the record date is prior to the date of such issuance.

A-8

8.7       Delivery of Stock Certificates.

Promptly  after  the  exercise  of  an  Option  by  a  Grantee  and  the  payment  in  full  of  the  Option  Price,  such  Grantee  shall  be  entitled,  subject  to  any
transaction  fees,  as  required,  to  the  issuance  of  a  stock  certificate  or  certificates  evidencing  his  or  her  ownership  of  the  shares  of  Stock  subject  to  the
Option.

8.8       Limitations on Incentive Stock Options.

An Option shall constitute an Incentive Stock Option only (i) if the Grantee of such Option is an employee of the Company or any Subsidiary of the
Company; (ii) to the extent specifically provided in the related Award Agreement; and (iii) to the extent that the aggregate Fair Market Value (determined at
the time the Option is granted) of the shares of Stock with respect to which all Incentive Stock Options held by such Grantee become exercisable for the
first  time  during  any  calendar  year  (under  the  Plan  and  all  other  plans  of  the  Grantee’s  employer  and  its  Affiliates)  does  not  exceed  $100,000.  This
limitation shall be applied by taking Options into account in the order in which they were granted.

9.

TERMS AND CONDITIONS OF STOCK APPRECIATION RIGHTS

9.1       Right to Payment.

A SAR shall confer on the Grantee a right to receive, upon exercise thereof, the excess of (i) the Fair Market Value of one share of Stock on the date
of exercise over (ii) the SAR Exercise Price, as determined by the Board. The Award Agreement for a SAR (except those that constitute Substitute Awards)
shall specify the SAR Exercise Price, which shall be fixed on the Grant Date as not less than the Fair Market Value of a share of Stock on that date.  SARs
may be granted alone or in conjunction with all or part of an Option or at any subsequent time during the term of such Option or in conjunction with all or
part of any other Award. A SAR granted in tandem with an outstanding Option following the Grant Date of such Option shall have a grant price that is
equal to the Option Price; provided, however, that the SAR’s grant price may not be less than the Fair Market Value of a share of Stock on the Grant Date
of the SAR to the extent required by Section 409A.

9.2       Other Terms.

The Board shall determine at the Grant Date, the time or times at which and the circumstances under which a SAR may be exercised in whole or in
part  (including  based  on  achievement  of  performance  goals  and/or  future  service  requirements),  the  time  or  times  at  which  SARs  shall  cease  to  be  or
become exercisable following Separation from Service or upon other conditions, the method of exercise, whether or not a SAR shall be in tandem or in
combination with any other Award, and any other terms and conditions of any SAR.

9.3      Term of SARs.

The term of a SAR granted under the Plan shall be determined by the Board, in its sole discretion; provided, however, that such term shall not exceed

ten (10) years.

9.4       Payment of SAR Amount.

Upon  exercise  of  a  SAR,  a  Grantee  shall  be  entitled  to  receive  payment  from  the  Company  (in  cash  or  Stock,  as determined by the Board) in an

amount determined by multiplying:

(i)     the difference between the Fair Market Value of a share of Stock on the date of exercise over the SAR Exercise Price; by

A-9

(ii)       the number of shares of Stock with respect to which the SAR is exercised.

10. TERMS AND CONDITIONS OF RESTRICTED STOCK AND RESTRICTED STOCK UNITS

10.1    Restrictions.

At the time of grant, the Board may, in its sole discretion, establish a period of time (a “Restricted Period”) and any additional restrictions including
the satisfaction of corporate or individual performance objectives applicable to an Award of Restricted Stock or Restricted Stock Units as determined by the
Board.  Each  Award  of  Restricted  Stock  or  Restricted  Stock  Units  may  be  subject  to  a  different  Restricted  Period  and  additional  restrictions.  Neither
Restricted  Stock  nor  Restricted  Stock  Units  may  be  sold,  transferred,  assigned,  pledged  or  otherwise  encumbered  or  disposed  of  during  the  Restricted
Period or prior to the satisfaction of any other applicable restrictions.

10.2    Restricted Stock Certificates.

The  Company  shall  issue  stock,  in  the  name  of  each  Grantee  to  whom  Restricted  Stock  has  been  granted,  stock  certificates  or  other  evidence  of
ownership representing the total number of shares of Restricted Stock granted to the Grantee, as soon as reasonably practicable after the Grant Date. The
Board may provide in an Award Agreement that either (i) the Secretary of the Company shall hold such certificates for the Grantee’s benefit until such time
as the Restricted Stock is forfeited to the Company or the restrictions lapse, or (ii) such certificates shall be delivered to the Grantee; provided, however,
that such certificates shall bear a legend or legends that comply with the applicable securities laws and regulations and make appropriate reference to the
restrictions imposed under the Plan and the Award Agreement.

10.3    Rights of Holders of Restricted Stock.

Unless  the  Board  otherwise  provides  in  an  Award  Agreement  and  subject  to  Section  16.12,  holders  of  Restricted  Stock  shall  have  rights  as

stockholders of the Company, including voting and dividend rights.

10.4    Rights of Holders of Restricted Stock Units.

10.4.1            Settlement of Restricted Stock Units.

Restricted Stock Units may be settled in cash or Stock, as determined by the Board and set forth in the Award Agreement. The Award Agreement
shall also set forth whether the Restricted Stock Units shall be settled (i) within the time period specified for “short term deferrals” under Section 409A or
(ii) otherwise within the requirements of Section 409A, in which case the Award Agreement shall specify upon which events such Restricted Stock Units
shall be settled.

10.4.2           Voting and Dividend Rights.

Unless otherwise stated in the applicable Award Agreement and subject to Section 16.12, holders of Restricted Stock Units shall not have rights as

stockholders of the Company, including no voting or dividend or dividend equivalents rights.

10.4.3           Creditor’s Rights.

A holder of Restricted Stock Units shall have no rights other than those of a general creditor of the Company. Restricted Stock Units represent an

unfunded and unsecured obligation of the Company, subject to the terms and conditions of the applicable Award Agreement.

A-10

10.5    Purchase of Restricted Stock.

The Grantee shall be required, to the extent required by applicable law, to purchase the Restricted Stock from the Company at a Purchase Price equal
to the greater of (i) the aggregate par value of the shares of Stock represented by such Restricted Stock or (ii) the Purchase Price, if any, specified in the
related Award Agreement. If specified in the Award Agreement, the Purchase Price may be deemed paid by Services already rendered. The Purchase Price
shall be payable in a form described in Section 11 or, in the discretion of the Board, in consideration for past Services rendered.

10.6    Delivery of Stock.

Upon  the  expiration  or  termination  of  any  Restricted  Period  and  the  satisfaction  of  any  other  conditions  prescribed  by  the  Board,  the  restrictions
applicable to shares of Restricted Stock or Restricted Stock Units settled in Stock shall lapse, and, unless otherwise provided in the Award Agreement, a
stock certificate for such shares shall be delivered, free of all such restrictions, to the Grantee or the Grantee’s beneficiary or estate, as the case may be.

11. FORM OF PAYMENT FOR OPTIONS AND RESTRICTED STOCK

11.1    General Rule.

Payment of the Option Price for the shares purchased pursuant to the exercise of an Option or the Purchase Price for Restricted Stock shall be made

in cash or in cash equivalents acceptable to the Company, except as provided in this Section 11.

11.2    Surrender of Stock.

To  the  extent  the  Award  Agreement  so  provides,  payment  of  the  Option  Price  for  shares  purchased  pursuant  to  the  exercise  of  an  Option  or  the
Purchase Price for Restricted Stock may be made all or in part through the tender to the Company of shares of Stock, which shares shall be valued, for
purposes of determining the extent to which the Option Price or Purchase Price for Restricted Stock has been paid thereby, at their Fair Market Value on the
date of exercise or surrender.  Notwithstanding the foregoing, in the case of an Incentive Stock Option, the right to make payment in the form of already
owned shares of Stock may be authorized only at the time of grant.

11.3    Cashless Exercise.

With respect to an Option only (and not with respect to Restricted Stock), to the extent permitted by law and to the extent the Award Agreement so
provides,  payment  of  the  Option  Price  may  be  made  all  or  in  part  by  delivery  (on  a  form  acceptable  to  the  Company)  of  an  irrevocable  direction  to  a
licensed securities broker acceptable to the Company to sell shares of Stock and to deliver all or part of the sales proceeds to the Company in payment of
the Option Price and any withholding taxes described in Section 16.3.

11.4    Other Forms of Payment.

To the extent the Award Agreement so provides, payment of the Option Price or the Purchase Price for Restricted Stock may be made in any other
form that is consistent with applicable laws, regulations and rules, including, but not limited to, the Company’s withholding of shares of Stock otherwise
due to the exercising Grantee.

12. OTHER STOCK-BASED AWARDS

12.1    Grant of Other Stock-based Awards.

Other  Stock-based  Awards  may  be  granted  either  alone  or  in  addition  to  or  in  conjunction  with  other  Awards  under  the  Plan.    Other Stock-based
Awards  may  be  granted  in  lieu  of  other  cash  or  other  compensation  to  which  a  Service  Provider  is  entitled  from  the  Company  or  may  be  used  in  the
settlement of amounts payable in shares of Common Stock under any other compensation plan or arrangement of the Company.  Subject to the provisions
of the Plan, the Committee shall have the sole and complete authority to determine the persons to whom and the time or times at which such Awards shall
be made, the number of shares of Common Stock to be granted pursuant to such Awards, and all other conditions of such Awards.  Unless the Committee
determines otherwise, any such Award shall be confirmed by an Award Agreement, which shall contain such provisions as the Committee determines to be
necessary or appropriate to carry out the intent of this Plan with respect to such Award.

A-11

12.2    Terms of Other Stock-based Awards.

Any Common Stock subject to Awards made under this Section 12 may not be sold, assigned, transferred, pledged or otherwise encumbered prior to

the date on which the shares are issued, or, if later, the date on which any applicable restriction, performance or deferral period lapses.

13. REQUIREMENTS OF LAW

13.1    General.

The Company shall not be required to sell or issue any shares of Stock under any Award if the sale or issuance of such shares would constitute a
violation  by  the  Grantee,  any  other  individual  exercising  an  Option,  or  the  Company  of  any  provision  of  any  law  or  regulation  of  any  governmental
authority, including without limitation any federal or state securities laws or regulations. If at any time the Company shall determine, in its discretion, that
the  listing,  registration  or  qualification  of  any  shares  subject  to  an  Award  upon  any  securities  exchange  or  under  any  governmental  regulatory  body  is
necessary or desirable as a condition of, or in connection with, the issuance or purchase of shares hereunder, no shares of Stock may be issued or sold to the
Grantee or any other individual exercising an Option pursuant to such Award unless such listing, registration, qualification, consent or approval shall have
been effected or obtained free of any conditions not acceptable to the Company, and any delay caused thereby shall in no way affect the date of termination
of the Award. Specifically, in connection with the Securities Act, upon the exercise of any Option or the delivery of any shares of Stock underlying an
Award, unless a registration statement under such Act is in effect with respect to the shares of Stock covered by such Award, the Company shall not be
required to sell or issue such shares unless the Board has received evidence satisfactory to it that the Grantee or any other individual exercising an Option
may acquire such shares pursuant to an exemption from registration under the Securities Act. Any determination in this connection by the Board shall be
final, binding, and conclusive. The Company may, but shall in no event be obligated to, register any securities covered hereby pursuant to the Securities
Act.  The  Company  shall  not  be  obligated  to  take  any  affirmative  action  in  order  to  cause  the  exercise  of  an  Option  or  the  issuance  of  shares  of  Stock
pursuant to the Plan to comply with any law or regulation of any governmental authority. As to any jurisdiction that expressly imposes the requirement that
an Option shall not be exercisable until the shares of Stock covered by such Option are registered or are exempt from registration, the exercise of such
Option (under circumstances in which the laws of such jurisdiction apply) shall be deemed conditioned upon the effectiveness of such registration or the
availability of such an exemption.

13.2    Rule 16b-3.

During any time when the Company has a class of equity security registered under Section 12 of the Exchange Act, it is the intent of the Company
that  Awards  and  the  exercise  of  Options  granted  to  officers  and  directors  hereunder  will  qualify  for  the  exemption  provided  by  Rule  16b-3  under  the
Exchange Act. To the extent that any provision of the Plan or action by the Board or Committee does not comply with the requirements of Rule 16b-3, it
shall be deemed inoperative to the extent permitted by law and deemed advisable by the Board, and shall not affect the validity of the Plan. In the event that
Rule 16b-3 is revised or replaced, the Board may exercise its discretion to modify this Plan in any respect necessary to satisfy the requirements of, or to
take advantage of any features of, the revised exemption or its replacement.

A-12

14. EFFECT OF CHANGES IN CAPITALIZATION

14.1    Changes in Stock.

If (i) the number of outstanding shares of Stock is increased or decreased or the shares of Stock are changed into or exchanged for a different number
or kind of shares or other securities of the Company on account of any recapitalization, reclassification, stock split, reverse split, combination of shares,
exchange of shares, stock dividend or other distribution payable in capital stock, or other increase or decrease in such shares effected without receipt of
consideration by the Company occurring after the Effective Date or (ii) there occurs any spin-off, split-up, extraordinary cash dividend or other distribution
of assets by the Company, the number and kinds of shares for which grants of Awards may be made under the Plan (including the per-Grantee maximums
set forth in Section 4) shall be equitably adjusted by the Company; provided that any such adjustment shall comply with Section 409A. In addition, in the
event of any such increase or decease in the number of outstanding shares or other transaction described in clause (ii) above, the number and kind of shares
for which Awards are outstanding and the Option Price per share of outstanding Options and SAR Exercise Price per share of outstanding SARs shall be
equitably adjusted; provided that any such adjustment shall comply with Section 409A.

14.2    Effect of Certain Transactions.

Except as otherwise provided in an Award Agreement and subject to the provisions of Section 14.3, in the event of a Corporate Transaction, the Plan
and the Awards issued hereunder shall continue in effect in accordance with their respective terms, except that following a Corporate Transaction either (i)
each outstanding Award shall be treated as provided for in the agreement entered into in connection with the Corporate Transaction or (ii) if not so provided
in such agreement, each Grantee shall be entitled to receive in respect of each share of Common Stock subject to any outstanding Awards, upon exercise or
payment or transfer in respect of any Award, the same number and kind of stock, securities, cash, property or other consideration that each holder of a share
of Common Stock was entitled to receive in the Corporate Transaction in respect of a share of Common stock; provided, however, that, unless otherwise
determined  by  the  Committee,  such  stock,  securities,  cash,  property  or  other  consideration  shall  remain  subject  to  all  of  the  conditions,  restrictions  and
performance  criteria  which  were  applicable  to  the  Awards  prior  to  such  Corporate  Transaction.    Without  limiting  the  generality  of  the  foregoing,  the
treatment of outstanding Options and SARs pursuant to this Section 14.2 in connection with a Corporate Transaction in which the consideration paid or
distributed to the Company’s stockholders is not entirely shares of common stock of the acquiring or resulting corporation may include the cancellation of
outstanding Options and SARs upon consummation of the Corporate Transaction as long as, at the election of the Committee, (i) the holders of affected
Options and SARs have been given a period of at least fifteen days prior to the date of the consummation of the Corporate Transaction to exercise the
Options or SARs (to the extent otherwise exercisable) or (ii) the holders of the affected Options and SARs are paid (in cash or cash equivalents) in respect
of each Share covered by the Option or SAR being canceled an amount equal to the excess, if any, of the per share price paid or distributed to stockholders
in the Corporate Transaction (the value of any non-cash consideration to be determined by the Committee in its sole discretion) over the Option Price or
SAR Exercise Price, as applicable.  For avoidance of doubt, (1) the cancellation of Options and SARs pursuant to clause (ii) of the preceding sentence may
be effected notwithstanding anything to the contrary contained in this Plan or any Award Agreement and (2) if the amount determined pursuant to clause
(ii) of the preceding sentence is zero or less, the affected Option or SAR may be cancelled without any payment therefore.  The treatment of any Award as
provided in this Section 14.2 shall be conclusively presumed to be appropriate for purposes of Section 14.1.

14.3    Change in Control

14.3.1            Consequences of a Change in Control

In the event of a Change in Control of the Company, the Board, in its discretion, may, at any time an Award is granted, or at any time thereafter, (i)
accelerate  the  time  period  relating  to  the  exercise  or  vesting  of  the  Award;  or  (ii)  take  one  or  more  of  the  following  actions,  which  may  vary  among
individual Grantees: (A) provide for the purchase of the Award for an amount of cash or other property that could have been received upon the exercise or
vesting of the Award (less any applicable Option Price or SAR Exercise Price in the cash of Options and SARs); (B) adjust the terms of the Awards in a
manner determined by the Board to reflect the Change in Control; (C) cause the Awards to be assumed, or new rights substituted therefor, by another entity,
through the continuance of the Plan and the assumption of outstanding Awards, or the substitution for such Awards of comparable value covering shares of
a successor corporation, with appropriate adjustments as to the number and kind of shares and exercise prices, in which event the Plan and such Awards, or
the new options and rights substituted therefor, shall continue in the manner and under the terms so provided; (D) accelerate the time at which Options or
SARs then outstanding may be exercised so that such Options and SARs may be exercised for a limited period of time on or before a specified date fixed
by the Board, after which specified date, all unexercised Options and SARs shall terminate; or (E) make such other provision as the Board may consider
equitable.

A-13

14.3.2            Change in Control Defined

Except as may otherwise be defined in an Award Agreement, a “Change in Control” shall mean the occurrence of any of the following events: (i) the
acquisition, directly or indirectly, by any Person or group (within the meaning of Section 13(d)(3) of the Exchange Act) of the Beneficial Ownership of
more  than  fifty  percent  of  the  outstanding  securities  of  the  Company;  (ii)  a  merger  or  consolidation  in  which  the  Company  is  not  the  surviving  entity,
except  for  a  transaction  the  principal  purpose  of  which  is  to  change  the  state  in  which  the  Company  is  incorporated;  (iii)  the  sale,  transfer  or  other
disposition of all or substantially all of the assets of the Company; (i) a complete liquidation or dissolution of the Company; or (v) any reverse merger in
which the Company is the surviving entity but in which securities possessing more than fifty percent of the total combined voting power of the Company’s
outstanding securities are transferred to a Person or Persons different from the Persons holding those securities immediately prior to such merger.

Notwithstanding the foregoing, if it is determined that an Award hereunder is subject to the requirements of Section 409A and payable upon a Change
in Control, the Company will not be deemed to have undergone a Change in Control unless the Company is deemed to have undergone a “change in control
event” pursuant to the definition of such term in Section 409A.

14.4    Adjustments

Adjustments under this Section 14 related to shares of Stock or securities of the Company shall be made by the Board, whose determination in that
respect shall be final, binding and conclusive. No fractional shares or other securities shall be issued pursuant to any such adjustment, and any fractions
resulting from any such adjustment shall be eliminated in each case by rounding downward to the nearest whole share.

15. NO LIMITATIONS ON COMPANY

The  making  of  Awards  pursuant  to  the  Plan  shall  not  affect  or  limit  in  any  way  the  right  or  power  of  the  Company  to  make  adjustments,
reclassifications, reorganizations, or changes of its capital or business structure or to merge, consolidate, dissolve, or liquidate, or to sell or transfer all or
any part of its business or assets.

16. TERMS APPLICABLE GENERALLY TO AWARDS GRANTED UNDER THE PLAN

16.1    Disclaimer of Rights.

No provision in the Plan or in any Award Agreement shall be construed to confer upon any individual the right to remain in the employ or service of
the Company or any Affiliate, or to interfere in any way with any contractual or other right or authority of the Company either to increase or decrease the
compensation  or  other  payments  to  any  individual  at  any  time,  or  to  terminate  any  employment  or  other  relationship  between  any  individual  and  the
Company.  In  addition,  notwithstanding  anything  contained  in  the  Plan  to  the  contrary,  unless  otherwise  stated  in  the  applicable  Award  Agreement,  no
Award  granted  under  the  Plan  shall  be  affected  by  any  change  of  duties  or  position  of  the  Grantee,  so  long  as  such  Grantee  continues  to  be  a  Service
Provider. The obligation of the Company to pay any benefits pursuant to this Plan shall be interpreted as a contractual obligation to pay only those amounts
described herein, in the manner and under the conditions prescribed herein. The Plan shall in no way be interpreted to require the Company to transfer any
amounts to a third party trustee or otherwise hold any amounts in trust or escrow for payment to any Grantee or beneficiary under the terms of the Plan.

A-14

16.2    Nonexclusivity of the Plan.

Neither the adoption of the Plan nor the submission of the Plan to the stockholders of the Company for approval shall be construed as creating any
limitations  upon  the  right  and  authority  of  the  Board  to  adopt  such  other  incentive  compensation  arrangements  (which  arrangements  may  be  applicable
either  generally  to  a  class  or  classes  of  individuals  or  specifically  to  a  particular  individual  or  particular  individuals),  including,  without  limitation,  the
granting of stock options as the Board in its discretion determines desirable.

16.3    Withholding Taxes.

The Company or an Affiliate, as the case may be, shall have the right to deduct from payments of any kind otherwise due to a Grantee any federal,
state, or local taxes of any kind required by law to be withheld (i) with respect to the vesting of or other lapse of restrictions applicable to an Award, (ii)
upon the issuance of any shares of Stock upon the exercise of an Option or SAR, or (iii) otherwise due in connection with an Award.  At the time of such
vesting, lapse, or exercise, the Grantee shall pay to the Company or the Affiliate, as the case may be, any amount that the Company or the Affiliate may
reasonably determine to be necessary to satisfy such withholding obligation. Subject to the prior approval of the Company or the Affiliate, which may be
withheld by the Company or the Affiliate, as the case may be, in its sole discretion, the Grantee may elect to satisfy such obligations, or the Company may
require such obligations (up to maximum statutory rates) to be satisfied, in whole or in part, (i) by causing the Company or the Affiliate to withhold the
number  of  shares  of  Stock  otherwise  issuable  to  the  Grantee  as  may  be  necessary  to  satisfy  such  withholding  obligation  or  (ii)  by  delivering  to  the
Company or the Affiliate shares of Stock already owned by the Grantee. The shares of Stock so delivered or withheld shall have an aggregate Fair Market
Value  equal  to  such  withholding  obligations  (up  to  maximum  statutory  rates).    The  Fair  Market  Value  of  the  shares  of  Stock  used  to  satisfy  such
withholding obligation shall be determined by the Company or the Affiliate as of the date that the amount of tax to be withheld is to be determined. A
Grantee who has made an election pursuant to this Section 16.3 may satisfy his or her withholding obligation only with shares of Stock that are not subject
to any repurchase, forfeiture, unfulfilled vesting, or other similar requirements.

16.4    Captions.

The use of captions in this Plan or any Award Agreement is for the convenience of reference only and shall not affect the meaning of any provision of

the Plan or any Award Agreement.

16.5    Other Provisions.

Each Award Agreement may contain such other terms and conditions not inconsistent with the Plan as may be determined by the Board, in its sole

discretion.  In the event of any conflict between the terms of an employment agreement and the Plan, the terms of the employment agreement govern.

16.6    Number and Gender.

With respect to words used in this Plan, the singular form shall include the plural form, the masculine gender shall include the feminine gender, etc.,

as the context requires.

16.7    Severability.

If any provision of the Plan or any Award Agreement shall be determined to be illegal or unenforceable by any court of law in any jurisdiction, the
remaining provisions hereof and thereof shall be severable and enforceable in accordance with their terms, and all provisions shall remain enforceable in
any other jurisdiction.

A-15

16.8    Governing Law.

The Plan shall be governed by and construed in accordance with the laws of the State of Nevada without giving effect to the principles of conflicts of

law, and applicable Federal law.

16.9    Section 409A.

The Plan is intended to comply with Section 409A to the extent subject thereto, and, accordingly, to the maximum extent permitted, the Plan shall be
interpreted and administered to be in compliance therewith. Any payments described in the Plan that are due within the “short-term deferral period” as
defined in Section 409A shall not be treated as deferred compensation unless applicable laws require otherwise. Notwithstanding anything to the contrary
in the Plan, to the extent required to avoid accelerated taxation and tax penalties under Section 409A, amounts that would otherwise be payable and benefits
that would otherwise be provided pursuant to the Plan during the six (6) month period immediately following the Grantee’s Separation from Service shall
instead  be  paid  on  the  first  payroll  date  after  the  six-month  anniversary  of  the  Grantee’s  Separation  from  Service  (or  the  Grantee’s  death,  if  earlier).
Notwithstanding  the  foregoing,  neither  the  Company  nor  the  Committee  shall  have  any  obligation  to  take  any  action  to  prevent  the  assessment  of  any
excise tax or penalty on any Grantee under Section 409A and neither the Company nor the Committee will have any liability to any Grantee for such tax or
penalty.

16.10  Separation from Service.

The  Board  shall  determine  the  effect  of  a  Separation  from  Service  upon  Awards,  and  such  effect  shall  be  set  forth  in  the  appropriate  Award
Agreement.  Without limiting the foregoing, the Board may provide in the Award Agreements at the time of grant, or any time thereafter with the consent
of  the  Grantee,  the  actions  that  will  be  taken  upon  the  occurrence  of  a  Separation  from  Service,  including,  but  not  limited  to,  accelerated  vesting  or
termination, depending upon the circumstances surrounding the Separation from Service.

16.11  Transferability of Awards.

16.11.1        Transfers in General.

Except as provided in Section 16.11.2, no Award shall be assignable or transferable by the Grantee to whom it is granted, other than by will or the
laws  of  descent  and  distribution,  and,  during  the  lifetime  of  the  Grantee,  only  the  Grantee  personally  (or  the  Grantee’s  personal  representative)  may
exercise rights under the Plan.

16.11.2              Family Transfers.

If authorized in the applicable Award Agreement, a Grantee may transfer, not for value, all or part of an Award (other than Incentive Stock Options)
to any Family Member.  For the purpose of this Section 16.11.2, a “not for value” transfer is a transfer which is (i) a gift, (ii) a transfer under a domestic
relations order in settlement of marital property rights; or (iii) a transfer to an entity in which more than fifty percent of the voting interests are owned by
Family Members (or the Grantee) in exchange for an interest in that entity.  Following a transfer under this Section 16.11.2, any such Award shall continue
to be subject to the same terms and conditions as were applicable immediately prior to transfer. Subsequent transfers of transferred Awards are prohibited
except to Family Members of the original Grantee in accordance with this Section 16.11.2 or by will or the laws of descent and distribution.

16.12  Dividends and Dividend Equivalent Rights.

If  specified  in  the  Award  Agreement,  the  recipient  of  an  Award  (other  than  Options  or  SARs)  may  be  entitled  to  receive  dividends  or  dividend
equivalents with respect to the Common Stock or other securities covered by an Award.  The terms and conditions of a dividend equivalent right may be set
forth  in  the  Award  Agreement.    Dividend  equivalents  credited  to  a  Grantee  may  be  reinvested  in  additional  shares  of  Stock  or  other  securities  of  the
Company at a price per unit equal to the Fair Market Value of a share of Stock on the date that such dividend was paid to stockholders, as determined in the
sole  discretion  of  the  Committee.    Notwithstanding  any  provision  herein  to  the  contrary,  in  no  event  will  dividends  or  dividend  equivalents  vest  or
otherwise  be  paid  out  prior  to  the  time  that  the  underlying  Award  (or  portion  thereof)  has  vested  and,  accordingly,  will  be  subject  to  cancellation  and
forfeiture if such Award does not vest (including both time-based and performance-based Awards).

The Plan was adopted by the Board of Directors on April 29, 2019.

A-16

Name of Subsidiary
Chembio Diagnostic Systems Inc.
Chembio Diagnostics Malaysia Sdn. Bhd.
opTricon GmbH
Brillant 3006, GmbH
Orangelife Comercio e Industria Ltda.

CHEMBIO DIAGNOSTICS, INC.

Subsidiaries of the Registrant

Jurisdiction of Incorporation
Delaware
  Malaysia
Germany
Germany
Brazil

Exhibit 21.1

 
 
 
 
 
Consent of Independent Registered Public Accounting Firm

Chembio Diagnostics, Inc.
Hauppauge, New York

We hereby consent to the incorporation by reference in the Registration Statements on Form S-3 (No. 333-227398 and No. 333-
215813)  and  Form  S-8  (No.  333-151785  and  No.  333-203633)  of  Chembio  Diagnostics,  Inc.  of  our  reports  dated  March  13,
2020, relating to the consolidated financial statements and the effectiveness of Chembio Diagnostics, Inc.’s internal control over
financial reporting, which appear in this Form 10-K.

Exhibit 23.1

/s/ BDO USA, LLP
Melville, NY
March 13, 2020

Exhibit 31.1

I, Gail S. Page, certify that:

1.

I have reviewed this Form 10-K of Chembio Diagnostics, Inc.;

CERTIFICATION

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 13a15(f) and 15d-15(f))
for the registrant and have:

(a) Designed  such  disclosure  controls  and  procedures,  or  caused  such  disclosure  controls  and  procedures  to  be  designed  under  our  supervision,  to
ensure  that  material  information  relating  to  the  registrant,  including  its  consolidated  subsidiaries,  is  made  known  to  us  by  others  within  those
entities, particularly during the period in which this report is being prepared;

(b) Designed  such  internal  control  over  financial  reporting,  or  caused  such  internal  control  over  financial  reporting  to  be  designed  under  our
supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external
purposes in accordance with generally accepted accounting principles;

(c) Evaluated  the  effectiveness  of  the  registrant’s  disclosure  controls  and  procedures  and  presented  in  this  report  our  conclusions  about  the

effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed  in  this  report  any  change  in  the  registrant’s  internal  control  over  financial  reporting  that  occurred  during  the  registrant’s  most  recent
fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially
affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer(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: March 13, 2020

/s/ Gail S. Page
Gail S. Page
President & Interim Chief Executive Officer

 
 
 
 
 
Exhibit 31.2

I, Neil A. Goldman, certify that:

1.

I have reviewed this Form 10-K of Chembio Diagnostics, Inc.;

CERTIFICATION

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 13a15(f) and 15d-15(f))
for the registrant and have:

(a) Designed  such  disclosure  controls  and  procedures,  or  caused  such  disclosure  controls  and  procedures  to  be  designed  under  our  supervision,  to
ensure  that  material  information  relating  to  the  registrant,  including  its  consolidated  subsidiaries,  is  made  known  to  us  by  others  within  those
entities, particularly during the period in which this report is being prepared;

(b) Designed  such  internal  control  over  financial  reporting,  or  caused  such  internal  control  over  financial  reporting  to  be  designed  under  our
supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external
purposes in accordance with generally accepted accounting principles;

(c) Evaluated  the  effectiveness  of  the  registrant’s  disclosure  controls  and  procedures  and  presented  in  this  report  our  conclusions  about  the

effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed  in  this  report  any  change  in  the  registrant’s  internal  control  over  financial  reporting  that  occurred  during  the  registrant’s  most  recent
fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially
affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer(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:  March 13, 2020

/s/ Neil A. Goldman
Neil A. Goldman
Executive Vice President & Chief Financial Officer

 
 
 
 
 
CERTIFICATION PURSUANT TO
18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 32.1

In connection with the Annual Report on Form 10-K (the “Report”) of Chembio Diagnostics, Inc. (the “Company”) for the year
ended  December  31,  2019,  each  of  the  undersigned  Gail  S.  Page,  the  President  &  Interim  Chief  Executive  Officer  of  the
Company,  and  Neil  A.  Goldman,  the  Executive  Vice  President  &  Chief  Financial  Officer  of  the  Company,  hereby  certifies
pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that, to the best of
the undersigneds’ knowledge and belief:

(1) This Form 10-K for the year ended December 31, 2019 fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange

Act of 1934; and

(2) The information contained in this Form 10-K for the year ended December 31, 2019 fairly presents, in all material respects, the financial condition

and results of operations of Chembio Diagnostics, Inc. for the periods presented therein.

Dated:  March 13, 2020

Dated:  March 13, 2020

/s/ Gail S. Page
Gail S. Page
President & Interim Chief Executive Officer

/s/ Neil A. Goldman
Neil A. Goldman
Executive Vice President & Chief Financial Officer